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All Journal Jurnal Keperawatan Sriwijaya Nurse and Health: Jurnal Keperawatan Seminar Nasional Keperawatan JURNAL MEDIA KESEHATAN Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Jurnal Ners Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Menara Medika Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Lentera Perawat Jurnal Kesehatan Terapan Jurnal ADAM : Jurnal Pengabdian Masyarakat Nanggroe: Journal Of Scholarly Service Nanggroe: Journal of Scholarly Service Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Seroja Husada: Jurnal Kesehatan Masyarakat Jurnal Pengabdian Indonesia Journal of Community Nursing and Primary Care Indonesian Journal of Health Services Optimal Nursing Journal Journal of Cross Knowledge
INDRA FRANA JAYA KK
Universitas Kader Bangsa
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COMPREHENSIVE RESEARCH REPORT AND ANNOTATED TRANSLATION: APPLICATION OF INSPIRATORY MUSCLE TRAINING ON DYSPNEA SCALE AND IMPACT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) Indra Frana Jaya; M. Agung Akbar
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.862

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a debilitating lung condition characterized by persistent respiratory difficulties, with dyspnea (shortness of breath) acting as the primary symptom that severely compromises patients' quality of life. Inspiratory Muscle Training (IMT) represents a targeted intervention designed to enhance the strength of respiratory muscles and alleviate dyspnea symptoms in individuals suffering from COPD. Purpose: The primary objective of this study is to analyze the effect of IMT on the impact of COPD and the dyspnea scale. Methods: The research employed a quasi-experimental design utilizing two distinct groups: an intervention group and a control group. The study population consisted of 80 COPD patients admitted to the internal medicine ward of a general hospital. Data collection utilized the COPD Assessment Test (CAT) and the Modified Medical Research Council (mMRC) dyspnea scale to quantify the impact of COPD and the severity of breathlessness. Patients in the intervention group received IMT sessions twice a day for one day, administered consecutively for three days, with each session lasting approximately 10–20 minutes. Results: The Friedman test was utilized to evaluate the statistical significance of differences in COPD impact and dyspnea scales across three specific measurement points: baseline (initial), day 2, and day 3. The findings demonstrated a significant reduction in both the impact of COPD and the dyspnea scale within the intervention group (p = 0.001). Conversely, the control group exhibited changes only in the dyspnea scale (p = 0.037), with no significant improvement in the overall impact of COPD. Conclusion: The study concludes that IMT is proven effective in increasing respiratory muscle strength, improving pulmonary ventilation, and reducing symptoms of shortness of breath in COPD patients. Furthermore, the role of nurses in the implementation of IMT is identified as critical for maximizing the therapeutic benefits, thereby reducing the impact of COPD and dyspnea.   Keywords: COPD, Dyspnea, Impact of COPD, Inspiratory Muscle Training, Nursing Intervention.
Effects of intradialytic exercise on physical and psychological outcomes in patients undergoing hemodialysis: A systematic review Indra Frana Jaya KK; Novi Yanti S; Ayu Prawesti Priambodo
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.815

Abstract

Background: Patients undergoing maintenance hemodialysis frequently experience physical and psychological problems, including fatigue, reduced functional capacity, muscle weakness, anxiety, stress, depression, and a decline in quality of life. These conditions are influenced by chronic kidney disease, long-term hemodialysis, limitations in physical activity, and dependence on dialysis therapy. Intradialytic exercise, defined as physical exercise performed during a hemodialysis session, is a nonpharmacological intervention with the potential to improve patients' physical and psychological conditions. Objective: To evaluate the effectiveness of intradialytic exercise on physical and psychological outcomes in patients undergoing hemodialysis. Methods: This systematic review was conducted in accordance with the PRISMA guidelines and was registered in PROSPERO under registration number CRD420261386106. Literature searches were conducted in PubMed, ScienceDirect, Scopus, Web of Science, and CINAHL. Articles published from 2020 to 2026 were searched, with the final search conducted in May 2026. The included studies were quantitative studies, primarily randomized controlled trials, quasi-experimental studies, or other intervention studies that evaluated exercise performed during hemodialysis and reported physical and/or psychological outcomes. Study selection, data extraction, and quality assessment were performed independently by the reviewers. A total of 18 studies met the inclusion criteria and were analyzed in this systematic review. Results: The synthesis showed that intradialytic exercise had positive effects on physical outcomes, including improvements in functional capacity, muscle strength, activity tolerance, and physical performance, as well as reductions in fatigue. Several studies also reported improvements in psychological outcomes, including reductions in anxiety, stress, and depression and improvements in quality of life. Conclusion: Intradialytic exercise may be an effective nonpharmacological intervention for improving physical and psychological outcomes in patients undergoing hemodialysis, while taking into account each patient's clinical condition, safety, and individual capabilities.
PENGARUH TERAPI RELAKSASI BENSON TERHADAP SKALA NYERI PADA PASIEN POST OPERASI BENIGNA PROSTAT HIPERPLASIA Indra Frana Jaya KK; M .Agung Akbar; Septami Putri Hajati
Optimal Nursing Journal Volume 1 No 1 Juni 2024
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740294

Abstract

Tujuan: Penelitian ini bertujuan mengetahui pengaruh terapi relaksasi benson terhadap skala nyeri pada pasien post operasi Benigna Prostat Hiperplasia Metode: Penelitian ini menggunakan pendekatan quasi experiment dengan rancangan one grup pre-post test design. Jumlah responden sebanyak 30 pasien post operasi Benigna Prostat Hiperplasia, kemudian diberikan terapi Relaksasi Benson. Pengambilan sampel menggunakan purposive sampling data dikumpulkan dengan melakukan penilaian skala nyeri pada pre test dan post test. Analisis yang digunakan dalam penelitian ini yaitu uji Wilcoxon. Hasil: Hasil uji statistik dengan uji Wilcoxon menunjukkan bahwa terjadi penurunan skala nyeri setelah di berikan terapi relaksasi benson dengan nilai p=0,001. Simpulan: Penerapan terapi relaksasi benson secara signifikan dapat menurunkan skala nyeri pada pasien post operasi Benigna Prostat Hiperplasia. Saran untuk perawat dalam melakukan Terapi Relaksasi Benson terhadap skala nyeri pada pasien post operasi benigna prostat hiperplasia (BPH) melibatkan pendekatan yang holistik dan perhatian khusus terhadap kebutuhan individu
PENGARUH PENERAPAN BUERGER ALLEN EXERCISE (BAE) TERHADAP GLUKOSA DARAH PADA PASIEN DIABETES MELITUS TIPE II Indra Frana Jaya KK; Fauzi Ashara; Elfira Husna; Evi Susanti; Erian Fatria; Vera Kurnia
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7349

Abstract

Pendahuluan: Peningkatan kadar glukosa darah adalah tanda penyakit metabolik kronis yang dikenal sebagai diabetes karena gangguan dalam sekresi insulin atau respon tubuh terhadap insulin Penatalaksanaan diabetes melitus salah satunya adalah aktivitas fisik atau nonfarmakologi, penatalaksanaan nonfarmakologi dengan masalah perfusi perifer tidak efektif adalah dengan buerger allen exercise. Metode: Penelitian ini merupakan penelitian kuantitatif dengan quasi experiment design dengan rancangan non equivalent control group, dengan membandingan pre test dan post test serta membandingkan kelompok intervensi dengan kelompok kontrol. teknik pengambilan sampling adalah purposive sampling yaitu sebanyak 36 responden, terdiri dari 18 responden sebagai kelompok intervensi dan 18 responden sebagai kelompok kontrol. di lakukan selama 5 hari dengan 2 sesi. Analisa data menggunakan uji-t Dependen pada pre test dan post test dan uji-t Independen pada perbandingan kelompok intervensi dengan kelompok kontrol Hasil: Terdapat pengaruh penerapan burger allen exercis terhadap Glukosa darah pada pasien Diabetes Melitus tipe II pada kelompok intervensi dan kontrol dengan nilai p 0,05 Diskusi: Buerger allen exercise (BAE) efektip meningkatkan sirkulasi darah ke ekstremitas dan merangsang terjadinya gerakan kontraksi dan relaksasi pada pembuluh darah sehingga peredaran darah pada kaki menjadi lebih baik. Temuan ini menegaskan pentingnya intervensi non-farmakologis yang mudah diterapkan untuk stabilisasi glukosa darah pada pasien Diabetes Melitus tipe II. Kata kunci : Diabetes; Buerger allen exercise ; Ankle brachial index; Glukosa darah
Application of Active Cycle Breathing Technique (ACBT) Exercises on Hemodynamic Status in Pulmonary Tuberculosis Patients With Respiratory Problems : A Case Study Indra Frana Jaya KK; Hili Auliana; Anggraini Dwika Damayanti; Angel Putri; Maya Susanti; Titi Hidayati; Yuri Mariza; Santi Herliza
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.450

Abstract

Tuberculosis is an disease caused by the bacterium Mycobacterium tuberculosis and is a major public health problem in the world. One of the symptoms that arise from someone suffering from tuberculosis is hemodynamic disorders, especially respiratory pattern disorders. Objective: This study aims to describe the application of Active Cycle Breathing Technique (ACBT) training to hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns at Siti Fatimah Regional Hospital, South Sumatra Province. Method: This study used a descriptive design with a case study approach on three pulmonary tuberculosis patients who experienced respiratory pattern disorders. The data obtained was analyzed by comparing respiratory patterns, hemodynamic status and Modified Medical Research Council (MMRC) scores before and after intervention. Results: The third patient showed a stable hemodynamic status and a decrease in respiratory pattern disturbances from dyspnea to prone to eupnea. This was seen from a decrease in the MMRC score of one grade in each patient after being given ACBT training. Conclusion: ACBT training is an intervention that can be used to improve hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns. Suggestion: Nurses can include ACBT training intervention as a complementary therapy for freezing and it is hoped that further research can add sessions in ACBT training and with a larger sample.
Application of Tepid Sponge Therapy to Treat Hyperthermia in Gestational Age Children at General Hospital : A Pre-Experimental Study Indra Frana Jaya KK; Citra Suraya; Patimah Patimah; Penti Meka Pratiwi; Indri Kurniasari; Pitri Hasana; Putri Puji Asrini; Raden Ayu Dhiyaa Adelia
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.453

Abstract

Fever in infants and children is the most common complaint. Fever is a form of defense from the body in dealing with problems in the body. Fever is not a problem, but a high fever can be serious in all children. This study aims to determine the application of Tepid Sponge therapy to treat hyperthermia in preschool-aged children at Siti Fatimah Regional Hospital, South Sumatra Province. This research used a pra-experimental approach with a one group pre-post test design, the number of respondents was 20 patients diagnosed with hyperthermia, then given Tepid Sponge therapy. Sampling used purposive sampling, data was collected by checking the patient's body temperature values in the pre-test and post-test. The results of statistical tests using the paired t-test showed that there was a decrease in temperature in patients before and after Tepid Sponge therapy with a value of p=0.000. The conclusion of this study is that the application of Tepid Sponge can significantly reduce temperature in pediatric patients who experience hyperthermia. Nurses can include the Tepid Sponge intervention as a complementary nursing therapy and it is hoped that future research can compare its effectiveness with other interventions, use a control group or use a larger sample.
Nursing management of ineffective airway clearance through effective cough technique in chronic obstructive pulmonary disease: A case study Serli Marlina; Epin Epin; Indra Frana Jaya KK; Fifi Yunianti; Jamal Jamal; Diana Diana
Lentera Perawat Vol. 6 No. 4 (2025): October - December
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.629

Abstract

Background: Ineffective airway clearance is a common complication among patients with Chronic Obstructive Pulmonary Disease (COPD), requiring structured nursing interventions such as the effective cough technique to optimize secretion mobilization. Objective: This case study aimed to describe the nursing management of ineffective airway clearance using the effective cough technique in adult COPD patients. Methods: A descriptive case study was conducted on two adult COPD patients experiencing ineffective airway clearance at RSUD Siti Fatimah. Data were collected through interviews, physical examination, direct observation, and nursing documentation over a three-day intervention period. The effective cough technique was implemented 2–3 sessions per day. Data were analyzed using descriptive analysis, comparing pre- and post-intervention respiratory parameters (RR, SpO₂, sputum characteristics) and narratively reviewing qualitative responses to evaluate clinical improvement. Results: Both patients initially exhibited dyspnea, ineffective coughing, wheezing, and difficulty expectorating thick sputum. Progressive improvements were observed across three days, demonstrated by increased sputum expulsion, decreased respiratory rate, disappearance of wheezing, improved oxygen saturation, and enhanced patient comfort. By day three, both patients were able to perform effective coughing independently and showed normalized respiratory patterns. Conclusion: The effective cough technique is a safe and clinically beneficial non-pharmacological intervention that improves airway clearance and respiratory function in COPD patients. Regular guidance, proper positioning, hydration, and continuous monitoring strengthen intervention outcomes and support patient self-management in airway clearance.
Nursing care using roy’s adaptation model–based mirror therapy for physical mobility impairment in stroke patients: A case study Agusdiman Saputra; Mira Susanti; Siti Hardiyanti Pratiwi; Indra Frana Jaya KK; Kastina Kastina; Regina Regina
Lentera Perawat Vol. 6 No. 4 (2025): October - December
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.643

Abstract

Background: Stroke is a common neurological disorder that requires prompt and appropriate management to prevent functional impairment. Non-pharmacological nursing interventions play an important role in supporting motor recovery, one of which is Mirror Therapy, which facilitates motor relearning through visual feedback mechanisms. Objective: This study aimed to implement nursing care for stroke patients through the application of Mirror Therapy based on Roy’s Adaptation Model. Methods: A descriptive study with a case study approach was conducted involving three stroke patients at RSUD Siti Fatimah. The intervention consisted of Mirror Therapy exercises integrated with Roy’s Adaptation Model. Data collection techniques included nursing assessment, observation, physical examination, and documentation. Nursing diagnoses were established based on the Indonesian Nursing Diagnosis Standards (SDKI), and interventions were implemented using the Indonesian Nursing Intervention Standards (SIKI) and evaluated with the Indonesian Nursing Outcome Standards (SLKI). Results: Initial assessments of all three patients revealed complaints of unilateral extremity weakness and dizziness. The identified nursing diagnoses included impaired physical mobility and risk of ineffective cerebral perfusion. After three days of Mirror Therapy intervention, all patients demonstrated improvement in extremity muscle strength scores. These findings indicate a positive functional response to the intervention. Conclusion: Mirror Therapy based on Roy’s Adaptation Model is effective in improving extremity muscle strength and addressing impaired physical mobility in patients with non-hemorrhagic stroke. This intervention can be considered a valuable non-pharmacological nursing approach to support motor recovery in stroke patients.
Association between nurses’ perceptions of head nurse leadership style and their performance in nursing care delivery: A cross-sectional study Indra Frana Jaya KK; Maria Regina; Jamal Jamal; Frisa Anesia Amalah; Ayu Andira; Dedek Puspasari
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.804

Abstract

Background: Nurses’ performance in delivering nursing care is a key indicator of hospital service quality. Ward head leadership may shape nurses’ work behavior through direction, motivation, supervision, and feedback. However, evidence regarding how nurses’ perceptions of head nurse leadership relate to nursing care performance in specific inpatient units remains limited. Objective: This study aimed to examine the association between nurses’ perceptions of head nurse leadership style and their performance in nursing care delivery in an inpatient ward. Methods: A quantitative correlational study with a cross-sectional design was conducted in the eighth-floor inpatient ward of RSUD Siti Fatimah in 2026. A total of 17 staff nurses were recruited using total sampling. Nurses’ perceptions of head nurse leadership style were measured using a leadership style questionnaire adapted from Nursalam, while nursing care performance was assessed using a 20-item nursing performance questionnaire adapted from Bakri. Data were analyzed using descriptive statistics and Spearman’s rank correlation with a significance level of α = 0.05. Results: Most respondents perceived the head nurse’s leadership style as good (n = 12; 70.6%), and most demonstrated good performance in nursing care delivery (n = 13; 76.5%). Among nurses with good leadership perceptions, 91.7% reported good nursing care performance. Spearman’s rank correlation showed a statistically significant positive association between nurses’ perceptions of head nurse leadership style and nursing care performance (r = 0.587; p = 0.013), indicating a moderate correlation. Conclusion: Nurses who perceived the head nurse’s leadership style more positively tended to report better performance in delivering nursing care. These findings suggest that effective ward-level leadership may support nursing care quality through clear direction, supervision, motivation, and constructive feedback. Strengthening leadership practices among head nurses is therefore important to enhance staff nurses’ performance and maintain the quality of inpatient nursing care.
Peran Perawat Sebagai Educator Terhadap Kepatuhan Minum Obat Pasien Hipertensi Di RSUD Siti Fatimah Provinsi Sumsel Indra Frana Jaya KK; Nila Alfa Fauziah
Journal of Cross Knowledge Cross Inovation
Publisher : edujavare

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/jck.v2i1.295

Abstract

Penelitian ini bertujuan untuk mengetahui Peran Perawat Sebagai Educator terhadap Kepatuhan Minum Obat Pasien Hipertensi di RSUD Siti Fatimah Provinsi Sumsel. Pada penelitian ini menggunakan jenis penelitian deskriptif. Uji Normalitas menggunakan Kolmogorov-smirnov. Analisa data yang digunakan uji Mann-Whitney. Teknik pengambilan sampel pada penelitian ini adalah purposive sampling, jumlah sampel pada penelitian ini 85 responden. Peran Perawat Sebagai Educator berpengaruh secara sinifikan terhadap Kepatuhan Minum Obat Pasien Hipertensi di RSUD Siti Fatimah Provinsi Sumsel
Co-Authors AA Sudharmawan, AA Abdul, Zabidah Afrida Pratiwi Agus Priadi Agusdiman Saputra Agusdiman Saputra Ahmad Zulfikri Ahmad Zulkarnaen Akbar, M. Agung Alex Atmasubrata ALKHUSARI Amelia Putri Anastasia Anna Andre Utama Saputra Angel Putri Anggraini Dwika Damayanti Ardiansyah, Berlian Arif Billah Pangestu Idil Adha Aris Citra Wisuda Ayu Andira Ayu Andira Ayu Prasweti Priambodo Ayu Prawesti Priambodo Ayu Safitriyana Ayunani, Sabrina Brahma Putra Wijaya Budi Santoso Cahya, Febriani Citra Suraya Dani Prasetyo Dedek Puspasari Dewi Putri Ayu Dewi Putri Ayu Diana Diana Eka Rora Suci Wisudawati Elfira Husna Elsa Sylvia Epin Epin Erian Fatria Evi Susanti Fajri Kurniawan Fauzi Ashara Febrian Rahmat Suwandi SN Fermata Sari Fifi Yunianti FITRI AFDHAL Frisa Anesia Amalah Hajati, Septami Putri Harto, Toto Helmika, Inda Herawati, Densi Hili Auliana Iman Apriyadi Inayah Kamilah Inayah Kamilah Indah Noer Jannah Indradewa, Rhian Indri Kurniasari Intan Intan Irfannuddin Irfannuddin Jamal Jamal Jamal Jamal Kastina Kastina Larasati Larasati Legiran Legiran Legiran Legiran M. Agung Akbar Maria Regina Masayu Cindey Kartikasari Masayu Cindey Kartikasari Masito Masito Maya Susanti Minata, Fika Mira Susanti Muhammad Romadhon Mustakim Mustakim Nadia Putri Neny Nursahaza NILA ALFA FAUZIAH Ningsih, Deasy Kurnia Novi Yanti S Nurul Fitriah Nurul Fitriah Oktasari, Indriyani Patimah Patimah Penti Meka Pratiwi Pitri Hasana Pratiwi, Afrida Putri Puji Asrini Raden Ayu Dhiyaa Adelia Rahmania Ambarika RANIDA ARSI Ratna WardanI Regina Regina Ria Wulandari Ria Wulandari Rizka Violita Rizka Violita Rizma Wirza Sriko Santi Herliza Saputra, Amin Sasono Mardiono Septami Putri Hajati Septami Putri Hajati Serli Marlina Serli Wulan Safitri Siti Hardiyanti Pratiwi Suci Wisudawati, Eka Rora Sunarti Sunarti Syamsiar, Syamsiar Titi Hidayati Vera Kurnia Winarti Winarti Yazika Rimbawati Yuna Septia Yuna Septia Yuri Mariza Zulfikri, Ahmad