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All Journal Jurnal Ners Service Quality (Jurnal Pengabdian Masyarakat) Indonesian Journal of Global Health Research
Amelia Kimin
Universitas Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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The Effectiveness of Relaxation Intervention on Psychophysiological Responses in Patients Undergoing Cardiac Catheterization: A Systematic Review Nora Dwi Purwanti; Tuti Herawati; Amelia Kimin
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57559

Abstract

Coronary artery disease (CAD) is a major contributor to global mortality and leads to a high number of cardiac catheterization procedures, including coronary angiography (CAG) and percutaneous coronary intervention (PCI). These invasive procedures often trigger psychological responses such as anxiety and physical responses such as pain. Unmanaged pain may contribute to autonomic dysregulation and worsen cardiovascular outcomes. This systematic review aimed to synthesize scientific evidence on the effectiveness of relaxation interventions on the psychophysiological responses of patients undergoing cardiac catheterization. The review followed PRISMA 2020 guidelines and searched five databases: PubMed, Scopus, EBSCOhost, ProQuest, and Google Scholar. The PICOS framework was used to identify randomized controlled trials (RCTs) published between 2016 and 2026. Article quality was assessed using the Cochrane Risk of Bias tool version 2 (RoB 2). Eight RCTs were included in the analysis. Interventions identified included Benson relaxation, progressive muscle relaxation (PMR), deep breathing exercises, and music therapy. Results showed that relaxation interventions significantly reduced anxiety and pain levels. Although findings on hemodynamic parameters varied, improvements in cardiovascular regulation, heart rate variability, and cortisol levels were observed. Relaxation interventions are safe, effective, and support evidence-based nursing care practices.
The Effect of Leg Elevation on Preload Responsiveness in Heart Failure Patients Mutia Annisa; Tuti Herawati; Amelia Kimin; Agung Waluyo
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.651

Abstract

Accurate hemodynamic assessment is critical for guiding fluid therapy and avoiding fluid overload in patients with heart failure (HF). Leg elevation maneuvers, including passive leg raising (PLR) and leg lifting (PLL), have emerged as functional diagnostic interventions. Still, their multifaceted roles across different HF phenotypes have not been fully synthesized. This literature review aimed to evaluate the effect of leg elevation on preload responsiveness and its broader clinical applications in adult patients with HF. A comprehensive search of online studies published between 2019 and 2025 was conducted across multiple databases (Sage Journals, Scopus, ScienceDirect, PubMed, Wiley Online Library, and ProQuest). Keywords included “heart failure”, “passive leg raising”, and “hemodynamics.” A total of 1551 articles were identified, and 5 articles were thoroughly reviewed. Five articles that met the inclusion criteria were systematically analyzed to synthesize evidence on the impact of PLR on key hemodynamic parameters. Leg elevation serves distinct, context-dependent roles. PLR/PLL is a provocative test in patients with suspected HF with preserved ejection fraction (HFpEF), confirming latent diastolic dysfunction with a significant PCWP increase. A blunted increase in the stroke volume index (SVi) during PLR/PLL signifies exhausted preload reserve and is an independent predictor of poor clinical outcomes in patients with HF with reduced ejection fraction (HFrEF). A significant decrease in PPV during the maneuver accurately predicts fluid responsiveness, which is particularly crucial for vulnerable patients, such as those with heart failure, as it remains accurate even with low-tidal-volume ventilation. Leg elevation is a versatile and reliable non-invasive maneuver with a multifaceted role in the management of HF. Beyond simply predicting fluid responsiveness, it functions as a crucial diagnostic tool for HFpEF, a prognostic tool for HFrEF, and an accurate predictor of fluid needs in critical care settings. Integrating PLR/PLL into clinical practice allows for precise, physiology-based decision-making, fluid management optimization, and improved patient outcomes.
The Relationship Between Fluid Restriction and Thirst Distress in Patients with Heart Failure Nindithya Wahyu Pradina; Tuti Herawati; Amelia Kimin
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2243

Abstract

Heart failure is a chronic cardiovascular disease that is often accompanied by thirst distress. Fluid restriction, which is commonly recommended as part of heart failure management, may increase thirst and potentially affect patients' comfort and quality of life. To identify the relationship between fluid restriction and thirst distress in patients with heart failure based on a literature review. This literature review was conducted using a systematic approach based on the PRISMA guidelines. Literature searches were performed in ProQuest, PubMed, Scopus, ScienceDirect, and JSTOR databases. A total of 10,762 articles were initially identified. Eligible articles included cross-sectional studies, cohort studies, and randomized controlled trials (RCTs) published between 2016 and 2026 that examined fluid restriction and thirst distress in patients with heart failure. Following the removal of duplicates and screening based on predefined inclusion and exclusion criteria, study quality was assessed using the JBI Critical Appraisal Checklist. A total of eight articles met the inclusion criteria and were analyzed narratively. Fluid restriction was associated with increased thirst intensity and thirst distress among patients with heart failure. Several studies reported that patients undergoing fluid restriction experienced higher thirst distress scores than those without fluid restriction. However, some studies did not find a significant association, particularly in populations with similar participant characteristics. In addition to fluid restriction, thirst distress was influenced by various factors, including diuretic use, urea levels, psychological conditions, and patients' clinical status. Fluid restriction is associated with increased thirst intensity and thirst distress in patients with heart failure. However, thirst distress is also influenced by various other factors.
Strengthening First Aid Readiness: Formation of the ToS-ReAct To PPFA Task Force for Motorcycle Ride-Hailing Drivers: Penguatan Kesiapsiagaan Pertolongan Pertama: Pembentukan Satgas ToS-ReAct To PPFA untuk Pengemudi Ojek Online Dian Fitria; Mustikasari Mustikasari; Achir Yani S Hamid; Amelia Kimin; Yudi Ariesta Chandra; Muhammad Adam; Irma Sofyani Kusmara; Firhan Nurfalah
Jurnal Pengabdian Kesehatan Vol 3 No 1 (2026): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The high incidence of traffic accidents in urban areas necessitates rapid first-aid responses before professional healthcare providers arrive at the scene. Online motorcycle taxi (ojek online) drivers are community members who are frequently present at accident sites and have the potential to act as first responders; however, they generally lack adequate knowledge and skills in providing physical and psychological first aid. This community service program aimed to strengthen first-aid preparedness through the establishment of the ToS-ReAct To PPFA Task Force (Tolong Sesama – Responsive and Rapid Action for Physical and Psychological First Aid) among online motorcycle taxi drivers in Depok City. The program employed educational and training methods combining theory and practice, covering basic first-aid concepts, Psychological First Aid (PFA) using the 3L approach (Look, Listen, Link), and physical first-aid skills such as cardiopulmonary resuscitation (CPR), simple splinting, and bleeding control. Program evaluation was conducted through pre- and post-tests of knowledge, observation of practical skills, and participant feedback. The results demonstrated an increase in the mean knowledge score from 54 to 72, representing a 42.31% improvement. Furthermore, all participants (100%) were able to correctly demonstrate the components of the PFA 3L approach and physical first-aid skills. This program proved effective in enhancing the capacity of online motorcycle taxi drivers as community first responders and has the potential to strengthen local emergency preparedness systems. Keywords: First aid; Community preparedness; Online motorcycle taxi drivers; Psychological first aid; Cardiopulmonary resuscitation
Co-Authors Achir Yani S. Hamid Agung Waluyo Firhan Nurfalah Fitria, Dian Irma Sofyani Kusmara Muhammad Adam Mustikasari Mustikasari Mutia Annisa Nindithya Wahyu Pradina Nora Dwi Purwanti Tuti Herawati Yudi Ariesta Chandra