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All Journal JMM (Jurnal Masyarakat Mandiri) Martabe : Jurnal Pengabdian Kepada Masyarakat JSFK (Jurnal Sains Farmasi & Klinis) Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Keperawatan Malang (JKM) Journal of Telenursing (JOTING) Abdimasku : Jurnal Pengabdian Masyarakat Indian Journal of Forensic Medicine & Toxicology Caring : Jurnal Pengabdian Masyarakat Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN
Wisnasari, Shila
Program Studi Ilmu Keperawatan, Departemen Keperawatan, Fakultas Ilmu Kesehatan, Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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EFEKTIVITAS LATIHAN FISIK TERSTRUKTUR TERHADAP PENURUNAN INDEKS INSOMNIA PADA PEROKOK Kumboyono, Kumboyono; Wisnasari, Shila; Wihastuti, Titin Andri
Jurnal Keperawatan Malang Vol 10 No 2 (2025): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v10i2.436

Abstract

Background: Smokers frequently experience insomnia, a sleep disturbance linked to nicotine’s stimulating properties that negatively impact sleep quality. Non-pharmacological approaches, such as structured physical exercise, have gained attention as alternative interventions for insomnia management. Purpose: The study aimed to evaluate the effectiveness of structured physical exercise in reducing insomnia severity among young adult smokers. Methods: This study employed a quasi-experimental design with a pretest-posttest model and control group. A total of 40 young adult smokers were recruited as participants and proportionally assigned to either the intervention or control group, with 20 individuals in each. The intervention group underwent a structured physical exercise program for four weeks, performed three times per week for 30 minutes per session, while the control group received health education materials. Insomnia severity was measured using ISI (the Insomnia Severity Index). Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test for between-group differences. Result: The findings revealed a significant reduction in ISI scores within the intervention group, with an average difference of 4.40 (p<0.001), whereas the control group showed a smaller, non-significant reduction of 0.80 (p=0.086). Structured physical exercise proved to be statistically more effective in decreasing insomnia severity compared to health education (p=0.001). Implication: Community nurses can adopt promotive strategies by implementing structured physical exercise interventions to effectively reduce insomnia severity among young adult smokers. This non-pharmacological approach can be systematically integrated into public health programs to support improved sleep quality and overall health outcomes. Keywords: Insomnia; Non-pharmacological intervention; Physical exercise; Smokers; Sleep
An An Assessment of the Efficacy of Chlorhexidine in Nebulizer Disinfectant to Prevent Contaminated Aerosol Administration Ariningpraja, Rustiana Tasya; Wisnasari, Shila; Ahsan, Ahsan; Kristianto, Heri; Febriano, Luis Figo
JSFK (Jurnal Sains Farmasi & Klinis) Vol 12 No 3 (2025): J Sains Farm Klin 12(3), December 2025
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jsfk.12.3.186-191.2025

Abstract

Nebulization therapy is an essential method of drug administration that enables effective delivery of medicationsto the respiratory tract in aerosol form; however, contaminated nebulizer components may serve as a source of pathogenicmicroorganisms associated with nosocomial pneumonia. This in vitro experimental study aimed to evaluate the effectiveness ofchlorhexidine as a nebulizer disinfectant in eliminating pathogenic bacteria. The study employed a post-test control group designusing six groups of nebulizer chambers, consisting of two control groups and four intervention groups. Two clinically relevantbacteria, Pseudomonas aeruginosa and Acinetobacter baumannii, were inoculated into the nebulizer chambers. The interventiongroups were disinfected using chlorhexidine gluconate at concentrations of 2.5%, 4%, and 5% diluted in 70% alcohol, and 2.5%chlorhexidine diluted in distilled water, while the control groups received sterile water and 70% alcohol, in accordance withexisting guidelines. After a standardized exposure period, bacterial growth was assessed using Colony Forming Unit (CFU) counts. Data were analyzed descriptively and comparatively to evaluate bacterial eradication across groups. The results demonstrated that 5% chlorhexidine diluted in 70% alcohol achieved complete bacterial elimination (0 CFU) for both bacterial strains, whereas lower concentrations showed residual growth. These findings indicate that chlorhexidine, particularly at higher concentrations, demonstrates strong disinfectant activity against common nosocomial pneumonia pathogens in nebulizer chambers. Nevertheless, the results are limited to in vitro conditions; therefore, further studies involving a wider range of microorganisms, standardized exposure times, and assessments of aerosol contamination during clinical nebulization are warranted to support its practical application.
Co-Authors Adi Santoso Ahsan Ahsan Ahsan Akhiyan Hadi Susanto Anindita Suwondo, Rifka Ariningpraja, Rustiana Tasya Dudella Desnani Firman Yasin, Dudella Desnani Firman Effendy, Nuraeni Febriano, Luis Figo Hadi Susanto, Akhiyan Heri Kristianto Ike Nesdia Rahmawati, Ike Nesdia Kumboyono Kumboyono Kuswantoro Rusca Putra Nurona Azizah Pawestri, Frilian Niken Perkasa, Wendi Genta Rahma Micho Widyanto Retno Lestari Rismawan Adi Yunanto Rivaldi, Hengky Rustiana Tasya Ariningpraja Sahadewo Pintarto, Muhammad Septi Dewi Rachmawati Susanto, Akhiyan Hadi Suwondo, Rifka Anindita Titin Andri Wihastuti Yulian Wiji Utami Yulian Wiji Utami, Yulian