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All Journal International Journal of Nursing and Health Services (IJNHS) Babali Nursing Research
David Richard, Selvia
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Health Professions Nursing Public Health Social Sciences

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Implementation of Evidence-Based Nursing for Expelling Sputum in Tuberculosis Patients with Chest Physiotherapy and Effective Coughing Exercises: A Case Study David Richard, Selvia; Ariyanto, Heri; Setiawan, Henri
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 3 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i3.596

Abstract

Tuberculosis is a bacterial infection caused by the bacillus Myobacterium tuberculosis. is an aerobic bacterium in the form of a rod bacillus, but this bacterium survives against acid, the manifestations that appear are usually the patient complains of coughing up phlegm. Non-pharmacological techniques that can be used to remove phlegm are to perform chest physiotherapy and teach effective coughing, this technique is still rarely used in the field. Nurses are more likely to collaborate in giving antibiotics. This case study was conducted to present the implementation of evidence based nursing providing effective chest physiotherapy and coughing exercise as an effort to expel phlegm in tuberculosis patients. Physical examination was carried out by the persistent method in tuberculosis patients. Indonesian Nursing Diagnosis Standards (IDHS), Indonesian Nursing Outcomes Standards (SLKI), Indonesian Nursing Intervention Standards (SIKI). The nursing diagnosis of ineffective airway clearance with the diagnosis number 0001 was given nursing interventions in the form of chest physiotherapy and effective coughing. After being given nursing intervention for 3 days, the ineffective airway clearance was resolved with a patent airway which was characterized by normal breathing frequency, regular breathing rhythm, no additional breath sounds, the patient was able to expel sputum. Effective chest and cough physiotherapy is considered effective in overcoming the problem of airway clearance.
The Correlation Between Family Support with The Quality of Life of School-Age Children with Thalassemia Astarani, Kili; Yuli F.W, Laurensia; Sutik; Taviyanda, Dian; David Richard, Selvia
Babali Nursing Research Vol. 5 No. 3 (2024): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.53379

Abstract

Introduction: Thalassemia is a severe disease affecting many school-aged children, characterized by symptoms such as weakness and paleness due to low hemoglobin levels. These children often require routine blood transfusions, which can lead to several side effects impacting their quality of life. Generally, the quality of life for school-aged children with thalassemia is lower than that of their healthy peers. Family support is one factor that can influence the quality of life of children with thalassemia. This study investigated the relationship between family support and quality of life in school-aged children with thalassemia at Immanuel Way Halim Hospital, Bandar Lampung.Methods: The research design was descriptive-analytic with a cross-sectional approach. The sample included all school-aged thalassemia patients in the Edelweiss Hospital room at Immanuel Way Halim, totaling 28 respondents. The sampling technique used was purposive sampling, with inclusion criteria being school-aged thalassemia patients (ages 7 to 18 years) who could communicate well. Data analysis was conducted using the Chi-square test.Results: The results indicated that 19 respondents (67.9%) had positive family support, and 14 (50%) had a high quality of life. Statistical analysis showed a p-value of 0.027 (<0.05).Conclusion: There is a significant relationship between family support and the quality of life of children with thalassemia in the Edelweiss Hospital room at Immanuel Way Halim, Bandar Lampung.
Co-Authors Ariyanto, Heri Dian Taviyanda Henri Setiawan Sutik Yuli F.W, Laurensia