Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Journal Title : Jurnal Praba : Jurnal Rumpun Kesehatan Umum Initials : Praba Frequency : Maret, Juni, September dan Desember Print ISSN : 3030-8828 Online ISSN : 3030-8283 Editor in Chief : Balqis Nurmauli Damanik, SKM., MKM DOI : 10.62027 Publisher : STIKES Columbia Asia Medan Jurnal Praba : Jurnal Rumpun Kesehatan Umum dengan e-ISSN : 3030-8283, p-ISSN : 3030-8828 adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh STIKES Columbia Asia Medan. Jurnal ini adalah Jurnal Praba : Jurnal Rumpun Kesehatan Umum yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk riset Rumpun Kesehatan Umum. Jurnal Praba : Jurnal Rumpun Kesehatan Umum menerima artikel dalam bahasa Inggris dan bahasa Indonesia dan diterbitkan 4 kali setahun : Maret, Juni, September dan Desember. Jurnal ini terakreditasi SINTA 4 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 355/DST/D.D1/HM.01.01/2026 tanggal 24 Juli 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 3 Tahun 2025), dimulai dari Volume 1 Nomor 4 Tahun 2023 sampai Volume 6 Nomor 3 Tahun 2028. Indexed by: Journal Sponsors and Partners :
Gambaran Pelaksanaan Pelayanan Farmasi Klinik Di Apotek Se-Kecamatan Gedong Tataan Kabupaten Pesawaran Lampung
Pharmaceutical services initially focusing solely on drug management (Drug Oriented) to comprehensive services that include clinical pharmacy services and medication services aimed at improving patients' quality of life (Patient Oriented). Clinical pharmacy services in pharmacies are part of pharmaceutical services that are directly responsible to patients in relation to pharmaceutical preparations, medical devices, and disposable medical supplies. This study aims to determine the implementation of clinical pharmacy services in pharmacies in the Gedong Tataan District of Pesawaran Regency. The research approach used was quantitative descriptive with a simple random sampling technique. The sample in this study consisted of 16 pharmacies and pharmacy staff working in pharmacies in the Gedong Tataan District, Pesawaran Regency, who met the inclusion and exclusion criteria. Data collection was carried out by conducting with guided interviews using questionnaires and observation on the implementation of clinical pharmacy services by pharmacy staff. The results showed that the clinical pharmacy services implemented in pharmacies in Gedong Tataan District, Pesawaran Regency, were prescription assessment and services by 74% with a good category (61-80%), dispensing by 95% with a very good category (81-100%), and drug information services (PIO) obtained a percentage of 72% with a good category (61-80%). Clinical pharmacy services were mostly carried out by Pharmacy Vocational Personnel (TVF) at 37.5%. Clinical pharmacy services in pharmacies throughout the Gedong Tataan District of Pesawaran Regency have not been fully implemented in accordance with the standards of pharmaceutical services in pharmacies according to Permenkes No. 73 of 2016, as there are still several aspects that have not been carried out.
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Faktor Risiko Yang Berhubungan Dengan Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung
Indonesia ranks second in the world and Bandar Lampung City is the region with the highest TB incidence in Lampung Province with a treatment success rate that is still below the national target. This study aims to analyze the risk factors associated with the incidence of pulmonary TB in the Kedaton Community Health Center Working Area of ​​Bandar Lampung City using a quantitative analytical study with a case-control design. The study sample consisted of 40 cases (smear-positive pulmonary TB patients) and 40 controls (closest neighbors without TB) taken using a consecutive sampling technique, where data were collected through interviews, observations, and measurements using questionnaires and physical measuring instruments at home. The results of the bivariate analysis showed that employment status (p = 0.024) and bedroom ventilation (p = 0.040) had a significant relationship with the incidence of pulmonary TB, while the results of the multivariate analysis using multiple logistic regression showed that gender (p = 0.015) and bedroom ventilation (p = 0.009) were significantly related variables. The conclusion of this study determined that bedroom ventilation was the most dominant variable associated with pulmonary TB incidence, with inadequate ventilation having a 3.91-fold increased risk (OR=3.91; 95%CI=1.41-10.94) compared to adequate ventilation after controlling for gender.
Gambaran Kasus Dan Evaluasi Sistem Surveilans ISPA Di Puskesmas Perumnas Periode Agustus Sampai Oktober Tahun 2025
Acute Respiratory Infections (ARI) remain one of the public health problems that contribute significantly to high morbidity rates, especially among vulnerable groups. Community health centers, as primary health care facilities, play an important role in recording, reporting, and monitoring cases through surveillance systems. This study aims to determine the description of ARI cases and evaluate the implementation of the ARI surveillance system at the Perumnas Community Health Center from August to October 2025. This study uses a descriptive evaluative approach. The surveillance system evaluation is based on the 5M components, namely man, money, material, method, and machine. Data were obtained through a review of surveillance documents and observation of the implementation of the ARI case recording and reporting system at the health center. The results of the study indicate that ARI is still one of the most common diseases found in the Perumnas Community Health Center's working area. The implementation of ARI surveillance is generally running well, but there are still several obstacles in terms of human resources, supporting facilities, data completeness, and optimization of reporting methods. These conditions affect the quality of the epidemiological information produced. Therefore, it is necessary to strengthen the surveillance system by increasing the capacity of officers, providing supporting facilities, and improving recording and reporting mechanisms so that the implementation of ARI surveillance is more effective and supports disease control efforts.
Hubungan Penggunaan Alat Pelindung Diri (APD) Dengan Kadar Hemoglobin Pada Pekerja Wanita Yang Terpapar Bahan Bakar Di SPBU Kota Kendari
Occupational health is an important aspect in maintaining worker productivity and safety, particularly in sectors with a high risk of chemical exposure such as gas stations (SPBU). Gas station workers are potentially exposed to hazardous chemical compounds such as benzene, toluene, and xylene which may affect the hematopoietic system and lead to decreased hemoglobin (Hb) levels. The use of Personal Protective Equipment (PPE) is one of the preventive measures to minimize exposure to these hazardous substances. This study aimed to determine the relationship between the use of Personal Protective Equipment (PPE) and hemoglobin levels among female workers exposed to fuel at gas stations in Kendari City. This study employed a quantitative research design with a descriptive analytic approach using a cross-sectional method. The population in this study consisted of all female fuel filling operators working at gas stations in Kendari City, totaling 30 workers, who were all included as research samples. Data on PPE usage were obtained through observation and questionnaires, while hemoglobin levels were measured using a Hematology Analyzer with venous blood samples collected in EDTA tubes. Data analysis was conducted using univariate and bivariate statistical tests to determine the relationship between PPE usage and hemoglobin levels. The results showed that out of 30 respondents, 21 (70%) had normal hemoglobin levels and 9 (30%) had abnormal hemoglobin levels. A total of 20 respondents (66.7%) used PPE according to the required standards, while 10 respondents (33.3%) did not meet the PPE requirements. Statistical analysis showed a p-value of 0.104 (p > 0.05), indicating that there was no significant relationship between PPE usage and hemoglobin levels among female gas station workers in Kendari City. The study concludes that the use of PPE does not have a significant relationship with hemoglobin levels among female gas station workers in Kendari City. However, the consistent use of PPE is still recommended as a preventive measure to protect workers from exposure to hazardous chemicals in the workplace.
Gambaran Perilaku Self Diagnosis Dan Tingkat Literasi Kesehatan Masyarakat Usia 18-44 Tahun Di Wilayah Tataaran 1
The development of information technology has driven an increase in self-diagnosis behavior, especially among the productive-age population with broad access to the Internet. This phenomenon has the potential to result in inaccurate health assessments and influence health-related decision making. This study aimed to describe self-diagnosis behavior, motivations, patterns of seeking health information online, consequences after performing self-diagnosis, and the level of health literacy among people aged 18-44 in the Tataran 1 area. This research uses a quantitative descriptive design with a survey method through questionnaires given to 60 respondents in the company. The results show that the majority of respondents are female, aged 35-44, and have a high school level education. Some respondents were not motivated to perform self-diagnosis, and the level of seeking health information online was considered low to moderate. Nevertheless, nearly half of the respondents still took follow-up actions after performing self-diagnosis. The majority of respondents had a moderate level of health literacy, so the ability to understand and evaluate health information still needs to be improved. These findings underscore the importance of digital health literacy education so that the public can accurately sort medical information and reduce the risk of mistreatment due to self-diagnosis of the disease.
Penerapan Latihan ROM Pasif pada Lansia dengan Penyakit Stroke
The elderly often experience a decline in physical function that can interfere with the ability to carry out daily activities. This condition is more common in the elderly who have had a stroke, which is always accompanied by a decrease in muscle strength. Inactivity of the joint over a long period of time can lead to contracture. One of the nursing interventions that can be done to prevent this condition while increasing muscle strength is passive Range of Motion (ROM) exercises. The purpose of this case study is to apply nursing measures to the elderly with a decrease in muscle strength that is already research-based. This scientific paper uses a case study design with passive ROM training interventions. The number of respondents in this study was three patients. The intervention was carried out for three days on each respondent, with a frequency of twice a day for 20 minutes in the Stroke Nursing Room of Charitas Hospital Palembang. The results of the application showed an increase in muscle strength based on Manual Muscle Testing (MMT) scores in all respondents. Mr. P experienced an increase in the muscle strength of the left hand and leg from 2 to 4, Mrs. L from 2 to 3 in the right hand and foot, and Mr. A from 0 to 4 in the right hand and foot. This application is expected to add information about the use of passive ROM in stroke seniors who have decreased muscle strength.
Penerapan Relaksasi Benson terhadap Kecemasan Pasien Pre Operasi Histerektomi
Hysterectomy is a procedure performed to remove the uterus, either partially or completely. This surgery often causes psychological responses in the form of anxiety. One non-pharmacological therapy that can be used to overcome anxiety is Benson relaxation. The design used in this Final Nursing Scientific Paper is a case study using Benson relaxation intervention. Three respondents participated, and the intervention was carried out for two days preoperatively with three sessions, taking place in the Lukas Charitas Hospital Palembang room. After two days of Benson relaxation, changes in anxiety scores were obtained using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. At the final meeting, Mrs. E's anxiety decreased from 18 to 10, Mrs. H's from 16 to 7, and Mrs. S's from 13 to 7. There was a decrease in anxiety before and after Benson relaxation therapy was administered to all three respondents. The implementation of this EBP is expected to provide additional information regarding the provision of Benson relaxation in preoperative hysterectomy patients.
Penerapan Perawatan Nesting terhadap Pencegahan Hipotermi pada Bayi Berat Lahir Rendah (BBLR) di Ruang Perinatologi
Low Birth Weight (LBW) infants are a group of neonates who are highly susceptible to thermoregulation disorders, particularly hypothermia, due to limited subcutaneous fat reserves, a relatively large body surface area, and the immaturity of the temperature regulation system. Untreated hypothermia can lead to serious complications such as hypoxia, sepsis, hypoglycemia, apnea, and failure to gain weight, which ultimately contribute to increased neonatal morbidity and mortality. One of the non-pharmacological nursing interventions that can be used to prevent hypothermia is nesting care, a positioning technique using supportive materials to create a comfortable environment that resembles the intrauterine position.This study aimed to determine the effectiveness of nesting care in LBW infants as an effort to increase body temperature in infants experiencing hypothermia. The method used was a descriptive case study with a nursing process approach involving three participants. The intervention consisted of nesting care administered for three days, with a duration of 30 minutes once daily using the quarter-prone or semi-prone position. The results showed that after the nesting intervention, two out of three participants experienced an increase in body temperature approaching normal values on the third day. Improvement in the infants' condition was also indicated by reduced crying and longer periods of calm sleep compared to the condition before the intervention. Body temperature measurements and observations of the infants’ condition were conducted periodically to evaluate the effectiveness of the intervention, with an average temperature increase of approximately 0.2°C at the end of the intervention. In conclusion, nesting care can be used as an effective non-pharmacological nursing intervention to help increase body temperature in LBW infants experiencing hypothermia.
Gambaran Pengelolaan Obat Kadaluwarsa Di Puskesmas Wilayah Kabupaten Pemalang
The management of expired medications in community health centers (Puskesmas) is crucial because it directly relates to the quality of healthcare services, patient safety, and environmental impact. Medications that have passed their expiration date no longer guarantee effectiveness and safety, and therefore require proper handling in accordance with applicable regulations. Furthermore, improper management can lead to waste and the risk of misuse. This study was conducted to describe the expired medication management system in community health centers (Puskesmas) in Pemalang Regency, specifically regarding separation, recording, reporting, and destruction. This study used a descriptive method with a cross-sectional approach to describe the conditions in the field. The data used were primary data obtained through direct observation and interviews with pharmacists at the community health centers. Sampling was conducted using purposive sampling at five community health centers: Losari, Purwoharjo, Sarwodadi, Rowosari, and Kebandaran. The instrument used was an observation sheet as an interview guide, while the collected data was analyzed descriptively to provide an overview of the implementation of expired medication management. The study results indicate that all community health centers (Puskesmas) have properly separated, recorded, and reported expired medications in accordance with regulations. Overall, the management of expired drugs in health centers in the Pemalang Regency area has been running well and in accordance with the guidelines of the Indonesian Food and Drug Supervisory Agency (BPOM) Regulation Number 20 of 2025 concerning Good Distribution Practices for Medicines (CDOB), reaching 100%.
Pengaruh Job Meaningfulness Terhadap Kinerja Tenaga Kesehatan Melalui Work Engagement (Studi: Puskesmas Mokoau) Kota Kendari Sulawesi Tenggara
The performance of health workers is an important element in ensuring the quality of primary health services. In addition to technical and structural factors, psychological aspects such as job meaningfulness and work engagement are increasingly recognized as playing a role in improving performance. Health workers who interpret their work as something of value tend to show higher work attachment, which ultimately has an impact on performance. This study aims to analyze the effect of job meaningfulness on the performance of health workers through work engagement at the Mokoau Health Center, Kendari City. This study used a quantitative approach with a cross-sectional design. All health workers at the Mokoau Health Center as many as 70 people were involved as respondents through the total sampling technique. Data were collected using a structured questionnaire and analyzed using the Partial Least Squares–Structural Equation Modeling (PLS-SEM) method using SmartPLS version 4.0. The results of the analysis showed that job meaningfulness had a positive and significant effect on work engagement (β = 0.563; p < 0.05). Furthermore, work engagement had a positive and significant effect on the performance of health workers (β = 0.638; p < 0.05). The indirect influence test proved that work engagement significantly mediated the influence between job meaningfulness and performance (β = 0.360; p < 0.05). Job meaningfulness improves the performance of health workers through strengthening work engagement. Therefore, the HR management strategy at the Health Center needs to be directed at strengthening the meaning of work and work attachment to improve performance in a sustainable manner.
Analisis Faktor Risiko Kejadian Status Gizi Kurang Anak Balita Di Wilayah Kerja Puskesmas Amondo Kecamatan Palangga Selatan Kabupaten Konawe Selatan Tahun 2025
Data on malnutrition in toddlers at the Amondo Health Center in 2023 were 47 toddlers, then in 2024 from early January to November, malnutrition data increased by 64 toddlers. This study aims to determine the Risk Factors for Malnutrition in Toddlers in the Working Area of ​​the Amondo Health Center, South Palangga District, South Konawe Regency in 2025. The design of this study is quantitative with a cross-sectional approach. The population of this study was all toddlers registered in the working area of ​​the Amondo Health Center, South Palangga District, South Konawe Regency in 2024 with a total of 966 people. The sampling used was Accidental Sampling. To obtain a representative sample, the selection of subjects from each stratum or certain region was determined in a balanced or comparable manner in each matched region. The sample size used was 91 respondents. The data were analyzed using the SPSS application with the Odds Ratio test. The OR test results obtained knowledge values ​​(OR = 1.08), eating habits (OR = 0.70), family income (OR = 1.10), carbohydrate intake (OR = 2.47), protein intake (OR = 0.91) and fat intake (OR = 1.30). The conclusion that maternal knowledge, children's eating habits, family income, and nutrient intake (carbohydrates, proteins and fats) in the past are risk factors for malnutrition. It is recommended that health workers always provide information about malnutrition to the community, carry out vegetable planting movements in the community, do not carelessly give food to toddlers, always consume and provide nutritious food for the family
Analisis Kuantitas Air Bersih Terhadap Operasional Hygiene Sanitasi Di RSUD Sumber Sari Bantul Metro Selatan Tahun 2026
Clean water availability is an essential component of hospital hygiene and sanitation operations, including hand hygiene, environmental cleaning, linen management, food sanitation, and infection prevention. RSUD Sumbersari Bantul Metro Selatan still relies on one bore well and has limited water storage without a permanent backup source. This study aimed to analyze the adequacy of clean water quantity and quality in supporting hygiene and sanitation operations at RSUD Sumbersari Bantul Metro Selatan in 2026. This study used a descriptive analytic design. Data were collected through observation, interviews, water discharge and consumption measurement, document review, and laboratory examination of clean water samples. The analysis compared water availability, water demand, unit-based distribution needs, and water quality with the standards of Ministry of Health Regulation Number 2 of 2023. The results showed that during January-March 2026, the hospital served 154 inpatients and 1,028 outpatients and had 151 staff members. The total clean water requirement was 715.44 m3/90 days, while the available water was only 414.00 m3/90 days, fulfilling 57.87% of the required amount. The average daily need was 7.95 m3/day, compared with the availability of 4.60 m3/day. High-risk service units, particularly inpatient care, emergency services, intensive care, CSSD, isolation, maternity care, laundry, and nutrition services, require priority water distribution. Laboratory testing found Escherichia coli and total coliform at 19 CFU/100 ml each, exceeding the required standard of 0 CFU/100 ml. In conclusion, the quantity and microbiological quality of clean water at RSUD Sumbersari Bantul have not adequately supported optimal hygiene and sanitation operations.
Hubungan Kualitas Pelayanan Keperawatan Dengan Kepuasan Pasien Rawat Inap Di RSU Bahteramas Kota Kendari
Patient satisfaction is one of the key indicators in assessing the quality of nursing care in hospitals. High-quality nursing care can enhance patient trust, comfort, and satisfaction during their treatment. This study aims to determine the relationship between the quality of nursing care and the satisfaction of inpatients at Bahteramas General Hospital in Kendari City. This is an analytical quantitative study using a cross-sectional approach. The sample consisted of 39 inpatients. Data were collected using a questionnaire and analyzed using univariate and bivariate analyses with the chi-square test. The results indicate a significant relationship between all dimensions of nursing service quality and inpatient satisfaction. The tangible dimension was associated with patient satisfaction (p = 0.003), reliability (p = 0.000), responsiveness (p = 0.000), assurance (p = 0.012), and empathy (p = 0.000). In general, patients who rated the quality of nursing care as “poor” tended to be more likely to fall into the “dissatisfied” category, while patients who rated the quality of care as “adequate” tended to be more likely to fall into the “satisfied” category. This study concludes that the quality of nursing care is significantly associated with inpatient satisfaction at Bahteramas General Hospital in Kendari City. . Therefore, hospitals need to improve the quality of nursing care, particularly in terms of physical evidence, reliability, responsiveness, assurance, and empathy, in order to enhance patient satisfaction.
Gambaran Pengelolaan Limbah Di Puskesmas Kesumadadi Kecamatan Bekri Kabupaten Lampung Tengah Tahun 2025
Primary healthcare centers generate both medical and non-medical waste that may pose environmental and public health risks if not properly managed. This study aims to describe the waste management practices at Kesumadadi Public Health Center, Bekri Subdistrict, Central Lampung Regency, in 2025. This research employed a descriptive design conducted in May 2025 at the Kesumadadi Public Health Center. Data were collected through observation and interviews as primary data and secondary data from the health center. Data processing included editing, coding, tabulating, and cleaning, while data analysis was carried out using checklists and questionnaires. The results showed that the segregation of medical and non-medical solid waste was not fully in accordance with standards, waste transportation to temporary storage areas did not use trolleys and lacked designated routes, there was no wastewater treatment facility for liquid waste, and the use of personal protective equipment by staff was not optimal. Waste management practices at the Kesumadadi Public Health Center have not met the required standards, particularly in waste segregation, transportation, liquid waste treatment, and occupational safety, therefore improvements are needed to reduce environmental and health risks.
Efektivitas Refreshing Pre dan Post Coference di Ruang Rawat Inap
Pre-conference and post-conference are essential components of nursing management functions that play a significant role in enhancing communication, team coordination, continuity of nursing care, and patient safety. However, their implementation in inpatient wards continues to face several challenges, including high nursing workloads, limited time availability, and suboptimal adherence to Standard Operating Procedures (SOPs). This study aimed to analyze the effectiveness of a refresher program on the implementation of pre-conference and post-conference activities in an inpatient ward. A descriptive case study design was employed involving 21 nurses as research participants. Data were collected through direct observation, in-depth interviews, and document review of pre-conference and post-conference practices before and after the intervention. The refresher intervention consisted of SOP education, interactive discussions, and role-play sessions focusing on the proper implementation of pre-conference and post-conference activities. The findings demonstrated a notable improvement in the implementation of both activities following the intervention, as reflected by increased compliance with SOPs, enhanced nurses' understanding of conference procedures, and improved communication and coordination among nursing staff. The Wilcoxon Signed Ranks Test revealed a statistically significant difference between pre- and post-intervention conditions (p < 0.001), indicating that the refresher program was effective in improving the implementation of pre-conference and post-conference activities. These findings suggest that regular refresher programs may serve as a sustainable strategy for improving the quality of nursing services and promoting patient safety in inpatient settings.
Penerapan Teknik Slow Deep Breathing pada Post Operasi Kolealitiasis dengan Masalah Keperawatan Nyeri Akut di Ruang ICU RSD Gunung Jati Kota Cirebon
Background: Acute pain is a common problem experienced by patients after cholelithiasis surgery due to tissue injury and the inflammatory process resulting from surgical procedures. Uncontrolled pain can interfere with mobilization, rest, and the recovery process. Slow deep breathing is a non-pharmacological intervention that can help reduce pain by promoting relaxation and decreasing sympathetic nervous system activity. Objective: To determine the application of Evidence-Based Nursing through slow deep breathing techniques for acute pain management in post-cholelithiasis surgery patients. Methods: A case study was conducted on post-cholelithiasis surgery patients experiencing acute pain. Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the implementation of slow deep breathing therapy for approximately 5–10 minutes. Data were collected through interviews, observations, physical examinations, and nursing documentation. Results: The implementation of slow deep breathing resulted in a reduction in pain intensity. Patients reported decreased pain levels, appeared more relaxed, showed reduced facial grimacing, and experienced improved comfort after the intervention. Implications: Slow deep breathing is effective in reducing acute pain in post-cholelithiasis surgery patients and can be applied as a complementary non-pharmacological nursing intervention in pain management.
Analisis Beban Kerja Perawat Berdasarkan Tingkat Ketergantungan Pasien di Rumah Sakit Soerojo Magelang
Background: Nurses’ workload is one of the factors that influence the quality of nursing care and patient safety. The level of patient dependency is a key factor determining the magnitude of nurses’ workload because it relates to the time, energy, and attention required to provide nursing care. Objective: To analyze nurses’ workload based on the level of patient dependency in Ward Lily 1 at Soerojo Hospital in Magelang. Methods: A descriptive quantitative design with a cross-sectional approach. The study sample consisted of 21 nurses selected using total sampling. Data were collected using a nurse workload questionnaire and the Douglas method’s patient dependency level classification form, then analyzed using the chi-square test. The results showed that the majority of nurses experienced heavy workloads (14 nurses, 67%), while 5 nurses (24%) experienced moderate workloads. Result: Patient dependency levels were dominated by the partial care category (12 patients, 57%), followed by minimal care (4 patients, 19%) and total care (5 patients, 24%). The chi-square analysis yielded a significant p-value of 0.001 < α = 0.005. Implication: It was concluded that there is a relationship between patient care levels and workload.
Pernapasan dalam Lambat (Slow Deep Breathing) sebagai Strategi Manajemen Gejala untuk Mengatasi Kelelahan (Fatigue) pada Pasien yang Menjalani Hemodialisis
Chronic Kidney Disease (CKD) is a chronic kidney condition characterized by progressive and irreversible decline in kidney function. CKD patients undergoing hemodialysis often experience fatigue due to anemia, accumulation of uremic toxins, and the prolonged duration of the hemodialysis process. Unresolved fatigue can reduce quality of life and the ability to perform daily activities. One nonpharmacological intervention that can be used to address fatigue is slow deep breathing therapy. The purpose of this study was to determine the application of slow deep breathing in CKD patients undergoing hemodialysis. This study used a qualitative approach, specifically a case study with a nursing care approach. The study subjects were two CKD patients. The therapy was administered using slow deep breathing techniques for 5 minutes, with 1–3 cycles, over three sessions. Data collection methods included interviews and observations. Data collection instruments comprised nursing assessment forms, head-to-toe physical examinations, and supporting data. After providing nursing care interventions over three sessions to the two patients, the results showed a reduction in complaints of weakness and fatigue; the patients appeared more relaxed and comfortable, and were better able to perform light activities.Slow deep breathing therapy as a nonpharmacological intervention to help reduce fatigue in CKD patients undergoing hemodialysis
Penerapan Teknik Pijat Oksitosin terhadap Peningkatan Produksi Asi pada Ibu Post Partum
Delayed onset of breast milk production is a common problem experienced by postpartum mothers and can lead to failure to achieve exclusive breastfeeding. This condition may be influenced by insufficient stimulation of the hormone oxytocin, maternal anxiety, and a lack of knowledge regarding proper breastfeeding techniques. The purpose of this study was to analyze the application of oxytocin massage on breast milk let-down in postpartum mothers with ineffective breastfeeding nursing problems. This study used a case study design with a nursing care approach on five postpartum mothers experiencing delayed breast milk let-down in the Mawar Ward of Kardinah Regional General Hospital, Tegal City. Data collection was conducted through interviews, observations, physical examinations, and document reviews. The nursing interventions provided included breastfeeding education, family support, and oxytocin massage for 10–15 minutes over three consecutive days. The study results showed that all patients experienced improved milk let-down, characterized by smoother milk flow, increased breastfeeding frequency, babies appearing calmer after feeding, and improved maternal proficiency in performing proper breastfeeding techniques. Additionally, mothers’ knowledge regarding exclusive breastfeeding and oxytocin massage also increased. The application of oxytocin massage has been proven to help increase milk production in postpartum mothers and can therefore be used as an evidence-based nursing intervention to support the success of exclusive breastfeeding.
Reducing Fatigue in Chronic Kidney Disease Patients Through Benson Relaxation Therapy: Evidence from a Pretest-Posttest Study
Chronic Kidney Disease (CKD) is a progressive and irreversible disorder requiring hemodialysis as renal replacement therapy. Fatigue is a frequent symptom among hemodialysis patients and negatively affects quality of life and daily activities. This case study aimed to determine the effect of the Benson relaxation technique on fatigue in a CKD patient undergoing hemodialysis at RSUD Gunung Jati, Cirebon. The method used was a single-subject descriptive case study with nursing intervention applied in three sessions during pre, intra, and post hemodialysis periods. Data were obtained through assessment, observation, and fatigue evaluation. The intervention consisted of deep breathing combined with repetition of calming spiritual or meaningful words according to patient belief. Results showed a decrease in fatigue, indicated by reduced weakness, increased relaxation, improved comfort, and better emotional stability. The patient also reported increased energy after the intervention period. This study suggests that the Benson relaxation technique can be an effective non-pharmacological nursing intervention to reduce fatigue in hemodialysis patients and may be applied as a complementary approach in nursing care.