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Effects of Chest Physiotherapy and Effective Cough Exercise on Sputum Clearance and Respiratory Frequency in Tuberculosis Patients Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.11

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Chest physiotherapy and cough exercises are one of the commonly used methods as part of TB treatment. This study aimed to determine the effects of chest physiotherapy and cough exercises on sputum clearance and respiratory frequency in TB patients. Subjects and Method: This was a quasy experiment study with no control group. The study was conducted at Dungus Respiratory Hospital, Madiun, East Java. A sample of 26 TB patients was selected purposively. The independent variables in the study were effective cough and chest physiotherapy. The dependent variable in this study was sputum discharge. Chest and cough physiotherapy interventions are effective in patients 3 times. This study used a measuring instrument in the form of a sputum glass. The data collected were analyzed quantitatively using the Mann-Whitney test to determine the effect of chest physiotherapy and effective cough exercises on pulmonary tuberculosis conditions. Results: After combination interventions of chest physiotherapy and effective cough exercises, sputum released (Mean= 29.35; SD= 0.85) was higher than before (Mean= 23.65; SD= 0.68). Respiratory frequency after intervention (Mean= 25.88; SD= 0.73) was higher than before (Mean= 27.12; SD= 0.98). Conclusion: Sputum secretion and respiratory frequency are higher than before chest physiotherapy and cough exercises in TB patients. Keywords: chest physiotherapy, cough exercise, physiotherapy, tuberculosis. Correspondence:Nurul Fithriati Haristah. Study Program of Physiotherapy, Health Polytechnics, Ministry of Health Surakarta. Email: nurulfithriati_haritsa@yahoo.com. Mobile: +6285157577816.

The Effect of Yoga Exercise on Reducing Blood Pressure among Elderly with Hypertension Maharani, Aura Rosse; Haritsah, Nurul Fithriati; Windiastoni, Yoga Handita; Noerdjannah
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.11

Background: Hypertension is a silent killer with no symptoms. One of the non-pharmacological treatments used is yoga exercises. This study aims to determine yoga exercise on reducing blood pressure among elderly with hypertension.Subjects and Method: This study is a one-group pre and post-test conducted at the Tohudan Colomadu Karanganyar Elderly Posyandu from March to April 2024. A total of 19 elderly people aged 50 to 70 years were selected using purposive sampling. The dependent variable in this study was a decrease in blood pressure. The independent variable in this study was yoga gymnastics. The study was conducted by measuring blood pressure before and after yoga exercises using a sphygmomanometer. The collected blood pressure data was analyzed using SPSS.Results: Average systolic blood clearance (Mean= 148.53; SD=6.62) and diastolic blood pressure (Mean= 93.26; SD= 2.05) before the intervention was higher than systolic blood pressure (Mean= 141.53; SD= 7.32) and diastolic blood pressure (Mean= 87.37; SD=2.29) after the intervention, and the results were statistically significant (p=<0.001).Conclusion: Systolic blood pressure and diastolic blood pressure before intervention were higher than systolic blood pressure and diastolic blood pressure after intervention.

Differences in the Effect of the Combination of Home-Based Walking Exercise and Pursed Lip Breathing with Pranayama Exercise on Increasing Lung Capacity in COPD Conditions Haritsah, Nurul Fithriati; Windiastoni, Yoga Handita; Noerdjannah, Noerdjannah
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Data from the pulmonary disease polyclinic at Bangil Hospital showed an increase in Chronic Obstructive Pulmonary Disease (COPD) patient visits. In 2018 the number of COPD patients who visited the pulmonary disease clinic for the last 3 months was 219 COPD patients. COPD patients experience deficits in caring for themselves due to various symptoms that manifest as a manifestation of the development of COPD disease. This study aimed to determine the differences in the effect of the combination of home-based walking exercise and pursed lip breathing with pranayama exercise on increasing lung capacity in COPD conditions.Subjects and Method: The design of this study is a two-group pre and post-test design. As many as 8 respondents to the pursed lip breathing intervention and home-based walking exercise and 8 respondents to the pranayama exercise according to the inclusion and exclusion criteria. This study compared the effect of walking exercises combined with pursed lip breathing and pranayama exercise on increasing lung vital capacity in COPD patients. The independent variable is lung capacity. The dependent variable is home-based walking exercise and pursed lip breathing This research was conducted once a week for 12 weeks in May-August 2021 at Dungus Madiun Lung Hospital. All categories were analyzed using a Mann-Whitney run on SPSS.Results: The results before being given the combination of pursed lip breathing and home-based exercises (Mean= 95.39; SD= 0.70) compared to after being given the combination of pursed lip breathing and home-based exercises (Mean= 98.08; SD= 1.23) and statistically significant p<0.001 increases lung capacity in COPD conditions. The results before being given pranayama exercises (Mean= 95.83; SD= 0.71), after being given pranayama exercises (Mean= 97.54; SD= 0.81) and statistically significant p<0.001 increased lung capacity in COPD conditions. score in the elderly was 32.57 (Mean= 32.57; SD= 4.49).Conclusion: There is an effect of giving a combination of home-based walking exercises and pursed lip breathing in increasing the lung capacity of COPD patients. There is an effect of providing pranayama exercise in increasing the lung capacity of COPD patients.Keywords: home-based walking exercise, pranayama exercise, pursed lip breathing, lung capacityCorrespondence: Nurul Fithriati Haritsah. Department of Physiotherapy, Health Polytechnic Surakarta, Ministry of Health. Jl. Letjend Sutoyo, Mojosongo, Jebres, Surakarta 57127, Central Java, Indonesia. Email: nurulfithriati_haritsa@yahoo.com.Indonesian Journal of Medicine (2022), 07(04): 439-448https://doi.org/10.26911/theijmed.2022.07.04.09

Effect of Cryotherapy Combined with William Flexion Exercise in Reducing Myogenic Low Back Pain Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.641

Background: Health problems related to daily activities can be experienced by individuals or groups. The most common complaint in the musculoskeletal system is low back pain. Low Back Pain according to the Ministry of Health of the Republic of Indonesia in 2018 means pain that is felt in the lower back area, between the lowest costal angle to the sacrum. The purpose of this study was to determine the effect of adding cold pack therapy to the William flexion exercise on reducing pain in myogenic LBP patients. Subjects and Method: This was an experiment study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, in September 2022. A sample of 22 patients with myogenic low back pain was allocated into two groups. The dependent variable was pain. The independent variable was cryotherapy combined with William flexion exercise. Pain was measured using quadripel visual analogue scale. Mean between groups after intervention was analyzed using independent t test. Results: Mean of pain in the intervention group (Mean= 6.27; SD= 1.00) was lower than control group (Mean= 7.09; SD= 0.94), and it was statistically significant (p<0.001). Conclusion: Cryotherapy combined with William flexion exercise is better to reduce pain in patients with myogenic low back pain. Keywords: low back pain myogenic, cryotherapy, William flexion exercise. Correspondence: Yoga Handita Windiastoni. Study Program of Physiotherapy, Health Polytechnic, Ministry of Health Surakarta, Karanganyar, Central Java. Email: handitayoga@gmail.com. Mobile: 081329036114.

Perbedaan Pengaruh Progressive Muscular Relaxation dan Senam Yoga terhadap Penurunan Hipertensi pada Lansia di Desa Tohudan, Colomadu, Karanganyar Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.181

Background: Hypertension or high blood pressure is a condition where a person's blood pressure is at 130/80 mmHg or more. Hypertension can also be called a silent killer disease, meaning that this disease often occurs without any complaints and signs that appear beforehand (WHO 2018). If this hypertension is left untreated, it can cause complications such as heart disease, kidney disease, and stroke. The estimated number of people with hypertension in Indonesia is 63,309,620 people, and the death rate from hypertension is 427,218. In Indonesia, hypertension that occurs in the 31-44 age group is 31.6%, 45-54 years old 45.3%, 55-64 years old 55.2% Therefore, hypertension cannot be underestimated (Riskesdas, 2018). Objectives: (1) to determine the effect of yoga on reducing blood pressure in elderly people with hypertension, (2) to determine the effect of progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (3) to determine whether there is a difference in the effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (4) to determine which has a greater effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension. Methods: This study is an experimental study, using a two group pre-test and post-test design involving 20 subjects who were randomly divided into 2 groups. Group I was given progressive muscular relaxation treatment and group II was given yoga treatment. With a frequency of exercise once a week for 3 weeks. The measuring instrument in this study used a sphygmomanometer. Results: Hypothesis I test using paired sample t-test obtained a p value: 0.000 (p <0.05) while hypothesis II test using paired sample t-test obtained a p value: 0.000 (p <0.005) for hypothesis III test using independent sample t-test obtained a p value: 0.042 (p <0.005). Conclusion: (1) there is an effect of yoga on reducing blood pressure in elderly people with hypertension, (2) there is an effect of progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (3) to find out whether there is a difference in the effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (4) yoga has a greater effect than progressive muscular relaxation on reducing blood pressure in elderly people with hypertension. Keywords : Yoga, Progressive Muscular Relaxation, Hypertension, Elderly

Effects of Chest Physiotherapy and Effective Cough Exercise on Sputum Clearance and Respiratory Frequency in Tuberculosis Patients Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.11

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Chest physiotherapy and cough exercises are one of the commonly used methods as part of TB treatment. This study aimed to determine the effects of chest physiotherapy and cough exercises on sputum clearance and respiratory frequency in TB patients. Subjects and Method: This was a quasy experiment study with no control group. The study was conducted at Dungus Respiratory Hospital, Madiun, East Java. A sample of 26 TB patients was selected purposively. The independent variables in the study were effective cough and chest physiotherapy. The dependent variable in this study was sputum discharge. Chest and cough physiotherapy interventions are effective in patients 3 times. This study used a measuring instrument in the form of a sputum glass. The data collected were analyzed quantitatively using the Mann-Whitney test to determine the effect of chest physiotherapy and effective cough exercises on pulmonary tuberculosis conditions. Results: After combination interventions of chest physiotherapy and effective cough exercises, sputum released (Mean= 29.35; SD= 0.85) was higher than before (Mean= 23.65; SD= 0.68). Respiratory frequency after intervention (Mean= 25.88; SD= 0.73) was higher than before (Mean= 27.12; SD= 0.98). Conclusion: Sputum secretion and respiratory frequency are higher than before chest physiotherapy and cough exercises in TB patients. Keywords: chest physiotherapy, cough exercise, physiotherapy, tuberculosis. Correspondence:Nurul Fithriati Haristah. Study Program of Physiotherapy, Health Polytechnics, Ministry of Health Surakarta. Email: nurulfithriati_haritsa@yahoo.com. Mobile: +6285157577816.

The Effect of Yoga Exercise on Reducing Blood Pressure among Elderly with Hypertension Maharani, Aura Rosse; Haritsah, Nurul Fithriati; Windiastoni, Yoga Handita; Noerdjannah
Journal of Epidemiology and Public Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.02.11

Background: Hypertension is a silent killer with no symptoms. One of the non-pharmacological treatments used is yoga exercises. This study aims to determine yoga exercise on reducing blood pressure among elderly with hypertension.Subjects and Method: This study is a one-group pre and post-test conducted at the Tohudan Colomadu Karanganyar Elderly Posyandu from March to April 2024. A total of 19 elderly people aged 50 to 70 years were selected using purposive sampling. The dependent variable in this study was a decrease in blood pressure. The independent variable in this study was yoga gymnastics. The study was conducted by measuring blood pressure before and after yoga exercises using a sphygmomanometer. The collected blood pressure data was analyzed using SPSS.Results: Average systolic blood clearance (Mean= 148.53; SD=6.62) and diastolic blood pressure (Mean= 93.26; SD= 2.05) before the intervention was higher than systolic blood pressure (Mean= 141.53; SD= 7.32) and diastolic blood pressure (Mean= 87.37; SD=2.29) after the intervention, and the results were statistically significant (p=<0.001).Conclusion: Systolic blood pressure and diastolic blood pressure before intervention were higher than systolic blood pressure and diastolic blood pressure after intervention.

Efektivitas Program Latihan Aerobik pada Penurunan Nyeri Dismenore Primer: Meta-analysis Fadli, Arif; Rustanti, Marti; Windiastoni, Yoga Handita
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92667

Latar Belakang: Wanita dengan Dismenore Primer (DP) dapat merasakan nyeri hebat akibat hiperkontraktilitas saat menstruasi, hipoksia, dan iskemia otot rahim. Wanita dengan DP akan mengalami hambatan aktivitas belajar dan keseharian. Obat analgetik efektif menurunkan nyeri dismenore primer dengan efek samping mual dan muntah. Program latihan aerobik bisa menjadi solusi pengobatan nyeri DP tanpa efek samping.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas program latihan aerobik untuk pengurangan nyeri akibat dismenore primer.Metode: Systematic review dan meta-analisis artikel publikasi tahun 2013 s/d 2023 pada desain Randomized Control Trial di databased PubMed, Google Scholar, OVID, ResearchGate, ScienceDirect. Program Revman 5.3 digunakan dalam analisis data dengan ukuran efek terapi pada penurunan nyeri DP.Hasil: Lima artikel dengan 312 wanita DP dimasukan sintesis meta-analisis. Hasilnya menunjukan bahwa latihan aerobik efektif menurunkaan nyeri akibat dismenore primer dibandingkan dengan kelompok kontrol tanpa intervensi dengan ukuran efek terapi adalah besar (d= -2,03; CI= -3,37 – 0,69; P <0,00001).Kesimpulan: Program latihan aerobik efektif menurunkan nyeri akibat dismenore primer. Latihan aerobik dapat menurunkan nyeri melalui peningkatan sirkulasi darah sistemik yang disertai penurunan sensitifitas gerak akibat dismenore primer.

PEMBERDAYAAN MASYARAKAT TERHADAP PENCEGAHAN NYERI PUNGGUNG BAWAH DENGAN TEKNIK ANGKAT ANGKUT YANG BENAR DAN PENGATURAN POSISI DUDUK YANG ERGONOMI Windiastoni, Yoga Handita; Haritsah, Nurul Fithriati; Kuntono, Heru Purbo
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025): Volume 6 No. 2 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i2.43100

Latar Belakang : Nyeri punggung bawah (NPB) merupakan masalah kesehatan yang disebabkan oleh posisi yang tidak benar saat beraktivitas dan ditandai dengan adanya gejala seperti nyeri, kekakuan atau ketegangan otot pada punggung bawah . Nyeri punggung bawah menjadi penyebab kecacatan bagi sebagian orang terutama pada orang dewasa dan menjadi alasan umum seseorang mencari perawatan kesehatan. Tujuan : untuk mengetahui pengaruh teknik angkat angkut yang benar serta posisi duduk yang ergonomis terhadap penurunan nyeri punggung bawah. Metode : penelitian ini menggunakan penelitian eksperimental one group pre and post test with control design yang dilakukan pada tahun 2024. Subjek merupakan masyarakat dan kader kesehatan Desa Tohudan, Colomadu, Karanganyar. Subjek berjumlah 30 orang dan dibagi menjadi 2 kelompok. Kelompok kontrol berjumlah 15 tidak diberikan apapun. Kelompok perlakuan berjumlah 15 orang yang diberi perlakuan teknik angkat angkut dan posisi ergonomis. Pengukuran nyeri menggunakan Visual Analogue Scale (VAS) pada awal dan akhir perlakuan. Hasil : Berdasarkan hasil uji statistik sebelum dan sesudah tanpa perlakuan kelompok kontrol diperoleh nilai p = 0,054 (p >0,05) yang artinya tidak ada pengaruh. Pada kelompok perlakuan diperoleh p = 0,000 (p <0,05) yang artinya ada perbedaan pengaruh. Hasil uji hipotesis sesudah perlakuan kelompok kontrol dan perlakuan didapatkan hasil p = 0,000 (p <0,05) yang berarti ada pengaruh. Kesimpulan : Pemberian penyuluhan dan pelatihan teknik angkat angkut yang benar dan posisi duduk ergonomis efektif dalam menurunkan nyeri punggung bawah.

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