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The Effectiveness of Self-Directed Learning Readiness on Competency Achievement of Basic Nursing Clinical Practice Students Anggia Astuti; Dodi Wijaya; Nur Yuliani; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 1 No. 5 (2023): October 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i5.109

Basic Nursing Clinical Practice is the first clinical learning experience for vocational nursing students. The achievement of complete competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved. Self-Directed Learning Readiness (SDLR) is a condition where students have full control in the process of making decisions related to their learning and accept full responsibility for it, even though later they need help and advice from lecturers and Clinical Instructors. Therefore, this research was conducted to determine the effectiveness of SDLR on the competency achievement of basic nursing clinical practice students. This study used a quasi-experimental design with one group pretest and posttest design. The sampling technique used total sampling, with as many as 91 respondents. Respondents were 2nd semester D3 Nursing Study Program students. The analysis used an independent sample t-test, with a 95% degree of confidence. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Of course, a high level of Self Directed Learning Readiness, can have a positive impact on student competency outcomes in carrying out Nursing Clinical Practice, where competency achievement targets will be met. Achievement of plenary competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved.

Overview of Self-Directed Learning Readiness (SDLR) in First-Year Nursing Students Anggia Astuti Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.186

Self-directed learning (SDL) solves learning challenges using various learning tools. Nursing requires lifelong learning, and SDL is an important skill for practitioners to stay current and effective. It is required of nursing students to embrace SDL and hone these abilities. Nevertheless, there is no indication of this novel procedure in Lumajang. This study aims to assess nursing students' preparation for SDL and its impact on learning outcomes. This quasi-experimental study purposefully included 91 students who carry out basic nursing clinical practice as participants. The instrument used in this study was the Self-Directed Learning Readiness Scale (SDLRS) questionnaire developed by Fisher. The results of this study showed that there was an increase in the SDLR level from 9 students (9.9%) having a high SDLR level to 78 students (85.8%) and 82 students (90.1%) having a moderate SDLR level to 13 students (14.2%). The nursing students' average SDL preparedness level has a substantial impact on learning outcomes. Nursing training institutes should give the resources required to adopt SDL as a primary teaching technique to ensure competent lifelong professionals.

Penerapan Purse Lip Breathing Pada Pasien Asma Dengan Pola Nafas Tidak Efektif Rizeki Dwi Fibriansari; Imania Shafa Camila Say; Zainal Abidin
Health and Technology Journal (HTechJ) Vol. 3 No. 1 (2025): February 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i1.313

Asthma is a leading cause of global morbidity and mortality, accounting for 17.4% of deaths worldwide. As one of the top 10 non-communicable diseases, asthma significantly impacts patients and their families. Characterized by recurrent and reversible airway obstruction, asthma often leads to ineffective breathing patterns. This study explored the impact of pursed-lip breathing (PLB) therapy on reducing respiratory rate in asthma patients with ineffective breathing patterns at Dr. Haryoto Hospital, Lumajang. A case study design was employed from June 14 to June 18, 2024, involving a single asthma patient who met the criteria of dyspnea, abnormal breathing patterns, and the use of accessory respiratory muscles. Data collection included objective and subjective measurements using observation sheets, physical examination tools, and standard operational procedures. PLB therapy was administered over five days, with three daily sessions, each lasting 5 to 15 minutes. The patient, presenting with symptoms such as shortness of breath, chest tightness, prolonged expiratory phase, and abnormal breathing patterns, showed significant improvements following PLB therapy. Results indicated a reduction in respiratory rate by 6.76 breaths per minute, an increase in SpO2 by 3.44%, and a decrease in pulse rate by 51.62 beats per minute. PLB therapy effectively reduced respiratory effort, alleviated dyspnea, enhanced oxygen transport, and strengthened respiratory muscles. This study demonstrates that PLB therapy is an effective non-pharmacological intervention for managing asthma symptoms. Nurses are encouraged to incorporate PLB therapy into patient education to empower asthma patients to manage their symptoms independently.

Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.

Yoga Practice on Reducing Menstrual Pain Intensity (Dysmenorrhea) in Adolescent Girls: Literature Review Nuring Dwi Hareni; Anggia Astuti; Zainal Abidin
Health and Technology Journal (HTechJ) Vol. 1 No. 2 (2023): April 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i2.35

Most women experience severe pain problems during menstruation, usually called dysmenorrhea. Yoga practice can reduce body, mind, and psychic tension, reduce pain, and release endorphins to increase the response of the parasympathetic nerves which causes vasodilation of blood vessels throughout the body and uterus, and increases uterine blood flow thereby reducing the intensity of dysmenorrhea. This study aimed to determine the effect of yoga practice on reducing menstrual pain intensity (dysmenorrhea) in adolescent girls. This study used a literature review design using 3 databases, namely PubMed, Science Direct, and Google Scholar. The results showed that in the study, the exercises used were yoga with a percentage of 100% using yoga practice interventions. Yoga practice was done within 30-60 minutes per session with a period of 1-3 times a week. Menstrual pain in adolescents who were given yoga practice in the journal experienced a decrease in pain intensity with p = 0.05. Yoga can stimulate the body to release endorphins and enkephalins, inhibiting pain. Yoga is performed by relaxing the endometrial muscles when contractions and ischemia occur due to increased prostaglandin levels, which will cause vasodilation of blood vessels and cause blood flow to experience spasms and spasms ischemia and then reduce pain. Yoga will change the pattern of pain acceptance towards calming the body and will gradually recover from pain disorders. Yoga practice can be an alternative to reduce the intensity of menstrual pain in adolescent girls.

The Effectiveness of Self-Directed Learning Readiness on Competency Achievement of Basic Nursing Clinical Practice Students Anggia Astuti; Dodi Wijaya; Nur Yuliani; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 1 No. 5 (2023): October 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i5.109

Basic Nursing Clinical Practice is the first clinical learning experience for vocational nursing students. The achievement of complete competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved. Self-Directed Learning Readiness (SDLR) is a condition where students have full control in the process of making decisions related to their learning and accept full responsibility for it, even though later they need help and advice from lecturers and Clinical Instructors. Therefore, this research was conducted to determine the effectiveness of SDLR on the competency achievement of basic nursing clinical practice students. This study used a quasi-experimental design with one group pretest and posttest design. The sampling technique used total sampling, with as many as 91 respondents. Respondents were 2nd semester D3 Nursing Study Program students. The analysis used an independent sample t-test, with a 95% degree of confidence. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Of course, a high level of Self Directed Learning Readiness, can have a positive impact on student competency outcomes in carrying out Nursing Clinical Practice, where competency achievement targets will be met. Achievement of plenary competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved.

Overview of Self-Directed Learning Readiness (SDLR) in First-Year Nursing Students Anggia Astuti Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.186

Self-directed learning (SDL) solves learning challenges using various learning tools. Nursing requires lifelong learning, and SDL is an important skill for practitioners to stay current and effective. It is required of nursing students to embrace SDL and hone these abilities. Nevertheless, there is no indication of this novel procedure in Lumajang. This study aims to assess nursing students' preparation for SDL and its impact on learning outcomes. This quasi-experimental study purposefully included 91 students who carry out basic nursing clinical practice as participants. The instrument used in this study was the Self-Directed Learning Readiness Scale (SDLRS) questionnaire developed by Fisher. The results of this study showed that there was an increase in the SDLR level from 9 students (9.9%) having a high SDLR level to 78 students (85.8%) and 82 students (90.1%) having a moderate SDLR level to 13 students (14.2%). The nursing students' average SDL preparedness level has a substantial impact on learning outcomes. Nursing training institutes should give the resources required to adopt SDL as a primary teaching technique to ensure competent lifelong professionals.

Penerapan Purse Lip Breathing Pada Pasien Asma Dengan Pola Nafas Tidak Efektif Rizeki Dwi Fibriansari; Imania Shafa Camila Say; Zainal Abidin
Health and Technology Journal (HTechJ) Vol. 3 No. 1 (2025): February 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i1.313

Asthma is a leading cause of global morbidity and mortality, accounting for 17.4% of deaths worldwide. As one of the top 10 non-communicable diseases, asthma significantly impacts patients and their families. Characterized by recurrent and reversible airway obstruction, asthma often leads to ineffective breathing patterns. This study explored the impact of pursed-lip breathing (PLB) therapy on reducing respiratory rate in asthma patients with ineffective breathing patterns at Dr. Haryoto Hospital, Lumajang. A case study design was employed from June 14 to June 18, 2024, involving a single asthma patient who met the criteria of dyspnea, abnormal breathing patterns, and the use of accessory respiratory muscles. Data collection included objective and subjective measurements using observation sheets, physical examination tools, and standard operational procedures. PLB therapy was administered over five days, with three daily sessions, each lasting 5 to 15 minutes. The patient, presenting with symptoms such as shortness of breath, chest tightness, prolonged expiratory phase, and abnormal breathing patterns, showed significant improvements following PLB therapy. Results indicated a reduction in respiratory rate by 6.76 breaths per minute, an increase in SpO2 by 3.44%, and a decrease in pulse rate by 51.62 beats per minute. PLB therapy effectively reduced respiratory effort, alleviated dyspnea, enhanced oxygen transport, and strengthened respiratory muscles. This study demonstrates that PLB therapy is an effective non-pharmacological intervention for managing asthma symptoms. Nurses are encouraged to incorporate PLB therapy into patient education to empower asthma patients to manage their symptoms independently.

Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.

Mitigating Uremic Pruritus and Improving Family Coping in Stage 5 Chronic Kidney Disease: A Dual-Intervention Case Study Using Topical Petrolatum Anggia Astuti Astuti; Luluk Sofia Davina Astuti; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.732

Chronic Kidney Disease (CKD) imposes severe physical and psychosocial burdens, frequently precipitating a measurable decline in family coping mechanisms. This study explores the clinical efficacy of a dual intervention combining structured family coping support and topical petroleum jelly therapy for managing uremic pruritus and caregiver strain. Employing a descriptive case study design, researchers intervened with the family of a 55-year-old male diagnosed with stage 5 CKD who presented with severe pruritus, xerosis, and skin discoloration. The family initially exhibited care neglect, limited communication, and inadequate health literacy regarding appropriate symptom management. The protocol entailed targeted coping support education, along with twice-daily petroleum jelly application over eight consecutive days. Outcome measurements utilized the validated 5D Pruritus Scale and standardized nursing criteria to evaluate family coping. Post-intervention data revealed a significant reduction in the 5D Pruritus Scale score from 10 to 6, indicating a clear transition to mild pruritus. Family assessments concurrently demonstrated substantial improvements in health knowledge, active caregiving engagement, and interpersonal communication, effectively eliminating previous neglectful behaviors. These findings establish that integrating low-cost topical emollient therapy with targeted psychosocial education constitutes a highly effective, holistic nursing strategy. This comprehensive approach successfully mitigates dermatological distress while simultaneously restoring family coping capacity, offering a highly replicable model for advanced CKD management in community health settings.

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