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PENERAPAN TEKNIK POSTURAL DRAINAGE DAN BATUK EFEKTIF PADA PASIEN PPOK DENGAN MASALAH BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RUANG KENANGA RUMAH SAKIT TK II DUSTIRA CIMAHI Dewi Safariah, Triana; Yunianti, Yuli; Fakhrurozi
Jurnal Kesehatan An-Nuur Vol 3 No 1 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i1.47

Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease characterized by persistent airflow limitation and chronic respiratory symptoms such as dyspnea and excessive sputum production. Ineffective airway clearance is one of the most common nursing problems in COPD patients due to mucus retention. Postural drainage and effective coughing techniques are non- pharmacological interventions aimed at facilitating sputum removal and improving ventilation. This descriptive case study aimed to describe nursing care through the implementation of postural drainage and effective coughing techniques in a COPD patient with ineffective airway clearance at Kenanga Ward, TK II Dustira Hospital Cimahi. The intervention was carried out twice daily for three consecutive days, with a duration of 20 minutes per session. The evaluation results showed improvement in airway clearance, characterized by decreased adventitious breath sounds (rhonchi and wheezing), reduced respiratory rate, and easier sputum expectoration. It can be concluded that postural drainage and effective coughing techniques can improve airway clearance in COPD patients. These interventions are expected to be applied independently by nurses and families to prevent respiratory complications.

PENATALAKSANAAN FISIOTERAPI PADA KASUS LUKA BAKAR GRADE 2-3 BILATERAL TANGAN DENGAN MODALITAS EXERCISE PADA ANAK USIA 12 TAHUN Sjafarial, Ilham
Jurnal Kesehatan An-Nuur Vol 3 No 1 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i1.48

Burns are traumatic injuries that frequently occur in children with significant impact on hand function. Grade 2-3 burns on bilateral hands can cause severe pain, limitation of range of motion (ROM), decreased muscle strength, edema, and impairment of daily functional activities. To determine the effectiveness of physiotherapy management with exercise modalities on pain reduction, ROM improvement, edema reduction, muscle strength enhancement, and functional ability in a case of bilateral grade 2-3 hand burns in a 12-year-old child. This study employed a case study method with a pre-post intervention design on one 12-year-old male patient diagnosed with grade 2-3 burns on both hands (4% total body surface area). Physiotherapy intervention was conducted for 6 treatment sessions following the wound healing phases (acute inflammation, transition, and early proliferation) with a program comprising: continuous elevation, positioning, passive range of motion (PROM), active-assisted range of motion (AAROM), massage, circulation exercises, isometric exercises, and functional training. Measured parameters included: pain (VAS), wrist and finger ROM (goniometer), muscle strength (MMT), edema (circumferential measurement), and functional ability (Barthel Index). After 6 treatment sessions, significant improvements were observed in all parameters. Resting pain decreased from VAS 8/10 to 4/10 (50% reduction), pain with movement from 9/10 to 6/10 (33.3% reduction). Wrist ROM showed improvement: right dorsiflexion- palmarflexion from 15°-0-20° to 35°-0-40° (133% and 100% increase), left from 20°-0-25° to 40°-0-45° (100% and 80% increase). MCP ROM increased 10°, PIP 10°, and DIP 5° bilaterally. Muscle strength for grip improved from unmeasurable to 2+/5, pinch strength to 2+/5 (right) and 3-/5 (left), wrist muscles from 2/5 to 3/5. Edema reduced by 0.9 cm (right) and 1 cm (left). Barthel Index increased from 70 to 85 (21.4% improvement). Physiotherapy management with exercise modalities adapted to wound healing phases is effective in reducing pain, improving ROM, decreasing edema, enhancing muscle strength, and improving functional ability in a case of bilateral grade 2-3 hand burns in a child. A comprehensive and progressive therapy program is crucial to prevent long-term complications such as contractures and hand function impairment.

PENERAPAN FINGER HOLD THERAPY UNTUK MENURUNKAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI KP. SUKARAJA RT 02 RW 10 KELURAHAN BAROS WILAYAH KERJA PUSKESMAS CIGUGUR TENGAH KOTA CIMAHI TANGGAL 05 – 08 MEI 2025 Setiawan, Guling; Tri Handayani, Aurum
Jurnal Kesehatan An-Nuur Vol 3 No 1 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i1.49

Hypertension is one of the chronic diseases that causes cognitive impairment and a decline in the quality of life for the elderly. Hypertension is a condition where blood pressure rises above normal values, with systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg. The prevalence of hypertension increases every year, reaching 34.11% in Indonesia, with higher rates among women and in urban areas. The application of finger hold therapy is one of the complementary therapies that can be useful in lowering blood pressure in hypertensive clients, especially the elderly. Finger hold therapy is an alternative therapy that can stimulate the parasympathetic nervous system, thereby reducing blood pressure, heart rate, and respiratory rate. The method used in this case study is descriptive. This case study aims to describe nursing care for elderly families (≥60 years) with hypertension through the complementary therapy of finger hold therapy. The instruments used were a sphygmomanometer, standard operating procedure for finger hold therapy technique, and an observation sheet to determine the results before and after the intervention. The finger hold therapy technique was performed for 3 days for 30-60 minutes once in the morning. The case study results show that there was a decrease in blood pressure after the finger hold therapy technique was applied, in accordance with the target to be achieved. The evaluation obtained in this case study is that the nursing diagnosis of ineffective peripheral perfusion was resolved. It can be concluded that the finger hold therapy technique can be administered to elderly clients with hypertension because the finger hold therapy performed over 3 days was able to reduce the initial blood pressure from 160/100 mmHg to 140/90 mmHg. The author's suggestion to the client is to perform finger hold therapy as a complementary therapy to the core therapy with medication.

IMPLEMENTASI REFLEKSOLOGI SEBAGAI TERAPI KOMPLEMENTER DALAM MANAJEMEN PASCAOPERASI Zulva, Siti; Umu Kulsum, Dewi; Sriati, Aat; Suryaningsih, Chatarina; Dewi Amir, Mayasyanti; Yudistira, Andi
Jurnal Kesehatan An-Nuur Vol 3 No 1 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i1.50

Surgical procedures can lead to various postoperative clinical problems such as pain, anxiety, nausea and vomiting, sleep disturbances, and fatigue, all of which require comprehensive management. Reflexology, as a non-pharmacological complementary therapy, has the potential to support postoperative management through stimulation of reflex points on the soles of the feet, hands, and ears. This study aims to synthesize scientific evidence regarding the effectiveness of reflexology as a complementary intervention in postoperative patient management. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, Web of Science, CINAHL, EBSCOhost, and the Cochrane Library for publications from January 2010 to December 2024. The inclusion criteria were determined using the PICO framework, and methodological quality was assessed using the JBI Critical Appraisal Tools. Out of 1,032 identified articles, 15 studies met the inclusion criteria (13 randomized controlled trials, 1 clinical trial, and 1 randomized study). The synthesis results indicate that reflexology significantly: (1) reduces postoperative pain intensity, (2) decreases anxiety levels, (3) stabilizes physiological/hemodynamic parameters, (4) improves sleep quality, and (5) reduces fatigue. These effects were consistently observed across various surgical procedures, including coronary artery bypass graft (CABG), abdominal surgery, hysterectomy, and cesarean section. Reflexology has the potential to serve as a safe, effective, and practical complementary intervention to support postoperative patient management. Further studies with multicenter designs, larger sample sizes, and more standardized protocols are recommended.

PENCEGAHAN DAN PENANGANAN KEKERASAN DALAM RUMAH TANGGA PADA PEREMPUAN: SYSTEMATIC REVIEW Geuis Anggi Siska; Nung Ati Nurhayati; Melinda Agustin
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.56

Violence against women remains one of the major social problems today. It is not merely a private matter but has become a public concern that requires comprehensive intervention and involvement from the government. Efforts to prevent and address cases of domestic violence require a comprehensive approach through education, psychosocial support, therapeutic interventions, and women’s empowerment so that women are able to protect themselves and improve their quality of life. Objective: To identify effective interventions for preventing violence against women, particularly within the household, and to promote the psychosocial recovery of survivors of domestic violence. Methods: This systematic review was conducted by searching articles through electronic databases, namely Google Scholar, Garuda, and PubMed. The keywords used in both Indonesian and English were “Pencegahan KDRT” (domestic violence prevention), “Intervensi KDRT” (domestic violence intervention), “Kekerasan dalam rumah tangga” (domestic violence), “Edukasi” (education), “Intimate Partner Violence,” “Health Education,” and “Therapy.” The inclusion criteria consisted of original research articles, full-text articles, articles published in Indonesian or English, and studies relevant to efforts to prevent or provide psychosocial interventions for domestic violence against women. Articles published within the last five years, from 2021 to 2026, were included. Results: The initial search identified 54 articles from Google Scholar published between 2021 and 2026, 15 articles from PubMed, and 10 articles from Garuda. After applying the inclusion criteria, 8 articles remained, consisting of 5 articles from Google Scholar, 1 article from PubMed, and 2 articles from Garuda. The interventions identified included community-based health education, Cognitive Behavioral Therapy (CBT), positive psychotherapy, self-talk and guided imagery, forgiveness therapy, Client-Centered Therapy, mental and spiritual guidance, and casework assistance. Community-based health education was shown to improve knowledge and change attitudes toward the prevention of intimate partner violence (IPV), while various psychological and psychosocial interventions were effective in improving self-love, resilience, and subjective well-being, as well as reducing post-traumatic stress among women who experienced domestic violence. Conclusion and Recommendation: Preventing domestic violence against women requires a multidimensional approach that combines health education, psychological interventions, social support, spirituality, and survivor empowerment. Community-based interventions and psychosocial therapies demonstrated the most consistent outcomes in improving women’s mental health and their ability to cope with and prevent domestic violence.

HUBUNGAN AKTIVITAS FISIK DAN KUALITAS TIDUR DENGAN FUNGSI KOGNITIF LANSIA DI NURSING HOME Diah Priyantini; Daviq Ayatulloh
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.57

Background: Cognitive decline is a common health problem in the elderly and can be influenced by various factors, including physical activity and sleep quality. Elderly people living in social care institutions have different environmental characteristics and activity patterns, so a study of factors related to cognitive function in this population is needed. Objective: This study aims to analyze the relationship between physical activity and sleep quality with cognitive function in elderly people living in social care institutions. Method: This study used a quantitative approach with a cross-sectional correlational design. The study was conducted from January to March 2026 at the UPTD Griya Wredha/Panti Sosial Lansia. A total of 102 elderly people were recruited using consecutive sampling techniques. Cognitive function was measured using the Mini-Mental State Examination (MMSE), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and independence in daily activities using the Barthel Index. Physical activity was assessed based on daily activity levels and classified into very light, light, moderate, and heavy. Univariate, bivariate, and multivariate analyses were conducted using multiple linear regression to identify the relationship between physical activity and sleep quality and MMSE scores after controlling for age, gender, education level, and physical independence. Results: The results of this study will be presented based on bivariate relationships and multiple linear regression models, including regression coefficients, 95% confidence intervals, p-values, and R². Conclusion: This study is expected to provide an overview of the contribution of physical activity and sleep quality to the cognitive function of elderly people in social care institutions and serve as a basis for developing promotive and preventive strategies to maintain cognitive function in the elderly population.

GEJALA NEUROLOGIS INTRADIALITIK DAN HUBUNGANNYA DENGAN PERUBAHAN HEMODINAMIK PADA PASIEN YANG MENJALANI HEMODIALISIS PEMELIHARAAN Diah Priyantini; Daviq Ayatulloh; Erfan Rofiqi
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.58

Background: Hemodialysis can cause hemodynamic changes that can potentially affect cerebral perfusion and cause neurological symptoms. However, monitoring neurological symptoms during hemodialysis is still not a major part of routine monitoring. Objective: This study aims to identify intradialytic neurological symptoms and analyze them by determining hemodynamic changes in patients undergoing hemodialysis. Methods: An observational analytical study with a cross-sectional design was conducted in 120 adult patients undergoing maintenance hemodialysis. Data characteristics, changes in blood pressure, ultrafiltration volume, and neurological symptoms were collected during hemodialysis sessions. The severity of neurological symptoms was categorized as none, mild, moderate, and severe. The relationship between variables was described using Spearman correlation. Results: A total of 61 patients (50.8%) experienced neurological symptoms during hemodialysis. The most common symptoms were dizziness (35.0%), headache (24.2%), paresthesia or numbness (20.0%), weakness (15.8%), visual disturbances (14.2%), and confusion (9.2%). The severity of neurological symptoms was associated with changes in systolic blood pressure (ρ = −0.38; p < 0.001), changes in diastolic blood pressure (ρ = −0.29; p = 0.001), and ultrafiltration volume (ρ= 0.31; p < 0.001). Conclusion: Intradialytic neurological symptoms are associated with hemodynamic changes in patients undergoing hemodialysis. Simple neuroprotective monitoring alongside hemodynamic monitoring may be considered as part of neuroprotective dialysis care.

PENERAPAN RELAKSASI BENSON UNTUK MENURUNKAN NYERI AKUT PADA PASIEN POST OPERASI FRAKTUR Saskia Aprilliyani; Oky Octaviani; Dessi Kusmawati N
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.59

Acute pain is a common problem in patients after fracture surgery and can interfere with comfort, mobility, rest, and recovery. Benson relaxation is a simple non-pharmacological intervention that can be used as a complementary nursing intervention. This case study aimed to describe the application of Benson relaxation in reducing acute pain in post-operative fracture patients. A descriptive case study was conducted with two patients with a nursing diagnosis of Acute Pain (D.0077) in Ward B4 of Cibabat Hospital, from 20-23 May 2026. Data were collected through interviews, observation, physical examination, medical-record review, and pain assessment using the Numeric Rating Scale. Nursing care was based on the Indonesian Nursing Diagnosis, Intervention, and Outcome Standards (SDKI, SIKI, and SLKI). Benson relaxation was administered for 15-20 minutes twice daily for two consecutive days and combined with analgesic therapy according to the medical program. The initial pain score was 6 in patient 1 and 5 in patient 2. During implementation, Patient 1's pain decreased from 6 to 5 on the first day and to 4 on the second day, while Patient 2's pain decreased from 5 to 4 and then to 3. Both patients also showed reduced grimacing, protective behavior, restlessness, and improved comfort. The findings indicate that Benson relaxation can help reduce acute pain and improve comfort when used as a complementary intervention in post-operative fracture care. However, because analgesics were administered concurrently, the reduction in pain cannot be attributed to Benson relaxation alone.

ASUHAN KEPERAWATAN IMPLEMENTASI AROMATERAPI ESSENSIAL LEMON PADA IBU HAMIL TRIMESTER I DENGAN EMESIS GRAVIDARUM Retno Anggraini; Yanti Sutriyanti; Sri Haryani; Chandra Buana
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.60

Background: Emesis gravidarum is one of the most common complaints experienced by women during the first trimester of pregnancy due to hormonal changes. If not properly managed, this condition may reduce appetite, impair nutritional status, and negatively affect both maternal and fetal health. Lemon essential oil aromatherapy has been reported as an effective non-pharmacological therapy to relieve nausea and vomiting. Family involvement also plays an important role in improving maternal knowledge regarding the management of emesis gravidarum. Objective: To describe family nursing care for first-trimester pregnant women with emesis gravidarum through the implementation of lemon essential oil aromatherapy in the working area of Puskesmas Perumnas, Rejang Lebong Regency, in 2026. Methods: This study employed a descriptive case study design involving two families with first-trimester pregnant women experiencing emesis gravidarum. Data were collected through interviews, observation, physical examination, documentation, and assessment of nausea and vomiting severity using the Pregnancy Unique Quantification of Emesis and Nausea (PUQE-24). Nursing interventions consisted of health education and lemon essential oil aromatherapy. Results: The implementation of family nursing care improved family knowledge regarding emesis gravidarum management. PUQE scores decreased after aromatherapy intervention, indicating reduced nausea and vomiting. Families were able to recognize health problems, make appropriate decisions, provide home care, utilize health services, and support pregnant women in managing their symptoms. Conclusion: Lemon essential oil aromatherapy combined with family-based health education effectively reduced emesis gravidarum symptoms while improving family knowledge and participation in maternal care.

PENERAPAN CLAPPING DAN BATUK EFEKTIF PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) DENGAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DI RUANG KENANGA RUMAH SAKIT TK II DUSTIRA CIMAHI Diana Permata Sarip; Edi Supriadi; Triana Dewi Safariah
Jurnal Kesehatan An-Nuur Vol 3 No 2 (2026): Jurnal Kesehatan An-Nuur
Publisher : Yayasan Putra Sukamanah Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71023/jukes.v3i2.61

Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease characterized by persistent and progressive airflow limitation, which frequently causes ineffective airway clearance due to retained secretions. If left unmanaged, secretion accumulation can worsen dyspnea and increase the risk of complications. Clapping combined with effective cough exercise is a non-pharmacological chest physiotherapy intervention intended to mobilize and expel secretions. This case study used a descriptive method with a case study approach involving two patients diagnosed with COPD and ineffective airway clearance, treated in Kenanga Ward, Dustira Hospital, from 14 to 16 May 2026. Data were collected using a standard operating procedure and a clinical observation sheet covering respiratory rate, oxygen saturation, breath sounds, and sputum characteristics. The intervention was performed twice daily for three consecutive days, with each session lasting approximately 15 minutes and followed by effective cough technique. The assessment showed that both patients experienced dyspnea, ineffective cough, rhonchi, and increased respiratory rate. After the intervention, respiratory rate decreased from 26 to 16 breaths/minute in Patient 1 and from 21 to 18 breaths/minute in Patient 2; oxygen saturation increased from 94% to 99% and 98%, respectively; and dyspnea severity based on the modified Medical Research Council (mMRC) scale improved from grade 2 to grade 0 in both patients. It is concluded that clapping combined with effective cough exercise is effective in improving airway clearance in COPD patients and can be applied independently by nurses, patients, and families.

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Siti Zulva

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jurnalkesehatanannuur@gmail.com

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+6282118027706

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jurnalkesehatanannuur@gmail.com

Editorial Address
Jl. Sasak Besi Gadobangkong No 4 Bandung Barat

Location
Kota bandung,

Jawa barat

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Siti Zulva

Contact Email jurnalkesehatanannuur@gmail.com

Phone +6282118027706

Journal Mail Official jurnalkesehatanannuur@gmail.com

Editorial Address Jl. Sasak Besi Gadobangkong No 4 Bandung Barat

Location Kota bandung, Jawa barat INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Siti Zulva

Contact Email
jurnalkesehatanannuur@gmail.com

Phone
+6282118027706

Journal Mail Official
jurnalkesehatanannuur@gmail.com

Editorial Address
Jl. Sasak Besi Gadobangkong No 4 Bandung Barat

Location
Kota bandung,

Jawa barat

INDONESIA