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All Journal MEDIA INFORMASI JURNAL MUTIARA NERS Jurnal Ilmu dan Teknologi Kesehatan Healthcare Nursing Journal Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan GENIUS JOURNAL (General Nursing Science Journal) INDOGENIUS Jurnal VNUS (Vocational Nursing Science) Genius Midwifery Journal Jurnal Keperawatan KIAN Journal Asy-Syifa: Journal of Science and Technology Nursing Nurul Ilmi : Journal of Health Sciences and Midwifery Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat
asep gunawan
STIKes Muhammadiyah Ciamis
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Application of Semi Fowler Position to Inaffectiveness of Breathing Patterns in Congestive Heart Failure (Chf) Patients Iif Taufiq El Haque; Asep Gunawan; Sari Puspayanti
Jurnal Vocational Nursing Sciences (VNUS) Vol 3 No 1 (2021): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v3i1.325

Abstract

Objective: This study aims to present care with semi-Fowler's intervention as an effort to overcome shortness of breath in congestive heart failure patients with ineffective breathing patterns in the Kenanga Room, BLUD RSU Kota Banjar. Method: Descriptive analysis plus a case study technique make up the research design. Adult patients with congestive heart failure (CHF) and dysfunctional breathing patterns were the study's subjects. Interviews, observation, physical examinations, and documentation studies are a few of the methods of data collection. Result: The results of the case study at the assessment stage found that the client complained of shortness of breath. The intervention and implementation used to reduce shortness of breath is by giving the semi-Fowler's position by positioning the patient half-sitting or 45 degrees, while the shortness lasts. After the intervention, the client's breathing frequency decreased from 28 x/minute to 22 x/minute, while the subjective data from the anamnesis showed that the client's shortness of breath was reduced. Conclusion: The conclusion of nursing care in patients with congestive heart failure (CHF) with shortness of breath is well resolved. Intervention in the semi-fowler's position is effective in reducing respiratory frequency.
Implementation of Non-Pharmacological Therapy by Giving Melon Fruit (Cucumis Melo L) to Patients with Hypertension Asep Gunawan; Dedi Supriadi; Alfi Fadilah
Jurnal Vocational Nursing Sciences (VNUS) Vol 5 No 1 (2023): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v5i1.336

Abstract

Objective: This case study is to implement non-pharmacological therapy by administering melon fruit to reducing blood pressure in hypertensive patients. Method: This study uses descriptive analysis with a case study approach. This case study is to describe, objectively describe, and explore in-depth data regarding nursing care for hypertensive patients with ineffective family management problems in the Health UPTD Work Area of the Cikoneng Health Center. When conducting research, the authors also make observations at certain times in the form of assessments, nursing diagnoses, interventions, implementation, and evaluation. Providing non-pharmacological therapy to eat melons to reduce high blood pressure and respondents' adherence to eating melons The observation began after being given health education, which aimed to find out whether there was adherence to eating melons and whether there was a change in blood pressure or no change. This study was conducted on Mrs. C with hypertension in Colendra Hamlet, RT.13 RW.05, Sindangsari Village, Cikoneng District, Ciamis Regency, in the working area of the UPTD Cikoneng Health Center from March 31 to April 3, 2023, for 4 days of visit. Result Based on the results of an assessment of hypertensive family members and there were nursing diagnoses assigned to the family, namely ineffective family health management, related to the inability of the family to care for sick family members and the inability of the family to make the right decisions. Given the intervention and implementation of non-pharmacological therapy of melon fruit to reduce the patient's blood pressure. The implementation was given for 3 days, the patient's blood pressure gradually decreased from 160/100 MmHg to 150/90 MmHg, but had not yet reached normal levels. So that the action of giving melon fruit can be continued and applied in daily life independently. Conclusion: Giving non-pharmacological therapy giving melon fruit has proven to be useful for lowering blood pressure in hypertensive patients, the benefits of therapy will be maximized if done regularly and gradually.
Implementation of Deep Breath Relaxation Techniques As An Effort to Overcome Shortness Of Breath in Congestive Heart Failure Patients Asep Gunawan; Nur Hidayat; Sinta Siti Rahmah
Jurnal Vocational Nursing Sciences (VNUS) Vol 5 No 2 (2023): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v5i2.338

Abstract

Introduction: Congestive heart failure (CHF) is a cardiovascular disease that is defined as a deadly disease in the world. CHF is a condition in which the heart is unable to pump blood to meet the needs of oxygen and nutrients in the body's tissues. Objective: To present care with deep breathing relaxation interventions as an effort to overcome shortness of breath in congestive heart failure patients with ineffective breathing patterns. Method: The research design used is descriptive analysis with a case study approach. Subjects in this case study were adult patients with congestive heart failure (CHF) and ineffective breathing patterns. Data collection techniques include interviews, observation, physical examination, and documentation studies. Result: The case study at the assessment stage found that the client complained of shortness of breath. The intervention and implementation used to reduce shortness of breath is by providing breathing relaxation exercises for 10 minutes when complaints of shortness of breath are felt. After the intervention, the client's breathing frequency decreased from 28 x/minute to 22 x/minute, while the subjective data from the anamnesis showed that the client's shortness of breath was reduced. Conclusion: Nursing care for patients with congestive heart failure (CHF) and shortness of breath is well managed. Providing deep breathing relaxation interventions is effective in reducing respiratory frequency.
Pendampingan Program Berhenti Merokok pada Remaja di SMKS Kecamatan Padakembang Kabupaten Tasikmalaya Dadi Hamdani; Andan Firmansyah; Elis Roslianti; Ade Fitriani; Henri Setiawan; Dedi Supriadi; Asep Gunawan; Fuzti Fauzia; Nur Hidayat; Suhanda Suhanda
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2023): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Juli-Desember 2023)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v1i2.387

Abstract

Background: Deaths caused by smoking are very worrying, in the world as many as 225,700 people die from tobacco every year according to WHO in 2020 (Abdulateef, 2016; Alinaggar, 2011). Tobacco use in Indonesia aged over 15 years. It has increased again from the previous year, namely 28.96% (Alamsyah, 2017; Binita, 2016), and is still dominated by men at 7.14% Alamsyah, (21017). Smoking habits in teenagers due to misunderstanding of information, influence of advertising and influence of friends. In society, smoking is a measure of maturity level so teenage boys follow this behavior. The beginning of smoking behavior is caused by a community environment where the majority smoke and the invitation of friends to smoke (Huriyati, 2016; Izzati, 2016). Methods: participatory training and role-play are the methods used, starting from community formation, namely optimizing the role of cadres in the smoking cessation program. The next stage is education about smoking and training for administrators and cadres to stop smoking. The final stage is a follow-up to the smoking cessation program which will be carried out independently by cadres and evaluations carried out regularly by cadres. Results: Participants' knowledge about smoking was very diverse. During the activity, the participants had a high motivational interest. The enthusiasm of the counseling participants is a very good start to increasing insight. The level of knowledge of participants increased by up to 40% after the outreach activities were carried out. Conclusion: Providing counseling can increase students' knowledge about quitting smoking by 40% based on the results of the pre-test and post-test. The formation of a community smoking cessation program consisting of young students who volunteer to accompany their friends to quit smoking.
Implementation of Individual Conversion Therapy to Reduce Auditory Hallucinations with Paranoid Schizophrenia : A Case Study Asep Gunawan; Meida Bintari Janatunnisa
Genius Journal Vol. 5 No. 1 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i1.369

Abstract

Introduction: Auditory hallucinations are a perceptual condition that causes sounds that do not actually exist to appear to be heard. One method for treating people with auditory hallucinations is one-way conversation therapy. Individual Conversation Therapy is a better alternative therapy for people who experience hallucinations because it provides more meaningful evaluation findings. Objective: Provide care and provide a thorough explanation regarding Individual Conversation Therapy therapy for reducing sensory perception disorders including auditory hallucinations. Method: This research uses a nursing care strategy, with a descriptive case study design, on Mr. R, 23 years old who experiences auditory hallucinations based on inclusion and exclusion criteria. The data collection process was carried out through interviews using Individual Conversation Therapy techniques, observation and documentation. Result: Based on the case study findings, the patient stated that he was able to improve his hallucinations during Individual Conversation Therapy treatment, indicating that the intervention was effective. Conclusion: The conclusion of nursing care for sufferers of sensory perception disorders (hearing) in patients with hallucinations, the implementation of Individual Conversation Therapy is recommended because the effect of this therapy can reduce hallucinatory sounds. Introduction: Auditory hallucinations are a perceptual condition that causes sounds that do not actually exist to appear to be heard. One method for treating people with auditory hallucinations is one-way conversation therapy. Individual Conversation Therapy is a better alternative therapy for people who experience hallucinations because it provides more meaningful evaluation findings. Objective: Provide care and provide a thorough explanation regarding Individual Conversation Therapy therapy for reducing sensory perception disorders including auditory hallucinations. Method: This research uses a nursing care strategy, with a descriptive case study design, on Mr. R, 23 years old who experiences auditory hallucinations based on inclusion and exclusion criteria. The data collection process was carried out through interviews using Individual Conversation Therapy techniques, observation and documentation. Result: Based on the case study findings, the patient stated that he was able to improve his hallucinations during Individual Conversation Therapy treatment, indicating that the intervention was effective. Conclusion: The conclusion of nursing care for sufferers of sensory perception disorders (hearing) in patients with hallucinations, the implementation of Individual Conversation Therapy is recommended because the effect of this therapy can reduce hallucinatory sounds.
The Effect of Combining VCO (Virgin Coconut Oil) and Olive Oil on Blood Sugar Reduction in Diabetes Mellitus Patients in the Baregbeg Ciamis Community Health Center Area Tria Yuliana; Adi Nurapandi; Irpan Ali Rahman; Diny Nurfauziah; Asep Gunawan; Nur Hidayat; Sri Wulan Ratna Dewi; Lusi Lestari; Sri Utami Asmarani; Hani Septiani
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 13 No. 1 (2026): Jurnal Kesehatan
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v13i1.1058

Abstract

Diabetes mellitus is a chronic metabolic disorder that manifests as a persistent elevation in blood glucose levels. This study aims to analyze the effect of a combination of Virgin Coconut Oil (VCO) and Olive Oil on the reduction of random blood glucose (RBG) levels in diabetes mellitus patients in the working area of Baregbeg Health Center, Ciamis. This study uses a quasi-experimental design with a two-group pretest-posttest design. A total of 60 respondents were involved and proportionally divided into the intervention group and the control group. Participants in the intervention group were given a combination of VCO and Olive Oil at a dose of 25 ml/day for 7 days, while the control group continued their daily activities without any additional intervention. Measurement of GDS levels was conducted on the first and seventh days to monitor changes longitudinally. Based on the Wilcoxon statistical test, a statistically significant decrease in blood glucose levels was found in the intervention group with a p-value of 0.001 (p < 0.05). On the contrary, the control group tended to experience an increase. It is concluded that the combination of VCO and Olive Oil significantly affects the reduction of blood glucose levels in patients with diabetes mellitus and has the potential to be used as a complementary therapy.
Kolaborasi Dosen dan Mahasiswa STIKes Muhammadiyah Ciamis dalam Program Khitanan Massal sebagai Upaya Promotif dan Preventif Kesehatan Anak Andan Firmansyah; Dadi Hamdani; Elis Roslianti; Ade Fitriani; Asep Gunawan; Suhanda Suhanda; Dedi Supriadi; Rudi Kurniawan; Nur Hidayat; Henri Setiawan; Irpan Ali Rahman; Ayu Endang Purwanti
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2026): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Januari-Juni 2026)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v4i1.1057

Abstract

Introduction: Circumcision is one of the health interventions that provides medical, hygienic, and psychosocial benefits for children. However, not all families have adequate access to safe and affordable circumcision services. Community service activities conducted by higher education institutions represent a strategic effort to improve public health while implementing the Tri Dharma of Higher Education. Objective: This community service aimed to provide safe, free circumcision services for children while enhancing community access to quality healthcare through collaboration between lecturers and students of STIKes Muhammadiyah Ciamis. Method: This activity employed a community service approach involving the stages of planning, participant registration, health screening, circumcision procedures, health education, and post-circumcision follow-up. The program was implemented through collaboration between lecturers, nursing students, healthcare professionals, and local stakeholders. A total of 49 children from several villages and sub-districts in Ciamis Regency participated in the mass circumcision program. Result: The community service program was successfully implemented with all registered participants receiving circumcision services according to standard medical procedures. Participants originated from multiple areas in Ciamis Regency, indicating broad community participation and positive acceptance of the program. In addition to circumcision services, parents received education regarding wound care, infection prevention, nutrition, and post-circumcision activity restrictions. The collaboration between lecturers and students also provided valuable experiential learning in community nursing practice, communication, teamwork, and professional service delivery. Conclusion: he mass circumcision program effectively increased community access to safe circumcision services and demonstrated the important role of higher education institutions in improving community health. Collaboration between lecturers, students, healthcare workers, and local stakeholders represents an effective model for sustainable community service programs.
Family Nursing Care for Gout Arthritis Patients Using Soursop Juice as a Non-Pharmacological Therapy to Reduce Uric Acid Levels Asep Gunawan; Deuis Diana Sari; Rudi Kurniawan
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 2 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i2.828

Abstract

Gout arthritis is a form of joint inflammation caused by the accumulation of urate crystals, resulting in pain, swelling, and limited mobility. Non-pharmacological therapy such as soursop (Annona muricata) juice, which contains antioxidants and xanthine oxidase inhibitors, may help reduce uric acid levels. This case study was conducted on Mr. A, a patient with gout arthritis living in Palasari Hamlet, Sukahurip Village, Ciamis. The intervention consisted of daily soursop juice administration for five consecutive days, with monitoring of uric acid levels and pain symptoms. After treatment, uric acid decreased slightly from 8.7 mg/dL to 8.6 mg/dL, accompanied by reduced pain and swelling. Although the reduction was minimal, soursop juice showed potential as a safe, low-cost complementary therapy for gout arthritis management in family settings.
Implementation of Effective Cough Training to Improve Airway Clearance in Asthma Patients: A Nursing Care Process Case Study in the Emergency Department Linda Oktavianingsih; Rudi Kurniawan; Asep Gunawan; Elis Novianti
Jurnal Vocational Nursing Sciences (VNUS) Vol 7 No 2 (2025): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v7i2.842

Abstract

Asthma is a chronic respiratory disorder that remains a major public health concern, particularly in areas with high pollution levels. One of the most frequent nursing problems among asthma patients is ineffective airway clearance caused by mucus retention. Effective cough training is a non-pharmacological nursing intervention aimed at facilitating secretion removal and improving respiratory function. This case study evaluated the effectiveness of cough training in improving airway clearance in an asthma patient treated in the emergency department. A descriptive case study design using the nursing care process assessment, diagnosis, intervention, implementation, and evaluation was applied. Data were collected through interviews, physical examinations, observations, and documentation for two days. The intervention consisted of deep nasal inhalation for four seconds, breath-holding for two seconds, exhalation through pursed lips for eight seconds, followed by a controlled cough. After two days, improvements were observed in respiratory rate (from 26 to 22 breaths per minute), oxygen saturation (from 90% to 95%), and mucus expectoration. The patient was able to perform the technique independently after education and guided practice. These findings indicate that effective cough training is a simple, evidence-based nursing intervention that enhances airway clearance and oxygenation and should be integrated into emergency asthma care to prevent complications.
Implementation of Rheumatic Exercise to Manage Chronic Pain in a Patient with Rheumatoid Arthritis: A Family Nursing Case Study Asep Gunawan; Rizky Arif Susilo Putra
KIAN JOURNAL Vol 5 No 1 (2026): KIAN JOURNAL (March 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i1.994

Abstract

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by persistent joint inflammation, pain, stiffness, and decreased functional ability, significantly affecting patients' quality of life. Chronic pain is one of the primary nursing problems experienced by individuals with RA. Rheumatic exercise is a non-pharmacological intervention that can improve joint flexibility, muscle strength, and functional mobility while reducing pain intensity. Family involvement is essential in supporting the continuity of nursing interventions at home. Objective: This case study aimed to describe the implementation of rheumatic exercise in managing chronic pain in a patient with rheumatoid arthritis through family nursing care. Method: his descriptive case study applied the family nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation. The subject was a female patient diagnosed with rheumatoid arthritis who experienced chronic pain, joint stiffness, and limitations in daily activities. Rheumatic exercise was performed once daily for approximately 15 minutes over three consecutive days, accompanied by education and active family participation to encourage independent exercise practice at home. Result: The patient's pain intensity gradually decreased from a Numeric Rating Scale (NRS) score of 5 before the intervention to 4 on the first day, 2 on the second day, and 0 on the third day. Improvements were also observed in joint mobility, physical function, and the patient's confidence in performing daily activities. Family members demonstrated adequate knowledge and skills to support the continuation of rheumatic exercise at home. Conclusion: The implementation of rheumatic exercise within family nursing care effectively reduced chronic pain and improved functional mobility in a patient with rheumatoid arthritis. This intervention is simple, safe, cost-effective, and may serve as an effective complementary nursing strategy for chronic pain management in community and home care settings.
Co-Authors Ade Fitriani Adi Nurapandi Akmal Rahayu Dasuki Rahmat Alfi Fadilah Alis Sundewi Ayu Endang Purwanti Dadi Hamdani Dedi Supriadi Deuis Diana Sari Devina Sutandi Diny Nurfauziah Dwi Purnomo Azi Elis Novianti Elis Roslianti Elisa Permatasari Elza Dwi Zuvita Fairuz Yasmin Salsabila Firmansyah, Andan Fitriani Fajriah Fuzti Fauzia Hana Istikomah Hani Septiani Haryani Heni Heryani Heni Marliany Henri Setiawan Iif Taufiq El Haque Ikna Cahyadi Kurniawan Ima Sukmawati Irpan Ali Rahman Jajuk Kusumawaty Kusumawaty, Jajuk Lena Noviana leni mulyani Lilis Lismayanti lilis lismyanti Linda Oktavianingsih Lusi Lestari Maulidah Noor Sofia Meida Bintari Janatunnisa mia widihastuti Mutia Dwi Mulyani Nadya Salsabilla Nenda Chandra Maulana Nida Siti Padilah Noneng Nuraida Nur Hidayat Nurshofi Intansari Restika Puspa Ningtias Rian Hermawan Rizky Arif Susilo Putra Rosmiati Rudi Kurniawan Rudi Kurniawan Samrotul, Dede Sari Puspayanti Shofi Nurwahidah Sinta Siti Rahmah Sri Utami Asmarani Sri Wulan Ratna Dewi Suhanda Sukmara Aji Falah Syafruddin, Muhammad Andri Tria Yuliana Yanti Srinayanti Yuyun Rahayu