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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Keperawatan Silampari Jurnal Kreativitas PKM Syntax Idea Indonesian Journal of Global Health research INDOGENIUS Jurnal Kesehatan Amanah Eduvest - Journal of Universal Studies Lentera: Multidisciplinary Studies Al Makki Health Informatics Journal Jurnal Kesehatan Mahardika Jurnal Medika Nusantara MEJORA Lentera: Multidisciplinary Studies
Dwiyanti Purbasari
Institut Teknologi Dan Kesehatan Mahardika, Jawa Barat, Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Effective Coughing Technique for An.A with Ineffective Airway Clearance Due to Upper Respiratory Tract Infection in Room Cendana 3, Kardinah General Hospital, Tegal Hana Choerunisa, Najwa; Setyo Dwi Andhini, Citra; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (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.v4i2A.688

Abstract

Background & Objective: Acute respiratory tract infection (ARTI) is an acute inflammation of the upper and lower respiratory tract caused by bacterial, viral, or rickettsial diseases. One of the problems that often develops in children is ARTI. Ineffective airway clearance is the inability to clear secretions or airway obstruction to maintain a patent airway. Effective coughing exercises are one of many nursing interventions that help patients with acute respiratory disorders (ARI) address poor airway clearance issues. Implementing effective coughing procedures on patient A with ineffective airway clearance due to upper respiratory tract infection at Kardinah Tegal General Hospital. Method: This study design is observational in the form of a nursing care study to explore nursing care issues in ARI with ineffective airway clearance using effective coughing techniques at Kardinah General Hospital in Tegal. The approach used is a nursing care approach that includes assessment, nursing diagnosis, planning, and implementation.   Result: The study found that the effective coughing procedure had an impact on clearing the airway in Patient A with a diagnosis of acute respiratory tract infection. Conclusion: It is hoped that Patient A with an upper respiratory tract infection can perform the effective coughing procedure to clear the airway.
Implementation of Intervention Through Range of Motion (ROM) Exercises to Overcome Physical Activity Mobility Impairment in Mrs. R in the Stroke Unit of RSD Gunung Jati, Cirebon City Amal, Safira Melenia; Dwi, Citra Setyo; Andini , Andini; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (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.v4i2A.693

Abstract

Background & Objective: Non-hemorrhagic stroke is a stroke that occurs due to a blockage in the blood vessels caused by a disruption in the blood supply to the brain, resulting in the cessation of blood flow to the brain. Stroke can cause disability in one of the limbs and weakness in one of the limbs. This results in the loss of coordination and the loss of balance. Therefore, therapy is needed to improve muscle strength in stroke patients through Range of Motion interventions. This final scientific work aims to analyze nursing care for patients with physical mobility disorders. Method: The research method used is a case study. The subject in this case involves one respondent with a non-hemorrhagic stroke and physical mobility disorders who is undergoing treatment in the stroke unit at RSD Gunung Jati. Data collection was conducted using interview, observation, and documentation techniques. Result: The nursing diagnoses identified for Mrs. R included physical mobility impairment, anxiety, and acute pain. The interventions provided were based on the Indonesian Nursing Diagnosis and Intervention Standards (SDKI and SIKI) and the principles of Evidence-Based Nursing (EBN). The implementation of interventions such as mobility support, although not yet fully optimal within 3 days. Range of Motion (ROM) exercises were found to have a positive impact on improving muscle strength and joint flexibility in patients, as well as reducing stiffness and pain symptoms. Conclusion: It is recommended to implement nursing care for stroke patients by applying Evidence-Based Nursing (EBN), specifically: Range of Motion.
The Application of Warm Steam Therapy Using Eucalyptus Oil Aromatherapy in Treating Respiratory Tract Infection in Children with Bronchopneumonia Qur’aeni, Devi Nurul; Purbasari, Dwiyanti; Karlina, Nonok
INDOGENIUS Vol 4 No 2A (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.v4i2A.695

Abstract

Background & Objective: Bronchopneumonia is an inflammation of the lung parenchyma caused by bacteria, viruses, fungi, or foreign objects. Simple inhalation therapy involves administering medication in the form of vapor into the respiratory tract using simple materials and methods. Method: This study is a case study with a qualitative descriptive approach, conducted in the Wijaya Kusuma Atas ward of Kardinah Tegal General Hospital. Data were obtained through nursing care assessment and documentation of patients with bronchopneumonia who were hospitalized and experienced airway clearance disorders. The intervention involved administering warm steam therapy using eucalyptus essential oil aromatherapy for 10–15 minutes over three days. Result: The case study results showed an improvement in airway clearance effectiveness in patients receiving eucalyptus essential oil steam therapy. Conclusion: Warm steam therapy using eucalyptus essential oil aromatherapy is effective as an additional intervention to address airway clearance issues in patients with bronchopneumonia.
Case Study: Application of Evidence-Based Nursing Warm Compresses to Reduce Pain Levels in Children with Lymphadenopathy in the Wijaya Kusuma Ward at Kardinah Regional General Hospital, Tegal City Ratna Kuning Budi Rahayu, Atik; Purbasari, Dwiyanti; Karlina, Nonok
INDOGENIUS Vol 4 No 2A (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.v4i2A.702

Abstract

Background & Objective: Lymphadenopathy is the enlargement of lymph nodes or a condition in which lymph nodes become enlarged to a size greater than 1 cm and the epicondylar lymph nodes are palpable with a size greater than 5 mm, which is an abnormal condition. Method: This study employed a qualitative approach using a case study design with a nursing perspective. Result: The case study results indicated that warm compresses were effective in reducing acute pain in An. N.S.A. with lymphadenopathy. Conclusion: After receiving nursing care for 4 days, the evaluation results for the initial diagnosis were supported by the client's subjective data stating that the pain was no longer felt, reinforced by objective data showing a body temperature of 36.5°C, a pulse rate of 95 beats per minute, a respiration rate of 20 breaths per minute, and no further pain reported on the pain scale. The assessment results indicated that the issue was resolved, and the intervention plan was discontinued as the intervention had been implemented for 4 days. In the second diagnostic evaluation, the subjective findings indicated that the client's family reported that the child had finished their meal portion. This was supported by objective data showing that the patient did not appear pale and had finished their meal portion. The assessment concluded that the issue had been resolved, and the intervention plan was discontinued as the necessary actions had been implemented over the 4-day period.
Application of Five-Finger Hypnosis in Patients Experiencing Anxiety Due to CKD on Hemodialysis at RSD Gunung Jati, Cirebon City Rahmatunisa, Ninis; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (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.v4i2A.715

Abstract

Background & Objective: Decreased renal function leads to accumulation of metabolic waste that cannot be excreted, causing toxicity in the body and requiring renal replacement therapy such as hemodialysis. Anxiety experienced by hemodialysis patients can be managed using five-finger hypnosis, which reduces tension, stress, and anxiety. Method: This study applied a descriptive method with a case study approach. Result: The application of five-finger hypnosis for three days reduced anxiety levels in patients undergoing hemodialysis. Conclusion:  Five-finger hypnosis is effective for managing anxiety in patients receiving hemodialysis.
Application of Aromatherapy Inhalation Therapy in Children with Ineffective Airway Clearance Due to Bronchopneumonia in Room Cendana 3, Kardinah Regional General Hospital, Tegal City Rahayu, Windy; Andhini , Citra Setyo Dwi; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (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.v4i2A.718

Abstract

Background & Objective: Bronchopneumonia is one of the most common forms of lower respiratory tract infections in children and often causes ineffective airway clearance due to secretions buildup. This study aims to evaluate the effectiveness of nursing interventions using aromatherapy inhalation therapy in improving airway clearance in children with bronchopneumonia. Method: Descriptive, applying the results of previous case studies, using a pediatric nursing care approach and the innovative intervention of aromatherapy inhalation therapy. Result: Significant effectiveness was demonstrated, marked by a decrease in respiratory rate from 44 breaths per minute to 32 breaths per minute, more effective coughing, and reduced rales on lung auscultation. Conclusion: Aromatherapy inhalation therapy intervention was proven to help thin secretions and facilitate mucus clearance. Therefore, this intervention can be considered an alternative supportive measure in pediatric nursing care for children with bronchopneumonia experiencing airway clearance disorders.
The Effectiveness of Zikir Therapy in Reducing Anxiety in Stage 2 Colon Cancer Patients Before Undergoing Chemotherapy Marselina, Seli; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (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.v4i2A.721

Abstract

Background & Objective: Anxiety is an emotional response that often arises in cancer patients before undergoing chemotherapy. High levels of anxiety can have a negative impact on the physiological and psychological condition of patients. Zikir therapy is one non-pharmacological intervention that can be used to help reduce anxiety through a spiritual approach. This study aims to determine the effectiveness of zikir therapy in reducing anxiety in colon cancer patients before undergoing chemotherapy in the HOT (Hematology Oncology Treatment) Room at RSD Gunung Jati Hospital in Cirebon City. Method: This study employed a qualitative approach with a case study design involving three patients experiencing anxiety prior to chemotherapy. Data were collected through interviews, observations, and assessments of vital signs before and after zikir therapy was administered. Result: The study results showed that after receiving zikir therapy, there was a reduction in anxiety symptoms and signs in all three patients, both subjectively and objectively. Patients felt calmer, blood pressure and heart rate decreased, and no longer appeared restless or pale. Conclusion: It can be concluded that zikir therapy is effective as a nursing intervention in reducing anxiety in colon cancer patients before undergoing chemotherapy.
Kepatuhan konsumsi Terapi Kelasi Besi Dengan Kualitas Hidup Anak Pada Penderita Thalasemia Mayor di RSUD Majalengka Purbasari, Dwiyanti; Alfi Lail, Nur
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.147

Abstract

Menurut World Bank menunjukan 7% dari populasi dunia merupakan pembawa sifat thalasemia. Di Indonesia bulan juni tahun 2021 sebanyak 10.973 kasus. Provinsi Jawa Barat memiliki jumlah penderita thalasemia terbanyak, pada akhir 2019 jumlahnya 4.000 kasus. Ketua POPTI menyampaikan terdapat 145 kasus thalasemia di Majalengka. Tahun 2023 pada bulan mei tercatat 115 penderita thalasemia yang melakukan rawat jalan di Klinik Thalasemia RSUD Majalengka. Tujuan penelitian ini adalah untuk mengetahui hubungan kepatuhan konsumsi terapi kelasi besi dengan kualitas hidup anak pada penderita thalasemia mayor di RSUD Majalengka. Jenis penelitian ini adalah kuantitatif deskriptif korelasi dengan pendekatan cross- sectional. Populasi dalam penelitian ini adalah anak penderita thalasemia mayor yang mengkonsumsi terapi kelasi besi dan berusia 6-18 tahun. Pengambilan sampel menggunakan teknik porpusive sampling berjumlah 53 responden. Instrumen yang digunakan berupa kuisioner MCQ versi melayu dan PedsQL. Analisa data menggunkan uji Spearman Rank. Tempat penelitian di RSUD Majalengka pada tanggal 15 Mei-10 Juni 2023. Hasil analisa bivariat menggunakan uji spearman rank p value < α dan r < 1,00 hubungan yang bermakna antara kepatuhan konsumsi terapi kealsi besi dengan fungsi fisik (0,00), fungsi emosional (0,00), fungsi sosial (0,00), dan fungsi sekolah/akademik (0,01) Dengan arah korelasi positif sedang hingga positif kuat yang menunjukan bahwa semakin tinggi kepatuhan konsumsi terapi kelasi besi maka semakin baik kualitas hidup anak thalasemia
Studi Kasus : Asuhan Keperawatan Pasien Dengan Bersihan Jalan Napas Tidak Efektif Akibat Tuberculosa Paru Di IGD RSD Gunung Jati Kota Cirebon Sari, Diana; Purbasari, Dwiyanti; Dwi Hikmatun , Khaerunnisa; Komariah , Oom; Fitriyani, Risma
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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Abstract

Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis and attacks the lower respiratory tract. The purpose of this study was to provide nursing care to patients with ineffective airway clearance due to Pulmonary TB in the Emergency Room of Gunung Jati Hospital, Cirebon City with a case study approach. This type of research uses a descriptive case study approach. The sample consisted of one person who experienced an emergency due to a medical diagnosis of Pulmonary Tuberculosis in the Emergency Room of Gunung Jati Hospital, Cirebon City. Data collection was carried out through nursing assessment with anamnesis, physical examination and documentation study. The results of the study showed that the patient was in the green triage, ineffective airway clearance as a priority nursing diagnosis, the patient was given airway management and oxygen 6 npm nasal cannula. Nursing evaluation showed that airway clearance was still ineffective and the patient was treated in the inpatient room. The emergency team needs to carry out complementary therapy in collaborative care for chronic patients.
Asuhan Keperawatan Pada Ny. N Dengan Medis Diabetes Melitus (DM) Di RSD Gunung Jati Fitriyani, Risma; Purbasari, Dwiyanti; Komariyah , Oom; Sari, Diana; Dwi Hikmatun , Khaerunnisa
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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Abstract

Diabetes Mellitus is a disease in the form of increased blood glucose levels or commonly called hyperglycemia that exceeds normal limits. This condition is caused by a decrease in insulin secretion that occurs due to dysfunction in the pancreas, insulin sensitivity is decreasing, or from both, Diabetes Mellitus (DM) is a disease whose number of sufferers continues to increase cases every year. This study uses a case study method with female patient respondents aged 38 years with a medical diagnosis of diabetes mellitus. Data collection techniques are carried out by interviews (interview results contain the identity of the client, main complaints, history of current and past diseases), observation and physical examination. This research was carried out in the HCU Room of Gunung Jati Hospital, Cirebon City for 3 days (March 11, 2024 – March 13, 2024). the results of a case study in patients with diabetes mellitus obtained a nursing diagnosis there was a wound in the left leg area, during nursing care for 3 days it was found that the problem was resolved so that the intervention was stopped. based on the results of the evaluation of the wound problem in the left leg area in the patient can be resolved.
Co-Authors Ahmad Syaripudin Alfi Lail, Nur Amal, Safira Melenia Andini , Andini Anita Sundari Citra Setyo Dwi Andhini Diana Sari Diana Sari Didik Rinanto Dwi Hikmatun , Khaerunnisa Dwi Hikmatun, Khaerunnisa Dwi, Citra Setyo Fadila, Erida Fikry Tryasmoro Fitriyani, Risma Hana Choerunisa, Najwa Hasna Ilma Naufani Inne Septia Delian Karlina, Nonok Khaerunnisa Dwi Hikmatun Komariah , Oom Komariyah , Oom Komariyah, Oom Marselina, Seli Meli Nur Imani Nani Yunita Oom Komariyah Puspita, Siska Qur’aeni, Devi Nurul Rahayu, Windy Rahmatunisa, Ninis Ratna Kuning Budi Rahayu, Atik Riah, Suci Risma Fitriyani Rosalia Rahayu Siska Puspita Susan, Yanti Tantri Maulani Putri Thia Octiany Thia Oktiani Uni Wahyuni