Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan)

Dampak Sarapan Sehat terhadap Konsentrasi dan Daya Tahan Tubuh Anak

2025-04-14T07:51:00+00:00

Breakfast is the most important thing for school children in during growth and development. Breakfast habits in the morning can affect students' health, impacting their attendance at school and academic achievement. This study aims to determine the relationship between breakfast habits and student learning achievement. This descriptive study uses a cross-sectional approach in grade VII students of SMPN 4 VII Koto Sungai Sarik, Padang Pariaman Regency. The sample in this study uses the purposive sampling method to obtain a sample of 25 students. The data analysis used the chi-square test (p<0.05) using a questionnaire. The data were analyzed univariate and bivariate. The study results showed that the breakfast habits of students were generally less than 15 students (60%) and the concentration of students was less than as many as 14 students (56%). There was a significant relationship between breakfast habits and students' learning concentration with a value of p=0.04. Getting children used to breakfast, will increase the child's concentration on learning and the child's achievement will increase by itself

Pengaruh Holistic Comfort Care terhadap Parameter Fisiologis Pasien Neonatus dengan Asfiksia di Ruang NICU: Studi Kasus

2025-05-02T03:53:20+00:00

Asphyxia is one of the life-threatening emergency conditions for newborns (neonates). Neonates with asphyxia undergo treatment in the Neonatal Intensive Care Unit (NICU) to improve their condition. One of the therapeutic nursing interventions that can be given to neonates is Comfort care. Comfort care can be used as a specific and comprehensive (Holistic) intervention that includes neonates' physical and psychological aspects. The purpose of this study was to determine the effect of holistic comfort care (nesting position, light reduction, white noise, and bounding attachment) on improving physiological parameters and comfort of neonates with asphyxia in the NICU. The method in this study is a case report involving neonatal patients with asphyxia in the NICU. Monitoring was carried out before and after the intervention with instruments consisting of vital signs (heart rate, respiratory rate, SPO2) and the Comfort Neo Scale. The results of the study showed that the implementation of comfort care intervention for 5 days improves physiological parameters in particular pulse rate, breathing rate, oxygen saturation, and comfort in neonates with asphyxia. Based on these results, comfort care can be an alternative to nursing interventions that can improve the outcomes of babies with asphyxia who are treated in the NICU room.

Tingkat Kelelahan Pada Pasen Gagal Ginjal Kronis Di Ruang Hemodialisa

2025-05-02T03:47:38+00:00

Chronic kidney failure is a condition where kidney function decreases gradually due to kidney damage. One of the treatments that can be done to minimize the risk of causing further kidney damage is hemodialysis. Fatigue is the main complaint often experienced by chronic kidney failure patients undergoing long-term hemodialysis so that it will affect their quality of life. Purpose of the study: to determine the level of fatigue in chronic kidney failure patients undergoing hemodialysis. Method: cross sectional. Data Source: primary data in the form of observation sheets and secondary data in the form of a list of names of chronic kidney failure patients and supporting data obtained from room nurses. Research Results: The level of fatigue was generally at a moderate level in 17 people (56.7%) in chronic kidney failure patients in the hemodialysis room at Dr M Djamil Padang General Hospital, it is hoped that health services, especially nurses, can identify and overcome the level of fatigue in chronic kidney failure patients undergoing hemodialysis.

Literatur Review : Pendekatan Keperawatan Transkultural Dalam Homecare Gangguan Jiwa Oleh Caregiver

2025-05-15T23:57:21+00:00

This literature review explores the application of transcultural nursing approaches in the homecare of individuals with mental disorders by caregivers. The findings reveal that culturally sensitive care significantly enhances communication, trust, and therapeutic outcomes. Training caregivers in cultural competence is essential to meet the diverse needs of patients, reduce stigma, and improve adherence to treatment. The study highlights the importance of systemic support, family involvement, and continued education to develop inclusive and humane mental health care practices.

Psikoedukasi dan Konseling Mandiri sebagai Strategi Penurunan Ansietas Remaja Young Caregiver

2025-05-16T00:23:14+00:00

Adolescents who play the role of primary caregivers for parents with chronic illnesses face a heavy psychological burden. This can cause significant anxiety and affect their psychological condition. This study aims to determine the effectiveness of psychoeducation and self-counseling in reducing anxiety in adolescents who experience role burden. The method used is a case study with a comprehensive psychiatric nursing care approach. The participant in the study was a 19-year-old female adolescent who experienced anxiety symptoms due to her role as a caregiver for parents with advanced cancer. This therapy was carried out for six sessions from March 10-22, 2025 with different topics at each meeting. Counseling and education topics include anxiety, managing negative thoughts, time management, relaxation techniques and self-evaluation and reflection. The effectiveness of therapy was measured using the Generalized Anxiety Disorder (GAD-7) and Self-Reporting Questionnaire (SRQ-20) questionnaires. Based on the results of the analysis and discussion, it shows a decrease in the GAD-7 score from 14 (moderate anxiety) to 3 (minimal anxiety) and a decrease in the SRQ-20 score from 9 to less than 6, which indicates no psychological disorders. In addition, the Client showed the ability to apply coping strategies independently, increased emotional control, and improvements in psychological well-being. The assessment of nursing care and the nursing problems were anxiety. Psychoeducation and independent counseling have proven effective in reducing anxiety in adolescents with role burdens. Development and implementation of similar interventions are needed in a wider scope to support the mental health of adolescents, especially those facing the burden of the role as caregivers.

Penanganan Emergency pada Pasien Gagal Napas dengan NSTEMI dan Suspek PPOK di IGD

2025-05-23T02:07:22+00:00

Respiratory failure is a condition in which the respiratory system is unable to perform its gas exchange function effectively, resulting in inadequate oxygen intake and insufficient removal of carbon dioxide. Patients with respiratory failure with Non-ST Elevation Myocardial Infarction (NSTEMI) and sups. COPD must get fast initial treatment because they cannot ventilate spontaneously. Initial handling of respiratory failure in the Emergency Department (ED) airway, breathing, and circulation, according to the principles of Advanced Life Support. If airway obstruction is found, measures are taken to ensure airway patency, such as head repositioning maneuvers, use of oropharyngeal airway, or endotracheal intubation if needed. Furthermore, oxygen therapy is given. The method used is a descriptive case study that aims to describe the initial management of patients with respiratory failure with Non-ST Elevation Myocardial Infarction (NSTEMI) and suspected Chronic Obstructive Pulmonary Disease (COPD) in the Emergency Department (ED). The subject was one adult patient with complaints of acute shortness of breath and a history of smoking, purposively selected based on clinical emergencies that require immediate intervention. Management was carried out using the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach, including airway evaluation and intervention, ventilatory support, hemodynamic stabilization, assessment of neurological status with the Glasgow Coma Scale (GCS), and identification of additional clinical findings through supporting examinations. Proper emergency management in the emergency room with the ABCDE approach shows effective results in restoring breathing, ensuring systemic oxygenation, and preventing complications due to respiratory failure.

Pengaruh Edukasi Kesehatan Terhadap Perubahan Peran Pada Ibu Postpartum Remaja Dengan Defisit Pengetahuan: Studi Kasus

2025-05-23T02:05:29+00:00

The postpartum period is an important period for mothers after giving birth, especially for adolescents who are in the transition period towards adulthood. Adolescent mothers tend to face physical and psychological challenges and experience limited knowledge in caring for themselves and their babies due to unpreparedness to play the role of a mother. One effective intervention to overcome this problem is health education through health promotion media. This study aims to improve the knowledge of adolescent mothers regarding postpartum care, breastfeeding, and newborn care, as well as strengthen self-confidence in carrying out the role of a mother. The method used is a descriptive study with a case study approach on one adolescent postpartum patient who experienced a knowledge deficit. Data collection techniques include interviews, physical examinations, Gordon function pattern assessments, observations, and medical record reviews. Nursing interventions are provided in accordance with the Indonesian Nursing Intervention and Outcome Standards. The results showed an increase in understanding, active participation in education, and initial skills in breastfeeding and self-care practices. In conclusion, health education through promotion media has proven effective in improving the understanding and readiness of adolescent mothers to undergo the postpartum period.

Deskriptif Caregiver Dalam Merawat Pasien Gangguan Jiwa

2025-05-23T01:58:51+00:00

This study aims to describe the psychosocial conditions of caregivers who care for patients with mental disorders and identify their needs for guidance and counseling services. Using a quantitative approach with a descriptive design, 45 caregivers in the working area of the Pariaman City Community Health Center were selected as research respondents through random sampling. Data were collected using a structured questionnaire measuring care burden, coping strategies, social support, and other psychosocial needs. The results of the study indicate that the majority of caregivers experience moderate to heavy care burdens, with dominant coping strategies being passive and religious in nature. The social support received primarily comes from the immediate family, while community support remains low due to stigma surrounding mental disorders. A total of 88.9% of caregivers reported needing counseling and guidance services. These findings underscore the importance of psychosocial assessment as a foundation for developing contextually appropriate counseling interventions to enhance caregivers' mental resilience and support patients' holistic recovery..

Studi Kasus: Asuhan Keperawatan Keluarga Dengan Penerapan Foot Massage Pada Lansia Dengan Hipertensi

2025-06-09T15:31:07+00:00

Elderly individuals are those who are over 60 years old. Older individuals often develop hypertension due to the stiffening and loss of flexibility in their blood vessels with age. Consequently, the heart must exert more effort to circulate blood, resulting in elevated blood pressure. Purpose of this final nursing thesis is to provide an overview of the results of the Nurse Profession practice with the application of family nursing care through foot massage therapy for the nursing problem of ineffective family health management in elderly individuals with hypertension in Sungai Putih Village, Tapung District, Kampar Regency. Method : The method used is a case study, involving the administration of Foot Massage therapy to individuals with hypertension. The writing will take place from February 15 to 20, 2025. The foot massage is performed day for 3 days, with each session lasting 6 minutes, and each foot receiving 3 minutes of massage. This case study demonstrates that after three days of foot massage treatment, there is a considerable disparity in the family's efficacy in executing the required tasks before and after the therapy. Moreover, a notable disparity exists in pain severity before to and during foot massage treatment in older persons with hypertension. The application of Foot Massage is very effective in elderly hypertension if done regularly can lower blood pressure. Foot massage or foot massage can be an effective non-pharmacological therapy to lower blood pressure in people with hypertension. Foot massage can provide a relaxing effect that can smooth blood flow and body fluids, and relieve stress that can increase blood pressure.

Latihan Range of Motion (ROM) dan Kompres Hangat Terhadap Peningkatan Kekuatan Otot pada Lansia Stroke: Laporan Kasus

2025-05-23T02:02:38+00:00

Stroke is a health problem that is often experienced by the elderly due to decreased heart organ function, with the prevalence of cases increasing with age by 7.4% in the world and in Indonesia 23.6 per-mile. Non-invasive alternative therapy is considered as a complementary therapy that is easy to do, one of which is range of motion (ROM) exercises, which are types of exercises that aim to maintain or improve joint mobility, muscle mass and tone. Warm compresses are a therapy that provides a warm sensation to the skin that can deactivate nerve fibers so that they relax muscles, reduce muscle spasms and pain. According to research, ROM exercises combined with warm compresses have shown effectiveness in increasing muscle strength in stroke patients. The lack of implementation of these interventions due to the limited abilities of the elderly, makes the elderly with stroke experience hemiparesis or continuous weakness of the limbs. This study aims to see the effect of ROM exercises combined with warm compresses on increasing muscle strength in elderly patients with stroke. The research method used is a case report by conducting interventions on the elderly with ischemic stroke who experience hemiparesis in Padukuhan Gunungan, Bambanglipuro, Bantul, Yogyakarta. This research instrument uses blood pressure and muscle strength measurements before and after the intervention. The intervention was given in 8 meetings with a frequency of 1x/week for 60 minutes each session with a therapy aid. The results showed changes in blood pressure before and after the intervention and an increase in the patient's muscle strength. Based on the study, it can be concluded that there is potential for increased muscle strength in the elderly with stroke, but further quasi-experimental studies with larger samples are needed to confirm the existing findings.

Literature Review: Psikologis pada Penderita Diabetes Melitus

2025-06-26T00:40:18+00:00

Diabetes mellitus (DM) is a chronic disease that is suffered throughout life. Diabetes sufferers are required to change their lifestyle and undergo routine treatment at high costs. Lifestyle changes trigger psychological distress that appears in the form of feelings of sadness, nervousness, despair, anxiety, feelings of depression, efforts made in vain & useless. This can interfere with the diabetes treatment process. Psychological stress can have an impact on the healing of diabetes. This literature review aims to determine the psychological analysis of diabetes mellitus sufferers. The method used in the literature review uses a literature database that is adjusted to the topic of discussion. The results of the psychological analysis and synthesis that occur in diabetes sufferers include stress, anxiety and depression. Its recommended that the health care team, especially mental health nurses, provide education and complementary therapy related to psychological distress that occurs in chronic sufferers

Implementasi Model Keperawatan Berbasis Manajemen Pengetahuan dalam Meningkatkan Kepatuhan Pengobatan Tuberkulosis Paru

2025-07-06T10:20:04+00:00

Pulmonary tuberculosis (TB) remains a major public health issue in Indonesia. Treatment adherence is a key challenge, especially in Emergency Departments (EDs), where time and resources are limited. A knowledge management-based nursing model has emerged as an innovative strategy to improve patient education and engagement in TB treatment.A literature review was conducted using Google Scholar, with keywords: pulmonary tuberculosis, treatment adherence, nursing model, knowledge management, and emergency department. From an initial 17,400 articles, 407 were selected based on inclusion criteria. Ten key studies published between 2021–2025 were thematically analyzed. The implementation of a knowledge management-based nursing model in ED settings significantly improved TB treatment adherence. Interventions such as telenursing, nurse training, health coaching, and digital technologies (video-DOT, mobile applications) enhanced patient understanding and strengthened nurse-patient communication. Training also improved nurses’ educational behavior and decision-making abilities in emergency contexts. The knowledge management-based nursing model effectively enhances treatment adherence in pulmonary TB patients in EDs. Integration of digital tools and consideration of patients' social factors strengthens nurses' roles as educators and change agents in emergency healthcare delivery.

Terapi Herbal pada Pasien Kanker

2025-07-21T07:01:02+00:00

Some countries use complementary and alternative medicine (CAM) therapy in palliative care. WHO noted that 80 % of cancer patients use CAM. CAM is related to the traditional chinese medicine, acupunture, herbal preparations, vitamins, homeopathic remidies, music theraphy, psycological, physical and spiritual theraphy. A total of 600 herbal plants are used by local residents. Objective: to determine the pattern of herbal theraphy use in cancer patients. The study design used a qualitative approach. Method sampling technique with consecutive sampling of 51 patients. Results the use of herbal plants is routinely carried out by patients as much as 80,3 %. Herbal plants consumed by patients are turmeric, ginger and honey. The reason for using herbal plants are safe is 80,3 %. Patients get information about herbal plants from their families as much as 74,86 %. The use of herbal plants is routinely carried out by patients as much as 80,3 %. The use of herbal plants is the most once a day as much as 50,98 %. Conclusion: complementary herbal theraphy can be routinely recommended to the cancer patients to improve the quality of life with the recommendation of the doctor in charge of the patient

Hubungan Stres Terhadap Berat Badan dan Tekanan Darah pada Masyarakat di Daerah Perbatasan Kalimantan Utara

2025-09-16T03:05:41+00:00

Stress plays a crucial role in affecting both mental and physical health, potentially contributing to changes in body weight and blood pressure. This study aims to explore the relationship between stress levels and body weight, as well as blood pressure, among the community living in the northern border region of Kalimantan, particularly in Sebatik Island. The research employs a quantitative approach with a cross-sectional design, involving 300 participants from the border community. The study has received ethical approval, as indicated by the letter number 113/KEPK-FIKES UBT/XI/2024. The results indicate a significant relationship between stress and body weight (p=<0,001), stress and systolic blood pressure (p=<0,001), as well as stress and diastolic blood pressure (p=<0,001). The instruments used for measurement include the DASS version 21, sphygmomanometer, and anthropometric scales. These findings are expected to contribute to the development of more effective mental health programs and evidence-based interventions. Furthermore, this study is anticipated to serve as a reference for future research in the field of psychiatric nursing in border areas, and be beneficial to both the public and educational institutions in understanding the impact of stress on physical health.

Studi Kasus: Terapi Musik Klasik dan SP 1–4 untuk Mengelola Skizofrenia dengan Risiko Perilaku Kekerasan

2025-10-28T07:20:24+00:00

Schizophrenia is a severe mental disorder characterized by positive symptoms such as hallucinations, delusions, and a risk of violent behavior. One non-pharmacological approach to managing this risk is the implementation of Strategy Implementation (SP 1–4), supported by classical music therapy. This study aims to describe the application of SP 1–4 combined with classical music therapy in reducing the risk of violent behavior in patients with schizophrenia. The research used a case study design with a descriptive qualitative approach. The intervention was conducted on one patient diagnosed with schizophrenia who was hospitalized in the Gili Trawangan ward at RSSA Malang, with a nursing diagnosis of risk for violent behavior. Data were collected through observation, interviews, and documentation over a four-day period. The results showed gradual improvement in the patient, including decreased emotional tension, increased relaxation, enhanced assertive communication skills, and better medication adherence. Classical music therapy also had a calming effect. The combination of SP 1–4 and classical music therapy proved effective in reducing the risk of violent behavior, helping regulate emotions, and improving compliance with treatment. Future studies should include more subjects and longer interventions to better assess long-term effects.

Asuhan Keperawatan Luka Efektivitas Madu Terhadap Penyembuhan Luka Diabetikum Pada Penderita Diabetes di Panti Sosial Bina Daksa Budi Bhakti 2

2025-11-09T12:09:53+00:00

Background: Diabetes mellitus is a chronic metabolic disease that can lead to complications such as diabetic ulcers, chronic wounds that require intensive care. Purpose: To evaluate the effectiveness of honey as a dressing in the healing of diabetic wounds. Research Methods: A case study on two patients with type II diabetes mellitus at the Bina Daksa Budi Bhakti 2 Social Care Center, with honey intervention for seven days and periodic observation. Research Results: Indicated improvement in wound condition, reduced exudate, and increased granulation tissue, accompanied by decreased blood sugar levels. Honey has antimicrobial, anti-inflammatory properties and supports autolytic debridement that accelerates the healing process. Conclusion: Honey is effective as an alternative therapy in the care of diabetic wounds and can improve the quality of nursing care.

Implementasi Latihan Kemampuan Positif terhadap Harga Diri Rendah pada Klien dengan Gangguan Jiwa di UPT RSBL Pasuruan

2025-11-12T05:01:07+00:00

A 64-year-old male patient diagnosed with residual schizophrenia was admitted to the Bhakti Luhur Pasuruan Hospital for chronic low self-esteem. He exhibited withdrawn behavior, appeared depressed, lacked self-confidence, described himself as worthless, and was unable to care for himself. He also had a history of traumatic experiences and discriminatory treatment from his environment, which led to a decline in self-concept and motivation for activities. The intervention provided consisted of five days of positive skills training, which included building trusting relationships, recognizing remaining abilities, expressing positive feelings, and strengthening adaptive behavior through praise and support. After the intervention, the patient showed positive changes in the form of improved communication, appeared more confident, began to be active in simple activities, was able to articulate his abilities, and performed self-care independently. These results indicate that positive skills training is effective in improving self-esteem and adaptive functioning in patients with residual schizophrenia, so it can be used as a sustainable nursing intervention in psychosocial rehabilitation.

Efektivitas Media Audio Visual Terhadap Pengetahuan Ibu tentang Gizi Balita di Desa Penyaguan Kabupaten Indragiri Hulu

2025-11-22T01:29:45+00:00

The First 1000 Days of Life constitutes a critical window for optimal child growth and development, during which nutritional deficiencies may result in long-term consequences such as stunting and cognitive impairment. Globally, 22% of children under five are stunted and 7.5% experience wasting, while in Indonesia, the prevalence of undernutrition reached 17.1% and wasting increased to 7.7% in 2022. One of the primary determinants of child nutritional status is maternal nutrition knowledge, which remains insufficient in many communities. Audio-visual media has been recognized as an effective tool to enhance maternal understanding and support appropriate nutritional practices for young children. This study aimed to assess the effectiveness of audio-visual media in improving maternal knowledge regarding toddler nutrition in Penyaguan Village, Indragiri Hulu Regency, in 2025. A pre-experimental one-group pretest-posttest design was employed, involving 39 mothers of toddlers selected through total sampling. Maternal knowledge was measured using a structured questionnaire, and the intervention consisted of nutrition education delivered through audio-visual media. Data were analyzed using the paired sample t-test. Findings demonstrated an increase in mean knowledge scores from 10.33 prior to the intervention (range 7–18) to 13.26 following the intervention (range 9–17). Statistical testing yielded a p-value of 0.001 (<0.05), indicating a significant improvement in maternal knowledge after the intervention. In conclusion, audio-visual-based education effectively enhances maternal knowledge regarding toddler nutrition and may be recommended as a strategic educational approach to support early childhood nutrition programs. The findings of this study will be disseminated through publication in a nationally accredited scientific journal.

Intervensi Kombinasi Diabetes Self Managemen Education (DSME) Dengan Senam Kaki Diabetik pada Ny.A Dengan DM Tipe 2 : Case Study

2025-11-25T02:28:09+00:00

Type 2 diabetes mellitus (DM) is a metabolic disorder caused by pancreatic dysfunction, characterized by hyperglycemia and associated with macrovascular and microvascular complications such as heart disease, stroke, retinopathy, diabetic foot, and neuropathy affecting sensory, motor, and autonomic functions. Effective management of DM requires a comprehensive approach, including non-pharmacological interventions such as diabetic foot exercises and health education through Diabetes Self-Management Education (DSME). To evaluate the effect of combining DSME and diabetic foot exercises on blood glucose levels in patients with type 2 DM. This case study was conducted as part of a community service program in Dusun Cokro, Malang, from April 23 to May 1, 2025, involving one patient with type 2 DM (Mrs. A, 62 years old) who was not undergoing routine treatment. The intervention consisted of 10–20 minutes of education and 20–30 minutes of daily foot exercises for 6 days (3 days supervised and 3 days independent practice). Data were collected through interviews, observation, documentation, and the DKQ-24 questionnaire. Evaluation was performed by measuring blood glucose levels and assessing knowledge before and after the intervention. There was an improvement in the patient’s knowledge and a reduction in blood glucose levels following the intervention. The combination of DSME and diabetic foot exercises is effective in increasing knowledge and lowering blood glucose levels in patients with type 2 DM, and it can be applied within community nursing practice.

Pengaruh Terapi Butterfly Hug Terhadap Tingkat Kecemasan Akademik Pada Remaja Putri di Pondok Pesantren Jenu Tuban

2025-11-26T02:43:38+00:00

Academic anxiety is defined as excessive feelings of fear and worry in academic situations. Academic anxiety is an emotional reaction or negative state that can disrupt the learning process and affect academic performance. One non-pharmacological intervention that can be used to reduce academic anxiety is butterfly hug therapy. This study aims to determine the effect of butterfly hug therapy on the level of academic anxiety among adolescents females at Islamic Boarding School Jenu Tuban. The research design employed in this study is a quantitative pre-experimental using a one-group pre-post test design approach with a cohort approach. The population in this study consists of 70 adolescents females at Islamic Boarding School Jenu Tuban. The sampling technique used is non-probability sampling with purposive sampling, resulting in 67 respondents. The instruments used in this study are the academic anxiety questionnaire and the Standard Operating Procedure (SOP) for butterfly hug therapy. The research results obtained after conducting the Wilcoxon test with a significance level of a ? 0.05 with a p value = 0.000 < 0.05 which means H1 is accepted, namely there is an effect of butterfly hug therapy on the level of academic anxiety in adolescents. Butterfly hug therapy is an effective non-pharmacological intervention proven to reduce academic anxiety levels, which in turn can enhance focus in learning and improve academic performance. From the description above, it can be concluded that butterfly hug therapy has an effect on the level of academic anxiety in female adolescents at the Jenu Tuban Islamic Boarding School

Efektivitas Senam Kaki pada Pasien Diabetes Melitus

2025-11-30T06:34:39+00:00

This study aimed to determine the effect of diabetic foot exercise on improving foot sensitivity in a patient with diabetes mellitus in Pakis Village, Malang Regency. The research employed a quasi-experimental one-group pretest-posttest design involving a 60-year-old female patient with a seven-year history of diabetes. The intervention consisted of diabetic foot exercises performed for four weeks, three times per week. The monofilament test results showed an increase in sensitivity scores from 12 to 27 on the right foot and from 12 to 30 on the left foot, indicating improved peripheral sensory nerve function. These findings suggest that diabetic foot exercises enhance peripheral blood circulation, improve nerve impulse conduction, and stimulate plantar sensory receptors, resulting in increased foot sensitivity. Although this study involved only one participant, the results provide preliminary evidence that diabetic foot exercise is an effective, inexpensive, and easily applicable non-pharmacological intervention for preventing peripheral neuropathy complications in diabetic patients.

Penerapan Terapi Aktivitas Berjalan Kaki untuk Mengurangi Sakit Kepala pada Penderita Hipertensi

2025-11-30T07:11:20+00:00

Hypertension is a major non-communicable disease often referred to as a silent killer due to its asymptomatic nature and potential to cause serious complications. Walking exercise is one of the recommended non-pharmacological interventions proven to help reduce blood pressure. This case study, using a nursing care approach, aims to examine the effect of walking therapy on lowering blood pressure and reducing headache intensity in a 62-year-old female patient living in Pakis Village, Malang Regency. The intervention consisted of a 30-minute daily walking session for seven consecutive days. The results showed a decrease in blood pressure from 160/95 mmHg to 140/85 mmHg, along with a reduction in headache intensity from a score of 6 (moderate pain) to 2 (mild pain). Physiologically, walking improves vascular elasticity, reduces stress hormones, and stimulates the release of endorphins that act as natural analgesics. These findings indicate that walking therapy is an effective, safe, and practical non-pharmacological nursing intervention to support hypertension management and improve the quality of life in older adults.

Efektivitas Terapi Relaksasi Autogenik pada Pasien Diabetes Mellitus Tipe 2 dengan Ketidakstabilan Kadar Glukosa Darah

2025-11-30T08:49:53+00:00

Type 2 diabetes mellitus is a chronic disease characterized by hyperglycemia due to metabolic disorders related to insulin resistance and decreased pancreatic ?-cell secretion function. The high prevalence of DM, which continues to increase every year, indicates the need for comprehensive treatment to prevent complications. One non-pharmacological approach that can be used to help control blood glucose levels is autogenic relaxation therapy. This study used a case study design with a qualitative descriptive approach to explore in depth the phenomenon of changes in blood glucose levels in a patient with Type 2 DM. The research subject was one patient residing in Cokro Hamlet, Sukoanyar Village, with inclusion criteria including Type 2 DM patients, GDS >200, not consuming DM drugs or certain drugs, able to communicate, and willing to be a respondent. Primary data were obtained through interviews, observation of physical and psychological conditions, and blood glucose tests using a glucometer. Secondary data were obtained through patient health documentation, daily treatment records, and family statements. The research process was conducted in three stages, namely orientation, the working phase with the implementation of autogenic relaxation therapy in several sessions, and termination through subjective and objective evaluations. The results showed a decrease in blood glucose levels from 345 mg/dL to 216 mg/dL (a difference of 129 mg/dL) after the intervention, accompanied by improvements in physical and emotional complaints in the form of improved sleep quality, reduced fatigue, and decreased anxiety. These findings indicate that autogenic relaxation therapy can be an effective non-pharmacological intervention in helping to control blood glucose levels in patients with Type 2 DM.

Implementasi Intervensi Spiritual dalam Peningkatan Kesehatan Mental Pada Pasien Hemodialisa

2025-12-03T12:12:13+00:00

Chronic Kidney Disease (CKD) is a progressive and irreversible illness that requires patients to undergo lifelong hemodialysis therapy. This condition not only affects physical health but also triggers various psychological problems, including anxiety, stress, depression, and loss of self-worth. This study aims to evaluate the effectiveness of spiritual interventions in improving the mental health of hemodialysis patients. The research employed a case study design involving a 36-year-old male patient receiving routine hemodialysis at Universitas Muhammadiyah Malang Hospital. Data were collected through interviews, observation, and documentation, and analyzed qualitatively using a descriptive approach. The spiritual intervention was implemented over seven days and included building a trusting relationship, practicing gratitude, identifying personal strengths, spiritual affirmation, self-reflection, and routine prayer based on the patient’s beliefs. Results indicated significant improvements in the patient’s emotional, spiritual, and behavioral responses. The patient became more relaxed, accepted his condition, displayed positive expressions, and showed improved sleep patterns. Spiritual intervention was found effective in reducing anxiety, enhancing self-worth, and restoring the patient’s sense of meaning in life. In conclusion, spiritual intervention is an effective strategy that should be integrated into holistic nursing care to support the mental well-being of hemodialysis patients.