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All Journal JURNAL KEPERAWATAN MERSI Journal of Applied Health Management and Technology Jurnal Studi Keperawatan
Novita Kurnia Wulandari
Poltekkes Kemenkes Surakarta
Health Professions Medicine & Pharmacology Nursing Public Health

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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.
BRISK WALKING EXERCISE: A QUASI-EXPERIMENTAL STUDY IN REDUCING SYSTOLIC BLOOD PRESSURE IN STAGE I HYPERTENSION Novita Kurnia Wulandari; Tri Sakti Widyaningsih; Maria Wisnu Kanita
Journal of Applied Health Management and Technology Vol. 8 No. 2 (2026): October 2026
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v8i2.11707

Abstract

Hypertension or high blood pressure is a serious medical condition and will significantly increase the risk of heart disease, brain, kidney and other diseases. Prevention of hypertension by exercising for 30 minutes per day and five days per week is the most effective exercise program. The purpose of this study was to determine the effectiveness of brisk walking exercise on reducing blood pressure in hypertensive patients in Banyuanyar Integrated Health Post. The research design used in this study was Quasi-Experimental Quantitative with a pre-posttest method without a control group design. The sample in this study was 30 respondents. The results show statistical tests of the Wilcoxon test analysis obtained a p value of 0.00 (p value <0.05) on systolic blood pressure, so it can be concluded that brisk walking exercise affects changes in systolic blood pressure in hypertensive patients in Banyuanyar Integrated Health Post and it is necessary to implement this intervention as a management of mild hypertension especially in Stage I Hypertension.
Implementation of Foot Massage Therapy on Hemodynamic Status Stability in Acute Myocardial Infarction (AMI) Patients in Intensive Cardiovascular Care Unit (ICVCU) of Dr. Moewardi Hospital Surakarta Novita Kurnia Wulandari; Satino Satino Satino
Jurnal Studi Keperawatan Vol 6 No 1 (2025): MARCH 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v6i1.12628

Abstract

Background: Acute Myocardial Infarction (AMI) is the main cause of death globally, including in Indonesia. Hemodynamic monitoring by nurses is essential in the management of AMI. Apart from pharmacological therapy, post-AMI rehabilitation is important to prevent complications, by paying attention to psychological aspects with foot massage therapy the patient can relax so that the hemodynamic status is stable. Purpose: To determine the effectiveness of the effect of implementing foot massage therapy on changes in hemodynamic status in Acute Myocardial Infarction (AMI) patients in Dr. Moewardi Surakarta Hospital. Method: This research used a quantitative quasi-experimental design with a pre-test post-test with control design method. The research sample was 58 respondents divided into 2 groups randomly. Results: The results of the Paired Sample T-Test analysis showed that 28 respondents were given foot massage therapy and the hospital therapy program had an effect on the stability of the hemodynamic status of AMI patients, with a p-value of SBP 0.003, DBP 0.001, MAP 0.042, HR 0.001, and RR 0.002. Conclusion: This research shows that foot massage therapy for 15-20 minutes a day for 3 days can stabilize the hemodynamic status of AMI patients.Keyword :  hemodynamic status, foot massage therapy, acute myocardial infarction
Co-Authors Maria Wisnu Kanita Mutiah Nur Khasanah Nava Hanantari Satino Satino Satino Tri Sakti Widyaningsih