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Asuhan Keperawatan Bersihan Jalan Napas Tidak Efektif (PPOK) dengan Latihan Batuk Efektif di RSUD dr. R. Soedarsono Alif Alwi; Erik Kusuma; Syaifuddin Kurnianto; Dwining Handayani
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2471

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is defined as a non-communicable disease related to the respiratory system, where airway spasm occurs which is interpreted through shortness of breath, decreased oxygen saturation, and increased sputum production. This sputum production is caused by exposure to harmful substances that can inhibit mucociliary clearance, goblet cell proliferation occurs which causes hyperplasia and hypertrophy resulting in the growth and enlargement of mucous glands which results in increased sputum production and causes ineffective airway clearance nursing problems. The purpose of this study was to describe nursing care for ineffective airway clearance (COPD) with effective cough training at RSUD dr. R. Soedarsono. Methods: This research used a case study design. The research participants were COPD patients with ineffective airway clearance nursing problems who were given interventions in the form of effective cough training in Interna Room 2 at RSUD dr. R. Soedarsono. Data collection was done through interviews, observation, physical examination, and documentation. Results: Ineffective airway clearance is resolved as shown by the patient saying the cough has decreased and is not tight, able to remove phlegm, additional breath sounds decrease, sputum production decreases and breathing frequency is 20x/minute. Conclusion: Effective cough training is proven to be effective in improving airway clearance in COPD patients, so it can be one of the non-pharmacological interventions to overcome this problem.
Anemia and Fatigue in Patients with Chronic Kidney Failure Maisyaroh, Arista; Maslufin, M; Fibriyanti, Dwi Ochta; Widianto, Eko Prasetya; Kurnianto, Syaifuddin
Jurnal Kesehatan Manarang Vol 10 No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i1.866

Abstract

Chronic renal failure results in impaired kidney function, effectively eliminating metabolic waste and regulating fluid and electrolyte balance. The accumulation of waste metabolites is thought to impact the occurrence of anemia and fatigue. However, no research has shown a correlation between the incidence of anemia and fatigue in sufferers of chronic kidney failure. This study aimed to evaluate the relationship between hemoglobin levels and the degree of fatigue experienced by individuals diagnosed with chronic kidney disease. This research uses a cross-sectional study approach. The study population consisted of patients with chronic kidney failure at one of the hospitals in Lumajang Regency who were identified by the indicator of high BUN values. The sample size for this research was 50 people selected through purposive sampling. The data type used is primary data, with the independent variable being the Hb value, while the dependent variable is the level of fatigue in chronic kidney failure patients. The results of the Pearson correlation test in this study showed that there was a significant relationship between the percentage of hemoglobin levels in the blood and the level of fatigue in chronic kidney failure patients (p-value = <0,000; α = 0.05), with a strength of relationship 0,6092 which means the level Hemoglobin in the blood and the level of fatigue have a perfect degree of correlation. In patients with chronic renal failure and low hemoglobin levels, their fatigue levels will become more severe. Insufficient hemoglobin levels lead to a reduced count of red blood cells, causing a decline in the body's capacity to transport oxygen. This inadequate oxygen supply hampers the oxidation process and energy production in the form of ATP within the body's cells. Consequently, patients with chronic renal failure may undergo a substantial decrease in energy levels and experience significant tiredness.
QUADRICEPS EXERCISE EFEKTIF TERHADAP PENURUNAN NYERI PADA PENDERITA OSTEOARTRITIS LUTUT: A LITERATURE REVIEW Maisyaroh, Arista; Abdillah, Achlish; Widianto, Eko Prasetya; Kurnianto, Syaifuddin
Journals of Ners Community Vol 14 No 3 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i3.2799

Abstract

Osteoartritis merupakan penyakit degeneratif yang biasanya terjadi pada usia lanjut akibat penipisan tulang rawan sendi, lebih sering terjadi pada sendi lutut dengan manifestasi nyeri. Latihan penguatan otot kuadrisep merupakan salah satu latihan fisik yang dapat dipilih. Tujuan penyusunan literature review ini adalah untuk menganalisis pengaruh quadriceps exercise terhadap penurunan nyeri pada penderita osteoartritis lutut melalui pengumpulan data dengan beberapa database elektronik. Adapun tujuan disusunnya literature review ini adalah untuk mengumpulkan dan menganalisis artikel jurnal yang berkaitan dengan pengaruh quadriceps exercise terhadap penurunan nyeri pada penderita osteoartritis lutut, dengan menerapkan metode penelitian yaitu kajian pustaka. Hasil dari literature review menunjukkan bahwa teknik isometric quadriceps exercise dilakukan dengan durasi pelaksanaan latihan selama 6-12 minggu dengan 3 sesi/minggu dan tiap sesi dilakukan selama 30-35 menit. Dari hasil uji statistik juga seluruhnya menunjukkan terdapat pengaruh quadriceps exercise penurunan nyeri pada penderita osteoartritis lutut.
Dampak Edukasi PHBS terhadap Pencegahan ISPA pada Balita di Komunitas Pertanian Paraswati, Mareta Deka; Kusuma, Erik; Kurnianto, Syaifuddin; Widianto, Eko Prasetya; Wibowo, Suhendra Agung; Suroso, Heri
Journal of Health Management Research Vol 4 No 2 (2025): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v4i2.637

Abstract

Background: Acute Respiratory Infection (ARI) remains a leading cause of morbidity among children under five, particularly in agrarian areas characterized by exposure to kitchen smoke, limited ventilation, and agricultural activities that potentially increase ARI risk. Community health cadres for under-five children, as the front line of community empowerment, often have limited knowledge regarding the relationship between household environment and ARI prevention. Aims: To assess the effect of Clean and Healthy Living Behavior (CHLB/PHBS) education on changes in the knowledge of child health cadres in preventing ARI among under-five children in agrarian areas. Methods: A pre-experimental study with a one-group pretest-posttest design was conducted to evaluate the impact of a 90-minute CHLB education session. The intervention combined interactive lectures, discussions, and visual media. Knowledge was measured using a validated 15-item questionnaire. Data were analyzed using the Wilcoxon Signed-Rank Test. Results: The mean knowledge score significantly increased from 6.20 ± 0.97 (pretest) to 12.97 ± 1.03 (posttest). Statistical analysis showed p = 0.000, indicating a significant difference. Before the intervention, 83.3% of cadres were in the low-knowledge category, whereas after the education, 90% achieved the high-knowledge category. Conclusion: CHLB education significantly improved the knowledge of child health cadres in preventing ARI among under-five children in agrarian areas. This approach proved to be effective and contextually relevant, with potential to serve as a model for cadre empowerment in ARI prevention.
Pengenalan, Pencegahan dan Pertolongan Pertama Pra-Rumah Sakit pada kasus Keracunan Makanan di SDIT Ar Rahmah Kabupaten Lumajang Maisyaroh, Arista; Widianto, Eko Prasetya; kurnianto, syaifuddin
Jurnal Keperawatan Muhammadiyah Vol 9 No 2 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i2.17732

Abstract

Keracunan mungkin terjadi secara tidak disengaja atau disengaja, tetapi sebagian besar kasus keracunan pada anak-anak dikarenakan ketidaksengajaan dan karena rasa penasaran yang dimiliki oleh anak - anak. Sifat keracunan yang tidak disengaja pada anak-anak, tingkat keracunan di dalamnya dapat dikurangi dengan mendidik orang tua dan intervensi pencegahan. Tujuan kegiatan pengabdian ini dalam upaya meningkatkan pengetahuan dan memberdayakan masyarakat binaan dalam mengentaskan masalah-masalah berkenaan keracunan makanan pada anak. Metode yang digunakan dalam pelaksanaan kegiatan edukasi adalah dengan metode diskusi dan simulasi penatalaksaaan keracunan makanan pada anak di SDIT Ar – Rahman, Desa Tekung Kabupaten Lumajang. Responden dalam penelitian ini diikuti oleh orang tua dan guru SDIT Ar – Rahman di desa Tekung, Kec. Tukum, Kabupaten Lumajang sejumlah 40 orang. Materi yang disampaikan tentang pencegahan keracunan pada anak-anak sekolah. Selain melalui metode ceramah, dilakukan feedback/tanya jawab kepada peserta serta mensimulasikan tatalaksana keracunan makanan pada anak. Selanjutnya responden dilakukan pengukuran tingkat pengetahuan ulang dengan menggunakan kuesioner. Hasil pengukuran tingkat pengetahuan responden dilakukan analisis Wilcoxon signed rank test untuk mengetahui perbedaan tingkat pengetahuan sebelum dan sesudah edukasi dilaksanakan. Hasil pengukuran tingkat level pengetahuan responden sebelum dilakukan intervensi ada beda hasil pengukuran tingkat level pengetahuan responden sebelum dan sesudah proses pendampingan dengan metode edukasi dan simulasi dengan hasil p value 0,0001. Keracunan pada anak tersebut dapat dicegah melalui meningkatkan pengetahuan mengenai pencegahan dan tatalaksana keracunan pada anak kepada pihak keluarga ataupun sekolah