Journal for Quality in Women's Health DOI : https://doi.
org/10.
30994/jqwh.
ISSN: 2615-6660 .
2615-6644 .
https://jqwh.
Vol.
6 No 1.
March 2023.
Page.
Tersedia online di https://jqwh.
org/index.
php/JQWH NURSING CARE OF CHILDREN WITH FEBRILE
CONVULSION
WITH
HYPERTHERMIY
NURSING
PROBLEMS IN SRIKANDI ROOM JOMBANG HOSPITAL
Nurul Azizah1.
Faishol Roni2.
Arif Wijaya3.
Imam Fatoni4.
Achmad Wahdi5 1 D3 Nursing.
Akper Bahrul Jombang .
Jombang.
Indonesia 2,3Lecturers.
Akper Bahrul Ulum Jombang.
Indonesia 4 Lecturer at ICME STIKes.
Jombang.
Indonesia 5 Lecturer at Stikes Bahrul Ulum Jombang.
Indonesia Email: 1nurul05102000@gmail.
Received: November 18, 2022.
Accepted: March 14, 2023.
Published: March 20, 2023
ABSTRACT
Background : Febrile seizures are disorders that arise due to an abnormal increase in body temperature (> 38 0 C).
Febrile seizures are often associated with epilepsy and the risk of mental retardation in children.
Until now, the cause of children experiencing febrile seizures cannot be known with certainty.
Most cases of febrile seizures are associated with high fevers that occur due to ear infections, chickenpox, tonsillitis, or flu virus infections.
Method : The design of this research is a case study using the subject of 2 pediatric patients who experienced febrile seizures with hyperthermia nursing problems on the first day, nursing care was carried out 3 consecutive days by providing warm compresses or tepid sponge interventions.
Results : The results showed the problem of hyperthermia with warm compresses or a tepid sponge, the problem was resolved in reducing the increase in body temperature.
Analysis : To carry out nursing care for clients who experience febrile seizures with priority problems of hyperthermia.
Conclution : Warm compresses or tepid sponges can be used in hospitals as additional therapy to lower body temperature.
Keywords: Hyperthermia.
Warm Compress.
Tepid Sponge Journal for Quality in Women's Health | 72 Journal for Quality in Women's Health (JQWH ) INTRODUCTION Febrile seizures are disorders that arise due to an abnormal increase in body temperature .
emperature > 38AC).
Febrile seizures are often associated with epilepsy and the risk of mental retardation in Until now, the cause of children experiencing febrile seizures cannot be known with certainty.
Most cases of febrile seizures are associated with a high fever that occurs with an ear infection, chickenpox, tonsillitis, or a flu virus infection.
In some cases, febrile seizures can also occur after the child is immunized (Makarim, 2.
Hyperthermia is a state of increased body temperature above the body's normal
(SDKI
DPP
PPNI,
Hyperthermia is a condition when an individual experiences or is at risk of experiencing an increase in temperature > 37.
8 0 C orally or > 38.
8 0 C
rectally which is persistent due to external factors (Scientific, 2.
Based on data presented by the World Health Organization (WHO) in 2018, there were more than 2.
165 million sufferers of febrile seizures and more than 2.
16 thousand of them died .
In 2016 in Indonesia the incidence of febrile seizures was 2-5% of which 85% were caused by respiratory tract In 2017, 17.
4% of children had febrile seizures and there was an increase of 2% in 2018 (Windawati & Alfiyanti, 2.
Febrile seizures can result in feelings of excessive fear, emotional trauma and anxiety in parents, recurrent seizures can occur in 25 to 50% of children (Angelia et al.
Based on data obtained at the Jombang Hospital in the last 3 months, 16 children had febrile seizures (Jombang Hospital medical record data, 2.
When a febrile seizure lasts, the child will be at risk of experiencing airway obstruction due to the closure of the pharynx by the tongue.
Airway obstruction can cause decreased oxygen supply to the lungs resulting in impaired tissue perfusion.
Febrile seizures can also cause nursing problems such as hyperthermia which can 73 | Journal for Quality in Women's Health cause increased intracranial pressure (Lilis.
Pharmacological nonpharmacological measures are combined measures for the treatment of patients with febrile seizures.
Its pharmacological action is antipyretic administration.
While the additional action after administration of antipyretics to reduce fever is a nonpharmacological action.
Giving lots of drinks, giving a room with normal temperature, not using thick clothes, and giving warm compresses or tepid sponge therapy are non-pharmacological measures to treat fever (Rahmasari et al, 2.
The aim of the study was to carry out nursing care for children who have febrile seizures with hyperthermia nursing problems using warm compresses or tepid sponge therapy.
METHODS
This research plan uses a case study The subjects of this study were 2 respondents with the criteria of a patient with a medical diagnosis of febrile seizures .
The focus of this case study is a patient who has an increase in body temperature resulting in hyperthermia nursing problems.
The location for taking this case study was carried out in the Srikandi room at the Jombang Hospital on July 25-27 2022 .
Data collection is by interview, observation and documentation study.
RESULTS
The results of the study obtained subjective data for client 1 aged 4 years and client 2 aged 3 who had febrile seizures .
While the objective data obtained by the two clients complained of heat .
Client 1 complains of fluctuating fever for 2 days .
C), cough with phlegm and runny nose and client 2 has had fever up and down for 4 days .
30C), cough with phlegm and runny In theory, febrile convulsions are seizures that occur at high body temperature .
ody temperature above 380C due to intracranial by an increase in body Journal for Quality in Women's Health (JQWH ) temperature (>380C) caused by extracranial processes (Lestari 2.
Nursing actions carried out as independent nursing actions are nonpharmacological therapies which include warm compresses or tepid sponges to provide comfort and reduce body temperature using a cloth or towel dipped in warm water and placed all over the body (Masruroh et al, 2.
Based on the evaluation results that the increase in body temperature of the two clients has been partially resolved, by showing a decrease in body temperature.
DISCUSSION
There is a difference between case
studies and theory because not all of them are prepared or planned because they adjust
problems and priorities according to client
CONCLUSION
The results of the study showed that there was a difference in An V and An B data, namely in patient 1 an increase in body temperature that had occurred 2 days ago, only one seizure lasted 10 minutes, the diagnosis that emerged was hyperthermia related to the disease process.
Patient 2 has an increase in body temperature after playing with his friends, hot since 4 days ago, the diagnosis that appears is hyperthermia related to the disease process with planned interventions of warm compresses or tepid sponges to reduce body Implementation carried out in both patients are:
Monitor body temperature Perform external cooling .
g, warm compresses or tepid sponge.
Recommend laying blinds.
Self preparation:
Greet Wash hands Put a cloth in a basin filled with warm water and then squeeze it Place the cloth on the required body area, wait 5-10 minutes with the results of partially resolved hyperthermia.
REFERENSI