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All Journal Caring : Indonesian Journal of Nursing Science Madani: Multidisciplinary Scientific Journal Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran
Mula Tarigan
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Asuhan Keperawatan pada Tn. I dengan Diagnosis Medis Efusi Pleura di Rumah Sakit Umum Pusat H. Adam Malik : Case Report Syah Fara Dillasani Sirait; Mula Tarigan; Dina Afriani
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 1 (2025): Januari : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i1.1164

Abstract

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.
Diabetes Self-Management and Quality of Life Adult People with Diabetes Mellitus Type 2: A Systematic Review Mula Tarigan; Pulsuk Siripul; Bumpenchit Sangchart
Caring: Indonesian Journal of Nursing Science Vol. 5 No. 2 (2023): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v5i2.12285

Abstract

One of the health problems currently faced globally and in Indonesia is type 2 diabetes because it presents a harmful impact on the sufferer, and the number continues to increase every year. Diabetes self-management programs are considered one activity that maintains the quality of life of type 2 diabetes patients. This systematic review aimed to determine the effectiveness of type 2 diabetes self-management programs on the quality of life of patients with type 2 diabetes. The databases used to search were CINAHL, Proquest, and PubMed, between 2006 and 2016, and all articles were evaluated for relevance and quality of research. There were 14 articles analyzed on the characteristics, content of interventions, quality of life instruments, and quality of life outcomes. Eleven of the 14 studies significantly showed an effect of diabetes management programs on the quality of life of patients with type 2 diabetes. Nurses and other health professionals can apply diabetes self-management programs at all levels of health care.
Asuhan Keperawatan Pada Ny.D dengan Diagnosis PS Resection + Susp. Pneumonia + Efusi pleura PI Dextra-Alkalosis respiratorik Helpvina Sianipar; Mula Tarigan
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 12 (2025): Januari
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14553888

Abstract

Background: Pneumonia, pleural effusion, and respiratory alkalosis are complex conditions that are often found in patients after surgical resection (PS Resection). These conditions can compromise respiratory function and increase the risk of serious complications, such as respiratory failure and death. Evidence-based maintenance approaches, including non-pharmacologic pursed-lipbreathing (PLB) therapy, have been shown to be effective in managing respiratory distress. Objectives: This study aimed to apply the application of PLB therapy in patients with these conditions. Methods: This study is a case study on a 23-year-old female patient at Adam Malik General Hospital. The patient had a history of PS Resection, susp. pneumonia, dextra pleural effusion, and respiratory alkalosis. OTB intervention was performed four times a day for three consecutive days. Data were collected through measurement of oxygen saturation and level of breathlessness before and after the intervention. Results: The results showed that OTB therapy was effective in increasing oxygen saturation and decreasing the patient's shortness of breath level. The patient's breathlessness level decreased from scale 7 (severe) to scale 1 (mild) within three days. The intervention worked by improving gas exchange and increasing respiratory ventilation efficiency. In addition, PLB provides additional benefits in the form of relaxation and increased activity tolerance. Conclusion: The conclusion of this study is that PLB therapy is a non-pharmacological method that is simple, effective, and can be applied to patients with complex respiratory disorders. This therapy can also teach patients and families to support home care. Further studies with larger samples and longer observation periods are needed to confirm these findings.
Co-Authors Bumpenchit Sangchart Dina Afriani Helpvina Sianipar Pulsuk Siripul Syah Fara Dillasani Sirait