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"Peritonitis tuberkulosis adalah peradangan peritoneum parietal atau visceral yang disebabkan oleh mycobacterium tuberculosis. Efusi pleura terjadi karena komplikasi dari penyakit yang menyertai maupun proses infeksi yang mengenai rongga pleura. Masalah keperawatan yang dapat ditegakkan yaitu gangguan pertukaran gas dan intoleransi aktivitas. Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis asuhan keperawatan dengan pemberian intervensi pursed lip breathing dan graded exercise therapy. Metode yang digunakan berupa laporan kasus yang dikelola selama 4 hari berdasarkan tinjauan literatur. Hasil analisis kombinasi intervensi mengenai efektifitas pemberian intervensi pursed lip breathing dan graded exercise therapy terbukti efektif dalam mengatasi masalah gangguan pertukaran gas dan intoleransi aktivitas. Dibuktikan dengan perubahan tanda-tanda vital menjadi lebih stabil, frekuensi pernapasan dan frekuensi nadi membaik, serta keluhan sesak pasien berkurang. Toleransi aktivitas pasien menjadi lebih meningkat dengan kemampuan self care yang meningkat. Pemberian intervensi pursed lip breathing dan graded exercise therapy direkomendasikan dalam mengatasi gangguan pertukaran gas dan intoleransi aktivitas.

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Peritoneal tuberculosis is an inflammation of the parietal or visceral peritoneum caused by mycobacterium tuberculosis. Pleural effusion occurs due to complications from the accompanying disease as well as infectious processes that affect the pleural cavity. Enforceable nursing problems are gas exchange disorders and activity intolerance. This study aims to analyze nursing care by providing pursed lip breathing and graded exercise therapy   interventions. The method that used is a case report that is managed for four days based on a literature review. The results of the combination analysis of interventions regarding the effectiveness of giving pursed lip breathing and graded exercise therapy interventions have been shown to be effective in overcoming the problems of gas exchange disorders and activity intolerance. Evidenced by the change of vital signs to become more stable, the frequency of breathing and the frequency of the pulse improve, as well as dyspnea of the patient are reduced. The tolerance of patient activity improved with the increaseasing self-care ability. Intervention of pursed lip breathing and graded exercise therapy is recommended in overcoming gas exchange disorders and activity intolerance."

"Penelitian ini dilakukan untuk mengetahui pengaruh perawatan metode kanguru (PMK) terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Penelitian ini menggunakan desain randomized control trial (RCT) yang melibatkan 50 responden bayi prematur yang terpasang ventilasi mekanik dan dibagi menjadi dua kelompok, yaitu kelompok kontrol (perawatan rutin rumah sakit) 25 responden dan kelompok intervensi (bayi dilakukan PMK) 25 responden sesuai kriteria inklusi. PMK dilakukan tiga hari berturut-turut selama satu jam/hari. Hasil analisis uji perbedaan menujukkan adanya perbedaan saturasi oksigen secara bermakna pada saat dilakukan PMK (p=0.000; α=0,05) dan frekuensi pernapasan intra (p= 0,007), dan post (p= 0,027) pada kelompok kontrol dan kelompok intervensi. Berdasarkan hasil tersebut, adanya pengaruh perawatan metode kanguru terhadap fungsi fisiologis pada bayi prematur yang terpasang ventilasi mekanik. Intervensi ini diharapkan dapat dilanjutkan sebagai prosedur di ruang NICU karena sudah terbukti dapat mempercepat weaning ventilator.

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his study was conducted to determine the effect of the kangaroo method of care (PMK) on the physiological function of mechanically ventilated premature infants. This study used a randomized control trial (RCT) design involving 50 premature infants who were mechanically ventilated and divided into two groups, namely the control group (routine hospital care) 25 respondents and the intervention group (babies undergoing PMK) 25 respondents according to the inclusion criteria. . PMK is carried out three days in a row for one hour/day. The results of the analysis of the difference test showed that there was a significant difference in oxygen saturation during PMK (p=0.000; α=0.05) and intra-respiratory frequency (p= 0.007), and post (p= 0.027) in the control group and the intervention group. Based on these results, there is an effect of kangaroo treatment on physiological function in mechanically ventilated premature infants. It is hoped that this intervention can be continued as a procedure in the NICU room because it has been proven to speed up ventilator weaning"