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Implementasi Teknik Pernafasan Pursed Lips Breathing Dengan Teknik Tripoid Position Untuk Meningkatkan Saturasi Oksigen Pada Pasien Ppok Di Rumah Sakit TK II Putri Hijau Medan Azmi Ihsan; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.532

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of morbidity and mortality worldwide. One of the most common symptoms in COPD patients is shortness of breath. If this symptom persists, it can worsen the patient's condition, starting with decreased oxygen saturation (SpO2) and increased respiratory rate (RR), potentially leading to death depending on its severity. Therefore, management is required both pharmacologically and non-pharmacologically. Techniques such as pursed-lips breathing (PLB) and the tripod position have been proven to help improve breathing in COPD patients. This study aimed to implement PLB combined with the tripod position to improve oxygen saturation in COPD patients. The research employed a descriptive design using a case study approach on two patients hospitalized at TK II Putri Hijau Hospital Medan. The intervention was carried out over three days, three times per day, for 15-30 minutes each session. The results showed that on the first day, both cases had an oxygen saturation of 95%; on the second day, it increased to 97%; and on the third day, it further increased to 99%. Both patients demonstrated reduced use of accessory respiratory muscles, more effective respiratory rates, and improved oxygen saturation. These findings indicate that the combination of pursed-lips breathing and the tripod position effectively improves oxygen saturation in COPD patients. This study also suggests that these techniques can serve as recommended non-invasive nursing interventions in healthcare settings.
Implementasi Terapi Guided Imagery Untuk Penurunan Skala Nyeri Post Sectio Caesarea Di Rumah Sakit TK.II Putri Hijau Medan Aisyah Nurhidayah; Huwaina Af’idah; Erita Gustina
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.553

Abstract

Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.
Pemahaman Akan Dampak Kelainan Seksual Pada Remaja Di SMK Gelora Jaya Nusantara Tuntungan Huwaina Af’idah; Adelia Mazidah Lubis; Muhammad Amru Siddiq; Amelia Fernanda; Jusmaini; Meyliesa Raudhatusshofie
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 3 No. 1 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kelainan seksual pada remaja merupakan perhatian yang signifikan, terutama di lingkungan pendidikan seperti SMK Gelora Jaya Nusantara Tuntungan. Remaja menghadapi berbagai tantangan dalam menghadapi perkembangan seksual mereka. Penelitian ini bertujuan untuk memberikan gambaran teoritis mengenai kelainan seksual pada remaja, menyoroti bentuk kelainan seksual, penyebabnya, dan dampaknya. Meningkatkan pemahaman siswa tentang kelainan seksual pada remaja, memberikan panduan untuk mencegah dan mengatasi kelainan seksual, serta menciptakan lingkungan yang aman untuk berdiskusi tentang isu-isu kelainan seksual. Penelitian ini melakukan intervensi edukatif kualitatif di SMK Gelora Jaya Nusantara Tuntungan pada tanggal 26 Oktober 2023. Intervensi melibatkan ceramah dan sesi tanya jawab interaktif untuk memperdalam pemahaman siswa tentang kelainan seksual. Intervensi edukatif berhasil meningkatkan pemahaman siswa tentang berbagai kelainan seksual pada remaja, penyebabnya, dan metode pencegahannya. Ini memfasilitasi partisipasi aktif, meningkatkan kesadaran, dan meningkatkan komunikasi. Intervensi ini memiliki potensi untuk mengurangi risiko kelainan seksual, mengurangi stigma, dan menyebarkan pengetahuan ke masyarakat lebih luas. Penelitian ini menyimpulkan bahwa intervensi edukatif mencapai tujuannya, meningkatkan kesadaran dan pemahaman siswa tentang kelainan seksual pada remaja. Untuk menjaga pendekatan edukasi yang efektif, disarankan untuk melakukan perbaikan dalam perencanaan dan koordinasi untuk intervensi di masa depan.
Pengabdian Kepada Masyarakat Cerdas Mengenal Dan Mencegah Penyakit Menular Pada Sistem Pernapasan (TBC) Dari Segi Epidemiologi Di Kalangan Remaja Huwaina Af’idah; Soeharto; Nofi Susanti; Andini Br Sembiring; Bela Wahyuni Manurung
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 4 (2025): November : Sevaka : Hasil Kegiatan Layanan Masyarakat
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i4.636

Abstract

Tuberculosis (TB) is a contagious disease of the respiratory system that remains a global public health problem, including in Indonesia, with high incidence rates among adolescents due to intense social activities and interactions. This community service activity aims to increase adolescents' knowledge about TB from an epidemiological perspective, including modes of transmission, symptoms, risk factors, and prevention efforts as an airborne disease. The method used was a quasi-experimental approach with a two-group pretest-posttest design, through health education provided to 149 adolescents aged 15–17 years at Darussalam High School in Medan. Data collection was conducted using questionnaires to assess the level of knowledge before and after the educational intervention. The results of the activity showed a significant increase in the level of knowledge after the education was provided, where the percentage of respondents in the high knowledge category increased from 82% in the pre-test to 93% in the post-test, accompanied by a decrease in the sufficient and low knowledge categories. This study shows that community service activities through health education have a significant effect on increasing adolescents' knowledge about tuberculosis. Health education has been proven to be effective as a promotional and preventive measure, so it needs to be implemented continuously to prevent the transmission