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                <text>IMPLEMENTASI KEPERAWATAN &#13;
MANAJEMEN JALAN NAPAS PADA PASIEN &#13;
TB PARU DENGAN MASALAH BERSIHAN JALAN &#13;
NAFAS TIDAK EFEKTIF DI RS MUHAMMADIYAH &#13;
PALEMBANG TAHUN 2022</text>
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                <text>pulmonary TB, ineffective airway clearance problems, nursing &#13;
implementation</text>
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                <text>Ilmia Safitri, Zahara. 2022. Implementation of Airway Management &#13;
Nursing in Pulmonary TB Patients with Ineffective Airway Clearing &#13;
Problems. Diploma III nursing program, majoring in nursing, &#13;
Poltekkes, Ministry of Health, Palembang. Supervisor (I): Sumitro &#13;
Adi Putra, S.Kep, Ns, M.Kes Supervisor (II): Evasusanti, S.Kep, Ns, &#13;
M.Kes&#13;
Background: Pulmonary TB is a disease that is still a problem in the world &#13;
caused by the bacterium Mycobacterium tuberculosis, pulmonary TB can be &#13;
transmitted through airbon. The increasing cases of pulmonary TB have &#13;
become a problem, one of the problems that often arises is ineffective &#13;
airway clearance. This problem of ineffective airway clearance is caused by &#13;
the inability to clear secretions. These secretions will collect in the airways &#13;
which can cause blockage.&#13;
Objective: the purpose of writing this scientific paper is to get an overview &#13;
of the implementation of nursing in pulmonary TB patients with ineffective &#13;
airway clearance problems at Muhammadiyah Hospital in Palembang. &#13;
breathing patterns, additional breath sounds, and sputum, adjust the semi�Fowler position and teach effective coughing techniques.&#13;
Subjects: the subject of the case study to be studied is two pulmonary &#13;
tuberculosis patients with ineffective airway clearance problems.&#13;
Methods: There were two patients studied, this study used descriptive &#13;
analytical methods in the form of case studies by carrying out nursing care &#13;
including assessment, diagnosis, intervention, implementation and &#13;
evaluation by focusing on implementation of the problem of ineffective &#13;
airway clearance in pulmonary TB patients.&#13;
Conclusion: the results of the study showed that the implementation of &#13;
nursing in pulmonary tuberculosis patients with ineffective airway clearance &#13;
problems given to patients was able to overcome and reduce sputum in the &#13;
patient's airway.&#13;
Keywords: pulmonary TB, ineffective airway clearance problems, nursing &#13;
implementation</text>
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                <text>Zahara Ilmia Safitri</text>
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                <text>IMPLEMENTASI KEPERAWATAN  DENGAN MASALAH KETIDAKEFEKTIFAN JALAN NAFAS PADA PASIEN TB PARU DI RSUD PALEMBANG BARI TAHUN 2018 </text>
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                <text>Penyakit  Tuberculosis Paru (TB Paru) yang masih menjadi penyebab kematian, dikarenakan TB Paru termasuk dalam 10 besar penyebab kematian di dunia. Data World Health Organization (WHO) menunjukkan bahwa pada tahun 2015, Indonesia termasuk dalam  6  besar  dengan  kasus  TB  terbanyak  (Alodokter,  2018).  Tuberculosis  atau  TB masih  menjadi  tantangan  global.  Pada  tahun  2008,  WHO  memperkirakan  bahwa terdapat sekitar 440.000 kasus TB Multi Dosis Resisten (MDR) setiap tahunnya didunia dengan  angka  kematian  sekitar,dari  jumlah  tersebut  baru  sekitar  8,5%  yang  telah ditemukan dengan diobati (Kemenkes, 2016).   Menurut  WHO  di  dunia  ada  300  orang  meninggal  setiap  harinya.  Tuberkulosis tercatat  sekitar  10,4  juta  kasus  tuberkulosis  yang  ditemukan  di  seluruh  dunia  dan tercatat sekitar  1,4 juta  kematian  yang  disebabkan  oleh  tuberculosis.  Ada  enam  negara yang dianggap menyumbang sekitar 60% dari temuan kasus tuberculosis paru diseluruh dunia  yaitu  India,  Indonesia,  China,  Nigeria,  Pakistan,  dan  Afrika  Selatan  (WHO, 2016). </text>
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TAHUN 2022</text>
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                <text>Latar Belakang: Salah satu penyebab cacat akibat suatu trauma karena kecelakaan disebut fraktur. Fraktur terbanyak yang terjadi di Indonesia yaitu fraktur ekstremitas bawah. Masalah yang dirasakan adalah gangguan mobilitas fisik dan implementasi dukungan mobilisasi dapat meningkatkan mobilitas fisik. Tujuan penelitian ini untuk meningkatkan mobilitas fiisk pada pasien fraktur.&#13;
Metode: Desain penelitian ini adalah deskriptif dalam bentuk studi kasus. Subyek yang diteliti berjumlah 2 orang dengan kasus dan masalah keperawatan yang sama, yaitu pasien fraktur tibia fibula dextra di Ruang Zaal bedah RSUD Lahat. Penelitian ini dilakukan tanggal 17 Maret sampai 23 maret 2022.&#13;
Hasil : Setelah dilakukan implementasi keperawatan didapatkan hasil dukungan mobilisasi membantu meningkatkan mobilitas fisik pada pasien 1 dan pasien 2.&#13;
Kesimpulan: Diharapkan dapat menerapkan implementasi keperawatan dukungan mobilisasi pada pasien fraktur dengan gangguan mobilitas fisik dapat dikembangkan lagi dan menjadi pembelajaran untuk penelitian selanjutnya.</text>
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                <text>tuberkolosis paru, bersihan jalan nafas tidak efektifT, penerapan latihan batuk efektif</text>
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                <text>Latar Belakang    :  TB paru menduduki peringkat ke 2 sebagai penyebab utama kematian akibat penyakit menular setelah Human Immuno deficiency Virus/HIV (WHO, 2015) ,WHO tahun 2017 melaporkan pada tahun 2018 ada sekitar 1,7 juta kematian yang diakibatkan TBC paru. Menurut laporan WHO,Indonesia merupakan salah satu negara yang mempunyai insiden TB paru tertinggi di dunia dan angaka kejadian TB paru tertinggi di dunia dan angka kejadian TB paru menempati peringkat ke tiga di dunia. Masalah studi kasus ini adalah tingginya penderita tuberculosis di wilayah kerja Puskesmas usila Lahat tahun 2022.&#13;
Metode   : Desain penelitian ini menggunakan metode deskriptif analitik dalam bentuk studi kasus dengan melakukan asuhan keperawatan meliputi pengkajian, diagnosa, intervensi, implementasi dan evaluasi dengan memfokuskan penerapan latihan batuk efektif dengan masalah bersihan jalan nafas pada psien tuberkolosis paru,							                                                       Hasil    : Setelah dilakukan implementasi keperawatan didapatkan hasil penerapan latihan batuk efektif dapat mengatasi bersihan jalan nafas pada pasien tuberkolosis paru&#13;
Kesimpulan : Diharapkan dapat menerapkan latihan batuk efektif pada pasien tuberkolosis paru dengan masalah bersihan jalan nafas  serta dapat dikembangkan lagi dan menjadi pembelajaran untuk peneliti selanjutnya</text>
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                <text>Demam tyhfoid merupakan penyakit  infeksi  usus  halus  yang  disebabkan  kuman Salmonella  Typhi  yang  mengenai  saluran  pencernaan.  Tujuan  studi  kasus  adalah mendapatkan  gambaran  implementasi  keperawatan  pada  pasien  thyfoid  dengan masalah hipertermi di ruang manggaris RSUD Sekayu. Jenis penelitian ini adalah deskriptif analitik analitik dengan pendekatan implementasi keperawatan. Subyek penelitian  yang  digunakan adalah dua pasien thyfoid  dengan  masalah hipertermi, studi  kasus  ini  dilakukan  pada  tanggal  06-08  juni  2018.  Dari  hasil  pengkajian kedua  pasien  mengatakan  badan  terasa  panas  dan  lemas.  Pada  tanggal  04  juni 2018  dilakukan  pemeriksaan  laboratorium  tes  uji  widal  dengan  hasil  pasien  I +1/160  dan  pasien  II  +1/320.  Terdapat  empat  diagnosa  keperawatan  yang ditemukan  tetapi  menjadi  focus  m alah  pada  studi  kasus  ini  adalah  hipertermi berhubungan dengan proses inflamasi. Intervensi yang dibuat sesuai dengan teori serta  kondisi  dan  situasi  pasien.  Implementasi  yang  dilakukan  yaitu  mengkaji tanda-tanda vital, memberikan kompres hangat, mengkaji ketepatan jenis pakaian yang  digunakan,  dan  menganjurkan  pasien  banyak  minum.  Tindakan  kompres hangat yang dilakukan pada kedua pasien efektif untuk menurunkan panas karena dapat  mempengaruhi  tubuh  dengan  vasodilatasi  pembuluh  darah  dimana menyebabkan  pembuangan  energy  panas  melalui  kulit.  Focus  masalah keperawatan  yang  muncul  dapat  teratasi  dalam  masa  perawatan  3  hari. Diharapkan  perawat  dapat  meningkatkan  kualitas  implementasi  secara komprehensif  baik  secara  mandiri,  maupun  kolaborasi  dan  melakukan pendokumentasian implementasi keperawatan dengan baik.   </text>
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            <name>Publisher</name>
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                <text>POLTEKKES KEMENKES PALEMBANG JURUSAN KEPERAWATAN PALEMBANG</text>
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                <text>SHerli shobur</text>
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                <text>BAHASA INDONESIA</text>
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                <text>IMPLEMENTASI KEPERAWATAN  PADA PASIEN SKIZOFRENIA DENGAN HALUSINASI PENDENGARAN DI RUMAH SAKIT DR ERNALDI BAHAR PROVINSI SUMATERA SELATAN TAHUN 2018   </text>
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                <text>SKIZOFRENIA DENGAN HALUSINASI PENDENGARAN</text>
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                <text>Kesehatan jiwa adalah berbagai karakteristik positif yang menggambarkan keselarasan  dan  keseimbangan  kejiwaan  yang  mencerminkan  kedewasaan kepribadiannya  (World  Health  Organization  (WHO)  dalam  Direja,  2011). Sedangkan menurut UU No. 18 tahun 2014 kesehatan jiwa adalah kondisi dimana seseorang  individu  dapat  berkembang  secara  fisik,  mental,  spiritual  dan  sosial sehingga  individu  tersebut  menyadari  kemampuan  sendiri,  dan  dapat  mengatasi tekanan, dapat berkerja secara produktif dan mampu memberikan kontribusi untuk komunitasnya. &#13;
Gangguan jiwa merupakan manifestasi dari bentuk penyimpangan perilaku akibat  adanya  emosi  sehingga  ditemukan  ketidakwajaran  dalam  bertingkah  laku. Gangguan  jiwa  ini  menimbulkan  stress  dan  penderitaan  bagi  penderita  dan keluarga. (Stuart, 2016 dalam Sutejo, 2017). Gangguan jiwa merupakan deskripsi sindrom dengan variasi penyebab. Banyak yang belum diketahui dengan pasti dan perjalanan  penyakit  tidak  selalu  bersifat  kronis.  Pada  umumnya  ditandai  adanya penyimpangan  yang  fundamental,  karakteristik  dari  pikiran  dan  persepsi,  serta adanya  efek  yang  tidak  wajar  atau  tumpul  (Maslim,  2002  dalam  Yusuf,  dkk, 2015).  </text>
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                <text>POLTEKKES KEMENKES PALEMBANG JURUSAN KEPERAWATAN PALEMBANG</text>
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                <text>Ridwan, S.Pd, SKM, M.Kes</text>
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                <text>IMPLEMENTASI KEPERAWATAN AFIRMASI POSITIF&#13;
PADA KELUARGA YANG MEMILIKI ANAK AUTISM&#13;
SPECTRUM DISORDER (ASD) DI I NU_KIDS TERAPI&#13;
TERPADU TAHUN 2023</text>
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                <text>Keywords: Positive Affirmation Techniques, Risk of Chronic Low Self-Esteem</text>
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                <text>Background: The risk of chronic low self-esteem is a negative self-evaluation and is associated with feelings of weakness, helplessness, hopelessness, fear, vulnerability, fragility, incompleteness, worthlessness, and inadequate loss of self-&#13;
confidence and failure to achieve the goals set. express directly or indirectly through moderate to severe levels of anxiety. One implementation that can prevent the risk of low self-esteem is by doing positive affirmation techniques. Research Methods: The design of this study used a descriptive method. The sampling method used was purposive sampling of 2 respondents, namely clients whose children had therapy at Nu_Kids Integrated Therapy with autism spectrum disorder (ASD) problems. The data for this study were taken using interviews and&#13;
observation. Results from data collection is presented in the form of tables and narratives. Research Results: The results of this study obtained two respondents who&#13;
experienced chronic low self-esteem risk by measuring the self-esteem scale (RSES) questionnaire where after positive affirmation therapy was ca rried out both clients experienced mild self-esteem risk.&#13;
Conclusion: The results of this study illustrate the need for implementing positive affirmations to reduce the risk of chronic low self-esteem.</text>
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                <text>IMPLEMENTASI KEPERAWATAN AMBULASI DINI PADA PASIEN POST OPERASI SECTIO CAESAREA DENGAN INTOLERANSI AKTIVITAS DI RUANG KEBIDANAN RSUD LAHAT TAHUN 2022</text>
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                <text>Intoleransi Aktivitas Post SC, Ambulasi Dini</text>
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                <text>Latar Belakang:Sectio caesarea merupakan suatu cara melahirkan janin dengan sayatan pada dinding uterus melalui abdomen dengan indikasi terbanyak ketuban pecah dini, partus lama, dan hipertensi sehingga biasanya terjadi gangguan rasa nyaman akibat nyeridan kelemahan sehingga terjadi intoleransi aktivitasdan dapat dikurangi melalui implementasi ambulasi dini. &#13;
Metode: Desain penelitian ini adalah deskriptif dalam bentuk studi kasus. Subyek yang diteliti berjumlah 2 orang dengan kasus dan masalah keperawatan yang sama, yaitu pasien post Operasi SC intoleransi aktivitas di Ruang Kebidanan RSUD Lahat Tahun 2022. Penelitian ini dilakukan pada tanggal 19 Maret 2022 sampai 21 Maret 2022.&#13;
Hasil: Setelah dilakukan implementasi keperawatan didapatkan hasil ambulasi dini membantu mengatasi intoleransi aktivitas post Operasi SC dengan respon pasien dapatmeningkat keadaan anggota tubuh ditandai dengan pasien dapat miring kanan dankiri, duduk dan mampu berjalan secara mandiri walaupun masih secara perlahan&#13;
Kesimpulan : Hasil peneliti mengambarkan perlunya intervensi Tindakan ambulasi dini untuk mengatasi masalah intoleransi aktivitas.&#13;
Saran: Diharapkan dapat menerapkan implementasi keperawatan ambulasi dini pada pasien post Operasi SC dengan intoleransi aktivitas serta dapat dikembangkan lagi dan menjadi pembelajaran untuk penelitian selanjutnya.</text>
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                <text>Umi Atia Sara Septa</text>
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                <text>Poltekkes Kemenkes Palembang Prodi D III Keperawatan Lahat</text>
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                <text>Bronkopneumonia  adalah  radang  paru  yang  disebabkan  oleh  agen  infeksius  dan terdapat  di  daerah  bronkus.Tujuan  penelitian  ini  untuk  mengetahui  gambaran pelaksanaan  asuhan  keperawatan  pada  anak  balita  dengan  Bronkopneumonia  di Rumah  Sakit  Daerah  Ogan  Ilir.Subyek  penelitian  berjumlah  dua  orang  anak  balita dengan jenis kelamin perempuan.Adapun jenis penelitian ini deskriptif dalam bentuk studi  kasus  untuk  mengeksplorasi  masalah  asuhan  keperawatan  pada  pasien  anak balita dengan bronkopneumonia.Penelitian dilakukan dengan metode wawancara dan pemeriksaan  fisik  pada  tanggal  5  –  10  Juni  2018.Dari  hasil  pengkajian  pada  kedua pasien didapatkan pasien tampak sesak napas, batuk pilek, dan ada pernapasan cuping hidung.  Implementasi  secara  mandiri  dengan  mengkaji  frekuensi,  kedalaman pernapasan,  dan  suara  napas  tambahan,  ,  menganjurkan  minum  air  hangat,  dan menganjurkan  mengoleskan  minyak  telon  pada  bagian  dada,.  Secara  kolaborasi pemberian terapi nebulizer serta pemberian obat ambroxol 2,5 ml, obat alphamol 2,5 ml.  Saran  yang  bisa  disampaikan  adalah  pasien  dengan  bronkopneumonia,  dapat penanganan  perawatan  yang  tepat,  dan  perlunya  pendidikan  kesehatan  mengenai pencegahan dan perawatan penderita bronkopneumonia di rumah kepada orang tua</text>
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