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All Journal Jendela Nursing Journal (JNJ) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Owner : Riset dan Jurnal Akuntansi Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Literasiologi Jurnal Keperawatan Raflesia COMMENT: Journal of Community Empowerment JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Akademik Pengabdian Masyarakat Journal Healthcare Education Holistik Jurnal Kesehatan Strength : Jurnal Penelitian Teknik Mesin The International Journal of Studies in Social Sciences and Humanities (IJOSSH) Jurnal Pengabdian Masyarakat Berdampak
Ardiansyah, Diki
Universitas Jenderal Achmad Yani
Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Pengaruh kombinasi posisi tripod dan latihan pernapasan diafragma terhadap status pernapasan pada pasien asma bronkial akut di unit gawat darurat Diki Ardiansyah; Fadilah Anggelia Shafira; Yuswandi Yuswandi; Asep Badrujamaludin; Rita Fitri Yulita; Siti Nurbayanti Awaliyah
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 3 (2026): March Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i3.2449

Abstract

Background: Bronchial asthma is a chronic inflammatory airway disease characterized by bronchial narrowing and hyperresponsiveness, leading to episodic dyspnea, wheezing, chest tightness, and coughing. In addition to pharmacological therapy, non-pharmacological interventions such as the Tripod Position and Diaphragmatic Breathing Exercise may improve respiratory status in acute exacerbations. Purpose: To evaluate the effect of combining Tripod Position and Diaphragmatic Breathing Exercise on respiratory status in a patient with acute bronchial asthma. Method: A descriptive case study using a nursing approach was conducted. Data collection included interviews, observation, physical examination, literature review, and documentation analysis. Results: The patient presented with dyspnea, respiratory rate of 28 breaths/min, SpO₂ 88%, tachypnea, nasal flaring, and wheezing. The primary nursing diagnosis was ineffective airway clearance. After 15 minutes of combined Tripod Position and Diaphragmatic Breathing Exercise, respiratory rate decreased to 26 breaths/min, SpO₂ improved to 92%, and dyspnea severity reduced to a score of 3. Conclusion: The combination of Tripod Position and Diaphragmatic Breathing Exercise improved respiratory parameters in acute bronchial asthma. This non-pharmacological intervention may serve as an adjunct to pharmacological therapy in nursing practice. Keywords: Acute Bronchial Asthma; Diaphragmatic Breathing Exercis; Respiratory status; Tripod position. Pendahuluan: Asma bronkial merupakan penyakit inflamasi kronis pada saluran napas yang ditandai dengan penyempitan dan hiperresponsivitas bronkus, sehingga menimbulkan gejala episodik berupa sesak napas, mengi, rasa berat di dada, dan batuk. Selain terapi farmakologis, intervensi non-farmakologis seperti Posisi Tripod dan Latihan Pernapasan Diafragma dapat membantu memperbaiki status respirasi pada kondisi eksaserbasi akut. Tujuan: Untuk Mengevaluasi efek kombinasi posisi tripod dan latihan pernapasan diafragma terhadap status respirasi pada pasien dengan asma bronkial akut. Metode: Penelitian menggunakan desain studi kasus deskriptif dengan pendekatan keperawatan. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, kajian literatur, dan studi dokumentasi. Hasil: Pasien dengan asma bronkial akut menunjukkan sesak napas, frekuensi napas 28 kali/menit, SpO₂ 88%, takipnea, napas cuping hidung, serta bunyi tambahan berupa mengi. Diagnosis keperawatan utama adalah bersihan jalan napas tidak efektif. Setelah intervensi kombinasi Posisi Tripod dan Latihan Pernapasan Diafragma selama 15 menit, frekuensi napas menurun menjadi 26 kali/menit, SpO₂ meningkat menjadi 92%, dan tingkat sesak napas menurun menjadi skor 3 (sedang). Simpulan: Kombinasi Posisi Tripod dan Latihan Pernapasan Diafragma terbukti memperbaiki parameter respirasi pada pasien dengan asma bronkial akut. Intervensi non-farmakologis ini dapat dijadikan terapi tambahan yang mendukung manajemen farmakologis dalam praktik keperawatan Kata Kunci: Asma Bronkial Akut; Diaphragmatic Breathing Exercise; Tripod Position Status pernafasan.      
Studi Kasus: Penerapan General Initial Management Terhadap Kriteria Hasil Masalah Nyeri Akut Pada Pasien Acute Coronary Syndrome di Instalasi Gawat Darurat RSUD Cibabat Kota Cimahi Diki Ardiansyah; Alya Fariida Yasmin; Andria Pragholapati
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16677

Abstract

ABSTRACT The incidence of ACS in the emergency room of Cibabat Hospital, Cimahi City in 2023 was quite high, reaching 1,056 people. The appropriat handling carried out by nurses in the emergency room is to apply general initial management (MONA) as a measure to help reduce pain and risk of death within the first 2 hours of an attack. The purpose of this study was to determine the description of the application of general initial management in nursing care for ACS patients in the Emergency Room of Cibabat Hospital, Cimahi City. This study used descriptive case report or case study methodology. The research subjects were patients with a diagnosis of ACS STEMI, patients with acute pain nursing problems, patients fully conscious with a compos mentis level of consciousness. The results of the assessment of left chest pain, pain did not decrease, pain like stabbing, pain radiating to the back and left arm, pain scale 6, pain lasted ≥20 minutes, echg picture of sinus bradycardia and ST segment elevation in leads II, III, and aVF, troponin I 40000 ng/L. General initial management was applied, positioning, nasal cannula oxygen 4L/min, aspirin (arixtra 2.5 cc 1x1 sc), and nitrates were not given because the patient did not meet the requirements, namely systolic ≤90 mmHg and pulse ≤60x/min, after being evaluated 1 hours the pain scale was reduced to 3. The author concludes that the application of general initial management (MONA) can reduce pain in ACS in the first 1 hours. Based on this study, it is recommended for nurses to improve the accuracy of the implementation of general initial management to reduce acute pain in ACS patients.. Keywords: General Initial Management, Acute Pain, Acute Coronary Syndrome, Nursing Care  ABSTRAK Angka kejadian ACS di IGD RSUD Cibabat Kota Cimahi pada tahun 2023 cukup tinggi yaitu mencapai 1.056 orang. Penanganan yang tepat dilakukan perawat di IGD dengan melakukan penerapan general initial management (MONA) sebagai tindakan untuk membantu mengurangi rasa sakit dan risiko kematian dalam 2 jam pertama serangan. Tujuan penelitian ini guna memahami gambaran penerapan general initial management dalam asuhan keperawatan pada pasien ACS di IGD RSUD Cibabat Kota Cimahi. Penelitian ini menggunakan metodologi deskriptif case report atau studi kasus. Subjek penelitian adalah pasien dengan diagnosa ACS STEMI, pasien dengan masalah keperawatan nyeri akut, pasien sadar penuh dengan tingkat kesadaran compos mentis. Hasil pengkajian nyeri dada sebelah kiri, nyeri tidak berkurang, nyeri seperti tertusuk-tusuk, nyeri menjalar ke punggung dan lengan kiri, skala nyeri 6, nyeri berlangsung ≥20 menit, gambaran EKG sinus bradikardia dan ST segmen elevasi pada lead II, III, dan aVF, troponin I 40000 ng/L. Dilakukan penerapan general initial management pemberian posisi, pemberian oksigen nasal kanul 4L/menit, aspirin (arixtra 2,5 cc 1x1 sc), dan nitrat tidak diberikan karena pasien tidak memenuhi syarat yaitu sistolik ≤90 mmHg dan nadi ≤60x/menit, setelah dievaluasi 1 jam skala nyeri berkurang menjadi 3. Penulis menarik kesimpulan penerapan general initial management (MONA) dapat menurunkan nyeri pada ACS di 1 jam pertama. Berdasarkan penelitian ini disarankan bagi perawat untuk meningkatkan ketepatan implementasi general initial management untuk mengurangi nyeri akut pada pasien ACS. Kata Kunci: General Initial Management, Nyeri Akut, Acute Coronary Syndrome, Asuhan Keperawatan
Co-Authors Adin Adinda Dwi Permatasari Aeni, Linda Nur Alawiah, Siti Nurbayanti Alfian Adi Saputra Alya Fariida Yasmin Ambarwati, Putri Ameraldo, Fedi Andria Pragholapati Anggraeni, Diah Tika Ardianto, M. Dwi Asep Setiawan Badrujamaludin, Asep Balqis Fashila Dedi Supriadi Delima, Elga Devtian Putera Perdana Dwi Febriyanti Dwi Hastuti Dwi Hastuti Dwi Hastuti Dyna Apriany Fadhilah, Najwa Hilmia Fadilah Anggelia Shafira Fauziah Rudhiati, Fauziah Galih Jatnika Ghozali, Nur Azizah Wandinia Gilang Maulana Hadiana, Asep Id Harkat, Avisenna Kadi, Fiva Aprillia Kumala, Tria Firza Maryana, Dela Muhamad Jauhar Muhammad Idris muhammad rizky, muhammad Nur Azizah Wandinia Ghozali Oop Ropei Oryza Ardhiarisca Pratiwi, Arti Febriani Rahma Rina Wijayanti Ramadhani, Diah Rita Fitri Yulita Rizki, Marsi Fella Salas Auladi Sari, Tri Darma Rosmala Sastra Tarigan, Adi Setiasih, Yani Siti Annisa Siti Nurbayanti Awaliyah Sutantio, R. Alamsyah Syaiful Arif Theresia Avila Kurnia Tria Firza Kumala Tria Firza Kumala Triayani, Desi Wisdom Rudiyana Yulita, Rita Fitri Yuswandi Yuswandi Zahra, Lulu