Firman Prastiwi
Nursing Study Program, Faculty of Health Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia

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THE APPLICATION OF RESPIRATORY MUSCLE STRETCHING TECHNIQUES IN ASTHMA PATIENTS WITH INEFFECTIVE BREATHING PATTERNS: A CASE STUDY Ferisa Derry Bunga Sukma; Firman Prastiwi
Journal of Advanced Nursing and Health Sciences Vol. 7 No. 1, Februari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/kn.v7i1.1798

Abstract

Background: Asthma is a chronic inflammatory airway disease that causes the airway to narrow. Asthma patients experience ineffective breathing patterns. To overcome ineffective breathing patterns, the respiratory muscle-stretching technique can be used. The purpose of this study was to determine the increase in oxygen saturation and decrease in respiratory rate after administering the Respiratory Muscle Stretching technique.  Methods: The study used a descriptive, case study design. It involved one asthma patient who experienced ineffective breathing patterns.Results: The case study shows that applying a respiratory muscle-stretching intervention for 1x6 hours, with a training duration of 15 minutes, increased oxygen saturation from 93% to 96% and decreased breathing frequency from 28 times/minute to 24 times/minute.Conclusion: Based on the case study results, respiratory muscle stretching techniques are effective in reducing breathing frequency and increasing oxygen saturation in asthma patients with ineffective breathing patterns.
APPLICATION OF VIRTUAL REALITY (VR) ON PAIN SCALE IN POST-OPERATIVE FRACTURE PATIENTS: A CASE STUDY Yunita Mukti Handayani; Firman Prastiwi
Journal of Advanced Nursing and Health Sciences Vol. 7 No. 1, Februari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/kn.v7i1.1801

Abstract

Background: A fracture is a bone break that is usually caused by trauma or physical force. The force of impact, the condition of the bone, and the soft tissues around it will determine the severity of the fracture. The problem in fracture patients usually arises in postoperative patients, which is pain. The objective of this case study is to understand the nursing care provided to post-operative fracture patients experiencing acute pain through a virtual reality (VR) intervention.Methods: This research is descriptive, using a case study approach of a single patient post-fracture surgery in the Sakura room at Dr. Soeratno Gemolong Regional General Hospital. Case data collection was conducted for 3 consecutive days, from February 12th to 14th, 2025, with a single 15-minute virtual reality (VR) session featuring a video of natural scenery.Results: The study shows that virtual reality (VR) reduces pain scores in post-fracture patients, from 6 (moderate pain) to 3 (mild pain).Conclusion: This virtual reality (VR) intervention is effective in reducing pain levels in post-operative patients.