An Idea Nursing Journal

Effectiveness of Using E-Puskesmas Application in Public Health Centre in the Work Area at Public Health Office

Novian Dwi Hetrianto — 2024-09-06

The use of e-Puskesmas is an effort to provide solutions to health service providers, namely Community Health Centers so that they can provide services to patients quickly; reporting activities to the Health Service are also faster due to the Online Reporting system, making it easier for previously manual activities to become digital, and of course save time at work. The E-Puskesmas application in Kota Metro is already running in 11 Community Health Centers. This research aims to determine the effectiveness of using the e-Puskesmas application in community health center services in the work area of the Dinas Kesehatan Kota Metro in 2023. This type of research is mixed research, namely qualitative followed by quantitative (mixed method). The population in this study determined the sources/informants using a purposive sampling technique of 20 people. This research was conducted on 6-11 August 2023. Data was collected using questionnaire filling, observation, and interview techniques. The results of qualitative research based on the results of interviews conducted with key informants at 11 Community Health Centers in Kota Metro regarding efficiency indicators in the effectiveness of using the e-Puskesmas application are less effective, this can be seen from the lack of adequate human resources in each Community Health Center which is not by their competence. The results of quantitative research based on the efficiency variable were 14 respondents (87.9%) with negative answers and 6 respondents (12.1%) with positive answers. Variable adequacy: 15 respondents (85.1%) answered negatively, and 5 (14.9%) answered positively. Alignment variable: 12 respondents (87.9%) answered negatively, and 6 (12.1%) answered positively. Responsiveness variable: 12 respondents (87.9%) answered negatively and 8 (12.1%) answered positively. Variable accuracy: 15 respondents (85.1%) answered negatively, and 5 (14.9%) answered positively. Suggestions should be made to first evaluate the puskesmas by related parties, regarding the preparation and availability of the puskesmas to implement the e-puskesmas application

Relaxation Technique of Deep Breathing In Post- Appendectomy Patients: A Case Study

NASRULLAH NASRULLAH — 2024-08-30

Appendicitis is a condition characterized by inflammation of the appendix. While mild cases may resolve without treatment, many require surgical removal of the infected appendix through a procedure known as laparotomy. Post-appendectomy pain can significantly impact daily activities, including rest, sleep, and personal well-being. Severe pain, if not addressed promptly with non- pharmacological interventions, can lead to neurogenic shock. Methods: This study employed a descriptive case study approach to investigate the effectiveness of deep breathing relaxation techniques in managing post-appendectomy pain. Results: The study involved two respondents who underwent deep breathing relaxation exercises twice daily for 15 minutes over three days. The results showed a decline in pain intensity for both respondents. Respondent 1 experienced a reduction from moderate pain (score of 3) to mild pain (score of 2), while Respondent 2's pain intensity decreased to moderate pain (score of 3). Conclusion: The findings suggest that deep breathing exercises and relaxation techniques can be beneficial in reducing pain levels in post-appendectomy patients when practiced consistently over a period of time.

Implementation of Nursing Care for Mrs. R in Craniotomy Tumor Removal with Brain Tumor Diagnosis

Yusdianto Pobela — 2024-10-25

Brain tumors are uncontrolled abnormal cells that continue to grow in the brain unconsciously, disrupting the brain's working system. Brain tumors have been divided into two large groups, namely primary and secondary or metastatic brain tumors. Both secondary brain tumors are tumors that originate from other parts of the body and then spread to the head (brain). This study aims to determine the application of nursing care for Mrs. R in the action of craniotomy removal of tumors with a diagnosis of brain tumors in the central surgical installation room of RSUD. Labuang Baji Makassar. This case study uses an observation method regarding the surgical procedure and is descriptive of the case study and nursing process approach. In this case study, the results were obtained after an assessment was carried out until nursing intervention was given for 1x5 hours. Then, the brain tumor was resolved by performing a craniotomy removal of the tumor. Based on the results of the discussion of the results of the case study and the nursing care provided, it can be concluded that the nursing diagnosis taken in the case of a brain tumor (meningioma) with a craniotomy removal of the tumor in the central surgical installation room of RSUD. Labuang Baji in the pre-phase is chronic pain and anxiety; in the intraoperative phase is the risk of bleeding; and in the postoperative phase is the risk of infection so that the nursing care actions given to the four diagnoses are in accordance with the interventions provided in the 3S book (SDKI, SLKI, SIKI).

The Effect of Guided Imagery in Reducing Pain Intensity in Costa Fracture Patients with Levine Theory Approach: A Case Study

Anna Tri Wahyuni — 2024-11-13

: Background: Pain in fracture patients is one of the symptoms of a partial or total bone tissue discontinuity damage that causes discomfort. One of the nonpharmacological therapies used according to evidence-based nursing is guided imagery. People with health problems ranging from musculoskeletal problems to terminal illnesses have used guided imagery to relieve symptoms, find meaning, stimulate healing, and make changes, stimulate healing, and make important lifestyle changes that support and encourage healing. However, the use of this implementation is still minimal in nursing. Therefore, this research study was conducted to assess the effect of guided imagery in reducing pain intensity, especially in fracture patients. Method: The method of writing this article uses case studies in patients with costa fractures. Results and Discussion: After 3 days of guided imagery with Levine's theoretical approach, pain decreased from a scale of 6/10 to 3/10. Conclusions: Guided imagery is effective in reducing pain with Levine's theory approach in costa fracture patients.