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All Journal Health and Technology Journal (HTECHJ) Malahayati International Journal of Nursing and Health Science
Yuly Peristiowati
Universitas STRADA Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The impact of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients Rustam Ali; Novita Ana Anggraini; Yuly Peristiowati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.725

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) represents a significant global health burden, contributing substantially to long-term morbidity and mortality rates worldwide. Purpose: To evaluate the effectiveness of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients. Method: A quasi-experimental study was conducted using a pre-test and post-test control group design, involving 46 participants divided into intervention and control groups. Data collection tools included questionnaires, respiratory rate observations, and a peak flow meter. For data analysis, inferential statistics were applied: the Independent t-test and Paired t-test were used for normally distributed ratio data, while the Wilcoxon Signed Ranks Test and Mann-Whitney U Test were employed for ordinal data. Results: The combination of diaphragm breathing exercises and cold facial stimulation significantly reduces dyspnea perception in COPD patients. This intervention was also found to be effective in lowering the respiratory rate of COPD patients. Additionally, the results revealed a significant improvement in Peak Expiratory Flow Rate (PEFR) in the intervention group compared to the control group. Conclusion: Peak Expiratory Flow Rate (PEFR) significantly improved in the intervention group compared to the control group, indicating the combined intervention's efficacy in enhancing respiratory function in COPD patients.
Efforts to Implement a Reward System (Incentives, Promotions, and Career Development) to Improve the Performance of Nurses Darmawati Abdul Rachman; Yuly Peristiowati; Rahmania Ambarika
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.552

Abstract

The working conditions of healthcare workers in Indonesia, especially in state hospitals, remain unsatisfactory. One factor that influences this is the low reward system in state hospitals compared to private hospitals. The purpose of this research is to determine the effect of the reward system (incentives, promotions, and career development) on improving the performance of nurses. The design of this research is quantitative, employing a cross-sectional approach, with the population in this study comprising all 150 nurses at UPTD RSUD Bobong. The sample consisted of a portion of the population that met the inclusion criteria, comprising 112 people selected using a simple random sampling technique. The collected data were analyzed using Spearman's rho statistical test and ordinal logistic regression analysis with an α error rate of 0.05. The results of the analysis using the ordinal regression test yielded a significant result. (2-tailed) values ​​for the incentive factor (p-value = 0.012 < 0.05), promotion factor (p-value = 0.023 < 0.05) and career development factor (p-value = 0.019 < 0.05). The research shows that incentive, promotion, and career resulted in harm er development factors in implementing the reward system influence the performance of nurses at Bobong Hospital, Taliabu Island Regency. The incentives factor is the most dominant in the reward system, which influences nurse performance.
Co-Authors Darmawati Abdul Rachman Novita Ana Anggraini Rahmania Ambarika Rustam Ali