ARRAZI: Scientific Journal of Health

Implementasi Asuhan Keperawatan Komunitas Berbasis Promosi Kesehatan pada Anak Usia Sekolah Dasar dengan Masalah Kesehatan Gigi dan Mulut di Desa Cot Mancang

Yulia Fatmanidar, Muhammad Iqbal S, Cut Oktaviyana — Mon, 23 Jun 2025 00:00:00 +0700

Dental and oral health is one of the parameters of an individual's overall health and indicates a person's quality of life. According to WHO, school-age children have dental caries reaching 60-90%. This can be caused by behavior that lacks attention to dental and oral health, so awareness and knowledge need to be increased. This study aims to determine the effectiveness of nursing care in school-age children in Cot Mancang Village regarding dental and oral health through counseling and demonstration of how to brush teeth correctly. The results of measuring dental hygiene of school-age children using the debris index were obtained from around 33 children with medium teeth and 21 children with good teeth. From the results of these measurements, it can be proven that more school-age children with poor teeth or damage to their teeth.

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Asuhan Keperawatan pada Pasien Pneumonia dengan Bersihan Jalan Nafas Tidak Efektif Melalui Tindakan Fisioterapi Dada di Ruang Shafa RSUDZA Pemerintah Aceh

Burjan Hadia, Angga Satria Pratama, Syarifah Masthura — Fri, 06 Jun 2025 00:00:00 +0700

Pneumonia is an acute respiratory tract infection characterized by symptoms such as cough and shortness of breath. A priority nursing diagnosis commonly found in pneumonia patients is ineffective airway clearance. In Indonesia, the incidence of pneumonia increased significantly in 2024, reaching 1,278 cases with 188 deaths. In January 2025 alone, 105 cases with 12 deaths were recorded. In Aceh, pneumonia ranked fifth among respiratory illnesses, with a prevalence rate of 2.5% in 2018. Data from the inpatient ward of the Shafa Room at RSUDZA, Aceh Government Hospital, in April reported 20 pneumonia cases. This study aims to explore the nursing care provided to pneumonia patients experiencing ineffective airway clearance in the Shafa Room of RSUDZA. Assessment findings indicated complaints of productive cough and difficulty expectorating sputum. The nursing diagnosis established was ineffective airway clearance. Interventions were based on the Indonesian Nursing Intervention Standards (SIKI), including chest physiotherapy using the OTEK method. Nursing implementation was carried out for four consecutive days (4x24 hours) in accordance with the established care plan. Evaluation results showed improvements in airway clearance and regular breathing rhythm. The application of chest physiotherapy techniques proved effective in enhancing airway clearance, demonstrating its value as an independent, complementary nursing intervention.

Evaluasi Risiko dan Faktor Penyebab Kecelakaan Kerja dalam Proyek Konstruksi

Cahyani Arifah, Elvida Wati Hasibuan, Yasmin Adristi , Abdurrozzaq Hasibuan — Wed, 30 Apr 2025 00:00:00 +0700

The construction sector is one of the industries with the highest rate of occupational accidents in Indonesia. This study aims to evaluate risks and identify the main causes of work accidents in construction projects through a literature review of seven relevant scientific journals. The method used is a systematic literature review, including analysis based on HIRADC and Job Safety Analysis (JSA) approaches. The findings reveal that the causes of construction accidents stem from a combination of internal and external factors, such as unsafe actions, low safety awareness, weak managerial supervision, and substandard working conditions. Human error is identified as the dominant factor, followed by environmental conditions and organizational system weaknesses. Accident prevention can be achieved through the implementation of a comprehensive occupational safety management system, regular training, and a strong safety culture across all levels of the project. This study emphasizes the importance of structured risk evaluation in creating a safe, efficient, and low-incident work environment.

Asuhan Keperawatan Komunitas Pada Lansia Dengan Masalah Kesehatan Hipertensi Di Desa Lampuuk Kecamatan Kuta Baro Kabupaten Aceh Besar

Ika Rahmi Fitriya, Dewi Sartika — Tue, 24 Jun 2025 00:00:00 +0700

Hypertension is where blood pressure is within the abnormal limit of 140/90, Hypertension can also cause disorders in blood vessels that result in the supply of oxygen and nutrients being hampered by the blood to the body tissues that need it. In this case study, the aim is to explain and provide nursing care to the elderly who have hypertension in Lampuuk Village, Kuta Baro District, Aceh Besar Regency. The study design on this problem is a case study with a community nursing process. From the results of the case study, the problems obtained are Knowledge deficit related to lack of understanding of hypertension characterized by abnormal blood pressure and Readiness to improve health management characterized by expressing a desire to manage health problems characterized by readiness to accept alternative information. Nursing actions taken by providing education and demonstration of the DASH diet menu. The results of the evaluation of this health problem are that with education and demonstration of the DASH diet menu, the elderly are able to implement it in life with a healthy and low-salt diet pattern to help overcome hypertension problems or overcome recurrence of hypertension in the elderly.

Efektivitas Terapi Back Massage dan Kompres Hangat dalam Manajemen Nyeri Osteoartritis pada Lansia

Ica Salwana, Dara Febriana , Nurhasanah — Thu, 24 Apr 2025 00:00:00 +0700

Osteoartritis is the most common chronic degenerative disease and a leading cause of morbidity, physical activity limitations, and decreased quality of life among the elderly. In addition, osteoartritis is often a source of chronic pain that affects both physical function and the psychological well-being of patients. This case report describes the application of back massage and warm compress therapy as non-pharmacological interventions to reduce chronic pain in older adults with osteoartritis. The interventions included pain management education, and the regular administration of back massage and warm compresses. Evaluation results showed a reduction in pain levels from 5 to 2 on the Numeric Rating Scale (NRS). In addition to relieving pain, the therapy also improved patient comfort and relaxation. These findings suggest that non-pharmacological therapies such as back massage and warm compresses may serve as simple and effective alternatives for managing chronic pain in osteoartritis care. It is hoped that this therapy can be continuously implemented by healthcare providers and family caregivers to support the improved quality of life of elderly individuals living with osteoartritis.

Asuhan Keperawatan pada Ny. I dengan Kasus Post Sectio Caesarea Atas Indikasi Plasenta Previa di Rumah Sakit Umum Zainoel Abidin Banda Aceh

Raudhatul Akmalia, Cut Oktaviyana, Yullyzar — Mon, 23 Jun 2025 00:00:00 +0700

One of the most common complications of pregnancy is placenta previa. Placenta previa is a condition during pregnancy where the placenta attaches to the lower part of the uterus, partially or completely covering the cervix (the opening of the uterus). This study aims to describe nursing care in Ny. I of the post-sectio caesarean with placenta previa indication. This study employs a case study design with a nursing approach. The results found three initial diagnoses: ineffective breastfeeding concerning milk supply inadequacy, acute pain on physical injury agents, and sleep pattern disorders related to poor sleep control. Based on the initial findings, the nursing care provided includes breast care treatment and lactation massage, health education on the benefits of breastfeeding, techniques to increase breast milk production, and suggestions to consume more vegetables, fruits, and nutritious foods. Additionally, support from husband and family members is also provided for exclusive breastfeeding. After five visits, the evaluation of the nursing diagnosis of ineffective breastfeeding related to breastfeeding supply inadequacy indicates there is a gradual increase in breast milk production. Furthermore, the husband is also willing to give the lactation massage and the baby is happy to breastfeed from the mother. Then, following the treatment, the intervention continues independently by the mother and family.

Asuhan Keperawatan Anak Dengan Hirschprung Disease (Megacolon) di Ruang Nicu RSUD dr. Zainoel Abidin Aceh

Mera Maulidar, Iskandar, Sri Jumiati — Thu, 12 Jun 2025 00:00:00 +0700

Hirschsprung's Disease (HD) is a congenital disorder characterized by the absence of Ganglion Cells (GC) in the Meissner Plexus (submucosa) and Auerbach Plexus (muscularis) of the terminal rectum that extends in varying distances proximally. This case study aims to explain nursing care for patients with Hirschsprung Disease in the NICU room of dr. Zainoel Abidin Hospital, Goverment Aceh. The results of the case study found three nursing diagnoses, namely constipation, risk of infection and sleep pattern disorders. The nursing actions given were constipation care, abdominal examination, postoperative wound care, monitoring signs of infection, preventing infection, Al-Qur'an morotal therapy, monitoring the results of supporting examinations, collaboration in administering drugs according to indications. The conclusion in this case has not been able to be repaired as a whole with the patient's abdominal condition being distended, post-op wounds, and the patient's sleep patterns still being disturbed. The next nursing action recommendation is to provide treatment for the abdomen, post-operative wounds and sleep patterns with collaboration of actions or treatments according to therapy.

Asuhan Keperawatan pada Pasien Risiko Perilaku Kekerasan dengan Terapi Tertawa di Balee Anggrek Rumah Sakit Aceh

Lailan Tawila, Marthoenis, Eri Riana Pertiwi — Wed, 30 Apr 2025 00:00:00 +0700

Violent behavior risk is one form of anger response expressed through threats and has the potential to harm the environment or others. This case study aims to enhance the ability to provide holistic nursing care using the nursing process approach for patients at risk of violent behavior at Aceh Mental Hospital. The method used was a five-day case study focusing on providing psychiatric nursing care to a single patient exhibiting tendencies toward violent behavior. Initial data indicated that the patient frequently used harsh language and was easily provoked. The interventions implemented included the application of execution strategies and laughter therapy. The evaluation results showed that the patient began to better control their emotions, appearing calmer and more relaxed. The conclusion of this study is that execution strategies and laughter therapy are effective in managing the signs and symptoms of violent behavior risk and contribute to creating a sense of calm in the patient. It is hoped that laughter therapy can be integrated as one of the therapeutic methods in the treatment program for patients at risk of violent behavior at Aceh Mental Hospital.

Asuhan Keperawatan Pada an. Z dengan Anemia Berat di Ruang Picu Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh

Shinta Galuh Permata, Inda Mariana Harahap, Sri Agustina — Thu, 24 Apr 2025 00:00:00 +0700

Anemia has a significant impact on quality of life and overall health. The number of anemia cases continues to rise each year, necessitating intensive attention in prevention, early detection, and treatment. The purpose of this case study is to analyze nursing care for An. Z with severe anemia in the PICU of the Zainoel Abidin Regional General Hospital in Banda Aceh. In An. Z’s case, several nursing problems arose, including ineffective peripheral perfusion, ineffective breathing pattern, hypervolemia, activity intolerance, risk of infection, risk of nutritional deficit, and sleep pattern disturbances. During the care, nursing interventions provided to An. Z included monitoring vital signs, administering blood products, providing oxygen therapy, monitoring fluid balance, monitoring sleep patterns and hours, performing range of motion exercises, practicing hand hygiene, and offering high-calorie food. After four days of care, it was found that five issues were partially resolved, so further interventions and monitoring are needed for An. Z in the inpatient ward. The findings of this scientific writing are expected to serve as a basis for the development of nursing care management and help nurses improve patient satisfaction with the nursing care provided, as well as enhance knowledge, particularly in pediatric nursing, regarding nursing care for children with severe anemia.

Asuhan Keperawatan Pasien dengan Diagnosa Steven Johnson Syndrome (SJS) di Ruang Arafah 1 Rumah Sakit Umum Daerah dr. Zainoel Abidin

Juliani BR Berutu, Iskandar, Nurul Nisah — Tue, 24 Jun 2025 00:00:00 +0700

Steven-Johnson Syndrome (SJS) is a rare and life-threatening event. Hypersensitivity reactions occur that can be caused by drugs and infections, such as by mycoplasma or herpes simplex virus are the main causes. This case study aims to explain nursing care in patients with Steven-Johnson Syndrome (SJS) in Afarah 1 Hospital Zainoel Abidin Hospital of Aceh Government. This case study design is a case study with a nursing process approach, the results of case studies found three nursing diagnoses, namely skin integrity disorders, ineffective breathing patterns, acute pain and risk of infection. The nursing actions given are skin care, extensive monitoring and rash colors on peeling skin, monitoring of breathing patterns, pain scale, monitoring of laboratory results, collaboration of drug administration according to indications, especially salap (gentamicin), using aseptic techniques and wound care. The evaluation results have not been able to improve the patient's condition marked by a rash on the patient's skin drying but peeled off until the rash was bleeding due to friction or pressure on the skin, pain was still felt by the patient, the breathing pattern was in the improvement stage. Recommendation of the next nursing actions in handling disorders of skin intergeus and acute pain is the collaboration of advanced drug administration in the form of monitoring drug therapy, wound care and continuing to use aseptic techniques.