Asuhan Keperawatan Pada Ny. S Keluarga Tn. N Dengan Gangguan Sistem Kardiovaskuler : Hipertensi Di Desa Purwodadi RT 04 RW 04 Kecamatan Tonjong Kabupaten Brebes

Vina Rohmatul Ummah; Ahmad Zakiudin; Anna Maulina Lestari

doi:10.62027/vitamedica.v3i3.512

Authors

Vina Rohmatul Ummah Akademi Keperawatan Al Hikmah 2 Brebes
Ahmad Zakiudin Akademi Keperawatan Al Hikmah 2 Brebes
Anna Maulina Lestari Akademi Keperawatan Al Hikmah 2 Brebes

DOI:

https://doi.org/10.62027/vitamedica.v3i3.512

Keywords:

Family nursing care, hypertension, Orem’s theory, complementary therapy, self-care

Abstract

Post-cesarean section (SC) patients with premature rupture of membranes (PROM) require comprehensive nursing care due to their high risk of pain, infection, and limited mobility. This case study aims to describe the nursing care process applied to a 39-year-old woman post-SC with PROM indication. The study was conducted over five days in Nusa Indah Room at RSUD dr. Soeselo, Tegal. Data collection included interviews, observation, physical examination, and medical record review. The nursing interventions were guided by the Indonesian Nursing Diagnosis Standards (SDKI), Interventions (SIKI), and Outcomes (SLKI). Results showed a reduction in pain scale from 6 to 2, improved mobility, and wound healing without signs of infection or bleeding. These findings indicate that structured and holistic nursing care, combined with patient education and family involvement, can significantly enhance recovery outcomes. The implications suggest the need for clinical protocols in managing post-SC patients with PROM to ensure consistent, evidence-based nursing practice.

References

American Heart Association. (2020). 2019 AHA/ACC guideline on the primary prevention of cardiovascular disease. Journal of the American College of Cardiology, 74(10), e177–e232. https://doi.org/10.1016/j.jacc.2019.03.010.

Anggraini, D., & Rahmawati, N. (2021). Efektivitas terapi komplementer rendaman kaki jahe merah terhadap penurunan tekanan darah pada pasien hipertensi. Jurnal Keperawatan Indonesia, 24(2), 97–104. https://doi.org/10.7454/jki.v24i2.1123.

Badan Penelitian dan Pengembangan Kesehatan. (2020). Laporan Nasional Riskesdas 2020. Kementerian Kesehatan RI.

Febrianti, R., Utami, N., & Handayani, H. (2023). Determinan kepatuhan pasien dalam pengobatan hipertensi di pelayanan primer. Jurnal Kesehatan Masyarakat Nasional, 18(1), 22–31. https://doi.org/10.21109/kesmas.v18i1.6781.

Fitri, A., & Yuliana, D. (2022). Hubungan gaya hidup dengan kejadian hipertensi pada lansia. Jurnal Kesehatan Komunitas, 11(3), 156–163. https://doi.org/10.25311/jkk.v11i3.5462.

Haryanti, M., Sari, P., & Nurmala, E. (2024). Red ginger foot soak as complementary therapy in reducing blood pressure of hypertensive patients. International Journal of Nursing Practice, 30(1), e13142. https://doi.org/10.1111/ijn.13142.

International Society of Hypertension. (2020). Global hypertension practice guidelines. Journal of Hypertension, 38(6), 982–1004. https://doi.org/10.1097/HJH.0000000000002453.

Karlina, R. (2022). Penerapan teori Orem pada pasien hipertensi di komunitas: Studi kasus. Jurnal Ilmu Keperawatan Klinis, 6(2), 45–53. https://doi.org/10.33546/jikk.v6i2.908.

Kementerian Kesehatan RI. (2021). Profil Kesehatan Indonesia 2021. Jakarta: Kemenkes RI.

Kurniawan, T., & Wulandari, S. (2022). Peran keluarga dalam pengelolaan hipertensi pada lansia: Literatur review. Jurnal Keperawatan Soedirman, 17(2), 87–96. https://doi.org/10.20884/1.jks.2022.17.2.4129.

Li, X., Wang, Y., & Chen, Z. (2021). Lifestyle interventions for hypertension management: A meta-analysis. Hypertension Research, 44(5), 615–628. https://doi.org/10.1038/s41440-021-00664-3.

Marbun, J., & Hutapea, M. (2022). Analisis prevalensi hipertensi pada lansia di Indonesia. Jurnal Epidemiologi Kesehatan, 10(1), 14–22. https://doi.org/10.31227/osf.io/jh56f.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2.

Mustika, L., & Pratiwi, F. (2021). Efektivitas edukasi kesehatan berbasis keluarga terhadap kepatuhan diet hipertensi. Jurnal Keperawatan Muhammadiyah, 6(1), 34–41. https://doi.org/10.30651/jkm.v6i1.8912.

Nugroho, A., & Wahyuni, S. (2023). Faktor-faktor yang memengaruhi hipertensi pada masyarakat perkotaan. Jurnal Penelitian Kesehatan, 11(2), 65–74. https://doi.org/10.37487/jpk.v11i2.765.

Orem, D. E. (2021). Nursing: Concepts of practice (8th ed.). Elsevier Health Sciences.

Rahardjo, H., & Putri, S. (2021). Hubungan pola konsumsi natrium dengan kejadian hipertensi pada dewasa muda. Jurnal Gizi Indonesia, 9(2), 103–110. https://doi.org/10.36457/gizi.v9i2.456.

Saputri, M., & Sitorus, A. (2020). The role of nurses in hypertension management through family empowerment. International Journal of Public Health Science, 9(4), 332–339. https://doi.org/10.11591/ijphs.v9i4.20563.

Setiawan, E., & Dewi, L. (2022). Efektivitas konseling keperawatan terhadap kontrol tekanan darah pada pasien hipertensi. Jurnal Ners, 17(1), 25–34. https://doi.org/10.20473/jn.v17i1.22381.

World Health Organization. (2021). Hypertension fact sheet. https://www.who.int/news-room/fact-sheets/detail/hypertension