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Ramlis, Ravika
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Implementasi Pursed Lip Breathing Untuk Mengurangi Sesak Napas Pada Pasien Ppok Di Rs Harapan Dan Doa Bengkulu Agisyha, Resta; Ramlis, Ravika; Aprianti, Delta
Jurnal Kesehatan Mitra Sekawan Vol. 2 No. 1 (2025): September
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v2i1.359

Abstract

According to data from the World Health Organization (WHO), Chronic Obstructive Pulmonary Disease (COPD) ranks as the third leading cause of death worldwide, with a death toll reaching 3.23 million lives in 2024. In Indonesia, the prevalence of COPD continues to rise each year. Based on medical record data from Harapan dan Doa Hospital in Bengkulu City, COPD cases increased from 37 cases in 2022 to 46 cases in 2024. The purpose of this study is to examine the implementation of pursed lip breathing exercises in reducing shortness of breath in COPD patients at Harapan dan Doa Hospital, Bengkulu City, in 2025. This research uses a descriptive method by presenting facts according to the data obtained. The results show that after performing pursed lip breathing exercises for three consecutive days, twice in the morning and evening for 15 minutes, there was a decrease in the level of shortness of breath in Mr. H according to the Borg scale, from a score of 4 (moderate shortness of breath) to a score of 2 (mild shortness of breath). This technique has proven effective in helping patients manage their breathing and enhance comfort while breathing. The implementation of pursed lip breathing exercises has a significant impact on reducing shortness of breath in COPD patients. This study is expected to enhance knowledge for students, readers, and healthcare professionals regarding the pursed lip breathing technique as a non-pharmacological intervention to address shortness of breath.
Hubungan Kejadian Burnout Dengan Motivasi Kerja Perawat Pelaksana Di Rumah Sakit Bhayangkara Kota Bengkulu Pebriani, Emi; Ramlis, Ravika
Jurnal Pakar Kesehatan Vol. 1 No. 1 (2025): June
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jpk.v1i1.808

Abstract

The primary role of a nurse is to care for, advocate for, and support patients through healthcare programs. This can sometimes lead to burnout, especially if the nurse lacks motivation within their work environment, either from their colleagues or superiors. This requires motivation, which plays a crucial role in every nursing job, as motivation is a strong drive, desire, or interest within oneself to achieve a specific desire, goal, or goal. The purpose of this study was to determine the relationship between burnout and nurse work motivation at Bhayangkara Hospital, Bengkulu. This study used a quantitative analytical approach with a cross-sectional approach. The population was 53 and the sample size was 35. The sampling technique used was non-probability sampling with the accidental sampling method. Data analysis used the Chi-Square statistical test. The results of the study showed a relationship between burnout and nurses' work motivation, with a p-value of 0.004 (p<0.005). The conclusion of this study is that there is a relationship between burnout and nurses' work motivation at Bhayangkara Hospital, Bengkulu. Suggestions are that several health promotion efforts are needed to increase nurses' motivation and prevent burnout in the workplace.
Pengaruh Terapi Bermain Plastisin Terhadap Penurunan Kecemasan Akibat Hospitalisasi Pada Anak Usia Prasekolah (3-6 Tahun) Di Rumah Sakit Bhayangkara Dismawati, Yeni; Ramlis, Ravika; Aprianti, Delta
Jurnal Pakar Kesehatan Vol. 1 No. 2 (2025): December
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jpk.v1i2.949

Abstract

Hospitalization in preschool children (3–6 years) can cause anxiety due to environmental changes, medical procedures, and limited social interaction. One effort that can be done to reduce this anxiety is with play therapy. This study aims to determine the effect of play therapy with plasticine on reducing anxiety levels in preschool children undergoing treatment at Bhayangkara Hospital. This study design uses a quantitative method with a quasi-experimental approach, pre-test and post-test with an intervention group. The sample consisted of 41 children aged 3–6 years who were divided, selected by total sampling technique. Measurement of anxiety levels was carried out using an observation sheet based on children's anxiety indicators. The results of data analysis showed that the level of anxiety in children due to hospitalization before being given therapy was 100% of all respondents experienced moderate anxiety. After being given therapy, the majority of respondents, 87.8%, experienced mild anxiety. The p value is 0.001 because p <0.05. This means that the effect of play therapy with plasticine on reducing anxiety due to hospitalization in preschool children (3–6 years) at Bhayangkara Hospital Bengkulu. Plasticine play therapy has been shown to be effective as a non-pharmacological intervention to reduce anxiety caused by hospitalization in preschool-aged children. It is hoped that this therapy can be implemented as part of pediatric nursing care in hospitals.
Determinants of Stunting in Children Under Five Sari, Fikitri Marya; Wulandari, Wulandari; Sofais, Danur Azissah Roeliana; Novega, Novega; Ramlis, Ravika; Fauzi, Yusran; Pratiwi, Bintang Agustina; Sutriyawan, Agung
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8531

Abstract

Introduction: Stunting in children under five years old remains a major global health concern, affecting approximately 22.3% of children worldwide. It contributes to impairments in physical and cognitive development, reduced academic performance, lower economic productivity, and increased susceptibility to non-communicable diseases. This study aims to synthesize comprehensive evidence regarding the determinants associated with stunting in children under five. Methods: A systematic review and meta-analysis were conducted using data from 22 eligible studies retrieved from international databases (Scopus, PubMed, ScienceDirect, and Springer). Heterogeneity was assessed using the I² statistic, and a random-effects model was applied to estimate the odds ratio (OR) and 95% confidence interval (CI). Publication bias was evaluated using funnel plot visualization and Egger’s test. Results: Meta-analysis findings demonstrate that several determinants significantly increase the risk of stunting, including low maternal education (OR = 1.63; 95% CI: 1.11–2.41; I² = 84.64%), low paternal education (OR = 1.66; 95% CI: 1.05-2.61; I² = 55.64%), maternal occupation (OR = 1.59; 95% CI: 1.09-2.32; I² = 71.16%), low household income (OR = 1.83; 95% CI: 1.30-2.58; I² = 73.72%), and households with two or more young children (OR = 2.34; 95% CI: 1.65-3.30; I² = 23.89%). Additional factors such as inadequate antenatal care (OR = 1.62; 95% CI: 1.07-2.47; I² = 41.71%), non-exclusive breastfeeding (OR = 1.21; 95% CI: 1.60-3.03; I² = 80.25%), incomplete immunization (OR = 2.77; 95% CI: 1.48-5.19; I² = 63.58%), low birth weight (OR = 2.72; 95% CI: 1.61-4.66; I² = 65.71%), and a history of infectious diseases (OR = 1.96; 95% CI: 1.36-2.82; I² = 64.06%) were also strongly associated with stunting. No substantial publication bias was indicated by Egger’s test (p > 0.05). Conclusion:Stunting is influenced by a combination of sociodemographic factors and maternal-child health services, such as parental education, household income, and exclusive breastfeeding. Reducing the prevalence of stunting requires integrated policies that encompass education, health, and family economic empowerment.
Application Of Therapeutic Communication Based On Peplau's Theory On Medication Adherence Of Mentally Ill Patients At Soeprapto Hospital, Bengkulu Province In 2025 Klana, Fredy Putra; Ramlis, Ravika
Jurnal Kesehatan Mitra Sekawan Vol. 2 No. 2 (2026): Maret
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v2i2.498

Abstract

Mental disorders are conditions characterized by changes in thoughts, emotions, and behaviors that interfere with a person’s ability to function in daily life. One of the main issues commonly found in patients with mental disorders is non-adherence to medication, which can lead to relapse and decreased quality of life. This study aims to determine the effect of therapeutic communication based on Peplau’s theory on medication adherence among patients with mental disorders.This research used a case study method with a qualitative approach involving two patients at Soeprapto Mental Hospital, Bengkulu Province. Data were collected through interviews and observations of the implementation of therapeutic communication performed by nurses over a two-day intervention period. The results of the study showed that both patients experienced improved understanding and increased medication adherence after the therapeutic communication intervention.It can be concluded that the application of therapeutic communication based on Peplau’s theory is effective in improving medication adherence among mental disorder patients through interpersonal relationships, education, and emotional support provided by nurses.
Edukasi Kesehatan Pada Lansia Hipertensi Di Wilayah Kerja Puskesmas Jembatan Kecil Rt 11 Kota Bengkulu Reza, Elis Novera Ilma; Tri, Desy; Adjie, Adjie; Junaldi, Andika; Ramadhona, Devi; Agyathien, Meychania; Afrianti, Mariza; Ramlis, Ravika; Umami, Desi Aulia
Jurnal Pakar Pengabdian Kesehatan Vol. 1 No. 2 (2025): Desember
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jppk.v1i2.549

Abstract

Hypertension remains a global target, to reduce hypertension sufferers in 2010 to 2030 (WHO, 2021). Hypertension is often referred to as high blood pressure is a condition where there is an increase in blood pressure in the abdominal arteries that occurs repeatedly with an increase in systolic pressure of more than or equal to 140 mmHg and an increase in diastolic pressure of more than or equal to 90 mmHg (Sriyanti, 2022). One of the treatments for hypertension. This KKN-T activity is a form of community service that aims to increase the knowledge, awareness and behavior of the RT 11 community of Jembatan Kecil Village about the Risk of Hypertension. This activity is in accordance with the priority program in accelerating efforts to prevent and treat hypertension which is also emphasized in the UPTD Jembatan Kecil Health Center program. The program is implemented through educational methods, blood pressure checks carried out in RT 11, Jembatan Kecil Village, Singaran Pati District, Bengkulu City with the target community, the elderly, hypertension sufferers and cadres totaling 20 people. The community has received information about the causes, signs and symptoms, and prevention. The results of this activity indicate an increase in public knowledge about hypertension and prevention. This helps the community better understand hypertension and take appropriate preventive measures. It is hoped that the community will implement preventive measures to manage hypertension in Jalan Gedang Village.
Co-Authors Adjie, Adjie Afrianti, Mariza Agisyha, Resta Agyathien, Meychania Aprianti, Delta Bintang Agustina Pratiwi Dismawati, Yeni Emi Pebriani Hermiati, Dilfera Jumita, Jumita Junaldi, Andika Klana, Fredy Putra Kurniamy, Cimiendy Selli marlianto, nuche Novega, Novega Rahmawati, Diyah Tepi Ramadhona, Devi Reza, Elis Novera Ilma RS, Danur Azissah Rustandi, Handi Samidah, Ida Sari, Fikitri Marya Sofais, Danur Azissah Roeliana Sutriyawan, Agung Syafrie, Ice Razkiyah Tri, Desy Umami, Desi Aulia Wulandari Wulandari Yuniarti, Pipi Yusran Fauzi