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Active Cycle of Breathing Technique (ACBT) and Effective Coughing on Respiratory Rate Changes in COPD Patients Sawitri, Atri Mega; Yuniarti, Enny Virda; Pratiwi, Rizky Meuthia
JENDELA NURSING JOURNAL Vol 8, No 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.12000

Background: COPD is a chronic obstructive disease that causes breathing resistance, resulting in an increase in respiratory frequency. To reduce shortness of breath in COPD patients, independent nursing interventions can be carried out, one of which is providing a combination of Active Cycle of Breathing Technique (ACBT) techniques. In addition to loosening and relieving the respiratory tract.Purpose: this study aimed to evaluate the effectiveness of Active Cycle of Breathing Technique (ACBT) and effective coughing in reducing respiratory rate among patients with Chronic Obstructive Pulmonary Disease (COPD).Methods: using a pre-experimental design with a one-group pretest-posttest approach, 30 COPD patients from Dr. Wahidin Sudirohusodo Regional General Hospital were recruited via purposive sampling technique obtained as many as 30 people. Data collection techniques in this study were carried out by observing the value of respiratory rate before and after giving ACBT and effective cough. Data analysis using paired T-test.Results: the results showed a significant decrease in respiratory rate after the intervention (mean pre-test: 24.97, post-test: 22.97; p 0.001). These findings suggest that ACBT combined with effective coughing is an effective nursing intervention to manage respiratory symptoms in COPD patients.Conclusion: the conclusion is that there is an effect of the combination of Active Cycle of Breathing Technique (ACBT) and Effective Coughing on changes in repiratory rate in COPD patients.

PENYULUHAN RESIKO JATUH DAN PENDAMPINGAN TANDEM WALKING EXERCISE SEBAGAI UPAYA PENCEGAHAN JATUH PADA LANSIA Pratiwi, Rizky Meuthia; Ayu, Dieke Sigeria Ayu; Yusril Al Hamdani Z
EZRA SCIENCE BULLETIN Vol. 3 No. 1 (2025): January-June 2025
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ezrasciencebulletin.v3i1.213

Para lansia beberapa mempunyai keluhan kelemahan dan rasa nyeri. Gangguan keseimbangan merupakan penyebab utama resiko jatuh. Perlu di lakukan upaya untuk meningkatkan keseimbangan tubuh lansia salah satunya Tandem Walking Exercise. Metode yang digunakan adalah ceramah, tanya jawab, praktik , diskusi dan mengetahui nilai TUG-Test. Setelah melakukan edukasi, selanjutnya adalah melakukan latihan berjalan tandem kemudian menilainya dengan Time Up Go Test. Hasil dari penilaian dan observasi saat latihan berjalan tandem, sebanyak 3 lansia masuk ke kategori resiko tinggi jatuh dengan durasi berjalan tandem > 13 detik, 16 lansia masuk ke kategori resiko jatuh ringan karena berdasarkan observasi agak kurang dalam keseimbangan dan 21 lansia tidak beresiko jatuh atau mampu menyelesaikan jalan tandem < 13 detik.

IMPROVED SLEEP QUALITY AND DECREASED INSOMNIA RATES AFTER YOGA THERAPY: LITERATURE REVIEW Ningsih, Arum Dwi; Pratiwi, Rizky Meuthia
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 1 (2024): VOLUME 8 ISSUE 1 APRIL 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss1/580

Sleep quality is a problem that is often experienced by the elderly. In the elderly phase, humans will experience a decrease in organ function and this has an impact on meeting the needs of rest and sleep. Sleep quality in the elderly has decreased, this can be seen in sleep duration, sleep latency, and subjective aspects such as night sleep and rest. The purpose of this study was to conduct an analysis of Yoga Therapy on Sleep Quality Improvement and Insomnia in the Elderly. The literature study in this article is a literature review. The effect of the effectiveness of Yoga therapy on improving sleep quality and insomnia in the elderly will be reviewed, including how to sample and the variables measured. Database search and article screening are carried out independently by reviewers by following the requirements in meeting inclusion criteria. Based on the results of the Review of 16 research journals, 16 journals have quasy experiment, Pre-experimental studies and randomized control and trial research methods. A total of 16 journals show that Yoga Intervention can improve the quality of sleep in the elderly and help reduce insomnia symptoms in the elderly.

REPOSITIONING AS AN INTERVENTION FOR STROKE PATIENTS WITH PRESSURE ULCER RISK - A CASE STUDY Pratiwi, Rizky Meuthia; Endah, Umi
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 1 (2025): VOLUME 9 ISSUE 1 APRIL 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss1/701

he risk of pressure ulcers are a risk that can occur in patients with stroke. Limited activity and disorders of motor nerves make it difficult for patients to mobilize, resulting in prolonged bed rest. If the risk of pressure sores is left unchecked, a new problem will emerge, namely pressure sores or what is known as pressure ulcers. Repositioning is one solution so that patients can mobilize even in bed. The aim of this research was to conduct a case study analysis of two stroke patients who experienced immobilization and were at risk of pressure ulcers. Using descriptive design with interview techniques, observation, physical examination and documentation. The Braden score instrument is also used as a basis for assessing the risk of decubitus pressure ulcers before and after repositioning. The results of the initial assessment showed that client 1 had a Braden scale score of 10, client 2 had a Braden score of 13 and client 3 had a Braden score of 14, meaning a high risk of pressure sores. Next, repositioning intervention was carried out for 3 days every 2 hours. Other implementations include monitoring weight and changes, using barriers such as lotion or water-absorbing pads at pressure points or bony prominences, patients are also given special mattresses, and administration of corticosteroids is excluded. The results of the 3 day evaluation were that there were no pressure sores found on the client and a reduction in the risk of pressure sores with the achievement of an increase in the Braden score, namely Patient 1 had an increase in the Braden score from a score of 13 (moderate risk of pressure sores) to 15 (mild risk of pressure sores), patient 2 experienced an increase in the Braden score from 13 to 15. Patient 3, a score of 14 to 16 which from a moderate risk to a mild risk of pressure sores. Implementation of intervention delivery repositioning In patients who comply every 2 hours, it is very effective in preventing the occurrence of pressure sores (decubitus) compared to not providing intervention repositioning. So this intervention can be recommended

Resiko Jatuh dan Kekhawatiran Jatuh terhadap Aktiftas Fisik Yang di Lakukan oleh Lansia Pratiwi, Rizky Meuthia
Jurnal Penelitian Perawat Profesional Vol 7 No 2 (2025): April 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i2.6414

Penurunan kekuatan fisik pada lansia meliputi berkurangnya kepadatan tulang, menurunnya elastisitas otot,sendi dan kekuatan otot. Hal ini dapat menimbulkan rasa takut jatuh pada saat lansia melakukan aktifitas fisik.Pemicu rasa takut jatuh biasanya dikarenakan pengalaman yang tidak menyenangkan sehingga lansia kerap menghindari.Tujuan penelitian yaitu mengetahui hubungan resiko jatuh dan kekhawatiran jatuh terhadap aktifitas fisik yang di lakukan lansia Metode penelitian kuantitatif dengan desain deskriptif korelatif crossectional, lokasi di UPTD Puskesmas Kedundung. Populasi adalah seluruh lansia yang mengikuti posyandu lansia berjumlah 65 lansia.Non Probability sampling dengan jenis convinience sampling yaitu teknik pengambilan sampel yang paling mudah diakses, tersedia dan dilakukan dengan memilih sampel yang dijumpai di lokasi penelitian. Data dalam penelitian ini diambil secara langsung dari responden (data primer) dengan metode pengumpulan data yang digunakan adalah kuesioner menggunakan metode structure interview pada lansia yang mengikuti layanan puskesmas, layanan posyandu dan senam lansia. Instrumennya menggunakan Falls Efficacy Scale (FES-I) Indonesian Version,Morse Fall Scale (MFS) dan Physical Activities Scale for Elderly (PASE).Lansia memiliki tingkat kekhawatiran rendah sebanyak 21 responden (52,5%),21 responden (52,5%) tidak beresiko jatuh dan Aktifitas baik 37 responden (92,5%).Uji korelasi Spearman rank antara nilai korelasi FES-I dan PASE adalah 0,513, MFS dan PASE nilai korelasi 0,513,FES dan MFS memiliki nilai korelasi 1.000.Nilai 0,513 menunjukan koefisien korelasi hubungan cukup kuat dan nilai korelasi 1.000 menunjukan hubungan sangat kuat. Hasil nilai signifikansi yaitu 0,001 yang menunjukan < 0,05 hubungan variabel signifikan.Lansia mayoritas memiliki kekhawatiran rendah, tidak beresiko jatuh dan aktifitas fisik baik.Rasa takut jatuh membentuk perilaku dalam beraktifitas dan resiko jatuh yang rendah juga mempengaruhi cara lansia dalam beraktifitas.Semakin rendah resiko jatuhnya, maka lansia tidak memiliki hambatan untuk berakatifitas.

Active Cycle of Breathing Technique (ACBT) and Effective Coughing on Respiratory Rate Changes in COPD Patients Sawitri, Atri Mega; Yuniarti, Enny Virda; Pratiwi, Rizky Meuthia
JENDELA NURSING JOURNAL Vol. 8 No. 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.12000

Background: COPD is a chronic obstructive disease that causes breathing resistance, resulting in an increase in respiratory frequency. To reduce shortness of breath in COPD patients, independent nursing interventions can be carried out, one of which is providing a combination of Active Cycle of Breathing Technique (ACBT) techniques. In addition to loosening and relieving the respiratory tract.Purpose: this study aimed to evaluate the effectiveness of Active Cycle of Breathing Technique (ACBT) and effective coughing in reducing respiratory rate among patients with Chronic Obstructive Pulmonary Disease (COPD).Methods: using a pre-experimental design with a one-group pretest-posttest approach, 30 COPD patients from Dr. Wahidin Sudirohusodo Regional General Hospital were recruited via purposive sampling technique obtained as many as 30 people. Data collection techniques in this study were carried out by observing the value of respiratory rate before and after giving ACBT and effective cough. Data analysis using paired T-test.Results: the results showed a significant decrease in respiratory rate after the intervention (mean pre-test: 24.97, post-test: 22.97; p < 0.001). These findings suggest that ACBT combined with effective coughing is an effective nursing intervention to manage respiratory symptoms in COPD patients.Conclusion: the conclusion is that there is an effect of the combination of Active Cycle of Breathing Technique (ACBT) and Effective Coughing on changes in repiratory rate in COPD patients.

IMPROVED SLEEP QUALITY AND DECREASED INSOMNIA RATES AFTER YOGA THERAPY: LITERATURE REVIEW Ningsih, Arum Dwi; Pratiwi, Rizky Meuthia
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 1 (2024): VOLUME 8 ISSUE 1 APRIL 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss1/580

Sleep quality is a problem that is often experienced by the elderly. In the elderly phase, humans will experience a decrease in organ function and this has an impact on meeting the needs of rest and sleep. Sleep quality in the elderly has decreased, this can be seen in sleep duration, sleep latency, and subjective aspects such as night sleep and rest. The purpose of this study was to conduct an analysis of Yoga Therapy on Sleep Quality Improvement and Insomnia in the Elderly. The literature study in this article is a literature review. The effect of the effectiveness of Yoga therapy on improving sleep quality and insomnia in the elderly will be reviewed, including how to sample and the variables measured. Database search and article screening are carried out independently by reviewers by following the requirements in meeting inclusion criteria. Based on the results of the Review of 16 research journals, 16 journals have quasy experiment, Pre-experimental studies and randomized control and trial research methods. A total of 16 journals show that Yoga Intervention can improve the quality of sleep in the elderly and help reduce insomnia symptoms in the elderly.

FOOD INTAKE, PHYSICAL ACTIVITY, AND FASTING BLOOD GLUCOSEAMONG TYPE 2 DIABETES MELLITUS PATIENTS: A CROSS-SECTIONALSTUDY Pratiwi, Rizky Meuthia
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/778

Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder marked by hyperglycemia due to reduced insulin sensitivity and impaired insulin secretion. Poor monitoring of dietary intake and low physical activity often worsen glycemic control. This study aimed to determine the relationship between dietary intake assessed through food recall, physical activity, and fasting blood glucose levels in T2DM patients. This quantitative research employed a descriptive correlational design with a cross-sectional approach and was conducted at Blooto Public Health Center in September 2025. A total of 80 respondents were selected using convenience sampling. Data were collected using a 3-day food recall analyzed with the FatSecret application, the International Physical Activity Questionnaire (IPAQ), and fasting blood glucose measurements using a glucometer. Data analysis included Chi-square tests and Linear Regression. Results showed that 60% of respondents consumed more than 50 grams of sugar per day, 60% had light to moderate physical activity, and 62.5% exhibited elevated fasting blood glucose (>100 mg/dL). Significant relationships were found between food recall and fasting blood glucose (p = 0.000) and between physical activity and fasting blood glucose (p = 0.000). However, the combined effect of dietary intake and physical activity was not significant (p = 0.996). Strengthening dietary education and promoting regular physical activity are essential to improve glycemic control in T2DM patients.

Edukasi Food Recall dan Aktifitas Fisik untuk Pengendalian Gula Darah pada Penderita Diabetes Mellitus Pratiwi, Rizky Meuthia
Jurnal Pengabdian dan Pemberdayaan Kesehatan Vol. 2 No. 4 (2025): Desember 2025
Publisher : Menara Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70109/jupenkes.v2i4.79

Diabetes Mellitus (DM) merupakan penyakit kronis dengan prevalensi tinggi dan masih menjadi tantangan bagi pelayanan kesehatan primer. Program Pengelolaan Penyakit Kronis (Prolanis) telah berjalan di Puskesmas, namun kadar gula darah banyak pasien masih tidak terkontrol akibat pola makan yang belum sesuai diet DM dan aktivitas fisik yang rendah. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran pasien melalui penerapan metode food recall 24 jam dan edukasi pola makan seimbang serta aktivitas fisik. Pelaksanaan kegiatan meliputi pengisian food recall, evaluasi mandiri pola makan, pre-test pengetahuan, pemberian edukasi diet DM dan aktivitas fisik berdasarkan teori IPAQ, kemudian post-test sebagai evaluasi. Hasil food recall menunjukkan sebagian besar pasien masih mengonsumsi makanan tinggi karbohidrat sederhana, gorengan, lemak jenuh, dan rendah serat, serta memiliki aktivitas fisik kategori ringan. Pada tahap pre-test, 26 responden memiliki pengetahuan kurang dan 29 responden memiliki pengetahuan cukup. Setelah edukasi, terjadi peningkatan signifikan di mana 33 responden berada pada kategori pengetahuan baik dan 22 responden pada kategori cukup. Temuan ini menunjukkan bahwa kombinasi metode self-monitoring melalui food recall dan edukasi terstruktur efektif meningkatkan pengetahuan dan kesadaran pasien untuk mengelola gaya hidup dalam pengendalian glukosa darah.

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