Borobudur Nursing Review

Efektivitas Pemberian Insulin Bolus Pada Pasien Ketoasidosis Diabetikum: Literature Review

Lailatul Husni — 2025-05-30

Diabetic Ketoacidosis is a complication of Diabetes Mellitus characterized by high levels of ketones in the body. This ketoacidosis occurs due to the absence of insulin produced by the pancreas. This condition occurs due to insulin deficiency, namely the breakdown of fat into free fatty acids and glycerol. Diabetic Ketoacidosis is an acute complication of Diabetes Mellitus that must be treated quickly and appropriately considering the very high mortality rate. Management of Diabetic Ketoacidosis patients is carried out by administering bolus insulin. Bolus insulin is an intensive insulin therapy that involves taking a combination of insulin. In this bolus insulin has a strong but short-lived effect on blood sugar and can be an ideal supplement for people with Diabetic Ketoacidosis. The purpose of this study was to determine the effectiveness of administering bolus insulin to patients with Diabetic Ketoacidosis. The methods used in this study were three databases, namely Google Scholar, PubMed, and Science Direct. Data collection techniques by searching for reputable and high-quality journal articles using boolean operators (AND, OR, NOT, or AND NOT). The keywords in this literature review are adjusted to the Medical Subject Heading (MeSH). The final results carried out based on the eligibility of the inclusion and exclusion criteria obtained as many as 8 articles that could be used in this literature review research. The conclusion is that giving bolus insulin to patients with Diabetic Ketoacidosis is not effective. Many experts say that giving rapid bolus insulin to patients with Diabetic Ketoacidosis can cause dangers including hypoglycemia, hypokalemia, and cerebral edema if glucose levels are corrected too quickly.

Pengaruh Edukasi Terhadap Pengetahuan Bencana Gempa Bumi Pada Siswa SDN 1 Bandungrejo Bantur

Asharia Dwi Alviana — 2025-05-30

Indonesia merupakan negara yang rawan terhadap bencana alam, terutama gempa bumi. Karena berbagai bencana dapat terjadi, penting untuk mulai bersiap menghadapi bencana sejak dini. Langkah-langkah pendidikan dan pelatihan tentang perlindungan iklim ini menyangkut berbagai segmen masyarakat dan seharusnya sudah dilaksanakan pada anak-anak sekolah. Anak-anak sering menjadi korban bencana karena mereka tidak mampu melindungi diri mereka sendiri dan berada di luar pengawasan orang tua mereka. Hal ini menunjukkan bahwa pendidikan pencegahan bencana gempa bumi merupakan hal penting yang harus dipelajari anak sejak usia dini. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh edukasi bencana gempa bumi terhadap pengetahuan tentang bencana gempa bumi pada siswa SD, untuk mengevaluasi keterampilan dan partisipasi siswa sekolah dasar dalam melakukan simulasi kesiapsiagaan bencana gempa bumi dan untuk menentukan tingkat kesiapsiagaan anak-anak sebelum dan sesudah edukasi kesiapsiagaan bencana. Penelitian ini menggunakan desain penelitian kuantitatif dengan pre-eksperimen menggunakan teknik pretest dan posttest. Besar sampel sebanyak 45 orang, dan pengambilan sampel dilakukan dengan metode total sampling. Uji analisis data menggunakan uji Wilcoxon. Berdasarkan uji statistik menunjukkan bahwa terdapat pengaruh yang signifikan antara edukasi dan pengetahuan bencana gempa bumi terlihat nilai Asymp.Sig 0,001 < 0,05. Menunjukkan adanya pengaruh edukasi bencana gempa bumi terhadap pengetahuan tentang bencana gempa bumi pada siswa SD.

Pengaruh Edukasi Berbasis Health Belief Model (HBM) Dengan Media Leaflet Terhadap Kepatuhan Pengobatan Pasien Gagal Ginjal Kronis di Ruang Hemodialisa

Nimas Luthfia Ulum Hakim — 2025-05-30

Latar Belakang : Pasien gagal ginjal kronis yang menjalani hemodialisa dan memiliki komorbid akan mendapatkan obat dengan jumlah banyak sehingga menyebabkan ketidakpatuhan pengobatan pada pasien. Upaya untuk meningkatkan kepatuhan pengobatan salah satunya dengan memberikan edukasi berbasis health belief model (HBM) dengan media leaflet kepada pasien hemodialisa. Tujuan : penelitian ini untuk mengetahui pengaruh edukasi berbasis HBM dengan media leaflet terhadap kepatuhan pengobatan pasien gagal ginjal kronis di ruang hemodialisa RSUD dr. Gondo Suwarno Kabupaten Semarang. Metode : Penelitian ini menggunakan pendekatan kuantitatif dengan desain Quasy-Experiment serta menggunakan rancangan pre-posttest with control group. Lima puluh enam responden yang menjalani hemodialisa ditetapkan dengan teknik purposive sampling dan dibagi dalam 2 kelompok. Pengambilan data menggunakan kuesioner kepatuhan pengobatan serta analisis data menggunakan uji t berpasangan dan uji t tidak berpasangan. Hasil : Hasil penelitian menunjukkan mayoritas responden berusia 45-65 tahun (lansia) dan berjenis kelamin laki-laki, sebagian besar berpendidikan SMP, sudah menjalani hemodialisa > 12 bulan, dan mayoritas memiliki komorbid hipertensi. Terdapat peningkatan rata-rata nilai kepatuhan pengobatan pada kelompok intervensi sebesar 33,96 dari 85,61 menjadi 119,57. Ada pengaruh perbedaan edukasi berbasis HBM dengan media leaflet terhadap kepatuhan pengobatan pasien gagal ginjal kronis yang menjalani hemodialisa (p = 0,000). Simpulan dan Saran : Edukasi berbasis HBM dengan media leaflet memiliki pengaruh terhadap peningkatan kepatuhan pengobatan pasien hemodialisa sehingga dapat digunakan sebagai intervensi untuk pasien hemodialisa untuk meningkatkan kepatuhan pengobatan.

Studi deskriptif: Gambaran perilaku merokok di Polresta Magelang

Iwan Yuliadi — 2025-06-05

Background: Smoking is an irritating and unhealthy habit. Smoking habits and views about smoking characterize the behavior and intensity of smoking. The Magelang Police Department has a 51.8% bad smoking rate and a 48.2% good smoking rate. Purpose: The purpose of this study is to identify respondents' smoking behavior and degree of smoking while working for the Magelang Police. Method: The research strategy was quantitative (non experimental), with a descriptive research design. The sample technique used was non- probability sampling with random sampling. Data on examination outcomes were collected from May to June 2024. This study included 251 respondents. Result: According to the study's findings, the majority of respondents had poor smoking habits and smoke heavily. Conclusion: The research findings suggest that the longer and more frequently someone smokes, the worse the picture of their smoking behavior becomes.

Keywords: smoking; smoking behavior; level of smoking

Penerapan Terapi Suportif Dan Psikoedukasi Keluarga Terhadap Ansietas Klien Hipertensi Menggunakan Pendekatan Keperawatan Transkultural

Sambodo Sriadi Pinilih — 2025-06-05

Hypertensive clients are at risk of experiencing anxiety that affects their quality of life. Treatment of hypertension takes a long time, the condition decreases with age, and the need for adaptation to the condition of the illness, will cause psychosocial problems in people with chronic diseases such as hypertension. Physical treatment alone is not enough, because the occurrence of hypertension and anxiety problems affect each other. The purpose of this final scientific paper is to provide an overview of the application of psychological nursing therapy, supportive therapy and psychoeducation of anxiety problems in hypertensive clients using a transcultural nursing approach. This scientific work uses a case study method, data collection using an anxiety symptom instrument and the Hamilton Anxiety Rating Scale (HARS). Psychiatric nursing actions were given to 19 hypertensive clients with anxiety nursing problems. The results of the application reduced the mean signs and symptoms of anxiety in the intervention group with supportive therapy and psychoeducation by 41.5%. The decrease in the mean difference in anxiety level scores from moderate anxiety to not anxiety is 13.8. Meanwhile, in the control group, only family psychoeducation was given to decrease the symptoms of 39.6% and the difference in the mean score of the anxiety level was 11.3. The conclusion is that both groups experienced a decrease in symptoms and scores on anxiety levels, but the score decreased more in the client group after being given family psychoeducation with supportive therapy. This final scientific paper recommends that the puskesmas can continue nursing actions for supportive group therapy on an ongoing basis, to reduce signs and symptoms and the level of attention in hypertensive clients.

Analisis Bibliometrik Penelitian tentang Pengaruh Bencana terhadap Kesehatan Mental

Astuti Tri Retna — 2025-06-10

Bencana telah memberikan dampak tidak hanya pada aspek fisik tetapi juga menyebabkan permasalahan pada kesehatan mental. Studi yang dilakukan ini menghasilkan analisis secara komprehensif terkait tren penelitian pengaruh bencana terhadap kesehatan mental dari literature yang telah dipublikasikan dari tahun 2015-2022. Pencarian dokumen menggunakan istilah dengan kata kunci “disaster dan kesehatan mental” yang digabungkan dengan menggunakan operator Boolen “AND” dimana untuk pengambilannya menggunakan Publish or Perish dan VOSviewer. Sebanyak 200 artikel dengan indeks h-70 yang diambil dari data base. Studi yang menjadi “hot paper” membahas terkait review bencana Covid-19, Trauma, Resiko kesehatan mental, kelompok rawan seperti anak-anak. Artikel yang mendapatkan kutipan tertinggi diperoleh sebesar 1582 kutipan yang diterbitkan oleh jurnal Asian Journal of Psychiatic tahun 2020. Studi ini memberikan informasi dan wawasan terkait perpektif penelitian yang dilakukan secara global dalam upaya mengatasi permasalahan kesehatan mental akibat bencana.

Dampak terapeutik Peperomia Pellucida terhadap kerusakan histologis ginjal akibat paparan asap rokok pada tikus

Mira Kusuma Wardhani — 2025-06-28

Chronic Kidney Disease (CKD) is a growing health problem in many countries. One of the main causes of CKD is cigarette smoke, which contains harmful chemicals like cadmium and nicotine. These substances can damage kidney tissue and increase the risk of kidney failure. Peperomia pellucida, a small herbal plant commonly found in tropical countries, has antioxidant and anti-inflammatory properties. It has been used in traditional medicine to treat various illnesses, including kidney problems. This study aimed to find out if Peperomia pellucida extract could help heal kidney damage caused by cigarette smoke. Twenty male rats were divided into three groups: a control group, a smoke-exposed group without treatment, and a smoke-exposed group treated with Peperomia pellucida extract. The rats were exposed to cigarette smoke for four weeks. Then, the treated group received the plant extract for another four weeks. The results showed that rats treated with the extract had less damage in their kidney tissues. The improvement was measured using the EGTI scoring method (Endothelial, Glomerular, Tubular, and Interstitial). This suggests that Peperomia pellucida may be useful as a natural and affordable treatment to protect the kidneys from damage caused by cigarette smoke, especially for people exposed to secondhand smoke

Hubungan Hubungan Bermain Game Online Dengan Gangguan Emosional Pada Siswa SD Negeri Sumberrejo, Kabupaten Magelang

Vira Vertina Hapsari — 2025-06-30

ABSTRAK

Online games are a type of game that uses internet networks, involves players and generates feedback directly on video devices. Excessive use of online games will have a negative impact on users such as addiction and health problems, one of which is emotional disorders. Emotional disturbance is inappropriate chaos, uncontrolled behavior such as crying without cause, getting angry without cause, and getting angry when what you want is not obtained. Methods: This study used quantitative methods, sampling using random sampling with a total sample of 40 students from grades 3, 4, 5, and 6, the instruments used were SDQ questionnaires and Playing Online Games. Results: The results of the Spearman statistical test with ɑ = 0.05 obtained a p value of 0.049 (Strength Scale), and 0.009 (Difficulty Scale) with a value of r 0.313 (Strength Scale), and 0.407 (Difficulty Scale), which means there is a relationship between the variable Playing Online Games with Emotional Disturbance variables. The use of online games in elementary school-age children should be limited by parents, then give responsibility to children when allowed to play online games. As much as possible, always involve children in any activity so that children are not bored and bored when at home.

ABSTRAK

Game online adalah jenis permainan yang menggunakan jejaring internet, melibatkan pemain dan menghasilkan umpan balik secara langsung pada perangkat video. Penggunaan game online secara berlebihan akan berdampak buruk bagi penggunanya seperti kecanduan dan gangguan kesehatan salah satunya gangguan emosional. Gangguan emosional merupakan kekalutan yang tidak sesuai, perilaku yang tidak terkendali seperti, menangis tanpa sebab, marah-marah tanpa sebab, dan marah ketika apa yang diinginkan tidak didapatkan. Metode : Penelitian ini menggunakan metode kuantitatif, pengambilan sampel menggunakan random sampling dengan jumlah sampel 40 siswa dari kelas 3,4,5, dan 6, instrumen yang digunakan yaitu kuesioner SDQ dan Bermain Game Online. Hasil : Hasil uji statistik Spearman dengan ɑ=0,05 didapatkan hasil p value 0.049 (Skala Kekuatan), dan 0.009 (Skala Kesulitan) dengan nilai r 0,313 (Skala Kekuatan), dan 0,407 (Skala Kesulitan), yang artinya ada hubungan antara variabel Bermain Game Online dengan variabel Gangguan Emosional. Pengunaan game online pada anak usia sekolah dasar seharusnya bisa dibatasi oleh orang tua, lalu berikan tanggung jawab kepada anak ketika diperbolehkan bermain game online. Sebisa mungkin selalu libatkan anak dalam aktivitas apapun supaya anak tidak bosan dan jenuh ketika dirumah.

Implementasi pendampingan suami terhadap istri yang mengalami kecemasan pada kehamilan trimester III di Klinik Barokah Medika Kemiling Bandar Lampung

Ikhwanudin Ikhwanudin — 2025-06-30

Pregnancy is a condition in which a woman has an embryo or fetus in her womb. Third trimester pregnancy is a pregnancy with an age of 28-40 weeks which is the time to prepare for birth and parenthood, and as a period of waiting. Anxiety is a vague and diffuse concern, which is related to feelings of uncertainty and helplessness. Husband assistance is a husband who accompanies or accompanies his wife in the labor process. This scientific paper aims to determine the characteristics of pregnant women who experience anxiety and determine the results of the implementation of husband assistance. The design of scientific papers is descriptive with a case study approach. The method used is the measurement of anxiety levels with HARS (Hamilton anxiety rating scale). The results of the implementation of husband assistance to mothers who experience anxiety are a decrease in the level of anxiety from the moderate to mild category. The conclusion of this scientific paper is that there is a decrease in anxiety, namely from the moderate category to the mild category.suggestion Pregnant women should know that the assistance of husbands, family and relatives is very important during the labor process because it can reduce anxiety.