JK (Jurnal Kesehatan), menekankan pada penyampaian hasil penelitian ilmiah dan kajian literatur di bidang kesehatan secara umum.
PERAN KOMUNIKASI TERAPEUTIK PERAWAT TERHADAP TINGKAT KECEMASAN PASIEN PRAOPERATIF DI RUANG OK RSUP DR. TADJUDDIN CHALID
Surgery is an invasive medical procedure that often triggers preoperative anxiety. This condition may negatively affect both physiological and psychological states of patients and influence the surgical process. One of the effective non-pharmacological interventions to reduce anxiety is therapeutic communication provided by nurses. To determine the role of nurses’ therapeutic communication in reducing the level of preoperative anxiety among patients in the operating room of RSUP Dr. Tadjuddin Chalid Makassar. A case study was conducted on a preoperative patient diagnosed with ureteral stone who underwent ureteroscopy. Data were collected through subjective assessment, observation of objective signs, nursing interventions involving therapeutic communication and relaxation techniques, and evaluation using the SOAP approach. The patient showed signs of anxiety such as worry, restlessness, and tension. After therapeutic communication interventions, including companionship, providing clear information about the surgical procedure, empathetic approaches, and deep breathing relaxation techniques, the patient’s anxiety decreased. The patient reported feeling calmer, better understood the information, and demonstrated more stable emotional conditions.Therapeutic communication plays an important role in reducing preoperative anxiety. This intervention enhances patients’ psychological comfort, prepares them for surgery, and supports the quality of perioperative nursing care.
EDUKASI MANAJEMEN NYERI PADA PASIEN APENDISITIS DI RUANGAN PREOPERATIF INSTALASI BEDAH SENTRAL RSUD LABUANG BAJI
Appendicitis is one of the most common causes of acute abdomen that often requires surgical intervention. Acute pain and preoperative anxiety are the main problems that can affect both the physical and psychological condition of patients. Pain management through non-pharmacological education techniques, such as deep breathing relaxation, has been proven effective in reducing pain intensity and improving patient comfort. This case report to describe the implementation of pain management education in appendicitis patients in the preoperative room at the Central Surgical Installation of RSUD Labuang Baji. The method used was a case study of a patient diagnosed with appendicitis who experienced severe pain (scale 9) and anxiety before surgery. The intervention provided was education on deep breathing relaxation techniquesng a therapeutic communication approach, vital signs relaxation techniques using a therapeutic communication approach, vital signs observation, and monitoring of the patient's response. showed that after education and the application of deep breathing relaxation techniques, the patient experienced a reduction in pain intensity from scale 9 to scale 8, appeared calmer, and was more cooperative in facing the surgical procedure. However, anxiety was not fully resolved and still required further port. Pain management education with deep breathing relaxation techniques is effective in reducing pain levels and helping to alleviate anxiety in preoperative appendicitis patients. This intervention is recommended to be applied consistently by involving patients and their families, as well as being combined with other educational methods to achieve more optimal results.
PENERAPAN KOMPRES DINGIN DALAM MANAJEMEN NYERI PADA PASIEN CLOSE FRAKTUR FEMUR DI RUANG RSUP Dr. TADJUDDINCHALID MAKASSAR
Background: Fractures are a health problem that often cause severe pain, limited activity, and the risk of complications. Pain management usually involves pharmacological therapy, but long-term use can lead to dependence and side effects. As an alternative, non-pharmacological therapies such as cold compresses are effective in relieving pain through vasoconstriction, which reduces blood flow, inflammation, and oedema in the injured area. Objective: To determine the application of cold compresses in pain management and to evaluate their effectiveness in reducing pain intensity in patients in the Emergency Room of Dr. Tadjuddin Chalid General Hospital. Method: The method used included assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Results: The assessment showed that patients experienced acute pain with a pain scale of 6–7/10. After applying cold compresses for 15–20 minutes every 8 hours, there was a decrease in pain intensity to a scale of 2–3/10. The evaluation showed that the patient was more relaxed, appeared cooperative, and reported a significant reduction in pain. Conclusion: From this case study, the application of cold compresses was proven to be effective as a non-pharmacological measure in reducing pain intensity in patients with femur fractures. This intervention can be used as an additional option in nursing care to increase comfort, reduce drug dependence, and support the holistic healing process of patients.
PENERAPAN MOBILISASI DINI PADA PASIEN FRAKTUR FEMUR POST OP DI RUANGAN INSTALASI BEDAH RSUD LABUANG BAJI MAKASSAR
Femoral fractures are a common bone injury with a high incidence in Indonesia, generally caused by traffic accidents. This condition causes severe pain, limited mobility, and the risk of post-operative complications. One effective nursing intervention to accelerate recovery is early mobilization, which aims to reduce pain, improve circulation, increase muscle strength, and prevent complications from prolonged bed rest. method uses a case study method on one patient with a nursing process approach that includes assessment, diagnosis determination, intervention planning, implementation, and evaluation. The study subject is a patie with post-ORIF closed fracture of the distal third of the right femur who was treated in the Surgical Installation of Labuang Baji Regional Hospital, Makassar. At the initial assessment, the patient complained of severe pain with a scale of 9, limited mobility, and anxiety. After interventions including gradual early mobilization, relaxation techniques, education, and family support, pain decreased, joint range of motion increased, and muscle strength increased. No signs of postoperative infection were found.onclusion: The assessment results showed that the patient initially experienced severe pain with a scale of 9, limited mobility, and anxiety. After intervention in the form of gradual early mobilization and educational support, the pain scale decreased to less severe, joint range of motion increased, and muscle strength increased. The study concluded that early mobilization is effective in reducing pain, increasing mobility, and accelerating the recovery process in patients with postoperative femoral fractures.
PENERAPAN PEMBERIAN AROMATERAPI LAVENDERPADA KLIEN POST OPERASI APENDIKTOMI DENGAN MASALAH KEPERAWATAN NYERI AKUT DI RSUD LABUANG BAJI MAKASSAR
Appendicitis is an inflammation of the appendix that requires surgical intervention (appendectomy) and often causes acute postoperative pain. Uncontrolled pain can hinder mobilization and delay recovery. One of the effective non-pharmacological therapies to reduce pain is lavender aromatherapy, which contains linalool and linalyl acetate compounds that have calming, relaxing, and analgesic effects. To determine the effectiveness of lavender aromatherapy in reducing acute pain among post-appendectomy clients at Labuang Baji Hospital Makassar.This study used a case study method with a nursing process approach. The intervention was carried out by administering lavender aromatherapy through inhalation for 10–15 minutes, twice daily. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention to assess changes in pain level. The results showed a decrease in pain score from 6 (moderate) to 3 (mild) after lavender aromatherapy administration. The patient appeared more relaxed, comfortable, and able to rest well. This proves that lavender aromatherapy is effective as a complementary non-pharmacological therapy in reducing acute pain among post-appendectomy patients and supports the improvement of nursing care quality and recovery process.
EFEKTIVITAS PEMBERIAN KOMPRES BAWANG MERAH TERHADAP PENURUNAN SUHU TUBUH PADA ANAK BALITA PASCA IMUNISASI DIWILAYAH KERJA PUSKESMAS MACCINI SAWAH
Fever is one of the common side effects that often occurs in toddlers after immunization. Fever management is generally carried out with antipyretics, but non-pharmacological interventions such as shallot compresses can serve as an alternative due to their flavonoid and essential oil content, which have vasodilatory effects and improve blood circulation. This study aimed to determine the effectiveness of shallot compresses in reducing body temperature in toddlers after immunization at the working area of Maccini Sawah Public Health Center. This research employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of toddlers experiencing post-immunization fever, selected using purposive sampling. Temperature measurements were taken before and after the shallot compress intervention with a duration of 60 minutes. Data were analyzed using the paired t-test. The findings revealed a decrease in toddlers’ body temperature by an average of 1.2°C after the shallot compress intervention (p < 0.05), indicating significant effectiveness in reducing fever. Shallot compresses are effective in lowering body temperature in toddlers after immunization. This intervention can be considered a non-pharmacological alternative in the management of mild fever in children.
EFEKTIVITAS PEMBERIAN KOMPRES BAWANG MERAH
EFEKTIFITAS PROGRAM EDUKASI DALAM MENINGKATKAN KEPATUHAN MINUM OBAT PADA PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS MACCINI SAWAH
Hypertension is a chronic disease with a low rate of medication adherence. Many patients only take medication when symptoms occur, which increases the risk of complications. Health education plays an important role in improving patients’ understanding and behavior related to hypertension therapy. Objective: To determine the effectiveness of an education program in improving medication adherence among hypertension patients. Methods: This study employed a pre-experimental design with a pretest-posttest approach. Data were collected through observation sheets and interviews. Results: Before receiving education, the patient only took medication when experiencing symptoms, with a blood pressure of 165/95 mmHg. After the educational intervention, the patient demonstrated improved knowledge, started using a phone alarm as a reminder, and showed better medication adherence. Blood pressure decreased to 150/90 mmHg. Conclusion: The education program was proven effective in improving patients’ knowledge and adherence to antihypertensive medication. Continuous education that is simple, easy to understand, and involves family support plays a crucial role in controlling blood pressure and preventing long-term complications.
EFEKTIVITAS PEMBERIAN TERAPI MUROTTAL AL-QUR’AN UNTUK MENGONTROL NYERI PADA PASIEN FRAKTUR TERTUTUP DI IGD RS IBNU SINA YW UMI
Hand fractures cause significant pain that can interfere with patients' quality of life. Effective pain management is essential for optimal recovery. Al-Qur'an recitation therapy has been proven to have a calming effect and reduce pain. This case study aims to determine the effect of Al-Qur'an recitation therapy on pain control in patients with hand fractures. This case study is a case study or learning strategy to analyse the effectiveness of Al-Qur'an recitation therapy in controlling pain in patients with distal humerus dextra fractures by providing Al-Qur'an recitation therapy. Clients focused their minds on reciting verses from Ar-Rahman for approximately 20 minutes, after which they were instructed to open their eyes. The results showed that there was a decrease in pain intensity from a previous scale of 7 to 4 after being given murottal therapy. Al-Qur'an murottal therapy is effective in controlling pain in patients with mild to moderate fractures. This therapy can be a useful non-pharmacological modality to reduce pain and improve patient welfare.
PENERAPAN MANAJEMEN HIPERTERMI TERHADAP TERMOREGULASI PADA ANAK DENGAN KEJANG DEMAM DI IGD RSUD LABUANG BAJI
Febrile seizures are a common neurological condition in children aged 6 months–5 years, characterized by an increase in body temperature ≥38°C without central nervous system infection. Hyperthermia management through warm compresses is an effective non-pharmacological intervention to help improve thermoregulation. This study aimed to apply hyperthermia management to improve thermoregulation in children with febrile seizures in the emergency room (ED) of Rsud Labuang Baji. The results showed that after 30 minutes of intervention, body temperature decreased from 39.9°C to 36.9°C, and there were no recurrent seizures during observation. In conclusion, simple interventions such as warm compresses can be an important part of initial management in the ED to prevent complications.
EFEKTIVITAS PERAWATAN DIABETIC FOOT ULCER DENGAN MENGGUNAKAN MODERN DRESSING : HYDROFIBER DI PRAKTIK MANDIRI GRIYA AFIAT KOTA MAKASSAR
Background: Diabetic Foot Ulcer (DFU) is a chronic complication of diabetes mellitus that can lead to disability or even amputation. The use of modern dressings such as Hydrofiber plays an essential role in accelerating wound healing, controlling exudate, preventing infection, and improving patient comfort. Objective: To evaluate the effectiveness of Hydrofiber dressing in DFU wound care, specifically in controlling exudate, maintaining wound moisture, preventing infection, reducing pain, and accelerating granulation and epithelialization in a DFU patient treated at Griya Afiat Wound Care Clinic, Makassar. Method : A case study was conducted on Mrs. R, a 51-year-old female with DFU on the dorsal side of the left foot extending to the calf. Wound assessment was performed using the Bates-Jensen Wound Assessment Tool. The intervention included wound cleansing, application of epithelial ointment, hydrophobic dressing, hydrofiber silver, and alginate dressing, followed by sterile gauze as a secondary dressing and an elastic bandage as tertiary dressing. Results: After two days of treatment, the wound size decreased from 104 cm² to 100 cm². Granulation tissue increased to approximately 60%, epithelialization reached 50%, necrotic tissue decreased by 25%, exudate was well-controlled, and no signs of infection were observed. The patient also reported a reduction in pain intensity during the treatment period. Conclusion: Wound care using Hydrofiber dressing proved effective in promoting DFU healing by controlling exudate, enhancing granulation and epithelialization, and preventing infection. Recommendation: Hydrofiber can be recommended as a primary option for chronic wound care, especially DFU. Further studies with larger sample sizes and longer treatment periods are needed to strengthen evidence of its effectiveness. Hydrofiber dressing is recommended as a primary option for managing chronic wounds such as DFU. Further research with larger sample sizes and longer observation periods is needed to strengthen evidence of its effectiveness
STUDI KASUS : PERAWATAN LUKA ABSES MENGGUNAKAN MODERN DRESSING HYDROFIBER DAN EPITEL CREAM DI PRAKTIK MANDIRI GRIYA AFIAT KOTA MAKASSAR
Background: An abscess is a skin infection caused by the accumulation of pus, commonly due to Staphylococcus aureus. This condition is more frequently found in patients with diabetes mellitus due to impaired immunity and microcirculation, which slows the wound-healing process. Conventional wound care is often insufficient in controlling exudate and preventing infection, thus requiring modern dressings such as Hydrofiber silver, which effectively absorbs exudate and provides antimicrobial activity to support healing. Objective: This study aims to evaluate the effectiveness of Hydrofiber silver and zinc epithelial cream in the management of abscess wounds. The intervention focused on exudate control, infection prevention, periwound protection, and acceleration of granulation and epithelialization processes in patients treated at the Griya Afiat Independent Practice, Makassar City. Method: A case study was conducted on Mr. AH, a 61-year-old male with an abscess wound on the back. Wound assessment and treatment were carried out during two visits, on Monday and Thursday. The procedure included wound cleansing, application of Hydrofiber silver as the primary dressing, and zinc epithelial cream on the periwound area to maintain moisture and prevent irritation. Results: Over two visits, initial improvements were observed. Wound size decreased from 1.3 × 1.6 cm to 1.2 × 1.4 cm. The wound showed subcutaneous depth, a tunnel < 2 cm, 25% slough, 50% granulation tissue, 25% epithelialization, moderate purulent exudate, and surrounding skin with hypopigmentation, mild edema, and induration < 2 cm. The total score was 29, with an estimated healing time of 5–6 weeks. Conclusion: The combination of Hydrofiber silver and zinc epithelial cream effectively contributed to exudate control and periwound protection, although continued care is needed to optimize the healing of abscess wounds.
PENGARUH MANAJEMEN NYERI TERHADAP PENURUNAN TINGKAT NYERI KEPALA PADA PASIEN HIPERTENSI DI RUANG IGD RS LABUANG BAJI MAKASSAR
Hypertension is a chronic condition often causing headaches due to increased blood pressure that affects cerebral circulation and induces muscle tension. This symptom impacts patient comfort and quality of life. Pain management can be delivered pharmacologically or non-pharmacologically. One effective non-pharmacological method is a warm compress, which works through vasodilation, improved circulation, and muscle relaxation. This scientific work applied a case report on a 63-year-old male patient with hypertension who presented to the Emergency Department of RSUD Labuang Baji Makassar with a headache rated 6 on the pain scale. After a warm compress intervention, pain decreased to a score of 3. The results show that warm compresses effectively reduce pain intensity and improve patient comfort. This method can be considered a simple, practical, and applicable nursing intervention.
PENERAPAN RANGE OF MOTION (ROM) PADA PASIEN STROKE DENGAN GANGGUAN MOBILITAS FISIK DI WILAYAH KERJA PUSKESMAS PAMPANG KOTA MAKASSAR PUSKESMAS PAMPANG
STROKE is one of the major health problems in Indonesia because it not only increases morbidity and disability rates but also reduces patients' quality of life. Physical mobility impairment is one of the common effects on post-stroke patients due to muscle weakness and limited range of motion. One nursing intervention that can be provided to reduce these effects is Range of Motion (ROM) exercises, which have been proven to maintain joint flexibility, increase muscle strength, and prevent complications from immobilisation. To determine the application of ROM in stroke patients with physical mobility disorders in the working area of the Pampang Community Health Centre in Makassar City. A case study was conducted through nursing care that included the stages of assessment, nursing diagnosis, planning, implementation, and evaluation. The intervention was carried out for three days (3x24 hours) on patient Mr. B, a 66-year-old male with a history of non-haemorrhagic stroke since 3 years ago who experienced weakness in his right extremities. The results showed that after ROM exercises, the patient experienced improved mobility, characterised by reduced muscle stiffness, increased limb strength, and increased range of motion. Daily evaluations showed that the problem of physical mobility impairment had been partially resolved, with the involvement of the family playing an important role in helping with the exercises at home. The application of ROM is effective in improving the mobility of stroke patients, preventing complications due to immobilisation, and supporting patient independence. ROM exercises are a simple, inexpensive intervention that can be performed independently by patients and families, so they are recommended for routine application both in health facilities and at home.
PENATALAKSANAAN MANAJEMEN PERAWATAN LUKA PADA PASIEN DENGAN VULNUS.LASERATUM REGIO MENTALIS DI RUANGAN IGD RS TK II PELAMONIA MAKASSAR
Vulnus Laceratum, Or Lacerated Wound, Is A Type Of Open Wound Characterized By The Tearing Of The Skin And Underlying Tissue Due To Trauma. This Type Of Wound Typically Has An Irregular Shape With Jagged Edges, Often Caused By Pulling Or Scraping From Blunt Objects Such As The Edge Of A Table Or Parts Of A Motor Vehicle. One Technique That Can Be Applied To Reduce The Risk Of Infection Is Wound Care Using Transparent Film Dressing. Research Results: This Study Used A Descriptive Method With A Case Study Approach. The Research Subjects Were Two Individuals Who Experienced Vulnus Laceratum. Infection Risk Was Measured Using An Infection Risk Checklist. In Subject I, There Was A Decrease In Infection Risk Marked By Improvement In Redness, Swelling, And Pain. In Subject II, Redness, Swelling, And Pain Also Improved. The Application Of Transparent Film Dressing For Three Days Proved To Be A Potential Alternative Intervention To Reduce The Risk Of Infection. Conclusion: The Results Of This Case Study Showed A Decrease In Infection Risk In Both Subjects, Indicated By Improvements In Redness, Swelling, And Pain
EFEKTIVITAS PRIMARY DRESSING HIDROFOBIK SEBAGAI PADA LUKA DIABETIC FOOT ULCER DIRUMAH ETN CENTERE MAKASSAR
Diabetic Foot Ulcer (DFU) is one of the most serious chronic complications in people with diabetes mellitus. DFU is an open wound in the foot tissue that arises due to a combination of neuropathy, peripheral vascular disorders (ischemia), and susceptibility to infection. Hydrophobicity can increase effectiveness by up to 4% in attracting fungi and hydrophobic bacteria, thereby preventing the formation of biofilms in wounds. Modern dressings Cutimed Sorbact is a type of antimicrobial dressing that has strong hydrophobic properties. This study aims to determine the effectiveness of hydrophobic primary dressings on diabetic foot ulcers at the ETN Center Makassar. This study used a case report study method with a descriptive approach. This study only used one sample, namely one patient (case report) with Diabetic Foot Ulcer who was treated at the ETN Center Makassar. DFU wound care with hydrophobic dressings showed good results. The wound area decreased from 0.35 cm² (20/08/2025) to 0.25 cm² (23/08/2025). Exudate decreased from 30% to 20%, biofilm from 25% to 20%, granulation tissue increased from 60% to 65%, while necrotic tissue, slough, and epithelium remained at 5% each. This indicates a positive wound healing process. Treatment of Diabetic Foot Ulcers (DFU) using hydrophobic dressings effectively accelerates the healing process, characterized by reduced wound area, reduced exudate and biofilm, and increased granulation tissue/healthy tissue. This suggests that hydrophobic dressings may be a good choice in DFU wound management.
PENERAPAN CALCIUM ALGINATE SEBAGAI PRIMARY DRESSING TERHADAP PERCEPATAN GRANULASI DAN EPITELISASI LUKA VENA DI PRAKTIK MANDIRI GRIYA AFIAT KOTA MAKASSAR
Venous wounds are a chronic problem that often occurs due to venous insufficiency and is characterized by excess exudate and slow healing. One of the modern approaches to chronic wound management is the use of calcium alginate as a primary dressing, which is able to absorb exudate, retain optimal moisture, and accelerate the granulation and epitheliation process. The purpose of the study was to determine the effectiveness of the application of calcium alginate as a primary dressing on the acceleration of granulation and epithelialization of venous wounds in the Independent Practice of Griya Afiat, Makassar City. This study is a case study in one patient with chronic venous injury. The treatment was carried out during two consecutive visits for three days using calcium alginate as the primary dressing with a combination of elastic compression dressings. Wound evaluation was performed using the Bates-Jensen Wound Assessment Tool. The results showed that after two treatments, there was a decrease in wound area from 35.91 cm² to 25.4 cm² (a change of 29.2%), a decrease in exudate from 35% to 15%, an increase in granulation tissue from 55% to 60%, and a decrease in epithelialization from 45% to 40% indicating an active proliferation phase. The application of calcium alginate as a primary dressing effectively accelerates the granulation process, reduces exudate, and significantly reduces the size of venous wounds. This dressing is recommended as the main choice for venous wounds with moderate to high exudate.
PENGARUH TERAPI BEKAM TERHADAP PENURUNAN NYERI PADA PASIEN LOW BACK PAIN DI KLINIK ZEIN HOLISTIC MAKASSAR
Low back pain can be treated through pharmacological and non-pharmacological therapies. One widely used non-pharmacological method is cupping therapy. Cupping therapy is a traditional healing method that has been known for thousands of years and is used in various parts of the world, including Indonesia. This therapy involves applying special cups to the skin's surface to create negative pressure. This process aims to increase blood flow, reduce muscle tension, and help remove toxins from the body. There are two types of cupping therapy: dry cupping and wet cupping. Objective: To determine the effect of cupping therapy on pain reduction in patient Mrs. R with low back pain at the Zein Holistic Clinic. Method: This is a case study describing the findings in one patient, Mrs. R, with a medical diagnosis of low back pain.Nursing Care Outcomes: The nursing diagnosis established based on Mrs. R's assessment was acute pain. Treatment for low back pain, including cupping therapy, was administered on August 11, 2025, at the Zein Holistic Clinic in Makassar. Based on the assessment results, the pain scale was 6/10 using the Numerical Rating Scale (NRS). After cupping therapy, the pain decreased to 4/10. The cupping points used, based on the Sunnah, were Azh-Zhar and Al-Warik. Conclusion: Cupping therapy is expected to reduce Mrs. R's pain. This is expected to provide input for ongoing topic development.
EFEKTIVITAS TEKNIK RELAKSASI NAPAS DALAM UNTUK PENURUNAN KECEMASAN PADA PASIEN PRE OPERASI DI RUANGAN OK RSUP TAJUDDIN CHALID MAKASSAR
A fracture is a disruption of bone continuity that may occur either totally or partially, caused by direct trauma, indirect trauma, or pathological conditions of the bone. A radial fracture itself is a break that occurs in the radius bone (the lateral bone of the forearm, aligned with the thumb). This type of fracture generally occurs due to a fall on an outstretched hand (FOOSH), traffic accidents, or occupational trauma." This study used a descriptive observational case study design with a nursing process approach, including assessment, diagnosis, planning, implementation, and evaluation. The sample consisted of one preoperative patient diagnosed with radius fracture, selected using purposive sampling according to the case criteria. The study was conducted in the Operating Room of Dr. Tajuddin Chalid General Hospital, Makassar, in 2025. Data were collected through observation, interviews, and measurement of anxiety levels using the Hamilton Anxiety Rating Scale (HARS) before and after the implementation of the deep breathing relaxation techniq.. The results of the study showed a decrease in anxiety level from moderate to mild after the implementation of the deep breathing relaxation technique, as measured using the Hamilton Anxiety Rating Scale (HARS).The deep breathing relaxation technique was effective in reducing preoperative anxiety. This intervention can be used as a non-pharmacological nursing approach to help patients feel calmer and better prepared for surgical procedures.
PENGARUH LATIHAN BATUK EFEKTIF DALAM MENGATASI GANGGUAN BERSIHAN JALAN NAFAS PADA PASIEN PNEUMONIA DI RUANG IGD RS TK II PELAMONIA MAKASSAR
Pneumonia is a lower respiratory tract infection with high morbidity and mortality rates, especially in the elderly. A common nursing problem is impaired airway clearance due to the inability to cough effectively, resulting in accumulation of secretions and worsening shortness of breath. This condition requires appropriate nursing interventions to help optimize the patient's respiratory function. One intervention that can be provided is effective coughing exercises. These exercises aim to help expel secretions, increase pulmonary ventilation, and improve oxygenation. The method used in this scientific paper is a case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and evaluation. The focus of the intervention is effective coughing exercises for pneumonia patients in the Emergency Room of Pelamonia Class II Hospital, Makassar.Evaluation results showed improvements after effective coughing exercises, marked by increased coughing ability, reduced sputum volume and viscosity, and decreased shortness of breath. The application of effective coughing techniques significantly improved airway clearance in clients with pneumonia, thereby reducing their respiratory rate to within the normal range.
PENERAPAN SWEDISH MASSAGE UNTUK MENURUNKAN TEKANAN DARAHPADA PENDERITA HIPERTENSI DI PUSKESMAS PAMPANG MAKASSAR
BackgroundHypertension, or high blood pressure, is one of the most common public health problems worldwide. It is known as the "silent killer" because it often has no obvious symptoms, but it can lead to serious complications such as heart disease, stroke, kidney failure, and premature death if not properly treated. Method:The research method was a case study of a hypertension patient. The intervention was administered for three consecutive days, each lasting 30 minutes. Blood pressure was measured before and after the therapy.Swedish massage Nursing Care ResultsThe analysis results show that Swish massage therapy is effective in lowering blood pressure, indicating a significant decrease in blood pressure. Before the intervention, the patient's blood pressure was in the grade I–II hypertension category (174/98 mmHg). After the intervention,Swedish massage, blood pressure decreased to 145/88 mmHg accompanied by a more relaxed patient condition. ConclusionThe conclusion of this study is that Swedish massage is effective in lowering blood pressure through the mechanisms of muscle relaxation, blood vessel vasodilation, parasympathetic system stimulation, and stress hormone reduction. Swedish massage can be recommended as a safe, easy, and beneficial non-pharmacological complementary therapy in controlling hypertension in primary health care.
PENERAPAN BEKAM BASAH TERHADAP PENURUNAN NYERI DENGAN NEUROPATI KOMPRESI DIKLINIK ZEIN HOLISTIC
Lower back pain is a common musculoskeletal complaint and can be caused by compression neuropathy due to pressure on peripheral nerves or spinal nerve roots. Wet cupping therapy is known as a complementary method that has the potential to reduce pain intensity by increasing blood circulation, removing metabolic waste products, and stimulating endorphin release. This study aims to determine the application of wet cupping therapy to reduce low back pain in patients with compression neuropathy at the Zein Holistic Therapy Clinic in Makassar City. This study used a case study method on a 40-year-old female patient with complaints of low back pain radiating to the legs with an initial pain scale of 5 (moderate) as measured using the Numerical Rating Scale (NRS). The intervention was carried out in the form of wet cupping therapy according to standard operating procedures for nursing, followed by post-intervention pain measurements. The results showed a decrease in the pain scale from 5 to 2 after wet cupping therapy. The conclusion of this study is that wet cupping therapy is effective in reducing low back pain in patients with compression neuropathy, so it can be recommended as a non-pharmacological intervention in evidence-based nursing care.
PENATALAKSANAAN PERAWATAN LUKA DENGAN MODERN DRESSING METCOVAZIN PADA PASIEN LUKA KAKI DIABETIK GRADE III DI WILAYAH KERJA PUSKESMAS BONTOMARANNU GOWA
Diabetic foot ulcers are common complications of uncontrolled diabetes mellitus caused by neuropathy, ischemia, and infection. These wounds are often chronic and difficult to heal, requiring an effective wound care approach. This study aims to describe the application of wound care using modern Metcovazin dressing in a patient with a grade III diabetic foot ulcer. This research employed a case study involving one patient (Mrs. R) treated at the Bontomarannu Primary Health Center. The intervention included modern wound care techniques such as wound cleansing, debridement, PHMB application, ozone therapy, and Metcovazin dressing. Findings showed improvement from the first to the second visit, with a reduction in serous exudate from 20% to 15% and an increase in epithelialization from 70% to 85%. These results support Metcovazin dressing as an effective modern dressing method to enhance diabetic ulcer healing.
PENGARUH EDUKASI TERHADAP PENINGKATAN KUALITAS TIDUR PADA LANSIA DENGAN HIPERTENSI DI PUSKESMAS PAMPANG
Hypertension is one of the most prevalent non-communicable diseases and remains a global health problem, often referred to as a silent killer. Elderly individuals with hypertension frequently experience poor sleep quality, which may worsen blood pressure conditions. Objective: This study aims to determine the effect of sleep quality on blood pressure in elderly patients with hypertension. This research employed a case study design on an elderly patient with hypertension at Puskesmas Pampang. The interventions provided included sleep hygiene education, restriction of coffee consumption at night, and regulation of sleep patterns. Evaluation was carried out for three consecutive days by monitoring sleep quality and measuring blood pressure. Results: Before the intervention, the patient had poor sleep quality with blood pressure levels of 167/80 mmHg and 164/85 mmHg. After the intervention, sleep quality improved, complaints of difficulty sleeping decreased, and blood pressure decreased to 162/80 mmHg. Conclusion: Improving sleep quality has an effect on reducing blood pressure in elderly patients with hypertension. Good sleep quality can serve as an important non-pharmacological factor in the management of hypertension
PENERAPAN HIDROPHOBYC DRESSING DAN SALEP EPITEL CREAM UNTUK PENYEMBUHAN LUKA PADA PASIEN ABSES DI PRAKTIK MANDIRI GRIYA AFIAT KOTA MAKASSAR
An abscess is a skin infection caused by the accumulation of pus, often due to Staphylococcus aureus, and is more common in patients with diabetes mellitus due to immune and microcirculation disorders. Conventional treatment is often limited in controlling exudate and preventing infection, thus requiring modern dressing alternatives. This study employed a descriptive method with a case study approach on abscess wound patients at Griya Afiat Private Practice in Makassar City, applying modern Hydrophobic dressing and zinc epithelial cream to assess the effectiveness of treatment in accelerating healing. The case study was conducted on a 56-year-old female patient, Mrs. R, with a back abscess, through wound cleaning, application of Hydrophobic, and epithelial cream on the periwound. After two treatments, the wound area decreased from 1.4 cm² to 0.49 cm², exudate decreased from 25% to 15%, granulation tissue increased from 60% to 65%, and epithelialisation increased from 15% to 25%, indicating an active proliferation phase. The patient also reported increased comfort and no signs of infection were found. The application of hydrophobic dressing (Cutimed Sorbact) combined with Zinc Cream Epitel proved effective in accelerating the healing process of abscess wounds. The results of this case study are expected to serve as a reference in wound care nursing practice and additional literature for the development of nursing science in the field of wound care.
PENERAPAN TERAPI OZON UNTUK MENURUNKAN TINGKAT INFEKSI TERHADAP ULKUS KAKI DIABETIK DI RUMAH PERAWATAN ETN CENTRE MAKASSAR
Diabetic foot ulcer (UKD) is a chronic complication of diabetes mellitus that often experiences infection and is at risk of amputation if not treated properly. Ozone therapy is known to have antimicrobial effects, improve tissue oxygenation, and accelerate granulation and epithelialization of wounds. This study aims to describe the effectiveness of ozone therapy in reducing infection in UKD at the ETN Centre Makassar Care House. The case study was conducted on a 66-year-old Mrs. S patient with a 20-year history of diabetes and ulcers that lasted two months. Treatment was carried out over three visits using ozone therapy, PHMB irrigation, debridement, and modern dressing. The results showed improvements in the form of a decrease in wound size, exudate, loss of necrotic tissue, as well as an 85% increase in granulation and 20% epithelialization. These findings are consistent with previous research that states that ozone therapy is able to suppress bacterial colonization and speed healing. Conclusion: Ozone therapy is effective as an additional intervention in reducing UKD infection
MANAJEMEN ACTIVITY DAILY LIVING (ADL) UNTUK MENINGKATKAN KUALITAS TIDUR PADA PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS PAMPANG KOTA MAKASSAR
Hypertension is one of the non-communicable diseases with a high prevalence and is known as the silent killer because it is often asymptomatic and causes serious complications. One of the main problems that hypertensive patients experience is sleep disturbances, which can worsen cardiovascular conditions. Activity Daily Living (ADL) management is an important non-pharmacological strategy to improve sleep quality while helping to control blood pressure. This research was conducted in the Pampang Health Center Working Area with the aim of finding out the effectiveness of the application of ADL management on the sleep quality of hypertensive patients. The research method used a case study on Mrs. T, a hypertensive patient with complaints of sleep disturbances. Interventions were carried out through structured daily activity arrangements including light mobilization, rest time management, low-salt healthy diet, and stress management. The results showed a significant improvement in sleep quality after regular application of ADL for three consecutive days. Before the intervention, the patient was only able to sleep 3–4 hours per night with frequent awakening, while after the intervention the sleep duration increased to 5–6 hours with a better quality and less frequent awakening. The application of ADL also reduces complaints of dizziness during activities and increases patients' independence in carrying out daily activities. In conclusion, ADL management has been shown to be effective as a nonpharmacological intervention to improve the sleep quality of hypertensive patients and can be applied routinely in community nursing care.
PENGARUH MANAJEMEN NYERI TERHADAP TINGKAT NYERI PADA PASIEN KOLIK ABDOMEN DI RUANGAN IGD RSUD LABUANG BAJI MAKASSAR
Abdominal colic pain is a common problem in the Emergency Department (ER). The management of abdominal pain is often dominated by pharmacological therapy, even though non-pharmacological therapy is also effective in reducing pain. The purpose of this study is to analyze the effectiveness of pain management on pain reduction in abdominal colic patients in the emergency room of Labuang Baji Makassar Hospital. The research method was a case study with a 1x8-hour nursing approach at Labuang Baji Hospital, Makassar. Data collection was carried out through interviews, direct observation, and physical examination. Nursing interventions include pain management and warm compresses. After 8 hours of implementation, the pain problems in the patient showed a decrease. The patient said his abdominal pain decreased from a scale of 5 to a scale of 3. The client no longer seems to be grimashing and seems relaxed. Vital signs show relatively stable results. Nursing measures are able to effectively manage abdominal colic. A comprehensive approach is needed in providing nursing care, including prevention of nutritional deficits and psychological support.
EFEKTIVITAS TERAPI FOOT MASSAGE TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS PAMPANG
Hypertension is a non-communicable disease with a high prevalence and is known as a silent killer because it can cause serious complications without clear early symptoms. Hypertension management is generally carried out with pharmacological therapy, but non-pharmacological therapies such as foot massage have also been proven effective. Foot massage is a technique that provides relaxation, improves blood circulation, and reduces sympathetic activity, thus lowering blood pressure. This study aims to determine the effectiveness of foot massage in reducing blood pressure among hypertensive patients. The benefits of this study are expected to provide input for students, educational institutions, healthcare providers, and patients with their families as a complementary alternative therapy. The method used was a case study on a patient with hypertension in the working area of Pampang Health Center, with a 20-minute foot massage intervention. The results showed a significant decrease in blood pressure from 180/97 mmHg to 173/90 mmHg on the first day, and from 169/90 mmHg to 158/87 mmHg on the second day. The patient also reported a reduction in pain scale from 4 to 3 and felt more relaxed. In conclusion, foot massage is an effective, safe, and low-cost complementary therapy for hypertension control
PENERAPAN SENAM KAKI DIABETES MELITUS TERHADAP PERUBAHAN KADAR GULA DARAH PADA PASIEN DM TIPE II DIWILAYAH KERJA PUSKESMAS MACCINI SAWAH
Background: Diabetes melitus is a group of metabolic diseases characterized by hyperglicemia that occurs because the panckreas is unable to secrete insulin, has impaired insulin action, or both. Diabetes treatment involves two main strategis, namely pharamacological and non-pharamacological therapy. One of the no-pharamacological treatments is physical exercise, where physical therapy such as diabetic foot exercise is given to maintain blood flow sensitivity in the feet of pattient.Objective:This study aims to determine the application of diabetic foot exercise on blood glucose level changes in type 2 diabetes melitus patients in the working area of maccini sawah health center. Method : This study used a case study design with a nursing care model for patients with type 2 diabetes melitus, which included assessment, nursing diagnisis, intervention, implementation, and evaluation. Results : Based on the nursing assessment, where obtained from patient Mrs.S, 53 year old, with a histiry of type 2 diabetes melitu, whose main complaint was numbness in the lower extremities. The GDS result was 203 mg/dl, so the nursing diagnosis that appeared in Mrs.S was unstable blood glucose levelsrelated to insulin resistance ( D.0027). A nursing intervention provided in the form of physical exercise, namely diabetic foot exercise,for 3 days. The results showed a change in blood glucose levels, with a GDS: value of 170 mg/dl. Conclusion: The application of diabetic foot exercise conducted by the researcher was able to reduce blood glucose levels in diabetes melitus patients. For diabetes melitus patients, performing diabetic foot exercises correctly and properly can help in controling blood glucose levels
PENERAPAN TERAPI RELAKSASI GENGGAM JARI DAN NAFAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS MACINI
Background: Hypertension is a chronic condition that can lead to severe cardiovascular complications if not controlled. Nonpharmacological approaches, such as relaxation techniques, can help reduce blood pressure naturally. This study aimed to determine the effect of finger holding and deep breathing relaxation therapy on blood pressure reduction in hypertensive patients. Method: This study used a case study design involving a 66-year-old female patient with hypertension. The intervention was carried out for three consecutive days, 15 minutes per session, including finger-holding and deep breathing exercises. Blood pressure was measured before and after each session. Results: The blood pressure decreased from 150/100 mmHg to 130/80 mmHg after three days of therapy. The patient reported improved relaxation and reduced stress levels. Conclusion: Finger holding and deep breathing relaxation therapy are effective nonpharmacological methods that nurses can implement to help lower blood pressure and improve patients’ quality of life.