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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Kesehatan JURNAL SUMBER DAYA MANUSIA KESEHATAN Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) NurseLine Journal Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Mesencephalon Jurnal Kesehatan Vokasional Journal Of Holistic Nursing Science Jurnal Keperawatan Muhammadiyah Al Qalam: Jurnal Ilmiah Keagamaan dan Kemasyarakatan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan Jurnal Pengabdian Masyarakat Kesehatan Media Keperawatan Indonesia Hearty : Jurnal Kesehatan Masyarakat International Journal of Nursing and Health Services (IJNHS) Faletehan Health Journal JURNAL NERS LENTERA Journal of Health Sciences Jurnal Respirasi (JR) Medical Technology and Public Health Journal Jurnal Keperawatan (JKEP) Jurnal Ners Journal of Telenursing (JOTING) Critical Medical and Surgical Nursing Journal Pediomaternal Nursing Journal Jurnal Layanan Masyarakat (Journal of Public Service) Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Prosiding Conference on Research and Community Services Jurnal Pengabdian Masyarakat dalam Kesehatan Indian Journal of Forensic Medicine & Toxicology Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat Journal of Vocational Nursing D Nursing and Health Journal (DNHJ) The Journal of Palembang Nursing Studies Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Jurnal Pengabdian Masyarakat Bangsa Jurnal Ners Lentera

Makhfudli Makhfudli

Faculty Of Nursing Universitas Airlangga, Surabaya, Indonesia

Author-ID : 3530176

Agriculture, Biological Sciences & Forestry Arts Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Legal Aspects of Maternity Nursesperforming Childbirth Assistance Measures in the Framework of Carrying Out Doctor’s Duties Against the Birth Process in Breach Locations Makhfudli; Gregory Agung Himawan; Nisa AmaliyaVariansyah; MokhamadKhoirul Huda
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17912

Health is a human right, meaning that everyone has the same rights in obtaining access to healthservices and professionalism from health workers. Nurses are the most numerous health workers inIndonesia. Nursing staff who perform nursing actions must be following the competence of nurses andLaw Number 38 of 2014 concerning Nursing. The purpose of writing this article is to find out how thelegal aspects of maternity nurses who carry out delivery assistance actions carry out the doctor’s dutiesin the Breach delivery process By using the normative juridical research method, it can be concludedthat the competence of the maternity nurse is to assist childbirth but does not have the authority toprovide delivery assistance, especially in cases with fatal risks that can cause death to the mother andfetus. When referring to the criminal provisions of Law Number 36 of 2009 concerning Health Workers,Article 84 paragraph (1), any Health Worker who commits serious negligence resulting in serious injuryto the Health Service Recipient shall be sentenced to a maximum imprisonment of 3 (three) years. Thenin paragraph (2), namely If the gross negligence as referred to in paragraph (1) results in death, eachHealth Worker shall be sentenced to a maximum imprisonment of 5 (five) years.

Pengaruh Dukungan Sosial terhadap Adaptasi Pelayanan Kesehatan pada Tenaga Kesehatan Selama Pandemi Covid-19 Glorya Riana Latuperissa; Budi Utomo; Makhfudli Makhfudli
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 1 (2022): Januari 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i1.1581

Introduction: The increase in the number of patients exposed to Covid-19 during the pandemic period raises great concern and psychological pressure including depression, anxiety, and stress on health workers so that this can affect health services to adapt. This study aims to assess the effect of social support on the adaptation of health services to health workers during the Covid-19 pandemic. Method: The study was a systematic review with The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. It was need an article searched in Scopus, Science Direct, Spinger Link, ProQuest, and EBSCO database and classifying them into four points: social support, psikologis, adaptation, and health services. Inclusion criteria in the study literature were documents type was an original articl, the source from journals, article in English, and available in full text. The publication time limit was 2016 to 2021. We identified 11 articles deemed relevant. Results: Health workers had high levels of anxiety during the covid-19 pandemic. Social support has a positive psychological relationship with health workers because it not only reduces negative symptoms but also creates positive coping mechanisms to promote adaptation in providing effective health services. Conclusion: Social support needs to be considered for health institutions to adopt a social support perspective in the implementation of daily health service adaptation. Further research is needed to determine the relationship between social support and adaptation to health services.Keywords: social support; health services; health personnel; health workforce; healthcare workers; adaptation; covid-19ABSTRAK Pendahuluan: Peningkatan jumlah pasien terpapar Covid-19 selama pandemi menimbulkan kekhawatiran dan tekanan psikologis yang besar termasuk depresi, kecemasan, dan stres pada tenaga kesehatan sehingga hal ini dapat mempengaruhi pelayanan kesehatan untuk beradaptasi. Penelitian ini bertujuan untuk mengkaji pengaruh dukungan sosial terhadap adaptasi pelayanan kesehatan pada tenaga kesehatan selama pandemi Covid-19. Metode: Penelitian ini merupakan penelitian sistematis dengan Tinjauan Sistematis dan Meta-Analisis (PRISMA). Database yang digunakan dalam pencarian artikel ini yaitu Scopus, Science Direct, Spinger Link, ProQuest, dan EBSCO dan mengklasifikasikannya ke dalam empat poin: dukungan sosial, psikologis, adaptasi, dan pelayanan kesehatan. Kriteria inklusi dalam studi literatur adalah artikel asli, sumber dari jurnal, artikel dalam bahasa Inggris, dan tersedia dalam teks lengkap. Batas waktu publikasi adalah 2016 hingga 2021. Kami mengidentifikasi 11 artikel yang dianggap relevan. Hasil: Tenaga kesehatan memiliki tingkat kecemasan yang tinggi selama masa pandemi covid-19. Dukungan sosial memiliki hubungan psikologis yang positif dengan petugas kesehatan karena tidak hanya mengurangi gejala negatif tetapi juga menciptakan mekanisme koping yang positif untuk mendorong adaptasi dalam memberikan pelayanan kesehatan yang efektif. Kesimpulan: Dukungan sosial perlu diperhatikan bagi institusi kesehatan untuk mengadopsi perspektif dukungan sosial dalam pelaksanaan adaptasi pelayanan kesehatan sehari-hari. Diperlukan penelitian lebih lanjut untuk mengetahui hubungan antara dukungan sosial dan adaptasi terhadap pelayanan kesehatan.Kata kunci: dukungan sosial; pelayanan kesehatan; tenaga kesehatan; tenaga kesehatan; tenaga kesehatan; adaptasi; covid-19

Evidence Based Faktor yang Berhubungan Dengan Kualitas Hidup Pasien PPOK Stabil: A Systematic Review Ulfa Nur Rohmah; Muhammad Amin; Makhfudli Makhfudli
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 3 (2020): Juli 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11303

; amin.fkua@gmail.com Makhfudli Fakultas Keperawatan, Universitas Airlangga; ievut_rz@yahoo.com (koresponden) ABSTRACT Background: Low quality of life in chronic obstructive pulmonary disease is crucial because leads to a high risk to reduced activity of daily and mortality. Objective: To identify determine factors that influence with health-related quality of life on stable COPD patients. Method: The database was performed article from Science Direct, CINAHL, Scopus dan PubMed is limited to the last 5 years of publication from 2014 to 2019, full-text article in English. The keywords used ”Health-Related Quality of Life”, “AND”, “Stable”, “AND”, “COPD”. Results: Fourteen articles with 8401 participants were included in the review. Most studies were cross sectional design. COPD Assasment Test (CAT) was to assess health-related quality of life in stable COPD. There was symptoms and exacerbation, functional capacity exercise, psychology, sociodemography, biomolecular, comorbidity, and pulmonary function affecting health-related quality of life on stable COPD patients. Conclusion: Factors might affect with poor HRQOL because the condition of COPD itself which then give an effect to whole body. Suggestion: Health worker need to be aware and control of the complexity of factors influence health-related quality of life to impove outcomes for COPD patients. Keywords: health-related quality of life; chronic obstructive pulmonary disease ABSTRAK Latar belakang: Kualitas hidup yang rendah pada pasien Penyakit Paru Obstruktif Kronik (PPOK) menjadi penting karena dapat menyebabkan penurunan aktivitas sehari-hari dan kematian. Tujuan: Untuk mengetahui determinan faktor yang dapat mempengaruhi kualitas hidup pasien PPOK yang stabil Metode: Database yang digunakan dalam penelitian ini adalah Science Direct, CINAHL, Scopus dan PubMed terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, full text article dengan berbahasa Inggris. Kata kunci yang digunakan adalah “”Health-Related Quality of Life”, “AND”, “Stable”, “AND”, “COPD”. Hasil: Systematic review ini menggunakan 14 artikel dengan 8401 responden. Kuesioner yang digunakan dalam studi adalah COPD Assasment Test (CAT). Tanda gejala dan eksaserbasi, kapasitas latihan fungsional, psikologi, sosiodemografi, biomolekul, komorbiditas dan faal paru mempengaruhi kualitas hidup pasien PPOK stabil. Kesimpulan: Banyak faktor yang mungkin memiliki hubungan dengan kualitas hidup pasien buruk karena kondisi penyakit PPOK itu sendiri yang kemudian berdampak pada seluruh tubuh. Saran: Petugas kesehatan perlu menyadari dan mengontrol kompleksnya dari faktor-faktor yang mempengaruhi kualitas hidup pasien PPOK sehingga menjadi membaik. Kata kunci: kualitas hidup; penyakit paru obstruktif kronik

Gambaran Perilaku Pengawas Minum Obat (PMO) Terhadap Sikap, Kepatuhan Minum Obat Dan Kualitas Hidup Pasien TB Paru I Kadek Dwi Swarjana; Tintin Sukartini; Makhfudli Makhfudli
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 1 (2021): Januari
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12110

Tuberculosis (TB) is a bacterial infectious disease that has received global attention. Indonesia is the country with the third-highest burden of tuberculosis in the world, after India and China, every 30 seconds one person is infected with tuberculosis, and an average of 13 people die every hour. treatment and lack of discipline for patients with pulmonary tuberculosis areare strongly influenced by the Drug Drinking Supervisor. This study aims to provide an overview of the behavior of supervisors taking medication (PMO) on attitudes, adherence, and quality of life of pulmonary TB patients. This study used a descriptive observational method with a cross-sectional design. The sampling method in this study was purposive sampling with 70 respondents. The results of the study revealed that respondents 45.7 had a sufficient attitude, 61.4% were in the obedient category and 64.3% of the majority was sufficient. Based on this, it is hoped that the support and motivation for supervisors to take medication can improve attitudes, compliance, and quality of life for pulmonary TB patients. Keywords: pulmonary TB; attitude; compliance; quality of life; madication supervisor ABSTRAK Tuberkulosis (TB) adalah penyakit infeksi bakteri yang telah menjadi perhatian global. Indonesia adalah negara dengan beban TBC tertinggi ketiga di dunia, setelah India dan China, setiap 30 detik satu orang tertular Tuberkulosis, dan rata-rata 13 orang meninggal setiap satu jam, Salah satu penyebab kegagalan tersebut adalah perilaku tidak patuh penderita terhadap pengobatan sehingga penyebab kegagalan pengobatan dan kurang kedisiplinan bagi penderita TB Paru sangat dipengaruhi oleh Pengawas Minum Obat. penelitian ini bertujuan untuk memberikan gambaran tentang perilaku pengawas minum obat (PMO) terhadap sikap, kepatuhan dan kualitas hidup pasien TB Paru. Penelitian ini menggunakan metode deskriptif observasional dengan rancangan cross sectional. Metodel sampling pada penelitian ini adalah purposive sampling dengan responden penelitian sebanyak 70 responden. Hasil penelitian mengungkapkan bahwa responden 45.7 memiliki sikap cukup, 61.4% kategori patuh dan kualitas hidup responden 64.3 % mayoritas cukup. Berdasarkan hal tersebut di harapkan dukungan dan motivasi pengawas minum obat untuk dapat meningkatkan sikap, kepatuhan dan kualitas hidup pasien TB Paru. Kata kunci: TB paru; sikap; kepatuhan; kualitas hidup; pengawas minum obat

Status Mental dan Kemampuan Interaksi Sosial Lanjut Usia Joko Susanto; Makhfudli Makhfudli; Khotibul Umam
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 4 (2021): Oktober 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12419

The human life cycle is a process of growth and development physically and mentally. Physical and mental changes in the elderly occur due to degenerative processes, so that there will be limitations in activities, memory and speaking abilities. The existence of these limitations, affects social interactions with other people which tend to be reduced and passive. Decreased social interaction in the elderly can cause a sense of isolation, feeling useless, so that the elderly tend to be alone. This Study aimed to identify the association between mental status and soscial interaction capacity among the elderly. This research used correlational with a cross sectional design. Data were obtained from SPMSQand social interaction capacity elderly questionnaire. The study used a sample of 91 respondents, with a simple random sampling technique. Data analysis used Spearman rho test. The results showed that the majority (57,1%) of the elderly had minor intellectual impairment, and most (5,.9%) of the elderly had moderate social interaction skills. The results of the Spearman test p=0,001 and r=0,353, meaning that there is a relationship between mental status and the social interaction ability of the elderly, the strength of the correlation is moderate and the correlation is positive. The conclusion of this study is that there is a significant relationship between mental status and the social interaction skills of the elderly.Keywords: mental status; social interaction; elderlyABSTRAKSiklus kehidupan manusia selalu tumbuh dan berkembang baik secara fisik maupun mental. Perkembangan fisik dan mental pada lansia mengalami proses degeneratif, sehingga terjadi penurunan aktifitas, mengingat dan kemampuan berbicara. Adanya penurunan tersebut, berpengaruh pada interaksi sosial dengan orang lain sehingga berkurang dan pasif. Menurunnya interaksi sosial lansia dapat menyebabakan perasaan terisolasi, merasa tidak berguna sehingga menyebabkan lansia cenderung menyendiri. Tujuan penelitian adalah mengidentifikasi adanya hubungan status mental dengan kemampuan interaksi sosial lansia. Penelitian menggunakan studi korelasional dengan pendekatan cross sectional. Instrumen penelitian kuesioner SPMSQ dan kuesioner Kemampuan Interaksi Sosial Lansia. Penelitian menggunakan sampel 91 responden, dengan teknik simple random sampling. Analisis data menggunakan uji Spearman. Hasil penelitian menunjukkan mayoritas (57,1%) lansia mengalami kerusakan intelektual ringan, dan sebagian besar (54,9%) lansia memiliki kemampuan interaksi sosial sedang. Hasil uji Spearman p=0,001 dan r=0,353, berarti terdapat hubungan status mental dengan kemampuan interaksi sosial lansia, kekuatan korelasi sedang dan korelasi bersifat positif. Kesimpulan penelitian adalah terdapat hubungan yang signifikan antara status mental dengan kemampuan interaksi sosial lansia.Kata kunci: status mental; interaksi sosial; lanjut usia

Hubungan antara Self Efficacy dan Self Care Behavior pada Lansia dengan Hipertensi Wimar Anugrah Romadhon; Joni Haryanto; Makhfudli Makhfudli; Setho Hadisuyatmana
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 4 (2020): Oktober
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11414

Background: The incidence of hypertension in the elderly continues to increase every year and the problems that often occur in elderly hypertension are non-compliance with therapy or treatment, lifestyle changes, self care behavior that is less than optimal and the complications due to hypertension. This is influenced by beliefs (self-efficacy) that the elderly have to change their behavior, which is self care behavior which is not good. Purpose: to observe the relationship between self efficacy and self care behavior in the elderly with hypertension. Method: This study used a descriptive correlation design with a cross sectional approach. Overall, the samples obtained were 252 elderly with hypertension in the Surabaya Public Health Center area through cluster random sampling. Data were analyzed using the Spearman Rank test. Results: The elderly with hypertension have a self efficacy of 40.9% in the low category and 59.1% in the good category and have a self care behavior of 31.7% in the less category, 39.3% in category enough, 29% in the good category. This study shows a significant relationship between self efficacy and self care behavior with a value of p = 0,000

EFFECT OF COMBINATION PURSED LIP BREATHING AND GUIDED IMAGERY MUSIC ON PEAK EXPIRATORY FLOW PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE Rudi Hariyono; Soedarsono Soedarsono; Makhfudli Makhfudli
Jurnal Keperawatan Vol. 10 No. 1 (2019): JANUARI
Publisher : University of Muhammadiyah Malang

ABSTRACTBackground: Peak expiratory flow influenced by several things, such as anxiety, a psychological factor that is becoming a major comorbidities of COPD and affect the occurrence of exacerbations, increase respiration rate, duration expiratory time, and hyperinflation. This study aimed to determine the effect of combination pursed lip breathing and guided imagery music to increase value of peak expiratory flow in patients with COPD. Methods: The study was quasi-experimental design with pretest posttest with control group approach, respondents of this study is 46 patients with COPD with sampling technique, simple random sampling. Results: Pursed lip breathing increase peak expiratory flow values by the significant of p value = 0.000 (p <0.05). The combination of pursed lip breathing and guided imagery music increase peak expiratory flow values by the significant of p value = 0.000 (p <0.05). COPD patients who received a combination of pursed lip breathing and guided imagery music increased peak expiratory flow value higher than the pursed lip breathing without combination with significant of p value = 0.000 (p <0.05).Conclusion:The combination of pursed lip breathing and guided imagery music proved to have an effect on increasing the value of peak expiratory flow higher than pursed lip breathing without combination.

PENGARUH KEGEL EXERCISE TERHADAP DISFUNGSI EREKSI KLIEN POST TURP Joko Susanto; Anestesia Pangestu Mei Tyas; Khotibul Umam; Makhfudli Makhfudli
Jurnal Kesehatan Mesencephalon Vol 7, No 1 (2021): Jurnal Kesehatan Mesencephalon - April 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v7i1.274

Disfungsi ereksi adalah komplikasi ikutan yang sering timbul setelah tindakan TURP. Klien post TURP sering mengungkapkan keluhan mengalami penurunan fungsi ereksi. Tujuan penelitian adalah menganalisis efektifitas kegel exercise terhadap disfungsi ereksi klien post TURP. Desain penelitian adalah Quasi Eksperimen. Sampel penelitian sebanyak 64 orang, dengan tehnik systematic random sampling (32 kelompok intervensi, 32 kelompok kontrol). Instrumen penelitian menggunakan kuesioner IIEF-5 untuk mengukur disfungsi ereksi. Analisis data menggunakan uji Paired t-testdan Independen t-test dengan taraf signifikasi α

HUBUNGAN DUKUNGAN KELUARGA DENGAN EFIKASI DIRI PENDERITA TUBERCULOSIS MULTIDRUG RESISTANT (TB-MDR) DI POLI TB-MDR RSUD IBNU SINA GRESIK Mar'atul Hasanah; Makhfudli Makhfudli; Andri Setiya Wahyudi
Jurnal Kesehatan Vol 11 No 2 (2018): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v11i2.5415

Introduction: Multidrug-resistant (MDR-TB) occurs due to treatment failure, dropping, treatment, or improper treatment resulting in primary resistant. This research aimed to analyze the correlation between family support and self-efficacy of multidrug-resistant (MDR-TB) patient at MDR-TB Polly Ibnu Sina Hospital Gresik. Method: Descriptive correlational involved 15 respondents who selected using consecutive sampling. Independent variable was family support. The dependent variable was self-efficacy. Data were retrieved by questionnaire then analyzed using Spearman rho with a degree of meaning α ≤ 0,05. Result and analyze: Family support not significantly correlated with self-efficacy with p-value = 0,120 or (p ≥ 0,05). Conclusion: All respondents of MDR-TB patients in MDR-TB Ibnu Sina Hospital Gresik have positive family support and high self-efficacy. Suggestions for the further researcher to research about health education to increase the participation of family support for MDR-TB patients. ABSTRAKPendahuluan : TB-MDR terjadi karena kegagalan pengobatan, putus pengobatan, atau pengobatan yang tidak benar sehingga terjadinya resistensi primer. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dengan Efikasi Diri penderita Tuberkulosis resisten obat di Poli TB-MDR RSUD Ibnu Sina Gresik. Metode : Desain penelitian deskriptif korelasional melibatkan 15 responden Penderita TB-MDR yang sedang menjalani pengobatan di poli TB-MDR RSUD Ibnu Sina Gresik pada 28 Maret – 28 Juni 2018 yang di pilih menggunakan consecutive sampling. Variabel bebas adalah dukungan keluarga. Variabel terikat adalah Efikasi Diri. Data diperoleh menggunakan kuesioner yang kemudian dianalisis menggunakan Spearman rho dengan derajat kemaknaan α ≤ 0,05. Hasil dan Analisis : Dukungan keluarga tidak berhubungan secara signifikan terhadap Efikasi Diri dengan p-value = 0,120 atau (p ≥ 0,05). Kesimpulan : semua responden penderita TB-MDR di Poli TB-MDR RSUD Ibnu Sina Gresik memiliki dukungan keluarga yang positif dan Efikasi Diri tinggi. Saran bagi peneliti selanjutnya agar meneliti tentang hubungan antara dukungan keluarga dengan Efikasi Diri yang dapat meningkatkan partisipasi dukungan keluarga.

The Effect of Combination of Buteyko Breathing Technique and Walking Exercise on Forced Peak Expiratory Flow In Adult Asthmatic Patients Wiwik Udayani; Muhammad Amin; Makhfudli M
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

The Buteyko technique can reduce asthma symptoms, reduce the use of bronchodilators but few and not significant in reducing bronchial responsiveness. Physical exercise that complements breathing exercises in pulmonary rehabilitation can improve pulmonary physiology and control asthma. Physical exercise in the form of walking can improve pulmonary physiology and asthma control by reducing hyperesponsivity reactions and increasing cardiorespiratory endurance. But the combination of these two exercises has never been studied. The objective of this study was to analyze the effect of a combination of Buteyko breathing techniques and walking exercises on Peak Forced Expiration Flow. The design of this study was quasi experimental with pretest-posttest control group design. The location of the study was in the pulmonary clinic of Regional General Hospital of Sidoarjo Regency and Bangil Regional General Hospital in Pasuruan Regency, East Java. Respondents were selected by randomization by simple random sampling. Respondents in this study amounted to 76 respondents. Forced Expiration Peak Flow Data is measured using a peak flow meter. The intervention group was given a combination exercise with Buteyko breathing technique and walking exercise for 8 weeks, 3x per week, 55 minutes every training session. Giving a combination of Buteyko breathing technique and walking exercises using module and video media. FPEF measurements were carried out 3 times (pretest, week 4, week 8). Data were analyzed using SPSS 22 with GLM-RM (General Linear Model-Repeated Measure) ANOVA. The results showed a significant difference in the FPEF rate between before and after 4 weeks and 8 weeks of the combination intervention of the Buteyko breathing technique and walking exercises in the treatment group with (p <0.05) with p = 0.000. The findings indicate that breathing exercises and physical exercise through a combination of Buteyko breathing techniques and walking exercise can increase the FPEF rate through the mechanism of increasing CO2 and producing nitric oxide which has bronchodilation effects and through decreasing inflammatory mediators so that it can reduce asthma symptoms.This exercise can be used as an alternative choice in supporting pharmacological therapy to improve FPEF.

Co-Authors AA Sudharmawan, AA Abd Nasir Abdullah, Khatijah Lim Abu Bakar Aesthetica Islamy Ah. Yusuf ah. Yusuf Ahsan Ahsan Aisyah Nur Izzati Aldri Frinaldi Alghifahri, Sayyid Gaza Ali Sairozi Alit Armini, Ni Ketut Alwan Revai Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anindy, Maulidiyah Mahayu Nilam Apriana Rahmawati Arum Rahmawati Virgin Budi Utomo Budi Utomo Budi Utomo Choliq, Maulivia Idham Deni Yasmara Desak Noman Tri Bulan Trisna Wardhana Diantami, Aldini Yunita Mia Diantami, Aldini Yunita Mia Dominikus Rato Efa I. Maulina Eka Mishbahatul Mar'ah Has Elida Ulfiana Emmalia Adhi Fitama Endah Sri Wijayanti Erwansyah, Rio Ady Fadliyah, Lailatul Faizal Kurniawan Fernandez, Maria Jia Ferry Efendi Firda Dwi Yuliana Gita Kurnia Widiastutik Gregory Agung Himawan Handira Nadhifatul Aini Handira Nadhifatul Aini Has, Eka Mishbahatul M. Hasanudin Hasanudin Hasanudin Hasanudin Heri Kusnaidi I Kadek Dwi Swarjana I Kadek Dwi Swarjana Ifada Nurrohmaniah Ika Yuni Widyawati Ilkafah Ilkafah, Ilkafah Ilya Krisnana, Ilya Indarwati , Retno Indra Alamsyah Iqlima Dwi Kurnia Iswatun Iswatun Iswatun, Iswatun Joel Rey Ugsang Acob Joko Susanto Joni Haryanto Keloay, Maitha Annthonette Wulan Khotibul Umam Kurniawan, Faizal Kurniawan Kurniawati, Ninuk Dian Kusnanto Kusnanto Kusnul Chotimah Lailatun Ni’mah Laili, Nadia Rohmatul Laily Hidayati Latuperissa, Glorya Riana Lie Liana Fuadiati Liliek Juliati Lutfiandini, Cherlys Tin Luwarsih, Hesti Warastuti Mar'atul Hasanah Maria Diana Durbin Mau Leon, Fransiska Mau Leon, Fransiska Fabiola Maulida, Vetty Silvana Milaningrum, Kartika Mira Utami Ningsih Mokhamad Khoirul Huda Muh D. RAM Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Rully Maulana Nala Astari Pramesti Nasir, Abd Natalia Christin Tiara Revita Natalia Christin Tiara Revita Nihayati, Hanik Endang Nisa AmaliyaVariansyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Praba Diyan Rachmawati, Praba Diyan Pradita Ayu Fernanda Pramesti, Nala Astari Pratiwi, Denok Jua Purwaningsih - Qolbi Nur Qoidah Yahya Qona’ah, Arina R Endro Sulistyono Rachma, Widiyas Ulfia Richa Kumalasari Rindayati, Rindayati Rista Fauziningtyas, Rista Rohmah, Ulfa Nur Romadhon, Pradana Zaky Rosi Arista Rosyid, Alfian Nur RR Dian Tristiana Rr Soenarnatalina M Rr Soenarnatalina M Rr Soenarnatalina M, Rr Soenarnatalina M Rudi Hariyono Rudi Hariyono, Rudi Rukanah, Rukanah S. Soedarsono Sairozi, Ali Saskiyanti Ari Andini Setho Hadisuyatmana Soedarsono Soedarsono Sriyono Sriyono Suarilah, Ira Suhaedi Kuling Sukmayanti, Luh Putu Sulistiawati, Rani Sulistiawati, Rani Dwi Suryantoro, Satriyo Dwi Susanti, Inta Swarjana, I Kadek Dwi Sylvia Dwi Wahyuni Tintin Sukartini Sukartini, Tintin Sukartini Titiek Berniyanti Tiyas Kusumaningrum Totok Indarto Trijati Puspita Lestari Ubudiyah, Masunatul Umam, Khotibul Uswatun Hasanah Vetty Silvana Maulida Wahyuni, Erna Dwi Widiastutik, Gita Kurnia Wimar Anugrah Romadhon Wiwik Udayani Wiwik Udayani Wulan Sari, Andini Wulandari, Shenda Maulina Yuana Dwi Agustin, Yuana Dwi Yulia Yunara Yuliani Puji Lestari Yulis Setiya Dewi Zenitha Rani

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