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MODEL PENGEMBANGAN PARSISIPASI KELUARGA PASIEN DENGAN PREVENTIONT OF DISABILITY DI RS SUMBERGLAGAH MOJOKERTO Wahyuni, Lutfi Wahyuni; Wahyuningsih, Binarti Dwi; Yuniarti, Enny Virda
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 11 No 2 (2018): August 2018
Publisher : Unusa Press

The onset of disability prevention efforts on lepers who have yet to experience a disability. One of the factors that influence self-care lepers is family participation. The purpose of this research was to prove the relationship family participation with in the prevention of disability lepers. This Design of this research was Analytic korelasionalwith crossectional approach. Population research namely whole leprosy in the outpatient room  atSumberglagah  hospital Pacet Mojokerto as much as 137 survivors. Samples taken with the concecutivesamplingtechnique as much as 20  respondents. There are two research variablewere family participation as the independent variable and the dependent variable as a disability prevention. Data collected by questionnaire instrument. Then the results of and tested with Chi-Square. The results showed that respondents from 11 his family participate in the prevention of disability most respondents can prevent the onset of disability as many as 10 respondents (55%) and 9 (45%) respondents were not able to prevent the occurrence of disability. and 19 respondents whose families participate less mostly not able to prevent the occurrence of defects as much as 11 respondents (55%) and which can prevent the onset of disability 9 respondents (45%). Chi-Square test results retrieved data ρ = 0.008  <α = 0.05 it means H1 accepted so there is a connection With Family participation in the prevention of disability. This shows the more active participation of the family given in lepers will be leprosy will be able to do the prevention of leprosy disability well anyway. So expect more families be active in the care of lepers in the home and can encourage the sufferer to be able to do self care on a regular basis in preventing the onset of disability

Active Cycle of Breathing Technique (ACBT) and Effective Coughing on Respiratory Rate Changes in COPD Patients Sawitri, Atri Mega; Yuniarti, Enny Virda; Pratiwi, Rizky Meuthia
JENDELA NURSING JOURNAL Vol 8, No 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.12000

Background: COPD is a chronic obstructive disease that causes breathing resistance, resulting in an increase in respiratory frequency. To reduce shortness of breath in COPD patients, independent nursing interventions can be carried out, one of which is providing a combination of Active Cycle of Breathing Technique (ACBT) techniques. In addition to loosening and relieving the respiratory tract.Purpose: this study aimed to evaluate the effectiveness of Active Cycle of Breathing Technique (ACBT) and effective coughing in reducing respiratory rate among patients with Chronic Obstructive Pulmonary Disease (COPD).Methods: using a pre-experimental design with a one-group pretest-posttest approach, 30 COPD patients from Dr. Wahidin Sudirohusodo Regional General Hospital were recruited via purposive sampling technique obtained as many as 30 people. Data collection techniques in this study were carried out by observing the value of respiratory rate before and after giving ACBT and effective cough. Data analysis using paired T-test.Results: the results showed a significant decrease in respiratory rate after the intervention (mean pre-test: 24.97, post-test: 22.97; p 0.001). These findings suggest that ACBT combined with effective coughing is an effective nursing intervention to manage respiratory symptoms in COPD patients.Conclusion: the conclusion is that there is an effect of the combination of Active Cycle of Breathing Technique (ACBT) and Effective Coughing on changes in repiratory rate in COPD patients.

ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) AGAINST PEAK EXPIRATORY FLOW IN COPD PATIENTS Yuniarti, Enny Virda
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/663

COPD patients often experience the accumulation of secretions in the respiratory tract. To overcome the buildup of secretions in the respiratory tract, the Active Cycle Of Breathing Technique (ACBT) can be applied to the respiratory tract and increase the value of peak expiratory flow. This study aims to determine the effect of active cycle of breathing technique therapy (ACBT) therapy on peak expiratory flow in COPD patients. This research is a Pre-experimental type research that uses a One Group Pretest-Posttest design with the provision of ACBT intervention done 1x on the respondent. Instruments in evaluating lung function lung function of this study using the Peak Flow Meter. The sample in this study amounted to 30 respondents who had been selected through purposive sampling based on inclusion and exclusion criteria by researchers. Data analysis technique data in this study using the Paired T-Test test with the help of the SPSS program. Before being given ACBT intervention, the average value of peak respiration flow was found to be 83.67 lpm and after the ACBT intervention, the average value of peak flow of respiration was found to be 185.00 lpm. The results of statistical test analysis using Paired T-test obtained the results of p-value obtained 0.000 < α0.05 then there is a difference in the average value of peak expiratory flow before and after ACBT in patients with Chronic Obstructive Pulmonary Disease. This study concludes that there is a significant effect of the application of the Active Cycle of Breathing Technique (ACBT) intervention on the value of peak respiration flow in COPD patients.

Ethnic Group and Religion Along with Other Factors Affect The Spiritual Needs of The Elderly with Chronic Diseases in Indonesia Andriyanto, Arief; Rahmawati, Ima; Windartik, Emyk; Zakiyah, Ana; Yuniarti, Enny Virda
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1899

Spirituality helps the elderly adapt to changes in themselves. The process of healing chronic diseases in the elderly requires good spirituality. However, in reality, many elderly people still have low spirituality. This study considers the factors of spiritual needs of elderly people with chronic illnesses in Indonesia. Descriptive correlation research design with a cross-sectional approach. The sample was 210 elderly people taken by purposive sampling. The independent variables studied include age, gender, religion, ethnic group, education, work, history of illness, ADL, and cognitive function. The dependent variable is spiritual needs. The research instrument in the form of the Spiritual Needs Questionnaire (SpNQ). A linear regression test to simultaneously correlate several dependent variables with independent variables by following several modeling assumptions. There is a significant relationship between religious factors (0.01), ethnicity (0.003), cognitive function (0.04), and the spiritual needs of elderly people with chronic diseases (<0.05). The equation obtained from modeling can predict the value of the spirituality needs of elderly people with chronic illnesses. Respondents who have sufficient spiritual needs because they are good at connecting with other people, nature/the environment, and God.

Correlation of Self-Management Behavior with Blood Pressure in Productive Age Hypertension Patients : Cross-Sectional Study at UPT Puskesmas Mentikan Mojokerto City Evitasari, Rika Putri; Yuniarti, Enny Virda; Merbawani , Raras
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 4 No. 3 (2025): Vol. 4 No. 3 2025
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v4i3.811

Hypertension is known as the "silent killer." Patients are expected to actively engage in self-management behavior to reduce symptoms and the risk of complications. This study aimed to determine the relationship between self-management behavior and blood pressure in productive-aged hypertension patients. The method used was a correlational analytic approach with a cross-sectional design, involving 94 respondents out of a total of 102 through purposive sampling. The instruments used were the hypertension self-management behavior questionnaire and a sphygmomanometer. The results showed that 21 respondents (100%) with good behavior had normal blood pressure, 31 respondents (55.4%) with moderate behavior experienced stage 1 hypertension, and 15 respondents (88.2%) with poor behavior were in stage 2 hypertension. Analysis using Spearman's rank showed a p-value of 0.000<0.05 and an r-value of −0.827. In conclusion, there is a negative relationship between self-management behavior and blood pressure: the better the behavior, the lower the blood pressure.

Improving Cognitive Skills In School-Age Children about Prevention of Diabetes Mellitus through Diabetamon Games Andriyanto, Arief; Zainuri, Imam; Yuniarti, Enny Virda; Zakiyah, Ana
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1575

Diabetes is not solely an adult health issue—it has also become a growing concern among school-age children. The rise in childhood obesity has contributed to an increasing incidence of type 2 diabetes in children and adolescents, which now parallels and sometimes surpasses that of type 1 diabetes. Parents need to take proactive steps to prevent this disease by providing accurate information to their children. Children can also gain knowledge through educational approaches aimed at enhancing their cognitive abilities, including through games. This study aims to analyze the effectiveness of the Diabetamon game in improving cognitive skills related to diabetes mellitus prevention among school-age children. This research used a quasi-experimental design with a control group. A total sample of 99 school-age children was divided into an intervention group (47 students) and a control group (52 students), selected using proportional random sampling. The study was conducted over a one-month period, with the intervention delivered twice a week for 60 minutes over three weeks. Data collection instruments included a questionnaire and an observation checklist to assess children’s snack habits. Statistical analysis was performed using paired t-tests to examine within-group changes and independent samples t-tests to compare between-group differences, with a significance level of p<0.05. The results showed that the cognitive abilities of the intervention group improved significantly compared to the control group. The Diabetamon game was proven effective in enhancing school-aged children's knowledge about the importance of consuming fruits and vegetables, in line with the pillars of balanced nutrition and physical activity.

DECREASED EXPIRATORY PEAK CURRENT IN COPD PATIENTS WITH BUTEYKO BREATHING TECHNIQUES Yuniarti, Enny Virda
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/594

Chronic obstructive pulmonary disease is still a threat to the world community COPD will have a negative impact on the health of sufferers. The purpose of this study was to analyze the effect of buteyko breathing on expiratory peak currents in COPD patients. This research is a type of quantitative research with a pre-experimental design through a one group pre-post test design approach. The sample in this study was 58 COPD patients who fit the inclusion criteria. The tools used for data collection are peak flow meters to measure expiratory peak flows and SPO for buteyko breathing exercises. The results of the study included the average value of the peak expiratory current before giving buteyko breathing was 158.34 L / minute with a standard deviation of 69.1899. The average peak expiratory current after buteyko breathing is 144.42 L/min with a standard deviation of 16.21961. The difference in the increase in expiratory peak current before buteyko breathing and after buteyko breathing was 24.91. The paired t test results are p value of 0.001, it was found that there was a significant effect of buteyko breathing on the increase in expiratory peak current of COPD patients. Structured breathing exercises from buteyko exercise have the potential to increase lung capacity, allow for more efficient oxygen uptake, help achieve deeper and more efficient breathing, potentially affect oxygen saturation levels.

ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) AGAINST PEAK EXPIRATORY FLOW IN COPD PATIENTS Yuniarti, Enny Virda
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/663

COPD patients often experience the accumulation of secretions in the respiratory tract. To overcome the buildup of secretions in the respiratory tract, the Active Cycle Of Breathing Technique (ACBT) can be applied to the respiratory tract and increase the value of peak expiratory flow. This study aims to determine the effect of active cycle of breathing technique therapy (ACBT) therapy on peak expiratory flow in COPD patients. This research is a Pre-experimental type research that uses a One Group Pretest-Posttest design with the provision of ACBT intervention done 1x on the respondent. Instruments in evaluating lung function lung function of this study using the Peak Flow Meter. The sample in this study amounted to 30 respondents who had been selected through purposive sampling based on inclusion and exclusion criteria by researchers. Data analysis technique data in this study using the Paired T-Test test with the help of the SPSS program. Before being given ACBT intervention, the average value of peak respiration flow was found to be 83.67 lpm and after the ACBT intervention, the average value of peak flow of respiration was found to be 185.00 lpm. The results of statistical test analysis using Paired T-test obtained the results of p-value obtained 0.000 < α0.05 then there is a difference in the average value of peak expiratory flow before and after ACBT in patients with Chronic Obstructive Pulmonary Disease. This study concludes that there is a significant effect of the application of the Active Cycle of Breathing Technique (ACBT) intervention on the value of peak respiration flow in COPD patients.

Active Cycle of Breathing Technique (ACBT) and Effective Coughing on Respiratory Rate Changes in COPD Patients Sawitri, Atri Mega; Yuniarti, Enny Virda; Pratiwi, Rizky Meuthia
JENDELA NURSING JOURNAL Vol. 8 No. 2 (2024): DECEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i2.12000

Background: COPD is a chronic obstructive disease that causes breathing resistance, resulting in an increase in respiratory frequency. To reduce shortness of breath in COPD patients, independent nursing interventions can be carried out, one of which is providing a combination of Active Cycle of Breathing Technique (ACBT) techniques. In addition to loosening and relieving the respiratory tract.Purpose: this study aimed to evaluate the effectiveness of Active Cycle of Breathing Technique (ACBT) and effective coughing in reducing respiratory rate among patients with Chronic Obstructive Pulmonary Disease (COPD).Methods: using a pre-experimental design with a one-group pretest-posttest approach, 30 COPD patients from Dr. Wahidin Sudirohusodo Regional General Hospital were recruited via purposive sampling technique obtained as many as 30 people. Data collection techniques in this study were carried out by observing the value of respiratory rate before and after giving ACBT and effective cough. Data analysis using paired T-test.Results: the results showed a significant decrease in respiratory rate after the intervention (mean pre-test: 24.97, post-test: 22.97; p < 0.001). These findings suggest that ACBT combined with effective coughing is an effective nursing intervention to manage respiratory symptoms in COPD patients.Conclusion: the conclusion is that there is an effect of the combination of Active Cycle of Breathing Technique (ACBT) and Effective Coughing on changes in repiratory rate in COPD patients.

THE EFFECT OF SLOW DEEP BREATHING ON CHANGES IN BLOOD PRESSURE OF THE ELDERLY WITH HYPERTENSION Yuniarti, Enny Virda; Safitri, Afiyah Kurnia Safitri
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 1 (2024): VOLUME 8 ISSUE 1 APRIL 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss1/581

Hypertension was an increased in systolic and diastolic blood pressure above normal limits. Age is a factor in hypertension, in old age there is a narrowing of blood vessels resulting in an increase in blood pressure. Treatment of hypertension can be done non-pharmacologically, one of which is slow deep breathing. This study aims to determine the effect of slow deep breathing on blood pressure changes in elderly people with hypertension. The research design used was Pre-Experimental with the One Group Pretest- Posttest Design. The population in this study were all elderly people with hypertension in Garu Hamlet, Podoroto Village, Kec. Kesamben Kab. Jombang as many as 34 elderly. The sample in this study were 34 respondents with the total sampling technique. The research instrument uses a digital sphygmomanometer to measure blood pressure. The results of the Paired T-Test analysis show p value = 0.000 <α 0.05. These results indicate that there is an effect of slow deep breathing on blood pressure changes in the elderly with hypertension in Garu Hamlet, Podoroto Village, Kesamben District, Jombang Regency. Slow deep breathing stimulates the release of endorphins, thereby reducing sympathetic nervous activity and increasing parasympathetic nervous activity which causes a relaxing effect and causes a decrease in blood pressure.

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