Novita Nirmalasari

The Influence of Deep Breathing Exercise and Active Range of Motion on Dyspnea and Physiological Response in Patients with Congestive Heart Failure xviii +160 pages + 39 tables + 4 figures + 5 charts + 15 appendixes Dsypnea is a clinical manifestation of CHF due to pulmonary function failure. The accumulation of fluid in the alveoli makes the heart unable to pump up to the maximum. Changes that occur in the respiratory muscles make an increase of the sensation of dyspnea. This results in increased respiratory rate, blood pressure, pulse and decreased oxygen saturation, which become important factors affecting the quality of life of patients. Non-pharmacological management is performed to mantain physical stability, avoid behaviors that can worsen the condition and detect early symptoms of worsening heart failure. Deep breathing exercise and active range of motion is one of the interventions to reduce breathing effort and inscrease respiratory muscles. The purpose of this study was to analyze the influence of deep breathing exercise and active range of motion on dyspnea and physiological response in CHF patients. This study was an experimental research with pretest-posttest control group design with 32 respondents recruited by stratified random sampling technique. Intervention began with deep breathing exercise 30 times and continued with active range of motion with each movement of five times. Intervention was done 3 times a day for 3 days. The measuring instruments in this research were Modified Borg Scale, digital spygnomanometer and pulse oximetry. The time of research was from April to July 2017 in RS PKU Muhammadiyah Yogyakarta and RS PKU Muhammadiyah Gamping Yogyakarta. Data analysis used was independent test t-test and Mann-Whitney. Results of the mean difference between the two grup found a p value for each variable i.e, dyspnea = 0.004, systolic = 0.003, diastole = 0.296, pulse = 0.542, respiratory rate = 0.184, and oxygen saturation = 0.019. Interventions of deep breathing exercise and active range of motion can decrease dyspnea and systolic blood pressure and increased oxygen saturation in CHF patients. Further research is expected to increase the time of intervention to allow for better significance. Keywords: Active range of motion; CHF, deep breathing exercise; dyspnea; respon fisiologis References: 86 (1998-2016)

Bencana letusan gunung berapi adalah peristiwa yang dapat mengancam dan mengganggu kehidupan dan penghidupan masyarakat serta lingkungan. Salah satu upaya penanggulangan dampak bencana yang dapat dilakukan adalah meningkatkan kesiapsiagaan. Komunitas sekolah sebagaipemangku kepentingan atau stakeholder yang berperan dalam hal menyebarluaskan pengetahuan. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan media video animasi mitigasi bencana terhadap kesiapsiagaan siswa di SDN Kepuharjo dalam menghadapi erupsi gunung Merapi. Metode penelitian ini menggunakan Quasi-eksperimental One-Group Pretest-Posttet design dengan pendekatan kuantitatif. Cara pengambilan sampel menggunakan teknik Purposive Sampling dengan kriteria inklusi dan eksklusi sebanyak 39 siswa. Intervensi dileucine dengan pemutaran video animasi mitigasi bencana. Pengukuran kesiapsiagaan bencana dilakukan sebelum dn sesudah intervensi. Analisa data univariat menggunakan persentase dan frekuensi, uji Wilcoxon. H...

Masalah mengenai kanker payudara masih menjadi tantangan khusus bagi wanita usia subur di Indonesia. Pencegahan yang digalangkan di Indonesia adalah dengan melakukan SADARI (Periksa Payudara Sendiri). Pemerintah Desa Singkil Wetan berusaha untuk mendapatkan informasi terkait kesehatan wanita untuk meningkatkan kualitas kesehatan wanita diwilayahnya. Salah satunya mengenai pelatihan SADARI sebagai tindak lanjut edukasi kanker payudara yang pernah dilakukan. Tujuan pengabdian ini untuk mengetahui tingkat ketrampilan sebelum dan sesudah pelatihan SADARI pada wanita di Desa Singkil Wetan. Hasil kegiatan didapatkan bahwa pelatihan diikuti oleh 26 peserta yang rata rata berusia 43,07 ± 9,82 tahun, berlatar belakang Pendidikan SMA (65,45%) dan memiliki aktivitas sebagai ibu rumah tangga (57,7%). Mayoritas peserta tidak pernah melakukan cek rutin terkait kondisi payudaranya ke dokter (96,2%), tidak dapat melakukan SADARI 61,5%, dan tidak rutin melakukan SADARI (76,9%). Setelah diberikan pel...

Tantrum merupakan ledakan emosi yang dialami oleh anak usia prasekolah yang bersifat alami dengan angka kejadian yaitu 80% dan hal ini terjadi pada usia 2 – 6 tahun. Namun, orang tua sering kali menyalahartikan bahkan merasa hal tersebut adalah perbuatan tercela. Padahal, tantrum merupakan ekspresi anak ketika ia merasa tidak nyaman hingga keinginan tidak terpenuhi. Oleh karena itu, butuh pengetahuan tentang tantrum pada orang tua menjadi dasar agar perkembangan psikologis anak dapat berjalan dengan baik. Sehingga, pengabdian ini bertujuan untuk memberikan pemahaman pada ibu tentang tantrum dan manajemen marah pada anak usia pra sekolah. Pengabdian ini menggunakan metode ceramah, diskusi, dan demonstrasi. Sebelum dan sesudah kegiatan ibu diberikan soal tentang materi terkait. Berdasarkan hasil terdapat perbedaan yang signifikan antara sebelum dan sesudah diberikan edukasi dengan nilai p yaitu 0,001 (p < 0,05). Hal ini berarti bahwa edukasi efektif untuk meningkatkan pemahaman ibu...

Daerah Istimewa Yogyakarta adalah daerah yang rawan bencana dengan letusan gunung api dengan adanya gunung api aktif yaitu Gunung Merapi. Peristiwa bencana berkaitan dengan upaya mitigasi untuk mempersiapkan diri dalam menghadapi bencana dengan salah satu upayanya adalah edukasi terkait bencana. Tujuan dari kegiatan pengabdian masyarakat adalah untuk sebagai upaya peningkatan kesiapsiagaan terhadap bencana. Hasil kegiatan tersebut didapatkan bahwa sebanyak 21 peserta menunjukkan bahwa jenis kelamin perempuan lebih banyak jika dibandingkan laki laki sebesar 38% dengan usia peserta sebagian besar berusia 11 tahun (90,6%). Peningkatan pengetahuan ditunjukkan bahwa peningkatan skor rata-rata antara pretest dan posttest yaitu sebesar 21,59. Pada masa anak usia sekolah dasar ini anak akan mengalami pertumbuhan dan perkembangan yang sangat pesat, anak sangat peka dan mudah mempelajari sesuatu. Usia mempengaruhi pengetahuan, sikap, daya tangkap dan pola pikir anak. Semakin bertambah usia ak...

ABSTRAK   Latar Belakang: Masalah reproduksi remaja akan menyebabkan malnutrisi dan  pertumbuhan terlambat yang dihubungkan dengan gangguan siklus menstruasi. Selama masa pubertas, sekitar 80-90% wanita akan mengalami gejala PMS. Faktor penyebab terjadinya PMS antara lain faktor hormonal, faktor genetik, faktor gaya hidup berkaitan dengan peningkatan berat badan, kualitas tidur, dan aktifitas fisik. Faktor psikologis salah satunya stres. Gejala-gejala PMS akan semakin hebat dirasakan ketika wanita terus menerus mengalami tekanan. Tujuan Penelitian: Mengetahui hubungan siklus menstruasi dengan kejadian premenstrual syndrome. Metode Penelitian: Desain penelitian Kuantitatif dengan menggunakan pendekatan cross-sectional. Sampel diambil dengan teknik stratified random sampling yaitu 99 siswi kelas XI di SMAN 1 Godean. Pengambilan data menggunakan google form pada bulan Juli 2020. Instrumen penelitian adalah kuesioner. Hasil penelitian dianalisis secara bivariat dengan menggunakan uji So...

Background: Burns are the most potential type of injury experienced by housewives. Improper first aid burns can worsen the condition. Objective: To determine the first aid practice of burns incidents among housewives in Sleman region Yogyakarta. Methods: Descriptive design with a naturalist approach was used in this study. A total of 84 respondents were selected using simple random sampling technique with the criteria of housewives who are still actively doing activities in the kitchen, as well as other household activities. Data collection uses a questionnaire with closed and open combination question types. Data analysis was performed descriptively. Results: A total of 5 aspects of the first aid of burns are appropriate (Running immediately during a fire in the house (47.6%); releasing jewelry (58.3%); splashing the wound with cold running water (54.8%); not watering if more than 3 hours (86.9%); and let the bullae break apart (66.7%)). There are still 3 aspects that are not yet r...

Abstrak Masalah reproduksi remaja akan menyebabkan malnutrisi atau kurang gizi, pertumbuhan terlambat, penyakit, dan stres. Selama masa pubertas, sekitar 80-90% wanita akan mengalami gejala PMS. Faktor penyebab terjadinya PMS dari faktor gaya hidup salah satunya berkaitan dengan kualitas tidur. Pola tidur yang buruk dapat meningkatkan keparahan dari gejala PMS yang dirasakan. Perempuan yang memiliki kualitas tidur yang buruk berpeluang mengalami PMS gejala sedang hingga berat. Tujuan Penelitian untuk mengetahui hubungan kualitas tidur dengan kejadian premenstrual syndrome. Metode penelitian dengan Desain penelitian Kuantitatif dengan menggunakan pendekatan cross-sectional. Sampel diambil dengan teknik stratified random sampling yaitu 99 siswi kelas XI di SMAN 1 Godean. Pengambilan data menggunakan google form yaitu pada bulan Juli 2020. Instrumen penelitian adalah kuesioner. Hasil penelitian dianalisis secara bivariat dengan menggunakan uji Somer’s. Hasil penelitian menunj...

Background: The end-stage renal disease affects almost every aspect of the patients' and caregivers' lives. Several studies have been conducted to explore the experiences of family caregivers in caring for hemodialysis patients. However, a survey of the burden of family caregivers has yet to be conducted in Indonesia, a country with strong family bonds among family members. Purpose: This study aimed to identify the burden among family caregivers of hemodialysis patients. Methods: This study was a cross-sectional study conducted in May 2021 on 60 family caregivers of hemodialysis patients. selected using a purposive sampling technique. Semi structured questionnaires were used to measure socio-demographic. The Caregiver Reaction Assessment-Indonesian Version (CRA-ID) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes. Results: Women represented 65% (n=39) of participants, married participants were 83.3% (n=50), and were 63.3%...

ABSTRAK Pandemi Covid-19 menyebabkan berbagai masalah psikologis, terutama pada pasien dengan penyakit komorbid, salah satunya yaitu diabetes melitus. Hal ini terbukti bahwa sebanyak 65% orang mengalamai masalah tersebut, antara lain depresi, cemas, gangguan tidur, hingga sindrom pasca trauma. Namun, hingga saat ini, gangguan psikologis tersebut masih dianggap sebelah mata. Hal ini juga terjadi di Dusun Kanoman, Pleret, Bantul. Sehingga pengabdian ini bertujuan untuk memeriksa status psikologis masyarakat yang menderita Diabetes Melitus di masa pandemic Covid. Kegiatan pengabdian meliputi pemeriksaan psikologis dengan menggunakan kuesioner Depression, Anxiety, and Stress 21 Scale (DASS 21) dan konsultasi. Kuesioner ini memeriksa depresi, cemas, dan stress yang dialami penderita diabetes melitus. Kemudian, hasil dianalisis menggunakan SPSS 25. Berdasarkan hasil diketahui bahwa 20% penderita mengalami depresi sedang, 13,3% mengalami cemas sedang, dan 6,7% mengalami stress ringan. Sete...

Luka bakar merupakan jenis cedera yang paling berpotensi dialami oleh ibu rumah tangga. Kondisi tersebut tidak terlepas dari aktivitas pekerjaan rumah tangga yang dilakukan, seperti memasak.. Untuk mengetahui karakteristik demografi kejadian luka bakar pada ibu rumah tangga di wilayah Sleman Yogyakarta. Rancangan deskriptif dengan pendekatan naturalis digunakan dalam penelitian ini. Responden sejumlah 84 dipilih menggunakan teknik simple random sampling dengan kriteria ibu rumah tangga yang masih aktif melakukan kegiatan di dapur, serta kegiatan rumah tangga lainnya. Pengumpulan data menggunakan kuesioner dengan tipe pertanyaan kombinasi tertutup dan terbuka. Analisis data dilakukan secara deskriptif. Rata-rata usia responden dalam penelitian ini adalah 43,63 tahun (SD 11,46), sebagian besar tidak bekerja 52 (61,9%), dan memiliki riwayat pendidikan yang rendah 23 (27,4%), berpendidikan sekolah dasar. Hampir seluruh responden 83 (98,8%) pernah mengalami kejadian luka bakar, luka baka...

ABSTRAK Dsypnea merupakan manifestasi klinis congestive heart failure (CHF) akibat kurangnya suplai oksigen karena penimbunan cairan di alveoli. Merupakan faktor penting yang memengaruhi kualitas hidup pasien. Penimbunan tersebut membuat jantung tidak mampu memompa darah dengan maksimal. Dampak perubahan terjadi peningkatan sensasi dys-pnea pada otot respiratori. Penatalaksanaan non farmakologi berupa tindakan bertujuan menjaga stabilitas fisik, menghindari perilaku yang dapat memperburuk kondisi dan mendeteksi gejala awal perburukan gagal jantung. Penelitian bertujuan mengetahui pengaruh deep breathing exercise dan active range of motion terhadap dyspnea pada pasien CHF. Penelitian menggunakan desain quasi experimental pre-post test dengan kelompok kontrol melibatkan 32 responden dengan teknik stratified random sampling. Alat ukur penelitian menggunakan modified Borg scale. Intervensi dengan memberikan deep breathing exercise sebanyak 30 kali dilanjut dengan active range of motion ...

Dyspnea is a clinical manifestation of congestive heart failure (CHF) due to lack of oxygen supply because of accumulation of fluid in the alveoli. This is an important factor that affects the quality of life of patients. The accumulation makes the heart unable to pump up to the maximum. The effect in respiratory muscle increases the sensation of dyspnea. Non-pharmacological management is measures aimed to maintain physical stability, avoid behaviors that can aggravate the condition, and detect early symptoms of worsening heart failure. The purpose of this study was to evaluate the influence of deep breathing exercise and active range of motion on Kata kunci: active range of motion congestive heart failure deep breathing exercise

Burns are the most potential type of injury experienced by housewives. The use of topical agents for first aid burns that are inappropriate or not standardized can worsen the condition. This purpose of this study was to determine the used of topical first aid agents for burns to housewives. This was a descriptive observational study, included 84 respondents were selected using simple random sampling technique with the criteria of housewives who are still actively doing activities in the kitchen, as well as other household activities. Questionnaire was used to collecting the data. The data was analysis descriptively. The average age of respondents was 43.63 years (SD 11.46), most burns occurred while cooking 61 (73.5%), the most common cause was exposure to hot oil 54 (64.3%), the highest frequency was less than 5 times a year 50 (60.2%), most suffered injuries in the hand area of 49 (59%), with the most injuries being 1-3 cm 42 (50.6%), the wound condition was mostly 58 (69.9%), and...

Latar Belakang: Operasi merupakan tindakan pembedahan dengan prosedur yang sudah ditetapkan pada suatu bagian tubuh. Tindakan ini akan memberikan dampak stress dan kecemasan. Komunikasi terapeutik adalah salah satu intervensi yang dapat dilakukan oleh seorang perawat. Komunikasi tersebut meliputi aspek kesejatian, empati, respon/hormat, dan konkret. Oleh karena itu perawat sebaiknya dapat menerapkan teknik ini agar mempercepat penyembuhan pasien. Tujuan: Untuk mengetahui gambaran penerapan komunikasi terapeutik perawat pada klien pre operasi di ruang rawat inap RSUD Panembahan Senopati. Metode: Penelitian ini menggunakan desain deskriptif non analitik dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan teknik Consecutive sampling dengan jumlah sampel 69 responden. Data diambil dengan menggunakan kuesioner komunikasi terapeutik. Analisis pada penelitian ini menggunakan analisis univariat. Hasil: Hasil penelitian ini menunjukkan bahwa sebagian besar perawat di ban...

Stres di masa pandemi merupakan ketakutan dan kecemasan tentang kesehatan diri maupun kesehatan orang lain yang disayangi. Seseorang yang mengalami stress akan timbul gejala seperti perubahan pola tidur, pola makan, dan kesulitan konsentrasi. Faktor penyebab stres pada ibu antara lain adanya double burden yang terdiri pengasuhan anak, ibu rumah tangga, dan ibu bekerja. Sehingga manajemen stres dibutuhkan untuk mengurangi stres tersebut. Manajemen yang digunakan yaitu hypnosis lima jari dan terapi musik. Sehingga, pengabdian ini bertujuan untuk menurunkan level stres ibu selama masa pandemi. Pengabdian ini menggunakan metode pengajaran langsung dengan dibantu video terapi pada ibu. Sebelum dan sesudah kegiatan nilai stres ibu diukur menggunakan Perceived Stress Scale (PSS). Rata-rata itu mengalami stres sedang baik sebelum dan sesudah terapi. Selain itu, nilai p value juga menunjukkan 0, 802 (p > 0,05). Hal ini berarti bahwa terapi relaksasi yang dilakukan tidak memberikan penurun...

The Influence of Deep Breathing Exercise and Active Range of Motion on Dyspnea and Physiological Response in Patients with Congestive Heart Failure xviii +160 pages + 39 tables + 4 figures + 5 charts + 15 appendixes Dsypnea is a clinical manifestation of CHF due to pulmonary function failure. The accumulation of fluid in the alveoli makes the heart unable to pump up to the maximum. Changes that occur in the respiratory muscles make an increase of the sensation of dyspnea. This results in increased respiratory rate, blood pressure, pulse and decreased oxygen saturation, which become important factors affecting the quality of life of patients. Non-pharmacological management is performed to mantain physical stability, avoid behaviors that can worsen the condition and detect early symptoms of worsening heart failure. Deep breathing exercise and active range of motion is one of the interventions to reduce breathing effort and inscrease respiratory muscles. The purpose of this study was t...

The students who study in the Faculty of Health of Universitas Jenderal Achmad Yani Yogyakarta come from various area in Indonesia. Various socio-cultural aspects and academic aspects may cause some problems. It can make difficult for them to adapt with the environment which eventually make them stressful. This study aimed to find out the stress level difference between overseas students and domestic students. This study used a comparative descriptive design recruiting 188 respondens by stratified random sampling technique. Data were collected by using perceived of stress scale questionnaire. Data were analyzed using Chi square test. The results of this study showed that of 13(6,92%) female respondens who had severe stress. Domestic students tend to experience mild stress, which is 76 (80.85%) but overseas student more often severe stress 10 (10.64%). Students from Medical Records had more often mild stress 33 (17.55%). Data were analyzed using Chi Square test. The results showed th...

Background: Although many previous studies have used the Preparedness for Caregiving Scale (PCS), it has not been translated and validated in Indonesia. Purpose: This study aimed to translate and evaluate the PCS’s psychometric adequacy among family caregiver of non-communicable disease (NCD) patients in Indonesia. Methods: The linguistic of the PCS was validated using a standard forward-backward process. The Indonesian version was approved with Content Validity Index (CVI). Then a cross-sectional survey was conducted to establish the construct validity of the PCS to measure caregiver preparedness. A purposive sampling approach was used to recruit 40 consenting family caregivers of NCD patients. The PCS sum score was correlated with each item using Pearson product-moment. The internal consistency of the Indonesian version of the PCS (I-PCS) was assessed using Cronbach’s alpha. Results: The Item-CVI (I-CVI) and Scale-level CVI (S-CVI) of the I-PCS were 1.00. It showed the high conten...

Penelitian ini bertujuan untuk mengetahui karakteristik demografi penanganan cedera olahraga. Penelitian menggunakan pendekatan deskriptif dengan sampel sebanyak 69 mahasiswa. Teknik pengambilan sampel dengan kuota sampling. Pengumpulan data menggunakan kuesioner. Analisis data dilakukan secara deskriptif. Cedera olahraga paling sering adalah ankle sejumlah 37,1%. Penanganan pertama pada kram otot dilakukan pemijatan sebanyak 73,9%, memar dengan kompres dingin sebanyak 46,4%, strain dan sprain dengan pemijatan 52,2% dan 55,0%, dislokasi dengan immobilisasi sebanyak 47,8%.

Background: The COVID-19 pandemic has the potential to cause severe psychological harm. Psychological conditions such as anxiety, depression, stress, and disturbances are common among health care workers. The factors causing stress in health workers include workload, fear of being infected with COVID-19, the negative stigma of virus carriers, and being away from family. The research purposed to know the relationship between psychological condition and sleep quality. Methods: The research population consists of all nurses who have worked in the covid room. This research used descriptive correlation with a cross-sectional approach. The samples were collected using a simple random sampling technique with 30 respondents as inclusion and exclusion criteria. The questionnaires Depression Anxiety Stress Scale-21 (DASS-21) and Pittsburgh Sleep Quality Index (PSQI) were completed by the respondent. Data analysis was used Chi-Square. Results: Most of the respondents were females (66,67%) over...

Sport injuries are those injuries experienced during the sportexercise, during the sport match, or after the sport match. Injuries can be caused by physical forces, technical errors, physical collision, or excessive physical activities.This research aims at finding out the knowledge level description of sport injuries management in AchmadYani Sport Centre. first-aid on the students of sport UKM (Unit Kegiatan Mahasiswa/Students’ Activities Unit) in JenderalAchmadYani Yogyakarta University.The research used quantitative research with descriptivedesign. The number of the sample was 69. The data collection method was through the distribution of questionnaire on the knowledge level of first-aid. The data analysis used was univariate.The majority of male sex (59%), aged 20 – 21 years old (56.6%), volly ball UKM (24.7%), and the knowledge level of first-aid is categorized as good (79.7%). The students’ knowledge against RICE first-aid method in terms of: Rest is good (42.0%), of Ice is go...

Dsypnea is a clinical manifestation of CHF due to pulmonary function failure. The accumulation of fluid in the alveoli makes the heart unable to pump with the maximum. This will increase the respiratory frequency, blood pressure, pulse and decrease oxygen saturation. These change will affect the quality of life of patients. Pharmacologic and nonpharmacologic management is performed to maintain physical stability, avoid behaviors that can aggravate the condition and detect early symptoms of worsening heart failure. Deep breathing exercise and active range of motion is one of the non-pharmacological interventions to reduce breathing and increase respiratory muscle strength. The purpose of this study was to identification oxygen saturation after deep breathing exercise and active range of motion. The type of research used is quasi experimental research involving 16 respondents with purposive sampling technique. Deep breathing exercise and active range of motion performed 3 times a day ...

Background: Family caregivers spend 24 hours a day looking after and assisting patients. However, they are not always adequately prepared for all the problems they face. There is a lack of evidence exploring caregivers’ preparedness among family caregivers of patients with non-communicable diseases in Indonesia.Purpose: This study aimed to identify caregivers’ preparedness among family caregivers of patients with non-communicable diseases.Methods: This was a cross-sectional study conducted on 120 Indonesian family caregivers for patients with non-communicable diseases, who were selected using a purposive sampling technique. Data were collected using the Indonesian version of the Preparedness for Caregiving Scale (PCS) which had been validated before its use. The possible scores of this tool ranged from 0.00 to 4.00. The higher the score, the more prepared the family caregivers were. Data were analyzed using one way ANOVA .Results: Family caregivers reported feeling of moderately pre...

Masa remaja merupakan masa transisi dengan kematangan alat reproduksi. Keputihan (fluor albus) adalah masalah kesehatan reproduksi yang umum. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan dan sikap kebersihan vulva pada cairan vagina (fluor albus) pada remaja putri di SMKN 2 Godean Yogyakarta. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan desain cross sectional. Sampel dipilih dengan menggunakan random sampling. Jumlah sampel 68 dengan kriteria inklusi dan eksklusi. Variabel penelitian ini adalah pengetahuan dan sikap vulva hygiene. Instrumen penelitian menggunakan kuesioner. Analisis data yang digunakan adalah univariat. Remaja perempuan yang mengalami keputihan adalah pada usia 17 tahun (41,2%), sudah menstruasi (97,1%), dan mengalami keputihan (97,1%), tingkat pengetahuan baik (72,1%) dan sikap kebersihan vulva positif (97,1%). Sebagian besar responden memiliki tingkat pengetahuan yang baik dan sikap kebersihan vulva yang positif. Gambaran peng...

Background: Elderly is a decrease in cardiovascular function. Sstructural and functional changes occur in the peripheral vascular system responsible for variations in blood pressure. The study aims at finding out attitude, family supervision, level of knowledge, and efforts to control hypertension in working area Puskesmas Saptosari Gunungkidul. Method: The study was descriptive research with cross-sectional. Samples were selected using a purposive sampling. The number of the sample 38 repondent. The research instrument used a questionnaire. The data analysis used was univariate. Result: The majority of women (94.7%), aged 60-70 years (84.2%), and hypertension stage I (68.4%). Most of the attitudes have the right attitude (94,7%), family supervision (89,5%), and inadequate level of knowledge (76,3%). In controlling efforts, most were in a good category (94,7%). Conclusion: Almost all respondents have the right attitude and supervision from the family. Even though they have an inadeq...

Background: Stroke has remained the leading cause of death globally in the last 15 years. Stroke is rapidly developing clinical signs of focal or global disturbance of cerebral function. Hospitalization is a treatment process which including patient to stay at the hospital. Length of stay is influenced by the type of stroke.  This  study aimed to know classification of stroke and length of stay of stroke patients. Methods: The study was a descriptive study with restrospective design. Data collected from medical record from May until December 2020 in RS PKU Muhammadiyah Yogyakarta. There were 207 patients with stroke. Descriptive data is then processed. Results: The results showed the highest percentage stroke patients male (50,24%), non hemorrhagic stroke (57,49%), length of stay hemorrhagic stroke 8 days. Conclusion: The result of this study may provide nursing research in patients with stroke.

Dsypnea is a clinical manifestation of CHF due to pulmonary function failure. The accumulation of fluid in the alveoli makes the heart unable to pump with the maximum. The changes that occur in the respiratory muscles make an increase from the sensation of dyspnea. This results in increased respiratory rate, blood pressure and pulse and decreased oxygen saturation, This is an important factor affecting the quality of life of patients. Pharmacologic and nonpharmacologic management is performed to maintain physical stability, avoid behaviors that can aggravate the condition and detect early symptoms of worsening heart failure. Deep breathing exercise and active range of motion is one of the non-pharmacological interventions to reduce breathing and increase respiratory muscle. The purpose of this study was to identification oxygen saturation after deep breathing exercise and active range of motion. The type of research used is quasi experimental research involving 16 respondents with p...

Background: Dyspnea and physiological changes are clinical manifestations of Congestive Heart Failure (CHF) due to respiratory failure. Deep breathing exercise combined with active range of motion increases respiratory muscles and blood circulation. As a result,  it reduces breathing effort and decreases blood pressure.Purpose: This research aimed to analyze the influence of deep breathing exercise and active range of motion (ROM) on the physiological response of CHF patientsMethods: This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done 3 times a day for 3 days. Deep breathing exercise was carried out for thirty times and continued with active range of motion for five times each movement. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-test.Result: The results showed that there were signi...