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Relaksasi nafas dalam untuk menurunkan skala nyeri pada pasien dengan neprolitiasis post pyeolitotomy Vanesta Faradila Yudianti; Wantonoro Wantonoro
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 7 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i7.3674

Abstract

Background: Nephrolithiasis is a urological disorder characterized by the formation of kidney stones due to the deposition of crystals and organic matrix in the urine. Pyelolithotomy is often performed for large kidney stones, but it can cause postoperative pain that interferes with patient mobility, rest, and recovery. Purpose: To describe the application of deep breathing relaxation techniques to reduce pain in patients with post-pyelolithotomy nephrolithiasis. Method: This was a descriptive case study using a nursing care approach. The subject was Mrs. S, 58, who was hospitalized in the Al-A'raaf Ward at PKU Muhammadiyah Bantul General Hospital. Data were collected through interviews, observations, physical examinations, and medical record reviews. The intervention consisted of deep breathing relaxation techniques for 10–15 minutes, three times daily for three days, accompanied by pharmacological therapy with ketorolac. Pain levels were measured using the Numeric Rating Scale (NRS). Results: Patients experiencing acute postoperative pain with an NRS score of 4 appeared grimacing, restless, and restricted movement. After three days of intervention, the pain scale gradually decreased to NRS 1. The patient appeared more relaxed and comfortable, able to perform light mobilization, and experienced improved rest quality. Conclusion: Deep breathing relaxation techniques effectively help reduce pain intensity in patients with post-pyelolithotomy nephrolithiasis and can be used as a complementary therapy in postoperative pain management.   Keywords: Deep Breath; Nephrolithiasis; Pheyelitotomy.
Physical Rehabilitation Outcomes in Patients with Dementia Following Hip Fracture Surgery: A Review Wantonoro, Wantonoro; Dewi, Suarse; Suryaningsih, Endang Koni; Suprayitno, Edy
IJNP (Indonesian Journal of Nursing Practices) Vol. 4 No. 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v4i2.10240

Abstract

Background: Dementia patients were reported of having high risk for hip fracture. Rehabilitation programs were still being debated for this vulnerable population and the recovery outcomes in this frail elderly population are varied, thus evidenced-based outcomes for this issue are needed.Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery.Method: PubMed, Scopus and MEDLINE (EBSCO) databases were searched from January 2000 to June 2020 concerning rehabilitation intervention program in dementia patients who received hip surgical treatment. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal.Results: Six studies were included in this review. Most study focused on interdisciplinary or multidisciplinary rehabilitation program. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. However, the physical function of older persons with dementia confirmed to be lower than those without dementia.Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study. 
EFFECTIVENESS OF BLOOD TRANSFUSION TO IMPROVE PERIPHERAL PERFUSION OF ANEMIA PATIENTS IN THE ALKAUTSAR WARD, PKU MUHAMMADIYAH HOSPITAL, BANTUL Assrofatul Aziza; Wantonoro Wantonoro
Journal of Nursing Palliative Care Vol. 2 No. 1 (2026): March
Publisher : Journal of Nursing Palliative Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jnpac.v2i1.4554

Abstract

Background: Anemia is a condition of hemoglobin deficiency that can reduce the oxygen transport capacity in the blood and cause tissue perfusion disorders. One of the most common interventions is blood transfusions to improve peripheral perfusion. Objective: This study aims to evaluate the effectiveness of blood transfusion administration in improving peripheral perfusion in anemia patients. Methods: The research design used is a descriptive case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject of the study was one anemia patient who was treated at the Alkautsar Ward of PKU Muhammadiyah Hospital Bantul on March 6-8, 2025. Data was obtained through observation, interviews, physical examinations, and medical record reviews. Results: After two blood transfusions of PRC, there was an increase in hemoglobin levels from 7.6 g/dL to 11.7 g/dL. Positive clinical changes were also observed, such as pink conjunctiva, warm acrail, increased peripheral pulse strength, and increased oxygen saturation up to 99% without supplemental oxygen. Conclusion: Blood transfusion has been shown to be effective in overcoming peripheral perfusion and is not effective in patients with anemia. This intervention supports the improvement of tissue oxygenation status and overall hemodynamic stability of the patient.
Co-Authors Adelia Rizky Brilianti Aini Inayati Al Amin, Taofani Rizal Apriliyani, Kiki Putri Arida Rahmawati Arif Bimantara Arman, Mohammed Assrofatul Aziza Astuti, Andari Wuri Asykuri Asykuri Atmanasari , Hesti Bagus Yudantoro Baros, Wan Aisyah Dewi, Suarse Dian Kusuma Dewi Dika Rizki Imania Dika Rizki Imania, Dika Rizki Diyah Candra Diyah Candra Anita, Diyah Candra Dwi Astuti Dwikinta, Made Anindya Edy Suprayitno Edy Suprayitno, Edy Endang Koni Suryaningsih, Endang Koni Faedati, Nur Faidati, Nur Faidullah, Hilmi Zadah Farida Kartini Febriyanti, Maya Fenny Nur Alvianty Hamudi Prasestiyo harun, sigit Harus, Sigit Heru Susanto Huynh Xuan Thi Nguyen Ilyas, Aura Risky Putri Indrawati Indrawati Islamiyatur Rokhmah Ismarwati Rendra Widyatama I.M. Sunarsih Sutaryo Jurdiansyah, Jurdiansyah Khoiriyah, Hikmatul Komarudin Komarudin Komarudin Komarudin L, Tri Hapsari Liem Thanh Nguyen Loc Van Huynh M Dahlan M Dahlan, M Made Suandika Mamnuah, Mamnuah Manahan, Lydia T. Manh Truc Huynh Nguyen Manurung, Khaterina Kristina Meei-Ling Gau Minh Quang Le Moh. Ali Imron, Moh. Mufdillah Mufdillah, Mufdillah My Ngoc Thi Huynh Nguyen, Tuan Van Nosa Septiana Anindita Phuong Viet Nguyen Prasestiyo, Hamudi Prihatiningsih, Dwi Rabuzain Rabuzain Rafikah Safitri Reisha Anom Dwijokangko Rini, Sulistio Rohmiasih Rohmiasih Ruhyana Ruhyana Ruhyana, Ruhyana Salmiati, Suri Setianah, Heni Siregar, Dedy Revelino Siti Fatimah Sitti Fadhillah Sugiantoro, Hari Akbar Sugiyarto Sugiyarto Suri Salmiyati Suri Salmiyati, Suri Suriani Suriani Thi My, Nguyen Duyen Thi Ngoc, Nguyen Han Thi Yen, Nguyen Nhi Thu Minh Vo Thuy Hong Nguyen Tuan Van Nguyen Tuan Van Nguyen Vanesta Faradila Yudianti Vita Setyaningsih Widadi, Tri Yang, Hsiu-Ling Zain, Indah Choirunnisa Putri