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                  <text>KTI D-III KEPERAWATAN BATURAJA</text>
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                <text>PENGARUH LATIHAN SENAM KEGELTERHADAP INKONTINENSIA URINE PADA LANSIA DI WILAYAH KERJA UPTD PUSKESMASSUKARAYATAHUN 2022</text>
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                <text> elderly, kegel exercise, urinary incontinence</text>
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                <text>The elderly will experience the aging process, resulting in physical and mental changes. Physical changes in the elderly, one of which is the urinary system, can experience urinary incontinence. Urinary incontinence is the uncontrollable loss of urine for an unwanted period of time. Urinary incontinence will cause complications such as urinary tract infections, skin infections in the pubic area, sleep disturbances, pressure sores, and rash symptoms. One of the treatments that can be done for urinary incontinence patients is through Kegel exercises. Kegel exercises are exercises to strengthen the pelvic muscles of the urinary tract because Kegel exercises can also cure the inability to hold urine (urinary incontinence).&#13;
Objective: To determine the effect of Kegel exercises on urinary incontinence in the elderly&#13;
Methods: This research uses a descriptive case study method using a nursing process approach.&#13;
Results: From the results of the data obtained from 2 respondents, it was found that urinary incontinence problems and showed a change in the frequency of urination in 2 respondents after doing Kegel exercises.&#13;
Conclusion: after doing Kegel exercises, the authors found that Kegel exercises had an effect on decreasing the frequency of urination.&#13;
Suggestion: It is hoped that the client and family are able to routinely do Kegel exercises to help decrease the frequency of urination.&#13;
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                <text>Ayu Tatania Pratama</text>
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                <text>Poltekkes Kemenkes Palembang</text>
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                  <text>KTI D-III KEPERAWATAN BATURAJA</text>
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                  <text>Politeknik Kesehatan Palembang Prodi D-3 Keperawatan Baturaja</text>
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                <text>PENERAPAN PROSEDUR RANGE OF MOTION PADA LANSIA STROKE DENGAN GANGGUAN MOBILITAS FISIK DI WILAYAH KERJA UPTD PUSKESMAS TANJUNG AGUNG TAHUN 2022&#13;
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                <text> Range Of Motion, Stroke, Elderly, Impaired Physical Mobility</text>
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                <text>The number of stroke sufferers in Indonesia based on the Indonesian Population and Demographic Census in 2018 is 76.5,000 every year with a prevalence of 10.9 per 1000 population. Based on the recapitulation of the South Sumatra Provincial Health Office in 2016, there were 30,485 stroke patients ranked third after heart and cancer (South Sumatra Provincial Health Office, 2016). Stroke patients require rehabilitation to avoid physical disability, rehabilitation should be started as soon as possible to avoid disability and avoid muscle weakness after ROM exercises are given. Purpose : of this study was to determine the effectiveness of ROM exercises on muscle strength in the elderly with impaired physical mobility after being given ROM exercises. Method : uses a data collection questionnaire, muscle strength instruments, Adl instruments, observation sheets, Sap, Sop. Results : from the results of the application carried out by researchers on client 1 muscle strength before applying a score of 3 but after ROM exercise for 5 times the muscle strength increased to a score of 4 and for client 2 muscle strength before ROM exercise a score of 2 after ROM exercise muscle strength increased to score 3. Conclusion: that the application of the Range Of Motion (ROM) procedure in increasing muscle strength for stroke elderly with impaired physical mobility can increase muscle strength.Suggestion: This research is expected to increase knowledge and improve quality, insight and reference in performing nursing care and the application of Range Of Motion (ROM) exercises in stroke elderly with impaired physical mobility in order to increase muscle strength.&#13;
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                <text>Anissa Salsabila</text>
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                <text>Poltekkes Kemenkes Palembang</text>
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                  <text>KTI D-III KEPERAWATAN BATURAJA</text>
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                  <text>Politeknik Kesehatan Palembang Prodi D-3 Keperawatan Baturaja</text>
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                <text>PENERAPAN MIRROR THERAPY UNTUK MENINGKATKAN KEKUATAN OTOT PADA PENDERITA STROKE FASE REHABILITASI DI WILAYAH KERJA UPTD PUSKESMAS TANJUNG AGUNG KABUPATEN OGAN KOMERING ULU&#13;
TAHUN 2022&#13;
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                <text>Keywords: Mirror therapy, Muscle Strength and Stroke Rehabilitation Phas </text>
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                <text>Stroke is a disease caused by damage to hypoxia, ischemia, infarction or bleeding that causes disorders of the extremities (Muhammad et al, 2020). Mirror Therapy is used to treat muscle weakness in the rehabilitation phase of Stroke. Research Objectives: To find out the description of the application of Mirror Therapy to increase muscle strength, it is obtained an overview of the application of Mirror Therapy to increase muscle strength of patients with Stroke in the Rehabilitation Phase. Research Methods: This study uses a case study method using a nursing research process approach to two patients as research respondents. Results: The study found that two patients experienced the same symptoms, namely an increase in muscle grade after the application of mirror therapy, the results obtained were a muscle strength scale namely 4. Conclusion: Mirror therapy is effective enough to increase muscle strength in stroke patients in the rehabilitation phase with the result of the scale muscle strength : 4&#13;
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                <text>ANGGI</text>
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                  <text>KTI D-III KEPERAWATAN BATURAJA</text>
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              <name>Publisher</name>
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                <text>ASUHAN KEPERAWATAN JIWA PADA KLIEN DENGAN HALUSINASI PENDENGARAN DI WILAYAH KERJA&#13;
UPTD PUSKESMAS SEKARJAYA KABUPATEN OKU&#13;
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                <text>Nursing Oprhanage, Implementation Strategy, Hearing Hallucinations.</text>
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                <text>Verbal Auditory Verbal Hallucination (AVH) is a sound that can be perceived without any external stimulus (Zinudin &amp; Hashari, 2019). These types of hearing hallucinations are most often found in the form of sounds of snorting or noise that do not have a meaning, but often hear as a meaningful word or sentence. Usually the sound is aimed at the sufferer so that the love person has quarreled and argued with the voices (Yosep, 2016). Hearing hallucinations can be reduced through the implementation of the implementation strategy.&#13;
Method: This research design uses the deskritif method. The sampling method used is Purposive sampling of 2 respondents who have the same problem, namely hearing hallucinations at the Work of UPTD Puskesmas Sekarjaya, in May 2022. This research data is taken by using an interview, assessment and observation. The analysis was carried out with deskritif and served narratively.&#13;
Results: The results of the study that indicate after nursing care about the client's implementation intervention and involving one of the family members for 4 days, they are obtained by the client to experience a reduction in hallucinations so that the client is able to control hallucinations and convey a feeling more willing to implement a strategy.&#13;
Conclusion: The results of this study describe the need for intervention of the implementation strategy to reduce hearing hallucinations.&#13;
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                <text>Yuni Azizah</text>
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                <text>EDUKASI LATIHAN FISIK PADA KELUARGA DENGAN ANGGOTA YANG MENDERITA ARTRITIS DIWILAYAH KERJA PUSKESMAS SEKARJAYA&#13;
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                <text>Gout artritis merupakan salah satu penyakit inflamasi sendi yang paling sering ditemukan terutama pada lansia, yang ditandai dengan penumpukan kristal monosodium urat di dalam ataupun di sekitar persendian. Gout artritis merupakan penyakit yang tidak terkontrol, yang disertai dengan penurunan kualitas hidup, peningkatan pemanfaatan pelayanan kesehatan, efek sosial ekonomi yang negatif yang keseluruhannya memiliki dampak negatif bagi kesehatan. Metode : Desain studi kasus ini adalah deskriptif analitik dalam bentuk studi kasus. Studi kasus ini melibatkan 2 keluarga dengan klien arthritis. Hasil : Hasil penelitian ini adalah pengetahuan keluarga meningkat, keluarga mengatakan mau dan mampu untuk melakukan latihan fisik. Kesimpulan : Edukasi latihan fisik ini dapat meningkatkan pengetahuan keluarga tentang pentingnya latihan fisik pada penderita arthritis. Keluarga mengatakan akan mendampingi dan mengingatkan klien untuk melakukan latihan fisik secara mandiri di rumah.&#13;
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                <text>Dabetes mellitus adalah suatu kumpulan gejala yang timbul pada seseorang yang disebabkan oleh karena adanya peningkatan kadar gula (glukosa) darah akibat kekurangan insulin baik absolute maupun relative. Menurut Organisasi Internasional Diabates Federation (IDF) memperkirakan sedikitnya terdapat 463 juta orang pada usia 20-79 tahun di dunia menderita diabetes mellitus pada tahun 2019.Untuk pencegahan dan pengendalian diabetes di Indonesia sendiri dilakukan untuk orang yang sudah menderita diabetes mellitus dapat mengendalikan penyakitnya agar tidak terjadi komplikasi atau kematian dini. Salah satu cara pengendalian kadar glukosa darah adalah dengan cara berolahraga rutin. &#13;
Metode. penelitian menggunakan metode penerapan studi kasus yang dipilih adalah studi kasus menggunakan pendekatan keperawatan yang dilakukan  dengan cara wawancara dan observasi. Dilakukan kepada 2 orang klien di wilayah kerja UPTD Puskesmas Sekarjaya yang dipilih dengan kriteria usia 50-70 tahun. pengukuran kadar glukosa darah menggunakan glukometer (autochek Nesco) untuk mengetahui kadar glukosa darah klien dalam satuan mg/dl. Ini dilakukan sebelum melaksanakan senam kaki. &#13;
Hasil:  studi kasus ini penulis melakukan edukasi senam kaki pada pasien diabetes mellitus di wilayah kerja UPTD Puskesmas Sekarjaya sehingga didapatkan peningkatan pengetahuan klien dan manfaat senam kaki untuk pencegahan kenaikan kadar glukosa dalam darah pada penderita diabetes melitus.&#13;
Kesimpulan Berdasarkan hasil penelitian yang dilakukan maka dapat diambil kesimpulan: bahwa terdapat peningkatan pengetahuan klien setelah diberikan edukasi penerapan senam kaki pada pasien diabetes mellitus di wilayah kerja UPTD Puskesmas Sekarjaya. Dimana klien lebih memahami tentang penyakitnya dan cara penerapan senam kaki sebagai salah satu terapi yang dapat dilakukan klien dirumah secara mandiri.&#13;
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                <text>PENERAPAN TERAPI KOMPLEMENTER AKUPRESUR  UNTUK MENURUNKAN NYERI PADA PENDERITA ARTHIRITIS GOUT &#13;
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                <text>Menurut World Health Organization ( WHO ),Prevalensi Gout Arthiritis Di Dunia sebanyak 35,2%,Sumatera Selatan pada 2020 jumlah 18,522 orang. Penatalaksanaan yang dapat dilakukan untuk klien penderita Arthiritis Gout dengan cara nonfarmakologis salah satunya dengan Penerapan Terapi Komplementer Akupresur Untuk Menurunkan Nyeri.&#13;
Tujuan Penelitian : Memberikan gambaran bahwa Penerapan Terapi Komplementer Akupresur Dapat Mengurangi Nyeri Pada Penderita Arthiritis Gout.&#13;
Metode Penelitian : Penelitian ini menggunakan metode studi kasus dengan menggunakan pendekatan proses keperawatan pada dua klien sebagai responden penelitian.&#13;
Hasil : Evaluasi menunjukan bahwa terdapat penurunan nilai skala nyeri yang dirasakan oleh (Ny.P,Ny.R ) menjadi lebih ringan,dengan bantuan keluarga yang mampu melakukan Penerapan Terapi Komplementer Akupresur dengan didukung oleh hasil penelitian yang telah dilakukan oleh ( Teguh Pribadi,2021), Akupresur memiliki teori yang melandasi mekanisme kerja Akupresur adalah Teori Endorphin yaitu dilepaskannya zat yang dapat menghilangkan rasa nyeri dan Teori kekebalan tubuh yaitu meningkatkan daya tahan tubuh terhadap penyakit (Muflih,2017)&#13;
Kesimpulan : Berdasarkan hasil penelitian ini penulis menyimpulkan bahwa Penerapan Terapi Komplementer Akupresur dapat dipakai untuk mengatasi masalah Nyeri Akut pada Klien Arthiritis Gout.&#13;
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                <text>Undang – Undang Nomor 18 Tahun 2014 tentang Kesehatan Jiwa  disebutkan bahwa undang – Undang Dasar Negara Republik Indonesia Tahun 1945 menjamin setiap orang dapat hidup sejahtera lahir dan batin serta memperoleh pelayanan kesehatan dengan penyelenggaraan pembangunan kesehatan. Tujuan pembanguanan kesehatan yang hendak dicapai yaitu terwujudnya derajat kesehatan yang setinggi – tingginya. Orang Dengan Gangguan Jiwa (ODGJ) belum dapat diwujutkan secara optimal. &#13;
Menurut World Health Organization (2017) pada umumnya gangguan mental yang terjadi adalah gangguan kecemasan dan gangguan depresi. Diperkirakan 4,4% dari populasi global menderita gangguan depresi, dan 3,6% dari gangguan kecemasan. Jumlah penderita depresi meningkat lebih dari 18% antara tahun 2005 dan 2015. Depresi merupakanpenyebab terbesar kecacatan di seluruh dunia. Lebih dari 80% penyakit ini dialami orang – orang yang tinggal di negara yang berpenghasilan rendah dan menengah (WHO, 2017).&#13;
Tujuan: Untuk Menegakan Asuhan Keperawatan Pada Klien Dengan Gangguan Isolasi Sosial : Menarik Diri Di Desa Sukajdi wilayah Kerja UPTD Puskesmas Sukaraya.&#13;
Metode: Penelitian ini adalah penelitian naratif studi Karya Tulis Ilmiah yang menegakan Asuhan Keperawatan Pada Klien Dengan Gangguan Isolasi Sosial : Menarik Diri Di Desa Sukajdi wilayah Kerja UPTD Puskesmas Sukaraya.&#13;
Hasil : Berdasarkan analisa diatas, Asuhan Keperawatan Pada Klien Dengan Gangguan Isolasi Sosial : Menarik Diri Di Desa Sukajdi wilayah Kerja UPTD Puskesmas Sukaraya, berpengaruh dalam meningkatkan kemampuan bersosialisasi pada pasienisolasi sosial.&#13;
Kesimpulan:. Asuhan Keperawatan Pada Klien Dengan Gangguan Isolasi Sosial : Menarik Diri Di Desa Sukajdi wilayah Kerja UPTD Puskesmas Sukaraya dapat meningkatkan kemampuan klien membina hubungan saling percaya, menyadari penyebab isolasi sosial dan mampu berinteraksi dengan orang lain.&#13;
Saran : Diharapkan dapat mendapatkan data dari penekakan diagnosa Asuhan Keperawatan Pada Klien Dengan Gangguan Isolasi Sosial : Menarik Diri Di Desa Sukajdi wilayah Kerja UPTD Puskesmas Sukaraya.</text>
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                <text>PENERAPAN TERAPI TEKNIK TARIK NAFAS DALAM&#13;
UNTUK MENGONTROL EMOSI PADA MASALAH KLIEN DENGAN RESIKO PERILAKU KEKERASAN DI WILAYAH KERJA UPTD PUSKESMAS SEKAR JAYA&#13;
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                <text> Of Breathing Technique In Controlling Therapy In The Risk Of Violent Behavior.</text>
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                <text>Violent behavior is a condition in which a person takes actions that can harm the environment. This is done to express feelings of irritation or anger that are not constructive. The deep breathing technique is a form of nursing care, in this case the nurse teaches the client how to do deep breaths, slow breaths (hold inspiration to the maximum). improve one's ability to concentrate, the ability to control oneself, to reduce levels of depression and emotions. One of the interventions for clients at risk of violent behavior is the application of deep breathing technique therapy. &#13;
Methods: The design in this study uses a case study approach with 2 respondents who experience mental disorders at risk of violent behavior.&#13;
The results of the study: The results showed that after applying the Deep Breathing Technique to client 1 and client 2, the results showed that the application of deep breathing techniques could be done to control emotions in client problems with the risk of violent behavior.&#13;
Conclusion: Between client 1 and client 2 are able to control anger and reduce emotional levels.&#13;
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                <text>Dita Indah Sari</text>
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                <text>Poltekkes Kemenkes Palembang</text>
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                  <text>Politeknik Kesehatan Palembang Prodi D-3 Keperawatan Baturaja</text>
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                <text>PENERAPAN TEKNIK PROGRESSIVE MUSCLE RELAXATION UNTUK MENURUNKAN KECEMASAN PADA KLIEN ASMA DI  WILAYAH KERJA UPTD PUSKESMAS &#13;
TANJUNG AGUNG2022&#13;
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                <text>Asthma is an obstructive airway disease characterized by narrowing of the airways.Narrowing of the airways can cause the patient to have difficulty breathing,coughing,and wheezing. . (scholastica fina ayu puspasari, 2019).Case Study Purposes : The purpose of this paper is to find out the description of the application of progressive muscle relaxation techniques to reduse anxiety in asthmatic clients in the uptd work area of the Tanjung Agung Public Health Center,Baturaja Barat District,OKU Regency in 2022.Case Study Method : The design used in this research is a case study with a descriptive case method.Case Study Results : After applying the progressive muscle relaxation technique to Mrs.W and Mrs.I clients who experienced anxiety for 3x visits,significant results were obtained. Evidenced by a decreased level of anxiety. Conclusion :before applying the progressive muscle relaxation technique the anxiety scores of Ny.W 17 dan Ny.I 16.After the application was carried out for 3 visits the anxiety score decreased.the results obtained were anxiety scores for Ny.W 4 dan Ny.I 2.&#13;
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