Claim Missing Document
Check
Articles

Penerapan Positioning Therapy terhadap Peningkatan Perfusi Serebral pada Pasien Stroke Iskemik Sindi Lailatul Muasanah; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 1 (2026): Januari: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i1.2383

Abstract

Ischemic stroke is one of the neurological conditions that can cause cerebral perfusion disorders due to reduced blood flow to the brain. One of the evidence-based nursing interventions used to optimize cerebral perfusion is positioning therapy, specifically the 30° head up position. This study aims to determine the effectiveness of positioning therapy on increasing cerebral perfusion in ischemic stroke patients. The research method is in the form of literature review of 12 articles published in the 2020–2025 period, with data sources from Google Scholar, PubMed, ScienceDirect, and Garuda. The results of the study show that most studies support the effectiveness of the 30° head up position in improving cerebral perfusion. This is characterized by an increase in Cerebral Perfusion Pressure (CPP), an increase in the Glasgow Coma Scale (GCS), an increase in oxygen saturation (SpO₂), and a decrease in Intracranial Pressure (ICP). These findings confirm that positioning therapy is a simple, safe, and evidence-based nursing intervention to improve cerebral perfusion in ischemic stroke patients. The implication of this study is the need to apply positioning therapy as part of the standard nursing practice in the management of ischemic stroke patients to support the improvement of clinical conditions and quality of life.
Penerapan Evidance Based Nursing ROM Pasif untuk Meningkatkan Kekuatan Otot pada Pasien Post Operasi Fraktur Femur Saidah Saniyah; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 2 (2026): Maret: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i2.2384

Abstract

Background: Patients undergoing Open Reduction and Internal Fixation (ORIF) for femoral fractures often experience impaired physical mobility due to pain, immobilization, and decreased muscle strength. Passive Range of Motion (ROM) exercises are one of the nursing interventions that can help improve muscle strength and accelerate the recovery of extremity function. Objective: To describe the implementation of passive ROM exercises in improving muscle strength among post-ORIF femoral fracture patients. Methods: This study used a descriptive case study design involving three post-ORIF femoral fracture patients with impaired physical mobility. Passive ROM exercises were administered for 3×24 hours and evaluated using Manual Muscle Testing (MMT). Results: All patients showed an improvement in muscle strength from an average score of 2/5 to 3/5. In addition, joint range of motion increased, pain decreased, and mobility gradually improved. Implications: Passive ROM exercises can be used as a nursing intervention to improve muscle strength and physical mobility while supporting the rehabilitation process in post-operative femoral fracture patients.
Studi Kasus: Penerapan Pursed Lip Breathing terhadap Ketidakefektifan Bersihan Jalan Napas pada Pasien Penyakit Paru Obstruktif Kronis (PPOK) Tio Anggara; Erida Fadila; Dwiyanti Purbasari
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.10143

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic condition with high morbidity and mortality rates, characterized by persistent airflow obstruction leading to ineffective airway clearance, dyspnea, and decreased oxygen saturation. Pursed Lip Breathing (PLB) is a non-pharmacological therapy that is easy to apply and has been proven effective in reducing dyspnea and improving respiratory function in COPD patients.Objective: To explore the effectiveness of applying the Pursed Lip Breathing technique on ineffective airway clearance in COPD. Method: The study used a descriptive case study design on two COPD patients with GOLD stages 2–4. The PLB intervention was given twice daily (morning and afternoon) for three consecutive days, each session lasting 5–10 minutes with a procedure of 2 seconds of inspiration through the nose and 4–6 seconds of expiration through pursed lips. Respiratory rate (RR) and oxygen saturation (SpO₂) were measured before and after the intervention using a pulse oximeter. Results: The average respiratory rate decreased from 28 breaths/minute to 23 breaths/minute, and the average oxygen saturation increased from 92% to 96% after the three-day PLB intervention. All patients reported a subjective reduction in shortness of breath and an improved ability to perform light activities, with no recorded side effects.
Kombinasi Terapi Nebulizer dan Fisioterapi Dada terhadap Bersihan Jalan Napas pada Anak Bronkopneumonia: Studi Kasus Desi Mirnasari; Dwiyanti Purbasari; Nonok Kalina
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.10144

Abstract

Background: Pneumonia is one of the leading causes of morbidity among children in Indonesia. In 2023, Central Java Province was estimated to have 134,708 cases of pneumonia among children under five, indicating that pneumonia remains a significant child health problem. Children with bronchopneumonia often experience mucus accumulation in the airways, resulting in impaired airway clearance and disrupted ventilation. Objective: To identify the effectiveness of a combination of nebulizer therapy and chest physiotherapy in improving airway clearance among children with bronchopneumonia. Methods: This study employed a qualitative method with a case study design involving two pediatric patients diagnosed with bronchopneumonia and the nursing diagnosis of ineffective airway clearance. The study was conducted from December 15–17 and December 22–24, 2025, in the pediatric ward of Kardinah Regional General Hospital, Tegal City. Data were collected through anamnesis, observation, physical examination, documentation review, and analysis of supporting diagnostic examinations. The intervention consisted of a combination of nebulizer therapy and chest physiotherapy administered for three consecutive days to each patient. Results: Evaluation on the third day showed improvement in the respiratory condition of both patients. The patients appeared more comfortable, experienced reduced dyspnea and coughing frequency, and were able to expectorate secretions more effectively. In addition, improvements were observed in airway clearance outcome indicators, including reduced adventitious breath sounds, improved breathing patterns, decreased sputum retention, and enhanced airway patency. Conclusion: The combination of nebulizer therapy and chest physiotherapy administered regularly for three days was effective in improving airway clearance in children with bronchopneumonia and can be used as a nursing intervention in the management of airway clearance problems