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Hemodialisa merupakan tindakan yang digunakan untuk menangani pasien CKD. Tindakan ini dapat mempengaruhi psikologis pasien CKD karena harus dilakukan suumur hidup, pasien menjadi ketergantungan pada mesin yang pelaksanaannya rumit dan membutuhkan waktu yang lama serta memerlukan biaya yang relative besar. Sehingga pasien menjadi bosan, malas menjalani hemodialisa, kualitas hidup menurun dan bisa berakibat kematian. Kecemasan ini salah satu hal yang dikeluhkan oleh pasien-pasien hemodialisa. Penerapan aromatherapy lavender sebanyak 0.6 ml selama 1 x 30 menit merupakan salah satu terapi nonfarmakologi yang aman untuk mengurangi tingkat kecemasan pada pasien yang akan menjalani hemodialisa. Penelitian ini bertujuan untuk mengetahui gambaran penerapan aromatherapy lavender dapat menurunkan tingkat kecemasan pasien CKD yang akan menjalani hemodialisa di Rumkit Tk. II dr. Soedjono Magelang. Jenis penelitian yang digunakan deskriptif dengan metode pendekatan studi kasus. Subjek yang digunakan sebanyak 2 orang dengan kriteria pasien hemodialisa, pasien yang tidak mempunyai riwayat alergi terhadap aromatherapy lavender, pasien sadar dan dapat berkomunikasi, pasien yang bersedia menjadi responden, pasien yang menjalani tingkat kecemasan sedang dengan lembar penilaian HRS-A (score 21-27). Berdasarkan analisa data didapatkan hasil bahwa subyek I mengalami penurunan dari score kecemasan 27 (sedang) menjadi 19 (ringan) dan subyek II dari score kecemasan 24 (sedang) menjadi 17 (ringan). Kesimpulan penerapan aromatherapy lavender efektif untuk menurunkan tingkat kecemasan pada pasien yang akan menjalani hemodialis. Penerapan aromatherapy lavender direkomendasikan untuk menurunkan tingkat kecemasan pasien yang menjalani hemodialisa.

Hipertensi adalah kondisi tekanan darah ?140/90 mmHg. Gejala awal hipertensi adalah nyeri kepala, di tengkuk atau leher. Kompres hangat merupakan terapi komplementer yang digunakan untuk menurunkan nyeri kepala pada pasien hipertensi. Tujuan studi kasus untuk menggambarkan penerapan kompres hangat pada leher terhadap penurunan skala nyeri kepala pada pasien hipertensi di RUMKIT TK III 04.06.02 Bhakti Wira Tamtama Semarang. Jenis penelitian yang digunakan deskriptif  dengan metode pendekatan studi kasus. Subjek yang digunakan sebanyak 2 orang dengan kriteria pasien hipertensi tekanan darah sistolik ?140 mmHg dan diastolik ?90 mmHg, composmentis, skala nyeri 4 - 6, usia 40 - 60 tahun, tidak ada luka di leher, tidak komplikasi emergensy dan TIA. Berdasarkan analisa data didapatkan hasil bahwa subyek I mengalami penurunan skala nyeri kepala dari skala 6 (sedang) menjadi skala 3 (ringan) dan subyek II dari skala 5 (sedang) menjadi skala 2 (ringan). Penerapan kompres hangat pada leher efektif menurunkan skala nyeri kepala pasien hipertensi.  

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises. Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications. Keywords: 

Latar belakang: Peningkatan Berat Badan Interdialitik (IDWG) adalah peningkatan volume cairan yang diwujudkan dengan kenaikan berat badan sebagai indikator untuk mengetahui jumlah asupan cairan selama periode interdialitik dan kepatuhan management mandiri pasien terhadap regulasi cairan pada pasien yang mendapat terapi hemodialisis. Pasien gagal ginjal yang menjalani hemodialisa harus dibatasi asupan cairannya. Upaya untuk mencegah peningkatan IDWG dapat dilakukan dengan pemberian intervensi self care management. Tujuan : Penelitian ini bertujuan untuk menggambarkan penerapan intervensi self care management terhadap IDWG pada pasien hemodialisa. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus Subyek dalam studi kasus ini adalah 2 orang pasien dengan kriteria pasien dengan gagal ginjal kronik yang menjalani hemodialisa, pasien yang bersedia diberikan intervensi self care management. Hasil studi kasus menunjukkan bahwa pemberian intervensi self care managementdapat menurunkan berat badan antar sesi hemodialisisyaitu pada subyek Idari 5 % (kategori sedang) turun menjadi 0,8 % (kategori ringan) dan pada subyek II dari 6 % (kategori sedang) turun menjadi 0,8 % (kategori ringan). Intervensi self care management terbukti efektif untuk mencegah peningkatan IDWG pada pasien hemodialisa. Saran Intervensi Self care Management direkomendasikan sebagai intervensi keperawatan untuk pasien yang menjalani hemodialisa

Latar belakang: Banyak faktor yang mempengaruhi terjadinya kegagalan pemberian ASI pada anak, diantaranya karena faktor ibu bekerja. Pada survey awal di Posyandu melati kelurahan Gayamsari terdapat 35 orang ibu bekerja yang memberikan tambahan susu formula untuk anaknya yang masih berumur kurang dari enam bulan. Hal ini merupakan kondisi yang sangat memprihatinkan. Tujuan : Penulis ingin mengetahui alasan ibu bekerja yang memberikan susu formula pada anaknya. Metode:  Dengan metode pemberian kuisioner dan wawancara terstruktur untuk menceri datanya. Pengambilan data ini dilakukan kurang lebih tiga bulan lamanya. Hasil: Kegagalan terbesar disebabkan karena kurangnya pengetahuan ibu akan pentingnya ASI ekslusif dan keterbatan waktu dalam pemberian ASI. Saran : Pengetahuan akan pentingnya ASI ekslusif menjadi salah satu faktor penentu sikap ibu dalam memberikan ASI esklusif sehingga peran keluarga dan dukungan lingkungan sekitar sangat diprlukan.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. One intervention to relieve postoperative pain is Self healing. The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Cempaka Room Ungaran Regional Hospital after self-healing intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of mild to moderate pain. Analysis of pain measurements using the Numerical Scalel Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 3 (mild pain) became the pain scale 1 (mild pain) and subject 2 the pain scale 4 (moderate pain) became the pain scale 1 (mild pain). Effective self healing therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

Indonesia merupakan negara yang secara geografis, demografis, sosioekonomis dan politis merupakan kawasan yang rawan bencana, dan juga perpotensi mengalami bencana alam, non alam dan sosial, seperti bencana: gempa bumi, banjir, letusan gunung api, kebakaran, tanah longsor, wabah penyakit, kegagalan teknologi, konflik sosial, terorisme. Kejadian bencana akan mengakibatkan timbulnya kedarurtan, korban massal serta permasalahan kesehatan pada masyarakat, selain itu kejadian bencana juga mengakibatkan, rusaknya fasilitas umum, fasilitas kesehatan, terganggunya saluran komunikasi dan lain-lain yang akan mengganggu kehidupan dan penghidupan masyarakat. Banjir besar melanda wilayah kota Semarang pada pekan pertama dan kedua Februari 2021. Banjir di ibu kota Provinsi Jawa Tengah itu merendam setidaknya 43 titik pada 5-7 Februari lalu, demikian data Badan Penanggulangan Bencana Daerah (BPBD) Jawa Tengah. Selain banjir kiriman dan banjir lokal, banjir rob merendam sejumlah kawasan di Kota Semarang, seperti di Kelurahan Kaligawe (Kecamatan Gayamsari) dan wilayah di Kecamatan Genuk. Kondisi pandemic Covid-19 memperburuk dalam penanganan bencana yang terjadi.    

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

Gerakan Masyarakat Hidup Sehat (GERMAS) merupakan program yang dicanangkan oleh kementrian kesehatan untuk menurunkan resiko utama penyakit menular dan penyakit tidak menular (PTM) terutama melalui intervensi gizi 1000 hari pertama kehidupan, memperbaiki pola konsumsi gizi seimbang seluruh keluarga, meningkatkan aktiftas fisik teratur dan terukur, meningkatkan pola hidup sehat, meningkatkan lingkungan sehat serta mengurangi konsumsi rokok dan alkohol. Data wawancara didapatkan hasil bahwa sebagian besar masyarakat sebanyak 48 % jarang memeriksakan kesehatan sedini mungkin, warga akan pergi kepusat kesehatan terdekat jika sudah mulai muncul tanda dan gejala penyakitnya. Pelaksanaan DD- PTM dilaksanakan dalam sehari, warga dikumpulkan dalam aula Kelurahan Bulustalan, Kegiatan diawali dengan senam kebugaran secara serentak, kemudian dilanjutkan dengan pemeriksaan kesehatan. Pemeriksaan kesehatan yang dilakukan yaitu pengukuran antopometri berupa tinggi badan, berat badan, lingkar perut, pengukuran tekanan  darah  dan  pengukuran  gula  darah  sewaktu.  Dari  50  orang  warga  yang mengikuti pelaksanaan DD-PTM, sebanyak 24 % warga (12 orang ) baru mengetahui bahwa mengidap pra diabetes mellitus, , sebanyak 16 % ( 8 orang) sudah mengetahui bahwa menderita hipertensi dan diabetes mellitus, sebanyak 6 % ( 3 orang) memiliki lingkar perut lebih dari 100 cm, sebanyak 54% (27 orang) dalam kondisi sehat.Warga cukup antusias terhadap kegiatan yang dilaksanakan. Data yang didapat dalam kegiatan DD- PTM ini diserahkan kepada pihak Puskesmas Pandanaran sebagai rekap data status kesehatan wilayah binaan. Data yang didapat akan ditindaklanjuti dengan memotivasi warga untuk memeriksakan kesehatannya di Puskesmas Pandanaran.    

Asthma Bronchiale is inflammation in the airways (bronchi) where excessive lung mucus production makes breathing difficult. One treatment that can be given is by giving nebulizer therapy to ease the cough response to the presence of mucus in the respiratory tract with the addition of mint oil. The purpose of the case study is to illustrate the effect of adding mint (pappermint oil) and liquid with a nebulizer on the handling of asthma bronchiale cough in Ungaran District Hospital. The subject of this case study used two patients with asthma bronchiale, willing to be investigated, cooperative and more than 5 years old. Data was collected by observation and administration of nebulizer therapy by adding pappermint oil and liquid using a nebulizer. The results of the case study found that subject I had a cough frequency of 25 (moderate), no inflammation, no wheezing and easy sputum discharge, whereas in subject II the frequency of cough became 24 (moderate), no inflammation, no wheezing, and easy phlegm Exit. This study is recommended to apply pappermint oil therapy to reduce the frequency of cough bronchial asthma patients

Prediabetes will become a widespread health problem and have a serious impact (emerging epidemic. Prediabetes condition is a condition of a person before suffering from diabetes mellitus which is characterized by an increase in hyperglycemic status above the normal laboratory threshold value, but does not increase in diabetics. The prevalence of diabetes increases every year, data shows 5-14% of prediabetic conditions will become diabetic every year. There has been a shift in the age of people with diabetes, from previously a disease that affects the elderly, to a disease that attacks at a young age. If young age is identical with type 1 diabetes, now individuals are the group of young adults also suffers from type 2 diabetes mellitus. Likewise with prediabetes, the number of young adults who experience prediabetes is increasing every year. Students are a group of young adults who have a combination of risk factors for hyperglycemia. Life such as reduced physical activity because it is not necessary to exercise regularly for a certain period of time such as in the previous education period makes students have a high risk of developing prediabetes conditions. Efforts to detect non-communicable diseases early in the community are expected to help reduce and prevent the incidence of prediabetes that occurs in Kesdam IV/Diponegoro Akper students.

Difficulty swallowing is caused by impaired muscle coordination, muscular weakness of the tonus swallowing which is associated with impaired hemisphere function, nuclei of the brain nerve fibers that confer and muscles chew and swallow. The purpose of this case study is to describe the application of Shaker exercise and jelly in swallowing exercises in the stroke patients in the Hospital Sunan Kalijaga Demak. This method of research is descriptive using a case study approach. The subject in this study were two patients with stroke difficulty swallowing, patients in rehabilitation, not experiencing a loss of consciousness and a patient's vital signs of stable. Ingested ability is measured with The Royal Adelaide Prognostic Index For Dysphagic Stroke (RAPIDS). Results of the analysis showed that there was increased ability to swallow after intervention. In the subject I before the 81 scorecard intervention (low aspiration risk) experienced increased scorecard to 86 (low aspiration risk). Meanwhile, in the subject II before the intervention of Scorecard 82 (low aspiration risk) experienced a better namely 91 (low aspiration risk). This research recommends nurses can apply shaker exercise and jelly in swallowing exercises in stroke patients with difficulty swallowing

Heart failure has an impact not only on one's physical condition but also on the psychological impact of anxiety. Patients with heart disease who experience psychosocial problems, especially anxiety, will have a slower recovery process and more severe physical symptoms they experience. Thus, an intervention is needed to provide back massage to overcome anxiety. The purpose of this study was to describe the application of back massage towards anxiety scores in heart failure patients.This study belongs to descriptive research using the case study approach method. The sample in this study were 2 subjects who suffered classification II and III heart failure according to NYHA who experienced low to moderate anxiety. Both subjects were given back massage therapy. Hamilton Anxiety Rating Scale (HARS) was used as the instrument to measure the level of anxiety. The results showed that there was a significant decrease in the two subjects who initially fell into the anxiety category into the category of low anxiety after being given back massage therapy for 15 minutes at 24-hour intervals for 3 days. In conclusion, back massage is recommended to be applied in the hospital as a nursing intervention to overcome anxiety in heart failure patients.

Usaha Kesehatan Sekolah (UKS) memiliki tujuan untuk memandirikan seluruh komponen di sekolah untuk melakukan pencegahan dan penanganan dini pada maslah- masalah kesehatan yang mucul saat disekolah. Pada MI Nashrul Fajar Kelurahan Meteseh sudah terdapat lembaga UKS yang disediakan pihak sekolah, namun belum berjalan dan dikelola dengan baik. Hasil observasi didapatkan minimnya kegiatan di UKS maupun belum terdapatnya petugas kesehatan yang terlatih / dokter kecil di sekolah tersebut. Oleh karena itu untuk mengatasi maslah tersebut melalui musyawarah warga sekolah diputuskan untuk menggerakkan kembali kegiatan di UKS dan melatih dokter kecil. Dukungan dari semua pihak terkait dibutuhkan untuk keberlangsungan pengelolaan, pembinaan dan pengembangan UKS. Program dokter kecil merupakan upaya pendekatan edukatif dalam rangka mewujudkan perilaku sehat antara lain perilaku kebersihan perorangan, dimana anak didik dilibatkan dan diaktifkan sebagai pelaksananya. Tujuan dokter kecil meningkatkan partisipasi siswa dalam program UKS, agar siswa dapat menjadi penggerak perilaku hidup bersih dan sehat di sekolah, di rumah dan dilingkungannya dan siswa dapat menolong dirinya sendiri, sesama siswa dan orang lain untuk hidup sehat.

Pressure  ulcer is local injury of skin of subtexture it, generally at bump of bone, the effect of pressure or pressure combination with friction or seraping. To preventing the risk of pressure ulcer at total bedrest patient need to treatmen of skin by Nigella Sativa Oil. The purpose of this case study is to be analyze of application by prevention of pressure ulcer pressure sores method at total bedrest patient. The type of this research is descriptive with method of the case study. The subject of this research use two patient who is sustain of total bedrest more than 3 eith enteria for assesment result by Norton 14 scale less than 14 which it is categorized risk of everage pressure ulcer. The result of this research can be conclude at subject I from 10 Norton scale to 13 scale, at subject II from 13 Norton scale to 16 scale. So, at the time from it review with high severe of injury to use the Design from every the category that obtains the result 0 which it means not happens pressure ulcer injury by both of subject. The nurse must be applies by Nigella Sativa Oil therapy at total bedrest patient to can prevent of pressure ulcer risk.

Hemodialysis is an action used in kidney failure patients to remove and clean up metabolic waste substances and other toxic substances. So you have to undergo hemodialysispatients undergoing hemodialysis must be limited to administration of fluids. The consequences of fluid restriction can lead to complaints of thirst and xerostomia. Giving xylitol gum can stimulate saliva to overcome xerostomia. The purpose of this case study is to describe the application of xylitol gum to reduce xerostomia in patients. The method used in this study is Quasy Experiment. The instrument used was SXI-D (Summated Xersotomia Inventory-Dutch Version). Subjects of 2 people over the age of 30 years. The intervention was done in the form of chewing 2 grains of xylitol gum 3 times a day after a large meal and brushing his teeth for 2 consecutive weeks. The results of case studies on subject 1 showed a decrease in xerostomia before being given the first hemodialysis measurement intervention, namely 23 severe xerostomia, on the last day of intervention, 7 mild xerostomia. In subject 2 there was a decrease in xerostomia before the first. gum administration is recommended as a nursing intervention in the management of patients with hemodialysis measurement intervention was given, 23 severe xerostomia, on the last day of intervention, 10 mild xerostomia. The application of xylitol xerostomia.

Phlebitis is inflammation that occurs in the endothelial wall in the tunic intima caused by mechanical and chemical irritation from the administration of infusion therapy. Compress using normal salin liquid 0.9% can improve the anti-inflammatory response and can facilitate the flow of blood circulation to the area of ??phlebitis injury so that it can accelerate wound healing. The purpose of this case study is to analyze the application of compresses using normal salin liquid 0.9% to the incidence of phlebitis in the Hospital grade III 04.06.02 Bhakti Wira Tamtama Semarang. This type of case study design belongs to a descriptive study using a case study approach method. The subjects in this case study used two patients who were infused and had phlebitis marks VIP scores degree of phlebitis 1-4. Analysis of the degree of phlebitis experienced was carried out by observation and measured through assessment of degrees using VIP Score (Visual Infusion Score) which is a score of 0-5. The compression using normal salin liquid 0.9% in phlebitis patients were for 2 days, for each day compress 3 times, in 1 time compress for 30 minutes. The results of the case studies were found in subjects I and subject II, each of the VIP scores of the degree of phlebitis 3 (erythema, pain, swelling along the cannula), each VIP score of phlebitis 0 (no phlebitis). It is suggested to Hospital grade III 04.06.02 Bhakti Wira Tamtama Semarang to be taken into consideration in nursing care interventions in the handling of nonpharmacological phlebitis so that no further complications occur.