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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Healthcare Nursing Journal
Septa Permana
Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat
Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Effectiveness of Active Cycle of Breathing Technique on Peak Expiratory Flow Following Cardiac Surgery Susy Puspasari; Nyayu Nina Putri Calisanie; Nunung Nurhayati; Septa Permana; Indriyani Lestari
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i3.1031

Abstract

Introduction: Pulmonary dysfunction is a common complication following cardiac surgery, resulting from reduced lung expansion, postoperative pain, secretion retention, and impaired ventilation. These complications may delay recovery and increase the risk of pulmonary morbidity. The Active Cycle of Breathing Technique (ACBT) has been recommended as a pulmonary rehabilitation strategy to improve airway clearance and restore lung function; however, evidence regarding its effectiveness in Indonesian postoperative cardiac patients remains limited. Objective: To evaluate the effectiveness of the Active Cycle of Breathing Technique (ACBT) in improving peak expiratory flow (PEF) among patients after cardiac surgery. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 114 adult patients who underwent cardiac surgery at the General Intensive Care Unit of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Participants were recruited using accidental sampling. ACBT was administered for four consecutive postoperative days. Peak expiratory flow was measured using a peak flow meter before the intervention on postoperative day 1 and after completion of the intervention on postoperative day 4. Data were analyzed using descriptive statistics and paired t-test. Results: The mean peak expiratory flow increased significantly from 228.30 ± 32.6 L/min before the intervention to 442.32 ± 43.7 L/min after four days of ACBT. Paired t-test analysis demonstrated a statistically significant improvement in PEF following the intervention (p < 0.001). A strong positive correlation was observed between pretest and posttest measurements (r = 0.786, p = 0.001). Conclusion: ACBT significantly improved peak expiratory flow in patients after cardiac surgery. Incorporating ACBT into routine postoperative pulmonary rehabilitation may facilitate recovery of lung function and support early postoperative respiratory management.
Family Experiences with Patient Care Using Ventilators in the ICU Septa Permana; Sri Hendrawati; Aam Amaliah; Lili Sali; Mardiana Mochamad Ramdan
HealthCare Nursing Journal Vol. 8 No. 1 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i1.7565

Abstract

Family members of patients receiving mechanical ventilation in the Intensive Care Unit (ICU) often experience significant emotional and psychological distress. The highly technological environment, limited patient access, and uncertainty regarding prognosis can profoundly affect family experiences and coping processes. This study aimed to explore family experiences during ICU care for patients receiving ventilator support. A qualitative descriptive study was conducted using Focus Group Discussions (FGDs) involving six family members of mechanically ventilated patients in the ICU of Welas Asih Regional General Hospital. Participants were selected using purposive sampling. Data were analyzed using thematic analysis to identify recurring patterns and meanings in family experiences. Five major themes emerged: (1) emotional shock at the initiation of ventilator use, characterized by fear, anxiety, sadness, and trauma; (2) uncertainty and psychological burden related to unclear diagnosis, limited patient interaction, and lack of regular information; (3) generally positive communication with healthcare professionals, though families desired more structured and routine updates; (4) firm hopes for patient recovery, rapid clinical response, and humane care; and (5) the need for comprehensive support, including emotional, informational, spiritual, social, and financial support. Family experiences during ventilator-assisted ICU care are complex and multidimensional. Implementing a comprehensive family-centred care approach, particularly through structured communication and holistic family support, is essential to improve family well-being and the quality of critical care services.
Preventing Ventilator Associated Pneumonia (VAP) in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) Septa Permana; Sri Hendrawati; Herdiman Permana; Aam Amaliah; Agus Hendra
HealthCare Nursing Journal Vol. 7 No. 2 (2025): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i2.6527

Abstract

Ventilator-associated Pneumonia (VAP) is a lung infection that occurs in patients who use mechanical ventilation for breathing. Neonates and children with respiratory distress who require mechanical ventilation have a higher risk of developing VAP. Neonates and children using breathing apparatus in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) are prone to Ventilator Associated Pneumonia (VAP). Therefore, VAP prevention should be considered one of the most important issues in NICU and PICU care. This study aims to identify VAP prevention efforts in the NICU and PICU. The research design used in this study was descriptive qualitative. This study's sampling technique used the Focus Group Discussion (FGD) with six nurse participants who worked in the NICU and PICU of a regional public hospital in Bandung using a semi structured interview format. Data were analyzed using thematic analysis. Three main themes describe implementing VAP prevention efforts in the NICU and PICU. The first theme concerns VAP prevention efforts that are still not optimal. Some VAP prevention measures implemented include hand washing, gloves usage, sterile suctioning techniques, head up 30-45 degrees, and oral hygiene. At the same time, other actions have not been routinely carried out. The second theme is the existence of barriers to implementing VAP prevention, and the third theme is related to the need to increase the capacity of nurses and support facilities. Based on the study's results, nurses revealed that the implementation of the VAP prevention program in the NICU and PICU had not run optimally, one of which could be caused by limited infrastructure and nurses' competence. Thus, it is necessary to increase the knowledge and skills of nurses related to VAP and provide adequate infrastructure.
Co-Authors Aam Amaliah Aam Amaliah Agus Hendra Herdiman Permana Indriyani Lestari Lili Sali Nunung Nurhayati Nyayu Nina Putri Calisanie Ramdan, Mardiana Mochamad Sri Hendrawati Susy Puspasari