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Wulandari, Tri Suraning
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Journal : Healthy Behavior Journal

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Pemberian Pijat Kaki (Foot Massage) untuk Mengatasi Masalah Keperawatan Resiko Perfusi Cerebral Tidak Efektif pada Hipertensi Arnifa, Erlin Dewi; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol 2 No 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1356

Abstract

Hypertension is a disease of the cardiovascular system with an increase in blood pressure both systole and diastole above 140/90 mmHg. One of the nursing problems that often occurs in patients with hypertension is the risk of ineffective cerebral perfusion which can result in decreased oxygen supply to the brain. This descriptive qualitative case study research aims to determine the effectiveness of non-pharmacological therapy in the form of foot massage on the problem of ineffective cerebral perfusion risk in two hypertensive subjects. Data were collected through interviews, observations, and physical examinations. Foot massage intervention with pressing and twisting techniques at certain points on the soles of the feet for 25 minutes per day was given for three consecutive days. The results showed that after the foot massage intervention, the first subject (Mrs M) had a decrease in blood pressure from 158/96 mmHg to 143/87 mmHg with improvement in symptoms such as headache and anxiety. In the second subject (Mr M), blood pressure dropped from 156/93 mmHg to 147/86 mmHg with similar symptom improvement. It can be concluded that the provision of foot massage can effectively improve the risk of ineffective cerebral perfusion problems in patients with hypertension by lowering blood pressure and improving symptoms experienced.
Pemberian Hidroterapi (Rendam Kaki Air Hangat) untuk Mengatasi Risiko Perfusi Serebral Tidak Efektif pada Pasien Hipertensi Sari, Dita Indah Wulan; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol 2 No 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1358

Abstract

Background: Hypertension or high blood pressure is a medical condition that can lead to ineffective cerebral perfusion risk. One of the non-pharmacological therapies that can be used to address this issue is hydrotherapy (warm foot immersion). Previous studies have shown the effectiveness of hydrotherapy in lowering blood pressure in hypertensive patients. Objective: This study aimed to determine the effectiveness of hydrotherapy (warm foot immersion) in addressing ineffective cerebral perfusion risk in hypertensive patients. Methods: This was a qualitative study with a case study design involving two adult female patients with hypertension and ineffective cerebral perfusion risk. The nursing intervention provided was hydrotherapy (warm foot immersion) for 30 minutes with water temperature around 40°C for three consecutive days. Data were collected through participatory observation and interviews, and analyzed by comparing patient facts with theory. Results: The evaluation results showed a significant decrease in blood pressure in both patients after hydrotherapy. In the first patient, blood pressure decreased from 169/96 mmHg to 150/87 mmHg, while in the second patient, it decreased from 184/123 mmHg to 151/102 mmHg. The cerebral perfusion evaluation results also showed a gradual improvement from the first day to the third day, with indicators ranging from moderately decreased to increased. Conclusion: This case study demonstrated that hydrotherapy (warm foot immersion) is effective in lowering blood pressure and addressing ineffective cerebral perfusion risk in hypertensive patients. These findings are consistent with previous research and support the use of hydrotherapy as a non-pharmacological intervention for managing this nursing problem.
Pemberian Pijat Kaki (Foot Massage) untuk Mengatasi Masalah Keperawatan Resiko Perfusi Cerebral Tidak Efektif pada Hipertensi Arnifa, Erlin Dewi; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol. 2 No. 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1356

Abstract

Hypertension is a disease of the cardiovascular system with an increase in blood pressure both systole and diastole above 140/90 mmHg. One of the nursing problems that often occurs in patients with hypertension is the risk of ineffective cerebral perfusion which can result in decreased oxygen supply to the brain. This descriptive qualitative case study research aims to determine the effectiveness of non-pharmacological therapy in the form of foot massage on the problem of ineffective cerebral perfusion risk in two hypertensive subjects. Data were collected through interviews, observations, and physical examinations. Foot massage intervention with pressing and twisting techniques at certain points on the soles of the feet for 25 minutes per day was given for three consecutive days. The results showed that after the foot massage intervention, the first subject (Mrs M) had a decrease in blood pressure from 158/96 mmHg to 143/87 mmHg with improvement in symptoms such as headache and anxiety. In the second subject (Mr M), blood pressure dropped from 156/93 mmHg to 147/86 mmHg with similar symptom improvement. It can be concluded that the provision of foot massage can effectively improve the risk of ineffective cerebral perfusion problems in patients with hypertension by lowering blood pressure and improving symptoms experienced.
Pemberian Hidroterapi (Rendam Kaki Air Hangat) untuk Mengatasi Risiko Perfusi Serebral Tidak Efektif pada Pasien Hipertensi Sari, Dita Indah Wulan; Wulandari, Tri Suraning
HEALTHY BEHAVIOR JOURNAL Vol. 2 No. 1 (2024): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v2i1.1358

Abstract

Background: Hypertension or high blood pressure is a medical condition that can lead to ineffective cerebral perfusion risk. One of the non-pharmacological therapies that can be used to address this issue is hydrotherapy (warm foot immersion). Previous studies have shown the effectiveness of hydrotherapy in lowering blood pressure in hypertensive patients. Objective: This study aimed to determine the effectiveness of hydrotherapy (warm foot immersion) in addressing ineffective cerebral perfusion risk in hypertensive patients. Methods: This was a qualitative study with a case study design involving two adult female patients with hypertension and ineffective cerebral perfusion risk. The nursing intervention provided was hydrotherapy (warm foot immersion) for 30 minutes with water temperature around 40°C for three consecutive days. Data were collected through participatory observation and interviews, and analyzed by comparing patient facts with theory. Results: The evaluation results showed a significant decrease in blood pressure in both patients after hydrotherapy. In the first patient, blood pressure decreased from 169/96 mmHg to 150/87 mmHg, while in the second patient, it decreased from 184/123 mmHg to 151/102 mmHg. The cerebral perfusion evaluation results also showed a gradual improvement from the first day to the third day, with indicators ranging from moderately decreased to increased. Conclusion: This case study demonstrated that hydrotherapy (warm foot immersion) is effective in lowering blood pressure and addressing ineffective cerebral perfusion risk in hypertensive patients. These findings are consistent with previous research and support the use of hydrotherapy as a non-pharmacological intervention for managing this nursing problem.
Efektivitas Teknik Pernapasan Buteyko Dalam Memperbaiki Pola Napas Tidak Efektif Pada Pasien Asma Bronkial Devinia, Hevita; Wulandari, Tri Suraning; Parmilah, Parmilah
HEALTHY BEHAVIOR JOURNAL Vol. 3 No. 1 (2025): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v3i1.1637

Abstract

Background: Data from the World Health Organization (WHO) shows that around 235 million people suffer from bronchial asthma. Data from the Ministry of Health in 2020 showed that the number of people with bronchial asthma in Indonesia was more than 12 million. Nursing problems that occur in bronchial asthma are ineffective breathing patterns. If ineffective breathing patterns are not addressed properly, the risk of bronchial asthma attacks will increase, the breathing process will become heavier and more difficult, and will even endanger life. One of the non-pharmacological therapies that can applied to patients with bronchial asthma through the buteyko technique. Purpose: This study was to determine the effectiveness of the Buteyko breathing technique in improving ineffective breathing patterns in patients with bronchial asthma. Methods: This case study used 2 respondents with bronchial asthma who experience nursing problems of ineffective breathing patterns aged 43 years and 58 years the method used in this study is a case study design with a qualitative research approach aimed at explaining a phenomenon.The inclusion criteria are respondents who suffer from bronchial asthma, show signs and symptoms of an ineffective breathing pattern, are willing to participate as respondents, and are in the young to middle adult age range (20–59 years). The instruments or tools used in this study to collect data include oximeter, watch/stopwatch, chair, and stethoscope. Results: The results of the analysis showed that after the Buteyko breathing technique was carried out for 3 consecutive days, (dyspnea/shortness of breath, use of breathing aids, prolongation of the expiratory phase, orthopnea/difficulty breathing when lying down, nasal flaring breathing) decreased and the respiratory rate improved. Conclusion: Two respondents initially experienced shortness of breath. After carrying out the Buteyko breathing technique for 3 consecutive days, the breathing pattern improved so that it can be concluded that the Buteyko breathing technique is effective in improving breathing patterns in patients with bronchial asthma.
The EFFECTIVENESS OF ZIKIR THERAPY TO REDUCE ANXIETY IN STROKE PATIENTS: EFFECTIVENESS OF ZIKIR THERAPY TO REDUCE ANXIETY IN STROKE PATIENTS Rachmadhania, Neyla Nur; Wulandari, Tri Suraning; Kurniawati, Ratna
HEALTHY BEHAVIOR JOURNAL Vol. 3 No. 2 (2025): Healthy Behaviour Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v3i2.1633

Abstract

Latar Belakang: Stroke merupakan gangguan neurologis permanen yang terjadi akibat gangguan sirkulasi darah ke otak. Dampak yang ditimbulkan berupa keterbatasan fisik, kelumpuhan, serta perubahan kualitas hidup memicu perasaan rendah diri dan cemas. Sekitar 70% pasien stroke mengalami gejala cemas, terapi zikir merupakan salah satu bentuk teknik relaksasi spiritual yang bersifat menenangkan secara psikologis dan fisiologis serta membantu mengalihkan dari stres dan kecemasan. Tujuan: Penelitian ini untuk mengetahui efektivitas terapi zikir dalam mengatasi kecemasan pada pasien stroke. Metode penelitian menggunakan studi kasus dengan jumlah pasien 66 tahun dan 73 tahun sebanyak 2 orang. Hasil: Hasil analisis menunjukkan bahwa setelah dilakukan intervensi selama tiga hari dengan pemberian waktu pagi, siang, sore, dan malam, tingkat kecemasan pada pasien stroke mengalami penurunan. Hal ini dibuktikan dengan menurunnya verbalisasi kekhawatiran, menurunnya perilaku gelisah dan tegang, perbaikan pola tidur, serta perbaikan tekanan darah. Kesimpulan: Pemberian terapi zikir efektif dalam mengatasi masalah kecemasan pada pasien stroke.
Efektifitas Teknik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Akut Pada Pasien Pasca Operasi Apendiktomi Di Rumah Sakit PKU Muhammadiyah Temanggung Ramadhan, Sutri Ardy; Wulandari, Tri Suraning; Kurniawati, Ratna
HEALTHY BEHAVIOR JOURNAL Vol. 3 No. 2 (2025): Healthy Behaviour Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v3i2.1638

Abstract

Background: Appendectomy is a surgical procedure to treat appendicitis, but postoperative pain is a common complication. If left unmanaged, pain can affect sleep, delay healing, increase sympathetic activity, and cause emotional distress. Non-pharmacological methods such as deep breathing relaxation are safe and effective options to manage this pain. Deep breath relaxation techniques have been shown to effectively reduce pain intensity by relaxing muscle spasm, which is caused by an increase in prostaglandins, leading to vasodilation and increased blood flow to areas of spasm and ischemia. In addition, this technique can stimulate the release of endogenous opioids, such as enkephalins and endorphins. Enkephalins function as neurotransmitters that regulate pain, emotions and stress, while endorphins provide a sense of relaxation, comfort and calmness to the body. According to WHO (World Health Organization) in 2022, the number of deaths due to appendicitis reached 21,000 clients with the number of male sufferers being higher than female. Purpose: This study aimed to determine the effectiveness of deep breathing relaxation techniques in reducing acute pain in post-appendectomy patients. Methods: This was a qualitative case study involving two postoperative patients. Data were collected through observation, interviews, and pain scale assessments using the Numeric Rating Scale (NRS), before and after applying deep breathing techniques for 3 days (twice daily for 10–15 minutes). Results: Both patients showed a decrease in pain levels, with improved indicators such as reduced grimacing, restlessness, and normalized vital signs. Conclusion: Deep breathing relaxation techniques are effective in lowering acute pain levels in appendectomy patients and can be used as supportive nursing care alongside pharmacological treatment.
Co-Authors Anisah, Retno Lusmiati Arnifa, Erlin Dewi Asriyanto, Luthfi Fauzy Asriyanto, Luthfy Fauzi Azizatul Ilmiyah, Vina Devinia, Hevita Fauzy Asriyanto, Luthfi Ika Purnamasari Kurniawait, Ratna Kurniawati, Ratna Lusmiati Anisah, Retno Maryani, Anita Nur Gilang Fitriana Parmilah Parmilah Parmilah, Parmilah Rachmadhania, Neyla Nur Ramadhan, Sutri Ardy Sari, Dita Indah Wulan