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Shindi Hapsari
Professional Nursing Study Program, Faculty Of Nursing And Health Sciences, Karyahusada University Semarang, Semarang, Indonesia

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Reducing Pre-Operative Anxiety in Major Surgery Patients (Laparatomy) Through Emotional Support and Deep Breathing Relaxation Therapy at Hospital X Icha Anandita Dewi; Shindi Hapsari
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Preoperative anxiety is a common psychological response among patients undergoing major surgery and may negatively affect physiological stability and surgical outcomes. This study aimed to examine the effectiveness of emotional support and deep breathing relaxation in reducing preoperative anxiety among major laparotomy patients at RSUD X. A quantitative quasi-experimental study with a one-group pretest–posttest design was conducted involving 10 patients selected through total sampling. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The intervention, consisting of emotional support and deep breathing relaxation, was administered for 10–15 minutes before surgery. Data were analyzed using the Paired Sample t- test. The results demonstrated a significant reduction in anxiety levels following the intervention (p = 0.02). These findings indicate that emotional support and deep breathing relaxation are effective non-pharmacological nursing interventions for reducing preoperative anxiety and may improve patients’ psychological readiness before major surgery.
The Application of Peppermint Essential Oil Aromatherapy for Airways Clearance is not Effective in Pulmonary Tuberculosis Patients in the Rose Room of Hospital X Bintang Saharani; Shindi Hapsari
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Tuberculosis (TB) is a pulmonary infectious disease caused by Mycobacterium tuberculosis and can lead to respiratory problems such as coughing, shortness of breath, and ineffective airway clearance. This study aimed to evaluate the effectiveness of mint leaf aromatherapy as an alternative therapy to improve airway clearance in patients with pulmonary TB in the Mawar Ward of X. A descriptive method with a nursing care approach was applied to two patients selected through purposive sampling. Mint leaf aromatherapy was administered three times daily for 15 minutes over three consecutive days. Observed parameters included respiratory rate and pattern, the presence of adventitious breath sounds, and the patient’s ability to expectorate sputum before and after the intervention. The results showed significant improvements, including normalization of respiratory rate, more regular breathing patterns, disappearance of adventitious breath sounds, and improved sputum expectoration. In conclusion, mint leaf aromatherapy has potential as an effective complementary therapy, although further studies are needed to strengthen these findings and explore the underlying mechanisms.
Application of Semi-Fowler Position and Pursed Lip Breathing in Pulmonary Tuberculosis Patients with Inefective Breathing Pattern Problems in the Mawar Room, Rsud X Niken Sephia Marshanda; Shindi Hapsari
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Abstract

Pulmonary Tuberculosis remains a significant health problem and is often associated with respiratory complications such as ineffective breathing patterns. This case study aimed to describe the effectiveness of non-pharmacological nursing interventions, namely the Semi- Fowler position and Pursed-Lip Breathing exercises, in improving breathing patterns in patients with Pulmonary Tuberculosis. A descriptive case study design was applied to three patients treated in the Mawar Ward of RSUD X. Data were collected through interviews, observation, physical examination, and documentation over a three- day intervention period. Outcomes were evaluated based on respiratory rate, oxygen saturation, use of accessory respiratory muscles, chest wall retraction, and subjective dyspnea. The results showed a decrease in respiratory rate from 26–28 to 20–21 breaths per minute and an increase in oxygen saturation from 94–95% to 99%, accompanied by reduced dyspnea and improved breathing patterns. These findings indicate that the Semi-Fowler position combined with Pursed-Lip Breathing is effective in improving respiratory function in patients with Pulmonary Tuberculosis.