https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/14 2026-04-13T10:37:28Z https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/437 ASUHAN KEPERAWATAN GANGGUAN POLA TIDUR PADA LANSIA PENDERITA HIPERTENSI Anggani, Riski Nita ABSTRAK ASUHAN KEPERAWATAN GANGGUAN POLA TIDUR PADA LANSIA PENDERITA HIPERTENSI DI DESA PEKUKUHAN OLEH : NITA RISKI ANGGANI Gambaran Pola Istirahat Tidur pada Lansia penderita Hipertensi di Desa Pekukuhan. Program Diploma III Keperawatan Stikes Bina Sehat PPNI. Latar Belakang : Lansia dengan hipertensi cenderung memiliki kecemasan berlebih yang dapat mengakibatkan mengalami gangguan emosi, sehingga mempengaruhi tidur mereka yang dapat menyebabkan gangguan tidur. Kecemasan yang dirasakan pada lansia akan menyebabkan perasaan gelisah, gemetar atau jantung berdebar – debar oleh karena itu dapat mengganggu pola tidurnya. Tujuan : dari penelitian ini adalah untuk mengetahui gambaran pola istirahat tidur pada lansia penderita hipertensi. Metode penelitian ini menggunakan deskriptif kualitatif dengan pendekatan Case Study Research yaitu meneliti masalah melalui studi kasus menggunakan teknik purposive sampling dengan tujuan untuk mendapatkan sampel yang sesuai dengan tujuan penelitian. Metode pengambilan data triangulasi dengan menggunakan teknik wawancara semi terstruktur. Mengambil 2 partisipan yaitu penderita gangguan tidur akibat hipertensi sebagai partisipan 1, Lansia Ibu Rumah Tangga sebagai partisipan 2 Lansia Perempuan sebagai partisipan 3. Hasil penelitian didapatkan 2 tema : 1. Perubahan pola tidur akibat hipertensi 2. Perilaku untuk mengatasi gangguan tidur akibat hipertensi. Diskusi dari hasil penelitian studi kasus ini disimpulkan bahwa pasien lansia mengalami gangguan pada pola istirahat tidurnya setelah mempunyai penyakit hipertensi. Sehingga pasien mengalami perubahan pada pola tidurnya yang di tandai dengan sulit untuk memulai tidur, sering terbangun di malam hari, aktivitas menjelang tidur berubah dan waktu tidur menjadi berkurang. Kata Kunci : Pola istirahat tidur, lansia, hipertensi 2021-11-22T00:00:00Z https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/425 ASUHAN KEPERAWTAN DENGAN KETIDAKEFEKTIFAN BERSIHAN JALAN NAFAS PADA PASIEN TUBERCULOSIS PARU MISNENGRIA, MEILANI Tuberculosis is a chronic bacterial infection caused by Mycobacterium tuberculosis, a common nursing problem in pulmonary TB patients is the ineffectiveness of airway clearance because bacteria will damage the lung parenchyma area and cause inflammatory reactions that make excessive secretion production so that it can cause obstruction of the airway. breath. The research method used is a case study. Participants in this study consisted of one male and adult pulmonary tuberculosis patient in the working area of Gondang Public Health Center in Kepuhrangkang Hamlet, RT. 02 RW 06 Centong Village, Gondang District, Mojokerto Regency, with the criteria of experiencing ineffective airway clearance, incapacity, coughing, excessive sputum and the treatment period is less than 6 months. The results of the study on both participants that after nursing actions for 3 home visits the problem was partially resolved because although there was a decrease in cough frequency, the client still complained of coughing up phlegm, phlegm came out a lot, sometimes shortness of breath, RR 21x/minute, regular breathing rhythm, client able to expel phlegm, watery phlegm, no odor, not accompanied by blood spots, there are additional breath sounds of crackles in some areas of the lung fields. Interventions that have been carried out Observing the ability to cough and sputum issued, Observing breathing patterns, frequency, additional breath sounds (gurgling, wheezing, ronkhi), / Fowler, Advise warm drinking, , Advise deep breathing and effective coughing, Advise fluid intake of 2500 ml/ day, Carry out the doctor's advice on anti-tuberculosis drug therapy. 2021-11-18T00:00:00Z https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/160 ASUHAN KEPERAWATAN DENGAN MASALAH NYERI AKUT PADA PASIEN GASTRITIS DI RSU ANWAR MEDIKA SIDOARJO Pratama, David Yuda; PRATAMA, DAVID YUDA Gastritis is a condition of inflammation or bleeding of the gastric mucosa which can be acute, chronic, diffuse, or local (A. H. Nurarif & Kusumah, 2016). Gastritis can cause problems, one of which is acute pain. Acute pain is a sensory or emotional experience related to actual or functional tissue damage, with sudden or slow onset and mild to severe intensity lasting approximately three months (Pokja IDHS DPP PPNI Team, 2016). The purpose of this nursing care is to be able to apply nursing care for patients who experience acute pain in gastritis cases at Anwar Medika Krian Sidoarjo General Hospital. The methods used in the study include interviews, observation, physical examination, and documentation studies. The results of the study showed that both patients experienced pain with different pain scales Mr. P pain scale 4, Mr. R pain scale 9. After being given nursing care for 3x24 hours, pain in both patients was resolved with the criteria for the results of pain complaints decreasing with a vulnerable scale (1-3), the ability to control pain increased, anxiety decreased. pharmacological and non-pharmacological techniques such as deep breathing relaxation to help patients relax more. Keywords: Gastritis, Acute Pain 2021-10-30T00:00:00Z https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/157 ASUHAN KEPERAWATAN RESIKO KETIDAKSEIMBANGAN CAIRAN PADA GAGAL GINJAL KRONIS DI RSU ANWAR MEDIKA KRIAN SIDOARJO VIVI LESTARI, ANITA Kidney failure is the kidney loses its ability to maintain the volume and composition of body fluids in a state of normal food intake. Chronic renal failure occurs when the kidneys are no longer able to maintain an internal environment consistent with life and restoration of function does not begin. The purpose of this study is to carry out nursing care for clients who experience chronic kidney failure with nursing problems at risk of electrolyte imbalance at Anwar Medika Krian Sidoarjo General Hospital. This research uses a case study method which is carried out by direct observation, data collection, data analysis and reporting the results to obtain a deep understanding of why something happens and can be the basis for further research. The conclusion from the results of the study of the gap between the theoretical concept and the cases found, the data contained from the theoretical concept but not found in the cases, namely: Impaired gas exchange due to pulmonary congestion, decreased cardiac output, peripheral decline resulting in lactic acidosis, acute pain related to physical injury , Imbalanced nutrition less than body requirements related to anorexia, nausea and vomiting, dietary restrictions, and changes in oral mucous membranes, Ineffective peripheral tissue perfusion related to weakened blood flow throughout the body, activity intolerance related to fatigue, anemia, retention of waste production, while the data found in cases and contained in the theoretical concept, namely the risk of fluid imbalance related to fluid and sodium retention and excess fluid volume related to decreased urine output, excess diet and fluid and sodium retention. It is expected that clients and families by providing nursing care and counseling can add experience to care, prevention and treatment for clients with nursing problems at risk of fluid imbalance: kidney failure 2021-10-21T00:00:00Z