Rusmeni, Ni Putu Diah Ayu
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NON-PHARMACOLOGICAL THERAPY FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD): A SYSTEMATIC REVIEW Imam, Nurul; Darmawan, Taufan Citra; Alfianti, Khalifatus Zuhriyah; Aga, Maria Sofia Anita; Dianita, Eka Mei; Fernanda, Pradita Ayu; Rusmeni, Ni Putu Diah Ayu
Nurse and Holistic Care Vol. 5 No. 1 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i1.6996

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide. This disease attacks the respiratory tract, resulting in chronic symptoms such as narrowing of the airways, shortness of breath, and coughing. However, the management of treatment for this disease is still very lacking. Therefore, the best treatment needs to be understood. Objective: This review article aims to explain the best treatment for COPD sufferers. Design: This study employed a systematic review design guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Data Sources: A comprehensive literature search was conducted using four electronic databases—Scopus, PubMed, Science Direct, and Google Scholar—focusing on articles published between 2020 and 2025. Keywords used included "Non-Pharmacology", "COPD", "Chronic Obstructive Pulmonary Disease", "Therapy", "Intervention", and "Nursing". Studies were included if they used Pre-Experimental, Quasi-Experimental, Randomized Controlled Trial, or Qualitative research designs. Review Methods: Two reviewers performed data extraction and risk of bias assessment independently using the Joanna Briggs Institute (JBI) checklist, with discrepancies resolved through consensus or a third reviewer. Results: A review of 19 articles showed that non-pharmacological interventions, such as telerehabilitation, physical exercise, and breathing techniques, have been shown to help improve the functional capacity and quality of life of COPD patients. Conclusions: The combination of physical and psychological therapies has shown more optimal results, especially with the support of technology. However, further research is needed to evaluate long-term effectiveness and ensure wider and more targeted implementation.
Nursing Care for Pregnant Women with Hypovelemia Due to Hyperemesis Gravidarum Using Zingiber Officinale Herbal Therapy Kristina, Ni Luh Putu Lia; Dewi, Putu Indah Sintya; Rusmeni, Ni Putu Diah Ayu
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 2 (2025): July 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i2.412

Abstract

Hyperemesis gravidarum is a condition characterized by excessive vomiting, which may lead to dehydration, electrolyte imbalance, acid-base disturbances, and significant weight loss in pregnant women. Management of hyperemesis gravidarum requires controlling nausea and vomiting to prevent active fluid loss. One potential complementary intervention is the use of Zingiber officinale (ginger) herbal therapy.This study aims to describe complementary nursing care focused on managing hypovolemia in a patient with hyperemesis gravidarum through the use of Zingiber officinale herbal therapy. The research employed a descriptive case study design to identify nursing care problems in a patient diagnosed with hyperemesis gravidarum. The subject was Mrs. S, a G1P0A0H0 patient at 9 weeks of gestation. The identified nursing diagnosis was hypovolemia related to active fluid loss, evidenced by nausea and vomiting more than five times per day, weakness, dizziness, dry lip mucosa, capillary refill time (CRT) > 2 seconds, urine ketones 3+, and decreased blood pressure (100/60 mmHg). The nursing intervention focused on managing hypovolemia and reducing nausea and vomiting through the administration of Zingiber officinale herbal therapy twice daily. After 72 hours (3×24 hours) of nursing care, the evaluation showed improvement in the patient’s condition: no more vomiting or dizziness, CRT < 2 seconds, moist mucous membranes, negative urine ketones, improved fluid intake, and stable blood pressure (110/70 mmHg). This study concludes that Zingiber officinale herbal therapy is effective in reducing nausea and vomiting and may help prevent potential complications during pregnancy.
Nursing Care for Low-Birth Weight Babies With Hypothermia Using Kangaroo Mother Care: A Case Study Sari, Ni Wayan Juni Winata; Dewi, Putu Indah Sintya; Rusmeni, Ni Putu Diah Ayu
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 2 (2025): July 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i2.416

Abstract

Low-birth weight (LBW) infants are at risk of hypothermia due to immature thermoregulatory mechanisms. LBW is defined as a birth weight of less than 2,500 grams regardless of gestational age. Hypothermia can occur in LBW infants even in relatively warm environments, as newborns are unable to regulate their body temperature optimally. If not treated promptly, hypothermia may lead to serious illness or even death. To increase body temperature in LBW infants, an alternative therapy such as Kangaroo Mother Care (KMC) can be applied. This study aims to describe nursing care for LBW infants experiencing hypothermia using Kangaroo Mother Care therapy. A descriptive case study design was employed to identify nursing problems. The subject of this study was Baby J. The nursing diagnosis established was hypothermia. Nursing interventions focused on managing hypothermia through KMC therapy, which was administered twice daily for one hour over a period of three consecutive days. Prior to the intervention, an assessment was conducted to identify signs of hypothermia, such as body temperature, lip color, and the infant's general condition. During therapy, Baby J’s mother received direct guidance due to limited knowledge about the correct application of KMC. This required time and educational support from healthcare professionals. After 72 hours of intervention, evaluation results showed an increase in the infant’s body temperature to within the normal range, warm skin, and improved breastfeeding activity. These findings indicate a reduction in hypothermia symptoms. The study concludes that KMC is beneficial in supporting thermoregulation in LBW infants. Kangaroo Mother Care therapy has proven effective in increasing body temperature in LBW patients.