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"Penelitian ini bertujuan untuk mengungkapkan perubahan kekebalan pada latihan pemapasan dan merupakan penelltia ekspenmental, secara acak pra-posttest kontrol. Me/ode: Populast penelitian adalah siswa MA Mu 'altmm. dt Yogyakarta Responden 15 siswa untuk setiap kelompok. Unit ana/isis ada/ah data ana/isis dari darah yang dtambll dan cub1/1 vena Vanabel dependen adalah tingkat /L 6, IL 4, IL 2, cortisol, Beta endorfin. dan /gG. Program pelatihan dtlakukan da/am waktu 7 mmggu, 3 kalt per minggu, intensitas sub maksimal, dan 6 set per sesi. Variabe//aboratorium adalah metode ELISA.Hasil uji Manova adalah p: 0, 000 tersirat bahwa ada perbedaan antara kelompok (Wilk Lambda p"

"Slow deep breathing (SDB) merupakan teknik pernapasan dengan frekuensi bernapas kurang dari 10 kali permenit dan fase inhalasi yang panjang. Latihan slow deep breathing dapat meningkatkan suplai oksigen ke otak dan dapat menurunkan metabolisme otak sehingga kebutuhan oksigen otak menurun. Tujuan dari penelitian ini untuk mengetahui pengaruh latihan SDB terhadap nyeri kepala akut pada pasien cedera kepala ringan. Desain penelitian adalah kuasi eksperimen pre post test dengan kelompok kontrol terhadap 21 responden kelompok intervensi dan 21 responden kelompok kontrol. Kelompok intervensi diberikan tindakan SDB pada hari pertama 3 kali dan pada hari kedua 1 kali masing-masing selama 15 menit.Hasil penelitian diperoleh ada perbedaan yang bermakna rerata intensitas nyeri kepala akut pada pasien cedera kepala ringan antara kelompok intervensi dan kelompok kontrol setelah dilakukan latihan SDB (p=0,000, α = 0,05. Terdapat hubungan jenis kelamin dengan intensitas nyeri kepala akut pada pasien cedera kepala ringan (p= 0,046), tetapi tidak ada hubungan antara usia dan suku responden terhadap intensitas nyeri kepala akut pada pasien cedera kepala ringan (berturut-turut p= 0,079 dan p=0,834; α = 0,05). Rekomendasi hasil penelitian ini adalah SDB dapat diterapkan sebagai intervensi keperawatan dengan nyeri kepala akut pada pasien cedera kepala ringan.

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Slow deep breathing (SDB) is a breathing technique with breathing frequency of less than 10 times per minute and a long phase of inhalation. Slow Deep Breathing exercises relaxation can increase the supply of oxygen to the brain and may decrease the metabolism of the brain so the brain needs of oxygen will decrease. The purpose of this study to determine the effect of SDB relaxation of headache in patients with acute mild head injury. The study design was quasiexperimental pre-post test with a control group of 21 respondents intervention group and control group. The intervention group is given SDB intervention on the first day 3 times and on the second day of rehearsals SDB 1 each for 15 minutes.

The results obtained there are significant differences in mean intensity of headache pain in patients with acute mild head injury between the intervention group and control group after exercise SDB (p= 0.000; α = 0.05). There is a relationship of sex with pain intensity in patients with acute head injury lightheadedness (p= 0.046), but there was no association between respondent?s age and ras with the intensity of acute headache in patients with mild head injury (perspectively p = 0,079 and p=0,834; α = 0,05). Recommendation of this study is SDB can be applied as a nursing intervention with acute headache in patients with mild head injury."

"Uji fit APR merupakan satu prosedur yang seharusnya dilakukan sebagai bagian yang tidak terpisahkan dengan upaya pencegahan pajanan dengan penggunaaan alat pelindung respirasi. Penelitian ini bertujuan mengetahui efektivitas uji fit APR dalam mencegah penurunan VEP1 yang dipicu kromium pada pengelas baja stainless dan menilai kenyamanan pemakaian APR tersebut.Metode : Penelitian menggunakan desain clinical tral (cross over) antara dua kelompok pekerja yaitu yang menggunakan APR teruji fit dan pengguna APR tanpa uji fit dengan tersamar tunggal pada pemeriksa VEP1. Efek penurunan VEP1 diukur pada 24 responden dengan membandingkan nilai VEP1 sebelum dan sesudah bekerja dalam 1 shift. Kenyamanan pemakaian APR dinilai dengan kuesioner. Uji fit APR menggunakan metode kualitatif dengan instrument FT- 30 bitter dari 3M. Kadar kromium lingkungan kerja diukur dengan metode NIOSH 7027-1994.Hasil: Kadar kromium lingkungan adalah 3,45 μg/m3. Rata-rata VEP1 ketika responden menggunakan APR biasa sebelum bekerja adalah 3403,8 ml dan sesudah bekerja adalah 3247,5 ml. Rata-rata VEP1 ketika menggunakan APR fit sebelum bekerja adalah 3359,0 ml dan sesudah bekerja adalah 3339,6 ml. Terdapat perbedaan yang signifikan dimana penurunan VEP1 saat menggunakan APR biasa lebih tinggi dibanding saat menggunakan APR fit (uji t berpasangan p=0,011 ). APR fit juga lebih nyaman digunakan dibanding APR biasa (uji Mc Nemar p= 0,022)Kesimpulan : APR teruji fit terbukti efektif mencegah penurunan VEP1 yang terlihat dari (1) terdapat penurunan VEP1 yang signifikan saat responden menggunakan APR biasa dalam 1 shift kerja namun tidak terjadi penurunan bermakna saat menggunakan APR fit, (2) perbedaan penurunan VEP1 antara saat menggunakan APR yang teruji fit dan saat menggunakan APR biasa secara statistik bermakna. APR teruji fit mempunyai tingkat kenyamanan yang lebih baik dibandingkan dengan APR tanpa uji fit.

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Introduction: Respirator fit-testing is one of the procedures which should be performed as an integrated part of hazard prevention effort by respirator protection device usage. The purpose of this research was to evaluate effect of RPE fit testing aimed at preventing an acute decline in FEV1 induced by chromium in stainless steel welder and to assess the convenience of RPE usage.Methods: This research was conducted on clinical trial (cross over) design between workers who wore tight fitting RPE and workers who wore regular RPE with single blind at FEV1 evaluator. Declining of FEV1 was measured on 24 respondents by comparing prior working FEV1 value and end working FEV1 value in a work shift. The convenience of RPE usage was assessed by questionnaire. Respirator fit-testing was conducted by qualitative method with FT-30 bitter instrument from 3M. Chromium level at working environment was measured by NIOSH 7072-1994 method.Results: Chromium environment level was 3.45 ug/m³. Should respondents worn regular RPE, the mean of FEV1 prior working was 3403,8 ml and end working was 3247,5 ml. Having worn tight fitting RPE, the mean of FEV1 of respondents prior working was 3359,0 ml and end working was 3339,6 ml. There was a significant differences that FEV1 declining when respondents wore regular RPE was higher than that on wearing tight fitting RPE (dependent t test p=0.011). Tight fitting RPE was also more convenient to wear compare to regular RPE (Mc Nemar test p= 0.022).Conclusions: Tight fitting RPE proved to be effective in preventing an acute decline in FEV1 which were visible from (1) There was significant acute decline in FEV1 when respondents wore regular RPE but not when wearing fit RPE, (2) The differences of FEV1 declining on both treatment was statistically significant. Tight fitting RPE had better convenience level compare to non fitting RPE."

"Fatigue adalah salah satu masalah yang paling sering terjadi pada pasien kanker yang menjalani kemoterapi. Berbagai terapi nonfarnakologi disarankan untuk mengurangi fatigue salah satunya adalah Relaxation Breathing Exercise (RBE). Penelitian ini bertujuan untuk mengetahui efektifitas RBE pada fatigue penderita kanker ginekologi yang menjalani kemoterapi. Desain penelitian yang digunakan adalah quasi experiment with pre-post test control group. Sebanyak 42 pasien yang diperoleh secara consecutive berpartisipasi dalam penelitian ini, 21 dimasukkan dalam kelompok RBE 4 kali dan 21 dalam kelompok 2 kali. Skor fatigue pasien akan diukur dengan menggunakan kuesioner Piper Fatigue Scale. Data yang diperoleh dianalisis dengan menggunakan uji Repeated-ANOVA dan Independent t-test dengan tingkat kemaknaan  < 0,01. Penelitian ini menemukan penurunan yang signifikan (p < 0,01) pada skor fatigue rata-rata di kedua kelompok (kelompok RBE 4 kali 3,29 ± 0,59 dan kelompok RBE 2 kali 4,19 ± 0,61) pada hari terakhir intervensi. Namun kelompok 4 kali RBE menunjukkan penurunan yang lebih besar dibandingkan kelompok 2 kali RBE (Selisih mean = 0,91; 99%CI = 0,41 - 1,41; p = 0,001). RBE yang dilakukan 4 kali sehari lebih efektif mengurangi fatigue pada pasien kanker yang menjalani kemoterapi. Peran perawat diperlukan untuk membantu pasien meminimalkan fatigue yang dialami salah satunya dengan mengajarkan terapi nonfarmakologi yang efektif seperti RBE.

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Fatigue is one of the most common problem experienced by patients undergoing chemotherapy. Some non-pharmacological therapies have been suggested to alleviate the problem such as Relaxation Breathing Exercise (RBE). This research aimed to determine the effectiveness of the RBE on the fatigue suffered by gynecological cancer patients undergoing chemotherapy. This study used a quasy randomized-controlled trial with pre- and post-test design. Forty two patients were consecutively sampled, 21 were assigned to RBE four times a day group and 21 to RBE two times a day group. Fatigue score were measured every day for seven days from both groups using Piper Fatigue Scale. The data obtained were analyzed using repeated-ANOVA and independent t-test with significant level α<0.01. This study found significant decreases (p < 0.01) of mean fatigue scores on both groups (RBE four times in a day group = 3.29 ± 0.59 and RBE two times in a day group = 4.19 ± 0.61) after the completion of the intervention. However, the RBE four times a day group shown a larger decrease on fatigue score compared to the RBE two times a day group (Mean Difference = 0.91; 99%CI = 0.41 - 1.41; p=0.001). Four times RBE in a day is more effective in relieving fatigue on cancer patients undergoing chemotherapy. Nurses' role is necessary to help patients in minimizing their fatigue by guiding the patient to perform an effective non-pharmacological therapy such as the RBE."

"[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.]"