Abstract:Background: Diabetic ulcers are a chronic complication frequently experienced by individuals with diabetes mellitus and significantly contribute to morbidity, mortality, and lower extremity amputation rates. Effective wound…
und management is key to preventing further complications. Modern dressings based on the moist wound healing principle have been proven more effective than conventional methods, as they maintain wound moisture and support tissue regeneration. Objective: To describe the treatment of diabetic ulcers using the modern dressing method with red fruit (Pandanus conoideus Lamk) ointment in Gelang Village, Rakit District. Methods : This study used a descriptive case study approach involving one diabetic ulcer patient who met the inclusion criteria. Wound care was performed every two days for 14 days using modern dressing and red fruit ointment. Data were collected through observation, interviews, and documentation. Results: There was an improvement in wound conditions after the application of red fruit ointment, marked by an increase in granulation tissue and a decrease in necrotic tissue. The active ingredients in the ointment such as β-carotene, tocopherol, oleic acid, and linoleic acid have antioxidant and anti-inflammatory effects that accelerate the healing process. Conclusion: Modern dressing with red fruit ointment is effective in accelerating the healing process of diabetic ulcers and can serve as an alternative topical therapy to support optimal wound recovery
Abstract:Mental disorders are a health problem that remains a major challenge in Indonesia. Auditory hallucinations are a sensory perception disorder that often occurs in patients with schizophrenia. Patients have difficulty distinguishing…
inguishing between real and unreal stimuli, which can lead to risky behaviors such as harming themselves or others. One non-pharmacological intervention that can be applied to address hallucinations is the rebuke technique, which is a firm and directed verbal action to reject perceived hallucinations. The purpose of this study is to describe nursing care for patients with sensory perception disorders: auditory hallucinations with the application of the rebuke technique as the main intervention. This study uses a descriptive case study approach on one patient in the Flamboyan Ward of Dr. RM. Soedjarwadi Klaten Mental Hospital. Data collection was carried out through interviews, observations, and documentation studies, then analyzed based on the stages of the nursing process. The results showed that after the rebuke technique intervention was consistently implemented for three days, there was a decrease in the frequency of hallucinations from 3-4 times to 1-2 times a day. The patient also showed an increase in the ability to recognize and reject hallucinations independently. Furthermore, the patient began to engage in social interactions and participate more actively in daily activities. The conclusion is that the reprimand technique has proven effective as a nursing intervention in addressing auditory hallucinations. This intervention is simple, easy to implement, and can improve the patient's coping skills in dealing with hallucinatory symptoms.
Abstract:Background: Social isolation is a condition in which individuals feel lonely. This condition is often caused by a lack of interaction with others and reflects a negative and threatening situation. Therefore, nursing interventions…
rventions are needed to reduce symptoms of social isolation and increase the interest in initiating interactions, one of which is through introduction training. Introduction training is an activity designed to develop an individual’s ability to initiate and maintain conversations, as well as to get to know others with the aim of building positive social relationships. Objective: This study aims to describe nursing care for social isolation disorder: withdrawal, with a focus on the intervention of introduction training. Method: This study used a descriptive method with a case study approach. Results: After three days of nursing interventions, the symptoms of social isolation: withdrawal were reduced, and the patient was able to introduce himself. Conclusion: Nursing care for social isolation: withdrawal, focusing on the introduction training intervention over three days, proved to be highly effective for patients with social isolation: withdrawal and can help reduce the associated symptoms.
Abstract:Background: According to WHO (2022), there are 24 million people suffering from schizophrenia, with 3,980 of them at risk of violent behavior. The risk of violent behavior is an angry response that can manifest physically…
y or verbally. If not addressed promptly, the risk of violent behavior can endanger both the individual and others. This condition poses a serious challenge as it can disrupt the patient’s recovery process and create anxiety in the surrounding environment. Therefore, appropriate nursing interventions are needed—not only to calm the patient but also to enhance the patient’s ability to control their emotions. One of the interventions that can be applied is the deep breathing relaxation technique. Objective: To describe the nursing care from assessment to evaluation for Mrs. A with a risk of violent behavior, focusing on the deep breathing relaxation intervention. Method: This scientific paper uses a descriptive research method in the form of a case study. Results: After three days of nursing interventions for patient with a risk of violent behavior using deep breathing relaxation, the client showed reduced tension and was able to control her emotions well. Conclusion: Deep breathing relaxation for patient was effective in reducing the risk of violent behavior.
Abstract:Hypertension is a non-communicable disease indicated by high blood pressure above 140/90 mmHg. This condition leads to major complications if treatment is not received. As a result, managing health is essential to control…
rol hypertension. The study aims to investigate the relationship between self-care and the decrease in blood pressure among hypertensive patients in Sukamakmur Public Health Center. The population was 110 hypertensive patients, and 86 respondents were selected as the sample using a random sampling technique. The research was conducted from 15 to 21 April 2025. A quantitative correlational research design was used with a cross-sectional approach. The research instruments were the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure assessed using a digital sphygmomanometer. The data that was analyzed from the Chi-Square test analysis showed a p-value of 0.020 (p<0.05). This finding indicated a relationship between self-care management and blood pressure decline in hypertensive patients at the Sukamakmur Community Health Center. This study suggests that patients should be more active and consistently do self-care management to help maintain stable blood pressure levels.
Abstract:Background: Visual hallucinations are sensory perception disturbances in which individuals perceive objects or shadows that do not actually exist, even though they appear vivid and real. Therefore, nursing interventions…
are needed to reduce the occurrence of visual hallucinations in patients, one of which is through dzikir (remembrance of Allah). Linguistically, dzikir comes from the word dzakar, which means remembering. Remembering Allah implies maintaining one’s consciousness toward Him by following specific etiquettes prescribed in the Qur’an and Hadith. The purpose of dzikir is to purify the heart and glorify Allah SWT. Purpose: To determine the implementation of nursing care for patients with sensory perception disturbances: visual hallucinations, with a focus on dzikir practice. Method: This study used a descriptive method in the form of a case study. Results: The case study showed that the patient was able to carry out SP 1–3 with a focus on dzikir practice, as indicated by behavioral changes such as feeling calmer, being able to recite dzikir independently, and experiencing reduced hallucinations. This suggests that dzikir is quite effective. Conclusion: Nursing care for patients with sensory perception disturbances, specifically visual hallucinations, with a focus on dzikir intervention over three days, can help control hallucinations
Abstract:Laboratory examinations play an important role in supporting disease diagnosis and treatment, one of which is the measurement of uric acid levels. The accuracy of laboratory results is significantly influenced by the pre-analytical…
-analytical stage, including the type of blood collection tube used. Two commonly used tubes are the plain vacutainer and the clot activator vacutainer, each with different additives that may affect blood clotting time and test results. This study aimed to determine the differences in uric acid test results and clotting time using these two types of tubes. A simple experimental method with a comparative design was conducted at Klinik Pratama Rawat Jalan Mambal Medical Care from March to April 2025. The sample consisted of 15 respondents, each undergoing two blood draws using both tube types. The results showed that the average clotting time for the clot activator tube was 9.27 minutes, while for the plain tube it was 24.67 minutes. The average uric acid level measured using the clot activator tube was 5.27 mg/dL, compared to 5.14 mg/dL using the plain tube. Statistical analysis using the Wilcoxon signed-rank test indicated a significant difference in clotting time but no significant difference in uric acid levels (p > 0.05). It can be concluded that the use of clot activator vacutainer tubes accelerates the blood clotting process but does not significantly affect uric acid levels compared to plain tubes.
Abstract:Nurses, as the frontline of healthcare services, are expected to deliver optimal performance that frequently goes beyond their formal duties, thus requiring robust psychological capital to support voluntary work behaviors…
s known as Organizational Citizenship Behavior (OCB). This study aims to analyze the effect of Psychological Capital (PsyCap), which comprises hope, efficacy, resilience, and optimism, on nurses' OCB in regional hospitals and to identify the most dominant dimension influencing OCB. Employing a quantitative correlational approach, this research collected primary data through structured questionnaires distributed to nurses as respondents. The data were analyzed using descriptive statistics, multiple regression analysis, and moderated regression analysis to test variable relationships and the moderating effects of demographic factors. The results indicate that the levels of PsyCap and OCB among nurses are relatively high, with resilience emerging as the most significant predictor of OCB. These findings strengthen the position of PsyCap as an essential psychological resource that fosters prosocial behaviors among nurses, especially in regional hospitals often challenged by limited human resources. The implications suggest that hospital management should design PsyCap enhancement programs, focusing particularly on strengthening nurses' mental resilience to sustainably improve healthcare service quality. This study also contributes theoretically by enriching the literature on organizational behavior within the Indonesian healthcare sector.
Abstract:Background : Mental disorders are conditions in which individuals experience disturbances in psychological, social, and biological functions. One of the most common symptoms in patients with schizophrenia is visual hallucination,…
cination, which refers to the perception of seeing something that does not actually exist. This condition affects the patient’s ability to function and interact with their social environment. Appropriate nursing interventions are required to help patients manage their hallucinations. One such intervention is the talking technique, a distraction strategy that redirects the patient’s attention from hallucinations to real-life interaction. Objective : This study aims to determine the process of mental nursing care for patients with sensory perception disorders: visual hallucinations with a focus on conversation interventions at Dr. Soedjarwadi Klaten Regional Hospital. Method : The design of this study uses a case study method consisting of stages of assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject in this study was Mr. P, a patient at the Dr. RM Soedjarwadi Klaten Regional Mental Hospital. Results : The results of the study showed that consistent implementation of conversational strategies during treatment can reduce the intensity of hallucinations, increase awareness of reality, and rebuild patients' social interaction abilities. Counclusion : Conversation intervention is an effective approach in treating visual hallucinations in mental disorders patients.
Abstract:Stroke is a condition in which brain function is rapidly disrupted and lasts for more than 24 hours due to an interruption of blood flow to the brain. Globally, the incidence and morbidity rates of stroke continue to increase.…
rease. The quality of life of acute and chronic stroke patients is influenced by post-stroke depression. Community resources (CR) and spiritual religious coping (SRC) factors are also related to the coping adaptation strategies of family caregivers for members who have experienced a stroke. Patients who experience post-stroke depression show a lower quality of life one year after stroke compared to those who do not experience it. This study is a quantitative research with an observational study design. The study was conducted from January to March 2024 in Kotamobagu City. The total population of stroke patients distributed across seven community health centers in Tomohon City is 200 patients. The sample was taken using total sampling method consisting of 200 family caregivers. The results were then analyzed using the Chi Square test with SPSS. All variables were significantly related to the coping adaptation strategies of family caregivers for members who had a stroke. Community resources (CR) were significantly related to caregiver coping strategies (p = 0.025), and spiritual religious coping (SRC) was also significantly related to coping strategies (p = 0.032). Community resources and spiritual religious coping among family caregivers of post-stroke patients are needed to increase motivation and reduce caregiver stress..