Background: Chronic Obstructive Pulmonary Disease (COPD) is a debilitating lung condition characterized by persistent respiratory difficulties, with dyspnea (shortness of breath) acting as the primary symptom that severely compromises patients' quality of life. Inspiratory Muscle Training (IMT) represents a targeted intervention designed to enhance the strength of respiratory muscles and alleviate dyspnea symptoms in individuals suffering from COPD. Purpose: The primary objective of this study is to analyze the effect of IMT on the impact of COPD and the dyspnea scale. Methods: The research employed a quasi-experimental design utilizing two distinct groups: an intervention group and a control group. The study population consisted of 80 COPD patients admitted to the internal medicine ward of a general hospital. Data collection utilized the COPD Assessment Test (CAT) and the Modified Medical Research Council (mMRC) dyspnea scale to quantify the impact of COPD and the severity of breathlessness. Patients in the intervention group received IMT sessions twice a day for one day, administered consecutively for three days, with each session lasting approximately 10–20 minutes. Results: The Friedman test was utilized to evaluate the statistical significance of differences in COPD impact and dyspnea scales across three specific measurement points: baseline (initial), day 2, and day 3. The findings demonstrated a significant reduction in both the impact of COPD and the dyspnea scale within the intervention group (p = 0.001). Conversely, the control group exhibited changes only in the dyspnea scale (p = 0.037), with no significant improvement in the overall impact of COPD. Conclusion: The study concludes that IMT is proven effective in increasing respiratory muscle strength, improving pulmonary ventilation, and reducing symptoms of shortness of breath in COPD patients. Furthermore, the role of nurses in the implementation of IMT is identified as critical for maximizing the therapeutic benefits, thereby reducing the impact of COPD and dyspnea. Keywords: COPD, Dyspnea, Impact of COPD, Inspiratory Muscle Training, Nursing Intervention.
Background: Behavior sexual risky for teenagers is one of problem health increasing reproduction increased . Factors environment , especially family , holding role important in to form behavior teenagers . Parents own role crucial in give supervision , education , and open communication related issue sexual . The lack of role parent can cause teenager more prone to do behavior sexual that is not safe . Objective : Study This aiming For know connection between role parent with behavior sexual risky for adolescents . Method : quantitative with cross sectional design Results: Results research shows that most teenager own knowledge which is less related to sexual behavior (62.5%) with the role of parents in adolescent development which is still lacking (67.7%) and as many as 82.3% of adolescents have engaged in sexual behavior. Analysis more carry on show No there is connection between knowledge ( p-value 0.629) on adolescent sexual behavior, but there is a relationship between the role of parents ( p-value 0.022) on sexual behavior. Conclusion: Parents have an important role in preventing unhealthy or risky sexual behavior in adolescents. Positive support and proper sex education from parents can help. adolescents gain accurate knowledge about sexual health, develop positive attitudes and prevent inappropriate sexual behavior.
Background: Infertility, a complex and diverse issue and in global, particularly within rural regions, it has been observed that a vast majority, approximately 80%, of individuals turn to practitioners of traditional medicine for assistance with various ailments, including infertility. Objective: Identify traditional practices used in the treatment of infertility in different countries, including herbal therapies, cultural rituals, and spiritual approaches. Design: In a systematic literature review conducted through the P.R.I.S.M.A, the keywords based on the research questions were "traditional medicine," "infertility," and "cultural practices." In processing article data for filtering using Zotero and scispase applications. The quality assessment tool of this study uses the Mixed Methods Appraisal Tool (MMAT). Data Sources: Databases including Google Scholar, PubMed, Science Direct, Wiley Library, and Scopus, from 2014 to 2024 searching on September 2024. Review Methods: Databases were selected for extract data then detailed analysis. The exclusion criteria are those that cannot open full access to the article, and the purpose of the theme is not linear. By synthesizing existing literature. The search yielded 1310 Google Scholar entries, four from Scopus, 233 from Science Direct, 3 from PubMed, and 188 from Wiley Library, 18 valids articles. Results: Particularly in global, that of rural and urban populations opt for traditional medicine. In developing countries, particularly within rural locales, it is to address numerous health challenges, including infertility. Modifications in diet and lifestyle, rooted in traditional medicine, have been demonstrated to enhance the treatment of infertility significantly. Support from family, friends, and professionals, though necessary, is insufficient to fulfil the needs of individuals facing infertility, who are especially susceptible to complex stresses Conclusion: The study reveals that the use of traditional medicine such as herbal therapies, cultural rituals, and spiritual approaches is very common, especially in developing countries and rural areas. Factors such as accessibility, affordability, and cultural beliefs are the main reasons people choose this method, however, although many traditional practices show positive results.
Background: Neurological deficits in acute ischemic stroke patients cause disrupted day living activities. The study aimed to analyze the difference in neurological deficits of acute ischemics stroke between patients with oxygen therapy in the stroke center room of Dr. Ramelan Hospital. Objectives: The study sample used total random sampling technique. Variable of this study were neurological deficit, using the NIHSS scale instrument is the National Institute of Health Stroke Scale and using the statistical Mann Whitney test. Methods: The research design used was quasi experiment. The population in the study was acute ischemic stroke patients in the stroke center room of RSPAL Dr. Ramelan Surabaya totaling 32 patients. Divide into 16 patients with oxygen therapy, 16 without oxygen therapy. The study was neurological deficit, using the NIHSS scale insrumen is the National Institute of Health Stroke Scale and using the statistical Mann Whitney Test. Results: The results showed that there was a significant difference in neurological deficit of two group with the Mann Whitney that P = 0.037 (P≤0.05). Conclusion: Acute ischemis stroke patients who are given oxygen therapy can cause decreased neurological deficits. The implications of this study are expected so patients can get oxygen therapy as the main therapy in the management of acute ischemic stroke.
Background: The high prevalence of chronic kidney disease has led many patients to undergo hemodialysis therapy, making them dependent on nurses for their care procedures. Hemodialysis nurses are not only responsible for performing dialysis but also for providing education, emotional support, and patient advocacy. This results in a high workload and an increased risk of experiencing compassion fatigue. Such conditions can negatively impact nurses' well-being and the quality of healthcare services due to physical exhaustion, emotional stress, and prolonged burnout. Objective: To analyze a review on compassion fatigue in hemodialysis nurses. Design: Scoping Review. Data Sources: The search was conducted using Google Scholar, PubMed, and EBSCO databases, with articles limited to the time range of 2015–2025. The search term used in Google Scholar was “intitle:compassion fatigue AND intext:hemodialysis nurse”, while in PubMed and EBSCO, the keyword used was “compassion fatigue AND hemodialysis nurse”. Review Methods: This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model, and the collected search results were synthesized for data analysis. Results: A total of six research articles were analyzed, which were then summarized based on the level of compassion fatigue, related factors, symptoms, and interventions applied to hemodialysis nurses. Conclusion: Compassion fatigue in hemodialysis nurses is influenced by workload, emotional interactions, and lack of social support. Further research is needed to standardize measurement tools, explore demographic and psychological factors, and develop effective interventions to enhance nurses' well-being and improve patient care quality.
