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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Hendrawati Hendrawati
Sekolah Tinggi Ilmu Kesehatan Pamentas
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Application of Effective Clapping and Coughing Techniques Post Nebulization to Overcome Airways Clearance in Asthma Patients Hendrawati Hendrawati; Wulandari Wulandari; Fuzianti Lestari
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.5835

Abstract

Asthma is one of the main diseases that cause patients to require hospitalization. WHO records 235 million cases of asthma worldwide each year. In Indonesia, the number of asthma sufferers is 4.5% of the total population or 12 million. At Grha Permata Ibu Hospital, there are 113 asthma sufferers out of a total of 9,654 patients. Asthma causes the airways to narrow because they are blocked by mucus/phlegm. Therefore, appropriate treatment such as pharmacological management with nebulization therapy & non-pharmacological chest physiotherapy and effective coughing techniques are needed to clear the respiratory tract of obstructing phlegm. Objectives to determine the application of effective post-nebulization clapping & coughing techniques to overcome airway clearance in asthma sufferers. The type of research is quantitative descriptive. The methods used by the author are interviews, physical examinations, & observations. The instruments used are informed consent sheets, assessments, observations & questionnaires. Before the intervention, all respondents experienced problems with airway clearance with clinical shortness of breath, coughing and difficulty expelling phlegm. After the intervention, the results showed that the clapping technique & effective coughing post nebulization were able to reduce shortness of breath, as many as 66.6% of respondents said that shortness of breath was reduced, 33.3% of respondents said they were not short of breath and 73.3% of respondents were able to expel phlegm. Implementation of clapping and coughing techniques effectively after nebulization to overcome airway clearance in asthma sufferers.
Effectiveness of Cognitive Exercise on Anxiety Levels in the Elderly Hendrawati Hendrawati; Muhammad Arifki; Riyanah Riyanah
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1138

Abstract

Anxiety is a common psychological problem experienced by older adults and can impact quality of life and cognitive function. Various non-pharmacological interventions have been used to reduce anxiety in older adults, but most studies still focus on physical activity and relaxation. Empirical evidence regarding the effectiveness of cognitive training on anxiety in older adults is limited and shows varying results. Therefore, this study was conducted to assess the effectiveness of cognitive training in reducing anxiety levels in older adults. Objective to determine the effectiveness of cognitive gymnastics on anxiety levels in the elderly at the Tresna Werdha 3 Social Home. This study used a quantitative approach with a pre-test and post-test design in one group. A sample of 45 elderly individuals was selected using the Slovin formula. Data collection was conducted through interviews and the Hamilton Anxiety Rating Scale (HARS) questionnaire. The HARS questionnaire was valid (0.30 – 0.80) and reliable (Cronbach’s Alpha 0.93). Data analysis was performed using univariate and bivariate methods using paired sample t-tests. Before the intervention, most elderly individuals experienced mild (46.8%) to moderate (31.9%) anxiety. After the intervention, the proportion of elderly with mild anxiety increased to 60%, and 8.9% experienced no anxiety. Paired Sample t-test results showed a significant decrease in anxiety scores (p < 0.001). Cognitive gymnastics is effective in significantly reducing anxiety levels in elderly individuals and can be used as a non-pharmacological intervention to improve the psychological well-being of elderly individuals.
Application of Acupressure Therapy to Reduce Blood Pressure in Hypertension Patients Hanny Irmaya; Hendrawati Hendrawati; Juwita Winnar
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1143

Abstract

Hypertension is a condition of increased systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, which has the potential to cause various cardiovascular complications if not optimally managed. Hypertension can be managed through pharmacological and non-pharmacological therapies. One non-pharmacological method that can be used is acupressure therapy, a stimulation technique in the form of pressure on certain points on the body that aims to increase relaxation and improve blood circulation. This study aims to determine the effectiveness of applying acupressure therapy in reducing blood pressure in hypertension patients. The research method used is qualitative research with a descriptive case study approach. The study subjects consisted of four respondents with hypertension. Data collection was carried out through interviews, observations, physical examinations, and blood pressure measurements before and after the intervention according to standard operating procedures. The acupressure therapy intervention was carried out for two weeks with a total of six meetings. Data was analyzed using thematic analysis. The results showed that before the intervention, the respondents' blood pressure was in the range of 150–170 mmHg for systolic and 90–110 mmHg for diastolic. After acupressure therapy, all respondents experienced a decrease in blood pressure, with systolic blood pressure ranging from 8–14 mmHg and diastolic blood pressure between 10–14 mmHg. These results indicate that acupressure therapy is effective in lowering blood pressure in patients with hypertension. Acupressure therapy can be considered a complementary non-pharmacological intervention in the management of hypertension.
Co-Authors Fuzianti Lestari Hanny Irmaya Juwita Winnar Muhammad Arifki Riyanah Riyanah Wulandari Wulandari