ARRAZI: Scientific Journal of Health

Perbedaan Kejadian Hemolisis antara Lama Penyimpanan Darah Whole Blood dan Packed Red Cell di UDD PMI Kota Surakarta

2025-08-03T12:09:44+07:00

Hemolysis is a condition in which the red blood cell membrane is damaged, resulting in the release of hemoglobin into the serum or plasma. This condition is categorized as hemolysis when the hemoglobin concentration exceeds 0.02 g/dL. This study aims to determine the difference in hemolysis incidence between whole blood (WB) and packed red cell (PRC) during storage. The research design employed was descriptive quantitative with a case-control approach and observational method. Samples were collected using a total sampling technique utilizing secondary data. Data processing involved several stages, including entry, editing, coding, and tabulating, while data analysis included univariate analysis presented in frequency distribution tables and bivariate analysis using correlation tests and paired-sample t-tests. Data analysis was conducted with the assistance of SPSS version 26 and Microsoft Excel 2010. The results showed that out of 40 WB blood bags, 50% did not experience hemolysis with a value of <0.8%, whereas in PRC blood, 21.3% showed no hemolysis and 28.8% experienced hemolysis with a value of >0.8%. These findings indicate that hemolysis occurs more frequently in PRC compared to WB during storage.

Efektifitas Terapi Rebusan Air Daun Salam dalam Manajemen Nyeri Gout Arhritis pada Lansia

2025-07-21T14:36:04+07:00

Gouty arthritis is a type of joint inflammation that occurs due to elevated levels of uric acid in the blood, resulting from impaired purine metabolism (hyperuricemia) in the body, which leads to the deposition of monosodium urate crystals in the joint area. The accumulation of these crystals triggers an inflammatory response characterized by intense pain, swelling, warmth, and redness in the joint. Gout arthritis is a common condition often associated with the aging process, particularly joint disorders. The purpose of this final scientific paper is to report the results of nursing care provided to an elderly patient (Mrs. N) with gout arthritis. Based on the assessment conducted, Mrs. N complained of pain in her legs with a pain scale of 4 NRS, throbbing pain in the knee area, big toe joint, and back of the ankle, breathing rate of 24 breaths per minute, and rarely adhering to dietary restrictions. The nursing diagnosis identified was chronic pain related to metabolic disorders, with the intervention provided being a decoction of bay leaves. Overall, the nursing intervention was implemented for three consecutive days. The evaluation results showed that the pain scale decreased from a score of 4 on the NRS to 2 on the NRS after the herbal tea intervention. It is recommended that the client continue the intervention as taught to achieve optimal and sustainable results.

Implementasi Light Terapi pada Ikterus Neonatus di Ruang Nicu Rumah Sakit Umum dr. Zainoel Abidin Banda Aceh

2025-07-20T16:47:45+07:00

One of the primary interventions in the management of neonatal jaundice is light therapy or phototherapy, which aims to effectively reduce serum bilirubin levels. This study aims to analyze the application of light therapy in the nursing care of patients with neonatal jaundice in the NICU of Dr. Zainoel Abidin General Hospital, Banda Aceh. This research is experimental in nature, using a pretest-posttest design with a case study approach. The sample consisted of a single infant weighing 2300 grams who underwent light therapy in the NICU. Data were collected through direct observation, nursing assessments, and review of medical records before and after the therapy. The results indicated that light therapy significantly reduced bilirubin levels within the first 24–48 hours of treatment. The role of nurses in monitoring vital signs, ensuring optimal positioning and exposure time to the light, as well as providing education to the parents, played a crucial role in the success of the therapy. Moreover, minor side effects such as skin rashes and mild dehydration were minimized through adequate fluid administration and regular monitoring. In conclusion, light therapy is an effective intervention for lowering bilirubin levels in infants with neonatal jaundice. The active involvement of nurses in nursing care through close monitoring, preventive actions against side effects, and family education is essential in improving clinical outcomes for the patient.

Permasalahan Hukum di Rumah Sakit: Malpraktik dan Pentingnya Informed Consent

2025-08-12T15:42:55+07:00

Hospitals as healthcare service institutions, play a vital role in safeguarding patient safety and well-being. Behind this noble function, however, hospitals remain vulnerable to various legal challenges, particularly those related to medical malpractice and issues surrounding informed consent. Medical malpractice generally occurs as a result of negligence or deviations from professional standards, which can cause serious harm to patients. Informed consent, on the other hand, refers to a patient’s approval of medical procedures after receiving clear, comprehensive, and understandable information from the physician. This study employs a literature review method with a systematic approach, drawing from various academic databases such as PubMed, Cochrane Library, Google Scholar, SINTA, and Scopus. The findings indicate that medical malpractice not only causes harm to patients but also has the potential to trigger legal claims that disadvantage hospitals. Furthermore, inadequate implementation of informed consent whether due to weaknesses in standard operating procedures, human error, or the lack of awareness among healthcare professionals may threaten patients’ rights and serve as a source of legal disputes. Therefore, a thorough understanding of health law, alongside the reinforcement of informed consent practices across all levels of service, is essential.

Asuhan Keperawatan pada Ny. S dengan Hiperemesis Gravidarum melalui Pemberian Rebusan Air Jahe di RSUDZA Banda Aceh

2025-07-17T08:10:00+07:00

Pregnancy can be accompanied by various complications, one of which is hyperemesis gravidarum a condition characterized by excessive nausea and vomiting in pregnant women that significantly disrupts daily activities. This study aims to describe the nursing care provided to Mrs. S, who experienced hyperemesis gravidarum in Arafah 3 Ward at RSUDZA Banda Aceh. The research adopts a case study approach based on the nursing process. During the implementation, three primary nursing diagnoses were identified: nausea related to pregnancy, risk of nutritional deficit associated with psychological factors such as reluctance to eat, and anxiety due to lack of information. The nursing interventions included non-pharmacological therapy using ginger tea, encouraging the patient to eat small but frequent meals, and providing education about physiological changes commonly experienced during the first trimester of pregnancy, particularly nausea and vomiting. The evaluation after five visits showed signs of improvement; the patient reported that nausea was only occasional, vomiting had ceased, and her appetite had begun to improve.

The Correlation Between Service Satisfaction and Blood Donation Interest in Adolescents Aged 17-22 Years Old

2025-08-06T11:27:58+07:00

Blood donation services and donor interest are significant indicators, as better services tend to increase public willingness to donate blood. This study aimed to analyze the relationship between service satisfaction and blood donation interest among adolescents aged 17–22 years at the Blood Donation Unit (UDD) of the Indonesian Red Cross (PMI) in Surakarta City. The research employed a descriptive quantitative method with a cross-sectional design, involving 80 respondents selected through total sampling. Primary and secondary data were analyzed using Microsoft Excel 2019 and IBM SPSS Statistics 27. Results showed that the majority of respondents were 22 years old (26.3%), predominantly female (62.5%), with the most common blood type being O Rhesus positive (36.3%). Findings indicated that 100% of respondents strongly agreed with the quality of services provided and expressed willingness to donate blood again. Spearman Rank Correlation test results revealed a Sig. (2-tailed) value of 0.000 ≤ 0.05, leading to the rejection of H0 and acceptance of H1. Thus, there is a significant relationship between service satisfaction and repeat blood donation interest among adolescents aged 17–22 years at the UDD PMI Surakarta City.

Effect of Hematocrit Level of Blood Donors on Duration of Blood Collection

2025-08-03T11:45:12+07:00

duration of blood collection at the Blood Donation Unit (BDU) Indonesian Red Cross (IRC) Surakarta City. The type of research used in this study is descriptive quantitative. The population in this study were voluntary donors who passed the selection at BDU 0f Indonesian Red Cross Surakarta City with a range of 100 donors every day. The sample taken using the Isaac & Michael table with an error rate of 5% so that 78 samples were obtained. The data used are primary and secondary data processed using Microsoft Excel 2019 and IBM Statistic 23. The result showed that hypothesis testing using bivariate analysis with the Kendall-Tau test the correlation of 0.053 indicates a very weak positive correlation between hematocrit levels and duration of blood collection. In this study it show that the majority of donors are male, with age of donors in the range of 18-29 years, with the majority of blood type O rhesus positive, hematocrit levels with a range of 38-50%, hemoglobin levels with a range of 12,5-17,0 gr/dl and duration of blood collection with time <12 minutes. There is correlation between the effect of hematocrit levels on the duration of blood collection is very weak at BDU of IRC Surakarta City.

Kajian Asuhan Keperawatan pada Tn.T Yang Mengalami Stroke Iskemik dalam Pemberian Terapi Range of Motion (RoM) di Ruang Mina 1 RSUDZA Aceh Tahun 2024

2025-07-20T16:48:11+07:00

Weakness in the limbs of stroke patients can affect muscle strength, which occurs due to insufficient blood flow to the brain. Neurological disorders may be exacerbated by cerebral edema, leading to increased intracranial pressure. Range of Motion (ROM) exercises are required to improve mobility and joint flexibility in stroke patients. This study focuses on ischemic stroke by observing one patient at dr. Zainoel Abidin Regional General Hospital (RSUD) in Banda Aceh. The aim of this study is to describe the nursing care provided to Mr. T, who experienced ischemic stroke, specifically in administering Range of Motion (ROM) therapy in Mina 1 Ward at dr. Zainoel Abidin Hospital in 2024. The research method used is the Evidence-Based Practice (EBP) approach. The therapy was carried out twice daily for 15–30 minutes. After four days of ROM exercise, an improvement was observed in Mr. T’s muscle strength, increasing from grade 1 to grade 2 on the left extremities. In conclusion, there was an improvement in Mr. T’s muscle strength following the administration of ROM exercise therapy. The author recommends that ROM therapy be implemented in the Mina 1 Ward of dr. Zainoel Abidin Hospital as a continued intervention.

Asuhan Keperawatan pada Keluarga dengan Penyakit Tidak Menular (PTM) di Gampong Miruek Taman Kecamatan Darussalam Aceh Besar

2025-08-25T00:49:37+07:00

In this study it aimed to provide an overview of family nursing care with hypercholesterolemia, stroke and hypertension. The priority nursing diagnoses occurring in families are ineffective health management related to stroke and ineffective health maintenance related to hypercholesterolemia and hypertension. A case study with a family nursing care process approach was used as the research method. Family nursing interventions refer to five family nursing tasks. Interventions for hypercholesterolemia issues included health education on the disease process, hypercholesterolemia diet, hand exercise, ergonomic gymnastics, suggesting light exercise and adequate rest and utilizing health facilities. On the other hand, interventions for stroke problems included health education on the disease process, stroke diet and Range of Motion (ROM) exercises. Additionally, interventions for hypertension problems include health education through PATUH and CERDIK, hypertension diet (DASH), neck massage and suggesting families provide blood pressure measuring devices. According to the evaluation results, there was an increase in knowledge about hypercholesterolemia, stroke and hypertension as well as increased family skills and motivation to improve health status.

Asuhan Keperawatan pada Tn. E Dengan Chronic Kidney Disease (CKD) di Ruang Mina 1 RSUDZA Banda Aceh

2025-07-20T16:47:18+07:00

Pregnancy is a complex physiological process that is often accompanied by various complications, one of which is hyperemesis gravidarum. This study was conducted to describe the implementation of nursing care for Mrs. S, a pregnant woman suffering from hyperemesis gravidarum who was treated in Arafah Room 3 at RSUDZA Banda Aceh. The approach used was a case study based on a systematic and comprehensive nursing process method. The assessment revealed three primary nursing diagnoses: nausea directly related to pregnancy, risk of nutritional deficit triggered by psychological factors such as reluctance to eat, and anxiety arising from the patient’s lack of information regarding her pregnancy condition. The nursing interventions provided included non-pharmacological therapy such as administering ginger herbal drink (wedang jahe) to reduce nausea, encouraging the patient to eat small but frequent meals, and educating her about common physiological changes during the first trimester, including nausea and vomiting. Evaluation was carried out after five visits and showed positive progress the patient reported that nausea occurred only occasionally, vomiting had ceased, and her appetite had begun to improve. These findings highlight that a well-structured and targeted nursing approach can produce effective outcomes in managing hyperemesis gravidarum.

The Correlation Between Patient Age and Coombs Test Result at The Blood Donor Unit of The Indonesian Red Cross Surakarta City

2025-08-09T09:02:16+07:00

Blood transfusion is an important medical treatment used for managing different blood-related diseases, especially in people with cancer that affects the blood. One key test used before giving a blood transfusion is the Coombs test. Research shows that Autoimmune Hemolytic Anemia (AIHA) is more common in people who are 40 years old or older, and getting a positive result on the Coombs test is also more likely in this age group. The goal of this study was to find out how a person's age is connected to their Coombs test results at the Blood Donor Unit of the Indonesian Red Cross in Surakarta City. This study is a type of observational research that looks at data collected all at once.It was used to see how patient age (the independent variable) relates to Coombs test results (the dependent variable) without any changes made by the researchers. A total of 83 respondents were included as the sample.. The data came from secondary sources, specifically from the Coombs test results that were recorded in a log book at the Blood Donor Unit. The study used the Eta correlation test, which is used to check how two types of data are related.The Eta values found were 0.213 and 0.347. Since these numbers are close to zero, the link between age and Coombs test results is considered weak. There is a slight connection between a patient's age and their Coombs test results, but the connection is very weak.