scholarly journals ASUHAN KEPERAWATAN KETIDAKNYAMANAN PASCA PARTUM DI RUANGAN DAHLIA RUMAH SAKIT UMUM DAERAH LIUN KENDAGE TAHUNA

2021 ◽  
Vol 5 (1) ◽  
pp. 14-22
Author(s):  
Amelia Banualawo ◽  
Yeanneke Liesbeth Tinungki ◽  
Christien Angreni Rambi

Persalinan dapat menyebabkan luka di daerah perineum sehingga akan menyebabkan ketidaknyamanan pasca partum berupa nyeri pada luka jahitan perineum. Ketidaknyamanan pasca partum merupakan perasaan tidak nyaman yang berhubungan dengan kondisi setelah melahirkan. Tujuan penelitian adalah menerapkan asuhan keperawatan ketidaknyamanan pasca partum di ruangan Dahlia Rumah Sakit Daerah Liun Kendage Tahuna. Metode penelitian adalah studi kasus dengan pendekatan proses keperawatan, dengan subyek penelitian yaitu dua ibu pasca partum. Hasil penelitian ini dilakukan dengan menerapkan proses keperawatan. Tindakan keperawatan yang dilakukan yaitu mengidentifikasi nyeri pada ibu, mengontrol lingkungan yang memperberat rasa nyeri, membatasi pengunjung yang datang, mengajarkan teknik nonfarmakologis yaitu teknik relaksasi napas dalam, monitor tanda-tanda vital, mengajarkan kepada ibu untuk beraktivitas yang ringan seperti berjalan disekitar ruangan dan duduk dan menganjurkan kepada ibu agar perineum tetap bersih dan sesering mungkin mengganti pembalut. Kesimpulan penelitian ini menunjukkan bahwa perasaan nyaman yang berhubungan dengan kondisi setelah melahirkan meningkat. Saran diharapkan ibu nifas dapat mempertahankan kebersihan perineum pada saat masa nifas sehingga penyembuhan luka perineum ibu dapat berjalan dengan normal dan merasakan kenyamanan pasca partum.   Childbirth can cause injury in the perineal area so that it will cause post-partum discomfort in the form of pain in the perineal suture wound. Post partum discomfort is the feeling of discomfort associated with the postpartum condition. The research objective was to apply Postpartum Discomfort Nursing Care in the Dahlia room Public Hospital Liun Kendage Tahuna. The research method was a case study with a nursing process approach, with the research subject, namely two post-partum mothers. The result of this study were conducted by applying the nursing process. Nursing actions taken are identifying pain in the mother, controlling the environment that aggravates the pain, limiting visitors who come, teaching non-pharmacological techniques, namely deep breathing relaxation techniques, monitoring vital signs, teaching mothers to do light activities such as walking around the room and sat down and advised the mother to keep the perineum clean and to change the pads as often as possible. The conclusion of this study shows that the feeling of comfort associated with postpartum conditions increases. Suggestion It is hoped that postpartum mothers can maintain perineal cleanliness during the puerperium so that the healing of the mother's perineal wounds can run normally and feel comfortable after partum.

2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Ike Mardiati Agustin ◽  
Septiyana Septiyana

ANXIETY IN  PRIMIPHARA POSTPARTUM MOTHERS WITH LACTATION TROUBLE ON  MATERNITY WARD ABSTRACTLabor or delivery is a normal physiological condition happens in life, especially to women. Changes in the role and process of newborn-baby care will lead to psychological problems. Anxiety is one of psychological problems that happens to primiphara mothers. Anxiety will affect the process of lactation (breastfeeding) for some primiphara mothers with psychological problems. This study is to provide an overview of a case study of nursing care for primiphara postpartum mothers who have problem with breastfeeding because of anxiety. This scientific paper is an analytical descriptive with a case study approach. The study was conducted on two primiphara mothers with anxiety in their breastfeeding. Data were obtained through interview, observation, and documentation. After having nursing care, there was a decrease in anxiety (patient 1: from 44.6% to be 30.3%, patient 2: from 32.1% to be 19.6 %). Besides, there is a difference in the increase of affective ability, with the highest increase patient 2 (60%) while patient 1 (40%). It is advisable for nurses to provide nursing care for primiphara postpartum mother with breastfeeding problem caused by anxiety. Keywords: Labor, primiphara, anxiety, lactation. 


2020 ◽  
Vol 6 (4) ◽  
pp. 523-530
Author(s):  
Henny Prihatni ◽  
Yuistiana Evayanti ◽  
Devi Kurniasari ◽  
Sunarsih Sunarsih

PERINEUM WOUND HEALING WITH POSSIBLE EXERCISES Background Labor and delivery are physiological events. Often childbirth causes birth canal injuries so that it must be cared for properly and properly The maternal mortality rate in Lampung in 2017 is still high, namely 115.8 per 100,000 live births. The results of the initial survey in January 2019 at BPM Siti Hajar, S.ST, Desa Merak Batin Natar District, South Lampung Regency, that in January there were 52 post partum mothers, of the 52 post partum mothers 40 of them had perineal injuries, 37 due to spontaneous rupture and 3 due to episiotomy.Purpose was to determine the effect of postpartum gymnastics on the healing of perineal wounds in postpartum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019.Methods Quantitative research type methods, pre-experimental research design with a static group comparison approach. The population was 52 postpartum mothers. The research sample was 30 people divided into 2 groups, namely 15 people as the experimental group and 15 people as the control group. With a purposive sampling technique. Data analysis with dependent T-test.The results of univariate and bivariate analysis showed that the average duration of healing of perineal wounds in postpartum women who did postpartum exercise at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019, was 1.33 and in the control group was 4 , 60.The conclusion is that there is an effect of postpartum gymnastics on the healing of perineal wounds in post-partum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019. The t test results obtained p value 0.000 <α (0.05).Suggestion it is recommended for health workers, especially midwives, to advise postpartum mothers to do postpartum exercise as an alternative to accelerate the healing of perineal wounds.  Keywords: Postpartum exercise, Perineal Wound Healing ABSTRAK Latar Belakang Persalinan dan kelahiran merupakan kejadian fisiologis. Seringkali persalinan menyebabkan perlukaan jalan lahir sehingga harus dirawat dengan baik dan benar Angka kematian ibu di Lampung tahun 2017 masih tinggi yaitu sebesar 115,8 per 100.000 kelahiran hidup.Hasil survey awal pada Bulan Januari 2019 di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan Natar Kabupaten Lampung Selatan, bahwa pada bulan januari terdapat 52 ibu post partum, dari 52 ibu post partum tersebut 40 diantaranya mengalami luka perineum, 37 dikarenakan rupture spontan dan 3 karena episiotomi.Tujuan untuk mengetahui pengaruh Senam  Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian pre-eksperimen dengan pendekatan static group comparison. Populasi sebanyak 52 ibu nifas. Sampel penelitian  30 orang yang di bagi dalam 2 kelompok yaitu 15 orang sebagai kelompok eksperimen dan 15 orang sebagai kelompok kontrol. Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test dependent.Hasil analisa univariat dan bivariate didapatkan rata-rata lama penyembuhan luka perineum pada ibu nifas yang melakukan senam nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019, yaitu sebesar 1,33 dan pada kelompok kontrol sebesar 4, 60. Kesimpulan diketahui ada Pengaruh Senam Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Disarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu nifas agar melakukan senam  nifas sebagai salah satu alternatif mempercepat penyembuhan luka perineum.  Kata Kunci            : Senam nifas, Penyembuhan Luka Perineum


2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Nurul Ainul Shifa ◽  
Aisyah Safitri

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior


2020 ◽  
Vol 7 (1) ◽  
pp. 133-142
Author(s):  
Rika Aldesta ◽  
Rifa Rahmi ◽  
Fajar Sari Tanberika

ABSTRACT Handling of any cause of perineum rupture during childbirth should be done immediately with qualityto minimize the possibility of complications such as bleeding, infection, dyspareunia hematoma, and reduced libido that usually accompanies in the cause of perineum rupture. Snakehead Murrel is believed to accelerate wound healing because of its extract as a substitute for serum albumin which is usually used for surgical wound healing. The purpose of this study was to determine the effect of snakehead murrel on the healing of perineal wounds in postpartum mothers in Public Health Center of Sungai Piring in 2019. This study used by quasi-experimental methods with a non-equivalent control group of  60 postpartum mothers who were divided into two groups namely the experimental group and the control group. The population was the first part of postpartum mothers with second-degree perineal injuries from January to June with a sample of  22 respondents. The sampling technique in this study was purposive sampling. Results:there wasa healing of perineal wounds in all members of the experimental group and there was no healing in all control groups at the time of observation on 8th days. Conclusion: there was a significant effect of consuming Snakehead Murrel on the healing of perineal wounds in postpartum mothers.    


2020 ◽  
Author(s):  
Ashar Prima ◽  
Intan Oktaviani ◽  
Hani fauziah

Non-communicable diseases in Indonesia has become one of the main causes of death, as many as 73% of all causes of death. One of the causes of death are non-communicable diseases still ranks first is cardiovascular diseases as much as 35% of all causes of death of non-communicable diseases. The aim this research is to describe the application of deep breathing relaxation techniques to control blood pressure on hypertension sufferers in the working area of Health Center Bekasi Jaya. Method in research is descriptive in the form of case studies of blood pressure before and after a deep breath relaxation techniques, in 2 subjects during the four days. The instrument used was a sphygmomanometer (blood pressure) digital. The results of the research two subjects experienced a decrease in blood pressure after a given breath relaxation techniques, in addition to decreased blood pressure both subjects also experienced an increase in blood pressure. The technique relaxation deep breaths can lower your blood pressure if you can stay focused not think of anything or conditions that occur around the subject when doing relaxation, and its reverse when the subject can not concentrate fully subject to increased blood pressure.Keywords : Hypertension, Relaxation, Breathing, Blood Pressure


2019 ◽  
Vol 1 (2) ◽  
pp. 91-98
Author(s):  
Gusrina Komara Putri ◽  
Sri Lestari

Pain is a body signal to inform pathological condition. In hypertension patients, pain occured as one of the symptom of the disease. Hypertension is an increase if systolic and diastolic blood pressure out of normal range. In Indonesia, especially in Kebayoran Lama public health center district, prevelance of hypertension in elderly still consider public health issue.  Aim of this study is to measure effect of deep breath relaxation technique in reducing pain and blood pressure for hypertension patients. This research used case study design. In this study, researcher in five days measured participants blood pressures and their pain scales. After that, researcher guided participant to do deep breathing relaxation technique five times consecutively, around fifteen minutes.  Results pain scale of Mrs. M and Mrs. A that within five days there were slight reducing of pain level. Another finding, that there was trend of decreasing blood pressure of those patient within normal range. It can be concluded that in these two patients deep breathing relaxation techniques could reduces their pain scale and maintaining normal blood pressure level of hypertension patients. It is recommended to this research with bigger sample and using other research variables.


2021 ◽  
Vol 7 (4) ◽  
pp. 766-771
Author(s):  
Mayang Wulan ◽  
Sri Juliani ◽  
Nuriah Arma ◽  
Ivansri Marsaulina ◽  
Mila Syari

Background: Perineal wound is a tear that occurs in the perineum during delivery and occurs in almost all first deliveries and not infrequently also in subsequent deliveries. Care and proper nutrition, the healing process will be faster and avoid the incidence of infection due to perineal wounds. In 2020 in America, of the 26 million women who gave birth, 40% experienced perineal rupture. In Asia, the problem of perineal tears is quite a lot in the community, 50% of the incidence of perineal tears in the world occurs in Asia. Purpose: This study is to determine the effect of cork fish on the healing of perineal wounds in postpartum mothers at the Niar Clinic in Medan.Methods: The design in the study is a quasi-experimental method (Quasi Experiment Design) Whith Control Group with a Post Test Design approach. The population in this study were 20 people with the sampling technique using purposive sampling technique, the number of samples in this study amounted to 20 people. Data analysis used descriptive and bivariate analysis.Results: Showed that the data for postpartum mothers who had perineal injuries who were given snakehead fish and not snakehead fish were not normally distributed with a value of ρ value 0.000 <0.05. Based on the test results there was an effect of snakehead fish on healing perineal wounds with a sig = 0.004 <0.05.Conclusion: this study is that there is the effect of giving cork fish on the healing of perineal wounds on the healing of perineal wounds in post partum mothers at the Niar Clinic in Medan. Suggestion The results of this study can be used for postpartum mothers who experience perineal injuries to consume a high protein source, namely snakehead fish. Keywords : Fish Cork, Perineal Wound Healing  ABSTRAK Latar Belakang: Luka perineum adalah robekan yang terjadi pada perineum sewaktu persalinan dan terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Perawatan dan nutrisi yang tepat, proses penyembuhan akan semakin cepat dan terhindar dari kejadian infeksi akibat dari luka perineum. Pada tahun 2020 di Amerika dari 26 juta ibu bersalin, terdapat 40% mengalami ruptur perineum. Di Asia masalah robekan perineum cukup banyak dalam masyarakat, 50% dari kejadian robekan perineum di dunia terjadi di Asia. Tujuan Penelitian: Tujuan penelitian ini untuk mengetahui Pengaruh Pemberian Ikan Gabus Terhadap Penyembuhan Luka Perineum Pada Ibu Post Partum Di Klinik Niar Medan.Metode Penelitian: Desain dalam Penelitian adalah metode eksperimen semu (Quasi Eksperiment Design) Whith Control Group dengan pendekatan Post Test Design. Populasi dalam penelitian ini sebanyak 25 orang dengan teknik pengambilan sampel menggunakan teknik purposive sampling, jumlah sampel dalam penelitian ini berjumlah 20 orang. Analisa data menggunakan analisis deskriptif dan bivariat.Hasil: peneitian menunjukkan bahwa data ibu post partum yang mengalami luka perineum yang diberikan ikan gabus dan tidak diberikan ikan gabus tidak terdistibusi normal dengan nilai ρ value 0,000 < 0,05. Berdasarkan hasil uji ada pengaruh pemberian ikan gabus terhadap penyembuhan luka perineum dengan nilai sig= 0,004 < 0,05.Kesimpulan: penelitian ini yaitu ada Pengaruh Pemberian Ikan Gabus Terhadap Penyembuhan Luka Perineum Terhadap Penyembuhan Luka Perineum Pada Ibu Post Partum Di Klinik Niar Medan.Saran Hasil peneltian ini dapat digunakan untuk para ibu post partum yang mengalami luka perineum untuk mengkonsumsi sumber protein yang tinggi yaitu ikan gabus. Kata Kunci : Ikan Gabus, Penyembuhan Luka Perineum  


2019 ◽  
Vol 80 (18) ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vinicius Lino de Souza Neto ◽  
Olga Alice Alencar Moreira ◽  
Fernanda Rafaela dos Santos ◽  
Rafael Medeiros dos Santos ◽  
...  

A Sistematização da Assistência de Enfermagem é caracterizada por ser uma ferramenta utilizada pelo enfermeiropara aprimorar os saberes da prática, otimizando, aperfeiçoando e aprimorando as técnicas assistenciais a partirdas novas evidências científicas. O estudo teve como objetivo elaborar e validar um plano de cuidados parapaciente queimado. Trata-se de um estudo de caso realizado no Centro de Tratamento de Queimados de umhospital público no nordeste do Brasil, no período de abril a maio de 2016. As etapas metodológicas do estudoforam estas: coleta de dados; elaboração dos diagnósticos, resultados e intervenções de enfermagem; elaboraçãoe validação do plano de cuidados. Após a análise dos dados, foi realizada a elaboração e a validação de umplano de cuidados com quatro diagnósticos, resultados e 24 intervenções de enfermagem. Diante disso, o estudopermitiu identificar os diagnósticos, resultados e intervenções de enfermagem para a aplicação na prática clínica,corroborando para o cuidado científico e direcionado as necessidades prioritárias.Palavras-chave: Processos de Enfermagem; Enfermagem; Queimaduras. ABSTRACTThe Systematization of Nursing Care is characterized by being a tool that nurses use to improve the practicalknowledge, optimizing, enhancing and improving the technical assistance will from the new scientific evidence.The study aimed to develop and validate a plan of care for burn patients. This is a case study in the Burn TreatmentCenter of a public hospital in northeastern Brazil, from April to May 2016. The methodological stages of thestudy were these: data collection; preparation of diagnoses / outcomes and nursing interventions; preparationand care plan validation. After analyzing the data produced and validated a care plan with four diagnostic / 24results and nursing interventions. Thus, the study identified the diagnoses / outcomes and nursing interventionsto implement in clinical practice.Keywords: Nursing process; Nursing; Burns.


2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini Martini ◽  
Yetti Anggraini

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective:  The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain.   Keywords: Perineal pain, Perineal wound healing,Sitz bath


2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini ◽  
Yetti Anggraini

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective: The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain. Keywords: Perineal pain, Perineal wound healing,Sitz bath


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