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Silalahi, Tiur Dame Uli
"Tuberkulosis merupakan masalah kesehatan yang sering dijumpai akibat urbanisasi pada masyarakat perkotaan. Tuberkulosis paru adalah penyakit infeksi oportunistik yang menyerang saluran pernapasan. Salah satu masalah keperawatan yang ditimbulkan akibat penyakit ini adalah bersihan jalan napas tidak efektif. Pada pasien TB terjadi peningkatan produksi sputum sehingga menghambat jalan napas dan apbila tidak ditangani dapat menimbulkan kegawatan pernapasan. Teknik batuk efektif telah lama direkomendasikan sebagai intervensi keperawatan untuk mengatasi masalah bersihan jalan napas. Karya tulis ini bertujuan menganalisis pengaruh batuk efektif terhadap pasien TB paru di ruang rawat penyakit dalam RSCM. Hasil studi menunjukkan latihan batuk efektif yang rutin terbukti meningkatkan bersihan jalan napas sehingga memperbaiki oksigenasi.

Tuberculosis a health problemthat isoften encounteredas a result ofurbanizationonurban communities. Pulmonary tuberculosis anopportunistic diseasethat attacks therespiratorytract. One of thenursing problemscaused bythisdiseaseis ineffective airway clearance. TB patientsincreasedsputum productionthus inhibitingairwayand if left untreated it canlead torespiratory distress. Coughtechniqueshave beenrecommendedas effective nursing interventionstoaddress theproblemof airway clearance. This paper aims to analyzethe impact of effective cough in a patient with TBininternal medicinewards of RSCM. The study showsthatregularexercise of effective cough is proveneffective to improveairway clearanceand improve oxygenation."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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Ayu Tiarno Lestari
"ABSTRAK
Pneumonia adalah penyakit infeksi yang menular melalui udara. Karakteristik kota yang memiliki kepadatan penduduk, pemukiman dan transportasi, membuat penyebaran pneumonia menjadi lebih mudah. Salah satu masalah keperawatan pada pneumonia adalah ketidakefektifan bersihan jalan nafas. Studi kasus ini bertujuan untuk menganalisis pemberian intervensi yaitu batuk efektif, positioning, dan inhalasi pada klien dengan Closed Pathological Fracture Bilateral dengan Community Acquired Pneumonia. Hasil yang diperoleh yaitu pengeluaran sekret yang kurang maksimal berhubungan dengan keterbatasan pasien dalam melakukan mobilisasi dan positoning karena nyeri akibat fraktur. Rekomendasi untuk intervensi selanjutnya adalah pemberian posisi semi fowler 45 atau tegak lurus harus diupayakan agar terjadi pengembangan ekspansi paru yang dapat meningkatkan tekanan ekspirasi maksimum yang memudahkan dalam pengeluaran sekret.

ABSTRACT
Pneumonia is an airbone infectious disease. Urban is characterized by its density of residents, living area and transportation which make the spreading of infectious disease is easier. One of the nursing problem of Pneumonia is Ineffective Airway Clearance. This case study was conducted to analyze the intervention of the effective cough, positioning and inhalation for client who had closed pathological bilateral fracture with community acquired pneumonia. The results of the intervention showed less optimal in mucous secretion related to client rsquo s immobilization and position because of pain due to fractures. This study recommend nurses should give positioning for 45 semi fowler or sit to maximize the pulmonary expansion which may increase the maximum expiratory pressure which facilitates the discharge of secretions."
2017
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Lorreta, Elisabeth
"Pneumonia merupakan salah satu masalah kesehatan yang terjadi di daerah perkotaan. Lingkungan perkotaan yang padat, udara yang tidak sehat, dan gaya hidup yang tidak sehat merupakan faktor risiko yang meningkatkan angka kejadian pneumonia pada masyarakat kota. Salah satu masalah yang dapat terjadi pada penderita pneumonia adalah gangguan bersihan jalan napas. Tujuan penulisan ini adalah untuk melakukan analisis evidence based mengenai terapi batuk efektif dalam mengatasi masalah gangguan bersihan jalan napas pada pasien pneumonia. Hasil dari pelaksanaan batuk efektif ini terbukti efektif dalam meningkatkan pengeluaran sekret pada pasien. Rekomendasi penulisan ini agar perawat mengajarkan terapi batuk efektif.

Pneumonia is one of the health problems that occur in urban areas. Dense environment, polluted air, and unhealthy lifestyle are risk factors that increase the incidence of pneumonia in urban community. One of the problems that can occur in patients with pneumonia is impaired airway clearance. This study is aimed to do evidence based analyze about effective cough therapy to overcome impaired airway clearance in pneumonia patient. The result of effective cough therapy exercise is proved in increasing the excretion of secret in patient. Recommendation of this study is that nurses teach this effective cough therapy to pneumonia patients in order to overcome airway clearance disorders.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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Marhamatunnisa
"Wilayah perkotaan identik dengan pemukiman padat, polusi udara, kualitas air yang buruk, dan tinggi angka perokoknya. Hal ini menyebabkan penduduk perkotaan banyak terjangkit masalah kesehatan, terutama penyakit pernapasan dan menular, salah satunya adalah spondilitis. Spondilitis tuberkulosis merupakan inflamasi pada tulang vertebrae yang bisa disebabkan oleh infeksi sekunder dari tuberkulosis. Deformitas vertebrae merupakan manifestasi klinis yang paling sering ditemui dan perlu ditangani dengan pembedahan: debridement dan stabilisasi untuk mencegah masalah berlanjut kepada defisit neurologi. Intervensi mobilisasi dini dengan teknik log roll penting dilakukan guna mencegah komplikasi operasi dan cidera post stabilisasi. Evaluasi hasil intervensi klien dapat defekasi pada hari ke-7 post operasi, luka kering dan tidak infeksi, dan kekuatan otot meningkat.

Urban region is characterized by over population, air pollution, lack of water quality, and high smoker rating. These all causing inhabitant suffers from many health problems, particularly respiratory and infected disease, such as spondylitis. Spondylitis tuberculosis is inflammation in vertebrae caused by secondary infection of tuberculosis. Deformity of vertebrae is one of clinical manifestation which most found and have to solve by surgery: debridement and stabilization to prevent new problem, deficit of neurology. Early mobilization with logrolling technique is important to prevent the complication of operation and injury post stabilization. The evaluation is client defecated after 7th day post operation, wound become drying up and do not infected, and the muscle strength was increased."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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Oktorilla Fiskasianita
"Efusi pleura merupakan kondisi medis yang menyebabkan masalah utama pada sistem pernapasan klien. Oksigenasi sebagai kebutuhan dasar utama yang penting bagi manusia merupakan salah satu fokus utama asuhan keperawatan. Posisi tidur dipercaya berpengaruh pada oksigenasi karena dapat meningkatkan ekspansi dinding dada dan memaksimalkan ventilasi pada pasien dengan efusi pleura. Penelitian terdahulu telah banyak merekomendasikan bahwa posisi lateral merupakan posisi tidur yang tepat untuk mengoptimalkan oksigenasipada pasien efusi pleura unilateral. Karya Ilmiah Akhir Ners (KIAN) ini berujuan mengidentifikasi pengaruh pemberian posisi lateral kanan pada pasien efusi pleura sinistra. Hasil analisis pada kasus kelolaan di Ruang rawat penyakit dalam RSUPN dr. Cipto Mangkunkusumo menunjukkan bahwa saturasi oksigen (SaO2) dan tekanan parsial O2 (PaO2) pasien paling optimal dicapai ketika pasien diberikan posisi tidur lateral kanan. Sosialiasi mengenai pemilihan posisi tidur yang sesuai dengan kondisi penyakit pasien diperlukan agar oksigenasi pasien dengan gangguan pernapasan tercapai dengan optimal. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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Halimatul Nurhikmah
"ABSTRAK
Kasus HIV/AIDS dan tuberkulosis banyak diderita masyarakat perkotaan.
Penyakit pada masyarakat perkotaan berkaitan dengan karakteristik lingkungan
dan gaya hidup masyarakat perkotaan. Kasus HIV biasanya disertai dengan
berbagai infeksi oportunistik. Infeksi opportunistik yang paling banyak ditemukan
adalah tuberkulosis, diikuti dengan kandidiasis oral, dan diare. Masalah
keperawatan utama pada pasien dengan tuberkulosis adalah ketidakefektifan
bersihan jalan napas berhubungan dengan retensi sputum. Penulisan karya ilmiah
akhir ini bertujuan untuk menganalisis intervensi mandiri keperawatan berupa
kombinasi antara anjuran minum air putih hangat, postural drainase, dan batuk
efektif untuk mengatasi masalah bersihan jalan napas tidak efektif. Intervensi
dilakukan pada pasien HIV/AIDS dengan tuberculosis di ruang rawat penyakit
dalam RSCM. Hasil dan evaluasi dari intervensi yang dilakukan yaitu
berkurangnya penumpukan sputum pada jalan napas pasien, sehingga pasien tidak
merasakan sesak seperti sebelumnya dan bisa bernapas lebih lega. Perawat
diharapkan dapat melakukan intervensi mandiri keperawatan berupa kombinasi
antara anjuran minum air putih hangat, postural drainase, dan batuk efektif
tersebut untuk membantu memperbaiki status pernapasan pasien.ABSTRACT Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases
in urban communities are related to environment and lifestyle characteristics of
urban communities. HIV cases are usually accompanied by a variety of
opportunistic infections. The most common opportunistic infections is
tuberculosis, followed by oral candidiasis and diarrhea. The main nursing
problems in patients with tuberculosis is the ineffectiveness of airway clearance
related to the retention of sputum. This final scientific thesis aims to analyze the
independent nursing intervention in the form of a combination of the
recommendation to drink warm water, postural drainage, and cough effectively to
address the problem of ineffective airway clearance. The intervention was
conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The
result of interventions was reduced sputum buildup in the airway of the patient, so
the patient did not feel crowded as before and could breathe more easily. Nurses
are expected to conduct independent nursing interventions in the form of a
combination of the recommendation to drink warm water, postural drainage and
effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases
in urban communities are related to environment and lifestyle characteristics of
urban communities. HIV cases are usually accompanied by a variety of
opportunistic infections. The most common opportunistic infections is
tuberculosis, followed by oral candidiasis and diarrhea. The main nursing
problems in patients with tuberculosis is the ineffectiveness of airway clearance
related to the retention of sputum. This final scientific thesis aims to analyze the
independent nursing intervention in the form of a combination of the
recommendation to drink warm water, postural drainage, and cough effectively to
address the problem of ineffective airway clearance. The intervention was
conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The
result of interventions was reduced sputum buildup in the airway of the patient, so
the patient did not feel crowded as before and could breathe more easily. Nurses
are expected to conduct independent nursing interventions in the form of a
combination of the recommendation to drink warm water, postural drainage and
effective coughing to help improve patient's respiratory status. ;Cases of HIV / AIDS and tuberculosis affects many urban communities. Diseases
in urban communities are related to environment and lifestyle characteristics of
urban communities. HIV cases are usually accompanied by a variety of
opportunistic infections. The most common opportunistic infections is
tuberculosis, followed by oral candidiasis and diarrhea. The main nursing
problems in patients with tuberculosis is the ineffectiveness of airway clearance
related to the retention of sputum. This final scientific thesis aims to analyze the
independent nursing intervention in the form of a combination of the
recommendation to drink warm water, postural drainage, and cough effectively to
address the problem of ineffective airway clearance. The intervention was
conducted in HIV/AIDS patient with tuberculosis in medical ward RSCM. The
result of interventions was reduced sputum buildup in the airway of the patient, so
the patient did not feel crowded as before and could breathe more easily. Nurses
are expected to conduct independent nursing interventions in the form of a
combination of the recommendation to drink warm water, postural drainage and
effective coughing to help improve patient's respiratory status. "
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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Rohana Meirisa
"Tuberkulosis merupakan penyakit menular di Indonesia dengan angka kejadian cukup tinggi. Depok merupakan salah satu daerah yang memiliki jumlah penderita TB cukup banyak. Di Kelurahan Cisalak Pasar ditemukan keluarga dengan lansia yang menderita penyakit ini lebih dari dua kali. Saat ini tanda dan gejala TB ditemukan kembali pada keluarga dengan ditandai batuk-batuk dan sesak napas. diagnosa keperawatan yang ditegakkan yaitu ketidakefektifan bersihan jalan napas. Selama ini, keluarga tidak melakukan tindakan penyelesaian masalah kesehatan tersebut, padahal keluarga merupakan bagian terdekat yang memiliki peranan penting.
Asuhan keperawatan yang dilakukan menitikberatkan pada kelima tugas utama kesehatan keluarga dengan mempertimbangkan usia lansia. Perawatan yang dilakukan pada keluarga yaitu untuk mengatasi tanda dan gejala tersebut. Kombinasi inhalasi sederhana dan batuk efektif telah mampu mengurangi sesak dan mempermudah penderita mengeluarkan dahak. Perawatan tersebut diharapkan dikenalkan oleh perawat sebagai pemberi pelayanan kesehatan mayarakat agar dapat membantu keluarga dalam melakukan perawatan mandiri.

Tuberculosis was an infection disease in Indonesia with high incident rate. Depok was an area that has a number of people affected by tuberculosis quite a lot. In Kelurahan Cisalak Pasar, found family with elderly that affected by this disease more than twice. This time, tuberculosis’s symptoms were found again in this family by coughing and shortness breathing. Ineffectiveness of airway clearance was became priority nursing diagnostic. During this time, the family had never took an action to solve these health problem. Though, the family was the nearest aspect that have important roles.
Nursing care focused on five main roles of family's health and considered more about elderly. The treatment gave to family was performed to deal the symptoms that may occurs. Combination steam inhalation and effective coughing had been able to reduce the shorthness breathing problem and easily help remove pleghm. Those treatment were axpected to be introduced by nurse as community health care provider to help family in performing self-care.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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Mila Charonika
"Pneumonia merupakan penyebab utama morbiditas dan mortalitas pada usia dewasa, yang disebabkan oleh agen infeksius seperti bakteri, mycoplasma, dan virus, termasuk Coronavirus Disease-19 (Covid-19) yang saat ini menjadi pandemic. Klinis pasien dengan pneumonia akibat infeksi Covid-19 adalah demam, batuk, kesulitan bernapas, dan keluhan sesak memberat. Salah satu masalah keperawatan yang adalah ketidakefektifan bersihan jalan napas dikarenakan akumulasi sekret berlebih sebagai akibat reaksi inflami jaringan paru, yang ditandai dengan batuk, keluhan susah mengeluarkan dahak, terdengar ronchii, hingga timbulnya sesak napas. Tujuan penulisan Karya Ilmiah Akhir Ners ini adalah untuk menganalisis asuhan keperawatan pada pasien pneumonia terkonfirmasi positif Covid-19, dengan penerapan fisioterapi dada dan batuk efektif sebagai upaya meningkatkan bersihan jalan napas. Setelah dilakukan tindakan keperawatan secara reguler dan kontinyu yaitu 2kali dalam sehari (pagi pukul 06.00 dan sore pukul 16.00) maka terjadi perbaikan kondisi dan masalah teratasi di hari ke III rawat inap dibuktikan dengan frekuensi napas 20x.menit, irama napas reguler, kedalaman napas normal, suara napas vesikuler, tidak terdapat keluhan sesak, dan pasien mampu melakukan batuk efektif dengan baik dan benar. Hal ini menunjukkan bahwa Fisioterapi Dada dan Batuk Efektif dapat diberikan pada pasien Covid-19 dan menjadi intervensi mandiri bagi perawat isolasi kepada pasien sesuai indikasi.

Pneumonia is the main cause of morbidity and mortality in adulthood, caused by infectious agents such as bacteria, mycoplasma, and viruses, including Coronavirus Disease-19 (Covid-19) which is currently becoming a pandemic. Clinical signs of patients with pneumonia due to Covid-19 infection are fever, cough, difficulty breathing,and severe shortness of breath. One of the nursing problems is the ineffective airway clearance caused by accumulation of excess secretions as the result of the reaction of lung tissue inflami, which is characterized by coughing, difficulty in expelling phlegm, sound of ronchii, to the onset of shortness of breath. This paper aims to analyze nursing care in patients with pneumonia confirmed positive for Covid-19, with the application of chest physiotherapy and effective-cough as the nursing intervention for improving the airway clearance. After regular and continuous nursing intervention, which 2 times a day (morning at 6:00 a.m. and 4:00 p.m. in the afternoon), there was an improvement in the conditionThe problems resolved in the third day of hospitalization evidenced by the frequency of breath 20x.minutes, regular breathing rhythm, normal breathing depth, vesicular breath sounds, no complaints of shortness of breath, and the patient is able to cough effectively properly and correctly. This shows that chest physiotherapy and effective-cough can be given to Covid-19 patients and become an independent intervention for isolation nurses to patients as indicated."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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Vika Endria
"Tuberkulosis (TB) Paru merupakan infeksi oportunistik (IO) yang paling banyak ditemukan dan penyebab kematian terbanyak pada HIV/AIDS. Infeksi bakteri TB yang menyerang paru menyebabkan gangguan pernafasan. Salah satu masalah keperawatan yang muncul adalah bersihan nafas tidak efektif akibat hipersekresi sputum dari proses inflamasi yang berulang. Karya ilmiah akhir keperawatan ini bertujuan menganalisis intervensi batuk efektif dan terapi nebulizer yang dilakukan secara bersamaan dalam menangani masalah ketidakefektifan jalan nafas pada pasien HIV/AIDS koinfeksi TB Paru. Intervensi batuk efektif dan terapi nebulizer diintegrasikan dalam asuhan keperawatan. Evaluasi didapat berupa berkurangnya frekuensi batuk, dan sesak nafas yang pasien keluhkan, serta pasien mampu melakukan batuk efektif disertai pengeluaran sputum yang sebelumnya sulit dikeluarkan.

Tuberculosis (TB) Lung is the most common opportunistic infection (IO) and the leading cause of death in HIV / AIDS. TB bacterial infections that attack the lungs cause respiratory problems. One of the nursing problems that arises is ineffective breathing due to sputum hypersecretion of the inflammatory repeated process. This final nursing paper aims to analyze effective cough interactions and nebulizer therapies performed simultaneously in dealing with airway ineffectiveness in HIV / AIDS patients coinfected with pulmonary tuberculosis. These interventions are integrated into nursing care. Evaluation was obtained in the form of reduced frequency of cough, and shortness of breath that patient complained, and patient able to perform effective cough with sputum expenditure which previously difficult to expend.

Keywords: effective cough, HIV / AIDS, nebulizer, nursing care, pulmonary TB, sputum."

Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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Rahmi Hayati
"[ABSTRAK
Pola napas tidak efektif adalah proses inspirasi dan/atau ekspirasi yang tidak memberikan ventilasi yang cukup. Salah satu pola napas tidak efektif adalah takipnea atau pola napas cepat dari batas normal. Pada lansia, terjadi perubahan fisiologis sistim pernapasan yaitu menurunnya refleks batuk, penurunan mobilisasi tulang-tulang rusuk dan kemampuan pengembangan dinding dada, serta penurunan kekuatan otot pernapasan. Postur tubuh yang mengalami kifosis atau skoliosis menyebabkan toraks akan memendek dan diameter anteroposterior akan meningkat. Perubahan-perubahan tersebut akan menurunkan tekanan pada saat inspirasi dan ekspirasi sehingga menurunkan keefektifan pernapasan. Pernapasan yang tidak efektif akan mempengaruhi aktivitas dan menurunkan kualitas hidup lansia. Karya ilmiah ini bertujuan untuk memaparkan hasil pemberian asuhan keperawatan pada Bapak D dengan kerusakan pola napas tidak efektif di wisma Cendrawasih, PSTW Budi Mulia 1 Ciracas. Evaluasi terhadap intervensi keperawatan didapatkan hasil bahwa setelah dilakukan latihan pernapasan selama 5 minggu, latihan pernapasan mampu mempertahankan dan meningkatkan kemampuan bernapas yang baik pada lansia ditandai dengan adanya perbaikan pada pola napas. Intervensi latihan pernapasan pada lansia menjadi upaya meningkatkan kemampuan bernapas yang baik sehingga kualitas dan kesejahteraan lansia akan meningkat.; ABSTRACT Ineffective breathing pattern is the process of inspiration and/or expiration that does not provide adequate ventilation. One of ineffective breathing pattern is tachypnea or rapid breathing pattern.. In the elderly, physiological changes in the respiratory are decreasing the cough reflex, decreased mobilization of the ribs and chest wall expansion capability, as well as a decrease in respiratory muscle strength. Experiencing posture kyphosis or scoliosis cause thoracic be shortened and increasing anteroposterior diameter. These changes will decrease inspiration and expiration pressure decrease the effectiveness of breathing. Ineffective breathing will affect activity and decrease the quality of life of the elderly. This case study aims to present the results of nursing care at Mr. D with ineffective breathing. Evaluation of nursing interventions showed that after breathing exercises for 5 weeks, breathing exercise could maintain and improve good breathing ability in the elderly showed by an improvement in breathing patterns. Nurses can do the breathing exercise to the elderly as an option to improve a good breathing ability so quality of life of the elderly can be improved.;Ineffective breathing pattern is the process of inspiration and/or expiration that does not provide adequate ventilation. One of ineffective breathing pattern is tachypnea or rapid breathing pattern.. In the elderly, physiological changes in the respiratory are decreasing the cough reflex, decreased mobilization of the ribs and chest wall expansion capability, as well as a decrease in respiratory muscle strength. Experiencing posture kyphosis or scoliosis cause thoracic be shortened and increasing anteroposterior diameter. These changes will decrease inspiration and expiration pressure decrease the effectiveness of breathing. Ineffective breathing will affect activity and decrease the quality of life of the elderly. This case study aims to present the results of nursing care at Mr. D with ineffective breathing. Evaluation of nursing interventions showed that after breathing exercises for 5 weeks, breathing exercise could maintain and improve good breathing ability in the elderly showed by an improvement in breathing patterns. Nurses can do the breathing exercise to the elderly as an option to improve a good breathing ability so quality of life of the elderly can be improved., Ineffective breathing pattern is the process of inspiration and/or expiration that does not provide adequate ventilation. One of ineffective breathing pattern is tachypnea or rapid breathing pattern.. In the elderly, physiological changes in the respiratory are decreasing the cough reflex, decreased mobilization of the ribs and chest wall expansion capability, as well as a decrease in respiratory muscle strength. Experiencing posture kyphosis or scoliosis cause thoracic be shortened and increasing anteroposterior diameter. These changes will decrease inspiration and expiration pressure decrease the effectiveness of breathing. Ineffective breathing will affect activity and decrease the quality of life of the elderly. This case study aims to present the results of nursing care at Mr. D with ineffective breathing. Evaluation of nursing interventions showed that after breathing exercises for 5 weeks, breathing exercise could maintain and improve good breathing ability in the elderly showed by an improvement in breathing patterns. Nurses can do the breathing exercise to the elderly as an option to improve a good breathing ability so quality of life of the elderly can be improved.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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