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Case Study: Implementation of Video-Based Education to Improve Medication Adherence in Child L with Tuberculosis in Panumbangan Nugraha, Ilham; Firmansyah, Andan; Supriadi, Dedi
KIAN JOURNAL Vol 4 No 2 (2025): KIAN JOURNAL (September 2025)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v4i2.567

Abstract

Introduction: Tuberculosis (TB) is a contagious infectious disease that remains a global health problem, especially in developing countries like Indonesia. Adherence to TB treatment is crucial for therapeutic success, particularly in children who often face challenges in taking medication regularly. One effort to improve adherence is through education using audiovisual media. Objective: To determine the effect of video-based education on medication adherence in children diagnosed with pulmonary tuberculosis. Method: This study used a descriptive case study approach involving one school-aged child with pulmonary TB who exhibited non-adherence. The intervention consisted of video education accessed via YouTube for three consecutive days. Data collection methods included interviews, observation, physical examination, and nursing documentation. Result: After three days of video education intervention, the child’s adherence improved. Initially, the child resisted medication and frequently became upset, but after watching the educational video with their parents, the child began to take the medication willingly. Conclusion: Video-based education is effective in improving medication adherence in children with TB. Educational videos can serve as an engaging and accessible alternative for health promotion, easily accepted by both children and their families.
Case Study: Implementation of Simple Inhalation Therapy Using Eucalyptus Oil Aromatherapy for Ineffective Airway Clearance in a Child with Acute Respiratory Infection Kurniawan, Ade; Firmansyah, Andan; Supriadi, Dedi
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.751

Abstract

Introduction: Upper Respiratory Tract Infections (URTIs) are acute infections that affect the respiratory tract from the nose to the alveoli, including related organs such as the sinuses, middle ear cavity, and pleura. According to the World Health Organization (WHO) report in 2024, URTIs account for 6% of the global disease burden, resulting in approximately 6.6 million child deaths annually, with 95% of these fatalities occurring in low-income countries. The incidence of pneumonia in West Java was reported at 32.2% in 2020, increasing to 44.9% in 2022. Data from Ciamis Regency indicates that URTIs represent the disease with the highest prevalence. In 2019, the highest number of cases of pneumonia among toddlers was recorded in Cipaku (350 cases), Rancah (324 cases), and Banjarsari. Objective: The objective of this case study is to examine children experiencing Upper Respiratory Tract Infections (URTIs) with ineffective airway clearance. Method: The research design employed is a descriptive case study with a nursing care approach for children with Upper Respiratory Tract Infections (URTI). Result: The results of the case study during the assessment phase revealed that the client was experiencing productive cough. Following the assessment, a diagnosis of Upper Respiratory Tract Infection (URTI) was established, specifically identifying ineffective airway clearance (D. 0001) related to retained secretions. The intervention plan focused on administering simple inhalation therapy using eucalyptus oil aromatherapy. This inhalation was conducted for 10-15 minutes in two sessions per day, in the morning and evening, over a consecutive three-day period. The evaluation indicates an improvement in airway patency in the patient, An.M, diagnosed with URTI. Conclusion: In conclusion, the implementation of simple inhalation therapy using eucalyptus oil has proven to be effective in demonstrating improvements in airway clearance in the patient, An.M.
Parental Mediation to Reduce Device Addiction in Children with Emotional Disorders: A Case Study Firmansyah, Andan; Putri, Julia
Genius Journal Vol. 5 No. 1 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i1.338

Abstract

Objective: This case study aims to provide direct nursing care to children experiencing emotional disturbances due to gadget addiction through parental mediation in the city of Banjar. Method: The research methodology employed in this study is descriptive analysis, utilizing a case study approach to provide an objective assessment of the client's condition. The study focused solely on one subject, Patient An. R, who experienced emotional issues stemming from gadget addiction in Banjar City. The initial day involved conducting an assessment to determine the extent of gadget addiction and the client's emotional disturbances, educating the family on parental mediation techniques, and conducting a physical examination, which revealed no issues. Subsequent days involved monitoring changes in the client's device use intensity and emotional state. The final day assessed the effectiveness of the parental mediation intervention implemented by the family through data collection methods including interviews, observation, physical examinations, and documentation reviews. Results: The findings from the case study review phase indicated that the client exhibited emotional disturbances due to gadget addiction. The intervention utilized to reduce gadget addiction involved parental mediation, employing parental strategies to monitor device usage. Over a 3-day period, the child was encouraged to reduce daily device use duration, resulting in a successful reduction from 3-5 hours per day to 1-2 hours per day. Conclusion: Following the 3-day parental mediation intervention from June 18–20, 2023, the client's device use intensity aligned with the desired outcomes. Positive changes observed included decreased behavior of ignoring family members, enhanced communication among family members, and a reduction in aggressive behavior. Evaluation results indicated the resolution of one nursing diagnosis as planned. Despite the client's emotional disorder due to gadget addiction, the intervention had a positive impact, significantly reducing device usage from 3-5 hours to 1-2 hours per day.
Effectiveness of Butterfly Hug Therapy in Reducing Anxiety Symptoms Among Older Adults: A Systematic Review Nurpadilah, Demita; Albianto, Deranito Langlang Paresa; Firmansyah, Deni; Firmansyah, Andan; Asmarani, Sri Utami; Lismayanti, Lilis; Fauziah, Diny Nur
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.527

Abstract

Introduction: Anxiety is a prevalent mental health concern among older adults, often triggered by chronic illness, cognitive decline, and social isolation. Left untreated, anxiety can significantly impair quality of life and exacerbate physical health issues. While pharmacological treatments exist, they pose potential side effects, especially for the elderly. Therefore, non-pharmacological approaches such as Butterfly Hug Therapy (BHT), a technique involving bilateral self-stimulation to promote emotional regulation, have gained attention as alternative interventions. Objective: This systematic review aims to evaluate the effectiveness of Butterfly Hug Therapy in reducing anxiety levels among older adults. Method: Following PRISMA 2020 guidelines, a literature search was conducted across PubMed, ProQuest, Garuda, and JSTOR from 2015 to 2024. Eligible studies involved elderly participants, reported measurable anxiety outcomes, and were published in English or Bahasa. Quality was assessed using the Critical Appraisal Skills Programme (CASP). Result: Out of 350 initial studies, three met the inclusion criteria. Sample sizes ranged from 2 to 60 participants, with therapy sessions lasting approximately 30 minutes over 1 to 2 weeks. Anxiety levels, measured using GAD-7 or GAI, consistently decreased after the intervention. Despite limitations such as small sample sizes and lack of rigorous controls, the findings support BHT as an effective strategy for anxiety reduction in the elderly. Conclusion: Butterfly Hug Therapy is a simple, non-invasive, and accessible intervention that shows potential for reducing anxiety in older adults. Further research through randomized controlled trials is recommended to confirm long-term benefits and establish standardized clinical guidelines.
STUDI KASUS IMPLEMENTASI EVIDENCE-BASED NURSING: WATER TEPID SPONGE BATH UNTUK MENURUNKAN DEMAM PASIEN TIFOID Firmansyah, Andan; Setiawan, Henri; Ariyanto, Heri
Viva Medika Vol 14 No 02 (2021)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v14i02.579

Abstract

Typhoid is an acute febrile illness caused by a bacterial infection of salmonella typhi and its endotoxin stimulates the synthesis and release of pyrogens by leukocytes in inflamed tissue resulting in hyperthermia. A non-pharmacological technique that can be used to reduce the increase in body temperature in hyperthermic patients is by doing a water tepid sponge bath, this technique is still rarely found in the field. Nurses tend to give antipyretics more often when children experience hyperthermia. This case study aims to present the results of implementing the evidence-based nursing water tepid sponge bath as an effort to reduce fever in typoid patients. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). A hyperthermic nursing diagnosis with a diagnosis number 00007 is given a nursing intervention in the form of a water tepid sponge bath. After being given nursing intervention for 7 days, hyperthermia was resolved by the criteria that the patient's body temperature returned to normal 36.2 °C. Water tepid sponge bath is effective in reducing body temperature in typoid patients
UPAYA MENINGKATKAN KUALITAS TIDUR LANSIA DENGAN METODE PEMBERIAN MADU MURNI Najamuddin, Nur Isriani; Wahab, Masyita; Shinta, Bella D.; Firmansyah, Andan
Viva Medika Vol 16 No 1 (2022)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i1.785

Abstract

Elderly (elderly) will experience changes both physically, mentally, spiritually and psychosocially. Complaints about difficulty sleeping at night often occur in the elderly. This is an important matter for the elderly, so an efficient and comfortable treatment is needed from side effects. Giving honey is one form of treatment with a relaxation method which is a type of non-pharmacological treatment that aims to improve the quality of sleep in the elderly. This research aims to identify the effect of honey on sleep quality in the elderly before and after giving pure honey in Galeso Village, Wonomulyo Community Health Center, Polewali Mandar Regency. This research is a quantitative research using a pre-experimental design. The research was carried out in Galeso Village from June to July 2021. The sample in this research amounted to 17 people. The analysis was tested using univariate and bivariate analysis. Sleep quality was measured using the PSQI (Pittsburgh Sleep Quality Index) questionnaire. Based on the Wilcoxon test analysis, the results showed that there was an effect of giving pure honey on sleep quality in the elderly
Studi Kasus: Implementasi Health Education Teknik Buteyko Breathing Untuk Mencegah Kekambuhan Asma Dengan Media Video Pada Keluarga: Case Study: Health Education Implementation of Buteyko Breathing Technique To Prevent Asthma Recurrence With Media Video for the Family Andan Firmansyah; Muhamad Ramdan Nujulul Furqon; Daniel Akbar Wibowo; Tita Rohita
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.54

Abstract

Asthma is a disease caused by narrowing of the airway due to inflammation or inflammation, asthma is the top 5 causes of death per year. Buteyko breathing is a deep breathing technique that is useful for strengthening the respiratory muscles. The use of videos about buteyko breathing can clarify an abstract picture about the importance of preventing asthma relapse. This case study aims to implement the Buteyko breathing technique in families with asthma patients to prevent asthma recurrence by using video media. This research uses a descriptive case study design using a nursing care approach. Methods of collecting interview data, observation, physical examination, and documentation. With the implementation of health education Buteyko breathing technique with video media which is carried out for 3x24 hours. From the results of the study, it was found that data according to the client's confession usually relapses every 1-2 weeks because of the cold weather in the early morning. Then after being given the implementation of the Buteyko breathing technique with video media when confirmed on June 19, 2022, the client claimed that he had not relapsed. The results of the case study after being given health education on the Buteyko breathing technique for the family of Mr. M understands how to prevent asthma recurrence so that the intervention is successful. Buteyko breathing intervention using video media is effective in preventing asthma relapse based on the client's subjective acknowledgment.
Remote Genetic Counseling and Psychoeducation for Patients with Genetic Issues: a Systematic Literature Review Setiawan, Henri; Hidayat, Nur; Setiawan, Doni; Firmansyah, Andan; Ariyanto, Heri
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14765

Abstract

ABSTRACT Remote technology refers to electronic information and telecommunication technologies utilized by medical personnel and doctors to manage patient health remotely. Such technologies encompass digital images, videos, or text files stored on computer systems. Technology-driven remote genetic counseling has demonstrated efficacy in enhancing the quality of life for patients afflicted with genetic disorders. Hence, researchers undertook a systematic review to assess the impact of remote technology interventions on the psychological well-being of patients with genetic diseases. Inclusion criteria comprised English articles published from 2012 to 2023 focusing on technology-based remote genetic counseling interventions for patients with genetic disorders, with outcomes pertaining to psychological well-being. Research designs included randomized controlled trials and quasi-experimental studies, while exclusion criteria encompassed literature reviews, systematic reviews, and scoping reviews. The review encompassed four databases: PubMed, Scopus, Proquest, and Wiley. Critical Appraisal Checklist from the Joanna Briggs Institute was employed for methodological assessment. The studies, comprising randomized controlled trials and quasi-experimental designs, met the inclusion criteria. The review of remote genetic counseling and psychoeducational interventions indicated a significant impact on psychological well-being, thereby enhancing the quality of life for patients with genetic disorders. remote genetic counseling  and psychoeducational interventions interventions have been shown to ameliorate the psychological status of patients affected by genetic disorders, thereby enhancing their quality of life. Evidence-based interventions utilizing technology can be integrated into medical care systems to effectively manage patients with genetic disorders. Keywords: Remote Genetic Counseling, Mobile Applications, Psychoeducation, Telephone, Web-Based 
The Implementation Of Psychosocial Rehabilitation In Adolescents Using Drugs With Inefective Coping Problems Rahayu, Gumelar Zati; Suhanda, Suhanda; Firmansyah, Andan
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.304

Abstract

Objective : Drug abuse in adolescents is a serious problem that affects their physical, psychological, and social health. In addition, the problem of ineffective coping has a frequent impact on drug users. Data from the National Narcotics Agency show that out of 34.7 million drug users in Indonesia, the prevalence of drug attacks in West Java is at 2.45%, with a total of 850 thousand people in the age range of 10-59 years. It is hoped that this can help adolescent drug users overcome ineffective coping problems through better selfunderstanding, managing emotions, improving social skills, and forming healthy groups. Method  : This research method uses a case study design. The case study design was chosen because this study aims to gain an in-depth understanding of the application of psychosocial rehabilitation to adolescent drug users with ineffective coping problems. The implementation of this research lasted for 10 days located in Banjarsari District. Result : The results of the case study after being given psychosocial rehabilitation the client's coping becomes effective and regular, the client can assess the positive aspects that can be done. Clients are able to carry out methods of implementing psychosocial rehabilitation. Conclusion and Recommendations : By paying attention to the physical, psychological and social aspects of this process can help adolescents to overcome the problem of ineffective coping. Support from the family and encouragement from the social environment also influence the recovery process.
Usability of Mobile Application for Implementing Genetic Counselling Intervention among Thalassemia Patients and Caregivers: A Case Study of Cyber Gen Setiawan, Henri; Hidayat, Nur; Farihatun, Atun; Indriastuti, Marlina; Kurniawan, Rudi; Firmansyah, Andan; Andarini, Esti; Lutfi Sandi, Yudisa Diaz
Elinvo (Electronics, Informatics, and Vocational Education) Vol. 8 No. 1 (2023): Mei 2023
Publisher : Department of Electronic and Informatic Engineering Education, Faculty of Engineering, UNY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/elinvo.v8i1.55688

Abstract

Utilization of communication and information technology has been widely used in the health sector, especially nursing. As one of the nursing interventions for thalassemia patients and caregivers, genetic counseling is not only done face to face but can use android-based telenursing facilities through the complete features available in the Cyber Gen application. This study aims to measure the usability level of Cyber Gen application as an indirect genetic counseling medium for thalassemia patients. This application was developed with four main services: basic information about diseases, consultation rooms, social support, and direct surveys. This application is built using the Flutter Framework, the Dart programming language, and Cloud Firestore as the database. Usability was measured by using the System Usability Scale in two groups of 30 respondents each with an incidental sampling technique. The usability score shows 81.75 for personal users and 82.25 for counselor users with a 100% readiness level for use. These results indicate that the Cyber Gen application can be used to deliver genetic counseling intervention to thalassemia patients and caregivers.
Co-Authors A Fitriani Aas Rosidah Abdullah Abdullah Ade Fitriani Ade Fitriani, Ade Ade Koswara Ade Kurniawan aditya nur wahyuni Ahmad, Nizar Ai Nuraliah Ajeng Silvia Akmal Rahayu Dasuki Rahmat Albianto, Deranito Langlang Paresa Alda Nurani Asmara Alfi Fadilah Ali Apriansyah Alifia Badriatul H Amelia Putri, Annisa Ana Samiatul Milah Andang Permana, Asep Andika Abdul Malik Andrian, Bagas Andriana, Bayu Anggraeni, Siti Dewi Annisa Fitria Nigusyanti Arifin, Hidayat Ariyanto, Heri Aryanti, Ayu Sri asep gunawan Asmarani, Sri Utami Asri Aprilia Rohman Atun Farihatun Aura Maulida, Salma Azril Ayu Endang Purwati Ayu Nalaratih Azahra, Tarisa Aziz, Iman Azmar, Dwiva Bela, Bela Bella D. Shinta Dadi Hamdani Daniel Akbar Wibowo Dea Sri suhartini Dedi Supriadi Dedi Supriadi Dela Yulianti Deni Firmansyah Deni Kurniawan Desty Yuliawati Dian Andriani Diki Arif Hidayat Doni Setiawan E Roslianti E Rosliati Elis Noviati Elis Roslianti Elza Dwi Zuvita Enita, Enita Esti Andarini Fahliza, Aqshal Ilham Fani Afifah Fauzanillah Fauzanillah Fauzanillah Fauziah, Diny Nur Febriani, Azhrin Fidiyanti Amatilah Fidya Anisa Firdaus Fidya Anisa Firdaus Fitri, Istiqlal Fuzti Fauzia Gina, Gina Gumelar Zati Rahayu Gunawan Angga Saputra H Setiawan Hadryani Amin Haerani, Salsya Hani Monika Hasanah, Dinda Lutfi Hasanah, Hilmiatun Hasna Luthfiyah, Ghina Hendasyah, Firza Hendri Tamara Yuda Heni Heryani Heni Marliany Heni Pujiastuti Henri Setiawan Henri Setiawan hera maulidiyah Heri Ariyanto Heri Ariyanto Herni Oktriani Ibrahim, Bobi Iif Taufiq El Haque Iis Ismayanti Imaniar, Dewi Permata Imel Puji Astuti Indriastuti, Marlina Irma P. Arisanty Irmayanti, Delviera Irpan Ali Rahman Ishana Balaputra Ismawati, Alvira Jajuk Kusumawaty Jevanesia, Nawa Fisca Julia Putri Juliyana, Ilham Kemala Fauzia Keysha Nur Shaffa Ap Lena Agustina Lestari Utami, Lestari Lidia Naela Sangadah Lilis Lismayanti Lilis Lismayanti Linda Oktavianingsih Lisa Lati, Lesa Lisda Alvita Listiawati Listiawati Lusi Lestari M. Syikir Marwa, Alya Shofia Masluh Aziz, Iman Masyita Wahab Maulana Nurona, Ridha Maulidah Noorsopia Maya Ovia Meida Bintari Metty Nurherliyany MJW, Endrian Mohamad Sidik, Haris Mohammad Haekal Muhamad Akbar, Adiansyah Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Muhammad Daffa Alifio Muhammad Syahrul Zain Muhammad Syikir Mustakimah, Risma Mutia Dwi M najamuddin, nur isriani Navis Aulia Rahman Nea Sherina Nendah Sulistiani Nendela Resta Angga Putri Neng Wiwin Mulyati Nizar Ahmad Nugraha, Ilham Nur Hidayat Nur Hidayat Nur Isriani Najamuddin Nur Isriani Najamuddin Nur Isriani Nur Zaidan, Rafi Hanif Nurani Asmara, Alda Nuranjani, Tini Nurapandi, Adi Nurhaliza, Nabila Nurhayati, Ismi Nurherliyany, Metty Nurisriani Najamuddin Nurpadilah, Demita Nurpatonah, Dini Nursamsi, Nursamsi NURUL AZIZAH Oktavianti, Riska Fitri Pradiansyah, Kevin Septia Pratama, Tegar Wahyu Yudha Putri, Julia Putri, Tri Antika Rizki Kusuma Rahayu, Gumelar Zati Rahmayanti Puang Kuma Raina, Ade Ramdani, Vikri Haikal Rapiyudin Rapiyudin Reika Dhamayanti Reni Purwanti Rhousnaka, Dika Rian Rahmatulloh Rifaa Fauzan Rabani Rike Rahma Amelia Rini Fitriani Rinrin Sugiartin Riza Nuraeni Putri Rizki Aulia, Adinda Rizky Perdana Susanto Rohimah, Sri Nurul Rosidah Solihah roslianti, elis Rosmiati Rudi Kurniawan Rudi Kurniawan Safariani, Nur Salsabilah, Nadwa Sandi, Yudisa Diaz Lutfi Sandriani Sani Dayanti Santika Santika Sari, Amelia Cahya Sari, Deuis Diana Sari, Wiar Selvia David Richard Shabrina Shabrina, Shabrina Shinta, Bella D. Shofi Nurwahidah Siti Aisyah Sri Sulastri Desi Yanti Sri Wahyuni, Tyas SUDALHAR SUDALHAR Suhanda Suhanda Suhanda Suhanda Suhanda Suhanda Suharta Suharta Sukaesih, Iis Sukmara Aji Falah Sulistiarini Syahdan Nurul Bayan Syaira, Renata Syamsiar, Syamsiar Tarisa Amelia Tarsim Putri, Suci Ambarwati Tiara Cahya Rinukti Tiara Ningrum, Putri Azizah Tita Rohita Umami, Afriza Utami Asmarani, Sri Vikri Haikal Ramdani wahab, masyita wahab, masyitah Wardana, Mahadiaz Syah Wardani, Nindi Irma Wiji Safitri, Desti Riyasti Wina Widianti Wulan Permatasari Yuda Nugraha Yulistianto Yuyun Rahayu Zahra, Septiani