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Combination of Tripod Position and Pursed Lip Breathing to Reduce Shortness of Breathing in Patients with Respiratory System Disorders Wiratama, Rahardyan Dika; Rochmah, Ardianti Fauziah; Puspita, Uci Nurhayati; Muhith, Abdul; Zahro, Chilyatiz; Muthoharoh, Anies; Mahyuvi, Tata; Fatkan, Moch
Journal of Applied Nursing and Health Vol. 6 No. 1 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i1.183

Abstract

Background: Shortness of breath that is not treated immediately will result in several other health problems and threaten death. There are non-pharmacological treatments, namely tripod position techniques and pursed lip breathing. To determine the effectiveness of tripod position and pursed lip breathing on reducing shortness of breath in patients with impaired systems and respiration. Methods: The study design used in this case study is based on evidence-based practice of nursing (EBN) with sampling according to inclusion criteria of 5 respondents—ameasuring instrument used for the assessment of shortness of breath using oxygen saturation observation sheets. Respondents' intervention used SOPs for tripod position and pursed lip breathing. Results: Based on interventions that have been performed on patients, most oxygen saturation < 95% to 80%. Then, after the intervention, there was an increase in oxygen saturation to 96-100% as much as 100%, from the results of the spss test using the Wilcoxon test, p values (0.04) < (0.05) were obtained, which means that there is an effect of the application of tripod position and pursed lip breathing on reducing shortness of breath in patients. Conclusion: Tripod position and pursed lip breathing techniques can reduce shortness of breath in patients. This application can be done independently for 10-15 minutes, as much as two times, to reduce shortness of breath if you experience a recurrence.
Addressing Anxiety Problems in Hospital Patients with Guided Imagery Therapy: A Systematic Review Sulistiyawati, Sri; Muhith, Abdul; Mahyuvi, Tata
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.258

Abstract

Background: Anxiety problems are often experienced by patients in hospitals due to various factors, such as medical conditions, medical procedures, or unfamiliar environments. One of the non-pharmacological interventions that has been widely studied to manage anxiety is guided imagery therapy. Objective: This systematic review aims to evaluate the effectiveness of guided imagery therapy in addressing anxiety problems in hospital patients. Methods: Literature searches were conducted on databases such as Google Scholar, Science Direct, and Pubmed. Article searches were carried out systematically from 2019-2024 using severalkeywords, namely "hemodialysis", or "guided imagery", or "anxiety", or "Patients in hospitals". Search for articles in English and Indonesia. Studies that met the inclusion criteria, i.e. experimental or quasi-experimental studies that evaluated the effects of guided imagery therapy on the anxiety levels of hospital patients, were further analysed. Data were extracted and compared to identify key findings. Results: : Studies show that guided imagery therapy can significantly lower anxiety levels in hospital patients, both before and after certain procedures. Positive effects were seen more pronounced in patients who underwent the intervention over several sessions compared to a single session. Additionally, patients reported improved relaxation, mood, and an overall more positive experience during the treatment period. Conclusion: : Guided imagery therapy is an effective and easy-to-apply approach to overcome anxiety in hospital patients. This intervention can be an additional option for health workers to improve the quality of health services, especially for patients with high levels of anxiety. Further studies are needed to explore the effects of these therapies in the context of the wider patient culture and population.
COUNSELING: IMPROVING HYPERTENSION HANDLING BEHAVIOR IN THE PUBLIC Mahyuvi, Tata; Prasetyo, Joko; Puspitasari, Yenny; Amar, Munif; Kristiya Marta, Dony
Jurnal Abdi Masyarakat Vol. 7 No. 1 (2023): Jurnal Abdi Masyarakat November 2023
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jaim.v7i1.5018

Abstract

Hypertension is a non-communicable disease which is a very serious health problem and the main cause of death throughout the world. This community service aims to increase knowledge of how to treat hypertension through education to the community. Service activities were carried out on Tuesday 21 March 2023 at Mitra Medika Bondowoso Hospital using lecture and discussion methods. with 25 participants to find out about hypertension in patients. The way to find out knowledge related to hypertension prevention and control behavior used in community service activities is to ask and answer questions directly to patients. Before being given education in the form of health education about asthma, participants were given a question and answer session and after delivering the material a question and answer session was held to find out the participants' knowledge about hypertension. The evaluation results showed that participants understood hypertension. Public knowledge about hypertension is increasing and people are motivated to get access to treatment and knowledge about how to recognize and prevent hypertension after health education is carried out. It is hoped that this community service activity can be carried out continuously to increase public knowledge regarding various other health problems.
Asuhan Keperawatan Pada Pasien Dengan Diabetes Mellitus: Pendekatan Manajemen Glukosa Dan Edukasi Kesehatan Mahyuvi, Tata; Djunaedi, Djunaedi
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2025): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i1.924

Abstract

Diabetes Mellitus (DM) is a chronic disease characterized by elevated blood glucose levels due to impaired insulin secretion, insulin action, or both. DM management requires a comprehensive approach involving glucose management, pharmacological therapy, lifestyle changes, and ongoing health education. This study aims to describe the implementation of nursing care for patients with DM through a glucose management and health education approach. The research design used a case study conducted on a patient with type 2 DM hospitalized in an internal medicine ward. The nursing care process included assessment, nursing diagnosis, planning, implementation, and evaluation. Interventions provided included blood glucose monitoring, nutritional management, physical activity education, foot care, and increased adherence to drug therapy. The results showed a decrease in the patient's blood glucose level from 280 mg/dL to 165 mg/dL after 5 days of intervention, improved patient understanding of DM management, and improved patient self-care skills. Health education has been shown to play a crucial role in improving self-management behaviors and reducing the risk of long-term complications.
Hubungan Antara Lama Bekerja dan Aspek Afektif Triage START pada Perawat Puskesmas: The Relationship Between Length of Work Experience and the Affective Aspect of START Triage Among Community Health Center Nurses Suwardianto, Heru; Mahyuvi, Tata; Jaoquim, Pinto; Atta-Doku, John Foster; Ferede, Abebaw Jember
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.131

Abstract

Emergency situations and mass casualty incidents require nurses to make rapid, accurate, and evidence-based decisions, particularly in triage using the Simple Triage and Rapid Treatment (START) system. Nurses’ affective competence, including confidence, motivation, and emotional readiness, is crucial for effective triage. However, the relationship between length of service and affective competence remains underexplored in Indonesian community health centers. This cross-sectional study involved 27 nurses from 18 community health centers in Banten Province, Indonesia. A 15-item 4-point Likert questionnaire assessed affective competence in START triage, categorized into low, moderate, and high levels. Descriptive statistics and Pearson correlation analyzed the relationship between length of service and affective competence, with significance set at p < 0.05. Respondents were nearly evenly distributed by gender (48.1% male, 51.9% female) with a mean age of 37.07 ± 7.01 years and mean work experience of 14.81 ± 7.40 years. Most nurses (70.8%) demonstrated high affective competence, 29.2% moderate, and none low. Participants reported high confidence in understanding, explaining, and applying START, although some experienced difficulty in real-life scenarios. Correlation analysis indicated no significant relationship between length of service and affective competence (r = -0.053, p = 0.793). Nurses’ affective competence appears more influenced by training and practical experience than years of service. Structured training programs are essential to enhance affective competence in START triage, regardless of professional tenure.
Association Between Length of Work Experience and Spiritual Intelligence Among Adult Medical–Surgical Nurses: A Cross-Sectional Study Suwardianto, Heru; Santoso, Teguh; Mahyuvi, Tata; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Pinto, Joaquim; Kumar, Sesha
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.21

Abstract

Background: Spiritual Intelligence (SI) is essential for nurses caring for critically ill surgical patients. Previous studies suggest work experience may influence SI, but the extent and specific dimensions affected remain unclear. This study addresses this gap by analyzing the relationship between work experience and four SI dimensions: Critical Existential Thinking (CET), Personal Meaning Production (PMP), Transcendental Awareness (TA), and Conscious State Expansion (CSE) Methods: A cross-sectional study was conducted among 35 nurses working in adult surgical wards at two public hospitals in Kediri, Indonesia. Inclusion criteria were registered nurses with at least six months of experience in surgical wards; exclusion criteria were nurses on leave or with incomplete data. Purposive sampling was used. Independent variable: work experience (years); dependent variable: spiritual intelligence measured using the Spiritual Intelligence Self-Report Inventory (SISRI-24). Data analysis followed the STROBE guideline and was performed using Lambda tests with α < 0.05. Descriptive statistics were reported for key variables, including mean work experience Result: The mean work experience of participants was 7.3 ± 4.1 years. Work experience was significantly associated with Personal Meaning Production (PMP) (p = 0.034) and Conscious State Expansion (CSE) (p = 0.007), indicating that nurses with longer experience are better able to find life meaning and expand spiritual awareness. No significant relationships were observed for Critical Existential Thinking (CET) and Transcendental Awareness (TA). Conclusion: Work experience positively influences certain SI dimensions (PMP and CSE) but not others (CET and TA). These findings suggest that additional factors, such as education, personal experiences, and workplace environment, contribute to SI development. Practical implications: Healthcare institutions should implement spiritual reflection and mindfulness training to support nurses’ well-being. Future research should include larger samples and explore cultural and intervention-based influences on SI development.