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PENERAPAN TEKNIK SPIRITUAL EMOTIONAL BREATHING (SEB) SEBAGAI METODE DALAM MENINGKATKAN FUNGSI RESPIRASI PADA PASIEN TUBERCULOSIS PARU: THE EFFECT OF SPIRITUAL EMOTIONAL BREATHING (SEB) TECHNIQUE AS A METHOD TO IMPROVE RESPIRATORY FUNCTION IN PATIENTS WITH PULMONARY TUBERCULOSIS Loya, Sindi Rambu Podu; Santoso, Shelfi Dwi Retnani Putri; Irma; Ledju, Asrial; Ora, Anderias Tara Watu; Agustine, Uly; Paju, Wanto
WELL BEING Vol 9 No 1 (2024): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v9i1.240

Abstract

Pulmonary tuberculosis (TB) is one of the leading causes of death from infections worldwide. Pulmonary TB is caused by the bacterium Mycobacterium tuberculosis, which can cause inflammation affecting the lung parenchyma. The entry of the bacteria triggers an inflammatory response that damages the alveolar-capillary membrane, leading to impaired lung expansion due to fluid accumulation, which in turn affects respiratory system function. To address respiratory function issues in pulmonary TB, one solution is the application of spiritual emotional breathing (SEB). This study aims to determine the effect of the SEB technique on optimizing respiratory function in pulmonary TB patients. The design used is a quasi-experimental design with a one-group pre-test and post-test with control group design. The sample consisted of 40 respondents, divided into 2 groups: control and intervention, each with 20 respondents, selected using convenience sampling. The intervention provided was SEB according to the SOP, and the measurement of RR and SpO2 was conducted using observation and oximetry. Data analysis was performed using t-tests and Wilcoxon tests. The results showed p = 0.251 in the treatment group and p = 0.353 in the control group, indicating that this intervention did not have a significant effect on RR. However, the SpO2 results showed p = 0.001 in the treatment group, indicating a significant effect of SEB on SpO2, whereas p = 0.518 in the control group. SEB improves respiration, such as lung capacity and gas exchange.
Implementasi Fisioterapi Dada terhadap Masalah Bersihan Jalan Nafas Tidak Efektif pada Pasien Pneumonia: Implementation of Chest Physiotherapy for Ineffective Airway Clearance Issues in Pneumonia Patients Moy, Julian Magdalena; Santoso, Shelfi Dwi Retnani Putri; Paju, Wanto
Jurnal Keperawatan Sumba (JKS) Vol. 2 No. 2 (2024): Jurnal Keperawatan Sumba (JKS)
Publisher : Program Studi Keperawatan Waikabubak, Politeknik Kesehatan Kementerian Kesehatan Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jks.v2i2.1440

Abstract

Pneumonia adalah suatu penyakit infeksi yang dapat menyebabkan kematian, seringkali muncul di negara-negara berkembang. Penyakit ini menyerang saluran pernapasan bagian bawah dan menunjukkan gejala berupa batuk dan kesulitan bernafas. Permasalahan keperawatan yang sering timbul pada pasien pneumonia adalah kurang efektifnya pembersihan saluran napas akibat akumulasi sekret berlebihan. Beberapa solusi telah diidentifikasi untuk mengatasi masalah ini, termasuk melakukan fisioterapi dada dan mengajarkan teknik batuk yang efektif. Tujuan penelitian ini adalah untuk menggambarkan asuhan keperawatan medikal bedah pada pasien pneumonia yang mengalami kesulitan membersihkan saluran nafas. Metode penelitian yang digunakan adalah kombinasi studi literatur dan studi kasus. Data dikumpulkan melalui Google Scholar dan Semantic Scholar dengan kata kunci bersihan saluran nafas, sekret, sputum, dan pneumonia. Studi melibatkan satu responden dalam kasus studi, yang memenuhi kriteria sebagai pasien pneumonia dengan kesadaran kompos mentis, mengalami sesak napas ringan, dan tanpa komplikasi berat. Selama tiga hari, dilakukan asuhan keperawatan dan intervensi fisioterapi dada. Hasil penelitian menunjukkan bahwa setelah tiga hari, frekuensi pernafasan menurun dari 28x/menit menjadi 20x/menit, SPO2 mencapai 99%, pasien merasa nyaman, dan tidak ada keluhan batuk. Kesimpulan dari penelitian ini adalah bahwa fisioterapi dada dan teknik batuk efektif dapat membantu mengatasi akumulasi sekret pada pasien pneumonia. Selain itu, kolaborasi antara perawat dan dokter penting untuk menentukan penggunaan mukolitik atau terapi medis lainnya.
KELOMPOK PENDUKUNG ASI ( KP-ASI ) EKSLUSIF SUKSES DI KELURAHAN DIRA TANA, SUMBA BARAT Paju, Wanto; Dewa, Alpian Umbu; Lende, Julianus; Riti, Dessy Natalia; Santoso, Shelfi Dwi Retnani Putri
Jurnal Pengabdian kepada Masyarakat (NADIMAS) Vol 3 No 1 (2024): Jurnal Pengabdian kepada Masyarakat (Nadimas)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31884/nadimas.v3i1.29

Abstract

Kelompok Pendukung ASI Eksklusif (KP-ASI) diharapkan meningkatan peran dan fungsi kader posyandu melalui pelatihan konselor ASI. Pendampingan pada kader posyandu selama proses pelaksanaan kegiatan. Monitoring dan evaluasi oleh tim pengabmas terhadap KP-ASI yang telah dibentuk. Dalam rangka mewujudkan hal tersebut salah satu upayanya adalah dibentuknya. Kelompok Pendukung ASI Eksklusif merupakan kelompok pendukung ibu untuk dapat menyusui bayinya. Seorang ibu yang memiliki pengalaman menyusui akan memberikan informasi, pengalaman dan menawarkan bantuan kepada ibu lainnya dalam kondisi saling percaya dan menghargai. Peserta Kelompok Pendukung ASI Eksklusif adalah ibu menyusui dan mereka mengeksplorasi beberapa pilihan yang mendukung keberhasilan menyusui. Metode pengabmas sosialisasi Program KP-ASI Eksklusif Pelatihan/Penyuluhan dan Pendampingan, Monitoring dan Evaluasi, Evaluasi Kegiatan
Peran Pokja Napi dalam Memotivasi PHBS Penghuni Lapas Sebagai Strategi Preventif Bebas TBC di Lembaga Pemasyarakatan Sumba Barat Santoso, Shelfi Dwi Retnani Putri; Agustine, Uly; Paju, Wanto; Budiyanto, Irwan Bahar
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.300

Abstract

Tuberkulosis (TBC) merupakan salah satu penyakit menular yang masih menjadi masalah kesehatan global, termasuk di Indonesia. Pengabdian masyarakat ini bertujuan untuk mengoptimalkan peran Kelompok Kerja (Pokja) Narapidana (Napi) dalam memotivasi Perilaku Hidup Bersih dan Sehat (PHBS) di Lembaga Pemasyarakatan (Lapas) sebagai strategi preventif untuk bebas TBC. Metode yang digunakan adalah pelatihan dan edukasi kepada Pokja Napi mengenai pencegahan TBC dan PHBS, yang kemudian dilanjutkan dengan simulasi edukasi oleh Pokja Napi kepada penghuni lapas lainnya. Hasil pengabdian masyarakat menunjukkan bahwa dari total 12 peserta Napi, 8% berada dalam kategori pengetahuan baik, 58% berada dalam kategori cukup, dan 34% berada dalam kategori kurang pada pre-test. Namun, pada hasil post-test, pengetahuan kategori baik meningkat sebesar 100%. Peran aktif Pokja Napi dalam mempromosikan PHBS dapat meningkatkan kesadaran dan pengetahuan penghuni lapas mengenai pencegahan TBC. Dukungan dari pihak lapas dan tenaga medis sangat penting untuk keberhasilan program ini. Evaluasi berkala diperlukan untuk memastikan efektivitas dan keberlanjutan program. Model intervensi ini juga direkomendasikan untuk direplikasi di lapas lain dengan risiko tinggi penularan penyakit.
Dampak Stigma Sosial Pada Keluarga Dengan Kelahiran Luar Nikah Terhadap Kejadian Stunting di Sumba Barat Daya: THE IMPACT OF SOCIAL STIGMA ON FAMILIES WITH BIRTHS OUT OF WEDLOCK ON STUNTING INCIDENCES IN SOUTHWEST SUMBA Paju, Wanto; Agustine, Uly; Dewa, Alphian Umbu; Bata, Verayanti Albertina; Santoso, Shelfi Dwi Retnani Putri
WELL BEING Vol 9 No 2 (2024): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v9i2.312

Abstract

Latar belakang: Hasil survei status gizi Indonesia melaporkan bahwa angka stunting terus mengalami penurunan, tahun 2021 berada pada angka 24.4 % dan 21.6 % di tahun 2022, angka ini belum menyentuh target yang ditetapkan dalam rencana pembangunan jangka menengah nasional (RPJMN) yakni: 14 % (Bappenas, 2020). Nusa Tenggara Timur berada pada peringkat pertama angka stunting tertinggi di Indonesia yakni : 37.8 % di tahun 2021 (Kemenkes, 2022). Sumba Barat Daya  berada pada posisi ke empat prevalensi balita stunting tertinggi di NTT, yakni : 44.0 % (2). Di sisi lain proporsi perempuan usia 10 – 19 tahun pernah hamil sebanyak 58.8 % dan 25.2 % sedang hamil . BKKBN NTT melalui  e-koran ntt.com melaporkan, jumlah remaja perempuan yang hamil luar nikah dan melahirkan tanpa suami adalah 20 orang per 1000 remaja perempuan. Kelahiran luar nikah, oleh masyarakat Indonesia dianggap sebagai perilaku menyimpang karena melanggar norma sosial dan merupakan aib sehingga tidak jarang remaja yang hamil luar nikah di stigma negatif lingkungan sosialnya akibatnya kelahiran luar nikah sering mendapat penolakan dari keluarga, perawatan kehamilan berkurang dan butuh waktu untuk menerima bayi. Tujuan menjelaskan dampak stigma sosial pada keluarga dengan kelahiran luar nikah terhadap kejadian stunting di Sumba Barat Daya. Metode penelitian ini menggunakan metode kualitatif pendekatan fenomenologi deskriptif,teknik pengolahan dan analisis data analisis data bentuk Colaizzi. Hasil penelitian yakni empat tema dengan dilakukan analisis data yakni stigma sosial: perasaan malu, rendah diri, dan terisolasi, dukungan sosial: kurangnya dukungan dari keluarga dan masyarakat,akses terhadap layanan: kesulitan dalam mengakses layanan kesehatan dan sosial, harapan dan mimpi: keinginan untuk memberikan yang terbaik bagi anak dan memperbaiki kualitas hidup
Kombinasi Aerobic Training Dengan Eksternal Diafragma Pacing Dalam Meningkatkan Ventilasi Pada PPOK: The Combination of Aerobic Training and External Diaphragm Pacing in Improving Ventilation in COPD Patients N.D. Londong, Elisabeth; Santoso, Shelfi Dwi Retnani Putri; Paju, Wanto
Jurnal Keperawatan Sumba (JKS) Vol. 3 No. 2 (2025): Jurnal Keperawatan Sumba (JKS)
Publisher : Program Studi Keperawatan Waikabubak, Politeknik Kesehatan Kementerian Kesehatan Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jks.v3i2.1893

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a respiratory condition caused by air pollution and is one of the leading causes of morbidity and mortality worldwide. This condition results in air trapping/retention and impaired gas exchange, leading to symptoms such as dyspnea, coughing, excessive sputum production, and ventilation disturbances in COPD patients. Ventilation disturbances cause reduced energy reserves, making individuals unable to breathe adequately. Objective: To describe the implementation of a combination of aerobic training and external diaphragm pacing in improving ventilation in COPD patients. Methods: This case study used a descriptive method involving two respondents. The inclusion criteria were patients diagnosed with COPD, aged 60–70 years, fully conscious (compos mentis), hospitalized for at least three days, and experiencing mild respiratory function disorders. Nursing care and interventions included aerobic training exercises and diaphragm pacing implemented over three days. Results: After three days of nursing care, the respiratory rate of patient 1 decreased from 28 breaths/min to 21 breaths/min with an SpO2 of 98%, and the patient reported feeling relaxed and free from dyspnea. Similarly, patient 2’s respiratory rate decreased from 27 breaths/min to 22 breaths/min with an SpO2 of 99%, and the patient also reported no dyspnea and feeling relaxed. Conclusion: Aerobic training and diaphragm pacing effectively improve expiratory muscle function, ensuring sufficient oxygen supply to tissues. Recommendation: Aerobic training and diaphragm pacing should be practiced regularly to maintain heart and lung health..
Strategi Prone Position Dan Breathing Exercise Dalam Menurunkan Sesak Napas Pada Pasien Pneumonia: Strategy Of Prone Position And Breathing Exercise To Reduce Shortness Of Breath In Pneumonia Patients Ledju, Asrial; Santoso, Shelfi Dwi Retnani Putri; Paju, Wanto
Jurnal Keperawatan Sumba (JKS) Vol. 3 No. 1 (2024): Jurnal Keperawatan Sumba (JKS)
Publisher : Program Studi Keperawatan Waikabubak, Politeknik Kesehatan Kementerian Kesehatan Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jks.v3i1.1896

Abstract

Pneumonia is a significant health threat as it is frequently listed among the top ten leading causes of death. Some reports even indicate that pneumonia is the third leading cause of death after tuberculosis (TB). Common symptoms of pneumonia include cough and shortness of breath. To address the issue of shortness of breath in pneumonia patients, one solution is the application of prone positioning and breathing exercises. Objective: To describe the application of prone positioning and breathing exercises in reducing shortness of breath in pneumonia patients. Method: This descriptive case study included two respondents selected through purposive sampling. The criteria included patients diagnosed with pneumonia, aged 20-60 years, with a clear consciousness, hospitalized for at least three days, experiencing mild to moderate respiratory dysfunction, and without severe complications. Nursing care and the interventions of prone positioning and breathing exercises were conducted over three days. Results: After three days of nursing interventions, patient 1's respiratory rate decreased from 28 breaths per minute to 24 breaths per minute, with SpO2 reaching 98%. The patient felt relaxed and did not report shortness of breath. In patient 2, the respiratory rate decreased from 26 breaths per minute to 20 breaths per minute, with SpO2 also reaching 98%. The patient also felt relaxed and did not report shortness of breath. Conclusion: The application of prone positioning and breathing exercises can improve respiratory rates and reduce shortness of breath in pneumonia patients. This is because these interventions help enhance breathing, oxygen saturation, and lung function, thereby reducing the degree
Menumbuhkan Literasi Tuberkulosis melalui Simak Ya (Sinergi Mahasiwa Keperawatan dan Kader Berdaya) Metode Ketuk Pintu di Kelurahan Dira Tana Kabupaten Sumba Barat NTT Santoso, Shelfi Dwi Retnani Putri; Agustine, Uly; Paju, Wanto; Hamid, Hamid
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21122

Abstract

ABSTRAK Tuberkulosis (TBC) merupakan salah satu penyakit menular yang masih menjadi masalah kesehatan global, termasuk di Indonesia. Tahun 2023 di Puskesmas Weekaro menyumbang kasus TBC sebanyak 57 kasus, Kelurahan Dira tana masuk dalam 3 besar kasus TBC terbanyak dan terdapat kasus Putus Obat. Program pengabdian kepada masyarakat "SiMaK Ya" (Sinergi Mahasiswa Keperawatan dan Kader Berdaya) dilaksanakan bertujuan untuk menumbuhkan literasi TBC di Masyarakat Kelurahan Dira Tana, sehingga mampu melakukan pencegahan maupun runtin dalam pengobatan. Metode yang digunakan adalah pelatihan dan edukasi kepada Mahasiswa, Kader Kesehatan, PMO, dan Perangkat Desa mengenai pencegahan TBC dan pengobatan TBC, yang kemudian dilanjutkan dengan simulasi edukasi oleh peserta kepada masyarakat Kelurahan Dira Tana melalui metode ketuk pintu yang didampingi oleh Koordinator TB Puskesmas. Hasil pengabdian masyarakat menunjukkan bahwa dari total 25 Peserta, meliputi 20 mahasiswa, 1 orang Kader, 2 orang PMO, 2 orang Perangkat Desa, adanya peningkatan pengetahuan 28% berada dalam kategori pengetahuan baik, 52% berada dalam kategori cukup, dan 20% berada dalam kategori kurang pada pre-test. Namun, pada hasil post-test, pengetahuan kategori baik meningkat sebesar 100%. Peran aktif Kerjasama antara mahasiswa, kader Kesehatan dan PMO dapat meningkatkan kesadaran dan pengetahuan masyarakat mengenai pencegahan dan kepatuhan pengobatan TBC. Dukungan dari pihak Desa dan tenaga medis sangat penting untuk keberhasilan program ini. Evaluasi berkala diperlukan untuk memastikan keberlanjutan dan efektivitas program diharapkan berkontribusi dalam penurunan jumlah kasus TBC. Kata Kunci: Kader, Literasi, Pencegahan, Pengobatan, Pelatihan, TBC  ABSTRACT Tuberculosis (TB) remains one of the most serious infectious diseases and continues to be a global public health concern, including in Indonesia. In 2023, the Weekaro Public Health Center (Puskesmas Weekaro) reported 57 TB cases, with Dira Tana Village ranking among the top three areas with the highest number of cases, including instances of treatment interruption. The community service program "SiMaK Ya" (Synergy of Nursing Students and Empowered Health Cadres) was implemented with the aim of enhancing TB literacy among the residents of Dira Tana Village, thereby empowering them to engage in both prevention and consistent treatment of TB. The method applied involved training and educational sessions provided to nursing students, health cadres, TB treatment supervisors (PMOs), and local government officials on TB prevention and treatment strategies. This was followed by a door-to-door health education simulation conducted by the participants, supervised by the TB program coordinator from the Puskesmas. The results of the community service indicated that among the 25 participants, which included 20 students, 1 health cadre, 2 PMOs, and 2 village officials, there was a significant improvement in knowledge levels. Prior to the intervention (pre-test), 28% demonstrated good knowledge, 52% had moderate knowledge, and 20% were in the poor knowledge category. However, post-intervention (post-test) results showed that 100% of participants had achieved a good level of knowledge. The active collaboration between students, health cadres, and PMOs significantly contributed to raising community awareness and understanding of TB prevention and treatment adherence. Support from local authorities and healthcare professionals was crucial to the program’s success. Regular evaluations are essential to ensure the sustainability and effectiveness of the program, which is expected to contribute to the reduction of TB cases in the area. Keywords: Health Cadre, Literacy, Prevention, Adherence, Training, Tuberculosis
Theory of Planned Behavior’s Method on Knowledge and Preventive Behavior Toward Tuberculosis Agustine, Uly; Santoso, Shelfi Dwi Retnani Putri; Mugianti, Sri; Suprajitno, Suprajitno; Paju, Wanto; Hamid, Hamid; Widyastutik, Otik
JURNAL INFO KESEHATAN Vol 23 No 3 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss3.1907

Abstract

Tuberculosis (TB) is an infectious disease that has become a global health concern, with Indonesia being the country with the second-highest number of pulmonary TB cases after India. The level of knowledge and preventive behavior regarding TB significantly influences both the spread and the success of TB treatment. This study aims to evaluate the impact of health education based on the Theory of Planned Behavior (TPB) on TB prevention knowledge and behavior among patients. The study design utilized a quasi-experimental approach with control and intervention groups, where the intervention was administered through face-to-face education and followed by smart chat support sessions for one month. A total of 50 respondents participated, divided into treatment and control groups. Data analysis employed the Wilcoxon Signed Ranks Test and Mann-Whitney tests. The study results show that the statistical analysis indicated a significant improvement in knowledge and preventive behavior in the intervention group post-intervention (p=0.000), while the control group showed no significant change. The finding of this this improvement suggests that TPB-based interventions, which encompass attitudes, subjective norms, and perceived behavioral control, are effective in influencing health behavior changes. The conclusion is TPB-based health education through face-to-face sessions and smart chat follow-ups can be recommended as an intervention strategy to enhance TB prevention knowledge and behavior among high-risk populations.        
PENERAPAN FIVE-FINGER RELAXATION TECHNIQUE UNTUK MENURUNKAN ANXIETY PADA PASIEN STROKE NON-HEMORAGIK: APPLICATION OF THE FIVE-FINGER RELAXATION TECHNIQUE TO REDUCE ANXIETY IN NON-HEMORRHAGIC STROKE PATIENTS Nora Ngaji Pige, Delsiana; Dwi Retnani Putri Santoso, Shelfi; Paju, Wanto; Agustine, Uly
WELL BEING Vol 10 No 1 (2025): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v10i1.335

Abstract

Background: Stroke is one of the leading causes of death and disability worldwide. The most common type of stroke is non-hemorrhagic stroke, which is a disruption in blood flow to the brain due to a blockage that causes brain tissue damage. Non-hemorrhagic stroke patients often experience anxiety due to physical and mental changes, as well as uncertainty about the healing process. One non-pharmacological intervention that can reduce anxiety levels is the five-finger relaxation technique. Objective: To describe the application of the five-finger relaxation technique to reduce anxiety levels in non-hemorrhagic stroke patients. Methods: This descriptive study used a case study method on two non-hemorrhagic stroke patients with anxiety at Waikabubak Regional Hospital. The intervention was administered for three days. Results: Patient 1 showed a decrease in respiratory rate from 24x/minute to 20x/minute, blood pressure from 160/97 to 135/87 mmHg, and anxiety score from 51 (moderate) to 38 (mild). The patient looked more relaxed, enthusiastic, comfortable, and no tremors. Patient 2 showed a decrease in respiratory rate from 23x/minute to 18x/minute, blood pressure from 157/95 to 130/70 mmHg, and anxiety score from 53 (moderate) to 42 (mild). The patient looked calmer and less pale. Conclusion: The five-finger relaxation technique is effective in reducing anxiety and stabilizing vital signs, especially respiratory rate, in non-hemorrhagic stroke patients by calming the nervous system, this therapy helps patients feel calmer and supports the healing process without interfering with other medical therapies. Suggestion: The application of the five-finger relaxation technique should be done if feeling anxious and stressed to reduce anxiety in non-hemorrhagic stroke patients.