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All Journal Jurnal Menara Medika Lentera Perawat Journal of Community Nursing and Primary Care Indonesian Journal of Health Services
KK, Indra Frana Jaya
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Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Application of Active Cycle Breathing Technique (ACBT) Exercises on Hemodynamic Status in Pulmonary Tuberculosis Patients With Respiratory Problems : A Case Study KK, Indra Frana Jaya; Auliana, Hili; Damayanti, Anggraini Dwika; Putri, Angel; Susanti, Maya; Hidayati, Titi; Mariza, Yuri; Herliza, Santi
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.450

Abstract

Tuberculosis is an disease caused by the bacterium Mycobacterium tuberculosis and is a major public health problem in the world. One of the symptoms that arise from someone suffering from tuberculosis is hemodynamic disorders, especially respiratory pattern disorders. Objective: This study aims to describe the application of Active Cycle Breathing Technique (ACBT) training to hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns at Siti Fatimah Regional Hospital, South Sumatra Province. Method: This study used a descriptive design with a case study approach on three pulmonary tuberculosis patients who experienced respiratory pattern disorders. The data obtained was analyzed by comparing respiratory patterns, hemodynamic status and Modified Medical Research Council (MMRC) scores before and after intervention. Results: The third patient showed a stable hemodynamic status and a decrease in respiratory pattern disturbances from dyspnea to prone to eupnea. This was seen from a decrease in the MMRC score of one grade in each patient after being given ACBT training. Conclusion: ACBT training is an intervention that can be used to improve hemodynamic status in pulmonary tuberculosis patients with problems with respiratory patterns. Suggestion: Nurses can include ACBT training intervention as a complementary therapy for freezing and it is hoped that further research can add sessions in ACBT training and with a larger sample.
Application of Tepid Sponge Therapy to Treat Hyperthermia in Gestational Age Children at General Hospital : A Pre-Experimental Study KK, Indra Frana Jaya; Suraya, Citra; Patimah, Patimah; Pratiwi, Penti Meka; Kurniasari, Indri; Hasana, Pitri; Asrini, Putri Puji; Adelia, Raden Ayu Dhiyaa
Lentera Perawat Vol. 6 No. 2 (2025): April - June
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i2.453

Abstract

Fever in infants and children is the most common complaint. Fever is a form of defense from the body in dealing with problems in the body. Fever is not a problem, but a high fever can be serious in all children. This study aims to determine the application of Tepid Sponge therapy to treat hyperthermia in preschool-aged children at Siti Fatimah Regional Hospital, South Sumatra Province. This research used a pra-experimental approach with a one group pre-post test design, the number of respondents was 20 patients diagnosed with hyperthermia, then given Tepid Sponge therapy. Sampling used purposive sampling, data was collected by checking the patient's body temperature values in the pre-test and post-test. The results of statistical tests using the paired t-test showed that there was a decrease in temperature in patients before and after Tepid Sponge therapy with a value of p=0.000. The conclusion of this study is that the application of Tepid Sponge can significantly reduce temperature in pediatric patients who experience hyperthermia. Nurses can include the Tepid Sponge intervention as a complementary nursing therapy and it is hoped that future research can compare its effectiveness with other interventions, use a control group or use a larger sample.
Nursing management of ineffective airway clearance through effective cough technique in chronic obstructive pulmonary disease: A case study Marlina, Serli; Epin, Epin; KK, Indra Frana Jaya; Yunianti, Fifi; Jamal, Jamal; Diana, Diana
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.629

Abstract

Background: Ineffective airway clearance is a common complication among patients with Chronic Obstructive Pulmonary Disease (COPD), requiring structured nursing interventions such as the effective cough technique to optimize secretion mobilization. Objective: This case study aimed to describe the nursing management of ineffective airway clearance using the effective cough technique in adult COPD patients. Methods: A descriptive case study was conducted on two adult COPD patients experiencing ineffective airway clearance at RSUD Siti Fatimah. Data were collected through interviews, physical examination, direct observation, and nursing documentation over a three-day intervention period. The effective cough technique was implemented 2–3 sessions per day. Data were analyzed using descriptive analysis, comparing pre- and post-intervention respiratory parameters (RR, SpO₂, sputum characteristics) and narratively reviewing qualitative responses to evaluate clinical improvement. Results: Both patients initially exhibited dyspnea, ineffective coughing, wheezing, and difficulty expectorating thick sputum. Progressive improvements were observed across three days, demonstrated by increased sputum expulsion, decreased respiratory rate, disappearance of wheezing, improved oxygen saturation, and enhanced patient comfort. By day three, both patients were able to perform effective coughing independently and showed normalized respiratory patterns. Conclusion: The effective cough technique is a safe and clinically beneficial non-pharmacological intervention that improves airway clearance and respiratory function in COPD patients. Regular guidance, proper positioning, hydration, and continuous monitoring strengthen intervention outcomes and support patient self-management in airway clearance.
Nursing care using roy’s adaptation model–based mirror therapy for physical mobility impairment in stroke patients: A case study Saputra, Agusdiman; Susanti, Mira; Pratiwi, Siti Hardiyanti; KK, Indra Frana Jaya; Kastina, Kastina; Regina, Regina
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.643

Abstract

Background: Stroke is a common neurological disorder that requires prompt and appropriate management to prevent functional impairment. Non-pharmacological nursing interventions play an important role in supporting motor recovery, one of which is Mirror Therapy, which facilitates motor relearning through visual feedback mechanisms. Objective: This study aimed to implement nursing care for stroke patients through the application of Mirror Therapy based on Roy’s Adaptation Model. Methods: A descriptive study with a case study approach was conducted involving three stroke patients at RSUD Siti Fatimah. The intervention consisted of Mirror Therapy exercises integrated with Roy’s Adaptation Model. Data collection techniques included nursing assessment, observation, physical examination, and documentation. Nursing diagnoses were established based on the Indonesian Nursing Diagnosis Standards (SDKI), and interventions were implemented using the Indonesian Nursing Intervention Standards (SIKI) and evaluated with the Indonesian Nursing Outcome Standards (SLKI). Results: Initial assessments of all three patients revealed complaints of unilateral extremity weakness and dizziness. The identified nursing diagnoses included impaired physical mobility and risk of ineffective cerebral perfusion. After three days of Mirror Therapy intervention, all patients demonstrated improvement in extremity muscle strength scores. These findings indicate a positive functional response to the intervention. Conclusion: Mirror Therapy based on Roy’s Adaptation Model is effective in improving extremity muscle strength and addressing impaired physical mobility in patients with non-hemorrhagic stroke. This intervention can be considered a valuable non-pharmacological nursing approach to support motor recovery in stroke patients.
Integrating progressive muscle relaxation and guided imagery based on adaptation model for pain management in ovarian cancer: A nursing case study KK, Indra Frana Jaya; Nainggolan, Sutrisari Sabrina; Ningsih, Deasy Kurnia; Cahya, Febriani; Amalah, Frita Anesia; Rahayu, Rita Puji; Maharani, Shinta
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.702

Abstract

Background: Ovarian cancer frequently causes severe pain and psychological distress that negatively affect patients’ physiological and psychological well-being. Effective pain management in oncology nursing requires comprehensive strategies that combine pharmacological treatment with supportive non-pharmacological interventions. However, evidence regarding the integration of these techniques within the Roy Adaptation Model for pain management in ovarian cancer patients remains limited. Objective: This study aimed to analyze the effectiveness of integrating Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model to reduce pain and anxiety in patients with ovarian cancer through a nursing case study. Methods: This study employed a descriptive case study design conducted in the Paviliun Cemara ward at RSUD Siti Fatimah, South Sumatra Province. Three ovarian cancer patients experiencing acute pain were selected using purposive sampling based on predefined inclusion criteria. Data collection was carried out through interviews, physical examination, observation, and measurement of pain and anxiety levels using the Numeric Rating Scale (NRS) and Hamilton Anxiety Rating Scale (HARS). The intervention consisted of Progressive Muscle Relaxation and Guided Imagery sessions administered twice daily for three consecutive days. Data were analyzed descriptively by comparing changes in pain and anxiety scores before and after the intervention. Results: The findings showed a consistent reduction in pain intensity and anxiety levels among all participants after the intervention. Patient 1 experienced a decrease in pain from NRS 7 to 3 and anxiety from HARS 24 to 12. Patient 2 showed a reduction in pain from NRS 8 to 0 and anxiety from HARS 18 to 8. Patient 3 demonstrated improvement with pain decreasing from NRS 8 to 2 and anxiety from HARS 25 to 10. Improvements were also observed in physiological parameters and patient comfort levels, indicating positive adaptive responses to the intervention. Conclusion: The integration of Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model demonstrated beneficial effects in reducing pain and anxiety among patients with ovarian cancer. These findings suggest that relaxation-based nursing interventions may serve as effective complementary strategies in oncology pain management and support patient adaptation to illness.
PENGARUH PENERAPAN BUERGER ALLEN EXERCISE (BAE) TERHADAP GLUKOSA DARAH PADA PASIEN DIABETES MELITUS TIPE II KK, Indra Frana Jaya; Ashara, Fauzi; Husna, Elfira; Susanti, Evi; Fatria, Erian; Kurnia, Vera
Menara Medika Vol 8, No 2 (2026): VOL 8 NO 2 MARET 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i2.7349

Abstract

Pendahuluan: Peningkatan kadar glukosa darah adalah tanda penyakit metabolik kronis yang dikenal sebagai diabetes karena gangguan dalam sekresi insulin atau respon tubuh terhadap insulin Penatalaksanaan diabetes melitus salah satunya adalah aktivitas fisik atau nonfarmakologi, penatalaksanaan nonfarmakologi dengan masalah perfusi perifer tidak efektif adalah dengan buerger allen exercise. Metode: Penelitian ini merupakan penelitian kuantitatif dengan quasi experiment design dengan rancangan non equivalent control group, dengan membandingan pre test dan post test serta membandingkan kelompok intervensi dengan kelompok kontrol. teknik pengambilan sampling adalah purposive sampling yaitu sebanyak 36 responden, terdiri dari 18 responden sebagai kelompok intervensi dan 18 responden sebagai kelompok kontrol. di lakukan selama 5 hari dengan 2 sesi. Analisa data menggunakan uji-t Dependen pada pre test dan post test dan uji-t Independen pada perbandingan kelompok intervensi dengan kelompok kontrol Hasil: Terdapat pengaruh penerapan burger allen exercis terhadap Glukosa darah pada pasien Diabetes Melitus tipe II pada kelompok intervensi dan kontrol dengan nilai p 0,05 Diskusi: Buerger allen exercise (BAE) efektip meningkatkan sirkulasi darah ke ekstremitas dan merangsang terjadinya gerakan kontraksi dan relaksasi pada pembuluh darah sehingga peredaran darah pada kaki menjadi lebih baik. Temuan ini menegaskan pentingnya intervensi non-farmakologis yang mudah diterapkan untuk stabilisasi glukosa darah pada pasien Diabetes Melitus tipe II. Kata kunci : Diabetes; Buerger allen exercise ; Ankle brachial index; Glukosa darah
Family support in the elderly with type 2 diabetes mellitus: A literature review KK, Indra Frana Jaya; Putri, Amelia; Wijaya, Brahma Putra; Zulkarnaen, Ahmad
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.41

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with an increasing prevalence among the elderly and requires long-term management to prevent complications. Effective diabetes management depends not only on medical treatment but also on consistent self-care behaviors and medication adherence, in which family support plays an essential role. Objective: This study aimed to examine the role of family support in the management of Type 2 Diabetes Mellitus among elderly patients through a literature review. Methods: A literature review was conducted by analyzing relevant articles published in international peer-reviewed journals focusing on family support and diabetes management in elderly populations. Articles were selected based on predefined inclusion criteria related to study population, family support dimensions, and diabetes management outcomes. The selected literature was systematically reviewed and synthesized to identify patterns and key findings regarding the role of family support. Results: The findings demonstrated that family support, including emotional, informational, and instrumental support, was associated with improved glycemic control, better medication adherence, enhanced self-care behaviors, and improved quality of life among elderly patients with T2DM. However, several barriers were identified, such as limited family knowledge about diabetes management and restricted access to healthcare services, which may reduce the effectiveness of family support. Conclusion: Family support plays a critical role in the effective management of Type 2 Diabetes Mellitus in the elderly. Strengthening family-centered health education and integrating family involvement into long-term diabetes care models are recommended to optimize clinical outcomes and improve the overall quality of life of elderly patients with T2DM.
Effect of progressive muscle relaxation on nurses’ work-related stress: A quasi-experimental study KK, Indra Frana Jaya; Apriyadi, Iman
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.126

Abstract

Background: Nurses experience substantial work-related stress due to high workload, organizational demands, and emotional labor in hospital settings. Persistent occupational stress may contribute to burnout, reduced job performance, and compromised quality of care. Progressive Muscle Relaxation (PMR) has been recognized as a non-pharmacological technique to reduce psychological stress; however, empirical evidence focusing on hospital nurses remains limited. Objective: This study aimed to examine the effect of Progressive Muscle Relaxation on nurses’ work-related stress in a public hospital setting. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 35 nurses at RSUD Siti Fatimah, South Sumatra Province. Total sampling was applied to recruit eligible participants. Work-related stress was measured using the Expanded Nursing Stress Scale (ENSS), consisting of 57 Likert-scale items. The intervention consisted of Progressive Muscle Relaxation administered once daily for seven consecutive days. Data were analyzed using descriptive statistics and paired sample t-test to compare pre- and post-intervention stress scores. Results: The majority of participants were female (74.3%) and professional nurses (57.1%), with more than three years of work experience (57.1%). The mean stress score decreased from 125 before the intervention to 87.5 after the intervention. The mean difference in stress scores was 35.5 (SD = 13.06), and the paired t-test revealed a statistically significant reduction in stress levels (p = 0.001). Conclusion: Progressive Muscle Relaxation significantly reduced nurses’ work-related stress after seven consecutive sessions. The findings suggest that PMR is a feasible and practical intervention for stress management in hospital settings. Integration of structured relaxation programs into occupational health strategies may enhance nurses’ psychological well-being and support safer clinical practice
Co-Authors Adelia, Raden Ayu Dhiyaa Ahmad Zulkarnaen Amalah, Frita Anesia Apriyadi, Iman Ashara, Fauzi Asrini, Putri Puji Auliana, Hili Cahya, Febriani Damayanti, Anggraini Dwika Diana Diana Elfira Husna, Elfira Epin, Epin Erian Fatria Evi Susanti Hasana, Pitri Herliza, Santi Hidayati, Titi Jamal Jamal Kastina, Kastina Kurnia, Vera Kurniasari, Indri Mariza, Yuri Mira Susanti Nainggolan, Sutrisari Sabrina Ningsih, Deasy Kurnia Patimah Patimah Pratiwi, Penti Meka Pratiwi, Siti Hardiyanti Putri, Amelia Putri, Angel Rahayu, Rita Puji Regina Regina Saputra, Agusdiman Serli Marlina Shinta Maharani Suraya, Citra Susanti, Maya Wijaya, Brahma Putra Yunianti, Fifi