ARRAZI: Scientific Journal of Health

Asuhan Keperawatan pada Pasien dengan Stroke Iskemik: Studi Kasus

2026-04-06T21:01:36+07:00

This case study aimed to provide nursing care for Mr. J, who had an ischemic stroke, in the Mina 1 Ward of dr. Zainoel Abidin Regional General Hospital in Banda Aceh. Nursing care was implemented for six days, from August 6–11, 2025. The assessment results identified seven nursing problems: decreased intracranial adaptive capacity, risk of ineffective cerebral perfusion, impaired physical mobility, unstable blood glucose levels, impaired swallowing, impaired verbal communication, and risk of falls. The interventions provided included maintaining the head of the bed at a 30° elevation, monitoring blood pressure, pulse, and respiration, Range of Motion (ROM) exercises accompanied by the use of a rubber ball, periodic monitoring of blood glucose levels, swallowing therapy, AIUEO speech therapy, and education on fall risk prevention. The evaluation results after six days of nursing care showed that two nursing problems were resolved (impaired swallowing and risk of falls), four nursing problems were partially resolved (decreased intracranial adaptive capacity, risk of ineffective cerebral perfusion, impaired physical mobility, unstable blood glucose levels), and one nursing problem remained unresolved (impaired verbal communication). Patients and their families are expected to continue performing the recommended exercises to improve muscle strength and range of motion, as well as to control risk factors for recurrent stroke.

Gambaran Risiko Eating Disorder (Gangguan Makan) pada Remaja Putri Sekolah Menengah Atas di Kota Banda Aceh

2026-04-11T09:47:19+07:00

Eating disorders are mental health problems associated with unhealthy eating behaviors that may adversely affect adolescents’ development, including physical, psychosocial, emotional, academic and career domains, as well as identity formation. This study aimed to describe the risk of eating disorders among female students at SMAN 2 Banda Aceh. The research employed a quantitative descriptive design using proportional random sampling, involving 171 respondents. The Eating Attitudes Test (EAT-26) questionnaire was utilized to assess the risk of eating disorder tendencies. The findings revealed that the majority of respondents (66.67%) were not at risk of developing eating disorders, while 33.33% were classified as at risk. Based on the three subscales of the Eating Attitudes Test-26, respondents with overweight and obese nutritional status tended to exhibit higher levels of unhealthy eating behaviors, particularly in the dieting and bulimia and food preoccupation domains. Meanwhile, most female adolescents demonstrated relatively good oral control, although a small proportion showed tendencies toward dietary restriction. In conclusion, the majority of female students at SMAN 2 Banda Aceh were not at risk for eating disorders. Nevertheless, education on healthy eating habits and the promotion of a positive body image are still necessary to prevent unhealthy eating behaviors.

Asuhan Keperawatan pada Pasien dengan Low Back Pain di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh

2026-03-31T10:09:28+07:00

This case study aimed to provide nursing care for Mrs. AN with low back pain in the Mina 2 Ward at dr. Zainoel Abidin Regional General Hospital in Banda Aceh. Data collection in this case study was conducted through observation, head-to-toe physical examination, and interviews with the patient and family members. Nursing care was implemented from August 7–13, 2025. The patient experienced intermittent lower back pain lasting approximately 15 minutes with a pain scale of 5 (Numeric Rating Scale/NRS), a history of falling from a motorcycle one year earlier, decreased muscle strength with a grade of 3, reduced range of motion, capillary refill time (CRT) >2 seconds, hemoglobin level of 7.6 g/dL, dependence in activities of daily living (ADL), and a geriatric fall risk score of 3. Interventions were implemented for five days and included William’s Flexion Exercise (WFE), Range of Motion (ROM) exercises, 15° leg elevation exercises, collaboration in administering Packed Red Cell (PRC) transfusion, assistance with Activities of Daily Living (ADL), self-care support, education on fall risk prevention, and collaboration in medication administration. The evaluation results showed that one problem was resolved (the risk of falls). In contrast, four problems were partially resolved, as indicated by a pain scale reduction to 3 (NRS), an increased hemoglobin level to 10.8 g/dL, improved muscle strength to grade 4, and ADL performed with family assistance. Recommendations include routinely performing William’s Flexion Exercises to reduce pain and ROM exercises to improve range of motion and muscle strength.