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All Journal Journal of Nursing and Public Health (JNPH) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal PADAMU NEGERI (Pengabdian pada Masyarakat Bidang Eksakta) Jurnal Dehasen Untuk Negeri Student Scientific Journal Jurnal Kesehatan Mitra Sekawan Jurnal Pakar Kesehatan
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.
Co-Authors Agisyha, Resta Aprianti, Delta Bintang Agustina Pratiwi Dismawati, Yeni Emi Pebriani Hermiati, Dilfera Jumita, Jumita Kurniamy, Cimiendy Selli marlianto, nuche Novega, Novega Rahmawati, Diyah Tepi RS, Danur Azissah Rustandi, Handi Samidah, Ida Sari, Fikitri Marya Sofais, Danur Azissah Roeliana Sutriyawan, Agung Syafrie, Ice Razkiyah Umami, Desi Aulia Wulandari Wulandari Yuniarti, Pipi Yusran Fauzi