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Family Nursing Care for Gout Arthritis Patients Using Soursop Juice as a Non-Pharmacological Therapy to Reduce Uric Acid Levels Asep Gunawan; Deuis Diana Sari; Rudi Kurniawan
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 2 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i2.828

Abstract

Gout arthritis is a form of joint inflammation caused by the accumulation of urate crystals, resulting in pain, swelling, and limited mobility. Non-pharmacological therapy such as soursop (Annona muricata) juice, which contains antioxidants and xanthine oxidase inhibitors, may help reduce uric acid levels. This case study was conducted on Mr. A, a patient with gout arthritis living in Palasari Hamlet, Sukahurip Village, Ciamis. The intervention consisted of daily soursop juice administration for five consecutive days, with monitoring of uric acid levels and pain symptoms. After treatment, uric acid decreased slightly from 8.7 mg/dL to 8.6 mg/dL, accompanied by reduced pain and swelling. Although the reduction was minimal, soursop juice showed potential as a safe, low-cost complementary therapy for gout arthritis management in family settings.
Implementation of Effective Cough Training to Improve Airway Clearance in Asthma Patients: A Nursing Care Process Case Study in the Emergency Department Linda Oktavianingsih; Rudi Kurniawan; Asep Gunawan; Elis Novianti
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 2 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i2.842

Abstract

Asthma is a chronic respiratory disorder that remains a major public health concern, particularly in areas with high pollution levels. One of the most frequent nursing problems among asthma patients is ineffective airway clearance caused by mucus retention. Effective cough training is a non-pharmacological nursing intervention aimed at facilitating secretion removal and improving respiratory function. This case study evaluated the effectiveness of cough training in improving airway clearance in an asthma patient treated in the emergency department. A descriptive case study design using the nursing care process assessment, diagnosis, intervention, implementation, and evaluation was applied. Data were collected through interviews, physical examinations, observations, and documentation for two days. The intervention consisted of deep nasal inhalation for four seconds, breath-holding for two seconds, exhalation through pursed lips for eight seconds, followed by a controlled cough. After two days, improvements were observed in respiratory rate (from 26 to 22 breaths per minute), oxygen saturation (from 90% to 95%), and mucus expectoration. The patient was able to perform the technique independently after education and guided practice. These findings indicate that effective cough training is a simple, evidence-based nursing intervention that enhances airway clearance and oxygenation and should be integrated into emergency asthma care to prevent complications.
EFEKTIFITAS EDUKASI HEALTH BELIEF MODELS DALAM PERUBAHAN PERILAKU PASIEN HIPERTENSI: LITERATUR REVIEW Rizky Aulia Rachman; Elis Noviati; Rudi Kurniawan
HealthCare Nursing Journal Vol. 3 No. 1 (2021): Healtcare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v3i1.1091

Abstract

Hipertensi adalah keadaan dimana tekanan darah meningkat secara kronis karena jatung memompa darah lebih kuat untuk memenuhi kebutuhan tubuh. Hipertensi dikatakan sebagai penyakit silent killer dikarenakan hipertensi ini merupakan penyakit yang terkadang tidak menunjukkan gejala namun dapat menimbulkan komplikasi yang membahayakan bahkan secara tiba-tiba dapat mengakibatkan kematian. Health Belief Model (HBM) merupakan salah satu pendekatan promosi kesehatan yang digunakan dalam perubahan perilaku yang berorientasi terhadap persepsi pasien. HBM telah lama dikembangkan, namun tampaknya hanya sampai dengan penelitian, sementara implementasi di lapangan masih jarang dilakukan. Tujuan penelitian adalah untuk mengetahui efektifitas edukasi health belief models dalam perubahan perilaku pasien hipertensi. Metode penelitian yang digunakan aadalah penelitian sekunder dengan literature reviews. Populasi sebanyak 168 artikel jurnal dengan sampel yang memenuhi kriteria inklusi sebanyak 15 artikel jurnal dan prosiding nasional dan internasional dengan search engine proquest dan Google Schoolar. Hasil penelitian menunjukkan bahwa edukasi HBM efektif dalam meningkatkan perilaku sehat pasien hipertensi. Disarankan hasil penelitian sekunder ini dapat dijadikan dasar teori bagi penelitian yang akan datang untuk dilanjutkan sebagai penelitian primer.