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Rayasari, Fitrian
Universitas Muhammadiyah Jakarta
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A survey of suicide risk among university students across three regions in Java, Indonesia Yunitri, Ninik; Rochmawati, Erna; Susanti, Henny Dwi; Nuraenah, Nuraenah; Rayasari, Fitrian; Chairunnisa, Dea; Salsabila, Sephia; Septiawantari, Rani; Slametiningsih, Slametiningsih
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.61319

Abstract

Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college students. Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island, recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide risk.  The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes. Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal ideation, suicide planning, and self-control in relation to age, sex, and year of study. Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems. Gender was found to be significant predictor of overall suicide risk, ideation and self-control. Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent suicide and promote mental well-being.
Penerapan Evidance Based Practice Therapy Music White Noise terhadap Gangguan Tidur pada Pasien Stroke Haryanti, Noviana; Agung, Rizki Nugraha; Yunitri, Ninik; Rayasari, Fitrian; Sulistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14131

Abstract

ABSTRACT Stroke is a multi-complex neurological deficit disease that impacts not only the physical condition but also the psychological and social condition of stroke patients which can affect all aspects of their life. Sleep disorders are a group of conditions characterized by disturbances in the quality and quantity of a person's sleep. Sleep quality is related to sleep interruption due to frequent and repeated brief periods of nighttime wakefulness while sleep quantity is related to difficulty in initiating and maintaining sleep. This Evidance Based Nursing application aims to get an idea of the effect of white noise on sleep disorders in hospitalized stroke patients. This research is cross-sectional. The number of samples determined by the researcher, using the G*Power 3.1 application, obtained results of 5 people with 1 additional person as a respondent in preparation for the drop out of 1 person with a final total of 7 people. White noise music therapy was effective in reducing sleep disturbances in stroke patients before the intervention, the average sleep disturbance was 8.57, decreased to 4.14 after the intervention, with a significant effect of -3.91 and a p-value <0.001, even though the EBNP journal recommended therapy using Fitbit, in the field, the use of Fitbit is not recommended because it can interfere with the patient's sleep comfort with the device worn on the wrist throughout sleep. Keywords: Evidance Based Practice, White Noise Music Therapy, Sleep Disorders, Stroke Patients.  ABSTRAK Stroke merupakan penyakit defisit neurologis multi kompleks yang berdampak bukan hanya pada kondisi fisik namun juga psikologis dan sosial pasien stroke yang dapat mempengaruhi semua sendi kehidupannya. Gangguan tidur merupakan suatu kumpulan kondisi yang dicirikan dengan adanya gangguan dalam kualitas dan kuantitas tidur seseorang. Kualitas tidur terkait dengan terputusnya tidur akibat periode singkat terjaga di malam hari yang sering dan berulang sedangkan kuantitas tidur terkait dengan kesulitan untuk memulai dan mempertahankan tidur. Aplikasi Evidance Based Nursing ini bertujuan untuk mendapatkan gambaran pengaruh white noise  terhadap gangguan tidur  pasien stroke yang menjalani rawat inap.  Penelitian ini bersifat potong lintang (cross-sectional). Jumlah sampel yang ditentukan oleh peneliti, menggunakan aplikasi G*Power 3.1 dengan mendapatkan hasil 5 orang dengan 1 orang tambahan sebagai responden sebagai persiapan droop out 1 orang dengan total akhir 7 orang. Terapi musik white noise efektif dalam mengurangi gangguan tidur pasien stroke sebelum intervensi, rata-rata gangguan tidur adalah 8.57, turun menjadi 4.14 setelah intervensi, dengan efek signifikan sebesar -3.91 dan nilai p-value <0.001, meskipun jurnal EBNP merekomendasikan terapi menggunakan Fitbit, di lapangan, penggunaan Fitbit tidak disarankan karena dapat mengganggu kenyamanan tidur pasien dengan perangkat terpasang di pergelangan tangan sepanjang tidur. Kata Kunci: Evidance Based Practice Therapy Music White Noise, Gangguan Tidur, Pasien Stroke.
Pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU Astuty, Yeni; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.840

Abstract

Background: Anxiety is a common problem among patients in the Intensive Care Unit (ICU) and can result in hemodynamic instability. One innovative solution to reduce anxiety is to use video calls as a substitute for limited in-person family visits. Purpose: To determine the effect of virtual interaction as therapy in reducing anxiety and improving hemodynamics in ICU patients. Method: Quasi-experimental research with pre-test and post-test on one intervention group, conducted in the ICU of An-nisa Hospital Tangerang in October-December 2024. The sampling technique used purposive sampling with a sample size of 60 participants. The independent variable in this study is virtual interaction via video call, while the dependent variable is the level of anxiety of ICU patients. Data analysis used univariate in the form of frequency distribution and bivariate using the Wilcoxon Signed Rank test. Results: Video call therapy was effective in significantly reducing the anxiety level of ICU patients (pretest score 17.07±0.583 to 12.43±0.898; p=0.000). Video calls had a significant impact on hemodynamic parameters, namely a decrease in systolic pressure (166.00±7.376 to 1125.70±7.728), diastolic (111.80±9.876 to 89.33±8.821), heart rate (113. 00±9.927 to 78.533±6.981), and respiration rate (22.766±1.165 to 16.766±1.381) with p=0.000. This intervention is effective to reduce anxiety and improve hemodynamic stability. Conclusion: The video call intervention was effective in reducing anxiety levels and improving hemodynamic parameters.   Keywords: Anxiety; Hemodynamics; Intensive Care Unit (ICU); Therapy; Virtual Interaction.   Pendahuluan: Kecemasan merupakan masalah umum yang dihadapi oleh pasien di Intensive Care Unit (ICU) dan dapat berdampak pada ketidakstabilan hemodinamik. Salah satu solusi inovatif untuk mengurangi kecemasan adalah dengan menggunakan video call sebagai pengganti kunjungan langsung keluarga yang terbatas. Tujuan: Untuk mengetahui pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU. Metode: Penelitian kuasi-eksperimental dengan desain pre-test dan post-test pada satu kelompok intervensi, dilaksanakan di ICU Rumah Sakit An-nisa Tangerang, pada bulan Oktober-Desember 2024. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 60 partisipan. Variabel independen dalam penelitian ini adalah interaksi virtual melalui video call, sedangkan variabel dependen adalah tingkat kecemasan pasien ICU. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Wilcoxon Signed Rank. Hasil: Terapi video call efektif menurunkan tingkat kecemasan pasien ICU secara signifikan (skor pretest 17.07±0.583 menjadi 12.43±0.898 ketika posttest; p=0.000). Video call memberikan dampak signifikan terhadap parameter hemodinamik, yaitu penurunan tekanan sistolik (166.00±7.376 menjadi 1125.70±7.728), diastolik (111.80±9.876 menjadi 89.33±8.821), denyut jantung (113.00±9.927 menjadi 78.533±6.981), dan laju respirasi (22.766±1.165 menjadi 16.766±1.381) dengan nilai p=0.000. Intervensi ini efektif untuk menurunkan kecemasan dan memperbaiki stabilitas hemodinamik pasien. Simpulan: Intervensi video call terbukti efektif dalam menurunkan tingkat kecemasan dan memperbaiki parameter hemodinamik pasien.   Kata Kunci: Hemodinamik; Intensive Care Unit (ICU); Interaksi Virtual; Kecemasan; Terapi.
ANALYSIS OF FACTORS ASSOCIATED WITH SELF CARE IN POSTSTROKE PATIENTS AT THE ISLAMIC HOSPITAL CEMPAKA PUTIH, JAKARTA Susanti, Ricka Ardila; Sofian, Yani; Rayasari, Fitrian; Azzam, Rohman; Astuti, Widya
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1991

Abstract

Stroke is the third highest level of disability in the world. The prevalence ofdisability in Indonesia is 13.88% (4,270 people) with dependency levelsincluding 36.33% independent, 33.25% mild dependency, 7.10% moderatedependency and 9.43% severe dependency. Basic Health Research in 2018showed that DKI Jakarta was in 11th place with the highest stroke prevalenceat 12.2%. This research aims to analyzed factors associated with self-care inpost-stroke patients at RSIJ Cempaka Putih. This research used a quantitativeresearch design using an analytical study with a cross sectional approach.The Bivariate results show that there is a relationship between independentvariables including age, gender, education, physical domain, emotionaldomain and social domain. Multivariate results show that the most dominantfactors related to self-care include the social domain, education and age. Thefactors most related to self-care in post-stroke patients in this study are thesocial domain, education and age. The findings suggest health workers to beable to carry out holistic assessments (bio, psycho, social and spiritual)including exploring sources of support for patients in carrying out self-care,carrying out therapeutic communication and providing innovative groupactivities that can be carried out in stroke clubs
Efektivitas intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke Prasetya, Ganjar Kundi; Yunitri, Ninik; Agung, Rizki Nugraha; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.1128

Abstract

Background: Stroke is one of the causes of death, most of which is caused by high blood pressure. There are still many patients who are less concerned about hypertension cases resulting in strokes when being treated, it is felt that continuous education is needed regarding knowledge and compliance. Purpose: To determine the effect of mobile phone educational intervention on reducing blood pressure in stroke patients. Method: A literature study of meta-analyze articles using the AMSTAR checklist Based on the scimago journal ranking, it entered Q1 with an impact factor of 3.593. With the G Power application, 6 samples were obtained and Jamovi 2.3.28 software was used for data processing. There were 12 educational themes based on SHEMA delivered via WhatsApp Messenger for 5 days. Results: This education was able to reduce systolic from 182 to 171, diastolic 98 to 91 and mean arterial pressure (MAP) 127 to 121. This education at least increased confidence and had productivity in controlling high blood pressure. Conclusion: The changes in systolic, diastolic and MAP reduction rates were not significant, but could control the occurrence of no increase or readmission.   Keywords: Hypertension; Mobile Phone; Stroke.   Pendahuluan: Stroke salah satu penyebab kematian yang sebagian besar disebabkan oleh tekanan darah tinggi. Masih banyaknya pasien kurang peduli kasus hipertensi berakibat stroke saat dirawat dirasa perlu edukasi terus menerus terkait pengetahuan maupun kepatuhan. Tujuan: Untuk mengetahui pengaruh intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke. Metode: Studi literatur dari artikel meta analysis menggunakan AMSTAR checklist, berdasarkan scimago journal ranking masuk Q1 dengan impact factor 3,593.  Melalui aplikasi G Power mendapat 6 sampel dan software jamovi 2.3.28 untuk olah data. Ada 12 tema edukasi berdasar SHEMA yang disampaikan melalui whatsapp messenger selama 5 hari. Hasil: Edukasi mobile phone mampu menurunkan sistolik dari 182 menjadi 171, diastolik 98 menjadi 91, dan mean arterial pressure (MAP) 127 menjadi 121. Edukasi ini setidaknya menambah keyakinan dan memiliki produktivitas dalam pengendalian tekanan darah tinggi. Simpulan: Perubahan angka penurunan sistolik, diastolik, dan MAP tidak signifikan, tetapi dapat mengendalikan untuk tidak terjadinya peningkatan atau readmisi.   Kata Kunci: Hipertensi; Mobile Phone; Stroke.
The Effectiveness of Sleep Hygiene on Sleep Quality in Patients with Congestive Heart Failure: A Randomized Controlled Trial Study Lofa, Priyo Hadi Prasetiyo; Yunitri, Ninik; Rayasari, Fitrian; Azzam, Rohman; Kurniasih, Dian Noviati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1119

Abstract

Good sleep quality in congestive heart failure (CHF) patients helps repair heart muscle cells. Sleep hygiene is one of the non-pharmacological interventions to overcome sleep disorders. This study aims to determine the effectiveness of sleep hygiene on sleep quality in CHF patients. A Randomized Controlled Trial (RCT) with two groups was taken using probability sampling with block random sampling method. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and sleep habits using the Sleep Hygiene Index (SHI). Outputs were measured based on the change in the mean between the measurement time using the paired t-test and the difference in the mean between groups using the independent t-test. A total of 30 respondents were involved in this study. The intervention group showed a significant improvement in sleep quality after sleep hygiene therapy with a mean difference (MD) of 4.20 (SE=0.70; p-value=<0.01). Sleep quality between the two groups showed a significantly greater difference in the intervention group than in the control group (MD=-2.13, SE=1.00, p-value=0.04, effect size (Cohens'd)=-0.77). Sleep hygiene is a non-pharmacological intervention that effectively improves sleep quality in patients with CHF.
PENERAPAN TINDAKAN PROGRESSIVE MUSCLE RELAXATION (PMR) DAN DEEP BREATHING EXERCISES (DBE) UNTUK MENGATASI SESAK NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DI RSUP PERSAHABATAN JAKARTA TIMUR Yanti Silaban, Nataria; Rayasari , Fitrian; Anggraini, Dewi; Sofiani, Yani; Santosa, Puji Raharja
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1576

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with progressive, irreversible and partially reversible airway obstruction. COPD includes chronic bronchitis and emphysema, or a combination. COPD patients generally complain of continuous shortness of breath and this will result in a decrease in the patient's quality of life and as a result the patient will go back and forth to the hospital. To prevent this, it is necessary to do breathing exercises. The aim of implementing EBNP is to implement Progressive Muscle Relaxation (PMR) and Deep Breathing Exercises (DBE) interventions to change the shortness of breath response in COPD patients in the form of a randomized controlled trial with a pre-post-test design. The sampling technique uses G-Power version 3.1.9.7 with T-test, one tail, effect size 0.53, alpha error 0.05, and power 0.80, a minimum of 18 is required plus a possibility of error of 10%, so the number of patients needed in this study is 20 at Persahabatan Hospital, East Jakarta. The implementation of PMR actions with 13 (thirteen) movements and DBE with 6 (six) movements is carried out every day for 5 weeks, from May 15 to June 16 2023. Method: The study design in this research is a case study involving 40 respondents. Respondents were divided into two groups, namely 20 people in the PMR group and 20 people in the DBE group. Evaluation is carried out every week using the dyspnoe-12 instrument. Results: This application shows that there is a difference in the response to shortness of breath between before and after the PMR procedure (P value 0.001) and the DBE procedure (P value = 0.001). Conclusion: The application of EBNP recommends the need for nurses to carry out PMR and DBE interventions to change the shortness of breath response in COPD patients.
Risk Factors of Metabolic Syndrome Among Nurses Hospital Banten, Indonesia Yulistriani, Anisa; Rayasari, Fitrian; Munaya, Munaya; Jumaiyah, Wati; Abriyanti, Rika Mustika
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.645

Abstract

Aims: This study was to determine the prevalence of metabolic syndrome and its associated factors among nurses in Banten. Methods: The cross-sectional design of this particular type of quantitative correlation study. A total of 102 respondents were comprised of samples selected using random sampling. Variabel aktivitas fisik diidentifikasi menggunakan APARQ (Adolescent Physical Activity Recall Questionnaire) dan Stres diidentifikasi menggunakan DASS 21. Metabolic indicators include hypertension, Obesity, cholesterol, and diabetes. Data analysis used logistic regression.   Result:  The prevalence of metabolic syndrome among nurses was 16.7%. Older age (p=0.006), smoking (p=0.008), and stress (p=0.000) were significantly associated with metabolic syndrome. While gender and exercise were not significantly associated with metabolic syndrome.  Conclusion: smoking and stress were the major modifiable risk factors of metabolic syndrome among nurses. Campaigns and prevention of healthy behavior are crucial even among healthcare professionals.
Evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi Atun, Sri; Sofiani, Yani; Yunitri, Ninik; Jumaiyah, Wati; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1610

Abstract

Background: Diabetic neuropathy is a complication that develops slowly and often goes undiagnosed. Guttormsen explained that neuropathy usually appears after years of diabetes and is often the initial cause of wounds and amputations. Therefore, early detection is crucial to prevent further complications. One recommended approach is non-invasive screening, which allows for early identification before severe symptoms appear. Purpose: To evaluate the effectiveness of non-invasive screening for early detection of foot disorders in people with diabetes. Method: The implementation of evidence-based nursing practice (EBNP) at Al Ihsan Regional Hospital, West Java Province, from June to July 2025, involved a non-invasive screening intervention for each patient for early detection of foot disorders in diabetic patients. This study was preceded by a systematic review and meta-analysis that compiled data from various previous studies. Results: Participants with the ROC curve test showed screening results on BDRFS with a sensitivity value of 1.000; on monofilament screening the sensitivity value was 0.545; vibration screening test sensitivity value was 0.818; temperature screening test sensitivity value was 0.864. In the QST screening test of touch sensation, it showed that the temperature screening test sensitivity value was 0.909. The QST screening test of vibration sensation showed that the temperature screening test sensitivity value was 0.909. The QST screening test of temperature sensation showed that the temperature screening test sensitivity value was 0.773. Conclusion: The implementation of EBNP “Evaluation of the Effectiveness of Non-Invasive Screening for Early Detection of Foot Disorders in Diabetics” has been proven to significantly increase early detection of diabetic neuropathy through a method that is safe, inexpensive, and can be performed by nurses.   Keywords: Diabetes; Early Detection of Foot Disorders; Non-Invasive Screening.   Pendahuluan: Neuropati diabetik merupakan komplikasi yang berkembang secara perlahan dan sering kali tidak terdiagnosis secara dini. Guttormsen menjelaskan bahwa neuropati biasanya muncul setelah bertahun-tahun menderita DM dan sering kali menjadi penyebab awal terjadinya luka hingga amputasi. Untuk itu, deteksi dini sangat penting guna mencegah komplikasi lebih lanjut. Salah satu pendekatan yang direkomendasikan adalah skrining non-invasif, yang memungkinkan identifikasi dini sebelum muncul gejala berat. Tujuan: Untuk mengevaluasi efektivitas skrining non-​​invasif untuk deteksi dini gangguan kaki pada diabetisi. Metode: Penerapan praktik keperawatan berbasis bukti (Evidence Based Nursing Practice/EBNP) yang dilaksanakan di RSUD Al Ihsan Provinsi Jawa Barat pada bulan Juni-Juli 2025. Setiap pasien dilakukan intervensi berupa pemeriksaan skrining non-invasif untuk deteksi dini gangguan kaki pada pasien diabetes. Hasil: Partisipan dengan uji ROC curve menunjukkan hasil skrining pada BDRFS dengan nilai sensitivity 1.000; pada skrining monofilamin nilai sensitivit 0.545; skrining vibrasi test nilai sensitivity 0.818; skrining temperatur test nilai sensitivit 0.864. Pada uji skrining QST sensasi sentuhan menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi getaran menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi suhu menunjukkan bahwa skrining temperatur test nilai sensitivit 0.773. Simpulan: Penerapan EBNP “evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi” terbukti dapat meningkatkan deteksi dini neuropati diabetik secara signifikan melalui metode yang aman, murah, dan dapat dilakukan oleh perawat.   Kata Kunci: Diabetisi; Deteksi Dini Gangguan Kaki; Skrining Non-​​Invasif.
Evidence based nursing in practice penerapan breating relaxation exercise untuk mengurangi nyeri selama pemasangan chest tube dan thoracotomy Tampubolon, Briefman; Rayasari, Fitrian; Yunitri, Ninik; Agung, Rizki Nugraha; Anggraini, Dewi
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1670

Abstract

Background: Chest tube placement in post-thoracostomy patients often causes pain, which impacts the healing process. Pharmacological therapies such as analgesics are commonly used but have limitations. Therefore, non-pharmacological interventions such as Breathing Relaxation Exercise (BRE) are needed to help reduce pain. Purpose: To determine the effect of breathing relaxation exercises on pain reduction during chest tube placement and thoracotomy. Method: A pre-experimental one-group pretest-posttest design with a sample size of 13 participants determined using the G*Power calculation. The pain measurement instrument used was the Visual Analogue Scale (VAS). Data analysis was performed using the Shapiro-Wilk normality test and a paired sample t-test. Results: Before BRE, most patients experienced severe pain (69.2%). After the intervention, the pain scale decreased to moderate (38.5%) and mild (46.2%) pain categories. The paired sample t-test results showed a significant difference (p<0.05), with an average pain reduction of 1.615. Conclusion: There was a significant decrease in the pain scale before BRE was implemented.   Keywords: Breathing Relaxation Exercise; Chest Tube; Evidence Based Nursing In Practice; Painful; Thoracotomy.   Pendahuluan: Pemasangan chest tube pada pasien pasca torakostomi sering menimbulkan nyeri yang berdampak pada proses penyembuhan. Terapi farmakologis seperti analgetik umum digunakan, namun memiliki keterbatasan. Oleh karena itu, diperlukan intervensi nonfarmakologis seperti Breathing Relaxation Exercise (BRE) untuk membantu menurunkan nyeri. Tujuan: Mengetahui pengaruh penerapan breating relaxation exercise untuk mengurangi nyeri selama pemasangan chest tube dan thoracotomy. Metode: Desain pre-eksperimental one group pretest-posttest dengan jumlah sampel 13 partisipan yang ditentukan melalui perhitungan G*Power. Instrumen pengukuran nyeri menggunakan Visual Analogue Scale (VAS). Analisis data dilakukan dengan uji normalitas Shapiro-Wilk dan uji Paired Sample t-Test. Hasil: Sebelum diberikan BRE, sebagian besar pasien mengalami nyeri berat (69.2%). Setelah intervensi, skala nyeri menurun menjadi kategori nyeri sedang (38.5%) dan ringan (46.2%). Hasil uji Paired Sample t-Test menunjukkan terdapat perbedaan bermakna (p<0.05), dengan rata-rata penurunan nyeri sebesar 1.615. Simpulan: Adanya penurunan signifikan skala nyeri sebelum dilakukan dilakukan penerapan BRE.   Kata Kunci: Breating Relaxation Exercise; Evidence Based Nursing In Practice; Chest Tube; Nyeri; Thoracotomy.
Co-Authors Abdilah Septiana Putri Putri Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdul Khamid, Abdul Abriyanti, Rika Mustika Adria Rusli, Adria Afriza, Wicke Agung, Rizki Nugraha Agus Purnama Agus Purnama Ahmad Zubairi Aip Rukmana Aisyah Aisyah Alfin, Riandi Ali Asman Harahap Amelia Andini Anggareni, Dewi Anita Apriliawati Anwar Warongan Anwar, Tasbihul Apriani, Nuni Aprilina Sartika Arta Marisi Dame Asmara, Amelia Astika, Tria Astuti AW, Widia Astuti, Medya Aprilia Astuty, Yeni Az Zahra, Fajar Putri Azzam, Rohman Bahjatun Nadrati Besral . Briefman Tampubolon Busjra M Nur Busjra M Nur Busjra M. Noor Chairunnisa, Dea Dadang Saadulloh Dedeh Komalawati Dedeh Komalawati Desy Anggraini Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Anggraini Dewi Anggraini Dewi Anggraini Dewi Gayatri Dhea Natashia Dian Novianti Dian Noviati Dian Noviati Kuriasih Dian Noviati Kurniasih Dian Noviati Kurniasih Dian Novita Dian Novita Kurniasih Dian Novita Kurniasih Dwi Riniasih Erna Rochmawati, Erna Eva Desvita Eva Desvita Fakhrudin Nasrul Sani Fenny Maryani Firmansyah Firmansyah Ganjar Kundi Prasetya Giri Susanto Hana Zumaedza Ulfa Handayani, Martuti Dwi Harwina Widya Astuti Haryanti, Noviana Hendi, Oman Henny Dwi Susanti Hernani, Eni Hernani, Eny Ii Ismail Ika Mustafida Ilham Suryana Indraswati, Ita Irawati, Diana Irawati, Diana Irma Puspita Arisanty Iyar Siswandi Jumaiyah, Wati Jumaiyah, Wati Komalawati, Dedeh Kurniasih, Dian Noviati Latipah, Siti Lina Sukmawati Lofa, Priyo Hadi Prasetiyo Maemun, S.KM, M.Epid, Siti Maemun, Siti Martuti Dwi Handayani Muhammad Hadi Muhammad Irfan Nugraha Mulya, Devi Sri Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Nada, Depira Elza Nana Supriyatna Natashia, Dea Nathasia, Dhea Neneng Kurwiyah Novia Wulansari Noviana Haryanti Nugraha, Rizky Nuni Apriani Nur Aini Nuraenah, Nuraenah Nurapandi, Adi Nurhayati Nurhayati Nurhayati Nurhayati Nyimas Heny Purwati Nyimas Heny Purwati Prasetya, Ganjar Kundi Purnamawati, Dewi Putri, Handayani Rahayu, Esti Kusuma Retno Dyah Wahyuningsih Ria Mariatul Isnaani Rina Yuliaty, Rina Risdayati Risdayati Riska Fadilah Rita Erlina Rizki Nugraha Agung Rohani Rohani Rohman Rohman Azzam Rohman Azzam Rostini, Heny S, Baharudin Lutfi Saadulloh, Dadang Salsabila, Sephia Santosa, Puji Raharja Sari, Irma Permata Satriani Gultom Satriani Satriani Selvi Monika Septiawantari, Rani Setiawati, Desy Shahroh, Yuni Siti Aminah Siti Badriah Siti Latipah Siti Maemun Siti Nurlaelah Siti Rahayu Slametiningsih, Slametiningsih Sofian, Yani SRI ATUN Sri Atun Sri Mulati Nendah Agreta Sri Surani Sri Yulianti Suciana, Fitri Sufiana Larombia Sulistyorini, Cahyo Ismawati Suryati Suryati Susanti, Ricka Ardila Susanto, Tandang Tandang Susanto Tegar Maulana Wardiyan Teti Hayati Tria Astika Tria Astika E.P Tria Astika, E Ulina, Barita Uswatul Khasanah Uswatun Hasanah Uswatun Hasanah Uswatun Hasanah Wahyuni, Yuni Warongan, Anwar Warongan, Anwar Wardi Widia Astuti Widia Astuti A W Widia Astuti AW Widodo, Wasis widya astuti Willady Rasyid Yani Sofiani Yanti Silaban, Nataria Yanti Susanti Yari, Yarwin Yayah Nurhani Yeni Hartati Yeni Yarnita Yestiani Norita Joni Yohanes Andy Rias Yuli Widyastuti Yuliastutik, Fitri Yulistriani, Anisa Yundari, Yundari Yunitri, Ninik Yuntiri, Ninik Zaki, Muhamad Zulkarnain Zulkarnain