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All Journal Journal of Innovation Research and Knowledge Jurnal KeFis : Jurnal Kesehatan dan Fisioterapi
Igildafani Moutya Devi
Fakultas Ilmu Kesehatan, Program Studi Profesi Fisioterapi, Universitas Muhammadiyah Surakarta
Humanities Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Nursing Public Health Social Sciences

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CASE STUDY: PROGRAM FISIOTERAPI PADA KASUS POST PARTUM SECTIO CAESAREA ET CAUSA IUGR OLIGOHIDRAMNION Igildafani Moutya Devi; Agus Widodo
Journal of Innovation Research and Knowledge Vol. 2 No. 7: Desember 2022
Publisher : Bajang Institute

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Abstract

Pendahuluan: Sectio Caesarea (SC) merupakan suatu cara melahirkan janin dengan membuat sayatan pada dinding rahim. Masalah kesehatan yang dapat dialami oleh wanita post SC antara lain nyeri, oedem pada kaki, dan menurunnya kemampuan fungsional. Tujuan: untuk mengetahui efek deep breathing, pelvic floor exercise, ankle pumping exercise, latihan mobilisasi, dan breast care terhadap intensitas nyeri, oedem pada kaki, dan kemampuan fungsional pada pasien Post Partum Sectio Caesarea et causa IUGR Oligohidramnion. Metode: Metode penelitian ini dilakukan secara langsung kepada satu responden dengan kasus Post Partum Sectio Caesarea et causa IUGR Oligohidramnion dengan pemberian terapi sebanyak 3 kali sesi terapi. Pengukuran intensitas nyeri menggunakan Numerical Rating Scale, oedem pada kaki menggunakan metline, dan kemampuan fungsional menggunakan The Barthel Index. Hasil: Setelah dilakukan terapi sebanyak 3 kali didapatkan hasil NRS nyeri diam dari 6 ke 2, nyeri tekan dari 9 ke 7, dan nyeri gerak dari 8 ke 4. Pengukuran oedem kaki kanan pada titik 5 cm proksimal mal lateralis dari 22,4 cm ke 22,2 cm, 0 cm mal lateralis dari 24 cm ke 23 cm, 5 cm distal mal lateralis dari 22 cm ke 23 cm. Oedem kaki kiri pada titik 5 cm proksimal mal lateralis dari 23 cm ke 22,9 cm, 0 cm mal lateralis dari 24,3 cm ke 24,2 cm, 5 cm distal mal. Lateralis dari 23 cm ke 22,8 cm. Hasil The Barthel Index dari 20 menjadi 65. Kesimpulan: penggunaan deep breathing, pelvic floor exercise, ankle pumping exercise, latihan mobilisasi, dan breast care dapat menurunkan intensitas nyeri, menurunkan oedem pada kaki, dan meningkatkan kemampuan fungsional pada pasien post SC et causa IUGR Oligohidramnion.
Case Study: Program Fisioterapi pada Kasus Penyakit Paru Obstruktif Kronis (PPOK) Igildafani Moutya Devi; Agus Widodo
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Abstract

Introduction: COPD is a major cause of morbidity and mortality globally. COPD is a disease characterized by continuous and progressive airflow limitation, accompanied by coughing and increased sputum production. Objective: To determine the effect of nebulizer, pursed-lip breathing, and deep breathing on the degree of shortness of breath, expansion of the thorax cage, and functional capacity in COPD patients. Methods: This research method was carried out directly on one respondent with a COPD case by presenting therapy for 3 therapy sessions. Measurement of the degree of shortness of breath using the Modified Borg Dyspnea Scale and the Modified Medical Research Council (mMRC) Dyspnea Scale, expansion of the thorax cage using metline, and functional capacity using 6MWT. Results: After 3 times therapy, the Borg Scale results from 4 to 2 and mMRC from 4 to 2, the expansion of the thorax cage at the axilla point from 3 cm to 4 cm and the Xyphoid process point from 4 cm to 4.5 cm, and capacity functional from 2,365 METs to 2,674 METs. Conclusion: The use of nebulizer, pursed-lip breathing (PLB), and deep breathing can reduce shortness of breath, increase the expansion of the thorax cage, and improve functional ability in COPD patients.Keywords: COPD, breathing exercise, dyspnea, expansion of thoracic cage, functional capacity
Co-Authors Agus Widodo