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All Journal JURNAL KEPERAWATAN MERSI
Maria Wisnu Kanita
Poltekkes Kemenkes Surakarta

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The Effect of Pursed Lip Breathing and Orthopneic Position on Increasing Peak Expiration Flow in Chronic Obstructive Pulmonary Disease Patients Nava Hanantari; Novita Kurnia Wulandari; Maria Wisnu Kanita
JURNAL KEPERAWATAN MERSI Vol 14 No 2 (2025): Oktober
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v14i2.13886

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a condition characterized by chronic respiratory symptoms, including shortness of breath and cough, decreased Peak Expiratory Flow (PEF), caused by airway obstruction. Interventions such as Pursed Lip Breathing and orthopnea positioning can potentially improve PEF in COPD patients. Objective: This study aims to analyze the effect of Pursed Lip Breathing and orthopnea position on increasing PEF in COPD patients at Kartini Karanganyar Hospital. Methods: This study used a quasi-experimental design with a pretest-posttest approach. The sample consisted of 64 COPD patients who were divided into two groups: the intervention group who received Pursed Lip Breathing and orthopnea position every morning for 5 minutes for 3 days, and the control group who only received the intervention according to hospital standards. PEF measurements were taken before and after the intervention using a Peak Flow Meter. Results: The results showed that the combination of the two interventions had a significant effect on increasing the patient's PEF indicating an improvement in respiratory function (p=0.00). Conclusion: Pursed Lip Breathing and orthopnea positioning are effective in improving PEF in COPD patients, so it can be recommended as part of respiratory care.
The Effect of Cylindrical Grip Exercise on Increasing Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Novita Kurnia Wulandari; Maria Wisnu Kanita; Mutiah Nur Khasanah
JURNAL KEPERAWATAN MERSI Vol 15 No 1 (2026): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v15i1.14835

Abstract

Background: Non-hemorrhagic stroke is the most common type of stroke and can cause disability due to muscle weakness in the extremities, especially the upper extremities. One effort to prevent disability is to provide maintenance interventions in the form of physical exercises such as Range of Motion (ROM) and cylindrical grip exercises to increase muscle strength. Objective: This study aims to determine the effectiveness of cylindrical grip exercises on increasing upper extremity muscle strength in non-hemorrhagic stroke patients. Methods: This study used This study used a quantitative quasi-experimental design with a pre-test post-test with control design. The sample of this study was 44 respondents who were randomly divided into two groups.  Results: The results of the Wilcoxon test analysis showed that the 22 respondents who received the functional cylindrical grip exercise intervention had an effect on increasing upper extremity muscle strength in nonhemorrhagic stroke patients with a p-value of 0.001, it shows 7 respondents (31.8%) experienced an increase in muscle strength, reaching a score of 4 and 5 in 3 respondents (13.6%). Conclusion: This study shows that functional cylindrical grip exercises for 10 minutes a day for 3 days have an effect on increasing upper extremity muscle strength in non-hemorrhagic stroke patients.
Co-Authors Mutiah Nur Khasanah Nava Hanantari Novita Kurnia Wulandari