JURNAL ILMIAH KESEHATAN MANADO

Evidence Based Practice Relaksasi Nafas Dalam dengan Penurunan Nyeri Gouth Artritis

Engryne Nindi — 2025-06-27

The elderly are one of the groups at risk (population at risk). This is because the elderly have health problems which may develop into worse ones due to influencing factors. Problems that often arise include functional and organ disorders, as well as geriatric syndromes such as incontinence, sleep disorders, malnutrition, pain and falls. One of the most common syndromes found in the elderly is joint pain, gout arthritis, this disease, if without effective treatment, can cause severe kidney function disorders and a decrease in quality of life. In general, gout arthritis is caused by foods high in purine, the symptoms caused by gout arthritis. in the form of pain in the joints and stiffness in the joints, so there is a need for therapeutic management, both pharmacological and non-pharmacological, to reduce joint pain, which can be done by providing deep breathing relaxation therapy. The aim of this scientific work is to implement Deep Breathing Relaxation Therapy to Reduce Gouth Arthritis Pain in Mrs. A At the Peaceful Nursing Home Ranomuut Manado. The results of research using evidence based nursing providing deep breathing relaxation therapy with reducing gout arthritis pain in Mrs. A, which was carried out for 3 days, the evaluation results showed that deep breathing relaxation therapy was effective in reducing gout arthritis pain in Mrs. A. Conclusion: this scientific work shows a reduction in gout arthritis pain in Mrs. A after being given deep breathing relaxation therapy. Suggestion: hopefully the results of this research can increase knowledge and be able to provide nursing care to clients with gout arthritis pain problems and be able to implement nursing interventions based on the Evidence Based Practice approach.

Penerapan Evidence Based Practice Senam Kaki Diabetik Terhadap Penurunan Kadar Gula Darah

Vergeina Ayu Mandalike Mastur — 2025-08-14

The general impact of uncontrolled diabetes causes serious damage to many body systems, especially the nerves and blood vessels. One way that has been proven to reduce the risk of complications in people with diabetes is good blood sugar control. Foot exercise is an activity or exercise performed by people with diabetes mellitus to prevent wounds and help smooth blood circulation in the feet. To determine the effectiveness of the application of diabetic foot exercise in people with Type II Diabetes Mellitus. The method used is a case study. The subjects used were Type II Diabetes Mellitus patients with unstable blood glucose levels. The results of the study with the application diabetic foot exercise therapy carried out for 3x 24 hours, the patient's blood sugar on the first day was 250mg/dl, and on the third day it reached 200 mg/dl, from the evaluation results it was found that diabetic foot exercise therapy was effective in lowering blood sugar in clien. The conclusion of the case study showed that blood sugar in clien. after being given diabetic foot exercise intervention, there was a decrease in blood sugar. The Suggestion to all health workers to be able to provide diabetic foot exercise therapy as a non-pharmacological therapy.

Penerapan Teknik Relaksasi Napas Dalam Terhadap Penurunan Intensitas Nyeri Pada Pasien Gastritis Tn. A.K Di Ruangan C2 RS. R. D. Kandou Manado

Olvin Manengkey — 2025-07-30

Gastritis is inflammation of the gastric mucosa caused by irritation and infection. Gastritis can occur suddenly (acute gastritis) or gradually (chronic gastritis). Gastritis includes inflammatory processes or health problems caused by irritation and infection factors in the gastric mucosa and submucosa. Gastritis is commonly known as ulcer disease. The aim of this research is to gain real experience and knowledge and be able to document the application of deep breathing relaxation techniques to pain intensity in gastritis nursing care. This research method is this type of scientific writing using a descriptive method with a case study approach to explore the problem of nursing care for patients with gastritis. Nursing care was provided to the patient Mr. A.K was carried out on 18-19 Juni 2024. From the results of nursing care for Mr "A.K" the first diagnosis was acute pain related to a physiological agent (inflammation of the gastric mucosa). The results of the evaluation of the patient Mr "A.K" showed that the pain had decreased, before the breath relaxation technique was carried out on a pain scale of 5 (moderate), and after the breath relaxation technique was carried out on a pain scale of 3 (mild), the pain problem was resolved, and the intervention was stopped because the patient was outpatient.

Evidance Based Practice Bermain Puzzle dengan Demensia di Panti Werdha Damai Ranomuut

Michelle Kairupan — 2025-08-24

Dementia is a condition in which a person experiences a decrease in memory and thinking. This decline in ability causes disruption to the functioning of daily life. Dementia occurs due to cognitive impairment. One of the efforts that can be done to reduce cognitive function disorders is by providing puzzle play therapy. The purpose of this scientific paper is the implementation of nursing care with the application of evidence-based puzzle play therapy to improve cognitive function in Mrs. H. R at the peace orphanage ranomuut. The results of the study with the application of evidence-based puzzle play therapy which was carried out for 3 days, the results of the evaluation were found that puzzle play therapy was effective in improving cognitive function in Mrs. H. R from moderate cognitive aspect disorders 16 increased cognitive aspects with 26 results. Conclusion: This scientific paper showed an improvement in cognitive function in Mrs. H. R who experienced dementia after being given puzzle play therapy. Suggestion: to all health workers to be able to provide action and education in providing puzzle play therapy to clients suffering from dementia.

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Ibu dalam Pertolongan Pertama Kejang Demam

Donny Sahensolar — 2025-06-23

Children are the jewel or hope of the family. Everyone has obligations and responsibilities towards their children to grow up healthy. However, during childhood, children are often susceptible to infection, because children are often affected by various diseases, one of which is febrile seizures. Febrile seizures are the most common neurological disorder in children. The impact of febrile seizures if left untreated will damage brain cells due to lack of oxygen in the brain, excess secretions and the risk of emergencies for airway aspiration which causes airway obstruction, if not treated properly there is a risk of death, but when a child has a seizure, the mother often experiences confusion in dealing with febrile seizures due to lack of knowledge. The purpose of this study was to determine the Effect of Health Education on Mothers' Knowledge in First Aid for Febrile Seizures in the Edelweys Room, Bhayangkara Hospital, Level III, Manado. The research design used the Quasi Experiment method with a one-group pre-post test design. The population in this study was 50 mothers. The number of samples in the study was 16 respondents. The data analysis used was univariate and bivariate analysis with the T-Test test. The results of this study indicate that before being given health education, the mother's knowledge was mostly sufficient knowledge, there were 11 respondents (68.8%), and after being given health education, there was an increase in mothers with good knowledge, there were 13 respondents (81.2%), the bivariate results of the samples studied showed the Effect of Health Education on Mothers' Knowledge in First Aid for Febrile Seizures in the Edelweys Room of Bhayangkara Hospital Level III Manado with a value of ρ = 0.000 <α = 0.05. There is an Effect of Health Education on Mothers' Knowledge in First Aid for Febrile Seizures in the Edelweys Room of Bhayangkara Hospital Level III Manado. These results are expected to be input for research locations regarding the importance of mothers' knowledge in providing first aid to children experiencing febrile seizures.

Penerapan Evidence Based Practice Teknik Relaksasi Nafas dalam Upaya Menurunkan Tekanan Darah pada Penderita Hipertensi

Chairunnisa Chairunnisa — 2025-08-03

According to the 2018 National Health Research (Riskesdas) report, approximately 34.11% of the population aged ≥ 18 years old suffered from hypertension. The number of cases of hypertension in North Sulawesi reached 32,742. Nursing care provided included electrolyte fluid therapy and medication to address fluid balance and reduce pain, as well as pain management using deep breathing relaxation techniques, which can also help reduce pain. The study found that acute pain was associated with increased cerebral vascular pressure. Sleep disturbances were associated with psychological injury agents (pain, anxiety). Anxiety was associated with a lack of exposure to information about the disease process. The final result showed that headaches decreased, insomnia complaints began to improve, and feelings of anxiety and worry had decreased. Conclusions: Fluid therapy, medication, and deep breathing relaxation techniques can address pain, sleep disturbances, and anxiety. Families are advised to always maintain and monitor their health at the nearest hospital or community health center.

Pengaruh Terapi Kompres Dingin terhadap Penurunan Tingkat Nyeri pada Pasien Fraktur Tertutup Bagian Ekstremitas

Marlyn Anggelina Pondete — 2025-07-15

Fracture is a condition of broken bones, either partially or completely, due to strong physical impact or pressure. The severity of this injury is influenced by factors such as the strength and direction of the impact, the condition of the bone, and the surrounding tissue (Siam, 2023),The purpose of this study was to determine the Effect of Cold Compress Therapy on Reducing Pain Levels in Patients with Closed Fractures of the Extremities Emergency Room of Bhayangkara Hospital Class III Manado.The type of research used is quasi-experimental research research design using the pre and post test group design approach respondendt population in this study were all patients with closed fractures of the extremities who were treated at the Emergency Room of Bhayangkara Hospital as many as 21 respondents The results of the study using the Wilcoxon test showed a p Value of 0.000 0.05, so Ho was rejected and Ha was accepted, which means that there is an average difference between the pretest and post test. The conclusion of this study there is an effect of cold compress therapy on reducing pain levels in patients with closed fractures of the extremities in the Emergency Room with a p value 0.000 0.05.

Evidance Based Practice Gangguan Persepsi Sensori: Halusinasi Pendengaran Dengan Penerapan Art Therapy

Angelina Prisilia Thereza Kaengke — 2025-08-24

Mental disorders are health problems caused by biological, social, psychological, genetic, physical or chemical disorders with the number of sufferers continuously increasing from year to years. The results of the study on Mr. A.G with sensory perception disorders: auditory hallucinations with the application of art therapy showed that the intervention carried out for 2 days was effective, namely there was a change or decrease in signs and symptoms of sensory perception disorders: auditory hallucinations after art therapy. Conclusion: in this scientific paper, there is a decrease in signs and symptoms in Mr. A.G. sensory perception disorders: auditory hallucinations after the application of art therapy. Suggestion: to all health workers to be able to provide education and apply art therapy as one of the actions for patients with sensory perception disorders: auditory hallucination.

Penerapan Evidence Based Practice Terapi Pursed Lips Breathing Pada Anak Bronkopneumonia Dengan Masalah Bersihan Jalan Nafas Tidak Efektif

Hana Maria Ferlinda Mait — 2025-08-02

Based on the health profile in 2019, approximately 52.9% of the total number of children suffer from bronchopneumonia. West Papua has 129.1% of children with bronchopneumonia cases, DKI Jakarta 104.5%, North Kalimantan 67.9% and Sulawesi reaching 86.2%. Breathing exercises in children using the pursed lips breathing method are used to remove secretions and free air trapped in the lungs. Knowing pursed lips breathing in pediatric patients with bronchopneumonia focuses on adjusting the respiratory system for ineffective airway clearance. This research method uses a case study method with a single case nursing care approach as the unit of analysis. The unit of analysis is a pediatric client with bronchopneumonia with an intervention of providing pursed lips breathing for 15 minutes in pediatric patients with bronchopneumonia. Based on the results of the existing assessment, the priority diagnosis was found to be Ineffective Airway Clearance (D.0001) associated with airway hypersecretion. The application of Pursed Lips Breathing that has been carried out on pediatric patients with Bronchopneumonia can be concluded that Pursed Lips Breathing can help slow breathing, increase respiratory efficiency and reduce shortness of breath.

Hubungan Perilaku Caring Perwat dengan Tingkat Kepuasan Pasien

Vergeina Ayu Mandalike Mastur — 2025-07-02

Nurses who provide nursing care with a poor caring attitude will give dissatisfaction to patients so that the quality of services in a hospital also decreases. Decreased satisfaction in the inpatient room can occur because nurses are less friendly and polite and nurses do not spend special time communicating with patients. The research used in this study is descriptive correlation, that is, the research with the research design is a cross sectional method. The sampling technique in this study is to use total sampling where the number of samples is equal to the number of population, which is 43 samples. The results were seen from 43 patients who assessed that nurses had behaved caring which were categorized as good, there were 21 patients, the category was quite good, there were 13 patients and those who said nurses were not good in caring behavior were 9 patients, so that from these results it was stated that the caring behavior of nurses was said to be good as seen from the results at Manado Medical Center Hospital. The test result was p=0.035 or a p value of < α (0.05), so there was a relationship between caring nurses and patient satisfaction in the hospital, so it was decided that Ha was accepted and Ho was rejected. The conclusion of the results of this study is that the caring behavior of nurses is the main factor in services in hospitals. Because patient satisfaction will be good if nurses are able to implement caring behavior well. It is hoped that the results of this research can add insight and become input and learning material in the field of nursing.

Evidance Based Practice Penerapan Terapi Kompres Air Hangat di Leher untuk Mengurangi Nyeri Kepala

Thirsa Mongi — 2025-08-22

When someone suffers from hypertension, signs and symptoms will appear, namely pain in one part of the neck. Pain or stiffness in the neck muscles is caused by increased pressure on the walls of blood vessels in the neck area, resulting in obstructed blood flow, and the end result of metabolism in the neck area due to lack of oxygen and nutrients. Pain felt by people with hypertension will interfere with daily activities. Non-pharmacological treatment can reduce pain and can be done individually. The use of warm compresses is more effective for painful areas that can reduce muscle spasms caused by neuronal ischemia that inhibits the transmission of pain stimuli, causing vasodilation and increased blood flow in the area. And applying warm compresses does not have negative impacts. The purpose of this study was to reduce pain by applying warm compresses to the neck area in the elderly Mrs. S. with hypertension in a nursing home. The evaluation results showed that warm compress therapy reduced pain in Mrs. S from a pain scale of 7 down to 4. The conclusion is that there was a decrease in pain in Mrs. S with hypertension experiencing acute pain after being given warm compress therapy to the neck area.

Kondisi Overcrowded dengan Ketepatan Tindakan Initial Assesment

Ariska Ariska — 2025-07-31

Overcrowded is an increase in the number of patient visits to the ER at one time. Initial assessment is a basic assessment carried out in the first minutes of crisis management for very serious trauma victims and this determines the victim's health. The aim of the research is to determine the relationship between overcrowded conditions and the accuracy of initial assessment actions at the Bayangkara Tk.III Manado Hospital Emergency Room. This research is quantitative, with a research design that is analytical descriptive using a cross sectional method. The research was carried out in May 2025 at the Bayangkara Tk.III Manado Hospital Emergency Room. The population in this study were all nurses at the Bayangkara Tk.III Manado Hospital Emergency Installation with a total of 31 people. The sample in this study was taken by total sampling, namely 31 respondents. The statistical test used was the Spearman's rho test with a significance level of 95% (α=0.05). The results obtained in overcrowded conditions were mostly busy, namely 14 respondents (45.2%), while the initial assessment actions were mostly correct, namely 19 respondents (61.3%). The results of the Spearman's rho statistical test obtained a value of P = 0.000 or P < 0.05. The conclusion from the research results is that there is a relationship between overcrowded conditions and the accuracy of initial assessment actions in the Bayangkara Tk.III Manado Hospital Emergency Room. Suggestions for hospitals can be used as reference material regarding the accuracy of initial assessment actions so that they can increase professional health workers in all areas of action by holding training for health workers in order to prevent overcrowding in the ER.

Evidance Based Practice Penerapan Kompres Air Hangat untuk Menurunkan Demam dengan Diagnosa Demam Berdarah Dengue

Dio Juventa Manampiring — 2025-08-31

The number of dengue fever (DHF) cases in North Sulawesi in 2021 was recorded at 1,196, with 32 deaths. Meanwhile, from January to June 2023, there were 1,120 cases of DHF in North Sulawesi. In Manado City, there were 230 cases of DHF in 2023. The purpose of this case study is to analyze the evidence-based practice of warm water compresses on An.E.M. to reduce fever. implementing interventions according to the EBN journal "nursing care with the application of evidence-based warm water compresses to reduce fever. The final evaluation results showed that An. E. M's body temperature on July 24, 2024 was known before being given warm water compress therapy, the client's body temperature was 38.00C, and after the intervention, the client's body temperature was 37.70C. On July 25, 2024, it was known before being given warm water compress therapy, the client's body temperature was 37.70C, and after the intervention, the client's body temperature was 36.20C. On July 26, 2024, it was known before being given warm water compress therapy, the client's body temperature was 36.80C, and after the intervention, the client's body temperature was 36.00C. These results indicate that the intervention that had been carried out for 3 days had a change or decrease in the client's body temperature after the application of warm water compress therapy.

Evidance Based Pracrice Terapi Rendam Kaki Menggunakan Air Hangat Terhadap Penurunan Tekanan Darah

Engryne Nindi — 2025-06-27

Hypertension is a "silent killer", with 1 in 3 people with hypertension in Indonesia not realizing that they have hypertension. This persistent increase in blood pressure is positively correlated with an increased risk of heart disease, kidney failure and stroke. It is necessary to check regularly and periodically, so that it can be detected early so that early treatment can be carried out, so that complications can be avoided and disability and death can be prevented. By carrying out early detection and checking blood pressure every month, it is hoped that complications due to hypertension can be prevented and controlled. Hypertension treatment can be done in 2 ways, namely pharmacological and non- pharmacological treatment, in this case soaking the feet in warm water. Soaking your feet in warm water will widen the blood vessels so that blood circulation becomes smooth, which can lower blood pressure. The aim of this scientific work is to implement foot soak therapy using warm water to reduce blood pressure in Mrs. S.P in Bahu Lingk.1 Manado. The results of research using evidence-based nursing foot soak therapy using warm water which was carried out for 3 days, the evaluation results showed that foot soak therapy using warm water was effective in lowering blood pressure in Mrs. S.P. Conclusion: this scientific work shows a decrease in blood pressure in Mrs. S.P with hypertension after being given foot soak therapy using warm water. Suggestion: to all health workers to provide action and education on providing foot soak therapy using warm water to clients who suffer from hypertension.

Efektifitas Seduhan Kayu Manis Terhadap Kadar Gula Darah pada Pasien Diabetes Melitus di Kecamatan Kawangkoan Sulawesi Utara

Drova Grano Manorek — 2025-08-14

Analyzing the effectiveness of cinnamon infusion on reducing blood sugar levels in diabetes mellitus patients in Kawangkoan District, North Sulawesi. This study used a Quasy experiment design with a pre-post control group design approach. The total sample in the study was 23 respondents. The sampling technique was a non-random sampling technique used was accidental sampling. The instruments used were observation sheets and standard operating procedures for cinnamon infusion and data analysis tests used Repeated Measure Anova. The results of the analysis showed a p value <0.05, namely blood sugar levels during 4 days of evaluation of cinnamon infusion showed changes in mean values and significant values p value <0.000 so that it can be concluded that there is effectiveness of cinnamon infusion on blood sugar levels in diabetes mellitus patients with a 95% confidence level. It can be concluded that cinnamon infusion is effective in reducing blood sugar levels in type II DM patients.

Penerapan Evidence Based Practice Terapi Kompres Hangat Pada Demam Berdarah Dengue (DBD) dengan Hipertermi

Andrew Boseke — 2025-07-30

Dengue Hemorrhagic Fever (DHF) or Dengue Hemorrhagic Fever (DHF) is a disease caused by the Aedes Eegypty mosquito. This disease is characterized by sudden high fever, without apparent cause, lasting continuously for 2-7 days, accompanied by bleeding manifestations (at least a positive tourniquet test) and/or thrombocytopenia (platelet count ≤ 100,000/μL). This disease is found in almost all parts of the world, especially in tropical and subtropical countries, both endemic and epidemic, with outbreaks related to the arrival of the rainy season. This disease causes many deaths in tropical and subtropical areas and is a health threat to the world because more than 100 countries are infected with this disease. Warm compresses are an evidenced based practice used to reduce hyperthermia because giving warm compresses helps reduce body temperature by means of heat coming out of the skin pores through the evaporation process. A warm compress is an action using a cloth or towel that has been dipped in warm water and applied to certain parts of the body so as to provide a feeling of comfort and reduce body temperature.

Evidance Based Practice Penerapan Expressive Writing Therapy dalam Mengontrol Halusinasi pada Gangguan Persepsi Sensori: Halusinasi Pendengaran

Yosua Aldrin Kaligis — 2025-08-25

Hallucinations are sensory perception disorders in which the patient expresses or feels something that is not real. The most common hallucination experienced by patients is auditory hallucinations. This case study aims to carry out comprehensive nursing care with the application of expressive writing therapy at Dr. V. L Ratumbuysang Mental Hospital. As a result of the study with the application of expressive writing therapy carried out for 3 days, the results of the evaluation found that expressive writing therapy was effective in controlling hallucinations in Mr. J from the beginning of often hearing whispering sounds until they became rarely heard and the client felt more relieved. Conclusion: this scientific paper is effective in controlling hallucinations in Mr. J with sensory perception disorders: auditory hallucinations. Advice: to all health workers to be able to provide expressive writing therapy actions and education to clients who have sensory perception disorders: auditory hallucinations.

Gangguan Rasa Nyaman Nyeri Gout Arthritis Menggunakan Metode Kompres Air Hangat

Engryne Nindi — 2025-06-23

such as the onset of various diseases increases the number of uric acid levels. The impact of arthritis gout pain can be caused in the elderly in the form of a decrease in the quality of life of the elderly because the pain is very disruptive to daily activities. It is necessary to manage non-pharmacological therapies to reduce joint pain, one of which is to provide warm compresses. Warm water compress therapy where the heat from a small towel that moves into the body, will make the blood vessels dilate and contract. Reduce or eliminate arousal by reducing muscle tension due to pain. The purpose of this scientific paper is the implementation of nursing care for Mrs. A.M with Problems of Discomfort Disorder of Gout Pain Arthritis using the warm water compression method at the Ranomuut Peace Home. The results of the study with the application of evidence based nursing of providing warm water compresses with a reduction in arthritis gouth pain in Mrs. A.M which was carried out for 3 days, the results of the evaluation were found that the administration of warm water compresses was effective in reducing arthritis gouth pain in Mrs. A.M. Conclusion: this scientific paper showed a decrease in arthritis gouth pain in Mrs. A.M after being given a warm water compress. Suggestion: Hopefully, the results of this research can increase knowledge and be able to provide nursing care to clients with arthritis pain problems and be able to apply nursing interventions based on the Evidence Based Practice approach.

Pengaruh Terapi Psikoedukasi Keluarga terhadap Tingkat Kemandirian Orang dengan Gangguan Jiwa

Verra Karame — 2025-08-04

People with schizophrenia will experience interference in their independence in carrying out functions and roles in daily life, such as caring for themselves, going to school or work and other functions. The factor that causes the high recurrence rate of schizophrenia is that families do not know how to handle clients with mental disorders when they return to the family environment, making it a burden for the family. Family psychoeducation is a form of family mental health care therapy by providing information and education through therapeutic communication. The aim of the research is to determine the effect of family psychoeducation therapy on the level of independence of people with mental disorders at the Prof. Mental Hospital. Dr. Vl. Ratuumbuysang, Manado City. This research is a quasi-experimental research. The research was carried out in May 2025 at the Prof. The conclusion from the research results is that there is an influence of family psychoeducation therapy on the level of independence of people with mental disorders at the Prof. Mental Hospital. Dr. Vl. Ratumbuysang Manado City.

Pengaruh Terapi Mewarnai Gambar Terhadap Kecemasan Anak Usia Pra Sekolah

Winarsi Molintao — 2025-07-25

Every child who is hospitalized will experience feelings of insecurity such as unfamiliar

surroundings, separation from parents, lack of information, loss of freedom and

independence. Even though the child is sick, the need to play remains. The purpose of this

study was to determine the effect of coloring therapy on the anxiety of preschool children

in the upper Edelweys room of Bhayangkara Hospital Level III Manado. This type of

research uses a "one group pre-test-post-test design" design. The population in this study

were 59 preschool children. The sample in this study was 16 children. The results of this

study indicate that from the samples studied, there is an Effect of Coloring Therapy on

the Anxiety of Pre-School Children, obtained a value of ρ = 0.000 <α = 0.05. There is an

Effect of Coloring Therapy on the Anxiety of Pre-School Children in the Upper Edelweys

Room of Bhayangkara Hospital Level III Manado. The results of this study are expected

to be input for research locations, especially for mothers and nurses in dealing with

children who are being treated in hospitals so that they can provide play therapy to

children so that they can reduce anxiety in children due to hospitalization.

Evidance Based Practice Terapi Senam Otak dengan Demensia di Panti Werdha Damai Ranomuut

Julita Legi — 2025-08-24

Dementia is a disease of the brain organs and usually this disease is progressive and chronic. One of the cognitive stimulation therapies used to overcome dementia is brain exercises, where brain exercises are one of the interventions that can be used to improve the cognitive function of a person with dementia. The results of this study with the application of evidence based nursing brain gymnastics were carried out for 3 days, the results of the evaluation were found that brain gymnastics was effective in improving cognitive function in Mrs. M. L from a score of 13 increased to 21. Conclusion: This scientific paper has an improvement in cognitive function in Mrs. M. L with dementia who experiences memory impairment after being given brain exercises. Advice: to all health workers to be able to provide action and education on the application of brain exercises to clients with dementia.

Penerapan Evidence Based Practice Pemberian Tepid Water Sponge pada Anak dengan Dengue Hemoragic Fever dengan Masalah Keperawatan Hipertermia

Mevlin Porajow — 2025-08-02

Giving Water Tepid Sponge can be used to reduce hyperthermia by increasing the evaporation process through the skin. Giving Water Tepid Sponge can also provide comfort, reduce pain and anxiety. Objective: To determine the administration of Water Tepid Sponge to reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF). This research method uses a case study method with a Nursing Care approach by taking one case as the unit of analysis. The unit of analysis is a child client with hyperthermia with the intervention of giving Water Tepid Sponge for 60 minutes to a child patient with Dengue Hemorrhagic Fever (DHF). The results of this study show that giving Water Tepid Sponge can reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF) as much as after 60 minutes of treatment. Water Tepid Sponge can reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF),

Implementasi Terapi Bermain Lego pada Pasien Anak Usia Pra Sekolah yang Menjalani Hospitalisasi dengan Masalah Kecemasan

Develin Woran — 2025-07-15

Children are individuals who have different characteristics according to their age period. Hospitalization is a condition that requires children to receive treatment in hospital. This can make children afraid, cry, stressed/anxious, and even refuse treatment. One of the impacts of hospitalization is anxiety. Anxiety is the impact of hospitalization experienced by children because they face stressors in the hospital environment. Play therapy is an activity that can be done to get pleasure or satisfaction. Playing can divert pain and provide relaxation to children so that it can relieve tension and stress felt by children. The aim is to obtain "Implementation of Lego Play Therapy in Child Patients Undergoing Hospitalization with Anxiety Problems at GMIM Pancaran Kasih General Hospital Manado". Method used in this research is descriptive using a case study approach. The results of this research prove that Lego Play therapy can reduce anxiety levels in children undergoing hospitalization. The conclusion is that after implementing Lego play therapy, subject 1 and subject 2 experienced changes. Suggestion increase insight, knowledge, as well as broader experience in reducing the level of anxiety experienced by preschool-aged children who are hospitalized.

Evidance Based Practice Penerapan Teknik Alternate Nostril Breathing Exercise untuk Membantu Menurunkan Tekanan Darah dengan Masalah Hipertensi

Jeclin Veronika Pandey — 2025-08-24

Aging leads to various physical and psychological changes, increasing the risk of degenerative diseases such as hypertension. Known as “The Silent Killer,” hypertension often occurs without symptoms and poses serious health risks in the elderly. Non-pharmacological approaches, such as breathing techniques, are increasingly used to manage blood pressure. This case study involved the application of the Alternate Nostril Breathing exercise as part of nursing care for an elderly patient with hypertension (Mrs. L.H.) at Panti Werdha Damai Ranomuut. The intervention was carried out for 3 consecutive days. The technique involved guided breathing exercises designed to reduce stress and stabilize blood pressure. After three days of intervention, the patient’s blood pressure decreased from 170/100 mmHg to 150/85 mmHg. The patient also reported improved sleep quality and reduced activity intolerance. The Alternate Nostril Breathing technique proved effective as a complementary nursing intervention to help reduce blood pressure in elderly patients with hypertension. This technique can be recommended as part of routine non-pharmacological care for similar cases.

Penerapan Evidence Based Practice Hipertensi dengan Penerapan Teknik Relaksasi Benson

Esther Lontoh — 2025-08-02

The estimated number of cases of hypertension in Indonesia is 63,309,620 people. According to the 2018 National Health Research (Riskesdas) report, approximately 34.11% of the population ≥ 18 years old suffers from hypertension (Ministry of Health of the Republic of Indonesia, 2019). Across Indonesia's 34 provinces, this condition can trigger various unexpected problems, such as threatening realities and increasing the risk of heart disease, stroke, and even death. The North Sulawesi Provincial Health Office explained that cases of hypertension in North Sulawesi reached 32,742 cases. This report uses case studies, nursing care provided using electrolyte fluid therapy and medication to address fluid balance and reduce pain, as well as pain management using Benson relaxation techniques, which can also help reduce pain. The results of the study found that acute pain problems are associated with increased cerebral vascular pressure. Sleep pattern disturbances are associated with psychological injury agents. Anxiety is related to lack of exposure to information about the disease process. The final results showed reduced headaches, complaints of insomnia began to improve, and feelings of anxiety and worry have decreased. In conclusion, fluid therapy, medication, and Benson relaxation techniques can address pain, sleep disturbances, and anxiety. Families are advised to maintain and monitor their health at the nearest hospital or community health center.

Evidance Based Pracrice Muskuloskeletal Dengan Rheumathoid

Olvin Manengkey — 2025-07-02

Rheumatoid Arthritis is a musculoskeletal disease that often occurs in old age and disrupts the musculoskeletal system, characterized by the appearance of joint pain and stiffness, resulting in a decrease in physiological abilities or quality of life. Pain management can be done with pharmacological or non-pharmacological therapy. This writing aims to discuss the nursing care provided to Mrs. S.L at Ranomuut nursing home. The intervention given to treat the main complaint of chronic pain is pharmacological drug administration and non-pharmacological administration, namely warm red ginger compress therapy and cutaneous stimulation. After the intervention, there was a decrease in the pain scale, namely from 7 to 5 after 5 hours of nursing action. The conclusion in this study is that intervention to treat pain can be carried out using pharmacological and non-pharmacological therapy. Researchers suggest that health workers and patients who experience pain due to rheumatoid arthritis can use non-pharmacological therapy.

Evidance Based Pracrice Penerapan Senam Otak Terhadap Fungsi Kognitif Pada Pasien

Winarsi Molintao — 2025-08-18

Dementia is a symptom of decreased memory, thinking ability, behavior, and the ability to perform daily activities. Brain gymnastics is a series of simple body movement exercises performed to stimulate the left and right brain (lateral dementia), lighten or relax the front or back of the brain (focusing dementia), and stimulate the systems related to feelings or emotions, namely the midbrain (limbic) and cerebrum (concentration dementia). The purpose of this study was to determine the Application of Brain Gymnastics on Cognitive Function in Patient Mrs. R with Dementia in a Nursing Home. The research method used was a descriptive type of research with a case study design, using a nursing process approach. The results of the study were the main diagnosis of Memory Disorders related to the aging process characterized by having experienced forgetfulness. Interventions were given 2x24 hours. Based on the development of the patient's condition during the 2 days of brain gymnastics, the results obtained were that the patient said she felt she could gradually recognize the day, month, and year. In conclusion, the implementation of Brain Gymnastics after nursing intervention has been shown to improve memory, although the desired outcome has not yet been achieved, necessitating continued intervention. One recommendation is the need for greater attention to dementia patients by regularly performing brain gymnastics.

Nyeri Kronis Gout Arthritis Menggunakan Penerapan Kompres Hangat di Panti Werdha Damai Ranomuut

Santiani Maengga — 2025-07-30

The prevalence of gout disease reaches 4.75% of the 10% population. Based on data in Indonesia, it is estimated that around 2.3% of 273,879,750 people suffer from gout arthritis. Based on data from the National Centers for Health Statistics, it is estimated that 34.2% of gout arthritis cases occur in developing countries and 26.3% of gout arthritis cases in developed countries (WHO, 2019). North Sulawesi Province is the 8th province in Indonesia with the highest prevalence of joint disease at 8.35%, while for the city of Manado, the prevalence of joint disease data was 7.27%. One therapy that can be used to reduce pain in gout arthritis patients is warm water compresses. The results of a case study conducted by researchers found two nursing problems that were raised as nursing diagnoses, namely chronic pain and sleep pattern disorders, and after two days of nursing care, there were changes where the nursing problems of pain and sleep pattern disorders were resolved with complaints of pain and difficulty sleeping decreased. The provision of comprehensive nursing care can address the nursing problems experienced by clients.

Evidance Based Practice Osteoarthritis Melalui Penerapan Terapi Kompres Hangat terhadap Penurunan Intensitas Nyeri

Miranti Nadini Kampong — 2025-08-31

A warm compress is a compress performed using a heated flask wrapped in cloth, which is conducted through conduction, where heat is transferred from the flask to the body, causing blood vessel dilation and reducing muscle tension, thus reducing or eliminating pain. The purpose of this research is to implement Gerontic Nursing Care for Mrs. M with Osteoarthritis Through the Application of Warm Compress Therapy to Reduce Pain Intensity at the Damai Ranomuut Nursing Home. This research, using evidence-based nursing, demonstrated the effectiveness of warm compresses in reducing gouty arthritis pain in Mrs. M for 3 days. The evaluation results showed that warm compresses were effective in reducing osteoarthritis pain in Mrs. M. There was a decrease in osteoarthritis pain in Mrs. M after the warm compresses were given. Hopefully, the results of this research will increase knowledge and the ability to provide nursing care to clients with osteoarthritis pain problems and be able to implement nursing interventions based on the Evidence-Based Practice approach.