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KK, Indra Frana Jaya
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Health Professions 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.
Co-Authors Adelia, Raden Ayu Dhiyaa Asrini, Putri Puji Auliana, Hili Damayanti, Anggraini Dwika Diana Diana Epin, Epin Hasana, Pitri Herliza, Santi Hidayati, Titi Jamal Jamal Kastina, Kastina Kurniasari, Indri Mariza, Yuri Mira Susanti Patimah Patimah Pratiwi, Penti Meka Pratiwi, Siti Hardiyanti Putri, Angel Regina Regina Saputra, Agusdiman Serli Marlina Suraya, Citra Susanti, Maya Yunianti, Fifi