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All Journal Avicenna : Journal of Health Research Jurnal Pustaka Keperawatan
Dwi Kurniawan, Yanti
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Implementasi Teknik Active Cycle Of Breathing (ACBT) Sebagai Asesmen Terhadap Dispnea pada Pasien Gagal Jantung Candie Asteria, Bella; Nasrul Sani, Fakhrudin; Rosita, Ani; Dwi Kurniawan, Yanti
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 1 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Heart failure is a chronic and progressive condition in which the heart is unable to pump blood effectively, leading to clinical symptoms such as dyspnea, fatigue, pulmonary congestion, and reduced functional capacity. Dyspnea is one of the most prominent symptoms affecting patients’ quality of life and requires appropriate management. The Active Cycle of Breathing Technique (ACBT) is a non-pharmacological intervention designed to improve airway clearance, enhance lung expansion, and reduce breathing discomfort through structured breathing control, thoracic expansion exercises, and forced expiration techniques. This study aims to evaluate the implementation of ACBT as an assessment and therapeutic approach to reduce dyspnea in heart failure patients at RSUD dr. Darsono Pacitan. This case study used a descriptive pre–post test design involving two patients with heart failure experiencing dyspnea. ACBT was administered for three consecutive days, 1–2 sessions per day, with a duration of 10–15 minutes per session. Respiratory rate was measured before and after each intervention session. The findings show a decrease in respiratory rate in both patients, indicating reduced dyspnea after ACBT application. These results suggest that ACBT may serve as an effective non-pharmacological therapy to support respiratory function and reduce symptoms of dyspnea in heart failure patients.
Inpatient-tailored diabetes self-management education and short-term glycemic change in type 2 diabetes: A pilot case series from RSUD dr. Darsono Pacitan Arifah, Kun; Widiastuti, Agung; Ernawati, Ucik; Dwi Kurniawan, Yanti
Avicenna : Journal of Health Research Vol 9, No 1 (2026): MARET
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v9i1.1741

Abstract

Background: Type 2 diabetes mellitus (T2DM) commonly presents with uncontrolled hyperglycemia among inpatients, where self-management gaps compound clinical instability. Diabetes Self-Management Education (DSME) is recommended, yet evidence for inpatient-tailored, short-horizon DSME remains limited. Objective: To evaluate the short-term effect of a ward-adapted DSME adjunct on capillary blood glucose and self-management behaviors in hospitalized adults with T2DM. Methods: purposive sampling (n=2) in the Wijaya Kusuma Inpatient Ward, RSUD dr. Darsono (July-August 2025). The intervention comprised individual bedside DSME (two sessions; 60-90 minutes total) plus discharge reinforcement, delivered by diabetes-trained nurses. Primary outcome: change in capillary glucose (mg/dL) from baseline to post-intervention over 4 days with consistent testing conditions. Secondary outcome: Diabetes Self-Management Questionnaire (DSMQ-16; 0-64). Analyses emphasized descriptive trajectories; exploratory paired t-test/Wilcoxon and bootstrap 95% CIs were reported with α=0.05 (hypothesis-generating). Results: Baseline glucose was 837 and 511 mg/dL; by day 4, values declined to 130 and 120 mg/dL, respectively (absolute change -707 [-84.5%] and -391 [-76.5%]); no hypoglycemia/adverse events occurred. DSMQ-16 improved from 15 to 50 and 17 to 60 (poor to good). Exploratory tests were underpowered (paired t=3.47, p=0.18; Wilcoxon p=0.25), but the effect size was very large (Cohen’s d=2.46), consistent with observed trajectories. Conclusion: A ward-tailored DSME delivered over four days was feasible and associated with rapid, clinically meaningful glycemic improvement and substantial gains in self-management among acutely uncontrolled inpatients with T2DM. Findings are hypothesis-generating and support larger, controlled studies to confirm efficacy, durability post-discharge, and scalability.
Co-Authors Arifah, Kun Candie Asteria, Bella Ernawati, Ucik Fakhrudin Nasrul Sani Rosita, Ani Widiastuti, Agung