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Balloon Therapy to Reduce Shortness of Breath in Chronic Obstructive Lung Disease Patients Khoiriyah Khoiriyah; Farida Adi Rahayu; Tri Nurhidayati; Arief Shofyan Baidhowy
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (596.865 KB) | DOI: 10.30604/jika.v7iS2.1410

Abstract

Blowing the Balloon makes lung expansion and improves intercostal muscles. This process helps patients with COPD remove trapped carbon dioxide in the lungs. Management of COPD requires comprehensive treatment, both pharmacologically and non-pharmacologically. Balloon therapy is a non-pharmacological therapy to reduce shortness of breath. The purpose of this study is to analyze the effect of balloon therapy on reducing shortness of breath in COPD patients at PKU Muhammadiyah Temanggung Hospital. The design was used a Quasi-experiment research type one group pre-test post-test without a control group with 36 respondents using a simple random sampling technique. Measure the degree of shortness of breath using the Modified Medical Research Council Scale questionnaire. Ballon therapy intervention was carried out using breathing exercises by blowing a balloon until the balloon inflated with a diameter of 7 inches about 5 times per day for 14 days. The statistical test used the Wilcoxon signed-rank test. The results showed decreased shortness of breath in COPD patients before and after balloon therapy intervention. The average measurement result of the degree of shortness of breath on the first day was around 2.50, while on the 7th day it was 1.89, and on the 14th day of measurement, the average degree of shortness of breath was 1.06. There is an effect of balloon therapy in reducing shortness of breath in COPD patients in the pulmonary poly ward of PKU Muhammadiyah Temanggung Hospital with a p-value of 0.000 (p less than 0.005). Nurses are expected to provide education about balloon therapy to reduce the degree of COPD shortness of breath. The results of this study show that balloon therapy is effective in reducing shortness of breath in COPD patientsAbstrak: Meniup Balon membuat ekspansi paru-paru meningkatkan otot interkostal. Proses ini membantu pasien PPOK mengeluarkan karbon dioksida yang terperangkap di paru-paru. Penatalaksanaan PPOK memerlukan penanganan yang komprehensif, baik secara farmakologis maupun nonfarmakologis. Terapi balon merupakan terapi nonfarmakologis untuk mengurangi sesak napas. Tujuan penelitian ini adalah menganalisis pengaruh terapi balon terhadap penurunan sesak napas pada pasien PPOK di RS PKU Muhammadiyah Temanggung. Rancangan penelitian yang digunakan adalah Quasi-experiment one group pre-test post-test tanpa kelompok kontrol dengan 36 responden menggunakan teknik simple random sampling. Pengukuran derajat sesak napas menggunakan kuesioner Modified Medical Research Council Scale. Intervensi terapi balon dilakukan dengan menggunakan latihan pernapasan dengan cara meniup balon hingga balon yang berdiameter 7 inci sebanyak 5 kali per hari selama 14 hari. Uji statistik menggunakan uji Wilcoxon. Hasil penelitian menunjukkan terdapat penurunan sesak napas pada pasien PPOK sebelum dan sesudah diberikan intervensi terapi balon. Hasil pengukuran rata-rata derajat sesak nafas pada hari pertama adalah sekitar 2,50 pada hari ke-7 sebesar 1,89 dan pada pengukuran hari ke-14 didapatkan rata-rata derajat sesak nafas sebesar 1,06. Ada pengaruh terapi balon dalam menurunkan sesak napas pada pasien PPOK di poli paru RS PKU Muhammadiyah Temanggung dengan p-value 0,000 (p kurang dari 0,005). Perawat diharapkan memberikan edukasi tentang terapi balon untuk menurunkan derajat sesak nafas PPOK. Hasil penelitian ini menunjukkan bahwa terapi balon efektif dalam mengurangi sesak napas pada pasien PPOK
Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit Astuti, Nining Puji; Sriyono, Sriyono; Yunitasari, Esti; Kurniawati, Ninuk Dian; Baidhowy, Arief Shofyan
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2664

Abstract

Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.
The Effect Of Virtual Reality On Pain In Diabetic Foot Ulcer Patients Baidhowy, Arief Shofyan; Nurhaslina Rahmah, Irma; Khoiriyah, Khoiriyah; Rejeki, Sri
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.v6i2.261

Abstract

Background: Diabetes Mellitus (DM) is a heterogeneous group of disorders characterized by increased blood glucose levels or hyperglycemia which can cause complications such as Diabetic Foot Ulcer. Debridement can cause the patient to experience pain. A nursing intervention that can be used to reduce pain during the debridement of diabetic ulcers is a distraction. VR (Virtual Reality) become a popular distraction device to reduce pain. The purpose of this study was to analyze the effect of Islamic audio-visual therapy by using virtual reality on pain in the treatment of diabetic ulcers. Methods: This type of research uses a quantitative research type with Quasi-experimental with the One Group Pre-Post Test Design approach. The population in this study were diabetes mellitus ulcer pain patients at the Semarang Foid Clinic with a total of 26 patients with a total sample using 26 samples. The instrument used was the pain observation sheet. Data analysis used the Wilcoxon test. Results: the majority were male 65.4%, the majority had a high school education 42.3%, the majority suffered 1-2 months 73.1% and the majority had a grade I Diabetes Mellitus ulcer 65.4%. The results of p-value 0.001 <0.05 can be interpreted that there is an effect of Islamic audio-visual therapy on pain in diabetic ulcer care. Conclusion: This study provides an effect of Islamic audio-visual therapy by using virtual reality on pain in diabetic ulcer care. VR has an effective effect on lower pain in DFU patients. In future research, more detailed criteria are required, such as patients with similar diseases, same age group, and more participants to study.
Optimalisasi Keterampilan Mahasiswa Melalui Hands-On Keperawatan Kritis Baidhowy, Arief Shofyan; Sarinti, Sarinti; Lazuardi, Nugroho; Keysha, Nayandra; Suharto, Suharto; Haryanti, Richta Puspita
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.12893

Abstract

Student competence in critical care is of particular concern. Various studies highlight barriers and deficiencies in knowledge and skills. These gaps can adversely affect students' readiness to provide quality care to critically ill patients. This community service aims to improve knowledge in dealing with critical nursing conditions. The method used was hands on / training with a blended learning approach demonstrating 4 skills to 202 participants consisting of students of Poltekkes Kemenkes Semarang. The skills provided were Ventilator, ECG interpretation, Set Titration and Acid-Base analysis. Data analysis test using the Paired t-test. The results of this community service found that knowledge increased from an average of 68 to 92. The results of the Paired t-test show that there is a significant difference between the pretest and posttest scores, with a p-value of 0.001. This critical nursing training is effective in improving student readiness through increased knowledge, skills and basic competencies for students.