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Suhendra Agung Wibowo
Faculty Of Nursing, Universitas Jember
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Active Cycle Breathing Technique for Ineffective Airway Clearance in a COPD Patient:ACase Study Wardah Wardah; Erik Kusuma; Syaifuddin Kurnianto; Suhendra Agung Wibowo; Mufidah Mufidah
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4313

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that commonly causes ineffective airway clearance due to excessive mucus production and sputum retention. Active Cycle Breathing Technique (ACBT) is a breathing exercise used to facilitate secretion mobilization and improve airway clearance. Objective: This study aimed to describe the implementation of ACBT in a patient with ineffective airway clearance associated with COPD. Methods: A descriptive case study design was used involving one COPD patient hospitalized in Melati Ward, Bangil Regional Hospital. The intervention consisted of breathing control, thoracic expansion exercises, and forced expiration techniques administered once daily for three consecutive days. Clinical indicators observed included respiratory rate, oxygen saturation, cough effectiveness, dyspnea, breath sounds, and sputum characteristics. Results: The results showed progressive improvement during the intervention period. Respiratory rate decreased from 25 to 20 breaths/minute, oxygen saturation increased from 98% to 99%, dyspnea resolved, cough effectiveness improved, and sputum became thinner and easier to expectorate. Conclusion: These findings indicate that Active Cycle Breathing Technique contributed to improved airway clearance and respiratory status. ACBT can be recommended as a complementary nursing intervention for patients with ineffective airway clearance due to COPD.
Foot Massage Therapy for Sleep Pattern Disorders in Hypertensive Patient: A Case Study Maharani Eifa Halimullah; Erik Kusuma; Eko Prasetya Widianto; Suhendra Agung Wibowo; Sri Wahyuni
Health Gate Vol 4, No 4 (2026): October
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

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Abstract

Background: Hypertension is a cardiovascular disease characterized by a persistent increase in systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Uncontrolled hypertension may disrupt cardiovascular and autonomic nervous system regulation, leading to reduced sleep quality and quantity, including difficulty initiating sleep, frequent nocturnal awakenings, and inadequate sleep duration. Objective: To describe nursing care for a patient with a sleep pattern disorders associated with hypertension through the implementation of foot massage at Bangil Regional General Hospital, Pasuruan Regency. Methods: This study employed a case study design involving a single patient with hypertension and a sleep pattern disorders. The intervention consisted of foot massage for 15–20 minutes, administered twice daily for three consecutive days, accompanied by education on limiting high-sodium foods and caffeinated beverages. Results: After three days of intervention, reductions were observed in complaints of difficulty sleeping, frequent awakenings, sleep dissatisfaction, and altered sleep patterns. Sleep duration increased from approximately 3 hours to 6 hours per night. The patient was able to return to sleep more easily after awakening, with improved activity performance, reduced yawning frequency, and more relaxed eyes. Blood pressure decreased to 145/96 mmHg, with a pulse rate of 99 beats/minute. Conclusion: Foot massage was effective in improving sleep quality and quantity and in managing a disturbed sleep pattern in a patient with hypertension. This intervention may be used as a complementary nursing therapy to enhance patient comfort and improve rest quality.
Co-Authors Agustina Maunaturrohmah Agustina Maunaturrohmah Andiny, Aliya Nuri Anita Rahmawati Apriana Rahmawati Apriana Rahmawati Beatriz Elizabeth Nuñez Martinez Desy Listyaningrum, Desy Dicky Endrian Kurniawan Dimas Hadi Prayoga Dwi Prasetyaningati Dwi Prasetyaningati Eko Prasetya Widianto Endang Yuswatiningsih Endang Yuswatiningsih Erik Kusuma Hamidi, Faris Heri Suroso, Heri Hindyah Ike Suhariati Hindyah Ike Suhariyati Ifa Nofalia Ifa Nofalia Ifa Nofalia Ifa Nofalia Ifa Nofalia Ifa Nofalia Inayatur Rosyidah Ira Ratnasari Ira Sandi Tunny Jihan Yafi Dzakiyyah Laily Hidayati Maharani Eifa Halimullah Maman Suparman Mareta Deka Paraswati Mufidah Mufidah Muhammad Amin Nofalia, Ifa Nurfika Asmaningrum Rahmawati, Iva Milia Hani Retno Purwandari Ronal Surya Aditya Sri Puji Astuti Wahyuningsih, Sri Puji Astuti Sri Wahyuni Suharyono Suharyono Syaifuddin Kurnianto Syaifuddin Kurnianto Tintin Sukartini Sukartini, Tintin Sukartini Wardah Wardah Win Darmanto Wiwi Rumaolat Yahya Tfeil Yenny Perwitosari