Arum Winantu
Universitas Aisyiyah Yogyakarta

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Application of deep breathing relaxation technique in a child with acute pain following laparotomy for obstructive ileus: A case study Arum Winantu; Istinengtyas Tirtasuminar
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4211

Abstract

Background: Obstructive ileus is a gastrointestinal emergency caused by mechanical obstruction of the intestinal tract and may require surgical intervention. Acute postoperative pain is one of the common problems following laparotomy and may interfere with comfort, mobility, and recovery. Purpose: To describe comprehensive nursing care for a child following laparotomy for obstructive ileus with acute pain as the primary nursing diagnosis and to describe the application of deep breathing relaxation as a complementary intervention for pain management. Method: This study used a descriptive case study approach. Data were collected through interviews, observation, physical examination, documentation, and medical record review. Nursing care was developed according to the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Results: The patient was a 9-year-old boy who reported postoperative pain with an intensity of 5 on the Numeric Rating Scale (NRS). The patient demonstrated grimacing, protective behavior toward the surgical wound, and anxiety during movement. After three days of nursing care combining pharmacological therapy and deep breathing relaxation, pain intensity decreased from 5 to 4. The patient appeared more relaxed, showed reduced grimacing and protective behavior, and was able to perform the deep breathing relaxation technique independently. Conclusion: Deep breathing relaxation provided positive complementary effects in managing acute postoperative pain in this pediatric patient. Although pain was not completely resolved, the intervention was associated with reduced pain intensity and improved behavioral responses and pain-control ability.
Pengaruh Penyuluhan Perineal Hygiene Terhadap Perilaku Pencegahan Fluor albus Pada Remaja Putri di PP AL-Munawwir (MTS EL-Muna Q) Arum Winantu; Dwi Sri Handayani; Diah Nur Anisa
Journal of Health Educational Science And Technology Vol. 8 No. 1 (2025): J-HESTECH (Journal Of Health Educational Science And Technology)
Publisher : Faculty of Health Sciences , Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/htc.v8i1.10195

Abstract

Abstrak: Fluor albus merupakan salah satu masalah kesehatan reproduksi dengan prevalensi tinggi menurut WHO 75 % wanita dunia mengalami fluor albus setidaknya sekali dalam seumur hidup. Penyebab fluor albus di Indonesia adalah perilaku pencegahan yang tidak adekuat. Dampaknya wanita indonesia wanita rentan terkena fluor albus. Hal tersebut dapat diatasi dengan meningkatkan pengetahuan terhadap perilaku pencegahan fluor albus melalui penyuluhan perineal hygiene. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan perineal hygiene terhadap perilaku pencegahan fluor albus pada remaja putri di pondok pesantren. Metode : Penelitian ini dilakukan pada tanggal 21 Februari sampai dengan 28 Februari 2025 di Pondok Pesantren Al-Munawwir (MTS EL-Muna Q) penelitian ini menggunakan pre experimental design dengan rancangan one group pretest-pottest design. Populasi dalam penelitian ini adalah remaja putri kelas VIII Mts El-Muna Q sejumlah 47 remaja. Teknik sampling yang digunakan dalam penelitian ini adalah non-probability sampling (total sampling). Dengan kriteria inklusi remaja putri yang bersedia menjadi responden. Alat pengumpulan data menggunakan kuesioner perilaku pencegahan fluor albus. Analisa data menggunakan uji Wilcoxon Sign Rank Test. Hasil : berdasarkan uji statistik Wilcoxon Sign Rank Test diperoleh nilai mean pre-test 40,32 dan nilai mean post-test 43,70 serta nilai p-value 0.000 kurang dari 0.05, sehingga dapat ditarik kesimpulan bahwa hipotesis diterima artinya ada pengaruh penyuluhan perineal hygiene terhadap perilaku pencegahan fluor albus pada remaja putri. Hal tersebut terjadi karena setelah diberikan penyuluhan pengetahuan remaja putri meningkat. Kesimpulan : Ada pengaruh penyuluhan perineal hygiene terhadap perilaku pencegahan fluor albus pada remaja putri di pondok pesantren. Kata Kunci: Fluor Albus, Penyuluhan, Perineal Hygiene, Pondok Pesantren Abstrack : Fluor albus is one of the reproductive health problems with high prevalence according to WHO, 75% of women in the world experience fluor albus at least once in their lifetime. The cause of fluor albus in Indonesia is inadequate prevention behavior. The impact is that Indonesian women are susceptible to fluor albus. This can be overcome by increasing knowledge of fluor albus prevention behavior through perineal hygiene counseling. Objective: This study aims to determine the effect of perineal hygiene counseling on fluor albus prevention behavior in adolescent girls in Islamic boarding schools. Method: This study was conducted from February 21 to February 28, 2025 at the Al-Munawwir Islamic Boarding School (MTS EL-Muna Q) this study used a pre-experimental design with a one group pretest-pottest design. The population in this study were 47 adolescent girls in grade VIII of Mts El-Muna Q. The sampling technique used in this study was non-probability sampling (total sampling). With the inclusion criteria of adolescent girls who were willing to be respondents. The data collection tool used a fluor albus prevention behavior questionnaire. Data analysis using the Wilcoxon Sign Rank Test. Results: based on the Wilcoxon Sign Rank Test statistical test, the mean pre-test value was 40.32 and the mean post-test value was 43.70 and the p-value was 0.000 less than 0.05, so it can be concluded that the hypothesis is accepted, meaning that there is an effect of perineal hygiene counseling on fluor albus prevention behavior in adolescent girls. This happens because after being given counseling, the knowledge of adolescent girls increased. Conclusion: There is an effect of perineal hygiene counseling on fluor albus prevention behavior in adolescent girls in Islamic boarding schools Keyword: Fluor Albus, Counseling, Perineal Hygiene, Islamic Boarding School