Journal of Community Health Provision

Case Study of Nursing Care in Children of Typoid Fever with Ineffective Intervention of Termoregulation in Child Care Room Rsia Sitti Khadijah

Dewi Modjo — 2023-07-20

Good fulfillment of children's basic needs will ensure that children's health is maintained and their development will not be disturbed. The most dangerous threat in reducing children's health status is infectious disease. One of them is typhoid fever. The main complaint found in children is fever. Fever in children requires separate treatment and handling that is different compared to adults. To overcome this problem, a typhoid action plan is carried out, namely monitoring the temperature at least every 2 hours, giving warm water compresses, giving parental fluids, and collaborating with doctors about administering antipyretic drugs. This research is a quantitative study using a quasi-experimental design that provides treatment or intervention to research subjects and then the effect of the treatment is measured and analyzed. The research design used is a case study design approach. This design is used to see changes after being given warm compresses to patients with impaired thermoregulation. The sample in this study were 3 respondents, the data collection technique was using observation sheets. The results of this study have shown an optimal scale because children's thermoregulation is effective.

The Effect of Giving Effleurage Massage Techniques on Reduction of Labor Pain in Labor Pain in Women in Labor

Ani Retni — 2023-07-20

Childbirth is the process of expelling the living products of conception from the uterus and then out through the birth canal, in the process of labor starting from the first stage with uterine contractions, dilatation and thinning of the cervix and descent of the fetus during labor accompanied by pain. Labor pain is characterized by uterine contractions, contractions starting at the 30th week of pregnancy which are called braxton hicks caused by irregular changes in the hormones estrogen and progesterone. Pain that accompanies uterine contractions affects the physiological mechanisms of a number of body systems which always cause a stress response so that Efforts are made to reduce labor pain, while one technique to relieve pain is massage effleurage technique. Effleurage massage is a massage technique using the palms of the hands in a circular motion pattern on several parts of the body. This technique can help distract and reduce anxiety. The role of Effleurage is to produce impulses that are sent through the cerebrum nerve fibers that are on the surface of the skin of these fibers, which can inhibit pain so that the brain cannot receive pain stimuli. The research method used is pre-experimental research with a pretest design post test one grub design is a measurement that is done before and after the study. In this study, it was shown that there was an effect of massage effleurage on reducing labor pain during the first stage of the latent phase in labor mothers.

Analysis of Nursing Care in Post SC Mothers for Indications of KPD and Breech Location by Implementation of Early Mobilization to Accelerate TFU Reduction

Ani Retni — 2023-07-20

Sectio Caesaria is an artificial birth in which the fetus is born through an incision in the front wall of the abdomen and uterine wall. The uterus must be intact and the fetus must weigh more than 500 grams before the procedure can be performed. Spontaneous leakage of amniotic fluid from the amniotic cavity, where the fetus is housed, is known as premature rupture of membranes. The extended position with the buttocks at the lowest point (breech presentation) is known as the breech position. A downward shift of the uterus that reduces the size of the uterus is known as uterine involution. Early mobility is a postoperative activity that can be carried out in stages, starting with light exercise in bed until you can get out of bed, use the bathroom, and leave the room. By implementing early mobilization to accelerate the decrease in TFU, this study aims to provide nursing care, intervention, implementation, and evaluation for post-cesarean section mothers for indications of premature rupture of membranes and breech presentation at the lowest point. The research method used is observation and descriptive with a nursing care process approach through interviews, observation and documentation. The result of this study, after mobilization interventions the post SC mothers improved or returned to normal and the TFU decreased.