Fuzianti Lestari
Sekolah Tinggi Ilmu Kesehatan Pamentas

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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.
The Effectiveness of Breast Care in Increasing Breast Milk Production in Postpartum Mothers Mustikawati Mustikawati; Wd Erty Hikma; Fuzianti Lestari
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.v8i3.1072

Abstract

The postpartum period is a crucial phase for the success of exclusive breastfeeding, marked by various physiological and psychological changes in the mother. One common issue during this period is the difficulty in expressing breast milk, which can affect the baby's growth and overall health. Contributing factors include stress, fatigue, poor nutritional intake, and a lack of knowledge about proper breastfeeding techniques. Breast care is a non-pharmacological intervention that has been scientifically proven to stimulate the hormones prolactin and oxytocin, thereby enhancing milk production and expression. This study aims to evaluate the effectiveness of the breast care technique in improving breast milk production and expression in postpartum mothers. It also seeks to describe the characteristics of the respondents and compare their condition before and after the intervention. This research used a descriptive qualitative approach with a case study design involving five postpartum mothers. Respondents were selected based on specific criteria using purposive sampling. Data were collected through direct observation during a four-day breast care intervention. Before the intervention, all respondents experienced difficulties in milk expression, with scores categorized as “very low” to “low.” After four days of intervention, a significant improvement was observed. All respondents achieved the maximum score (10/10) based on maternal indicators and a good score (5/6) based on infant indicators. Breast care proved effective in enhancing milk flow through hormonal stimulation and its relaxing effect.