Hubungan kepatuhan konsumsi pemberian makanan tambahan (PMT) dengan status gizi berat badan menurut umur (BB/U) pada balita underweight

Background: Nutritional problems in children under five, particularly underweight cases, remain a major public health challenge in Indonesia with significant impacts on child development. In 2019, the prevalence of underweight (weight-for-age) among children under five in Indonesia reached 17.1%, while in Sukoharjo Regency it was recorded at 11.8%. Compliance with the supplementary feeding program is an important strategy to address this issue. Purpose: To analyze the relationship between compliance with consumption of supplementary feeding and nutritional status (W/A) in underweight toddlers. Method: A cross-sectional design was used, involving 104 underweight children under five from a total population of 228, selected by simple random sampling. Primary data were collected through interviews with parents, while secondary data were obtained from Mojolaban Health Center. Body weight was measured using a digital scale and calculated into weight-for-age Z-scores (W/A), while compliance was assessed using weekly comstock monitoring. Data were analyzed using the Chi-Square test with a significance level of p < 0.05. Results: The majority of mothers were aged 26–35 years (69.2%), unemployed (73.1%), had incomes above the minimum wage (52.9%), and had a high school education (57.7%). Compliance with supplementary feeding was low (17.3%). After the intervention, 60.6% of toddlers gained weight and 19.3% had normal nutritional status, but statistical analysis (p=0.101) showed no significant relationship between compliance with supplementary feeding and nutritional status. Conclusion: There was no significant relationship between compliance with supplementary feeding and nutritional status (weight-for-age) in underweight toddlers. Suggestion: The quality of additional food consumed, frequency of illness, and daily food consumption are several other factors that can influence the nutritional status of toddlers and need to be included in further research.   Keywords: Adherence; Nutritional Status; Supplementary Feeding; Underweight.   Pendahuluan: Masalah gizi pada balita, khususnya kasus underweight, masih menjadi tantangan kesehatan masyarakat di Indonesia dengan dampak signifikan terhadap perkembangan anak. Pada tahun 2019, prevalensi balita underweight (berat badan menurut umur) di Indonesia mencapai 17.1%, sementara di Kabupaten Sukoharjo tercatat sebesar 11.8%. Kepatuhan terhadap program Pemberian Makanan Tambahan (PMT) menjadi strategi penting untuk mengatasi masalah ini. Tujuan: Untuk menganalisis hubungan kepatuhan konsumsi PMT dan status gizi (BB/U) pada balita underweight. Metode: Penelitian dengan desain cross-sectional yang melibatkan 104 balita underweight dari populasi 228, dipilih secara simple random sampling. Data primer diperoleh melalui wawancara orang tua, sedangkan data sekunder dari Puskesmas Mojolaban. Berat badan diukur dengan timbangan digital dan dihitung Z-score BB/U, kepatuhan dinilai dari comstock mingguan. Analisis menggunakan uji Chi-Square dengan p < 0.05. Hasil: Mayoritas ibu berusia 26–35 tahun (69.2%), tidak bekerja (73.1%), berpendapatan di atas UMR (52.9%), dan berpendidikan SMA (57.7%). Tingkat kepatuhan konsumsi PMT rendah (17.3%). Setelah intervensi, 60.6% balita naik berat badan dan 19.3% berstatus gizi normal, namun uji statistik (p=0.101) menunjukkan tidak ada hubungan signifikan antara kepatuhan PMT dan status gizi. Simpulan: Tidak terdapat hubungan yang signifikan antara kepatuhan mengonsumsi PMT dengan status gizi berat badan menurut umur (BB/U) pada balita underweight. Saran: Kualitas makanan tambahan yang dikonsumsi, frekuensi sakit, dan konsumsi makanan sehari-hari merupakan beberapa faktor lain yang dapat memengaruhi status gizi balita dan perlu diikutsertakan dalam penelitian selanjutnya. Kata Kunci: Kepatuhan; Pemberian Makanan Tambahan (PMT); Status Gizi; Underweight

Hubungan antara pola asuh dengan status gizi pada balita

Background: Nutritional problems remain a crucial public health challenge in Indonesia, including in the working area of Remboken Public Health Center, Minahasa Regency. Parenting practices, particularly feeding behavior and child care, are known to influence the nutritional status of toddlers. Purpose: To analyze the relationship between parenting patterns and the nutritional status of toddlers. Method: A cross-sectional study was conducted involving 91 toddlers selected through simple random sampling. Data were collected using a structured questionnaire to assess feeding and caregiving practices, and anthropometric measurements were performed to determine nutritional status based on z-scores: weight-for-age (W/A), height-for-age (H/A), and weight-for-height (W/H). Data were analyzed using Fisher's Exact Test and Chi-square test. Results: There was a significant relationship between feeding practices and nutritional status based on W/A (p = 0.044) and H/A (p = 0.000), but no significant relationship with W/H (p = 1.000). Similarly, caregiving practices were significantly associated with W/A (p = 0.030) and H/A (p = 0.000), but not with W/H (p = 0.092). Conclusion: The results highlight the importance of improving feeding and caregiving practices to enhance children's nutritional status, particularly in addressing underweight and stunting among toddlers. Suggestion: Parents, especially mothers, need to adopt more responsive feeding and caregiving practices. Meanwhile, public health centers are expected to enhance education and provide support to families at risk of stunting, focusing on nutrition, hygiene, immunization, and psychosocial support.   Keywords: Feeding Practices; Parenting Patterns; Toddler Nutritional Status   Pendahuluan: Masalah gizi masih menjadi tantangan kesehatan masyarakat yang krusial di Indonesia, termasuk di wilayah kerja Puskesmas Remboken, Kabupaten Minahasa. Praktik pengasuhan, khususnya perilaku pemberian makan dan pengasuhan, diketahui memengaruhi status gizi balita. Tujuan: Untuk menganalisis hubungan antara pola asuh dan status gizi balita. Metode: Studi cross-sectional yang melibatkan 91 balita yang dipilih melalui pengambilan sampel acak sederhana. Data dikumpulkan menggunakan kuesioner terstruktur untuk menilai praktik pemberian makan dan praktik merawat balita, juga dilakukan pengukuran antropometri untuk menentukan status gizi berdasarkan z-score berat badan menurut usia (BB/U), z-score tinggi badan menurut usia (TB/U), dan z-score berat badan menurut tinggi badan (BB/TB). Analisis data dilakukan dengan menggunakan uji Fisher-exact dan uji Chi-kuadrat. Hasil: Menunjukkan hubungan yang signifikan antara praktik pemberian makan dan status gizi berdasarkan BB/U (p value = 0.044) dan TB/U atau PB/U (p value = 0.000), tetapi tidak ada hubungan yang signifikan dengan BB/TB atau BB/PB (p value = 1.000). Demikian pula, praktik merawat anak secara signifikan berhubungan dengan BB/U (p value = 0,030) dan TB/U atau PB/U (p value = 0.000), tetapi tidak dengan BB/TB atau BB/PB (p value = 0.092). Simpulan: Hasil penelitian ini menegaskan pentingnya peningkatan praktik pemberian makan dan merawat anak untuk meningkatkan status gizi, terutama dalam mengurangi masalah underweight dan stunting pada balita. Saran: Orang tua, terutama ibu, perlu meningkatkan praktik pemberian makan responsif dan perawatan untuk balita, sementara pusat kesehatan masyarakat diharapkan meningkatkan pendidikan dan memberikan dukungan bagi keluarga yang berisiko stunting dengan fokus pada nutrisi, kebersihan, imunisasi, dan dukungan psikososial.   Kata Kunci: Pola Asuh; Praktik Pemberian Makan; Status Gizi Balita

Efektivitas penggunaan asuhan keperawatan digital terhadap kualitas dokumentasi keperawatan: A systematic review

Background: Nursing care documentation plays an important role in improving the quality of care, ensuring the accuracy of patient data, and supporting clinical decision making. However, manual documentation methods often face challenges such as time constraints, high workload, and the risk of data loss. Digitization of nursing documentation is expected to overcome these obstacles by increasing efficiency, accuracy, and data security. Purpose: To evaluate the effectiveness of the use of digital nursing care on the quality of nursing documentation. Method: A systematic review study following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Data sources were obtained from databases including; PubMed, Scopus, Google Scholar, and Science Direct with a publication period of 2019–2024. The keywords used were the effectiveness of digital nursing documentation, electronic medical records, and its impact on service quality. Results: The use of a digital documentation system can increase recording accuracy by up to 40%, save documentation time by up to 30%, and reduce the risk of losing patient data. In addition, this system also allows real-time access to information, thereby improving coordination between health workers. Conclusion: Digitization of nursing documentation has proven effective in improving the efficiency, accuracy, and security of patient data. However, its implementation still faces challenges, such as resistance from nursing staff, limited infrastructure, and the need for ongoing training. Therefore, a comprehensive implementation strategy is needed to ensure that the benefits of this system can be optimized.   Keywords: Documentation; Digitization; Electronic Medical Records; Health Information System; Nursing Care.   Pendahuluan: Dokumentasi asuhan keperawatan berperan penting dalam meningkatkan kualitas pelayanan, memastikan akurasi data pasien, dan mendukung pengambilan keputusan klinis. Namun, metode dokumentasi manual sering kali menghadapi tantangan, seperti keterbatasan waktu, beban kerja tinggi, dan risiko kehilangan data. Digitalisasi dokumentasi keperawatan diharapkan dapat mengatasi kendala tersebut dengan meningkatkan efisiensi, akurasi, dan keamanan data. Tujuan: Untuk mengevaluasi efektivitas penggunaan asuhan keperawatan digital terhadap kualitas dokumentasi keperawatan. Metode: Penelitian systematic review yang mengikuti protokol Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Sumber data diperoleh dari database meliputi; PubMed, Scopus, Google Scholar, dan Science Direct dengan rentang waktu publikasi 2019–2024. Kata kunci yang digunakan yakni efektivitas dokumentasi keperawatan digital, rekam medis elektronik, dan dampaknya terhadap kualitas layanan. Hasil: Penggunaan sistem dokumentasi digital dapat meningkatkan akurasi pencatatan hingga 40%, menghemat waktu dokumentasi sebesar 30%, dan mengurangi risiko kehilangan data pasien. Selain itu, sistem ini juga memungkinkan akses informasi secara real-time, sehingga meningkatkan koordinasi antar tenaga kesehatan. Simpulan: Digitalisasi dokumentasi keperawatan terbukti efektif dalam meningkatkan efisiensi, akurasi, dan keamanan data pasien. Namun, implementasinya masih menghadapi tantangan, seperti resistensi tenaga keperawatan, keterbatasan infrastruktur, dan kebutuhan pelatihan berkelanjutan. Oleh karena itu, diperlukan strategi implementasi yang komprehensif untuk memastikan manfaat sistem ini dapat dioptimalkan.   Kata Kunci: Asuhan Keperawatan; Digitalisasi; Dokumentasi; Rekam Medis Elektronik; Sistem Informasi Kesehatan

Pengaruh pola asuh orang tua terhadap tingkat kemandirian toilet training pada anak usia prasekolah

Background: The success of toilet training is not only seen from the child's physical readiness but also from the readiness of the parents, especially the mother, because toddlers still have physical, verbal and emotional limitations in carrying out toilet training. Purpose: To analyze the influence of parenting patterns on the level of toilet training independence in preschool-aged children. Method: Quantitative research with a cross-sectional approach, conducted in June-July 2024. The independent variable in this study is parenting patterns, while the dependent variable is the level of toilet training independence in preschool children. Sampling used the total sampling technique and obtained 60 respondents. Results: The parenting patterns of parents were mostly categorized as good as 38 respondents (63.3%) and the level of independence was categorized as high as 36 respondents (60.0%) with (p) (2-tailed) 0.01 which means there is an influence between the parenting pattern variable and the variable of children's toilet training independence. Conclusion: Parenting patterns have a significant influence on the level of toilet training independence in preschool children. Suggestion: Parents can apply democratic parenting in an effort to encourage healthy psychological growth and development of adolescents. Children's independence needs to be taught early on, children already have the drive to be independent for themselves, independence in each child cannot be the same.   Keywords: Independence; Parenting Patterns; Preschool Age Children; Toilet Training.   Pendahuluan: Keberhasilan toilet training tidak hanya dilihat dari kesiapan fisik anak, tetapi juga dilihat dari kesiapan orang tua, khususnya ibu karena usia toddler masih memiliki keterbatasan fisik, verbal, dan emosional dalam melakukan toilet training. Tujuan: Untuk menganalisis pengaruh pola asuh orang tua terhadap tingkat kemandirian toilet training pada anak usia prasekolah. Metode: Penelitian kuantitatif dengan pendekatan cross sectional, dilakukan pada bulan Juni-Juli 2024. Variabel independen pada penelitian ini adalah pola asuh orang tua, sedangkan variabel dependennya yaitu tingkat kemandirian toilet training pada anak usia prasekolah. Sampel dikumpulkan menggunkan teknik total sampling dan dapatkan sebanyak 60 responden. Hasil: Pola asuh orang tua sebagian besar masuk dalam kategori baik sebanyak 38 responden (63.3%), begitupun tingkat kemandirian dikategorikan tinggi sebanyak 36 responden (60.0%) dengan (p) (2-tailed) 0.01, artinya ada pengaruh antara variabel pola asuh dengan variabel kemandirian toilet training anak. Simpulan: Pola asuh orang tua berpengaruh secara signifikan terhadap tingkat kemandirian toilet training pada anak usia prasekolah. Saran: Orang tua dapat mempraktikkan pola asuh demokratis dalam upaya mendorong perkembangan psikologis remaja yang sehat. Kemandirian anak perlu diajarkan sejak dini, anak sudah mempunyai dorongan kemandirian untuk dirinya sendiri, kemandirian pada setiap anak tidak bisa disamakan.   Kata Kunci: Anak Usia Prasekolah; Kemandirian; Pola Asuh Orang Tua; Toilet Training

Deteksi dini status kesehatan balita dan status kesehatan ibu balita resiko stunting pada anak balita

  Background: Stunting is a form of growth failure in a child, where the child's height is lower than other children of the same age. The Asian Development Bank reported that the prevalence of stunting in toddlers in Indonesia is the second highest in Southeast Asia. The prevalence reached 31.8% in 2020. According to the Indonesian Nutritional Status Study (SSGI, 2021), 1 in 4 Indonesian children experience stunting, approximately 5 million Indonesian children experience stunting. Meanwhile, in 2021 the stunting rate reached 24%. Indonesia targets the stunting rate to drop to 14% by 2024. Purpose: To determine the distribution of stunting risk factors in toddlers. Method: The design of this study is a quantitative research design with a survey design. The population and sample are all toddlers in Noto Harjo sub-district, totaling 224 people and a sample of 112. Data collection techniques are observation (height measurement), interviews with toddlers' parents, and documentation studies (KIA Book). Data analysis is descriptive. Results: The results of this study showed that the number of stunting was 21.4%. This data is almost the same as the prevalence of stunting in Indonesia, which is 21.6%. While the target to be achieved by the government is 14%. For this reason, various joint efforts are needed to achieve the targets that have been set. Conclusion: Based on the results of research and statistical test results, the prevalence of stunting in toddlers in Notoharjo Village reached 21.4%. These results show a figure that is almost comparable to the national stunting prevalence in Indonesia, which is 21.6%, this figure is still far above the target set by the government, which is 14% in 2024. This emphasizes the need for more intensive efforts in handling stunting, including nutritional interventions, increasing public awareness, and more effective policy support. With collaboration between various parties, it is hoped that the target of reducing stunting can be achieved, so that children in Indonesia can grow healthily and optimally

Using storybooks to enhance health awareness among schoolchildren at risk of tuberculosis

Background: In 2020, Indonesia ranked third globally for the highest number of tuberculosis (TB) cases, with an estimated 969,000 cases. In 2022, Pekalongan recorded 150 pediatric TB cases, with many contacts refusing TB preventive therapy. Children living in the same household as adults with positive acid-fast bacilli (AFB) TB are at high risk of contracting Mycobacterium tuberculosis. One preventive measure is introducing age-appropriate education to enhance their understanding. Purpose: To examine the impact of education through storybook media on tuberculosis awareness among school-aged children living with TB patients. Method: A quasi-experimental one-group pretest-posttest design. Using purposive sampling, 30 children who shared a household with TB patients participated. They received health education interventions through storybooks and leaflets. A TB knowledge questionnaire and an observation sheet for cough etiquette practices were used as research instruments. Results: There was a significant improvement in children’s knowledge and cough etiquette practices after receiving health education through storybooks and leaflets, as demonstrated by the Wilcoxon test (p-value < 0.05). Conclusion: Health education using storybooks effectively enhances knowledge and improves cough etiquette skills in school-aged children

Efektivitas edukasi berbasis web terhadap tingkat kecemasan pasien: A systematic review

Background: Anxiety is one of the psychological problems often experienced by patients with various medical conditions. Web-based education has developed as an intervention method to reduce patient anxiety. However, the effectiveness of this method still needs to be studied further. Purpose: To evaluate the effectiveness of web-based education on patient anxiety levels. Method: Systematic review research with Preferential Reporting Items for Systematic Reviews And Meta Analysis (PRISMA) reference to search for articles related to web-based educational interventions and their impact on patient anxiety. Article search from databases such as PubMed with keywords namely Web-based education AND patient anxiety, telehealth AND anxiety management, and digital health intervention AND psychological distress. Results: Studies have shown that web-based education can significantly reduce patient anxiety levels. Factors supporting the effectiveness of this intervention include interactive modules, online support, and flexibility of access. However, there are barriers such as limited digital access for some patient groups. Conclusion: Web-based education has been shown to be effective in reducing patient anxiety across a range of medical conditions. Further implementation is needed to improve patient engagement and the quality of online educational content.   Keywords: Anxiety; Education; Web-Based.   Pendahuluan: Kecemasan merupakan salah satu masalah psikologis yang sering dialami oleh pasien dengan berbagai kondisi medis. Edukasi berbasis web telah berkembang sebagai metode intervensi untuk mengurangi kecemasan pasien. Namun, efektivitas metode ini masih perlu dikaji lebih lanjut. Tujuan: Untuk mengevaluasi efektivitas edukasi berbasis web terhadap tingkat kecemasan pasien. Metode: Penelitian systematic review dengan acuan Preferential Reporting Items for Systematic Reviews And Meta Analysis (PRISMA) untuk mencari artikel terkait intervensi edukasi berbasis web dan dampaknya terhadap kecemasan pasien. Pencarian artikel dari database berupa PubMed dengan kata kunci yaitu Web-based education AND patient anxiety, telehealth AND anxiety management, dan digital health intervention AND psychological distress. Hasil: Studi menunjukkan bahwa edukasi berbasis web dapat menurunkan tingkat kecemasan pasien secara signifikan. Faktor-faktor yang mendukung efektivitas intervensi ini meliputi modul interaktif, dukungan daring, dan fleksibilitas akses. Namun, terdapat hambatan seperti keterbatasan akses digital bagi beberapa kelompok pasien. Simpulan: Edukasi berbasis web terbukti efektif dalam mengurangi kecemasan pasien di berbagai kondisi medis. Implementasi lebih lanjut diperlukan untuk meningkatkan keterlibatan pasien dan kualitas konten edukasi daring.   Kata Kunci: Edukasi; Berbasis Web; Kecemasan

Pendidikan kesehatan dengan media promosi kesehatan untuk mengoptimalkan prilaku konsumsi buah dan sayur

Background : Adequate fruit and vegetable consumption is an important part of a healthy diet and plays a role in preventing various chronic diseases. However, public awareness, especially in rural areas, remains low. Leaflets are an easily accessible and effective educational method for increasing knowledge and fostering healthy behaviors. Purpose: To increase knowledge through health promotion through leaflets, which will influence fruit and vegetable consumption behavior in the community. Methods: This community service activity was conducted on June 10, 2025, at the Integrated Health Service Post (Posyandu) in Dusun 5 Sukajaya Darat, Lempasing, Pesawaran. Fifteen mothers with children who attended the Posyandu were selected using a total sampling technique. The health education activity used lectures and instructions in the form of informative leaflets on fruit and vegetable consumption behavior in children, including presentations, material presentations, and interactive discussions. Data were collected using a questionnaire and analyzed descriptively to determine differences before and after the intervention. Results: The majority of respondents were unemployed (11 respondents, 73.3%), and the majority had a high school education (9 respondents, 60.0%). Based on the accumulation of questionnaire data, it shows that the respondents' pre-test knowledge score got an average score of 75.0 points (SD=4.62) with a range of 70-85 points, while the respondents' post-test knowledge score got an average score of 90.6 points (SD=4.95) with a range of 85-100 points. Conclusion : Health promotion outreach activities increased mothers' knowledge regarding fruit and vegetable consumption behavior. This increased knowledge also positively contributed to mothers' efforts to maintain family health. Suggestion: Health education media can be implemented periodically and routinely as part of the integrated health service post (Posyandu) program. Keywords: Fruit and vegetable consumption; Health promotion media; Optimization Pendahuluan: Konsumsi buah dan sayur yang cukup merupakan bagian penting dari pola makan sehat dan berperan dalam mencegah berbagai penyakit kronis. Namun, kesadaran masyarakat, terutama di wilayah pedesaan, masih rendah. Media leaflet merupakan salah satu metode edukasi yang mudah diakses dan efektif dalam meningkatkan pengetahuan serta membentuk perilaku sehat. Tujuan: Meningkatkan pengetahuan dengan promosi kesehatan melalui media leaflet terhadap perilaku konsumsi buah dan sayur di masyarakat. Metode: Kegiatan pengabdian ini dilaksanakan pada 10 Juni 2025 di Posyandu Dusun 5 Sukajaya Darat, Lempasing, Pesawaran. Dengan melibatkan 15 ibu yang datang ke posyandu dan memiliki anak, yang dipilih menggunakan teknik total sampling untuk menjadi responden. Kegiatan penyuluhan kesehatan dengan metode ceramah dan petunjuk berupa leaflet informatif mengenai perilaku konsumsi buah dan sayur pada anak yang meliputi kegiatan presentasi, pemaparan materi dan diskusi interaktif. Data dikumpulkan menggunakan kuesioner dan dianalisis secara deskriptif untuk melihat perbedaan sebelum dan sesudah intervensi. Hasil: Menunjukkan bahwa sebagian besar responden memiliki status tidak bekerja yaitu sebanyak 11 (73.3%) dan mayoritas status pendidikan responden adalah SMA yaitu sebanyak 9 (60.0%).  Berdasarkan akumulasi data kuesioner menunjukkan bahwa nilai pre-test pengetahuan responden mendapatkan skor rata-rata 75.0 poin (SD=4.62) dengan rentang 70-85 poin, sedangkan nilai post-test pengetahuan responden mendapatkan skor rata-rata 90.6 poin (SD=4.95) dengan rentang 85-100 poin. Simpulan: Kegiatan penyuluhan promosi kesehatan memberikan peningkatan pengetahuan pada ibu terhadap prilaku konsumsi buah dan sayur . Peningkatan pengetahuan ini juga memberikan kontribusi positif bagi para ibu dalam menjaga kesehatan keluarga. Saran: Media edukasi kesehatan dapat dilakukan secara berkala dan rutin sebagai program kegiatan posyandu

Enhancing patient safety outcomes through SBAR communication: A systematic review

Background: SBAR (Situation, Background, Assessment, Recommendation) is a structured communication framework designed to facilitate the logical and efficient transfer of information among healthcare professionals. This method supports the identification, assessment, and management of patient risks. Ineffective communication is a leading contributor to patient safety incidents; therefore, implementing structured communication like SBAR is essential for enhancing the quality and safety of healthcare delivery. Purpose: To explore and analyze the impact of SBAR communication on improving the effectiveness of patient safety within healthcare settings. Method: A systematic review approach in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A thorough search was conducted across multiple scholarly databases—Scopus, PubMed, ScienceDirect, and Google Scholar—using the keywords: "SBAR AND communication AND healthcare AND facilities." Results: The implementation of SBAR enhances healthcare workers’ communication competencies, fosters a safer and more reassuring environment for patients, and contributes positively to the overall quality of care. Conclusion: SBAR is a communication tool that promotes timely, accurate, complete, and clear information exchange, thereby supporting the effectiveness of patient safety practices in healthcare services

Penerapan active cycle of breathing technique terhadap pernapasan SPO2 pada pasien penyakit paru obstruktif kronik (PPOK) dengan masalah keperawatan pola nafas tidak efektif

 Background: Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by persistent, generally progressive, respiratory symptoms and airflow limitation associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to noxious gases or particles. Purpose: To help improve the respiratory condition of COPD patients, one of which is active cycle of breathing technique (ACBT) breathing exercises, in providing geriatric nursing care to COPD clients with ineffective breathing patterns. Method: This descriptive study, using a case study design, used two subjects with ineffective breathing patterns. The Active Cycle of Breathing Technique (ACBT) was applied twice daily for 15-20 minutes per day for three days. Results: The author managed the ineffective breathing patterns with the active cycle of breathing technique (ACBT) nursing interventions for three days in COPD patients. The ineffective breathing patterns of both clients were resolved, as evidenced by the normal respiratory rate of Mrs. H and Mr. S, and their cooperative behavior during the intervention. Conclusion: There is an effect of applying the active cycle of breathing technique (ACBT) to reduce the respiratory rate in COPD patients.   Keywords: Active Cycle Of Breathing Technique (ACBT); COPD; Ineffective Breathing Pattern.   Pendahuluan: Penyakit paru obstruktif kronik (PPOK) adalah penyakit paru dengan adanya gejala pernafasan dan keterbatasan aliran udara yang persisten dan umumnya bersifat progresif yang berhubungan dengan respon inflamasi kronik yang berlebihan pada saluran nafas dan parenkim paru akibat gas atau partikel berbahaya. Tujuan: Untuk membantu meningkatkan kondisi pernafasan pasien PPOK salah satunya latihan pernapasan active cycle of breathing Technique (ACBT) dalam melakukan asuhan keperawatan gerontik pada klien PPOK dengan masalah keperawatan pola nafas tidak efektif dengan penerapan active cycle of breathing technique. Metode: Penelitian deskriptif dengan rancangan studi kasus menggunakan 2 orang sebagai subjek dengan masalah keperawatan pola nafas tidak efektif. Penerapan Active Cycle Of Breathing Technique (ACBT) untuk kelompok intervensi adalah 2 kali sehari selama 15-20 menit perhari selama 3 hari.  Hasil: Pengelolaan keperawatan pola nafas tidak efektif dengan  penerapan  tindakan  keperawatan active cycle of breathing Technique (ACBT) yang  penulis  lakukan  selama  3  hari  pada pasien PPOK,  dimana masalah pola nafas tidak efektif  kedua  klien  teratasi  semua  dibuktikan  dengan klien  Ny.H dan Tn. S frekuensi nafasnya normal dan selama tindakan kedua klien kooperatif. Simpulan: Terdapat pengaruh penerapan active cycle of breathing Technique (ACBT) untuk mengurangi frekuensi nafas pada pasien PPOK.   Kata Kunci:  Active Cycle Of Breathing Technique (ACBT); Pola Nafas Tidak Efektif; PPOK