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All Journal Madago Nursing Journal Jurnal Pengabdian Masyarakat Lentora
Handayani, Vitria
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Nursing

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Public Training on Introduction and First Aid for Cardiac Arrest at SMAN 1 Kubu Raya Ardiansyah, Fakrul; Baedlawi, Azhari; Amandus, Hieronimus; Handayani, Vitria; Saripah, Eli
Jurnal Pengabdian Masyarakat Lentora Vol. 5 No. 1 (2025): September 2025
Publisher : Jurusan Keperawatan Politeknik Kesehatan Kementerian Kesehatan Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jpml.v5i1.4207

Abstract

Background: The global incidence of out-of-hospital cardiac arrest (OHCA) is a significant public health concern, though its precise rate in Indonesia remains unquantified. Cardiovascular diseases are a leading cause of mortality in Indonesia, contributing to a high burden of risk factors for OHCA. Enhancing community preparedness through basic life support (BLS) training is a critical strategy to improve survival rates. Objective: This study aimed to evaluate the impact of a BLS training program on the knowledge and practical skills of students at SMAN 1 Sungai Ambawang in managing cardiac arrest. Methods: A single-group, pre-test-post-test study design was employed. Participants' knowledge and skills were assessed immediately before and after a structured BLS training session. The Wilcoxon signed-rank test was used to analyze the differences in median scores, with a significance level of α < 0.05. Results: A total of 50 students participated. The median knowledge score increased from 63.66 (pre-test) to 86.50 (post-test). The median practical skills score demonstrated a more substantial improvement, rising from 36.00 to 94.06. The statistical analysis confirmed that these improvements were significant for both knowledge (p=0.001) and skills (p=0.001). Conclusion: A single session of BLS training significantly improved the knowledge and practical skills of high school students in cardiac arrest management. Implementing such training in school curricula is recommended to empower the lay public as potential first responders, thereby strengthening the chain of survival for OHCA victims in the community
Implementing the Active Cycle of Breathing Technique (ACBT) for Managing Ineffective Breathing Pattern in a Patient with Congestive Heart Failure: A Case Study Ardiansyah, Fakrul; Aprilina, Sindi; Suhendra, Suhendra; Baedlawi, Azhari; Amandus, Hieroniumus; Handayani, Vitria
Madago Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i2.4232

Abstract

Background: Congestive Heart Failure (CHF) is a chronic clinical syndrome characterized by the heart's inability to pump blood effectively, often leading to dyspnea due to pulmonary congestion. The Active Cycle of Breathing Technique (ACBT) is a breathing exercise designed to regulate breathing patterns, improve ventilation, and facilitate sputum clearance, which may alleviate dyspnea in CHF patients. To evaluate the effectiveness of ACBT in reducing dyspnea in a CHF patient with an ineffective breathing pattern Methods: A case study design with a nursing care approach was conducted over three days. The patient was assessed through interview and observation. A nursing diagnosis of Ineffective Breathing Pattern (SDKI D.0005) was established. Interventions included Airway Management (SIKI I.01011), semi-Fowler positioning, and ACBT administration for 15 minutes daily. Respiratory rate was measured using an oximeter, and dyspnea complaints were monitored. Results: Before the intervention, the patient complained of dyspnea with a respiratory rate of 28 breaths/minute, using accessory muscles and nasal flaring. After three days of ACBT intervention, the respiratory rate decreased to 20 breaths/minute, and the patient reported no further dyspnea. Conclusion: The ACBT intervention was effective in reducing respiratory rate and relieving dyspnea in a CHF patient with an ineffective breathing pattern. ACBT can be recommended as a non-pharmacological nursing intervention to manage dyspnea in CHF patients
Co-Authors Amandus, Hieronimus Amandus, Hieroniumus Aprilina, Sindi Ardiansyah, Fakrul Baedlawi, Azhari Saripah, Eli Suhendra Suhendra