Comparing Deep Breathing and Semi-Fowler Position to Reduce Respiratory Rate in Asthma Patients: A Quasi-Experimental Study

Background: Asthma remains a global health burden, marked by recurrent respiratory symptoms that significantly affect quality of life. Non-pharmacological nursing interventions such as deep breathing and semi-Fowler positioning have been increasingly recommended to improve respiratory function in patients with asthma. However, few studies have compared the relative effectiveness of these two interventions within a single experimental framework. Purpose: This study aimed to compare the effectiveness of deep breathing exercises and the semi-Fowler position in reducing respiratory rate among asthma patients. Methods: A quasi-experimental study was conducted involving 70 asthma patients, divided into two intervention groups: deep breathing (n = 35) and semi-Fowler position (n = 35). Participants were recruited using purposive sampling based on defined inclusion and exclusion criteria. Data on respiratory rate were collected before and after intervention using direct observation, recorded in breaths per minute. Paired and independent t-tests were used for statistical analysis with a significance level of α < 0.05.Result: In the deep breathing group, the mean respiratory rate decreased significantly from 29.03 ± 2.20 to 18.29 ± 1.56 breaths/minute (mean difference = 10.74; p < 0.001). Similarly, in the semi-Fowler group, the respiratory rate reduced from 28.43 ± 1.98 to 18.29 ± 1.66 breaths/minute (mean difference = 10.14; p < 0.001). However, the post-intervention comparison between the two groups showed no statistically significant difference (p = 1.00).Conclusion: Both deep breathing and semi-Fowler positioning are effective in reducing respiratory rate among asthma patients. These findings suggest that nurses can apply either method based on patient preference and clinical context, supporting individualized, evidence-based respiratory care

PENATALAKSANAAN TUBERCULOSIS DI WILAYAH KERJA PUSKESMAS MARUNGGI TAHUN 2024

Tuberculosis is a disease caused by Mycobacterium tuberculosis and usually attacks the lungs and then attacks all parts of the body. WHO recommends fixed dose combination drugs (KDT) to reduce the risk of developing drug- resistant TB due to monotherapy. The aim is to analyze the management of health services at the Puskesmas and to apply competence. The method used at the Marunggi Health Center was interviewing TB program holders and secondary data using flip sheet and educational videos. The results of the activity were counseling to the TB sufferer community in Padang Cakur Village on October 18 2024, conducting advocacy with Padang Cakur village officials regarding the TB cadre budget. In conclusion, the community for TB patients is willing to have their phlegm checked and can take part in treatment for pulmonary TB and for teenagers they can understand pulmonary TB disease.

CANCER-RELATED FATIGUE IN CHILDREN WITH CANCER

Introduction: Children with cancer are susceptible to experiencing symptoms of anxiety, nausea, vomiting, nutrition, fatigue, sleep disorders and pain. Children often experience fatigue during the treatment process. not much is known about other factors that influence the experience of fatigueAim: This study aimed to determine fatigue data in children with cancer that explains aspects of the experience of fatigue, with a focus on interoceptive awareness and emotional vulnerability. Method: This research uses a cross sectional study approach. The subjects of this study were 64 people with the inclusion criteria of children with cancer, respondents aged 6-18 years, patients who signed informed consent, were willing to be respondents, and were undergoing treatment. The sampling technique used accidental sampling using 64 respondents. Fatigue and quality of life were measured using the FAS (Fatigue Assessment Scale) PedsQol Cancer Module 3.0. In data analysis using chi square.Findings: The results of the research were that there was a relationship between fatigue and quality of life in children with cancer (ρ=0.000), and showed that 20 children (31.2%) experienced severe fatigue, while 18 children (28.1%) had quality of life. bad. HConclusion and recommendation: based on this research that Keywords: children with cancer, fatigue, quality of life Introduction: Children with cancer are susceptible to experiencing symptoms of anxiety, nausea, vomiting, nutrition, fatigue, sleep disorders and pain. Children often experience fatigue during the treatment process. not much is known about other factors that influence the experience of fatigueAim: This study aimed to determine fatigue data in children with cancer that explains aspects of the experience of fatigue, with a focus on interoceptive awareness and emotional vulnerability. Method: This research uses a cross sectional study approach. The subjects of this study were 64 people with the inclusion criteria of children with cancer, respondents aged 6-18 years, patients who signed informed consent, were willing to be respondents, and were undergoing treatment. The sampling technique used accidental sampling using 64 respondents. Fatigue and quality of life were measured using the FAS (Fatigue Assessment Scale) PedsQol Cancer Module 3.0. In data analysis using chi square.Findings: The results of the research were that there was a relationship between fatigue and quality of life in children with cancer (ρ=0.000), and showed that 20 children (31.2%) experienced severe fatigue, while 18 children (28.1%) had quality of life. bad. HConclusion and recommendation: based on this research that Keywords: children with cancer, fatigue, quality of life

GAMBARAN KEJADIAN DIARE, FAKTOR PHBS, JAMBAN SEHAT, DAN AIR BERSIH

Background:. Diarrhea is a health condition characterized by increased frequency and looseness of stool, which can result in dehydration and is potentially fatal, especially in children. According to global data, diarrhea is one of the main causes of death among children under the age of five, with significant death rates occurring in developing countries, including Indonesia Objective: This research aims to analyze the relationship between clean and healthy living behavior (PHBS), access to clean water, and the presence of healthy latrines on the incidence of diarrhea in Indonesia. Methods: Using secondary data from the 2019-2023 RI Health Profile using 3 variables, namely PHBS, healthy latrines and clean water taken from data from 34 provinces. This research applies quantitative descriptive methods with statistical analysis. Results: The research results show that poor access to clean water and inadequate sanitation contribute to the high incidence of diarrhea. Even though efforts to increase PHBS have been made, there are still disparities in the implementation of good sanitation practices in various regions. This research also identifies that the presence of healthy latrines is not always directly related to reducing the number of diarrhea. PHBS and consistent use of clean water have a positive impact in reducing the incidence diarrhea. Conclusion: Thus, this research emphasizes the contribution of PHBS, clean water and healthy latrines to the incidence of diarrhea

EFEKTIVITAS TERAPI BERMAIN ”BEAT THE CLOCK” UNTUK MENINGKATKAN ATENSI PADA ANAK DENGAN KECENDERUNGAN KESULLITAN PEMUSATAN PERHATIAN ( INANTENTIVE PRESENTATION)

Kesulitan pemusatan perhatian merupakan bagian dari gangguan Attention Defisit Hiperactivity Disorder (ADHD). Gejala ini didapatkan dengan asesmen psikologis, yaitu melalui wawancara, observasi, dan pengecekan ceklis karakteristik ADHD pada anak sesuai dengan kriteria ADHD pada Diagnostic And Statistical Manual of Mental Disorder (DSM) 5. Kesulitan pemusatan perhatian ini dapat berakibat anak tidak dapat mempertahankan fokus, kesulitan memperhatikan hal detail dan tidak dapat menyelesaikan tugas. Dalam hal akademik, kesulitan pemusatan perhatian akan memengaruhi proses belajar karena tidak dapat fokus mendengarkan dan cenderung mudah lupa, sehingga mengakibatkan penurunan performa akademik dan penurunan motivasi. Oleh karena itu, perlu dilakukan penanganan khusus agar dapat meningkatkan rentang perhatian anak tersebut. Salah satu penanganan yang dilakukan adalah dengan melakukan terapi bermain “beat the clock” yang dapat meningkatkan durasi perhatian serta konsentrasi. Berdasarkan hasil intervensi, terapi bermain ini dapat meningkatkan rentang perhatian anak, sehingga ia dapat duduk tenang lebih lama dari sebelumnya, serta dapat menyelesaikan tugas yang diberikan

Family Support Towards the Practice of Providing Complementary Breast Milk (PPC-BM) to Infants Aged 6-12 Months

Background: Practice Of Providing Complementary Breast Milk (PPC-BM) plays an important role in supporting the growth and development of infants aged 6-12 months. WHO and the Indonesian Ministry of Health recommend providing PPC-BM that is timely, nutritious, safe, and meets standards. However, many mothers still face obstacles in providing optimal PPC-BM, especially due to lack of family support. Family support, especially from husbands, grandmothers, and other family members, greatly influences the success of PPC-BM practices. Objective: This study aims to analyze the relationship between family support and complementary feeding practices in infants aged 6-12 months in the Gulai Bancah Health Center working area, Bukittinggi City. Method: This study used a cross-sectional design with a quantitative approach. Samples were taken using cluster random sampling technique, with a total of 222 mothers with infants aged 6-12 months as respondents. Data were collected using a structured questionnaire that measured family support (emotional, instrumental, information, and assessment) and complementary feeding practices. Data analysis was performed using the Chi-Square test to see the relationship between variables. Conclusion: the results of the study showed that most mothers received family support in the good (54.1%), sufficient (36.0%), and less (9.9%) categories. The practice of providing complementary feeding by mothers was also mostly in the good (58.6%), sufficient (31.5%), and less (9.9%) categories. Statistical tests showed a significant relationship between family support and complementary feeding practices (p-value <0.05). Mothers who receive good family support are more likely to provide appropriate complementary feeding according to WHO and Indonesian Ministry of Health standards. Family support plays a crucial role in determining the success of complementary feeding practices that meet health standards. Suggestion: a family-based education strategy is needed through counseling programs, training of integrated health post cadres, and community-based interventions to increase family involvement in complementary feeding practices.Keywords: Family support, complementary feeding, provision practices, infants aged 6-12 months, pediatric nursing

EFEKTIVITAS METODE REBOZO TERHADAP PENURUNAN NYERI PINGGANG PADA IBU HAMIL TRIMESTER KE III DI BPM H KABUPATEN AGAM TAHUN 2025

ABSTRACTLow back pain is one of the most common complaints experienced by pregnant women in the third trimester due to physiological and biomechanical changes during pregnancy. This discomfort can interfere with daily activities and reduce the overall quality of life. One non-pharmacological method that can be used to relieve low back pain is the Rebozo technique. Objective: This study aimed to determine the effectiveness of the Rebozo method in reducing low back pain in third-trimester pregnant women. Methods: This study used a quantitative approach with a quasi-experimental design, specifically a one-group pretest–posttest design. The sample consisted of 30 third-trimester pregnant women selected using purposive sampling. The level of pain was measured before and after the Rebozo intervention. Data were analyzed using a paired t-test. Results: The paired t-test showed a statistical value of 10.723 with a p-value < 0.05, indicating a significant difference in the level of pain before and after the intervention. These results demonstrate that the Rebozo technique is effective in reducing low back pain in pregnant women.Conclusion: The Rebozo technique is proven to be effective in reducing low back pain in third-trimester pregnant women and can be recommended as a non-pharmacological intervention within antenatal care services.Keywords: Low back pain, pregnant women, third trimester, Rebozo technique, quasi-experimen

PERBANDINGAN KUALITAS AIR BERDASARKAN KADAR COLIFORM PADA DEPOT AIR MINUM ISI ULANG YANG DI MASAK DAN YANG TIDAK DI MASAK DI KECAMATAN PADANG GELUGUR KABUPATEN PASAMAN TAHUN 2024

Refill Drinking Water Depot (DAMIU) is a business providing bulk drinking water without packaging that is in demand by the public because the price is cheaper than bottled water. However, its quality is still in doubt due to the lack of information about the processing and supervision process. This study aims to compare water quality based on coliform levels in boiled and uncooked DAMIU water in Padang Gelugur District, Pasaman Regency. The study was conducted quantitatively with a laboratory experimental design in February - March 2025, involving 6 depots with a total sampling technique. Data were obtained through laboratory tests and analyzed univariately and bivariately. The results showed an average coliform level in boiled water of 527 CFU / 100 mL, and uncooked water of 523.67 CFU / 100 mL. The highest level was in depot C (597 CFU / 100 mL) and the lowest in depot A (77 CFU / 100 mL). The results of the independent samples t-test obtained Pvalue = 0.990 ≥ α (0.05) (Ho is accepted). This means that there is no difference in water quality based on the coliform levels of the refill drinking water depots, cooked and uncooked. It is concluded that there is no difference in coliform levels between cooked and uncooked DAMIU water. It is recommended that DAMIU managers in Padang Gelugur District improve hygiene and sanitation during the water treatment process to meet quality standards and be free from coliform contaminationRefill Drinking Water Depot (DAMIU) is a business providing bulk drinking water without packaging that is in demand by the public because the price is cheaper than bottled water. However, its quality is still in doubt due to the lack of information about the processing and supervision process. This study aims to compare water quality based on coliform levels in boiled and uncooked DAMIU water in Padang Gelugur District, Pasaman Regency. The study was conducted quantitatively with a laboratory experimental design in February - March 2025, involving 6 depots with a total sampling technique. Data were obtained through laboratory tests and analyzed univariately and bivariately. The results showed an average coliform level in boiled water of 527 CFU / 100 mL, and uncooked water of 523.67 CFU / 100 mL. The highest level was in depot C (597 CFU / 100 mL) and the lowest in depot A (77 CFU / 100 mL). The results of the independent samples t-test obtained Pvalue = 0.990 ≥ α (0.05) (Ho is accepted). This means that there is no difference in water quality based on the coliform levels of the refill drinking water depots, cooked and uncooked. It is concluded that there is no difference in coliform levels between cooked and uncooked DAMIU water. It is recommended that DAMIU managers in Padang Gelugur District improve hygiene and sanitation during the water treatment process to meet quality standards and be free from coliform contamination

Reframing Pain Management: A Nursing Perspective on Multimodal and Holistic Interventions

Pain is a multidimensional experience that extends beyond physical discomfort, affecting emotional, psychological, and spiritual domains of human-being health. Nurses are uniquely positioned to play a leading role in multimodal pain management, yet the nursing contribution is often underemphasized in practice and policy. This perspective article synthesizes the evolving understanding of pain management from a nursing perspective and explores the importance of holistic, patient-centered care as nursing interventions. It calls for a shift from biomedical models to integrated approaches, emphasizing non-pharmacologic therapies, cultural competence, and continuous reassessment as vital components of nursing care. Enhancing nursing roles in pain management will improve patient outcomes and address disparities in pain relief

ANALISIS TIMBULAN LIMBAH MEDIS PADAT DI RUMAH SAKIT X KOTA PADANG

Limbah medis padat merupakan tantangan besar dalam pengelolaan lingkungan, khususnya di sektor kesehatan, yang dapat berdampak buruk terhadap kesehatan manusia dan lingkungan jika tidak dikelola dengan baik. Penelitian ini bertujuan untuk menganalisis tren timbulan limbah medis padat di Rumah Sakit X Kota Padang selama periode 2019-2023, dengan mempertimbangkan hubungan jumlah pasien dan jenis pelayanan sebagai faktor yang memengaruhi. Penelitian ini menggunakan metode deskriptif kuantitatif dengan analisis korelasi Pearson dan regresi linier untuk mengevaluasi hubungan antara variabel-variabel tersebut. Data primer diperoleh melalui observasi langsung dan wawancara, sedangkan data sekunder berupa catatan rumah sakit. Hasil menunjukkan bahwa volume limbah medis meningkat signifikan setelah pandemi, seiring bertambahnya jumlah pasien dan layanan medis, dari 7.267 kg pada 2020 menjadi 20.475 kg pada 2023, dengan korelasi kuat antara jumlah pasien (r = 0,987) dan jenis pelayanan (r = 0,611) terhadap volume limbah. Kesimpulannya, pengelolaan limbah medis padat harus ditingkatkan dengan pendekatan terpadu dan teknologi ramah lingkungan untuk mendukung keberlanjutan serta pencapaian tujuan SDGs di bidang kesehatan dan lingkungan. Kata Kunci : Limbah Medis, Rumah Sakit, Jumlah Pasien, Pelayanan Medi