Progressive Muscle Relaxation Therapy to Reduce Pain Level in Gastritis Patients: A case Study

Introduction: Gastritis is a common gastrointestinal condition often associated with pain and discomfort. Exploring effective pain management strategies is crucial for enhancing the well-being of individuals affected by gastritis. This study investigates the potential effectiveness of progressive muscle relaxation therapy in alleviating pain among gastritis patients. Objective: This study aimed to assess the effectiveness of progressive muscle relaxation therapy in alleviating pain among patients diagnosed with gastritis. Methods: The research was conducted at BLUD RSU Banjar City from May 27 to May 31, 2022. The participant for this study was Mrs. I, a 62-year-old individual presenting complaints of pain in the left upper quadrant of the abdomen. Results: Findings from the case study indicated observable changes post-progressive muscle relaxation therapy. The patient exhibited signs of relaxation, and the pain scale, initially high, decreased to 4 within 2 days after the intervention. Further reduction to a pain scale of 2 was noted using the Numeric Rating Scale method. Conclusion: The study concludes that progressive muscle relaxation therapy exhibits promise in effectively reducing pain. Consequently, this therapeutic approach holds potential applicability in addressing acute pain issues among gastritis patients

Wound Treatment with Absorbent Dressing Technique for Post-operative Submandibular Abscess Patients

Objective: To present care for wound care interventions with absorbent dressing techniques as an effort to prevent signs of infection and complications in postoperative submandibular abscess patients. Methods: The method used is descriptive with a case study approach using nursing care that refers to the IDHS and SIKI books. The subject of this study was 1 patient with a nursing diagnosis of skin integrity damage in postoperative submandibular abscess patients who were treated in the Orchid Room of Banjar City Hospital. With data collection techniques include interviews, observation, physical examination and study documentation Results: From nursing care in postoperative submandibular abscess patients, the symptoms that emerged during the assessment were an open wound on the lower right cheek. The nursing problem that arises is damage to skin integrity related to surgical wounds which refers to the IDHS book. Interventions carried out to prevent signs of infection and complications are wound care with absorbent dressing techniques. During the intervention process, the action went smoothly until the evaluation. There is a change in the surgical wound improving, does not cause signs of infection and complications. So that the intervention has a positive impact on wound healing and has improved Conclusion: After the intervention of wound care with absorbent dressing technique, the surgical wound improved, did not cause signs of infection and complications, while the subjective data from the anamnesis, the client said the surgical wound had improved from the previous day

The Impact of Group-based Ergonomic Exercise on Blood Pressure Among Individuals with Hypertension

Introduction: Hypertension is a disease in which a person's blood pressure exceeds normal limits, namely systolic pressure which is above 140 mmHg and diastolic which is above 90mmHg. Exercise that is suitable for people who suffer from hypertension is low impact exercise because it is an exercise with light movements and can be done by anyone, from children to adults, even to the elderly. One of the aerobic exercise for hypertension is ergonomic exercise. Objective: The purpose of this study was to determine The effect of ergonomic exercise on reducing blood pressure in hypertension sufferers. Method: The research design used is correlational quantitative with Wilcoxon Signed-Rank Test. The sampling technique used purposive sampling, with a total sample of 25 people. Result: Based on the results of the Wilcoxon Signed-Rank Test, it was obtained p = 0.000 where p <0.05, which means that there is an effect of ergonomic exercise on systolic and diastolic blood pressure in hypertension sufferers at Posyandu Brotojoyo, Tanjung Rejo Village, Sukun District, Working Area of the Janti Malang Health Center. Conclusion: Based on the results of the Wilcoxon Signed-Rank Test, p = 0.000, where p < 0.05, which means that there is an influence of ergonomic exercise on systolic and diastolic blood pressure in hypertension sufferers at Posyandu Brotojoyo, Tanjung Rejo Village, Sukun District, Janti Malang Health Center Working Area

Coldpack Intervention to Alleviate Hematoma in Post-Percutaneous Coronary Intervention Patient: A Case Study

Introduction: Interventions necessary for patients experiencing Coronary Artery Disease (CAD) include revascularization through Coronary Artery Bypass or Percutaneous Coronary Intervention (PCI). Vascular complications resulting from PCI procedures include hematoma, microvascular aneurysm, bleeding, edema, incision site pain, ecchymosis, embolism, arterial occlusion, arterial spasm, arteriovenous fistula, and retroperitoneal hematoma. Objective: To describe the nursing intervention outcomes using cold packs to address hematoma in post-PCI patients with femoral sheath access. Method: A qualitative study employing a case study approach conducted from March 23-25, 2023, at the Heart and Vascular Hospital Tasikmalaya. Inclusion criteria for participants include a diagnosis of Coronary Artery Disease (CAD), prior PCI intervention, PCI access via femoral sheath, and willingness to provide informed consent. The intervention involves the application of a cold pack. Research instruments utilized in this study include semi-structured interviews (in-depth interviews) and observations using The Femoral Scale. Result: The use of cold packs to address hematoma in post-PCI patients with femoral sheath access is effective. This is evidenced by the absence of hematoma in post-PCI patients with femoral access after applying mechanical pressure with a cold pack. During the observation, patients did not express significant complaints; they reported greater comfort using a cold pack compared to the conventional sandbag approach. Conclusion: The utilization of cold packs in this case can be considered an alternative to sandbags to enhance patient comfort. However, it is imperative to conduct additional monitoring when removing the cold pack, especially during the 6-hour immobilization period, to ensure patient awareness and compliance with immobilization protocols

The Effect of E-FAS on the Knowledge of Post-partum

Introduction: The postpartum period is a period of recovery of the uterine organs as before pregnancy, the recovery time is around 6-8 weeks. Physical and mental changes will experience different changes that can disrupt daily activities. Several types of complications that may occur include physical, mental and emotional problems, for example fatigue, decreased sexual relations, anxiety, constipation, breastfeeding problems, sleep disorders, bleeding and difficulty urinating. Objective: The aim of this research was to determine the effect of E-FAS on the knowledge of postpartum mothers at the Khasanah Panumbangan Clinic. Method: This research design uses the Quasy experimental method with pretest and posttest. This research design takes the form of a non-equivalent control group design. The research subjects were 30 postpartum mothers at the Khasanah Clinic, Panumbangan District, Ciamis Regency. This research instrument uses a questionnaire to determine the knowledge of postpartum mothers. Data analysis used the Wilcoxon Test to see the effect of E-FAS on increasing the knowledge of postpartum mothers. Result: the results of statistical analysis with an average ranking value of 10.50 while the number of positive rankings or sum of rank was 210. There were 10 people with the same score before being given E FAS and after being given E FAS. The Wilcoxon test obtained a p value of 0.000 (<0.005) so it can be concluded that there is an influence of E FAS on the knowledge of postpartum mothers at the Khasanah Clinic, Panumbangan District. Conclusion: E-FAS can be used as a medium for health information, especially in midwifery care after childbirth and breastfeeding

Case Study of Progressive Muscle Relaxation Intervention to Reduce Pain in Appendicitis Patients

Objective: This case study was conducted to describe a progressive muscle relaxation intervention in reducing pain in appendicitis patients. Methods: This study uses a case study design with an evidence-based practice approach that focuses on nursing interventions. This research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. Participants in this study were Ny patients. C, 35 years old, female, complains of right lower quadrant abdominal pain. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data becomes a reference for periodic evaluation of nursing implementation. Results: Patients gave recognition of decreased pain after being given a progressive muscle relaxation intervention with a pain scale of 4 out of 5 (0-10) and a scale of 3 out of 4 (0-10).   Conclusion: Progressive muscle relaxation intervention should be suspected to be effective in reducing pain in appendicitis patients as evidenced by subjective patient recognition. Theoretically, this study does not conflict with previous research so that it can be a reference in future research. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, progressive muscle relaxation intervention can be an alternative intervention to reduce pain levels in patients with chronic diseases such as appendicitis in hospitals and health centers

Relationship between Exercise with Blood Pressure Stability among Hypertension Elderly

Objective: This study aims to determine the relationship between elderly gymnastics and blood pressure stability in elderly hypertension in Porpri Posyandu Lansia Bunulrejo. Methods: This research is correlated with a cross-sectional approach. Samples were chosen by using the purposive sampling technique with inclusion and exclusion criteria, which got 25 people. The variables measured in this study were the elderly gymnastic relationship and blood pressure stability. The test statistic used was spearman rank correlation with a 95% confidence level. Results: The results of bivariate analysis showed that there was a significant correlation between daily gymnastics and stabilizing blood pressure (p = 0,000), with a correlation strength of 0,710. Conclusion: From the research results, it can be concluded that there is a relationship between elderly gymnastics and blood pressure stability in people with hypertension

Deep Breathing Relaxation Therapy for the Implementation of Acute-Pain in Post-ORIF of Patella Sinistra Fractures Patients

Objective: The study aims to find out whether the intensity of pain decreases after the application of non-pharmacological techniques of deep breathing relaxation. Method: Method used in descriptive case study with approach to nursing process. Population in this study of post-ORIF of fractures patella sinistra patients in Wijayakusuma ward Kardinah Hospital, Tegal City, who have experienced acute pain nursing problems. Data collection in this study was carried out through interviews, observations, and physical examinations. The analysis of data in this study is performed in a descriptive narrative manner using PDCA for patient development, the presentation of data is described descriptively to know the results obtained during conducting a case study. Result: The results of the study showed that the respondent’s pain intensity decreased from a 5 pain score to a 3 pain score after non-pharmacological respiratory relaxation therapy was administered. Conclusion: Deep breathing relaxation therapy can be used to reduce the intensity of pain in post-orif fractural respondents. It is hoped that this non-pharmacological breathing relaxation technique can be used by health care professionals, especially nurses, as a way to reduce the scale of respondent pain

Family Empowerment Program to Improve Quality of Life in Thalassemia Patient: A Case Study

Introduction: Thalassemia can cause major health problems in children and adversely affect their quality of life, which includes reduced physical, psychological, social, and educational functioning. A family empowerment program is a process or effort to increase the knowledge and willingness of families to maintain and improve the Quality Of Life of children with thalassemia Objective: The purpose of this case study is to carry out nursing care for children with thalassemia and quality of life problems with the Family Empowerment Program (FEP) approach. Method: The method used is descriptive-qualitative with a case study approach. As well as pre-test intervention and post-test intervention. Nursing care was carried out with the author for three days and the family intervened using the Family Empowerment Program (FEP) approach for three weeks. The subject of this case study is a thalassemia child with poor quality of life. Data collection techniques include interviews, observation, physical examination, and documentation. Results: The results of the case study at the assessment stage found that An.S. had problems in the dimensions of social function and school function due to complex or long-term treatment or treatment programs and unsatisfactory interpersonal interactions. Intervention and implementation used in An.S. are using family empowerment with the Family Empowerment Program (FEP) approach. Conclusion: The conclusion of nursing care in children with thalassemia was that during the intervention of three meetings, there were few changes that were positive for the family and the client in handling social function and school function. After the intervention of the Family Empowerment Program (FEP) approach for three weeks, the results of filling out the PedsQL questionnaire show that the dimensions of physical function are good (90.6), the dimensions of emotional function are good (95), the dimensions of social function are good (80) and the dimensions of school function are good (85)

Knowledge Regarding Reproductive Health among Adolescent

Introduction: Reproductive health is a very important aspect for all men and women, including teenagers, to know. The phenomenon shows that some teenagers do not know and understand reproductive health, for example, menstruation and pregnancy Objective: This research aims to determine adolescent knowledge about reproductive health and then their knowledge and attitudes toward reproductive health problems. Methods: This research is a descriptive study with the variable knowledge of adolescent reproductive health. The population of this study was young men and women aged 10 to 19 years, totaling 39 people. The sampling technique is total sampling. The instrument used for data collection is a questionnaire, which consists of general data and specific data. General data includes biodata, general information about adolescent reproductive health, and information sources used by adolescents to obtain information about adolescent reproductive health. Data analysis was carried out quantitatively and adjusted to the objectives to be achieved in the research. Results: knowledge about adolescent reproductive health at the Kasih Allah Tulungagung Orphanage was in the sufficient category of 11 respondents (28.21%) and the insufficient category was 28 respondents (71.79%). Conclusion: Knowledge about adolescent reproductive health at the Kasih Allah Tulungagung Orphanage is in the poor category. Knowledge of adolescent reproductive health is very important so that adolescents have responsible behavio