An intestinal stoma is an opening of the intestinal tract into the abdominal wall for patients with feces production problems. The process might change patients’ physical, psychological, social, and spiritual. Patients have limitations in daily activities, changes in elimination, depression, feeling hopeless, ashamed with the colostomy bag, and may also affect to their religious and spiritual. For example their religious rituals and belief in God. The aim of this study was to identify the spiritual need of patients with a colostomy in a public hospital in Bandung. This was a descriptive quantitative study, The population was patients with a colostomy who hospitalized in a public hospital in Bandung. The samples were chosen using the accidental sampling (n=42) technique. The study instrument was Spiritual Needs Questionaire (SpNQ), that consists of 19 questions with 4 dimensions (religious needs, inner peace, existential, and actively giving). Data were analyzed using statistics descriptive and presented in a table of distribution frequency. The study found that patients with a colostomy had the spiritual need for all dimension including the religious dimension (88,1%), inner peace (57,1%), existential (54,8%), and actively giving (52,4%). Patients with a permanent colostomy had higher scores on the spiritual needs than those temporary colostomy patients. It can be concluded that the religious dimension is the highest relevance of the spiritual needs. According to this study results, it is expected that nurses can improve the spiritual services in nursing care including assessing patients’ spiritual needs and facilitating patients to fulfill their spiritual needs. The facilitation includes providing an opportunity for praying together, spiritual books, helping patients for ritual worship, establishing therapeutic communication, giving patients their own time, and creating a quiet place.

Introduction: Hemorrhagic stroke patients can experience a decrease in consciousness which makes the patient have to undergo long bed rest. Stroke patients who undergo bed rest treatment at the hospital have a high risk of developing decubitus ulcers. Nursing actions can be taken to prevent pressure ulcers using shift technique and slow stroke back massage, however limited study examine the nursing intervention to prevent decubitus in unconscious patients. Aim: This research aims to determine the effect of decubitus prevention using shift technique and slow stroke back massage in hemorrhagic stroke patient with decreased consciousness. Method: the research design used was a case study with a nursing care approach of an unconscious patient from a referral hospital di Sumedang. Results: this case study showed an increase in the Braden scale score from 12 to 15 after undergoing three days of treatment at the hospital and no decubitus symptoms were found based on the observations. Discussion: shift technique can be more effective in reducing the risk of decubitus when combined with slow stroke back massage. Conclusion: the shift technique and slow stroke back massage interventions in stroke patients with decreased consciousness can positively impact reducing the risk of decubitus ulcers. Furthermore, research with a larger sample with a longer time to observe the effect of the interventions is needed. Keywords: decubitus, shift technique, slow stroke back massage

The needs of nursing care for Myocardial Infarction (MI) patients who performing Cardiac Rehabilitation (CR) Program have been investigated previously. Despite, nutritional counseling and risk factors management were reported as the most needs of MI patients who performed CR Program, information related to the MI patients’ needs on nutritional counseling and risk factor management are very limited. Moreover, the relationship between patients’ needs on nutritional counseling and risk factor management are not clear yet. To investigate patients’ needs on nutritional counseling and risk factor management among MI patients and its relationships those factors. This was quantitative approach with descriptive correlational and convenience sampling was used for this study. The participants included 38 MI patients admitted to the Cardiac Rehabilitation Unit. Data collection employed from questionnaires that were filled in by the respondents using a retrospective technique at the end of cardiac rehabilitation program.  Data were analyzed using descriptive and correlational statistics. The study signified that MI patients required cardiac rehabilitation towards risk factors management and nutritional counseling from nurses (92.1%).The finding also indicated that there is a statistically positive relationship between nutritional counseling needs and risk factor management (r = 0.503, p <0.01). Patients’ needs on nutritional counseling and risk factor management among MI patients are correlated positively. Therefore, the information regarding nutrition and risk factor management for MI patients should be provided simultaneously to complement each other.

Physical bullying in school-age children hurts emotional development and self-regulation skills. Self-awareness and self-management are two core competencies in building children's psychological resilience. However, contextually relevant measurement instruments remain limited. This study aimed to develop and validate a culturally appropriate instrument to measure self-awareness dan self-management in school-age children based on the CASEL framework. A Research and Development (R&D) approach was employed, involving indicator development grounded in relevant theory and literature, content validity assessment by two experts (a pediatric nursing expert in child pyschosocial development and an educational psychology expert in psychosocial measurement), and psychometric testing. The instrument was tested on 210 children aged 9-11 years. Construct validity was examined using Exploratory Factor Analysis, and internal consistency reliability was assessed using Cronbach's Alpha. The final isntrument comprises 58 valid and reliable items grouped into two main constructs and ten underlying factors. This instrument is suitable for further application in assessing self-awareness and self-management among school-age children who experience bullying.

Penelitian yang berkualitas diawali dengan pembuatan protokol yang terperinci, jelas, dan lengkap. Namun panduan penulisan protokol penelitian yang bersifat komprehensif dan terperinci yang dapat memandu peneliti dalam menulis protokol masih terbatas. Tujuan penelitian ini mendesiminasikan berbagai protokol penelitian dari berbagai sumber yang valid dan merekomendasikan komponen dan langkah penulisan protokol penelitian berdasarkan hasil analisis dan integrasi artikel yang telah dipublikasikan. Peneliti mengaplikasikan pendekatan scoping review dengan enam tahapan utama yaitu identifikasi masalah, mengidentifikasi sumber literatur, seleksi literatur, pemetaan dan mengumpulkan literatur, menyusun dan melaporkan hasil, dan konsultasi kepada pihak kompeten. Seleksi literatur menggunakan pendekatan PRISMA dengan menganalisis lima artikel tentang protokol penelitian. Hasil analisis menunjukkan rincian komponen dan tahapan penulisan protokol berbeda-beda, namun pada intinya terdiri atas komponen berikut; tahap persiapan, tahap pelaksanaan penelitian, tahap pelaporan dan publikasi. Berdasarkan hasil analisis, peneliti merekomendasikan sistematika penulisan protokol penelitian dengan Pendekatan SETPRO sebagai hasil analisis dan integrasi tahapan penulisan protokol sebelumnya. Pendekatan SETPRO merupakan pendekatan komprehensif dalam penulisan protokol penelitian, terdiri dari 16 komponen yang mencakup semua aspek penelitian. Melalui pendekatan SETPRO ini diharapkan protokol penelitian yang dibuat akan semakin berkualitas

Preeclampsia is a danger sign for pregnant women, especially at 20 weeks gestation, marked by increased blood pressure. At this time, preeclampsia is the second largest contributor to deaths globally, with preeclampsia worldwide 10% -15%. In Indonesia, there is an increase of 2% every year, indicating that adequate treatment and prevention efforts are needed. At present, most research on the prevention and management of preeclampsia discusses pharmacological treatment, not discussing nursing interventions. This Literature review aims to find out various prevention efforts for preeclampsia that are developing at this time. The research method is a literature study of research results published in 2010-2019. The strategy used to search literature is to use keywords preeclampsia, prevention, treatment methods, and nursing interventions, using  Google Scholar, PubMed, Pro-Quest, Science Direct database, which reviewed using The Joanna Briggs Institute Critical Appraisal tools. The study results illustrate that there are several ways to reduce blood pressure. From 10 articles found one preventionnamely the article about consuming food and nine treatments, include: hypnotherapy, , foot massage, foot bath with warm water, cupping therapy, SEFT therapy, and murotal hearing. All articles described that intervention could reduce blood pressure, but the articles do not explain the reduction mechanism based on the intervention used. This Literature Study is expected to be information and consideration for health workers, pregnant women, and the community to handle pre-eclampsia mothers, with much interventions can doit to reduce pre-eclampsia.

Postoperative pain needs to be a concern for nurses because pain causes discomfort, one of the basic human needs. Untreated postoperative pain can affect quality of life and the recovery process. With a management approach, the nursing process can be integrated with the management process. Control and evaluation as part of the management process is important because at this stage the nursing manager can determine the quality of care provided. This case study aims to describe the use of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) in evaluating pain management. Patient was admitted with post-spinal decompression and posterior stabilization e.c tuberculosis spondylitis. Pain management includes observing pain, deep breathing relaxation techniques and praying/dzikir, providing education about the causes, triggers, and strategies to relieve pain, as well as providing collaborative measures of ketorolac analgesics. Evaluation of pain management with this questionnaire was carried by researcher out in the first 24 hours postoperative. After receiving pain management, an overview of the severity and reduction of patient pain, the impact of pain on activity, sleep, and negative emotions, the side effects of using ketorolac, the usefulness of information about pain management, the patient's ability to participate in pain treatment decisions, and use of non-pharmacological strategies. The APS-POQ-R can be used to evaluate of six aspects of patient pain management.

Standard precautions is an action to prevent infection in any cases of medical treatment toward patients. However, some studies have shown that the implementation of standard precautions has not been optimal due to the barriers perceived by nurses. This study aimed to identify the barriers perceived by nurses in the implementation of standard precautions. Descriptive-quantitative method was used with cross-sectional approach in 37 nurses in General Hospital Emergency Department by using total sampling technique. The data were collected by using questionnaires consisting of 48 statements, including five action of standard precautions (hand hygiene, use of PPEs, safe injection, environmental disinfection, and respiratory hygiene practices/ethics of cough and sneezing) and have been through the content and face validity test. The data were analyzed by using frequency distribution and presented in percentage.  The results showed that there were some barriers perceived by nurses on standard precautions action. The most perceived barriers are limited PPEs equipment (45.9%), equipment that irritates the skin on hand hygiene (37.8%), increased number of patients in environmental disinfection (32.4%), limited support and supervision in the implementations of standard precautions for safe injection (16.2%), and equipment limitations on respiratory hygiene practices/ethics of cough and sneezing (10.8%). Based on this research, the hospital should strengthen the function properly and regularly to overcome some equipment, seek hand hygiene equipment containing emollient/moisturizers and alcohol type hand rub n-propanol to overcome skin irritation, and pay attention to the study of the ratio of nurses and patients to safe working practices. In addition, the hospital should create a practice program, socialize rewards or penalties to improve it in standard precautions. | Latar belakang: Standard precautions merupakan praktik pencegahan infeksi yang berlaku untuk semua perawatan pasien didalam memberikan layanan kesehatan namun beberapa penelitian menunjukkan pelaksanaan standard precautions belum optimal karena adanya hambatan yang dipersepsikan perawat.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hambatan yang dipersepsikan perawat dalam pelaksanaan standard precautions.Metode: Metode penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross-sectional pada 37 perawat di Instalasi Gawat Darurat RSUD Sumedang dengan menggunakan teknik total sampling. Instrumen penelitian menggunakan kuesioner yang terdiri dari 48 pernyataan, mencakup lima tindakan standard precautions (hand hygiene, penggunaan APD, praktik injeksi yang aman, desinfeksi lingkungan, dan kebersihan pernafasan / etika batuk dan bersin) dan telah melalui uji content dan face validity. Data dianalisis dengan menggunakan distribusi frekuensi dan disajikan dalam bentuk persentase tiap faktor hambatan.Hasil: Hasil penelitian menunjukkan bahwa terdapat beberapa hambatan yang dipersepsikan oleh perawat pada tindakan standard precautions. Hambatan yang paling dirasakan yaitu peralatan yang membuat iritasi kulit pada hand hygiene (37,8%), keterbatasan peralatan APD (45,9%), keterbatasan dukungan dan pengawasan dalam pelaksanaan standard precautions pada praktik injeksi yang aman (16,2%), meningkatnya jumlah pasien pada desinfeksi lingkungan (32,4%), dan keterbatasan peralatan pada praktik kebersihan pernafasan / etika batuk dan bersin (10,8%).Kesimpulan: Berdasarkan penelitian ini, pihak rumah sakit harus mengupayakan peralatan hand hygiene yang mengandung emolien/pelembab dan jenis alcohol handrub n-propanol untuk mengatasi iritasi kulit. Memperkuat penyediaan sarana secara benar dan teratur untuk mengatasi keterbatasan peralatan. Memperhatikan kajian jumlah rasio perawat dan pasien untuk praktik kerja yang aman. Selain itu, membentuk komunitas praktik, mensosialisasikan reward atau punishment untuk  meningkatkan kepatuhan dalam pelaksanaan standard precautions.

Type 2 diabetes is a chronic metabolic disorder characterized by elevated blood glucose due to impaired glucose uptake or insulin production. This condition can lead to complications, namely diabetic foot ulcers. Handling diabetic foot wounds can be done by doing activities such as foot exercises. This study aims to determine the effectiveness of diabetic foot exercises using video in reducing the risk of foot wounds in patients with type 2 DM. The research method was quasi-experiment with pretest-postest with control group. Sampling using purposive sampling technique. A total of 64 participants were enrolled and divided into an intervention group (n = 32) and a control group (n = 32); the intervention group performed diabetic foot exercises using video guidance for 3 weeks, three times per week, with a duration of 10 minutes per session. Measurements were made with ABI and monofilament test before and after intervention. The data analysis used was the Independent T-Test test. The was that the Monofilament of the right foot and left foot has a P-Value of 0.001 as well as the ABI value data on the right foot has a P-Value of 0.002 and the left foot P-Value of 0.001. Diabetic foot exercises with video media are proven to be effective in reducing the risk of diabetic foot wounds in patients with type 2 diabetes mellitus. For future research, we recommend a longer study duration to allow for a larger sample size and the analysis of additional relevant variables

Compliance level of healthcare workers in performing hand hygiene is a significant aspect of patient safety goals. However, it is still not optimal and is one of the critical problems of many hospitals globally, including in Indonesia. The non-optimal consequence of hand hygiene compliance is hospital-associated infections since hands are an intermediary medium for transmitting infection. This literature aims to determine the level of compliance of health workers in performing hand hygiene and find out several matters that can be done so that the health worker's compliance can be optimal or increased. Review of articles through several electronic databases including PubMed and ProQuest, with the keywords "Compliance", "Hand Hygiene", "Health Workers", and "Hospital". Inclusion criteria include articles published between 2005 and 2019, health worker respondents, English language, full text and observation, or interview data collection techniques. The literature search found 212 articles, and after manual review, ten articles were identified and assessed using the JBI form (Joanna Briggs Institute). The literature review findings suggest that, following the intervention, the level of compliance of health workers in performing hand hygiene is still lacking and growing. The conclusion is that more significant support from the hospital (e.g., role models, audits, adequate infrastructure, education and repeated training), the greater the compliance of health workers in performing hand hygiene.

Diabetes Mellitus (DM) is caused by unhealthy lifestyle habits and one of the treatment efforts is naturopathic therapy by utilizing the gingerol content in red ginger (Zingiber officinale). The role of nurses in complementary fields as providers of interventions can improve public health status. This narrative review aims to interpret research the potential content of red ginger as an antidiabetic. The research were carried out by identifying research questions, "what is the content of gingerol in red ginger as antidiabetic?". Literature search using EBSCO, PubMed, Springer Experiment, and Neliti. Used keywords ''Nathuropathic therapy efforts AND Gingerol OR Red ginger OR Zingiber officinale AND Antidiabetic'' obtained 140 articles. Then sorted with inclusion and exclusion criteria, so we obtained 7 articles stated that red ginger concerning intake doses per day of 1-3 and 6 grams can lower blood glucose which contains gingerol which stimulates insulin secretion and improves glucose tolerance. Red ginger as a natural ingredient is certainly easy to find, practical, has no side effects, and economical. It is necessary to conduct further research regarding the type of red ginger and the dosage that adjusted to the habits of the Indonesian people so not to cause confusion regarding the application process

Stunting is still a nutritional health problem in children that has received the attention of the developing world. Knowledge of stunting plays a role in efforts to prevent stunting. Breastfeeding in the first six months of life is one of the preventive behaviours whose success is influenced by knowledge. This research aimed to determine the relationship between stunting knowledge and exclusive breastfeeding behaviour in mothers with toddlers. This research design is secondary research with quantitative correlational methods with a retrospective approach. The sample was determined through a purposive sampling technique with the inclusion criteria of mothers with toddlers and exclusion criteria for mothers with children over five years old so that 55 respondents were obtained. The instrument includes demographic information, stunting knowledge, and exclusive breastfeeding behaviour. The statistical test used is Chi-Square. The study results show no relationship between the level of knowledge about stunting and exclusive breastfeeding behaviour (p-value = 0.16). Knowledge can affect the occurrence of the behaviour, but other aspects can influence the occurrence of a behaviour. Further research is needed by modifying the methods and variables used.

Autism was a very complex neurobiological developmental disorder. Parents with autistic children have a higher stress level than parents who have normal children, so use the effective coping strategy for parents who had an autistic child would make them prevented the excessive stress. Aim of the research was to find out relation of coping strategy and parents’ stress who had an autistic children. The research design was correlational design with a cross-sectional approach. Data collection used a questionnaire of the Coping Health Inventory for Parents and Parental Stress Scale. Result of study showed that coping strategy and parents’ stress who had an autistic child were mostly at range of medium coping strategy (57.7%) and moderate stress (76.9%). Result of Spearman’s Rank correlation test showed a negative relation between coping strategy and parents’ stress (r=0.699; p=0.000). There was a correlation between coping strategy and parents’ stress who had an autistic child in this research, which meant the better coping strategy the lower parents’ stress who had an autistic child. Based on these results, autistic agencies should be better able pay attention to improve ability of parents’ coping strategy who had autistic children.

Pregnancy and childbirth are physiological processes that influence maternal mortality and morbidity risk factors. Proper mental and physical preparation is essential to prevent pathological conditions that may affect pregnant women. One effective intervention is engaging in physical activity, which positively impacts both the mother and fetus. This literature review aims to examine the relationship between physical activity and the health of pregnant women in physical, psychological, socio-economic, cultural, and environmental aspects. This study employs a literature review methodology using the PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) approach. Article selection was conducted using the PICO (Population, Intervention, Comparison, Outcome) framework, with keywords such as “pregnant women,” “physical activity,” “sports,” “benefits,” and “exercise” in Indonesian and English. The literature search was performed using Sage Journals, Scopus, and Google Scholar for articles published between 2019 and 2024 also free full-text. A total of six relevant studies were selected based on inclusion and exclusion criteria. The findings indicate that physical activity offers significant benefits for pregnant women and fetuses, particularly in improving their quality of life both physically and mentally. Pregnant women in rural areas tend to be more physically active than those in urban areas, and light exercises such as walking or yoga help reduce the body’s burden, enhance sleep quality, alleviate stress, and prevent pregnancy complications. Further longitudinal research and education are necessary to understand the long-term effects of physical activity on pregnant women and to raise awareness of its benefits, especially in urban areas.Keywords: Maternal well-being, Pregnancy, Physical activity

An unprecedented outbreak of the newly emerging infectious disease of Covid-19 with rapid increases globally and in Indonesia may result in psychological distress among nursing staff. The present study aimed to identify psychological responses among nurses in the Covid-19 pandemic in Indonesia. A cross-sectional data were collected from 535 nurses working in 119 hospitals from 24 provinces in Indonesia using Depression Anxiety Stress Scale (DASS-42) and sociodemographic questionnaire. Data were collected using an online survey and analyzed with descriptive and Chi-squared tests. Analysis showed among the respondents, 23.7% (n = 127) had moderate anxiety, 6.5% (n = 35) had moderate stress and 8.8% (n =47) had moderate depression. Anxiety, stress, and depression were significantly higher among nursing staff in the emergency department and Covid-19 isolation ward. Nursing staff, especially those working in the departments mentioned above, were more susceptible to psychological impairment. Effective strategies toward improving their psychological status should be provided among the nurses.Keywords: Covid-19 pandemic, psychological responses, work stress

Compliance of patients with human immunodeficiency virus (HIV) in undergoing therapy is essential in reducing the viral load. Currently, the world is in the era of revolution 4.0, where there is a combination between technology and human needs. The effort to adapt to this condition is by utilizing Telehealth. Telehealth is considered efficient in controlling, monitoring, and providing palliative care remotely. This study's purpose is to review Telehealth's effectiveness as an alternative method of increasing anti-retroviral treatment compliance in children, adolescents, and young adults with HIV. Using scoping review method with inclusion criteria for articles published in 2012 – 2022, Randomized Control Trial and Experimental Study research design, and published in English. Selection of articles using PRISMA Flow Diagram. The database consists of PubMed and EBSCO using keywords telenursing, compliance, anti-retroviral agents, and children. Four articles were included in the study out of 895 identified articles. The use of Telehealth provides the potential for both children and youth to increase patient motivation and adherence to treatment. Telehealth in patients with HIV used short messages. So, Telehealth has the potential to become  an alternative method of increasing anti-retroviral treatment adherence in children, adolescents, and young adults with HIV.

A woman's reproductive life goes through several phases including menstruation, childbirth and menopause. The first menstrual event experienced by a woman is called menarche, while the end of the menstrual period is called menopause. The age intervals for menarche and menopause describe the reproductive period or fertile age for a woman to become pregnant and give birth. The postreproductive period characterized by menopause is related to a woman's life expectancy and is important for assessing the quality of life. This research aims to determine the reproductive period of Javanese women in Oransbari, South Manokwari Regency. Cross-sectional research was conducted on women with an average age of 51.73 years with an interval of 40.18-69.59 years. The inclusion criteria were women who had experienced menopause. The age of menarche and menopause were analyzed using the Generalized Linear Model (GLM) in the R program. We found that the age at menarche (12.3 years) and age at menopause (43.1 years) of Javanese women in Oransbari were relatively young. This condition results in a shorter reproductive period (30.8 years) compared to several populations in Indonesia such as Sunda, Baduy, Tengger, Lampung, and Semendo. The reproductive period, which tends to be short, might be an adaptive response to environmental challenges that were less favourable as a pioneer transmigration society, such as high physical activity and low socio-economic conditions. The biocultural conditions experienced in the early life of Oransbari form a reproductive period that starts and ends early as an adaptive response to maximize reproductive success. Thus, women's reproductive health especially communities in isolated and remote areas, needs to be studied and become one of the government's focuses in considering intervention policies related to the health and welfare of the elderly and demographics

Nurses need compassion when providing health services. Compassion felt by nurses can be Compassion Satisfaction (positive aspects) and Compassion Fatigue (negative aspects), and may affect nursing care and Nurses’ Professional Quality of Life. The tendency to negative aspects will be felt by the nurses themselves, patients and hospitals. The purpose of this study was to determine the quality of life of professionals (Professional Quality of Life) nurses in the Intensive Care Unit (ICU) and Emergency Room (ER) of the Kota Bandung Hospital. This research was a quantitative descriptive study. Involving 62 nurses from ICU and ER through total sampling technique with a response rate of 97%. Data was collected using Professional Quality of Life (ProQol) version 5 then analyzed with descriptive statistics. The results showed that 20.97% had a positive Professional Quality of Life according to the Stamm combination interpretation while outside of Stamm's interpretation, 32.26% tended to be positive. According to the results of the average score of each sub-variable, Compassion Satisfaction was in the medium category. The highest average score of compassion satisfaction was ICU nurses, the highest secondary traumatic stress was PICU/NICU nurses and the highest average score of burnout was emergency nurses. Hospitals need to conduct regular reviews of nurse Professional Quality of Life and conduct counseling programs for nurses who have ProQol towards negative and risky aspects.

Introduction: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively to meet the body’s needs, resulting in decreased cardiac output. This leads to fluid accumulation in the lungs due to increased pulmonary venous pressure, which subsequently triggers pulmonary edema. Pulmonary edema causes impaired oxygen diffusion in the alveoli, resulting in dyspnea as the primary complaint in CHF patients. The main nursing problem that arises is impaired gas exchange, indicated by an increased respiratory rate, decreased oxygen saturation, and the use of accessory respiratory muscles. To help address impaired gas exchange in CHF patients, non-pharmacological therapies such as the use of a hand-held fan and the implementation of an upright sitting position (orthopnea position) can be utilized. Purpose: To evaluate the effectiveness of the hand-held fan and orthopneic position interventions in CHF patients experiencing shortness of breath. Methods: This study employed a case study approach based on observation, interviews, and medical record reviews. The interventions hand-held fan and orthopneic position were administered over three days, with each session lasting 5 minutes. Results: Following the interventions, respiratory rate decreased from 30 breaths per minute to 25 breaths per minute, and oxygen saturation increased from 95% to 98%. The patient reported feeling more relieved, comfortable during breathing, and able to sleep more easily, although occasional shortness of breath persisted. Discussion: The interventions are physiologically beneficial: the orthopneic position helps reduce venous return to the heart, thereby lowering pulmonary pressure, while hand-held fan therapy alleviates the perception of breathlessness through sensory stimulation of the face, which activates the V2 branch of the trigeminal nerve. Conclusion: The combination of hand-held fan therapy and the orthopneic position is effective in relieving dyspnea, reducing respiratory rate, and improving oxygen saturation in patients with congestive heart failure

Latar Belakang. Pengalaman belajar mahasiswa keperawatan salah satunya didapatkan melalui praktikum laboratorium untuk membentuk serta melatih keterampilan seorang perawat. Ditemukannya perbedaan persepsi antar kelompok tutor saat praktikum mandiri, kurangnya pengenalan mengenai beberapa alat praktek, dan keterbatasan jumlah alat dan pendampingan tutor saat praktikum mandiri. Tujuan Penelitian ini untuk mengetahui pengalaman belajar mahasiswa dalam mengikuti pembelajaran praktikum laboratorium di Fakultas Keperawatan Universitas Padjadjaran. Metode. Populasi penelitian ini sebanyak 311 mahasiswa Fakultas Keperawatan Unpad angkatan 2016 yang tersebar pada 3 lokasi. Sampel penelitian ini sebanyak 175 mahasiswa dengan menggunakan teknik cluster sampling. Variabel pengalaman belajar diukur menggunakan Learning Experience Questionnaire (LEQ). Hasil. Didapatkan pengalaman belajar mahasiswa secara keseluruhan 80% dikategorikan baik, Berdasarkan aspek learning environment didapatkan hasil dengan kategori baik diantaranya untuk aspek kebermaknaan (81,1%), komprehensifitas (80%) dan pengelolaan (76,6%). Sedangkan berdasarkan lokasi kampus dengan hasil kategori baik yaitu; kampus Jatinangor (89,3%), kampus Garut (69% ) dan 100% pada kampus Pangandaran. Kesimpulannya sebagian besar mahasiswa memiliki pengalaman belajar yang baik, baik dari aspek pengalaman belajar maupun berdasarkan lokasi kampus. Diharapkan kepada kampus yang masih terdapat kateogri kurang untuk melakukan stimulasi kepada mahasiswa sebelum mengikuti pembelajaran laboratorium.