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Penerapan Teknik Pursed-Lip Breathing dan Diaphragmatic Breathing Exercise pada Pasien Tetralogy of Fallot: Studi Kasus Hana Pritika Rotua; Theresia Eriyani; Irman Somantri
Buletin Ilmu Kebidanan dan Keperawatan Vol. 4 No. 02 (2025): Buletin Ilmu Kebidanan dan Keperawatan
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/bikk.v4i02.1126

Abstract

Tetralogy of Fallot (TOF) adalah kelainan jantung bawaan sianotik yang dapat menyebabkan hipoksemia kronik, terutama pada pasien yang hanya menjalani operasi paliatif Blalock-Taussig Shunt (BTS). Tujuan studi kasus ini adalah untuk menggambarkan penerapan teknik Pursed-Lip Breathing (PLB) dan Diaphragmatic Breathing Exercise (DBE) dalam meningkatkan oksigenasi dan mengurangi sesak napas pada pasien dewasa dengan TOF riwayat BTS. Subjek studi adalah pria 27 tahun yang mendapat intervensi PLB dan DBE selama empat hari, masing-masing lima siklus per hari. Hasil menunjukkan penurunan frekuensi napas dari 28 menjadi 22 kali/menit, peningkatan saturasi oksigen dari 66% menjadi 74%, serta penurunan skala sesak napas dari NRS 6 menjadi 3. Latihan pernapasan PLB dan DBE memberikan dampak positif terhadap ventilasi dan kenyamanan pasien dengan TOF dewasa riwayat BTS. Perawat berperan penting dalam edukasi dan pemantauan selama latihan berlangsung.
LAPORAN KASUS: IMPLEMENTASI DISCHARGE PLANNING MENGGUNAKAN MODEL LIMA TERHADAP KESIAPAN PENINGKATAN MANAJEMEN KESEHATAN PADA PASIEN DENGAN ADDISON DISEASE Haniifah Marzuuqoh; Irman Somantri; Kurniawan Yudianto
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 1 (2026): SINERGI : Jurnal Riset Ilmiah, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i1.2274

Abstract

Addison's disease or chronic adrenal insufficiency is an autoimmune disease with endocrine disorders that occur due to a decrease in the ability of the adrenal cortex, causing the adrenal glands to fail to produce the hormones cortisol and aldosterone. This condition has an impact on the physical, psychological, and social abilities of patients. Therefore, patient knowledge about the disease, self-care management at home, and medications consumed are the main basis for improving health management at home. The research subjects were Addison's disease patients admitted to the inpatient ward of Utsman Bin Affan RSUD UOBK Welas Asih. This study used a problem-based nursing care management approach based on 3M (Man, Method, Material) and nursing intervention planning using the POAC (Planning, Organizing, Actuating, Controlling) management function, with a focus on the implementation of discharge planning using the LIMA model for the readiness to improve patient health management. The results of the study showed an increase in the knowledge scores of patients and families from the pre-test and post-test results, indicating an increase in readiness for independent health management at home. Thus, the application of the LIMA model as an intervention from discharge planning can be an intervention that supports the improvement of health management readiness as a continuation of nursing care that has been provided in hospitals and has the potential to reduce the risk of patient rehospitalization
ANALISIS PELAKSANAAN SISTEM JENJANG KARIR PERAWAT DI RS SWASTA KOTA TASIKMALAYA DAN RS PEMERINTAH KAB. CIAMIS Fitri Nurlina; Nanan Sekarwana; Irman Somantri
HealthCare Nursing Journal Vol. 3 No. 2 (2021): Healtcare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v3i2.1290

Abstract

The nurse career ladder is one of the systems done by the hospital in order to improve the nurses’ performance and professionalism according to their expertise and also it can improve hospital’s service quality. The private hospital in tasikmalaya city and the government hospital in ciamis are tried to organize their system in order to improve the hospital’s service quality. This research aims to knowing the implementation the system in both of the hospitals. The research employs qualitative method and case study approach with eight participants netted by purposive sampling technique. The theme found is: 1) the reason of both hospitals implemented system; 2) differenced perception and effectiveness of role, function, and duties nurse department, nurse committee and training personnel; 3) availability of human resources implemented system; 4) optimization implemented system. The results found is differented perception of roles, functions, and duties between nursing department and committee, lacked of support and freedom of training personnel, nursing committee does not had subcommittee credentials, imbalanced proportion between number assessors and nurses and their workload, uncleared legality of implementation system from the director, inappropriated implementation since the system was previously done by the midwives, lacked of support and motivation, differented implementation between action and the actual rules as it was adjusted to the hospitals’ environment. It can be concluded that the implementation system was not yet optimal. The hospital should be able to support and plan the program is well. Pay more attention to requisite and facilities needed for implementation system, and propose the better appreciation to nurse in according to competence.