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Journal : Real in Nursing Journal

Pengaruh Teknik Nafas Dalam dan Posisi Semi Fowler Terhadap Frekuensi Nafas Pada Pasien Asma Pratama, Wira Agung; Yenni, Yenni; Oktorina, Rola; Wahyuni, Aria
REAL in Nursing Journal Vol 7, No 3 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i3.3271

Abstract

Background: Asthma is a disease characterized by narrowing and inflammation of the respiratory tract which results in shortness of breath (difficulty breathing). Data from (WHO, 2020) shows that the prevalence of asthma in 2019 was 262 million people and caused 455,000 deaths worldwide. The aim of the research is to determine the effectiveness of the deep breathing relaxation frequency technique and semi-Fowler position in the Lung Room of RSU Mayjen H.A Talib, Sungai Full City in 2023. Methods: This type of research is analytical descriptive with a quasi-experimental research design with a one group pre test – post test design technique on patients. asthma. The respiratory frequency assessment was carried out 2 (two) times, namely before (pretest) intervention and after (posttest) intervention. The sample taken by purposive sampling was 21 respondents. Results: The results of this research were that there was an influence of deep breathing techniques and the semi-Fowler position on asthma patients at the H.A Talib maijen hospital, Sungai Full City in 2023 with the Wilcoxon test result being a p value of 0.000. Conclusion: The conclusion of this research is that there is effectiveness of deep breathing relaxation techniques and the semi-fowler position on respiratory frequency. The results of this research can be input for nursing interventions so that nurses provide education to patients and families on how to carry out deep breathing techniques and adjust the semi-Fowler position correctly to reduce shortness of breath in asthma patients
RELAKSASI AUTOGENIK MENURUNKAN KADAR GULA DARAH PASIEN DIABETES MELITUS TIPE 2 Wahyuni, Aria; Kartika, Imelda Rahmayunia; Pratiwi, Amira
REAL in Nursing Journal Vol 1, No 3 (2018): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (909.831 KB) | DOI: 10.32883/rnj.v1i3.475

Abstract

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from a lack of insulin secretion, insulin action, or both. The aim of the study was to determine the effect of autogenic relaxation on the reduction of blood sugar levels in Type 2 Diabetes Mellitus Patients. The research design used was Quasi Experimental with the Pretest-Posttest approach method. This research was conducted in one of the work areas of the health center in the city of Bukittinggi in June-July 2108. The population of this study was all patients with type 2 DM totaling 150 people while the samples taken were 15 people with a purposive sampling technique. The analysis used is univariate and bivariate analysis using the dependent t-test. The results of this study found that the average blood sugar level before the autogenic relaxation intervention was 214.4 gr/dl, the average blood sugar level after autogenic relaxation was 205 gr/dl with a p value = 0,000 meaning that there was an effect of autogenic relaxation on decreasing levels blood sugar in type 2 DM patients. The recommendation of this study is to continue this study with a large sample and with long and periodic interventions. Keywords: Type 2 Diabetes Mellitus, Blood Sugar Level, Autogenic Relaxation
Faktor-Faktor Yang Berhubungan Dengan Perilaku Pencegahan Ulkus Diabetikum Pada Penderita Diabetes Mellitus Oktorina, Rola; Wahyuni, Aria; Harahap, Ervina Yanti
REAL in Nursing Journal Vol 2, No 3 (2019): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v2i3.570

Abstract

DM sufferers continue to increase every year. Diabetic ulcers are a common complication that often occurs in DM patients. complications prevention behavior that must be performed by DM patients in order to prevent complications. This study aims to determine the factors related to the behavior of prevention of diabetic ulcers in patients with diabetes mellitus at Achmad Mochtar Bukittinggi Hospital in 2019This type of research is analytic descriptive with cross sectional study approach. The population in this study was 334 people. Sampling using accidental sampling technique with a sample size of 35 people. Data collection in this study used a questionnaire sheet. Data analysis included univariate and bivariate analyzes using the chi-square test.The results showed that 62.9% of respondents had low knowledge, 88.6% had no ulcers, 51.4% were low socioeconomic. The results of bivariate analysis showed that there was a relationship between knowledge (p = 0.038, OR = 6) and socioeconomic status (p = 0.028, OR = 6.417) with the prevention behavior of diabetic ulcer complications, whereas the ulcer experience variable was not related to the prevention behavior of diabetic ulcer complications (p = 0.619).It was concluded that knowledge and socioeconomic status were significantly related to the prevention of diabetic ulcers in DM patients. It is expected that all parties, especially health workers, will maximize education and counseling for DM patients, especially in the low knowledge group and with low socioeconomic status.
KORELASI LAMA HEMODIALISA DENGAN FUNGSI KOGNITIF Wahyuni, Aria; Kartika, Imelda Rahmayunia; Asrul, Imelda Firdausy; Gusti, Eka
REAL in Nursing Journal Vol 2, No 1 (2019): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (876.619 KB) | DOI: 10.32883/rnj.v2i1.328

Abstract

Hemodialysis can remove uremic toxins for cognitive process improvement in hemodialysis patients. This study aims to determine the long-standing relationship of hemodialysis to the cognitive function of patients with chronic renal failure. This type of research is descriptive analytic with a cross sectional study design. The population in this study were patients who underwent hemodialysis with the sampling technique used was total sampling totaling 83 respondents. The study was conducted in May - June 2018 in the hemodialysis unit. The instrument used to measure cognitive function is MMSE (Mini Mental State Exam). Data analysis used was univariate analysis and bivariate analysis using correlation test. The results showed that the duration of hemodialysis was the lowest 1 week and the highest 96 months with a mean duration of 21 months hemodialysis, the lowest cognitive function score 7 and the highest 30 scores with the average cognitive function was 18. Relationship analysis showed no long association of hemodialysis with function cognitive (p Value = 0.375; r = 0.099). This study provides recommendations for further research related to factors that influence cognitive impairment in hemodialysis patients and it is expected that nurses improve the quality of cognitive function nursing care in hemodialysis patients at risk of cognitive impairment.Keywords: Cognitive Function, Hemodialysis
Studi Kualitatif Strategi Koping Perawatan Diri Pada Pasien Post Percutaneous Coronary Intervention (PCI) Nadia, Sri; Wati, Del Fatma; Hasnita, Evi; Febrina, Wiwit; Wahyuni, Aria
REAL in Nursing Journal Vol 5, No 3 (2022): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v5i3.2066

Abstract

Background: Coronary Heart Disease is a disease of the coronary arteries that are in charge of  supplying blood supply to the heart muscles so that it can cause a heart attack. Prevention In order to prevent the recurrence of heart attacks in patients with coronary heart disease, they need to carry out massive self-care with the existence of coping strategies that can act as individual responses to the stressors they face. The purpose of this study was to explore how self-care coping strategies in post-Percutaneous Coronary Intervention (PCI) patients. Methods: This study used a phenomenologcal approachwith a qualitative design, and then the data were analyze  used The collaizi method. Research informants were taken using purposive sampling technique, totaling 7 people who did re-control at the Cardiology Polyclinic of RSUD Dr. Achmad Mochtar Bukittinggi. Data were collected through in-depth interviews and field notes. Results: The results of this study identified two themes, namely: problem-focused coping strategy and emotion-focused coping strategy. It can be concluded that the form of coping strategies carried out by post-Percutaneous Coronary Intervention (PCI) patients at RSUD Dr. Achmad Mochtar Bukittinggi varies and the Problem Focused Coping strategy is the main strategy used. There are also participants who use Emotion-Focused Coping strategies. Conclusion: It is recommended that the results of this study can add and provide input as well as reference material for health workers, especially nurses, in providing nursing interventions in the management of chronic diseases during treatment.Keywords: Coping Strategies, Self Care, Coronary Heart Disease, Percutaneous Coronary Intervention (PCI)
Comparing Deep Breathing and Semi-Fowler Position to Reduce Respiratory Rate in Asthma Patients: A Quasi-Experimental Study Oktorina, Rola; Oktavia, Minda; Wahyuni, Aria; Rahman, Waldi; Yenni, Yenni; Rofi’i, Aby Yazid Al Busthomy
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3498

Abstract

Background: Asthma remains a global health burden, marked by recurrent respiratory symptoms that significantly affect quality of life. Non-pharmacological nursing interventions such as deep breathing and semi-Fowler positioning have been increasingly recommended to improve respiratory function in patients with asthma. However, few studies have compared the relative effectiveness of these two interventions within a single experimental framework. Purpose: This study aimed to compare the effectiveness of deep breathing exercises and the semi-Fowler position in reducing respiratory rate among asthma patients. Methods: A quasi-experimental study was conducted involving 70 asthma patients, divided into two intervention groups: deep breathing (n = 35) and semi-Fowler position (n = 35). Participants were recruited using purposive sampling based on defined inclusion and exclusion criteria. Data on respiratory rate were collected before and after intervention using direct observation, recorded in breaths per minute. Paired and independent t-tests were used for statistical analysis with a significance level of α < 0.05.Result: In the deep breathing group, the mean respiratory rate decreased significantly from 29.03 ± 2.20 to 18.29 ± 1.56 breaths/minute (mean difference = 10.74; p < 0.001). Similarly, in the semi-Fowler group, the respiratory rate reduced from 28.43 ± 1.98 to 18.29 ± 1.66 breaths/minute (mean difference = 10.14; p < 0.001). However, the post-intervention comparison between the two groups showed no statistically significant difference (p = 1.00).Conclusion: Both deep breathing and semi-Fowler positioning are effective in reducing respiratory rate among asthma patients. These findings suggest that nurses can apply either method based on patient preference and clinical context, supporting individualized, evidence-based respiratory care.
Concept Analysis: "Cultural Disruption" in Indigenous Cardiac Patients and Its Implications for Nursing Practice Wahyuni, Aria; Oktorina, Rola; Yenni, Yenni
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3509

Abstract

Background: Indigenous populations experience disproportionately high rates of cardiovascular disease (CVD), yet their encounters with healthcare systems often involve cultural disconnection and marginalization. Despite increasing use of terms such as cultural safety and competence, the specific phenomenon of cultural disruption—particularly in hospital-based cardiac care—remains underexplored and poorly defined in nursing literature.Purpose: This concept analysis aims to explore and clarify the meaning of cultural disruption as it relates to Indigenous patients undergoing cardiovascular care, with a focus on implications for nursing practice.Methods: Walker and Avant’s eight-step method of concept analysis was employed to identify the defining attributes, antecedents, consequences, and empirical referents of cultural disruption. Data were synthesized from peer-reviewed articles published within the last 10 years, including qualitative studies and Indigenous health frameworks relevant to cardiac care.Results: Cultural disruption is characterized by disconnection from cultural identity and practices, invalidation of Indigenous knowledge systems, breakdown in relational and community support, spiritual alienation, and erosion of trust in healthcare systems. Antecedents include colonization, systemic racism, and biomedical dominance, while consequences include treatment non-adherence, patient disengagement, and poor health outcomes. Empirical referents include patient-reported cultural safety assessments, narrative interviews, and clinical documentation audits.Conclusion: Cultural disruption is a distinct and critical concept in understanding health inequities experienced by Indigenous cardiac patients. Recognizing this phenomenon enables nurses to implement culturally responsive strategies that uphold spiritual, relational, and community-based dimensions of care. Future research is needed to validate tools that assess cultural disruption and evaluate outcomes of culturally grounded interventions in cardiovascular nursing.