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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JURNAL PENELITIAN PERAWAT PROFESIONAL Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat International Journal of Global Operations Research Jurnal Pengabdian Masyarakat Bestari (JPMB) Journal of Public Health Concerns DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mental Health Concerns Jurnal Pengabdian Masyarakat (Jupemas) Jurnal Keperawatan Profesional
Suprapti, Tuti
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Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Application of Active Cycle of Breathing Technique in Post-Tuberculosis Obstruction Syndrome Patients Jamiyanti, Anggi; Hanandita, Lintang Tiara; Suprapti, Tuti
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.12065

Abstract

Patients with post-tuberculosis obstructive syndrome (PTOS) often experience ineffective airway clearance due to residual lung tissue damage. This study aimed to evaluate the application of the Active Cycle of Breathing Technique (ACBT) in two PTOS patients with ineffective airway clearance and to observe its impact on sputum production and dyspnea reduction. A qualitative case study design was conducted in a pulmonary ward in January 2025. Informed consent was obtained from both patients prior to participation. Data were collected through semi-structured interviews, direct daily observation, physical examination, and medical record review. Observed parameters included respiratory rate, oxygen saturation, breath sounds, cough effectiveness, sputum volume, and perceived dyspnea. ACBT was performed for three consecutive days, 3–4 sessions per day. Results showed a decrease in respiratory rate in Patient 1 from 26 to 20 breaths/min and an increase in SpO₂ from 95% to 98%. Patient 2 maintained a stable rate of 22 breaths/min with SpO₂ increasing from 97% to 98%. Both patients demonstrated increased sputum expectoration, improved cough effectiveness, and reduced dyspnea symptoms. ACBT proved to be an effective nursing intervention for managing airway clearance in PTOS patients. The development of standard operating procedures (SOPs) and further quantitative research with larger samples and long-term follow-up is recommended.
Efektif terapi wound bed preparation terhadap waktu penyembuhan luka pada pasien diabetes melitus tipe 2 Suprapti, Tuti; Herawati, Ade Tika
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 4 (2026): April 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.v6i4.2008

Abstract

Background: Wound Bed Preparation (WBP), a modern approach focusing on wound cleansing, infection control, moisture balance, and edge stimulation, has proven globally effective but is not yet widely and systematically implemented or studied in Indonesia. Purpose: This study aimed to assess the effectiveness of the Wound Bed Preparation (WBP) therapy on wound healing time in T2DM patients compared to standard wound care methods. Method: A quasi-experimental study with a pretest-posttest control group design was conducted. The sample consisted of 30 patients divided into two groups (intervention and control). Wound evaluation was performed using the Bates-Jensen Wound Assessment Tool (BWAT) on day 0, day 7, and day 14. The respondents' age ranged from 45 to 83 years, with 63.3% being male. Results: The effectiveness of wound healing showed a -value of on day 7 and a highly significant -value of on day 14. Clinically, by day 7, a significant positive response was observed in the intervention group, including the emergence of a 'minimal severity' category and a decrease in the number of 'critical' wounds, indicating an improvement in the wound bed quality through debridement, infection control, and moisture management. Although the distribution of severity categories on day 14 appeared similar to day 0, a notable decrease in BWAT scores within those categories demonstrated structural improvement in the wounds. Conclusion: Wound Bed Preparation (WBP) is effective in improving the quality of the wound bed and is recommended to be adopted as a standard approach in diabetic wound care.   Keywords: BWAT; Diabetes Mellitus; Diabetic Ulcer; Wound Bed Preparation; Wound Healing.   Pendahuluan: Terapi Wound Bed Preparation (WBP) yang berfokus pada pembersihan luka, pengendalian infeksi, menjaga kelembapan, dan stimulasi tepi luka menjadi pendekatan modern yang terbukti efektif secara global, namun belum banyak diimplementasikan dan dikaji di Indonesia secara sistematis. Tujuan: Menilai efektivitas terapi Wound Bed Preparation terhadap waktu penyembuhan luka pada pasien DM tipe 2 dibandingkan dengan metode perawatan luka standar. Metode: Penelitian quasi-eksperimen dengan pretest-posttest control group. Sampel terdiri dari 30 pasien yang dibagi menjadi dua kelompok (intervensi dan kontrol). Evaluasi dilakukan menggunakan BWAT (Bates-Jensen Wound Assessment Tool) pada hari ke-0, ke-7, dan ke-14. Hasil: Efektifitas penyembuhan luka pada hari ke 7 dengan p Value 0.91 pada hari ke 14 efektifitas  0.000, Diskusi pada hari ke-7 terjadi perubahan klinis yang bermakna, yaitu munculnya kategori keparahan minimal dan penurunan jumlah luka kritis. Hal ini menunjukkan adanya respons positif terhadap penerapan WBP, terutama melalui proses debridement, pengendalian infeksi, dan manajemen kelembapan yang mampu memperbaiki kualitas dasar luka. Sedangkan pada hari ke-14, meskipun kategori keparahan luka tampak serupa dengan hari ke-0, penurunan skor BWAT dalam kategori tersebut menunjukkan adanya perbaikan struktural pada luka. Simpulan: WBP efektif dalam memperbaiki kualitas dasar luka dan layak dijadikan pendekatan standar dalam perawatan luka diabetes.   Kata Kunci: BWAT; Diabetes melitus; Penyembuhan luka; Ulkus Diabetikum;  Wound Bed Preparation.
Co-Authors Anri, Anri Darajat, Agus Mi’raj Dede Azim, Dede Nur Aziz Muslim Dewi, Heni Aguspita Hanandita, Lintang Tiara Herawati, Ade Tika INDARNA, ASEP AEP Isviyanti, Isviyanti Jamiyanti, Anggi Jundiah, R Siti Jundiah, Raden Siti Lengga, Vivop Marti Mukaromah, Raihany Sholihatul Muslim, Dede Nur Azis Muslim, Dede Nur Aziz Mutiudi, Ade Iwan Nanda, Shely Novia PURWANTI PURWANTI Rahayu, Sri Mulyati Sani, Dhien Novita Soleha, Sri Tambunan, Irisanna Uum Safari Valani, Cici Vitniawati, Vina