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Basri Basri
Universitas Prima Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect of Range of Motion (ROM) Exercises on the Occurrence of Neuropathy and Angiopathy Harry Permana Wibowo; Basri Basri
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.5963

Abstract

Ankle ROM training involves two movements: dorsiflexion and plantarflexion, which enhances calf muscle strength and pumping, facilitating venous return and reducing oxygen and nutrient diffusion, thus promoting overall health. This study provides active lower ROM intervention to diabetes mellitus patients twice a day for 6 consecutive days simultaneously. This type of research uses quasi-experimental research using two groups pretest-posttest, namely an experimental design where there are control and intervention groups. The samples in this study were 35, of which 17 samples were for the intervention group and 18 samples were for the control group. The research found that ankle ROM exercises significantly improved the DNE score and ABI value in both the intervention and control groups, with a statistical test result of p = 0.000 in the DNE score. It can be believed that there is a significant difference between the DNE scores of the intervention group, and the control group after doing ankle ROM exercises (p = 0.000), then H0 was rejected or there was an effect of ROM exercises on reducing the risk of neuropathy. Meanwhile, the ABI value showed a statistical test result of p = 0.002 and it can be believed that there is a significant difference between the ABI values of the intervention group and the control group after ankle ROM exercises (p = 0.002), so H0 is rejected or there is an effect of ROM exercises on reducing the risk of Angiopathy.
Nursing Care for XDR-TB Complicated by Infected Bronchiectasis and Malnutrition: A Case Report Robin Ferdiansyah Sitopu; Afeus Halawa; Basri Basri; Murni Aritonang; Fitriyana Br Kaban
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7886

Abstract

Extensively drug-resistant tuberculosis (XDR-TB) presents a formidable challenge, often exacerbated by irreversible structural lung damage and severe malnutrition. Roy’s Adaptation Model (RAM) was employed as the theoretical framework to address the profound physiological and psychosocial disruptions in a high-complexity case. This report describes the integrated, nurse-led management of a patient with XDR-TB and destroyed lung syndrome during the acute stabilization phase. A 39-year-old woman with a decade-long history of TB treatment failure was admitted to a national referral hospital with XDR-TB, profound cachexia (BMI 13.96 kg/m2), and severe hypercapnia (pCO2 94.7 mmHg). During a 72-hour acute stabilization period, integrated nursing-led interventions including the Active Cycle of Breathing Technique (ACBT), therapeutic positioning, and a high-calorie, high-protein regimen resulted in marked clinical improvement. Respiratory stabilization allowed for oxygen weaning from 5 to 4 L/min with an SpO2 increase to 97%. Breaking the catabolic cycle was evidenced by weight stabilization (maintained at 35 kg) and a positive metabolic shift, alongside significantly improved oral intake (80–90% of requirements).. Functional status progressed from total bed rest to independent short-distance ambulation without desaturation. Comprehensive nursing interventions, focusing on airway clearance and acute metabolic stabilization, play a pivotal role in the rapid stabilization of complex XDR-TB cases. Highlighting outcomes within the first 72 hours demonstrates that structured nursing care acts as a catalyst for physiological adaptation, even in the presence of severe anatomical lung destruction.
Co-Authors Afeus Halawa Fitriyana Br Kaban Harry Permana Wibowo Murni Aritonang Robin Ferdiansyah Sitopu