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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.
Pengaruh Senam Kaki Diabetes Dan Diet Rendah Gula Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Melitus Oka Afriza Yanto; Joko Prasetyo; Novita Ana Anggraini
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51750

Abstract

Diabetes melitus merupakan penyakit kronis yang ditandai dengan meningkatnya kadar gula darah melebihi batas normal, yaitu ≥200 mg/dl untuk glukosa sewaktu atau ≥126 mg/dl untuk glukosa puasa. Penyakit ini sering kali baru terdeteksi setelah komplikasi muncul karena gejalanya tidak langsung terlihat. Penelitian ini bertujuan mengetahui pengaruh senam kaki diabetes dan diet rendah gula terhadap penurunan kadar gula darah pada penderita diabetes melitus di Puskesmas Johan Pahlawan Aceh Barat. Metode penelitian menggunakan quasi eksperimen dengan rancangan pre-test and post-test one-group design with control group. Sampel sebanyak 104 responden dipilih dengan teknik purposive sampling dan penelitian dilaksanakan pada September–Oktober 2025. Instrumen yang digunakan meliputi SOP senam kaki diabetes, SOP Food Frequency Questionnaire (FFQ), alat ukur gula darah Autocheck, video senam kaki, dan lembar evaluasi. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa sebelum dilakukan senam kaki diabetes pada kelompok kontrol kategori buruk sebesar 63,5% dan sebelum penyuluhan diet gula pada kelompok kontrol sebesar 84,6%. Setelah dilakukan senam kaki diabetes pada kelompok kontrol, kategori baik meningkat menjadi 84,6%, sedangkan sesudah penyuluhan diet gula pada kelompok intervensi kategori baik sebesar 78,8%. Hasil uji T menunjukkan pengaruh signifikan (p < 0,05), yaitu 0,034 dan 0,000 pada intervensi senam kaki serta 0,000 dan 0,008 pada diet gula. Hal ini membuktikan bahwa senam kaki diabetes dan diet rendah gula berpengaruh signifikan terhadap penurunan kadar gula darah penderita diabetes melitus.
Comparative Analysis of Behavioral Theories in Promoting CPR: A Theory-Based Approach to Cardiopulmonary Resuscitation Training in Community Abdurahman Wahid; Dina Septiany; Sri Widati; Sri Haryuni; Nurma Afiani; Novita Ana Anggraini
Jurnal Penelitian Pendidikan IPA Vol 11 No 12 (2025): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i12.13502

Abstract

Sudden cardiac arrest (SCA) is a critical emergency that need immediate intervention to prevent death. This review will discuss behavioral theories relevant to the promotion of Cardiopulmonary Resuscitation in the community. Findings from previous studies were analyzed using approaches from three theories, namely the Integrated Behavior Model (IBM), Health Belief Model (HBM), and Social Cognitive Theory (SCT). This narrative review examines three behaviour theories applicability as a conceptual model for CPR promotion, focusing on enhancing community engagement and response rates to out-of-hospital cardiac arrests (OHCA). Articles search keywords used for review including "CPR Intention Factors," "Willingness to Perform CPR," "Predictors of CPR Intention," and "Social Determinants of CPR.". Database used were ProQuest, ScienceDirect, and Sage Journals. Eleven articles were utilized, revealing findings that experience, skills, demographic factors, culture, training, attitudes, norms, and knowledge contribute to community CPR actions. Findings suggest that IBM can effectively support CPR promotion strategies, fostering a culture of preparedness and resilience against cardiac emergencies.
Peningkatan Pengetahuan dan Kesadaran Pencegahan Penularan Tuberkulosis pada Pengunjung dan Keluarga Pasien di RSUD Ar Rozy Kota Probolinggo: Pengabdian Novita Ana Anggraini; Intan Sudarmadi
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 4 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 4 April - Juni
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i4.5958

Abstract

Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat di Indonesia, terutama di fasilitas pelayanan kesehatan. Pengunjung dan keluarga pasien seringkali memiliki keterbatasan pengetahuan terkait pencegahan penularan TB. Kegiatan ini bertujuan meningkatkan pengetahuan dan kesadaran pencegahan TB di RSUD AR ROZY Kota Probolinggo. Metode yang digunakan adalah penyuluhan kesehatan partisipatif melalui ceramah interaktif, diskusi, dan demonstrasi. Hasil menunjukkan adanya peningkatan pengetahuan dan kesadaran peserta, khususnya dalam penggunaan masker dan etika batuk. Penyuluhan kesehatan terbukti efektif dalam meningkatkan literasi kesehatan dan perilaku preventif.
Edukasi Penggunaan Apd Pada Tenaga Kesehatan Di Rsud Ar Rozy Kota Probolinggo: Pengabdian Novita Ana Anggraini; R.A. Dessy Indraningsih
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 4 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 4 April - Juni
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i4.6020

Abstract

Penggunaan Alat Pelindung Diri (APD) merupakan komponen penting dalam upaya pencegahan dan pengendalian infeksi di fasilitas pelayanan kesehatan. Namun, kepatuhan tenaga kesehatan dalam penggunaan APD masih belum optimal, yang dipengaruhi oleh keterbatasan pengetahuan, keterampilan, serta rendahnya kesadaran terhadap risiko infeksi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, keterampilan, dan kepatuhan tenaga kesehatan dalam penggunaan APD di RSUD Ar Rozy Kota Probolinggo. Metode yang digunakan adalah penyuluhan kesehatan dengan pendekatan partisipatif melalui ceramah, demonstrasi, dan simulasi praktik penggunaan serta pelepasan APD (donning dan doffing). Evaluasi dilakukan menggunakan pre-test dan post-test untuk mengukur peningkatan pengetahuan, serta observasi langsung untuk menilai keterampilan peserta dalam menggunakan APD secara benar. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan tenaga kesehatan setelah diberikan edukasi. Terjadi peningkatan kesadaran dan kepatuhan dalam penggunaan APD selama proses pelayanan kesehatan. Peserta juga menunjukkan kemampuan yang lebih baik dalam menerapkan prosedur penggunaan dan pelepasan APD sesuai standar Pencegahan dan Pengendalian Infeksi. Edukasi penggunaan APD terbukti efektif dalam meningkatkan perilaku tenaga kesehatan dalam pencegahan infeksi. Kegiatan ini diharapkan dapat berkontribusi dalam menurunkan risiko infeksi nosokomial serta meningkatkan keselamatan kerja dan mutu pelayanan kesehatan secara berkelanjutan di rumah sakit.
The effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients: A quasi-experimental study at Bhayangkara Surabaya Hospital Heri Nur Cahyanto; Agustin Agustin; Novita Ana Anggraini; Prima Dewi K; Atik Setiawan W
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.26

Abstract

Background: Pulmonary outpatients often experience recurrent respiratory symptoms requiring continuous support. Limited consultation time, increasing digital health use, and the need for symptom monitoring highlight the importance of AI-assisted nursing care in outpatient pulmonary services. Purpose: This study analyzed the effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients at Bhayangkara Surabaya Hospital. Methods: A quasi-experimental study with a two-group pretest-posttest design involved 70 pulmonary outpatients (35 intervention, 35 control). The intervention group received AI-assisted nursing care; the control group received standard care. Data were collected using the Digital Health Literacy Instrument, a symptom management questionnaire, and the Nijmegen Continuity Questionnaire. Analysis used paired t-test, Wilcoxon Signed-Rank Test, independent t-test, and Mann-Whitney U Test. Results: The intervention group showed significantly greater improvements than the control group. Digital health literacy was significantly higher (t = 9.11, p < 0.001), symptom management improved significantly (Z = −7.84, p < 0.001), and continuity of care differed significantly between groups (t = 8.99, p < 0.001). Change scores were substantially greater in the intervention group, particularly for continuity of care (18.95 vs. 2.26), with small effect sizes across all outcomes. Conclusion: AI-assisted nursing care can strengthen digital nursing support for pulmonary outpatients. Integrating structured digital education, chatbot interaction, symptom tracking, reminders, and nurse monitoring improves digital health literacy, symptom management, and continuity of care in outpatient pulmonary services.
Faktor Individu, Organisasi, dan Sistem Teknologi terhadap Persepsi Perlindungan Hukum Tenaga Keperawatan dalam Implementasi Dokumentasi Asuhan Keperawatan Elektronik Uneri Uneri; Sentot Imam Suprapto; Novita Ana Anggraini
Journal of Telenursing (JOTING) Vol. 8 No. 2 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/v3v16441

Abstract

This study aims to analyze the influence of individual, organizational, and technological system factors on the perception of legal protection for nursing staff in the use of electronic nursing care documentation. This research method used a quantitative analytical design with a cross-sectional design and a correlational approach. The results showed that partially, individual factors (t=2.260; p=0.026), organizational factors (t=2.327; p=0.022), and technological systems (t=2.422; p=0.018) significantly influenced perceptions of legal protection. Simultaneously, these three factors contributed 40.9% to the perception of legal protection for nursing staff. This indicates that the safety of the nursing profession is highly dependent on the synergy between individual competence, organizational support, and the reliability of technological systems. In conclusion, improvements to hospital management information systems (SIMRS), strengthening standard operating procedures (SOPs), and ongoing training are needed to ensure patient safety and legal protection for nursing staff in the digital era.   Keywords: Electronic Documentation, Individual Factors, Organization, Legal Protection, Technological Systems
Peningkatan Awareness Masyarakat tentang Penatalaksanaan Kegawatan Hipertensi melalui Edukasi Kesehatan di Wilayah Kerja Puskesmas Kota Ruteng Novita Ana Anggraini; Godefridus Antoni Turut
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.988

Abstract

Introduction: Hypertension remains one of the leading non-communicable diseases and is a major public health concern due to its high prevalence and the low level of community awareness regarding its management. Community assessment conducted in the working area of Puskesmas Kota Ruteng identified hypertension as the highest-ranking health problem, highlighting the need for effective community-based health promotion interventions. Objective: This community service aimed to increase public awareness regarding hypertension management through structured health education in the working area of Puskesmas Kota Ruteng. Method: This community service adopted a community nursing approach consisting of community assessment, problem identification using Fishbone Analysis, priority setting using the Urgency, Seriousness, and Growth (USG) method, and strategic planning through SWOT Analysis. The selected intervention was implemented through health education using lectures, interactive discussions, question-and-answer sessions, blood pressure screening, and leaflet distribution targeting adults, patients with hypertension, family members, and community health volunteers. Result: Community assessment identified 1,113 hypertension cases during the December 2025–May 2026 period, consisting of 439 male and 694 female patients. Baseline findings also showed that 70% of community members rarely exercised, 60% frequently consumed high-salt foods, and 55% did not routinely monitor their blood pressure. Following the educational intervention, ≥80% of participants demonstrated improved knowledge and correctly answered the evaluation questions. Participants also showed better understanding of routine blood pressure monitoring, medication adherence, healthy lifestyle practices, and hypertension prevention, reflecting improved awareness of hypertension management. Conclusion: Community-based health education developed through systematic problem analysis using Fishbone, USG, and SWOT effectively improved public awareness regarding hypertension management. This approach may serve as a sustainable strategy to strengthen community participation in hypertension prevention and control at the primary healthcare level. Keywords: community awareness, Fishbone analysis, health education, hypertension, SWOT analysis, USG.
PENGUATAN PEMAHAMAN WORK-LIFE BALANCE BAGI BIDAN DI KABUPATEN LOMBOK TENGAH Novita Ana Anggraini; I Gusti Ayu Juliantari; Baiq Reni Pratiwi
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 10 (2026): Maret 2026
Publisher : Bajang Institute

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

Abstract

Work–life balance is an important factor in maintaining the psychological well-being and work performance of healthcare workers, particularly midwives who face high work demands and multiple roles. This community service activity aimed to improve midwives’ understanding of the concept, impacts, and management strategies of work–life balance in Central Lombok Regency. The activity was conducted through an educational and participatory counseling program using the Satuan Acara Penyuluhan (SAP) method and involved 35 midwives. Evaluation was carried out using pre-test and post-test to measure changes in participants’ levels of understanding. The results showed a significant improvement in understanding, from 37.1% before the activity to 85.7% after the activity. Most participants were able to identify practical strategies for managing work–life balance and expressed readiness to apply them in their professional and personal lives. This activity was effective in increasing midwives’ understanding and awareness of the importance of work–life balance as a preventive effort against work-related stress and burnout and in supporting the improvement of healthcare service quality.
OPTIMALISASI BUDAYA KERJA APOTEKER MELALUI KEGIATAN "APOTEKER MENYAPA" DI LOMBOK TENGAH Novita Ana Anggraini; Muhamad Ainussobah; Lalu Iman Saptahadi
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 10 (2026): Maret 2026
Publisher : Bajang Institute

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

Abstract

Penyalahgunaan obat yang tidak ditangani dengan serius dapat menimbulkan dampak dahsyat bagi individu dan masyarakat, seperti peningkatan resistensi antibiotik akibat penggunaan irasional, overdosis yang mengancam jiwa, serta kerusakan organ permanen. Kegiatan penyuluhan langsung, seperti edukasi penggunaan obat rasional, pencegahan resistensi antibiotik, dan promosi swamedikasi aman kepada masyarakat sangat penting untuk dilakukan. Kegiatan ini tidak hanya meningkatkan keterampilan klinis apoteker, tetapi juga memperkuat jaringan kolaborasi dengan puskesmas lokal, stakeholder lain, dan Dinas Kesehatan Lombok Tengah. Kegiatan “Apoteker Menyapa” merupakan bentuk nyata dari kegiatan apoteker di Lombok Tengah yang langsung menyentuh masyarakat. Tujuannya tidak lain supaya masyarakat lebih mengerti tentang obat dan pengobatannya, untuk menciptakan pemahaman masyarakat terkait dengan bagaimana cara mengelola obat secara rasional. Sehingga tujuan utama yang diinginkan adalah supaya masyarakat bisa meningkatkan kualitas hidupnya