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PENERAPAN TERAPI NEBULIZER UNTUK MENGATASI POLA NAFAS TIDAK EFEKTIF PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) Nurani, Rahmawati Dian; Khomsah, Ida Yatun
Jurnal Keperawatan Bunda Delima Vol 5 No 2 (2023): EDISI AGUSTUS
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v5i2.78

Abstract

Abstract Chronic Obstructive Pulmonary Disease (COPD) is a persistent blockage of the airways caused by emphysema and chronic bronchitis. One of the symptoms that appear in COPD is an ineffective breathing pattern. Ineffective breathing pattern is inspiration and/or expiration that does not provide adequate ventilation in the form of oxygen saturation and respiration. Nebulizer therapy is a tool used to change drugs from liquid form to aerosol particle form, this form of aerosol is very useful when inhaled or collected in the lungs, the nebulizer produces aerosols with a strong gas stream produced by the compressor. This therapy is very effective for dealing with ineffective breathing patterns because this breathing apparatus can turn medicine into vapor. The purpose of this study was to describe the application of nebulizer therapy to overcome ineffective breathing patterns in COPD patients based on a literature review. The type of research used was a literature review study design using pre- and quasy-experimental research with the keywords Nebulizer, Ineffective Breathing Pattern, COPD. The results of the five journals show that after nebulizer therapy to overcome ineffective breathing patterns in COPD patients, there is a decrease in respiratory rate or SpO2 in COPD patients. Keywords: Nebulizer, Ineffective Breathing Pattern, COPD. Abstrak Penyakit Paru Obstruktif Kronik (PPOK) merupakan suatu penyumbatan menetap pada saluran pernafasan yang disebabkan oleh emfisema dan bronkitis kronis. Gejala yang muncul pada penyakit PPOK salah satunya seperti pola napas tidak efektif. Pola nafas tidak efektif adalah inspirasi dan atau ekspirasi yang tidak memberikan ventilasi adekuat berupa saturasi oksigen dan respirasi. Terapi Nebulizer adalah alat yang digunakan untuk merubah obat dari bentuk cair ke bentuk partikel aerosol, bentuk aerosol ini sangat bermanfaat apabila dihirup atau dikumpulkan dalam organ paru, nebulizer menghasilkan aerosol dengan aliran gas kuat yang dihasilkan oleh kompresor. Terapi ini sangat efektif untuk mengatasi pola napas tidak efektif dikarenakan alat bantu pernafasan ini dapat mengubah obat menjadi uap. Tujuan penelitian ini untuk menggambarkan penerapan terapi nebulizer untuk mengatasi pola nafas tidak efektif pada pasien PPOK berdasarkan literature review. Jenis penelitian yang digunakan yaitu desain studi literature review dengan menggunakan penelitian pra dan quasy eksperiment dengan kata kunci Nebulizer, Pola Nafas Tidak Efektif, PPOK. Hasil kelima jurnal menunjukkan bahwa setelah dilakukannya terapi nebulizer untuk mengatasi pola nafas tidak efektif pada pasien PPOK terdapat penurunan respiratory rate atau SpO2 pada pasien PPOK. Kata Kunci : Nebulizer, Pola Nafas Tidak Efektif, PPOK.
Pengaruh Terapi Bekam Terhadap Penurunan Tekanan Darah Pasien Hipertensi: The Effect of Cupping Therapy on Reducing Blood Pressure in Hypertensive Patients Khomsah, Ida Yatun; Nurani, Rahmawati Dian
Jurnal Keperawatan Bunda Delima Vol 6 No 1 (2024): EDISI FEBRUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v6i1.95

Abstract

Bekam adalah satu metode pengobatan yang menggunakan gelas, tabung, atau bambu dan lainnya. Prosesnya dimulai dengan nekam pada tempat bekam (membuat tekanan negatif di dalam gelas, tabung, atau bambu) hingga membentuk bendungan lokal pada permukaan kulit. Bekam basah melibatkan pembuatan sayatan pada permukaan kulit dengan pisau bedah atau memasukkan jarum bekam untuk mengeluarkan darah kotor, efek bekam adalah menurunkan sistem saraf simpatis dan membantu mengontrol kadar hormon aldosteron dalam sistem saraf, yang merangsang sekresi enzim yang berperan sebagai sistem angiotensin-renin, sehingga mengurangi volume darah dan pelepasan oksida nitrat karena berperan dalam melebarkan pembuluh darah, penurunan tekanan darah bisa saja terjadi. Selain itu, terapi pencegahan hipertensi mempunyai karakter yang sangat kuat sehingga sangat dianjurkan sebagai terapi komplementer dalam pencegahan dan pengobatan hipertensi. Penelitian ini bertujuan untuk mengetahui efektivitas terapi bekam dalam menurunkan tekanan darah pada pasien hipertensi berdasarkan tinjauan literature. Desain yang digunakan dalam penelitian adalah studi literature review, dengan kriteria literature seperti bekam, tekanan darah, hipertensi. Lima jurnal menunjukkan terapi bekam terbukti memberikan efek penurunan tekanan darah pada pasien hipertensi dengan hasil p-value <0,005. Terapi bekam menjadi salah satu upaya dalam menyelesaikan masalah tekanan darah pada pasien dengan hipertensi
Pengaruh Latihan Range Of Motion (ROM) Dengan Bola Karet Terhadap Kekuatan Otot Pada Pasien Stroke Non Hemoragik: The Effect Of Range Of Motion (Rom) Exercise With Rubber Balls On Muscle Strength In Non-Hemorrhagic Stroke Patients Nurani, Rahmawati Dian; Khomsah, Ida Yatun
Jurnal Keperawatan Bunda Delima Vol 6 No 2 (2024): EDISI AGUSTUS
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v6i1.108

Abstract

Stroke Non Hemoragik merupakan penyakit tidak menular dan dapat menyebabkan kelemahan hingga kelumpuhan pada anggota gerak. Intervensi yang paling sering dilakukan untuk meningkatkan otot yang diakibatkan stroke yaitu Latihan Range Of Motion (ROM). ROM sendiri memiliki bermanfaat meningkatkan kekuatan dan elastisitas otot dan salah satunya gerakan ROM yaitu genggam bola karet. Penelitian ini literature review ini bertujuan untuk mengetahui pengaruh latihan Range Of Motion (ROM) dengan bola karet terhadap kekuatan otot pada pasien stroke non hemoragik. Desain penelitian yang digunakan adalah studi literature review, dengan kriteria literatur stroke non hemoragik, Range Of Motion, bola karet dan kekuatan otot. Hasil penelitian didapatkan sebanyak lima artikel yang digunakan dalam penulisan literature, dari kelima jurnal tersebut mendapatkan hasil akhir bahwasannya terdapat pengaruh atau peningkatan kekuatan otot setelah diberikan Latihan Range Of Motion (ROM) dengan bola karet yang sangat signifikan yang dibuktikan dengan nilai rata-rata nilai P Value < 0,05. Penggunaan Latihan genggam bola karet menjadi suatu modalitas rangsang sensorik raba halus dan tekanan pada reseptor sehingga dapat melenturkan otot, pembuluh darah menjadi elastis serta meningkatkan kembali nilai kekuatan otot.
Manajemen Ulkus Diabetikum Terhadap Family Care Giver Pasien Diabetes Melitus Di Wilayah Tanjung Raya Bandar Lampung Khomsah, Ida Yatun; Nurani, Rahmawati Dian
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 1 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i1.462

Abstract

Introduction: Diabetic foot ulcers are one of the main detrimental complications and serious conditions of diabetes mellitus, where 10% to 25% of diabetes mellitus patients develop diabetic foot ulcers. This can be done by caring for diabetic feet and wounds through Family Caregiver management. Patients can control blood sugar levels independently anywhere and anytime. Considering the current situation, it is necessary to provide health education on the management of diabetic foot and wound care to prevent more severe complications in diabetes mellitus patients. Objective: To increase the knowledge and ability to care for family members in carrying out wound care and foot care for Diabetes Mellitus patients. Method: The method of this activity is carried out using lecture, discussion, demonstration and question and answer methods. Result: Knowledge before giving the material was good knowledge of 6 people (30%) and sufficient knowledge of 14 people (70%), while after giving the material knowledge increased to good knowledge of 19 people (95%) and sufficient knowledge of 5 people (5 %). Overall, the counseling starting from the pre-test and post-test had a positive impact. Conclusion: The results of the evaluation given to participants showed an increase in knowledge and skills in providing foot and wound care for families with diabetes.
Literature Review: Effect of AIUEO Therapy on Speaking Ability in Non-Hemorrhagic Stroke Patients Nurani, Rahmawati Dian; Khomsah, Ida Yatun
INDOGENIUS Vol 4 No 1 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i1.450

Abstract

Background & Objective: AIUEO therapy is a speech therapy that can help improve speech so that others can understand it. The method of this therapy is to move the lips, facial muscles and tongue by pronouncing the letters given such as A, I, U, E, O. The purpose of the literature review was to find references related to the effect of AIUEO therapy on the ability to speak in non-hemorrhagic stroke patients. Method: This literature review uses the PICOT framework method. Result: The results of the analysis that have been carried out in the article are known to have an effect after AIOUEO therapy on respondents who experience verbal communication disorders. AIUEO therapy is a form of rehabilitation therapy to improve the ability to speak in non-hemorrhagic stroke patients. Conclusion: AIUEO therapy has the effectiveness of being used in improving speech in non-hemorrhagic stroke patients.
Edukasi Cara Menyikat Gigi dengan Benar Dalam Pencegahan Karies Gigi pada Siswa di SD N 1 Kedamaian Nurani, Rahmawati Dian; Khomsah, Ida Yatun
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 4 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i4.581

Abstract

Abstract   Introduction: Dental caries is one of the most common oral health problems among elementary school-aged children, both globally and in Indonesia, including in areas like Bandar Lampung. The high prevalence of caries is influenced by various factors, such as poor oral hygiene, consumption of sugary foods, and improper or irregular toothbrushing habits. The lack of education and supervision from parents and schools also exacerbates this condition. Therefore, promotive and preventive efforts are needed, including education on proper tooth brushing from an early age. Elementary schools are a strategic place to instill the habit of brushing through a fun and interactive approach. Educational interventions by health workers, particularly nurses, are crucial for increasing children's knowledge and skills in maintaining dental health, thereby reducing the incidence of tooth decay and improving their overall quality of life. Objective: To provide direct education and training on correct tooth brushing techniques in accordance with dental and oral health standards. Method: The method of this activity is carried out using lecture, discussion, demonstration and question and answer methods. Result: This activity was successfully implemented, involving 75 students who participated in the community service program. Education regarding tooth decay prevention had a significant impact, as the students learned how to brush their teeth properly, the appropriate time to brush, and what foods to avoid to prevent tooth decay Conclusion: The results of the evaluation given to participants showed an increase in knowledge and skills in the right time and technique for brushing their teeth.      
Penerapan senam egrenomik terhadap tekanan darah pada lansia yang mengalami hipertensi Wulan, Sarinah Sri; Khomsah, Ida Yatun
JOURNAL OF Tropical Medicine Issues Vol. 2 No. 1 (2024): Edisi Desember 2024
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Dokter Indonesia (IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/tmi.v2i1.1230

Abstract

Background: Hypertension occurs when blood pressure is more than 140/90 mmHg. Hypertension is a condition in which there is an abnormal and continuous increase in blood pressure on several blood pressure checks caused by one or more risk factors that do not work properly in maintaining normal blood pressure. Treatment of hypertension can be done from pharmacology and non-pharmacology, one of which is egrenomic exercise. Egrenomic Gymnastics is a method that is practical, effective, efficient, and logical in maintaining the health of the human body. Egrenomic exercises are able to restore and improve the position and flexibility of the nervous system and blood flow, maximizing the supply of oxygen to the brain. Purpose: To obtain an overview of the application of egrenomic exercise to blood pressure in the elderly with hypertension. Method: A descriptive using a case study approach. The subjects in this scientific paper are two elderly patients with hypertension. Results: It can lower blood pressure after the application of agronomic gymnastics. There was a decrease in blood pressure in subject I on the first day from 160/100 mmHg, on the fifth day from 140/80 mmHg, in subject II from 150/100 mmHg, on the fifth day from 130/80 mmHg. Conclusion: There are changes in blood pressure in elderly people with hypertension before and after doing agronomic exercises. Keywords: Egrenomic Gymnastics; Elderly; Hypertension Literature Pendahuluan: Hipertensi terjadi jika tekanan darah lebih dari 140/90 mmHg. Hipertensi adalah suatu keadaan dimana terjadi peningkatan tekanan darah secara abnormal dan terus-menerus pada beberapa kali pemeriksaan tekanan darah yang disebabkan satu atau beberapa factor risiko yang tidak berjalan sebagaimana mestinya dalam mempertahankan tekanan darah secara normal. Pengobatan hipertensi dapat dilakukan dari farmakologi maupun non farmakologi salah satunya yaitu dengan senam egrenomik. Senam Egrenomik adalah suatu metode yang praktis, efektif, efisien, dan logis dalam memelihara kesehatan tubuh manusia. Senam Egrenomik mampu mengembalikan dan memperbaiki posisi dan kelenturan sistem saraf dan aliran darah, memaksimalkan suplai oksigen ke otak. Tujuan: Untuk memperoleh gambaran penerapan senam egrenomik terhadap tekanan darah pada lansia yang mengalami hipertensi. Metode: Deskriptif dengan menggunakan pendekatan studi kasus. Subyek yang digunakan adalah dua orang pasien lansia yang mengalami hipertensi. Hasil: Dapat menurunkan tekanan darah sesudah dilakukan penerapan senam egrenomik. Terjadi penurunan tekanan darah pada subjek I hari pertama 160/100 mmHg hari ke lima 140/80 mmHg, subjek II 150/100 mmHg hari ke lima 130/80 mmHg. Simpulan: Terdapat perubahan tekanan darah pada lansia dengan hipertensi sebelum dan sesudah dilakukan senam egrenomik. Kata Kunci: Hipertensi; Lansia; Senam Egrenomik.
Literature Review: Effect of AIUEO Therapy on Speaking Ability in Non-Hemorrhagic Stroke Patients Nurani, Rahmawati Dian; Khomsah, Ida Yatun
INDOGENIUS Vol 4 No 1 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i1.450

Abstract

Background & Objective: AIUEO therapy is a speech therapy that can help improve speech so that others can understand it. The method of this therapy is to move the lips, facial muscles and tongue by pronouncing the letters given such as A, I, U, E, O. The purpose of the literature review was to find references related to the effect of AIUEO therapy on the ability to speak in non-hemorrhagic stroke patients. Method: This literature review uses the PICOT framework method. Result: The results of the analysis that have been carried out in the article are known to have an effect after AIOUEO therapy on respondents who experience verbal communication disorders. AIUEO therapy is a form of rehabilitation therapy to improve the ability to speak in non-hemorrhagic stroke patients. Conclusion: AIUEO therapy has the effectiveness of being used in improving speech in non-hemorrhagic stroke patients.
Pengaruh rebusan daun kelor (moringa olifiera) terhadap tekanan darah pada penderita hipertensi Wulan, Sarinah Sri; Pangesti, Dimas Ning; suharti, sri; Nurani, Rahmawati Dian; Khomsah, Ida Yatun
JOURNAL OF Mental Health Concerns Vol. 2 No. 2 (2023): October Edition 2023
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v2i2.377

Abstract

Background: Hypertension is one of the main causes of premature death throughout the world. The prevalence of hypertension at world level is 22% of the 8 billion total world population. Hypertension develops from year to year and causes many complications. Efforts to control hypertension can be carried out using pharmacological and non-pharmacological methods, one of which is non-pharmacological efforts such as using boiled Moringa leaves. This plant contains calcium, potassium and magnesium which can lower blood pressure. Calcium plays a role in maintaining blood pressure in normal conditions, potassium functions to reduce blood pressure and magnesium functions to contribute to the smooth muscle of blood vessels. Purpose: To determine the effect of boiled Moringa leaves (moringa olifiera) on blood pressure in hypertension sufferers. Method: using a pre-experimental method with a one group pretest-posttest approach. The total sample was 18 respondents. Results: From the Wilcoxon Statistical Test, a p-value <.001 was obtained. Conclusion: There is an effect of boiled Moringa leaves on blood pressure in hypertension sufferers in the Kemiling Bandar Lampung Community Health Center working area. Keywords: Blood Pressure; Hypertension Sufferers; Moringa Leaf Decoction Pendahuluan: Hipertensi merupakan salah satu penyebab utama kematian dini diseluruh dunia. Prevelensi hipertensi ditingkat dunia sebesar 22% dari 8 milyar total populasi penduduk dunia. Penyakit hipertensi berkembang dari tahun ketahun dan menyebabkan banyak komplikasi. Upaya penanggulangan hipetensi dapat dilakukan dengan cara farmakologis dan non-farmakologis salah satu upaya non farmakologis seperti menggunakan rebusan daun kelor. Tanaman ini memiliki kandungan kalsium, potasium dan magnesium yang dapat menurunkan tekanan darah. Kalsium berperan memelihara tekanan darah dalam kondisi normal, potasium berfungsi menurunkan tekanan darah dan magnesium berfungsidapat berkontribusi terhadap otot polos pembuluh darah. Tujuan: Untuk mengetahui pengaruh rebusan daun kelor (moringa olifiera) terhadap tekanan darah pada penderita hipertensi. Metode: menggunakan metode pre-eksperimental dengan pendekatan one group pretest-postest. Jumlah sampel sebanyak 18 responden. Hasil: Dari Uji Statistic Wilcoxon di dapatkan nilai p-value  <,001. Simpulan: Terdapat pengaruh rebusan daun kelor terhadap tekanan darah pada penderita hipertensi di Wilayah kerja Puskesmas Kemiling Bandar Lampung.