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Rayasari, Fitrian
Universitas Muhammadiyah Jakarta
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Penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography Hendi, Oman; Jumaiyah, Wati; Latipah, Siti; Rayasari, Fitrian; 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.v19i8.1628

Abstract

Background: Coronary angiography is used as an appropriate method for diagnosing coronary artery disease (CAD), which is the radiographic visualization of coronary arteries after the injection of radiopaque contrast media. However, patients undergoing coronary angiography experience anxiety. With advancements in technology, various innovations have emerged offering non-invasive alternatives for managing anxiety in patients undergoing coronary angiography. One innovative approach currently under development is the use of Virtual Reality (VR). Purpose: To determine the effect of VR in reducing anxiety in patients undergoing coronary angiography.  Method: This EBNP application is experimental, using a pre-post test design with a sample size of 30 patients. VR intervention was administered to patients undergoing coronary angiography for 30 minutes. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) questionnaire. Results: The VR intervention showed a reduction in anxiety, with a p-value of 0.000, which is less than the alpha level of 0.05, indicating a significant difference in anxiety levels before and after the VR intervention in patients undergoing coronary angiography.  Conclusion: The VR intervention has a positive effect in reducing anxiety in patients before coronary angiography.   Keywords: Anxiety; Coronary Angiography; Coronary Artery Disease; Virtual Reality.   Pendahuluan: Coronary angiography digunakan sebagai metode yang tepat untuk mendiagnosis penyakit jantung koroner yang merupakan  visualisasi radiografi pembuluh darah koroner setelah penyuntikan media kontras radiopak. Akan tetapi, pasien yang menjalani coronary angiography mengalami kecemasan.  Seiring dengan perkembangan teknologi terdapat berbagai inovasi yang menawarkan alternatif noninvasif dalam pengelolaan kecemasan pada pasien yang menjalani coronary angiography. Salah satu pendekatan inovatif yang sedang berkembang adalah penggunaan virtual reality (VR). Tujuan: Untuk mengetahui pengaruh penerapan evidence-based nursing practice (EBNP) mengenai intervensi virtual reality (VR) dalam mengurangi kecemasan pada pasien yang menjalani coronary angiography. Metode: Penerapan EBNP ini bersifat eksperimen menggunakan desain pre-post test design dengan jumlah sampel sebanyak 30 partisipan. Intervensi VR pada pasien yang menjalani coronary angiography selama waktu 30 menit. Melakukan pengukuran kecemasan 15 dengan kuesioner state trait anxiety inventory (STAI). Hasil: Intervensi VR menunjukkan menurvensi VR paru) mencapai 6,penurunan kecemasan diperoleh (p Value) 0.000 ≤ 0.05 yang berarti terdapat perbedaan signifikan kecemasan sebelum dan setelah dilakukan intervensi VR pada partisipan yang menjalani coronary angiography. Simpulan: Intervensi VR memberikan pengaruh positif dalam mengurangi kecemasan pasien sebelum tindakan coronary angiography.   Kata Kunci: Coronary Angiography; Coronary Artery Disease; Kecemasan; Virtual Reality.
Efektivitas edukasi berbasis self-efficacy terhadap peningkatan pengetahuan dan perawatan kaki diabetes mellitus tipe 2 Nada, Depira Elza; Astika, Tria; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9 (edisi khusus konference)
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1842

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that can cause serious complications, one of which is diabetic foot ulcers. Lack of knowledge and practice of proper foot care increases the risk of ulcers leading to amputation. Therefore, an educational strategy is needed that not only provides information, but also increases the patient's confidence in performing foot care independently. Purpose: To determine the effect of self-efficacy-based education on improving the knowledge and practice of foot care of type 2 DM patients. Method: A quasi-experimental with a pre-test and post-test with control group approach. The sample of this study were all patients with diabetes mellitus in the Panongan health center working area with a total sample of 42 respondents, divided into the intervention group (self-efficacy-based education) and the control group (education with leaflets). The research instruments used diabetic foot care knowladge, footcare confidence scale, and foot care behavior scale. Data analysis using paired t-test and independent t-test. Results: A significant increase in knowledge (P=0.001), self-efficacy (P=0.000), and foot care behavior (P=0.001) in the intervention group compared to the control group. Conclusion Self-efficacy-based education is effective in improving knowledge and foot care of patients with type 2 diabetes.   Keywords: Diabetes Mellitus; Diabetic Foot; Health Education; Self Efficacy.   Pendahuluan: Diabetes Mellitus (DM) tipe 2 merupakan penyakit kronis yang dapat menyebabkan komplikasi serius, salah satunya adalah ulkus kaki diabetik. Kurangnya pengetahuan dan praktik perawatan kaki yang tepat meningkatkan risiko terjadinya ulkus yang berujung pada amputasi. Oleh karena itu, diperlukan strategi edukasi yang tidak hanya memberikan informasi, tetapi juga meningkatkan kepercayaan diri pasien dalam melakukan perawatan kaki secara mandiri. Tujuan: Untuk mengetahui pengaruh edukasi berbasis self-efficacy terhadap peningkatan pengetahuan dan praktik perawatan kaki pasien DM tipe 2. Metode: Quasi-experimental dengan pendekatan pre-test and post-test with control group. Sampel penelitian ini adalah seluruh pasien diabetes mellitus di wilayah kerja puskesmas Panongan dengan jumlah sampel 42 responden, dibagi dalam kelompok intervensi (edukasi berbasis self-efficacy) dan kelompok kontrol (edukasib dengan leflet). Instrumen penelitian menggunakan diabetic foot care knowladge, footcare confidence scale, dan foot care behavioor scale dan lembar observasi. analisis data menggunakan uji paired t-test dan independent t-test. Hasil: Peningkatan signifikan pada pengetahuan (p=0.001), self-efficacy (p=0.000), dan perilaku perawatan kaki (p=0.001) pada kelompok intervensi dibanding kontrol. Simpulan Edukasi berbasis self-efficacy efektif dalam meningkatkan pengetahuan dan perawatan kaki pasien DM tipe 2.   Kata Kunci: Diabetes Mellitus; Edukasi Kesehatan; Kaki Diabetik; Self Efficacy.
Pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif Zaki, Muhamad; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.2043

Abstract

Background: Uncontrolled hypertension over a long period of time can lead to heart attacks, strokes, chronic heart failure (CHF), and chronic renal failure (CRF). The prevalence of hypertension in Indonesia's productive-age population is 13.2%, 20.1%, 31.6%, 45.3%, and 55.2%, among those aged 25-34. One non-pharmacological treatment that can be used to lower blood pressure in hypertensive patients is Nostril Breathing. Purpose: To determine the effect of nostril breathing on blood pressure depression in people with hypertension of productive age. Method: This quantitative quasi-experimental study, with pre- and post-tests without a control group, used a cross-sectional approach. This study was conducted at Astra Insurance Jakarta in August 2025 for 5 days, measuring blood pressure before and after the intervention in 40 participants with hypertension. Data analysis used repeated measures ANOVA at a p-value of 0.002 (<0.05). Results: The average systolic blood pressure before the intervention on day 1 was 151.18 ± 7.26, while the average diastolic blood pressure on day 1 before the intervention on the first day was 85.28 ± 6.91. In the next measurement, the average systolic blood pressure after the intervention on day 5 was lower than the previous days, at 133.63 ± 6.13. Meanwhile, the average diastolic blood pressure after the intervention on day 5 was lower than the previous days, at 82.63 ± 4.08. Conclusion: There is an effect of nostril breathing on blood pressure in people with hypertension, marked by a decrease in blood pressure with a p-value = 0.000 (<0.05). Suggestion: For future researchers, to further examine risk factors that influence the degree of hypertension, such as age and obesity, develop nursing interventions through experimental research, for example, the effect of health education on sleep quality on reducing blood pressure, employee behavior such as lack of physical activity, obesity, smoking, coffee consumption, and personality type.   Keywords: Blood Pressure; Hypertension; Nostril Breathing.   Pendahuluan: Hipertensi yang tidak terkontrol dalam waktu yang lama akan menyebabkan serangan jantung, stroke, chronic heart failure (CHF), dan chronic renal failure (CRF). Prevalensi hipertensi penduduk usia produktif di Indonesia pada umur 18-24 tahun sebesar 13.2%, umur 25-34 tahun sebesar 20.1%, umur 35-44 tahun sebesar 31.6%, umur 45-54 tahun sebesar 45.3%, dan umur 55-64 tahun sebesar 55.2%. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan untuk menurunkan tekanan darah pada pasien hipertensi adalah Nostril Breathing. Tujuan: Untuk mengetahui pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif. Metode: Penelitian kuantitatif quasy experiment dengan pre and post without control group menggunakan pendekatan cross-sectional. Penelitian ini dilakukan di Asuransi Astra Jakarta pada bulan Agustus 2025 selama 5 hari dengan mengukur tekanan darah sebelum dan sesudah intervensi kepada 40 partisipan dengan hipertensi. Analisis data yang digunakan adalah menggunakan repeated measure ANOVA pada ketetapan p-value 0.002 (< 0.05). Hasil: Rata-rata tekanan darah sistole sebelum intervensi pada hari ke-1 adalah 151.18 ± 7.26, sedangkan rata-rata tekanan darah diastole hari ke-1 sebelum intervensi pada hari pertama adalah sebesar 85.28 ± 6.91. Pada pengukuran berikutnya didapatkan hasil rata-rata tekanan darah sistole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 133.63 ± 6.13. Sementara itu, rata-rata tekanan darah diastole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 82.63 ± 4.08. Simpulan: Terdapat pengaruh nostril breating terhadap tekanan darah pada orang dengan hipertensi, ditandai adanya penurunan tekanan darah dengan p-value = 0.000 (<0.05). Saran: Bagi peneliti selanjutnya untuk meneteliti lebih lanjut faktor risiko yang memengaruhi derajat hipertensi, seperti usia dan obesitas kembangkan intervensi keperawatan melalui penelitian eksperimen, misalnya pengaruh penyuluhan kesehatan tentang kualitas tidur terhadap penurunan tekanan darah. perilaku pegawai seperti kurangnya aktivitas fisik, obesitas, merokok, konsumsi kopi, dan tipe kepribadian.   Kata Kunci: Hipertensi; Nostril breathing; Tekanan darah.
Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Irma Puspita Arisanty; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Abstract

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.
Efektifitas Murottal Al-Quran dan Relaksasi Benson Terhadap Skala Nyeri dan Gula Darah Sewaktu Riska Fadilah; Tria Astika E.P; Fitrian Rayasari; Dhea Natashia; Dedeh Komalawati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49736

Abstract

Latar Belakang: Semakin tinggi kadar gula darah pada pasien diabetes melitus yang memiliki luka ulkus maka, semakin tinggi risiko yang akan di alami. Hal ini dapat dicegah melalui terapi non farmakologi dan kontrol kadar gula darah. Salah satu intervensi non farmakologi yang dapat dilakukan untuk mengatasi masalah tersebut adalah Murottal Al-Quran dan terapi relaksasi benson. Tujuan: dari penelitian ini adalah untuk mengetahui efektifitas terapi murottal Al-Quran dan ralaksasi Benson terhadap nyeri dan kadar gula darah pada pasien ulkus diabetikum. Metode: penelitian ini menggunakan desain quasi eksperimen dan jumlah sampel pada penelitian adalah 40 orang (20 Eksperimen dan 20 Kontrol). Hasil: penelitian menunjukkan, mayoritas responden berjenis kelamin perempuan dengan usia lebih dari 45 tahun serta memiliki klasifikasi luka ulkus derajat 2. Uji statistik dengan menggunakan independent t-test, terdapat perbedaan yang signifikan terhadap skala nyeri dengan p-value = 0,03 dan kadar gula darah dengan p-value = 0,00. Hasil analisa multivariat menemukan, tidak terdapat hubungan antara variabel usia, jenis kelamin, kecemasan dan klasifikasi luka terhadap skala nyeri dan kadar gula darah pasien dengan ulkus diabetikum. Kesimpulan: dari penelitian ini, terdapat pengaruh yang signifikan dari pemberian terapi Murottal Al-Quran dan relaksasi Benson terhadap skala nyeri dan kadar gula darah.
Efektivitas Ankle Pumping Exercise dan Buerger Allen Exercise Terhadap Sirkulasi dan Sensitivitas Kaki Abdilah Septiana Putri Putri; Tria Astika, E; Fitrian Rayasari; Dhea Natashia; Dedeh Komalawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.50905

Abstract

Latar Belakang: Sirkulasi dan sensitivitas kaki pada penyandang diabetes mellitus tipe 2 merupakan dua aspek kritis yang sering mengalami gangguan akibat komplikasi penyakit ini. Hiperglikemia kronis memicu aterosklerosis dan penebalan dinding pembuluh darah, mengurangi aliran darah ke ekstremitas bawah serta dapat menyebabkan akumulasi sorbitol dan fruktosa dalam sel saraf yang dapat menimbulkan stres osmotik yang merusak mitokondria dan fungsi saraf. Tujuan: Mengetahui perbedaan efektivitas Ankle Pumping Exercise dan Burger Allen Exercise terhadap sirkulasi dan sensitivitas kaki pada penyandang diabetes mellitus tipe 2. Metode: Desain penelitian yang digunakan adalah Quasy-experimental The Two-Group Pretest-Posttest. Sampel: Total sampel 26 orang (13 Ankle Pumping Exercise dan 13 Burger Allen Exercise). Hasil penelitian: Responden dalam penelitian memiliki proporsi usia paling banyak lansia awal (46-55 tahun) dengan jenis kelamin terbanyak adalah perempuan. Hasil uji t menunjukkan terdapat pengaruh nilai Ankle Brachial Index (ABI) dan sensitivitas kaki pada kelompok Ankle Pumping Exercise dan Buerger Allen Exercise dengan nilai p-value 0,018 dan 0,009. Kesimpulan: Kedua latihan berpegaruh terhadap sirkulasi dan sensitivitas kaki pada penyandang diabetes melitus tipe 2. Namun peneliti menyimpulkan bahwa Buerger Allen Exercise lebih efektif dalam meningkatkan sirkulasi dan sensitivitas kaki pada penyandang diabetes mellitus tipe 2. Saran: Hasil penelitian diharapkan dapat menjadi alternatif intervensi keperawatan yang dapat dilakukan oleh penyandang diabetes mellitus tipe 2 dalam memperlancar sirkulasi kaki dan mencegah terjadinya ulkus diabetik.
Effect of orthopneic position and pursed-lip breathing on dyspnea in patients with chronic obstructive pulmonary disease Arifuddin, Arifuddin; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.695

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder characterized by persistent airflow limitation and dyspnea that significantly reduces patients’ functional capacity and quality of life. Non-pharmacological nursing interventions, including breathing techniques and therapeutic positioning, have increasingly been applied to improve respiratory function and alleviate dyspnea symptoms. However, evidence regarding the combined effectiveness of orthopneic positioning and pursed-lip breathing in clinical inpatient settings remains limited. Objective: This study aimed to evaluate the effect of orthopneic position combined with pursed-lip breathing on dyspnea indicators, including respiratory rate, oxygen saturation, and peak expiratory flow, among patients with chronic obstructive pulmonary disease. Methods: A pre-experimental one-group pretest–posttest design was conducted in the MDR Baji Ati ward, Labuang Baji General Hospital Makassar. Seventeen hospitalized adult COPD patients meeting inclusion criteria participated in the study. The intervention consisted of orthopneic positioning combined with pursed-lip breathing exercises administered for 20–30 minutes per session, at least three times weekly for four weeks. Outcome measures included respiratory rate, oxygen saturation, and peak expiratory flow assessed before and after the intervention. Data were analyzed using paired t-test with a significance level of 0.05. Results: The intervention significantly reduced respiratory rate from 23.4 to 18.9 breaths per minute (p = 0.001), increased oxygen saturation from 89.6% to 96.4% (p = 0.001), and improved peak expiratory flow from 256 L/min to 367 L/min (p = 0.001). Large effect sizes across outcomes indicated substantial clinical improvement. No adverse events were reported during the intervention period. Conclusion: The combined application of orthopneic positioning and pursed-lip breathing effectively improved respiratory parameters and reduced dyspnea among COPD patients. This evidence-based nursing intervention represents a safe, feasible, and clinically valuable strategy for respiratory symptom management in hospitalized patients with chronic obstructive pulmonary disease.
Active Cycle of Breathing Technique pada Pasien Penyakit Paru Obstruktif Kronik: Analisis Penerapan Evidence-Based Nursing Practice Nuni Apriani; Fitrian Rayasari; Dewi Anggraini; Sri Atun
Faletehan Health Journal Vol 10 No 03 (2023): Faletehan Health Journal, November 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i03.652

Abstract

Acute exacerbation in chronic obstructive pulmonary disease (COPD) is characterized by increased production and accumulation of mucus which aggravates clinical symptoms. One of interventions well-known effectively overcoming airway clearance problem is active cycle of breathing technique. The aim of implementing evidence-based nursing practice was to determine the effectiveness of the active cycle of breathing technique on sputum production in COPD patients. The search for evidence was carried out by PICO (problem, intervention, comparison, and outcome) analysis. 18 COPD inpatients and outpatients were selected based on inclusion and exclusion criteria and were given the intervention. Sputum production was measured before and after it. The data analysis was carried out using Wilcoxon with a p value of 0.014 which showed that there was a difference in the amount of sputum production before and after the intervention. The researchers concluded that active cycle of breathing technique is an effective intervention in overcoming airway clearance problems in COPD patients.
Efek Terapi Kombinasi Postural Drainage dan Active Cycle of Breathing Technique Pada Pasien Tuberkulosis Paru Aip Rukmana; Fitrian Rayasari; Dewi Anggraini
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23569

Abstract

ABSTRACT Pulmonary tuberculosis (TB) frequently causes impaired airway clearance due to increased mucus production and ineffective mucociliary function, leading to respiratory symptoms and reduced oxygenation. Postural Drainage (PD) and the Active Cycle of Breathing Technique (ACBT) are airway-clearance interventions proven to enhance secretion mobilization and improve pulmonary function. To determine the effect of combined PD and ACBT therapy on oxygen saturation, sputum volume, and cough–sputum symptoms in patients with pulmonary tuberculosis. This study used a quasi-experimental design with a pre–post test without control group involving 15 TB pulmonary patients recruited through purposive sampling. The intervention consisted of three sessions of combined PD and ACBT. Outcome measures included oxygen saturation (SpO₂), sputum volume, and CASA-Q scores. Data were analyzed using the paired t-test. The combination therapy significantly increased SpO₂ (96.07% to 98.00%; p = 0.001), sputum volume (2.87 mL to 5.40 mL; p = 0.000), and all CASA-Q domains related to cough and sputum (p = 0.000). Combined PD and ACBT therapy is effective in improving airway clearance, respiratory symptoms, and oxygenation in pulmonary TB patients. This intervention can be recommended as a safe, low-cost, and practical non-pharmacological therapy in respiratory nursing care. Keywords: Active Cycle of Breathing Technique, Airway Clearance, Postural Drainage, Pulmonary Tuberculosis.  ABSTRAK Tuberkulosis paru sering menimbulkan gangguan bersihan jalan napas akibat peningkatan produksi mukus dan disfungsi mukosilier, sehingga memicu gejala respirasi dan penurunan oksigenasi. Postural Drainage (PD) dan Active Cycle of Breathing Technique (ACBT) merupakan intervensi pembersihan jalan napas yang terbukti meningkatkan mobilisasi sekret serta fungsi paru. Mengetahui efek terapi kombinasi PD dan ACBT terhadap saturasi oksigen, jumlah sputum, serta gejala batuk dan sputum pada pasien tuberkulosis paru. Penelitian menggunakan desain quasi-eksperimen pre–post test tanpa kelompok kontrol pada 15 pasien TB paru yang dipilih secara purposive. Intervensi diberikan dalam tiga sesi. Pengukuran mencakup SpO₂, volume sputum, dan skor CASA-Q. Analisis data menggunakan paired t-test. Terapi kombinasi memberikan peningkatan signifikan pada saturasi oksigen (96,07% menjadi 98,00%; p = 0,001), jumlah sputum (2,87 mL menjadi 5,40 mL; p = 0,000), serta seluruh domain batuk dan sputum pada CASA-Q (p = 0,000). Kombinasi PD dan ACBT efektif meningkatkan bersihan jalan napas, memperbaiki gejala respirasi, dan meningkatkan oksigenasi pada pasien TB paru. Intervensi ini dapat direkomendasikan sebagai terapi nonfarmakologis yang aman, mudah diterapkan, dan mendukung praktik keperawatan respirasi. Kata Kunci: Active Cycle of Breathing Technique, Bersihan Jalan Napas, Postural Drainage, Tuberkulosis Paru.
Penerapan Passive Stretching Exercise Pada Pasien Diabetes Melitus Tipe 2 Terhadap Penurunan Kadar Glukosa Darah Harwina Widya Astuti; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari; Uswatun Hasanah
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23507

Abstract

ABSTRACT Type 2 Diabetes Mellitus is a chronic disease caused by unstable blood sugar levels that exceed normal limits, or hyperglycemia, and disorders of carbohydrate, protein, and fat metabolism. Hyperglycemia can cause complications in form of macrovascular and microvascular blood vessel disorders. Efforts to controls blood sugar include physical activity, such as passive stretching exercise, which are beneficial for increasing cellular glucose uptake, thereby reduce blood glucose levels. This study aims to provide an overview of the impact of implementing passive stretching exercise in type 2 diabetes mellitus patients for reduce blood glucose levels through Evidence-Based Nursing Practice (EBNP). This study used a systematic approach by reviewing various articles and literature, namely PubMed and Google Scholar. The selected articles focused on passive stretching exercise interventions in patients type 2 diabetes mellitus to reduce blood glucose levels. The review identified one article in the form of systematic review with meta-analysis, which examined 13 studies. The results of the analysis showed that passive stretching exercises were effective in reduce blood glucose levels. The implementation of passive stretching exercise has been shown to reduce blood glucose level in patients with type 2 DM. Keywords: Blood Glucose Levels, Diabetes Mellitus Type 2, Hyperglycemia, Passive Stretching Exercise.  ABSTRAK Diabetes Melitus tipe 2 merupakan penyakit menahun yang disebabkan oleh ketidakstabilan kadar gula darah yang melebihi batas normal atau hiperglikemia dan gangguan metabolisme karbohidrat, protein, dan lemak. Hiperglikemia dapat menimbulkan komplikasi berupa gangguan pembuluh daik makrovaskuler atau mikrovaskuler. Upaya kontrol gula darah yaitu dengan melakukan aktivitas fisik, salah satunya adalah latihan passive stretching exercise. Latihan ini bermanfaat untuk meningkatkan serapan glukosa seluler sehingga menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk memberikan gambaran tentang dampak pada penerapan latihan passive stretching exercise pada pasien DM tipe 2 dalam menurunkan kadar gula darah melalui praktik keperawatan berbasis bukti. Studi ini menggunakan pendekatan sistematis dengan meninjau berbagai artikel dan literatur, yaitu PubMed dan google scholar. Artikel-artikel yang dipilih berfokus pada intervensi latihan passive stretching exercise pada pasien DM tipe 2 untuk menurunkan kadar glukosa darah berbasis bukti dalam keperawatan. Tinjauan ini mengindetifikasi satu artikel dalam bentuk tinjauan sistematis dengan meta-analisis, yang meneliti 13 penelitian. Hasil analisis menunjukkan bahwa latihan passive stretching exercise efektif menurunkan kadar glukosa darah.  Penerapan passive stretching exercisemenunjukkan hasil dapat menurunkan kadar glukosa darah pada pasien DM tipe 2.  Kata Kunci: Diabetes Melitus Tipe 2, Hiperglikemia, Kadar Glukosa Darah, Latihan Peregangan Pasif.
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 Anwar Warongan Anwar, Tasbihul Apriani, Nuni Arifuddin Arifuddin Arta Marisi Dame Asmara, Amelia Astika, Tria 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 Novita Dian Novita Kurniasih Dian Novita Kurniasih Dwi Riniasih Erna Rochmawati, Erna Eva Desvita Eva Desvita Fakhrudin Nasrul Sani Firmansyah Firmansyah Ganjar Kundi Prasetya Handayani, Martuti Dwi Hartati, Yeni Harwina Widya Astuti Haryanti, Noviana Hendi, Oman Henny Dwi Susanti Hernani, Eni Hernani, Eny Ii Ismail Ilham Suryana Indraswati, Ita Irawati, Diana Irawati, Diana Irma Puspita Arisanty 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 Maryani, Fenny 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 Novia Wulansari Noviana Haryanti Nugraha, Rizky Nuni Apriani Nur Aini Nuraenah, Nuraenah Nurapandi, Adi Nurhayati Nurhayati Nyimas Heny Purwati Nyimas Heny Purwati Prasetya, Ganjar Kundi Purnamawati, Dewi Putri, Handayani Rahayu, Esti Kusuma 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 Siswandi, Iyar Siti Aminah Siti Badriah Siti Maemun Siti Nurlaelah Siti Rahayu Slametiningsih, Slametiningsih Sofian, Yani Sri Atun SRI ATUN Sri Mulati Nendah Agreta Sri Yulianti Sufiana Larombia Sulistyorini, Cahyo Ismawati Surani, Sri Suryati Suryati Susanti, Ricka Ardila Susanto, Tandang Tampubolon, Briefman Tandang Susanto Tegar Maulana Wardiyan Teti Hayati Tria Astika E.P Tria Astika, E Ulina, Barita Uswatul Khasanah Uswatun Hasanah Uswatun Hasanah Wahyuni, Yuni Wahyuningsih, Retno Dyah Warongan, Anwar Warongan, Anwar Wardi Wasis Widodo Widia Astuti Widia Astuti A W Widia Astuti AW widya astuti Willady Rasyid Yani Sofiani Yanti Silaban, Nataria Yanti Susanti Yari, Yarwin Yeni Yarnita Yestiani Norita Joni Yohanes Andy Rias Yuli Widyastuti Yuliastutik, Fitri Yulistriani, Anisa Yundari, Yundari Yunitri, Ninik Yuntiri, Ninik Zaki, Muhamad Zulkarnain Zulkarnain