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Intervention on the impact of exposure to PM2.5 air pollution on airway clearance of asthma sufferers through chest physiotherapy Sholichin Sholichin; Endang Sawitri; Eva Rachmi; Sri Wahyuningsih; Krispinus Duma; Ratna Kusuma; Ika Fikriah; Daniel Tarigan
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2807

Abstract

Background: Exposure to PM2.5 air pollution is a major risk factor for exacerbations and decreased lung function in asthmatics. The World Health Organization has declared air pollution a global health emergency. Fine PM2.5 particles trigger oxidative stress, chronic inflammation, and impaired airway clearance, which exacerbate airway obstruction. Purpose: Analyzing the effectiveness of chest physiotherapy in improving airway clearance in asthma patients exposed to PM2.5. Method: Using a pretest-posttest design, this study compared Peak Expiratory Flow (PEF) values ​​in the first week as a baseline, with values ​​recorded in the second and third weeks after chest physiotherapy intervention. The Wilcoxon test was used to analyze differences in PEF values ​​over time. Results: Analysis showed a significant increase in PEF values ​​between the first and second weeks (Z = -6.88, p < 0.00) and between the first and third weeks (Z = -7.51, p < 0.00). The majority of participants showed an increase in PEF, with positive ratings of 72 in the second week and 75 in the third week, indicating improved airway clearance after the intervention. Conclusion: Chest physiotherapy effectively improves airway clearance and ventilation function in asthma sufferers exposed to PM2.5, thus having the potential to become an applicable and sustainable non-pharmacological, environmentally based nursing intervention.
Effectiveness Evaluation of Single-Session Socialization on HIV/AIDS Knowledge among Rural Adolescents in East Kalimantan Fitria Dewi Puspita Anggraini; Mona Zubaidah; Vera Madonna Lumban Toruan; Nur Khoma Fatmawati; Sholichin Sholichin
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5992

Abstract

Indonesia reports approximately 540,000 HIV cases according to UNAIDS data, with rural adolescents experiencing significant knowledge gaps regarding HIV/AIDS transmission and prevention. Educational interventions are crucial for addressing these deficits, particularly in remote areas with limited healthcare information access. This research to evaluate the effectiveness of socialization interventions on HIV/AIDS knowledge among rural adolescents in East Kalimantan, Indonesia. A quasi-experimental pre-post study design was conducted among 47 adolescents aged 10-17 years in Loa Ulung Village, East Kalimantan. The intervention utilized leaflets and interactive two-way discussions covering HIV/AIDS transmission modes and prevention strategies. Data collection employed a validated 10-item questionnaire administered pre- and post-intervention. Statistical analysis included Shapiro-Wilk normality testing and Wilcoxon signed-rank test for non-parametric comparisons. Pre-intervention knowledge scores averaged 7.43 (SD=1.500), increasing to 7.81 (SD=1.715) post-intervention. The Wilcoxon signed-rank test showed no statistically significant difference (p=0.128), with a normalized gain score of 0.14 indicating low effectiveness. Persistent misconceptions included: 63.8% incorrectly believing all HIV-infected individuals develop AIDS, 23.4% thinking HIV transmits through sharing utensils, and 17.0% believing shared toilets cause transmission. Single-session educational interventions demonstrated limited effectiveness in improving HIV/AIDS knowledge among rural adolescents. Future programs should incorporate age-appropriate, interactive methodologies with extended duration and follow-up sessions for optimal outcomes in rural Indonesian settings.