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TRYPOD POSITION AND PURSED LIP BREATHING TOWARDS IMPROVING OXYGEN SATURATION Ulfah, Maria; Septiany, Maulidya; Aridamayanti, Bernadetta Germia
Jurnal Keperawatan Universitas Jambi Vol 10 No 2 (2026): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v10i2.54303

Background: Pleural effusion involves abnormal fluid accumulation in the pleural cavity, stemming from increased production or reduced lymphatic absorption. This buildup compresses the lungs, impairing expansion and causing symptoms like dyspnea, chest pain, and cough. Non-pharmacological interventions, such as the tripod position and pursed-lip breathing, enhance lung ventilation, oxygenation, and ease breathing effort. Objective: This case report evaluates their application in nursing care for Mrs. S, a patient with pleural effusion, to boost oxygen saturation. Methods: A descriptive case study design targeted one patient diagnosed with pleural effusion. Data were gathered via medical-surgical nursing assessments, including interviews, observations, and physical exams. Findings informed a tailored nursing care plan. Interventions comprised tripod positioning where the patient leans forward with arms supported on a surface to optimize the use of diaphragmatic breathing along with pursed-lip breathing, involving inhalation through the nose and prolonged exhalation through pursed lips to reduce air trapping and improve gas exchange. These were implemented daily for three consecutive days, with ongoing monitoring and evaluation of vital signs, particularly SpO2. Result: Pre-intervention, Mrs. S exhibited SpO2 of 84%, marked dyspnea, and ineffective airway clearance. Post-intervention, SpO2 rose to 96%, with notable relief in shortness of breath and enhanced respiratory comfort. No adverse effects occurred, confirming intervention tolerability. Conclusion: The use of the tripod position and pursed lip breathing technique has been shown to improve oxygen saturation in Mrs. S with a nursing diagnosis of impaired gas exchange. Keywords: Pleural Efussion, Tripod Position, Pursed Lip Breathing

TRYPOD POSITION AND PURSED LIP BREATHING TOWARDS IMPROVING OXYGEN SATURATION Ulfah, Maria; Septiany, Maulidya; Aridamayanti, Bernadetta Germia
Jurnal Keperawatan Universitas Jambi Vol 10 No 2 (2026): Jurnal Keperawatan Universitas Jambi
Publisher : Program Studi Keperawatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkuj.v10i2.54303

Background: Pleural effusion involves abnormal fluid accumulation in the pleural cavity, stemming from increased production or reduced lymphatic absorption. This buildup compresses the lungs, impairing expansion and causing symptoms like dyspnea, chest pain, and cough. Non-pharmacological interventions, such as the tripod position and pursed-lip breathing, enhance lung ventilation, oxygenation, and ease breathing effort. Objective: This case report evaluates their application in nursing care for Mrs. S, a patient with pleural effusion, to boost oxygen saturation. Methods: A descriptive case study design targeted one patient diagnosed with pleural effusion. Data were gathered via medical-surgical nursing assessments, including interviews, observations, and physical exams. Findings informed a tailored nursing care plan. Interventions comprised tripod positioning where the patient leans forward with arms supported on a surface to optimize the use of diaphragmatic breathing along with pursed-lip breathing, involving inhalation through the nose and prolonged exhalation through pursed lips to reduce air trapping and improve gas exchange. These were implemented daily for three consecutive days, with ongoing monitoring and evaluation of vital signs, particularly SpO2. Result: Pre-intervention, Mrs. S exhibited SpO2 of 84%, marked dyspnea, and ineffective airway clearance. Post-intervention, SpO2 rose to 96%, with notable relief in shortness of breath and enhanced respiratory comfort. No adverse effects occurred, confirming intervention tolerability. Conclusion: The use of the tripod position and pursed lip breathing technique has been shown to improve oxygen saturation in Mrs. S with a nursing diagnosis of impaired gas exchange. Keywords: Pleural Efussion, Tripod Position, Pursed Lip Breathing

MODEL KEPERAWATAN KOMUNITAS UNTUK PEREMPUAN DESA DALAM EKONOMI SIRKULAR GALUH Bernadetta Germia Aridamayanti; Maulidya Septiany; Ihya Hazairin Noor
Jurnal Sinergitas PKM & CSR Vol. 9 No. 3 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/jspc.v9i3.10477

Program Sekolah Perempuan GALUH merupakan bentuk pengabdian kepada masyarakat yang dilaksanakan di Desa Antasan Senor Ilir, Kabupaten Banjar, sebagai upaya penguatan kapasitas perempuan desa dalam menghadapi tantangan sosial, ekonomi, dan lingkungan. Permasalahan utama yang ditemukan meliputi rendahnya pengetahuan terkait kesetaraan gender, keterampilan kewirausahaan, serta pemanfaatan potensi lokal berupa limbah kayu dan sekam yang belum bernilai ekonomi. Tujuan kegiatan ini adalah meningkatkan literasi kewirausahaan, memperkuat peran perempuan dalam pembangunan komunitas, serta mendorong penerapan prinsip ekonomi sirkular berbasis keperawatan komunitas. Metode yang digunakan adalah pendekatan partisipatif dengan landasan Health Care System Model Betty Neuman melalui 16 kali pertemuan yang mencakup teori (kesetaraan gender, kewirausahaan dasar, pengelolaan limbah, manajemen keuangan, dan pemasaran digital) serta praktik (pembuatan pupuk organik, kerajinan limbah, dan promosi digital). Hasil menunjukkan peningkatan rata-rata pengetahuan peserta sebesar 41%, dengan capaian tertinggi pada aspek pemasaran digital (+45%). Produk uji coba berupa pupuk organik dan kerajinan berbasis limbah berhasil dihasilkan, serta terbentuk empat kader perempuan sebagai fasilitator lokal. Program ini terbukti efektif memperkuat kapasitas sosial, ekonomi, dan ekologis perempuan desa, sekaligus berkontribusi pada pencapaian SDGs 1, 4, 5, 8, 12, 13 serta mendukung visi Indonesia Emas 2045. The GALUH Women’s School program represents a form of community service implemented in Antasan Senor Ilir Village, Banjar Regency, aimed at strengthening the capacity of rural women in addressing social, economic, and environmental challenges. The main issues identified include low knowledge of gender equality, limited entrepreneurial skills, and underutilization of local resources such as wood waste and rice husks that hold potential economic value. The objectives of this activity are to enhance entrepreneurial literacy, strengthen women’s roles in community development, and promote the application of circular economy principles grounded in community nursing practice. The method employed was a participatory approach based on Betty Neuman’s Health Care System Model, conducted over 16 sessions comprising both theoretical (gender equality, basic entrepreneurship, waste management, financial management, and digital marketing) and practical components (organic fertilizer production, waste-based crafts, and digital promotion). The results indicated an average increase of 41% in participants’ knowledge, with the highest improvement observed in digital marketing (+45%). Pilot products, including organic fertilizers and waste-based crafts, were successfully developed, and four women facilitators were trained as local cadres. This program has proven effective in enhancing the social, economic, and ecological capacities of rural women while contributing to the achievement of SDGs 1, 4, 5, 8, 12, and 13, and supporting the vision of Golden Indonesia 2045.

Peningkatan Pengetahuan dan Keterampilan Cuci Tangan pada Siswa SDN 4 Komet Banjarbaru Muhammad Akbar Radani; Bernadetta Germia Aridamayanti; Rifda Nur Achriyana Arif
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/qgcbb086

Perilaku cuci tangan pakai sabun (CTPS) merupakan salah satu indikator penting Perilaku Hidup Bersih dan Sehat (PHBS) yang berperan dalam pencegahan penyakit infeksi pada anak usia sekolah. Rendahnya pemahaman mengenai waktu yang tepat untuk mencuci tangan serta kurangnya keterampilan dalam menerapkan enam langkah cuci tangan yang benar masih ditemukan pada siswa sekolah dasar. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan cuci tangan pada siswa SDN 4 Komet Banjarbaru. Kegiatan dilaksanakan pada tanggal 12 Mei 2025 dengan melibatkan 30 siswa kelas III. Metode yang digunakan meliputi penyuluhan kesehatan, demonstrasi enam langkah cuci tangan sesuai rekomendasi World Health Organization (WHO), praktik langsung, dan tanya jawab. Evaluasi dilakukan melalui observasi dan pemberian pertanyaan terkait materi yang disampaikan. Hasil kegiatan menunjukkan peningkatan pengetahuan siswa, ditandai dengan meningkatnya kategori pengetahuan baik dari 26,7% menjadi 83,3%. Selain itu, keterampilan siswa dalam mempraktikkan enam langkah cuci tangan meningkat dari 23,3% menjadi 90,0%. Kegiatan ini menunjukkan bahwa edukasi interaktif yang dikombinasikan dengan demonstrasi dan praktik langsung efektif dalam meningkatkan pengetahuan dan keterampilan CTPS pada anak usia sekolah. Program serupa perlu dilakukan secara berkelanjutan untuk mendukung pembentukan perilaku hidup bersih dan sehat sejak dini.

Pemberdayaan Kader Sigap Stroke Berbasis Community Health Nursing untuk Meningkatkan Kapasitas Deteksi Dini dan Respons Awal Stroke di Desa Antasan Senor Ilir Bernadetta Germia Aridamayanti; Muhammad Iqbal Qushoyyi; Maya Raaida Latifah; Khusnul Khotimah; Renia Nor Azzahra; Isma Azizah
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/rba0aw25

Stroke was one of the leading causes of mortality and long-term disability, requiring early detection and prompt response to reduce complications. Antasan Senor Ilir Village experienced a high burden of stroke accompanied by limited community awareness and inadequate health cadres' capacity to recognize early stroke symptoms. This community service program aimed to improve the capacity of health cadres in early stroke detection and initial response through a Community Health Nursing-based empowerment approach. The program was conducted on 27–28 June 2026 in Antasan Senor Ilir Village, Banjar Regency, South Kalimantan, involving 25 health cadres from the Family Welfare Movement (PKK) and the Integrated Non-Communicable Disease Post (Posbindu PTM). The intervention consisted of community education, training, demonstrations, FAST (Face, Arm, Speech, Time) simulations, and mentoring. Program outcomes were evaluated using pre-tests, post-tests, and direct observation of participants' practical skills. The findings demonstrated that the proportion of cadres with good knowledge increased from 8.0% to 84.0%. The mean knowledge score improved from 61.84 to 88.72, accompanied by substantial improvements in early stroke detection and initial response skills across all FAST components. Participant attendance exceeded the initial target by reaching 125%, and the program also initiated the establishment of the Stroke Response Cadre Team at the village level. The Community Health Nursing-based empowerment approach effectively improved the knowledge and practical skills of health cadres in supporting community-based stroke prevention, early detection, and initial response.

ANTASAN GERAK PULIH: OPTIMALISASI KEMANDIRIAN PENYINTAS STROKE MELALUI REHABILITASI BERBASIS RUMAH DI DESA ANTASAN SENOR ILIR Bernadetta Germia Aridamayanti; Aulya Yuliyanti; Salma Nur Azkia; Hidayah Putri; Nur Aida Rahmah; Claudia Angel Viwanda; Nur Jannah; M. Nabil Nazarul Azra
Jurnal Abdimas Ilmiah Citra Bakti Vol. 7 No. 3 (2026)
Publisher : STKIP Citra Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38048/jailcb.v7i3.7269

Stroke dapat menyebabkan keterbatasan fungsi dan penurunan kemandirian penyintas sehingga membutuhkan rehabilitasi berkelanjutan yang dapat dilakukan di lingkungan rumah. Keterbatasan pengetahuan keluarga dan kapasitas kader kesehatan dalam mendampingi rehabilitasi menjadi permasalahan di Desa Antasan Senor Ilir. Pengabdian kepada masyarakat ini bertujuan mengoptimalkan kemandirian penyintas stroke melalui program Antasan Gerak Pulih berbasis rehabilitasi rumah. Mitra kegiatan meliputi Pemerintah Desa Antasan Senor Ilir, Puskesmas Martapura Timur, kader kesehatan, keluarga caregiver, dan penyintas stroke. Kegiatan dilaksanakan melalui pendidikan masyarakat, pelatihan, demonstrasi, serta pendampingan dengan materi latihan range of motion (ROM), ambulasi, activity of daily living (ADL), mobilisasi aman, dan pencegahan komplikasi. Kegiatan diikuti oleh 30 peserta yang terdiri atas 10 penyintas stroke, 10 caregiver, dan 10 kader kesehatan. Hasil menunjukkan peningkatan rata-rata pengetahuan peserta dari 61,3 menjadi 88,7 dan keterampilan dari 58,4 menjadi 90,2. Skor Barthel Index penyintas meningkat dari 58,5 menjadi 69,8, disertai penurunan ketergantungan berat dan peningkatan kategori kemandirian ringan. Program ini menunjukkan bahwa rehabilitasi berbasis rumah melalui pendekatan edukasi dan praktik mampu meningkatkan kapasitas keluarga serta kader dan mengoptimalkan kemampuan fungsional penyintas stroke. Antasan Gerak Pulih penting dikembangkan sebagai model rehabilitasi stroke berbasis komunitas yang berkelanjutan.lingkungan belajar yang positif di sekolah dasar.

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