Ratna, Sri
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Kemampuan Problem Solving Anak Usia Dini melalui Bermain Puzzle pada PAUD Ratna, Sri; Imamah, Imamah
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol. 7 No. 6 (2023)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v7i6.5868

Abstract

Penelitian ini bertujuan untuk menggali bagimana kemampuan problem solving  anak usia dini melalui permainan puzzle. Anak usia dini memiliki keingintahuan alami untuk memahami dunia sekitar mereka, dan bermain puzzle sebagai cara yang efektif untuk mengembangkan kemampuan pemecahan masalah mereka. Metode penelitian yang digunakan dalam artikel ini ialah studi kasus dengan menempatkan sekelompok anak usia dini dalam berbagai aktivitas puzzle. Subjek penelitian ini adalah siswa PAUD Kinta Anak Ceria Kota Batam. Hasil penelitian menunjukkan bahwa bermain puzzle dapat meningkatkan kemampuan problem solving pada anak usia dini. Mereka belajar untuk mengidentifikasi pola, menghubungkan informasi, dan merencanakan langkah-langkah untuk menyelesaikan teka-teki. Selain itu, aktivitas ini juga membantu mereka mengembangkan keterampilan kognitif seperti pemecahan masalah, pemikiran logis, dan kreativitas.
Effectiveness Of High Fowler Position and Pursed Lip Breathing Therapy In Ckd Patients Ratna, Sri; Tohri, Tonika
Jambura Nursing Journal Vol 8, No 1: January 2026
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v8i1.36933

Abstract

Chronic Kidney Disease (CKD) is a chronic condition characterized by a progressive and irreversible decline in kidney function, which can lead to various systemic complications. Reduced kidney function causes fluid retention and activation of the renin–angiotensin–aldosterone system, thereby increasing cardiac workload. In the long term, this condition can result in congestive heart failure (CHF), which further triggers an increase in pulmonary capillary hydrostatic pressure and leads to pulmonary edema in the alveoli. CKD patients who develop CHF with pulmonary edema require management beyond pharmacological therapy, namely through non-pharmacological nursing interventions such as the application of the high fowler position and pursed-lip breathing exercises. The purpose of this study is to determine the effectiveness of applying the high fowler position and pursed-lip breathing on improving respiratory status in CKD patients complicated by CHF with alveolar pulmonary edema. The method used is a case study with a nursing process approach, including assessment, determination of nursing diagnoses, planning, implementation, and evaluation. Data were collected through interviews, observation, physical examination, and documentation and literature review. The results of nursing care showed improvement in respiratory status after the application of the high fowler position and pursed-lip breathing exercises, indicated by decreased respiratory rate, reduced dyspnea complaints, increased oxygen saturation, and the disappearance of additional breath sounds. It is concluded that the application of the high fowler position and pursed-lip breathing exercises contributes to the improvement of respiratory status in CKD patients complicated by CHF with alveolar pulmonary edema.