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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN JURNAL GIZI INDONESIA Nurse Media Journal of Nursing Jurnal Kedokteran Brawijaya NUTRIRE DIAITA Majalah Kedokteran Bandung Jurnal Manajemen Keperawatan Health Notions Biosaintifika: Journal of Biology & Biology Education JI-KES (Jurnal Ilmu Kesehatan)
Edi Dharmana
Medical Faculty, Diponegoro University, Semarang, Indonesia
Agriculture, Biological Sciences & Forestry Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Nurse Media Journal of Nursing

 1 
Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients Nirmalasari, Novita; Mardiyono, Mardiyono; Dharmana, Edi; Arifin, Thohar
Nurse Media Journal of Nursing Vol 10, No 1 (2020): (April 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.316 KB) | DOI: 10.14710/nmjn.v10i1.25318

Abstract

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 physiological response of CHF patients.Methods: This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done three times a day for three days. Deep breathing exercise for thirty times and continued with active range of motion for five times each movement was given. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-tests.Result: The results showed that there were significant differences in the systole (p=0.000), diastole (p=0.000) and respiratory rates (p=0.003) after the intervention compared to the control group. There was also a significant difference in systolic blood pressure between the intervention and the control group (p=0.003). However, no significant difference in diastole and respiratory rates was found.Conclusion: Deep breathing exercise combined with active range of motion decreases the systole in CHF patients. Further research is expected to lengthen the time of intervention to allow better significance.
The Experiences and Meanings of Nurses’ Smiles to Patients in the Emergency Department Fitriana, Vera; Santoso, Agus; Dharmana, Edi
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.28377

Abstract

Background: Psycho-emotional aspects play an important role in both health services and health workers in the emergency department. Smiles are forms of interactions between nurses and patients that are given in providing health services to patients in terms of nonverbal communication. However, high workloads in the emergency unit may hinder nurses from smiling. Purpose: This study aimed to explore the experiences and meanings of nurses’ smiles to patients in the emergency department.Methods: This study employed a qualitative design with a descriptive phenomenological approach. Thirteen participants were recruited through purposive sampling using the inclusion criteria, such as emergency nurses with more than three years of work experience and nurses who had attended training on effective communication. Data were collected through in-depth interviews with semi-structured questions and analyzed using the Colaizzi’s phenomenological approach. Results: The study generated four themes, namely, the importance of smiles in emergency services, the miracle of smiles, the hindrances for emergency nurses to smile, and that smiles and humor in an emergency situation are important for children. Conclusion: The study concluded that nurses’ smiles had a significant benefit on emergency department services as a form of interpersonal relationship, although the practice still needs to be improved. Nurses are expected to be able to apply smiles in communicating with patients and their families in the emergency departments.
Co-Authors Agung Putra Agus Santoso Ainul Yaqin Amin Samiasih Arifin, Thohar Banundari Rachmawati Budi Laksono Chodidjah Chodidjah Diana Nur Afifah, Diana Nur Fitriana, Vera Fransisca Prameshinta H, Fransisca Prameshinta Hadi Nasbey Hardono Susanto, Hardono Hertanto Wahyu Subagio I WAYAN SUDARTA Kiss Jamiatun, Kiss Kuntardjo, Novalia Kurniawati, Dewi M Lisyani Suromo, Lisyani Maria Estela K, Maria Estela Mohamed M.Y. Gadalla, Mohamed M.Y. Mohammad Zen Rahfiludin Niken Safitri Dyan Kusumaningrum Nirmalasari, Novita Novianti, Anugrah Nyoman Suci W, Nyoman Suci Nyoman Suci Widyastiti RA Kisdjamiatun, RA Safari Wahyu Jatmiko Sofiyetti, Sofiyetti Suci, Nyoman tadihoedojo, ersje retnowati Taufiq R Nasihun, Taufiq R Tjokorda Gde Dalem Pemayun