http://localhost:8080/xmlui/handle/123456789/10885 2026-04-09T05:59:28Z http://localhost:8080/xmlui/handle/123456789/10900 Title: Efektivitas varian metode terapi komplementer untuk fatigue pada pasien penyakit paru obstruktif kronik (PPOK): Tinjauan sistematik Authors: Putri Dewanti*, Gustini; Kariasa, I Made; Yona, Sri Abstract: Abstract Background: The process of fighting chronic obstructive pulmonary disease (COPD) is a challenge that affects the patient's quality of life. Moreover, the inevitable symptoms of fatigue often result in limitations in physical, emotional, cognitive and social aspects. However, in overcoming this there are new opportunities, namely the use of complementary therapies to optimally treat fatigue, paving the way for more effective health care for COPD sufferers. Purpose: To investigate and synthesize scientific evidence regarding the use of complementary therapies for fatigue in COPD patients. Method: Systematic review using PRISMA guidelines using five databases, including PubMed, Scopus, ScienceDirect, Cochrane and EMBASE. Search using the keyword combination "COPD" OR "Chronic Obstructive Pulmonary Disease" AND "Complementary Therapy" OR "Nonpharmacologic Therapy" OR "Supportive Therapy" AND "Fatigue" OR "Overtiredness" OR "Exhaustion". The article criteria used were quantitative research, RCT design, COPD patient respondents in inpatient or outpatient settings, complementary therapy or nonpharmacological interventions with a minimum duration of 2 weeks, measuring fatigue with fatigue instruments, English language, full text, and publication 2016-2023 . Results: Seven articles were found that met the criteria for analysis. Complementary therapy is grouped as follows, therapy with additional equipment, therapy carried out by professionals, therapy combined with additional equipment and carried out by professionals, and therapy without additional equipment and not carried out by professionals. Conclusion: Therapy with professional assistance such as yoga and reflexology reduces the average fatigue score the most, followed by therapy without additional equipment and without professional assistance such as PMR and DB, as well as therapy with additional equipment such as TENS and IMT or a combination of additional equipment and carried out professionally (MT on IMT). Yoga with online classes or through media such as videos can be adopted as a rehabilitation program at home. Suggestion: Future research is expected to examine the advantages and limitations of complementary therapies to reduce fatigue, so that they can be combined for better results. Keywords: Complementary Therapy; Chronic Obstructive Pulmonary Disease (COPD); Fatigue. 2024-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10899 Title: Effectiveness of prolonged prone positioning in acute respiratory distress syndrome using mechanical ports: A systematic review Authors: Ayu Ari Rama Dewi, Dewa; Herawati, Tuti Abstract: Abstract Background: Acute respiratory distress syndrome (ARDS) is a pulmonary condition that triggers a systemic inflammatory response with different etiologies that has distinctive pathological clinical characteristics. This study discusses the provision of prolonged prone position as supportive therapy to improve oxygenation status in ARDS patients as well as the complications that may arise from prolonged prone position. Purpose: To compile and collect the latest evidence on prolonged prone positioning therapy in ARDS patients. Method: Design a systematic review with PRISMA guidelines using databases from ScienceDirect, Proquest, PubMed, and Scopus. Search for articles with the keywords “prolonged prone position” AND “ARDS” AND “benefits” AND “complications”. Results: All nine articles recognized the positive influence of prolonged prone position on oxygenation status in ARDS patients, but had no effect on patient mortality rates. However, prolonged prone positioning has several complications related to nerve disorders in parts of the body that are under pressure for a long time, prolonged use of sedation medication which affects the prolonged use of mechanical ventilation, long ICU stay, and other complications. In terms of efficiency, prolonged prone positioning provides convenience for health workers because it does not require more time and energy in changing the patient's position repeatedly. Conclusion: Prolonged prone positioning has been proven to be effective and safe for patients. This position can be used and reduces the workload of health care workers, but complications related to this position require good monitoring regarding clinical and neurological parameters. Suggestion: Further research needs to be done regarding the appropriate duration of proneness so that it can provide an optimal positive impact and possibly minimize the risk of complications. Further research involving patient groups may provide a deeper understanding of the benefits and risks of prolonged prone positioning interventions. Keywords:Acute Respiratory Distress Syndrome (ARDS); Benefit; Complication; Prolonged Prone Position. 2024-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10898 Title: Identification and management of chronic kidney disease: A case study Authors: Wijonarko, Wijonarko; Ferry, Ferry Abstract: Abstract Background: Chronic kidney disease (CKD) is one of the most common chronic diseases affecting people in the world. CKD is a disorder of kidney function, namely the body's failure to maintain metabolism and fluid balance, so that it cannot recover due to the body being unable to maintain metabolism. Purpose: To identify appropriate bleeding in chronic kidney disease patients. Method: The design of this research is a case study in caring for clients with chronic kidney disease (CKD). The research object was two patients with a diagnosis at the Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province. Maintenance care data collection is carried out by interviews, physical examination, and direct observation. Data analysis was carried out by evaluating treatment actions against the level of treatment achievement in patients. Results: Based on diagnosis, observation and physical examination, ineffective breathing patterns, hypervolemia, activity intolerance, disturbed sleep patterns and risk of nutritional deficit were found. Bleeding care for 3 x 24 hours shows that breathing patterns are becoming more normal, fluid intake is balanced, and physical activity is restored. Conclusion: Implementation of maintenance measures in CKD patients has an impact on improving breathing, balancing fluid intake, and physical activity conditions. Suggestion: There is a need to understand and the importance of nursing care, namely in carrying out priority actions for CKD patients. Keywords: Chronic Kidney Disease (CKD); Identification; Management; Nursing Care. 2024-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10897 Title: Konsumsi mentimun (cucumis sativus linn) dalam menurunkan tekanan darah pada penderita hipertensi Authors: Syahratudar Maharani, Mahrunnisa; Maliya, Arina Abstract: Abstract Background: Hypertension is a degenerative disease that increases mortality and morbidity throughout the world. Among the problems that often affect the treatment of hypertensive patients are the side effects of pharmacological drugs. Among the side effects caused by taking pharmacological drugs are increased blood sugar levels, cholesterol and decreased energy. Purpose: To prove the effect of giving cucumber juice on blood pressure values in hypertension sufferers. Method: Quantitative research using a quasi-experimental method, non-randomized pre-test-post-test design with control group. Data were collected using a digital sphygmomanometer instrument, observation sheet, blood pressure values, and 50ml cucumber. The data analysis used was the Wilcoxon and Mann Whitney non-parametric statistical test Results: This study describes that after seven days of intervention there was a significant reduction in the average systolic and diastolic blood pressure (20.68 ± 8.3) and (9.00 ± 5) with a p-value of 0.001 in systolic and diastolic blood pressure. The control group experienced a non-significant decrease in systolic pressure (0.66 ± 5.5) with a p-value of 0.317 and diastolic pressure (0.00 ± 0.0) with a p-value of 1.000. Conclusion: Giving cucumber juice can reduce blood pressure values for hypertensive patients. Keywords: Blood Pressure Values; Cucumber; Hypertension. 2024-04-01T00:00:00Z