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All Journal Jurnal Keperawatan Indonesia Jurnal CARE JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Muhammadiyah Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Journal of Nursing Care Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Media Karya Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medika Cendikia (e-Journal) Malahayati International Journal of Nursing and Health Science Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL KESEHATAN BHAKTI HUSADA Jurnal Abdi Insani Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Sains Kesehatan Jurnal Ilmu Keperawatan Indonesia (JIKPI) MAHESA : Malahayati Health Student Journal Jurnal EduHealth The Journal of Palembang Nursing Studies Jurnal Pengabdian Masyarakat DEDIKASI SENTRI: Jurnal Riset Ilmiah Jurnal Keperawatan 'Aisyiyah JOURNAL OF Mental Health Concerns Jurnal Kesehatan Kartika Jurnal Medika Nusantara Jurnal Riset Ilmiah Quantum Wellness : Jurnal Ilmu Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Medical-Surgical Journal of Nursing Research Jurnal Ilmiah Kesehatan Keperawatan PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Nursing Case Insight Journal Jurnal Ilmiah Ilmu Kesehatan
Sandra Pebrianti
Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjadjaran, Indonesia.
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Pain management in postoperative bone fracture patients: A systematic scoping review Nurjanah, Siti; Mulyana, Aep Maulid; Arhustia, Hesti Dina; Ayuningsih, Risna; Fazriyyah, Yuni Fuji; Rahayu, Urip; Pebrianti, Sandra; Arifin, Hidayat
The Journal of Palembang Nursing Studies Vol. 2 No. 2 (2023): May 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns23

Abstract

Background: A fracture is a condition in which the continuity of bone tissue is broken, causing stress and pain during the healing process. Therefore, the management of pain in postoperative bone fracture patients should be addressed.. Objective: The aim is to identify interventions for managing pain in patients with postoperative bone fractures. Design: A systematic scoping review. Data Sources: The search process was conducted from March 8 to March 15, 2022, using the following databases: PubMed, CINAHL, and Science Direct. Review Methods: PRISMA flowcharts were used for the systematic review. Articles published in the last five years (2018-2022) were included, focusing on full-text articles, randomized controlled trials (RCTs), and cohort studies that discussed the topic of postoperative pain management in fracture patients. The search yielded a total of 4,324 articles from the four databases. After screening by year, 819 articles were obtained. Based on the full text and abstracts of 432 articles, and applying exclusion and inclusion criteria, five articles were selected.  Results: The five articles demonstrated that pain management in postoperative bone fracture patients can be achieved through various pharmacological approaches, including peripheral nerve block anesthesia, antioxidants (vitamin C), intravenous tranexamic acid, intravenous dexamethasone, and the use of calculators and comprehensive pain plans as management tools. Conclusions: This study recommends that healthcare professionals apply and further develop the findings as a pain management strategy for postoperative bone fracture patients. 
Post-operative pain management with non-pharmacological interventions in patients undergoing breast cancer surgery: A systematic scoping review Hikmat, Rohman; Rahayu, Urip; Pebrianti, Sandra; Cahyani, Eka Maulidya; Sari, Cindy Puspita; Afrilia, Ghea
The Journal of Palembang Nursing Studies Vol. 1 No. 3 (2022): September 2022
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns.v1i3.24

Abstract

Background: Breast cancer become the most incident of cancer among women, especially in Indonesia. Non-pharmacological therapy becomes the additional intervention to address the pain after breast cancer surgery. Objective: The purpose of this study was to determine various non-pharmacological therapeutic interventions that can be performed in pain management in post-operative breast cancer patients. Design: The design used in this literature review is a systematic scoping review. Data Sources: This study used a scoping review system where after obtaining articles from three databases there are CINAHL, Pubmed, and Proquest. Review Methods: The articles will be synthesized and assessed using the clinical appraisal tools of Joanna Briggs Institute (JBI). JBI version of Randomized controlled trial. Results: From the total of 577 articles searched in the database, we obtained seven articles included in the study. The interventions to reduce pain include music therapy and progressive muscle relaxation therapy, acupuncture, foot reflexology, massage and meditation, autology, mindfulness-based cognitive therapy (MBCT), and neuromuscular taping on musculoskeletal (NMT). Apart from relieving pain various interventions that can be done can improve well-being, reduce stress, and reduce the length of treatment or treatment. Conclusions: The result of this study can be an additional intervention that can be applied by nurses and other health care workers.
The Green School Movement is Promoting Food Security Through Hydroponics at SMP Negeri 1 Rancaekek Shalahuddin, Iwan; Rosidin, Udin; Pebrianti, Sandra
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 1 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i1.6166

Abstract

Indonesia is an agrarian country where practically every area may open agricultural land to grow crops for all sorts of agricultural goods. Food security is one of the important challenges in a country's growth. To accomplish food security. Green schools serve as both educational institutions and forums for raising awareness about the necessity of environmental protection and food sustainability. The objective of the service is to teach students about the necessity of conserving the environment via the use of sustainable agriculture technologies. The technique is structured in four stages: educational approach, learning process, direct practice, and evaluation of results. The outcomes of the service and socialization aimed at 135 junior high school students in grades 7 to 9, offering a grasp of the basic ideas, benefits, and advantages of growing using hydroponic media. Explain how to manufacture hydroponic planting media in detail, emphasizing how hydroponics can be a solution to land constraints while contributing to food security. Conclusion on the application of the concept of green schools that incorporate hydroponic technology, which is a strategic step toward increasing food security, particularly in the educational setting. Green schools serve not only as a place of learning, but also as a hub for innovation and empowerment of the younger generation.
Intervensi Keperawatan “Ekofol” pada Pasien Post PCI dalam Meningkatkan Kepatuhan Pengobatan Pebrianti, Sandra; Shalahuddin, Iwan; Eriyani, Theresia; Nugraha, Bambang Aditya
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14292

Abstract

ABSTRACT Percutaneous coronary intervention (PCI) is the most common therapy for treating CAD through improved myocardial perfusion. The transition from hospital to home is a challenge for CAD patients undergoing PCI. After a brief stay in the hospital, patients have to take a lot of medicine every day, and adjust their lifestyle at home. The purpose of conducting this Evidence Based Practice is to determine the types of nursing interventions that can improve the level of treatment adherence in post PCI patients. The research method used in this review literature is a narrative review type with the title "Nursing Intervention "EKOFOL" in Post PCI Patients. Based on the seven articles analyzed, there are seven different interventions to improve treatment adherence of post-PCI patients. The first article uses education and counseling methods, the other six articles use the same method, namely education, counseling and follow up. The following are the interventions discussed from the seven articles analyzed. Based on the results of the study, it was concluded that there was treatment adherence in post-PCI patients with educational, counseling and follow-up interventions with duration and frequency adjusted back to patient needs. But in one article that has been analyzed, patient treatment adherence is considered quite low despite the intervention. Keywords: Nursing Interventions, Post PCI Patients, Treatment Adherence  ABSTRAK Percutaneous Coronary Intervention (PCI) adalah terapi yang paling umum untuk mengobati CAD melalui peningkatan perfusi miokard. Transisi dari rumah sakit ke rumah merupakan tantangan tersendiri bagi pasien CAD yang menjalani PCI. Setelah dirawat sebentar di rumah sakit, pasien harus meminum banyak obat setiap hari, dan menyesuaikan gaya hidup mereka di rumah. Tujuan melakukan Evidence Based Practice ini adalah untuk mengetahui jenis-jenis intervensi keperawatan yang dapat meningkatkan tingkat kepatuhan pengobatan pada pasien post PCI. Metode penelitian yang digunakan dalam literatur review ini berjenis narrative review dengan judul “Intervensi Keperawatan “EKOFOL” Pada Pasien Post PCI. Berdasarkan tujuh artikel yang dianalisis, terdapat tujuh intervensi yang berbeda untuk meningkatkan kepatuhan pengobatan pasien post PCI. Artikel pertama menggunakan metode edukasi dan konseling, keenam artikel lainnya metode yang sama yaitu edukasi, konseling dan follow up. Berikut merupakan intervensi yang dibahas dari ketujuh artikel yang dianalisis.  Berdasarkan hasil penelitian maka disimpulkan adanya kepatuhan pengobatan pada pasien post PCI dengan intervensi edukasi, konseling dan follow up dengan durasi dan frekuensi yang disesuaikan kembali pada kebutuhan pasien. Namun dalam satu artikel yang telah dianalisis, kepatuhan pengobatan pasien dianggap cukup rendah meskipun telah dilakukan intervensi Kata Kunci: Intervensi Keperawatan, Pasien Post PCI, Kepatuhan Pengobatan
Hubungan Kesejahteraan Spiritual dengan Death Anxiety pada Pasien Paliatif : Literatur Review Eriyani, Theresia; Shalahuddin, Iwan; Pebrianti, Sandra; Maulana, Indra
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14339

Abstract

ABSTRACT Patients with terminal illness have a poor prognosis of illness and lead to death. The patient's understanding of the limited time he has makes the patient experience anxiety about death. Anxiety about death is specifically divided into anxiety about death itself and anxiety about the process of death. The purpose of this Literature Review is to determine and examine the spiritual qualities of death anxiety in palliative patients. In this study, the authors used literature review in the form of articles with research methods Randomized Control Trials (RCTs), cross sectional, sequential mixed, descriptive-correlational, and literature review to explore the effect of spiritual approaches on reducing anxiety levels of palliative patients using Narrative Review as the basis for reporting items of this literature review. Spiritual well-being is taken into account as an effective factor of satisfaction with life. The results also showed a significant negative association between spiritual well-being and death anxiety. Spiritual well-being can affect death anxiety in individuals, especially the elderly suffering from cancer. Individuals with higher spiritual well-being may experience less death anxiety, which stems from belief in a higher power that is God and in other worlds that can make death easy. Patients who had spiritual well-being and religious attitudes had a significant effect on life satisfaction, peace and mental health, and also reduced death anxiety. Spiritual coping and religiosity can affect the improvement of the quality of life of palliative patients with spiritual activity. Keywords: Spiritual Well-being, Death Anxiety, Palliative Patients  ABSTRAK Penderita dengan Terminal illness memiliki prognosis penyakit yang buruk dan berujung pada kematian. Pemahaman penderita akan keterbatasan waktu yang dimilikinya membuat penderita mengalami kecemasan akan kematian. Kecemasan akan kematian secara spesifik terbagi ke dalam kecemasan akan kematian itu sendiri dan kecemasan akan proses kematian. Tujuan Literatur Review ini adalah untuk untuk mengetahui dan menelaah mengenai kualitas spiritual terhadap death anxiety pada pasien paliatif. Pada penelitian ini, penulis menggunakan literature review berupa artikel-artikel dengan metode penelitian Randomized Control Trials (RCTs), cross sectional, sequential mixed,  descriptive-correlational, dan literature review untuk mengeksplorasi efek pendekatan spiritual pada penurunan tingkat kecemasan pasien paliatif menggunakan Narrative Review sebagai dasar untuk item pelaporan literatur review ini. Kesejahteraan spiritual diperhitungkan sebagai faktor kepuasan yang efektif dengan kehidupan. Hasil penelitian juga menunjukkan hubungan negatif yang signifikan antara kesejahteraan spiritual dan kecemasan kematian. spiritual well-being mampu mempengaruhi kecemasan kematian pada individu, khususnya lansia yang menderita kanker. Pada individu dengan kesejahteraan spiritual yang lebih tinggi mungkin mengalami kecemasan kematian yang lebih sedikit, yang berasal dari kepercayaan pada kekuatan yang lebih tinggi yaitu Tuhan dan di dunia lain yang dapat membuat kematian mudah dijumpai. Pasien yang memiliki kesejahteraan spiritual dan sikap religius berpengaruh signifikan terhadap kepuasaan hidup, kedamaian dan kesehatan mental, dan juga mengurangi  kecemasan kematian. Koping spiritual dan religiusitas dapat mempengaruhi peningkatan kualitas hidup pasien paliatif dengan aktivitas spiritual Kata Kunci: Kesejahteraan Spiritual, Death Anxiety, Pasien Paliatif
Non-Invasive Technological Innovation for Blood Glucose Monitoring in COVID-19 Patients with Diabetes Mellitus during Pandemic Melati, Azalia; Aghnia, Nuraulia; Sri, Septiani; Pebrianti, Sandra
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i2.559

Abstract

Background: Glycemic control procedures may help reduce the risk of worsening conditions and death in COVID-19 patients with Diabetes Mellitus (DM). Currently, non-invasive blood glucose monitoring technology has been developed to address the challenges of glycemic control in DM patients. Objective: This literature review aims to identify non-invasive technology innovations for blood glucose monitoring applied to COVID-19 patients with DM comorbidities. Method: The method used is a rapid review by searching for articles on EBSCO-host Academic Science Completed, PubMed, Sage Journals, ScienceDirect, and Taylor & Francis. The study reviewed is scoping the innovation of non-invasive blood glucose monitoring technology with research designs of Randomized Control Trial, Quasi Experiment, Cross-Sectional, and Cohort Study in English with full text, and published from 2019–2021. Results: It was found that there were four types of technology and two biomarkers used for non-invasive blood glucose monitoring, namely Skin Autofluorescence, Microperimetry, Raman Spectroscopy, Mid-Infrared Quantum Cascade Laser Technology, and as well as saliva and exhaled Volatile Organic Compound. Recommendation: Further research is needed to confirm the effectiveness of this device, mainly to prevent death in COVID-19 patients with DM comorbid.
SOSIALISASI GIZI SEIMBANG DI POSYANDU RW 09 DESA SAYANG, KECAMATAN JATINANGOR Shalahuddin, Iwan; Eriyani, Theresia; Pebrianti, Sandra
Jurnal Abdi Insani Vol 12 No 3 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i3.2455

Abstract

Masalah gizi buruk, seperti stunting dan obesitas, masih menjadi perhatian serius di Indonesia, termasuk di wilayah Jatinangor. Stunting, yang merupakan gangguan pertumbuhan akibat kekurangan gizi kronis, tercatat mencapai 24,4% pada tahun 2022 secara nasional. Kondisi ini menunjukkan bahwa hampir seperempat balita mengalami hambatan pertumbuhan yang dapat berdampak buruk pada kualitas hidup mereka di masa depan. Tujuan kegiatan untuk meningkatkan kesadaran masyarakat, terutama bagi ibu hamil, menyusui, dan balita, tentang sosialisasi gizi seimbang. Metode pelaksanaan menggunakan aksi sosial dengan menggunakan metode terjun langsung kepada masyarakat dan melalui media sosial. Metode ini dipilih untuk mencapai tujuan program, yaitu meningkatkan kesadaran masyarakat terutama ibu-ibu terhadap pentingnya pola makan sehat dan gizi seimbang . Hasil Kegiatan yaitu dihadiri 18 peserta dengan membahas mengenai pemilihan makanan bergizi, praktik pemberian makan yang baik, dan pentingnya gizi untuk tumbuh kembang anak. Untuk menjangkau lebih banyak warga, selain diberikan langsung kepada peserta, materi sosialisasi juga disebarluaskan melalui 10 brosur yang diberikan kepada pihak RW dengan tujuan agar informasi mengenai gizi seimbang dapat disampaikan kepada seluruh warga RW 09. Kesimpulan Agar sosialisasi ini lebih efektif, diperlukan strategi yang lebih inovatif dan berkelanjutan. Pendekatan berbasis komunitas, seperti edukasi melalui Posyandu, PKK, serta pemanfaatan media digital, dapat membantu menyebarluaskan informasi dengan lebih luas dan mudah diakses.
Penerapan telehealth pada gangguan psikologis pasien perioperatif: a literature review Platini, Hesti; Arisunyoto, Wisnu; Maulana, Indra; Pebrianti, Sandra
JOURNAL OF Mental Health Concerns Vol. 4 No. 2 (2025): July Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i2.1187

Abstract

Background: Patients undergoing surgery often experience stress and anxiety, which can increase complications and hinder recovery. Effective management of psychological factors is key to improving outcomes. Preoperative anxiety is inversely correlated with the amount of information patients receive, but easily accessible personalized support is limited. Purpose: To determine the existing evidence regarding the practice of telehealth, especially telenursing in perioperative patients. Methode: A literature review with a rapid review approach. The strategy in this literature review is with PCC which is used to develop guiding questions: Population (P): surgical patients; Concept (C): telehealth; Context (C): outcomes in the peri-operative period. The study search was conducted with 3 databases namely Pubmed, EBSCO, Proquest and Google Scholar Search Engine. Result: Result in this study literature search, 21 articles were found that matched the search. 5 articles were found that met the inclusion criteria. The telehealth interventions found were 4 interventions through telenursing that could significantly reduce stress, anxiety and depression in perioperative patients. Conclusion: Telehealth, especially telenursing, can reduce stress reactions, anxiety, and depression in perioperative patients and helping patients feel more prepared and less anxious. Keywords: Psychological Disorder; Perioperative; Telehealth; Telenursing.   Pendahuluan: Pasien yang menjalani pembedahan sering mengalami stres dan kecemasan, yang dapat meningkatkan komplikasi dan menghambat pemulihan. Manajemen faktor psikologis yang efektif adalah kunci untuk meningkatkan hasil. Kecemasan sebelum operasi berkorelasi terbalik dengan jumlah informasi yang diterima pasien, tetapi dukungan pribadi yang mudah diakses masih terbatas. Tujuan: Untuk mengetahui bukti yang ada mengenai praktik telehealth, khususnya telenursing pada pasien perioperatif. Metode: Tinjauan literatur dengan pendekatan kajian cepat. Strategi dalam tinjauan literatur ini adalah dengan PCC yang digunakan untuk mengembangkan pertanyaan-pertanyaan pemandu: Populasi (P): pasien bedah; Konsep (C): telehealth; Konteks (C): hasil pada periode perioperatif. Pencarian studi dilakukan dengan 3 database yaitu Pubmed, EBSCO, Proquest dan Mesin Pencari Google Scholar. Hasil: Hasil dari pencarian literatur penelitian ini, ditemukan 21 artikel yang sesuai dengan pencarian. Ditemukan 5 artikel yang memenuhi kriteria inklusi. Intervensi telehealth yang ditemukan sebanyak 4 intervensi melalui telenursing yang secara signifikan dapat menurunkan stres, kecemasan dan depresi pada pasien perioperatif. Simpulan: Telehealth khususnya telenursing dapat menurunkan reaksi stress, kecemasan, dan depresi pada pasien perioperatif. Sehingga membantu pasien merasa lebih siap dan tidak terlalu cemas. Kata Kunci: Gangguan Psikologis; Perioperatif; Telehealth; Telenursing.
Hyperthermia in a Patient with Relapse Malaria: A Case Report Mujahidah, Shafira Aulia; Sari, Eka Afrima; Pebrianti, Sandra
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/mygx4h65

Abstract

Malaria is an infectious disease that caused by Plasmodium infection in red blood cells. The main clinical manifestations that appear in malaria are fever with shivering, shaking, and sweating and weakness. This condition can cause severe hyperthermia, which is at risk of causing brain damage, seizures, or delirium. This study aims to see the characteristics of fever and implementation in patients with malaria relapse. A 41-year-old man with a history of malaria four months ago. During the first malaria, the patient experienced fever to shivering and sweating as well as muscle pain and fatigue every morning. In malaria relapse, complaints of fever and chills every morning were exacerbated by complaints of dizziness as if being hit and weakness. Laboratory examination results found Plasmodium vivax gametocyte and schizont stages. The patient received paracetamol, cefixime, dexamethasone, and DHP Frimal therapy as well as Tepid Water Sponge therapy. After three days of treatment with a combination of pharmacological therapy and tepid water sponge, there was a decrease in temperature from 38.4°C with warm extremities, sweating, headache and shivering to 37.8°C on the second day and 36.7°C on the third day with warm extremities and no shivering, no headache and more fit. The administration of a combination of pharmacological and non-pharmacological tepid water sponge therapy in patients with malaria relapse was able to reduce hyperthermia. Further researchers are expected to be able to examine more widely the effectiveness of actions to reduce hyperthermia in adult patients with malaria.
Intervention for Prevention of Exacerbation on Chronic Obstructive Pulmonary Disease (COPD) Patients Iwan Shalahuddin; Sandra Pebrianti; Theresia Eriyani
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.854 KB) | DOI: 10.30604/jika.v6i1.442

Abstract

COPD is the leading cause of morbidity and mortality worldwide Worsening symptoms of COPD or what is called acute exacerbations are common occurrences that often lead to hospitalization, and the frequency gets worse as the disease progresses. Often associated with a deteriorating quality of life, increased health care costs, and increased mortality. The purpose of searching for articles is to obtain articles from Indonesia or abroad that discuss effective methods in relieving exacerbation symptoms of chronic obstructive pulmonary disease. This study uses a literature review method approach that is suitable for use in this literature study is a scoping review because the purpose of this literature study is to determine an effective method in relieving exacerbation symptoms of the chronic obstructive pulmonary disease so that it can be used as an alternative method of handling exacerbation symptoms in patients with disease chronic obstructive pulmonary. A literature search using several sources, namely Ebscoshot, Google Scholar and Pubmed. Literature search results. The most nutritional deficiencies in COPD patients are vitamin B12 and vitamin D deficiency. Based on 10 journals on interventions in patients with COPD, vitamin D intake is a more effective intervention than other interventions. The number of COPD exacerbations in the intervention group with vitamin D intake decreased significantly compared to the control group (P-value less than 0.001). In addition, FEV1 in the intervention group increased compared to the control group that experienced a decrease (P-value less than 0.001). Recommendations for nurses play an important role in administering medication, including the provision of vitamin D interventions as a result of collaboration with doctors to patients. The nurse should know all the components of the drug order and question the order if it is incomplete or unclear or the dose is outside the recommended limit.  Abstrak: PPOK adalah penyebab utama morbiditas dan mortalitas di seluruh dunia. Gejala PPOK yang memburuk atau biasa disebut Eksaserbasi akut adalah kejadian umum yang sering menyebabkan rawat inap, dan frekuensinya memburuk seiring dengan perkembangan penyakit. Sering dikaitkan dengan kualitas hidup yang memburuk, peningkatan biaya perawatan kesehatan, dan peningkatan kematian. Tujuan dari pencarian artikel yaitu untuk mendapatkan artikel dari Indonesia ataupun luar negeri yang membahas mengenai metode efektif dalam meringankan gejala eksaserbasi penyakit paru obstruktif kronis. Penelitian ini menggunakan pendekatan metode literatur review yang sesuai untuk digunakan dalam studi literatur ini adalah scoping review dikarenakan tujuan dari studi literatur ini adalah untuk mengetahui metode efektif dalam meringankan gejala eksaserbasi penyakit paru obstruktif kronis, sehingga dapat digunakan sebagai metode alternatif penanganan gejala eksaserbasi pada pasien penyakit paru obstruktif kronis. Pencerian literatur dengan menggunakan beberapa sumber yaitu Ebscoshot, Google Scholar dan Pubmed.. Hasil penelusuran literatur. Kekurangan nutrisi paling banyak oleh pasien PPOK adalah defisiensi vitamin B12 dan  vitamin D. Berdasarkan 10 jurnal mengenai intervensi pada pasien dengan PPOK, pemberian asupan Vitamin D menjadi intervensi yang lebih efektif dibandingkan intervensi lainnya. Jumlah eksaserbasi PPOK pada kelompok intervensi pemberian asupan vit D menurun secara signifikan dibandingkan dengan kelompok kontrol (P value kurang dari 0,001). Selain itu FEV1 pada kelompok intervensi mengalami peningkatan dibandingkan dengan kelompok kontol yang mengalami penurunan (P value kurang dari 0.,001). Rekomendaasi untuk perawat berperan penting dalam memberikan obat-obatan termasuk dalam pemberian intervensi vitamin D sebagai hasil kolaborasi dengan dokter kepada pasien. Perawat harus mengetahui semua komponen dari perintah pemberian obat dan mempertanyakan perintah tersebut jika tidak lengkap atau tidak jelas atau dosis yang diberikan di luar batas yang direkomendasikan
Co-Authors Aan Nur'aeni Afrilia, Ghea Aghnia, Nuraulia Agung, Rizki Nugraha Alviani, Eka Turjanah Amalia, Fany Amalia, Selly Nurhasanah Amelia Hayati Amelia, Iftikar Salma Andry Tanta Pramudya Arhustia, Hesti Dina Arifin, Hidayat Arisunyoto, Wisnu Ayuningsih, Risna Azizah, Levina Azwadina, Aliffa Bambang Aditya Nugraha Budhiaji, Purbayanty Cahyani, Eka Maulidya Cindy Puspita Sari Citra Windani Mambang Sari Devi Nurrahmawati Devi Nurrahmawati Dhiya Roihana Diva Jogina Diyah Setyorini Eka Afrima Sari Eka Turjanah Alviani ENDAH NESTITI URIP RAHAYU Etika Emaliyawati Fadilah, Tria Nurhayyu Fanny Adistie Faturrahman, Reza Rizkika Fazriyyah, Yuni Fuji Ghifani Sifa Azahra Gumelar, Heru Gugum Gusgus Ghraha Ramdhanie Handayani, Eriska Nur Harun, Hasniatisari Hendrawati Hendrawati Herman, Regina Hesti Platini Hikmat, Rohman Iceu Amira D.A Indah Wahyuni Indra Maulana Indra Maulana Indra Maulana Indra Maulana` Indra Maulana Iqbal Pramukti Iwan Shalahuddin Karina, Grashiva Karwati Karwati Khairunnisa, Nisrina Kosim K Kosim Kosim Kusman Ibrahim Lestari, Shaffira Deva Malfa Laila Pratidina Mamat Lukman Margianti, Dina Maryani, Yani Melati, Azalia Merdekawati, Rahayu Mufaj, Elda Nurfadila Muhammad Ramdhani, Muhammad Mujahidah, Shafira Aulia Mulyana, Aep Maulid Nadila Afifah Sulaeman Naomi Sella Aprilia neng yulia maudi Nina Sumarni Novia Rahmawati Nugraha Firdaus Nur'aeni, Nabyla Nur'aeni Nuraeni, Fauziah Nurjanah, Ismirani Nurohmah, Indah Syaidah Nurrofikoh, Malihatunnisa Nursalma, Aisyah Nursiswati Nurul Azmi Fauziyah Priambodo, Ayu Prawesti Purnama, Martia Dewi Putri, Nabila Aulia Rahmat, Dadang Rahmawati, Lidya Riskyani, Umy Ristina Mirwanti Rusmana, Hera Prafitri Salsabella, Edellweisse Silvia Salwa, Sayyidah Santi Rukminita Anggraeni Sastianingsih, Siska Sejati, Femmy Selly Nurhasanah Amalia Siti Nurjanah Siti Rosita Siti Ulfah Rifa’atul Fitri Siti Yulipah Agustini Sopia Marlina Sri Hartati Pratiwi Sri, Septiani Sulastini Sulastini, Sulastini Tanjung, Rifani Theresia Eriyani Tina Lestari Titis Kurniawan Titis Kurniawan Triesna, Meuthia Saulikha Tuti Pahria Udin Rosidin Upit Pitriani Wati, Putri Wikeu Nopianti