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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
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.
AROMATERAPI PEPPERMINT TERHADAP MASALAH KEPERAWATAN KETIDAKEFEKTIFAN BERSIHAN JALAN NAFAS ANAK DENGAN BRONKOPNEUMONIA Amelia, Sherly; Oktorina, Rola; Astuti, Niko
REAL in Nursing Journal Vol 1, No 2 (2018): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (778.84 KB) | DOI: 10.32883/rnj.v1i2.266

Abstract

Bronchopneumonia is an infectious disease that may be caused by morbidity and mortality in children under 5 years old. Basic Health Research survey in 2013 found that bronchopneumonia was the second cause of death in children in Indonesia. The highest incidence occurred in children at 12-23 months. It was around 21.7%. A common problem often found in bronchopneumonia is ineffective airway clearance. One way to overcome this problem is by using peppermint aromatherapy. This study aims to determine the effect of peppermint aromatherapy on ineffective road cleaning in 1-5 years old children with bronchopneumonia in Padang Panjang Hospital in 2018.The design of this research was Quasi Experiment with One Group Pretest-Posttest design. Accidental sampling techniques had been used in this reseach. Then, 10 respondents had been chosen as the samples.The data were collected trough physical examination and observation. Next, it was analyzed by Wilcoxon Sign Rank test.The results of this reseach obtained that p= 0.002 <0.05. It means that there was influence of peppermint aromatherapy on airway cleaning nursing problems in 1-5 years old children with bronchopneumonia.In short, peppermint aromatherapy can be used as a non-pharmacological therapy to overcome airway cleaning problems ineffective in pediatric patients with bronchopneumonia. Keywords: Bronchopneumonia, Ineffective Airway Clearance, Peppermint Aromatherapy
Pengalaman Keluarga Dalam Memberikan Dukungan Pada Pasien Diabetes Militus Tipe 2 Di Wilayah Kerja Puskesmas Mandiangin Di Kota Bukittinggi : Studi kualitatif Krismayenti, Wita; Oktorina, Rola; Dewi, Ratna
REAL in Nursing Journal Vol 5, No 2 (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.v5i2.1922

Abstract

Background: Diabetes mellitus (DM) is a chronic disease. It is characterized by blood glucose levels exceeding normal and metabolic disorders of carbohydrates, fats and proteins caused by relative or absolute deficiency of the hormone insulin. Diabetes mellitus results in absolute or relative insulin deficiency and impaired insulin function. Diabetes militus is classified into type 1 diabetes, type 2 diabetes, other types of diabetes and diabetes in pregnancy. Methods: This research used qualitative research methods with phenomenological approach. The data were collected through in-depth interviews with 7 participants consisted of 6 female partners and 1 male participant at 25-70 years. They had been selected by purposive sampling technique. The results of the interview were analyzed by using the Colaizzi method. Results: The results of the interview obtained 6 themes, namely 1) family support for sugar control, 2) the family’s response to DM patients,3) family response to illness, 4) family support for physical activity, 5) family support in controlling food, 6) family support in taking medicine.Conclusion: In short, it can be concluded that the participants had family experience in caring for diabetes mellitus patients knew how to motivate patients to regulate the diet and activities of diabetes mellitus patients. The most important was the patients’ adherent in taking medication and diet. Last. it is suggested that the diabetic patient's family to motivate and support the patient's diet so that the patient can overcome high sugar levels.
Terapi Wudhu dan Hyigiene terhadap Gangguan Tidur Anak Usia Sekolah Mariyana, Rina; Oktorina, Rola; Pratama, Andiesta
REAL in Nursing Journal Vol 3, No 1 (2020): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v3i1.647

Abstract

Background: Sleep disturbance is a problem that often arises in the population of school-age children where every year around 20% to 50% of sleep disorders and about 17% experience serious sleep disorders caused by various factors. Wudhu therapy and sleepy hygienic therapy is one of the therapies that can be used to overcome sleep disorders. The purpose of this research is to find out the influence of wudhu therapy and sleepy hygiene therapy on sleep disorders in school-age children. Method: The research method used is Quasi Experiment Design with Pre Test and Post Test Two Group Design designs. in the application with design interpretation - posttest. The sampling technique was taken by purposive sampling method with a sample of 20 respondents. Data analysis used in this study is the analysis of univariated and bivariated with using T test. Results: Average sleep disturbance of respondents before (pretest) wudhu therapy was 55.50 and after (posttest) wudhu therapy was given 30.10 with a P-value of 0.001 and obtained an average sleep disturbance before respondents (Pretest) performed sleepy hygiene therapy was 56.80 and after (posttest) given sleepy hygiene therapy was 42.60 with a P-value of 0.002. The results showed ablution therapy is more effective than sleepy hygiene therapy. Conclusion: There is an influence of wudhu therapy and sleepy hygiene therapy on sleep disorders in school-age children. Suggestions in this study if a child has a sleep disorder can perform wudhu therapy and sleepy therapy hygiene so sleep becomes comfortable. 
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.