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Penerapan Teknik Relaksasi Napas Dalam Terhadap Penurunan Nyeri Pada Pasien Fraktur Tibia di RSUD Sayang Rakyat Makassar Nurbaeti; Akbar Asfar; Wan Sulastri Emin; Tutik Agustini
Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya Vol. 31 No. 2 (2025): Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya
Publisher : Universitas Insan Budi Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33503/paradigma.v31i2.2416

Abstract

Nyeri akut merupakan keluhan utama yang sering dialami pasien fraktur tibia yang datang ke Instalasi Gawat Darurat (IGD). Penanganan nyeri yang cepat dan efektif sangat penting untuk mengurangi stres fisiologis dan psikologis pasien. Teknik relaksasi napas dalam merupakan metode nonfarmakologis sederhana yang dapat digunakan untuk membantu mengurangi nyeri secara alami. Mengetahui efektivitas penerapan teknik relaksasi napas dalam terhadap penurunan tingkat nyeri pada pasien fraktur tibia di IGD RSUD Sayang Rakyat.Penelitian ini menggunakan metode studi kasus dengan cara mengobservasi pasien yang mengalami fraktur tibia setelah dilakukan penerapan teknik relaksasi napas dalam. Hasil penelitian menunjukkan adanya penurunan tingkat nyeri secara signifikan setelah dilakukan teknik relaksasi napas dalam dengan skala nyeri 8 menjadi 6. Teknik relaksasi napas dalam efektif dalam menurunkan nyeri akut pada pasien fraktur tibia di IGD. Intervensi ini dapat diterapkan sebagai bagian dari penatalaksanaan keperawatan untuk meningkatkan kenyamanan pasien secara cepat dan aman.
Penerapan Terapi Batuk Efektif Dalam Mengatasi Ketidakefektifan Berdihan Jalan Nafas Pada Pasien Tuberculosis Paru di IGD RS TK II Pelamonia Makassar Nurlia Rahma Arman; Akbar Asfar; Muhajirin; Wan Sulastri Emin
Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya Vol. 31 No. 2 (2025): Paradigma: Jurnal Filsafat, Sains, Teknologi, dan Sosial Budaya
Publisher : Universitas Insan Budi Utomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33503/paradigma.v31i2.2445

Abstract

Tubercolosis (TB) adalah sebuah penyakit yang umumnya menyerang parenkim paru-paru yang dapat menyebabkan berbagai komplikasi, salah satunya adalah gangguan pernafasan yang disebabkan oleh bakteri Mycobacterium Tubercolosis . Menurut WHO TBC masih jadi penyebab kematian terbesar setelah COVI-19 pada tahun 2022. Lebih dari 10 juta orang terjangkit penyakit TB setiap tahunya. Tanpa pengobatan angka kematian akibat penyakit TB tinggi sekitar (50%). Secara global pada tahun 2022, TB menyebabkan sekitar 1,30 juta kematian. Tubercolosis Paru merupakan penyakit infeksi yang menyerang paru-paru. Tanda dan gejala TB Paru adalah betuk dan sesak nafas. Berdasarkan Riset Kesehatan Dasar (Riskesdes) Sulawesi Selatan tahun 2018 menurut diangnosa tenaga kesehatan sebesar 1,36% dan tertinggi di Kabupaten Pangkajenne sebesar 1.03%, Makassarsebesar0,47%, dan Kabupaten Gowa sebesar 0,31%. Untuk mengetahui efektifitas Penerapan batuk efektif dalam mengatasi bersihan jalan nafas pada psasien Tb Paru di IGD RS TK II Pelamonia Makassar. Stusi kasus menjelajahi suatu masalah atau temuan yang jelas dan terperinci. Studi ini dilakukan pada 1 pasien yaitu Tn.T dengan masalah keprawatan yaitu ketidakefektifan jalan nafas. Setelah di lakukan penerapan teknik batuk efektif di dapatkan hasil bahwa tekknik batuk efektif dapat mengatasi masalah keperawatan ketidakefektifan bersihan jalan nafas pada pasien TB Paru terhadap pengeluaran sputum yang berlebih. Didapatkan penerapan batuk teknik batuk efeltif berpegaruh terhadap ketidakefektifan bersihan jalan nafas.
PELATIHAN RESUSITASI JANTUNG PARU (RJP) BAGI APARAT PEMERINTAH, KADER KESEHATAN DAN MASYARAKAT DI DESA SANROBONE KABUPATEN TAKALAR Sudarman, Sudarman; Asfar, Akbar
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 3, No 1 (2020): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v3i1.10-16

Abstract

The purpose of this community service activity is to improve the knowledge and skills of the government, health cadres, and the community in Sanrobone Village, Takalar District, about pulmonary resuscitation (CPR) of at least 90% can help first aid in cardiac arrest and respiratory arrest. The results of community service are government officials, health cadres, and the community has been able to determine clinical and biological death, how to cope with cardiac arrest and respiratory arrest, understanding, goals, and indications of CPR. Participants have also taken procedural RJP to pay attention to the danger/safety of the helper, the environment, and the victim. Participants can provide sound stimulation and victims to the victim, fig asking for help, checking the pulse and checking to breathe, placing at the massage site giving breath-to-mouth relief and mouth to cover and provide recovery positions (recover ).
The Impact of Smartphone Usage On Adolescent Social Interaction in Borongloe Village Siokal, Brajakson; Wahyuningsih; Akbar Asfar; Sudarman
Window of Health : Jurnal Kesehatan Vol 8 No 1 (January 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i1.1732

Abstract

Excessive smartphone use can negatively impact the social behavior of adolescents, including emotional instability. Objective: This study aims to analyze the relationship between smartphone use and the social interaction of adolescents in Borongloe Village. The method used in this study is quantitative with a cross-sectional study design. The sampling technique used is proportional stratified random sampling with a total sample size of 91 respondents, using a questionnaire as the instrument. The relationship test was conducted using the chi-square statistical test with a significance level of <0.05. Results: The results of the study indicate that active smartphone use is more dominant than passive use, the social behavior of adolescents tends to be poorer rather than better, and there is a significant relationship between smartphone use and the social behavior of adolescents in Borongloe Village, Gowa Regency, with a p-value of 0.00 (p < 0.05). This study concludes that there is a significant relationship between smartphone use and the social interaction of adolescents in Borongloe Village, Gowa Regency. Therefore, it is expected that adolescents will become more aware of the negative impacts of excessive smartphone use and that parents and teachers will supervise the use of smartphones by adolescents
TERAPI RELAKSASI GENGGAM JARI UNTUK MENURUNKAN NYERI POST OPERASI Wa Ode Sri Asnaniar; Wan Sulastri Emin; Akbar Asfar; Samsualam Samsualam; Sudarman Sudarman; Yusrah Taqiyah; Novitri Cahyani Marinda; Muslimah Kurniawati; Tisna HS Sianu; Armelia Sri Diah Safitri
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 8 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i8.2816-2822

Abstract

Rasa nyeri pasca operasi paling sering dialami oleh sebagian besar pasien yang menjalani prosedur pembedahan. Kontrol nyeri pasca operasi memainkan peran penting dalam memfasilitasi pemulihan pasien ke fungsi normal dan mengurangi kejadian efek fisiologis dan psikologis yang merugikan terkait dengan nyeri akut yang tidak terkontrol. Manajemen nyeri yang tidak ditangani dengan baik dapat meningkatkan risiko menjadi nyeri lanjut atau nyeri kronis. Penatalaksanaan nyeri meliputi dua metode yaitu secara farmakologis dan nonfarmakologis. Salah satu terapi non farmakologis yaitu Teknik relaksasi genggam jari atau finger hold dimana merupakan salah satu terapi non farmakologis yaitu relaksasi dengan menggenggam jari. Target utama dari pemberian Pendidikan Kesehatan ini berupa pasien di ruang bedah anyelir RS TK II Pelamonia Makassar terdapat banyak pasien pre op maupun pasien post op, yang tentunya harus dilakukan tindakan maupun edukasi mengenai nyeri pasca operasi dimana pada tahap ini Perawat memiliki peran penting dalam pengelolaan pasien yang menghadapi nyeri pasca operasi. Berdasarkan ini kami melakukan salah satu kegiatan Pendidikan Kesehatan berupa penyuluhan tentang terapi relaksasi genggam jari untuk meredakan nyeri post op. Hasil pelaksanaan tersampaikannya tujuan dari penyuluhan, Tersampaikan materi dengan baik dan sesuai dengan perencanaan, sehingga dapat disimpulkan bahwa kegiatan ini berhasil dilaksanakan.
Interactive Multimedia Modules to Enhance Family Support in Hypertension Management: A Digital Health Approach Sudarman, Sudarman; Dioso, Regidor III; Hassan, Hafizah Che; Asfar, Akbar; Matdoan, Riska Amelia
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.89827

Abstract

Background: Hypertension remains a leading global risk factor for morbidity and mortality, with family support playing a critical role in adherence to lifestyle modifications and treatment. Digital health interventions offer scalable solutions to improve disease management, yet limited studies have explicitly integrated and evaluated family engagement as a core component.Objective: This study aimed to evaluate the effectiveness of interactive multimedia modules in enhancing family support, blood pressure control, and health-related quality of life among hypertensive adults compared with usual care.Methods: A quasi-experimental study with repeated measures was conducted among 200 adults with hypertension and their primary family caregivers recruited from outpatient clinics. Participants were assigned to either the intervention group (n = 100), which received interactive multimedia modules delivered via a mobile platform, or the control group (n = 100), which received standard clinic-based education. Outcomes included family support (Hypertension Self-Care Activity Level Effects–adapted questionnaire), blood pressure (validated digital sphygmomanometer), and quality of life (WHOQOL-BREF). Measurements were obtained at baseline, immediately post-intervention, and 12-week follow-up. Data were analyzed using two-way repeated measures ANOVA.Results: At baseline, no significant differences were observed between groups in sociodemographic or clinical characteristics (p .05). Over time, significant time × group interaction effects were observed for family support (F[2, 396] = 48.72, p .001, partial η² = 0.20), systolic blood pressure (F[2, 396] = 61.45, p .001, partial η² = 0.24), diastolic blood pressure (F[2, 396] = 52.13, p .001, partial η² = 0.21), and overall quality of life (F[2, 396] = 39.74, p .001, partial η² = 0.17). Participants in the intervention group demonstrated greater improvements in family support, clinically meaningful reductions in blood pressure, and significant increases in quality of life scores compared with the control group. Qualitative feedback confirmed high acceptability and usability of the modules.Conclusion: Interactive multimedia modules delivered via digital health platforms significantly improved family support, blood pressure control, and quality of life among hypertensive adults. Incorporating family caregivers into digital self-management interventions provides a scalable and sustainable strategy for enhancing hypertension outcomes. Further studies should evaluate long-term impacts, cost-effectiveness, and integration into primary care systems.
PENGARUH PENYULUHAN KESEHATAN TERHADAP TINGKAT PENGETAHUAN DAN SIKAP TENTANG PENYAKIT HIV/AIDS DI SMP BAZNAS PROVINSI SULAWESI SELATAN Asfar, Akbar
Journal of Islamic Nursing Vol 3 No 1 (2018): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.686 KB) | DOI: 10.24252/join.v3i1.5471

Abstract

HIV (Human Immunodeficiency Virus) is a virus that attacks the human immune system and then cause AIDS. While AIDS Acquired Immune Deficiency Syndrome may be defined as a collection of signs and symptoms of diseases caused by the loss or decrease of one's immune system. The purpose of this study was to determine the effect of health education on the level of knowledge and attitudes about HIV / AIDS in SMP BAZNAS Prov.Sul-Sel. The benefits of this research include the benefits of theoretical and practical benefits.               This study is a pre-experimental design was a one-group pre-test - post-test. The population in this study as many as 72 people. Samples by using total sampling technique. Test the effect is done by using the Wilcoxon Signed Rank Test with significance level α <0.05.               The results of this study indicate that there is the influence of health education on the level of knowledge about HIV / AIDS in SMP BAZNAS Prov.Sul-Sel (ρ = 0.000), and there is the influence of health education on attitudes about HIV / AIDS in SMP BAZNAS Prov.Sul-Sel ( ρ = 0.035).       The conclusion of this study is the effect of health education on the level of knowledge and attitudes about HIV / AIDS in SMP BAZNAS Prov.Sul-Sel. The suggestions in this study is expected in the next researcher to replace or add other variables related to relationship health education about HIV / AIDS.
Optimalisasi Kinerja Perawat melalui Peningkatan Kemampuan Pengambilan Keputusan Klinis Reski Indahyani; Samsualam; Akbar Asfar
Window of Nursing Journal Vol. 7 No. 1 (2026)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/won.v7i1.1519

Abstract

A nurse is a person who interacts with patients 24 hours a day, guided by the nursing process. The ability to make decisions in providing nursing care is one of the requirements for nurses to carry out professional nursing practice. Decision making is a systematic approach to solving a problem. The aim of this research is to determine the influence of ability and skill in making decisions on improving the performance of hospital clinical nurses. The research design used is correlation. The population is human resources at Ibnu Sina Hospital Makassar. A sample of 30 respondents was taken using Total Sampling. The independent variable is the ability and skill in making decisions. The dependent variable is nurse performance. Data was collected using questionnaires and interviews, then analyzed using multiple logistic regression with α=0.05. The statistical test results of the influence of ability and skill in making decisions are ρ= 0.03 (ρ<α) which means that there is an influence of ability and skill in making decisions on improving the performance of clinical nurses. The conclusion of this research is that there is an influence of ability and skill in making decisions on improving the performance of clinical nurses at Ibnu Sina Hospital Makassar.
Peningkatan Pengetahuan Masyarakat terhadap Penggunaan Obat Batuk Tradisional Putri Ayu Trininda Imran; Akbar Asfar; Haeril Amir
Window of Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/won.v6i2.2772

Abstract

Coughing is caused by smoking, exposure to cigarette smoke, and polluted environments. One cough treatment is non-pharmacological therapy using traditional medicine. According to the World Health Organization (WHO), herbal medicine is used by up to 65% of the population in developed countries and 80% in developing countries. One area in Indonesia that still uses traditional medicine is Central Buton, Southeast Sulawesi. Knowledge is the result of knowing what has happened after someone feels an object. Without knowledge, a person has no basis for making decisions and determining actions to deal with problems. The purpose of this study was to determine the relationship between community knowledge and the use of traditional cough medicine in Mawasangka Village, Central Buton Regency. This study was a quantitative analytical study with a Cross Sectional design. The population of this study was all residents of Mawasangka Village who met the inclusion criteria, namely people who are currently or have consumed traditional cough medicine and are aged ≥17 years - 65 years. The sample determination used the Slovin formula with a Purposive Sampling technique and obtained 98 respondents. Data collection used a research instrument in the form of a questionnaire that has been tested for validity and reliability.  The data analysis used was univariate and bivariate, bivariate using logistic regression test with a significance level of α = 0.05. The results showed that from 98 respondents, 24.5% of the community had good knowledge, 67.3% had sufficient knowledge, and 8.2% had insufficient knowledge. The results of the logistic regression test obtained a knowledge value of p = 0.322 meaning the p value> 0.05. In conclusion, there is no relationship between community knowledge and the use of traditional cough medicine in Mawasangka Village, Central Buton Regency. The use of traditional cough medicine is not always related to a person's level of knowledge because many other factors are more dominant.
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Nur Ummi Hayati; Akbar Asfar; Wan Sulastri Emin; Sudarman Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Co-Authors Agustini, Tutik Ahmad Zaekil Ahmad, Aktsar Roskiana Al Ikhsan Agus Alam, Rizqy Iftitah Aldri Frinaldi Alwi, Muhammad Khidri Amelia Hartika Rani Ana Jurhana Andi Ferdi Febriansa Andi Mappanganro Armelia Sri Diah Safitri Asnaniar, Wa Ode Sri Brajakson Siokal Brajokson Siokal Dian Islamiati Tandialo Dioso, Regidor III Djafaar, Nurul Annisa DWI SURYANTO Efendy, Rahmat Eka Lutfiatus Solehah Emin, Wan Sulastri Ernasari Evy Damayanti Fatma Jama Febriansa, Andi Ferdi Ferdita, Wiwin Haeril Amir Hairil Akbar Hardiyanti Hardiyanti Hassan, Hafizah Che Idelriani Idelriani Irmiatinarahma Pago Jama, Fatma Joko Prasetyo Laboro, Pratiwinsih Lailan, Nur Alfiah M. Rezki Aulia Rahman Marwah Majid Matdoan, Riska Amelia Muhajirin Muhajirin Maliga Muhajirin Muhajirin Murfat, Moh Zulkifli Muslimah Kurniawati Nadia Jesica Aprilia Nadila Hafazi Alkatiri Ndari, Sriwulan Novitri Cahyani Marinda NUR FADILLAH Nur Lailan Nur Ummi Hayati Nur Wahyuni Munir Nurbaeti nurfitri Nurlia Rahma Arman Nurul Annisa Djafaar Putri Ayu Trininda Imran Rahmawati Ramli Rais Razak, Rais Ramli, Rahmawati Ratniwati S, Wa Ode Reski Indahyani Resky Yani Rini Rahmadani Riska Bolio Rusdianto Rusdianto, Rusdianto Sakir, Rahmi Samsualam, Samsualam Samsul, Wawan Adi Saputra Sandi Kurniawan Selpin, Selpin Siti Hadijah Syam Stefani Kasim Sudarman Sudarman Sudarman Sudarman Sudarman Suhermi Suhermi, Suhermi Sumarno Sunarti Sunarti Sunarti Tisna HS Sianu Tutik Agustini Virsa Handayani Wa Asnaniar Wahyuningsih Wan Sulastri Emin Wan Sulastri Emin Yulia Ervianti Yusrah Taqiyah