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All Journal Jurnal Ilmu dan Teknologi Kesehatan Jurnal Keperawatan (JKEP)
Deswani Deswani
Politeknik Kesehatan Kemenkes Jakarta III
Computer Science & IT Health Professions Nursing

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PRELIMINARY EFFECTS OF INTEGRATED RELAXATION AUDIO (ARTIKU) ON REST QUALITY IN PALLIATIVE PATIENTS: A QUASI-EXPERIMENTAL STUDY Sri Djuwitaningsih; Yuli Mulyanti; Syafdewiyani Syafdewiyani; Deswani Deswani; Indra Gunawan
Jurnal Keperawatan Vol 11 No 1 (2026): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v11i1.2415

Abstract

Patients with terminal illnesses frequently struggle with anxiety, chronic pain, and sleep disorders, which can seriously lower their quality of life. ARTIKU (Integrated Relaxation Audio) is a non-pharmacological approach to innovative integrated audio relaxation therapy that combines murotal, guided imagery, and the five-finger relaxation technique. This study aims to explore the preliminary effects of ARTIKU therapy on rest quality in palliative care patients. This study used a quasi-experimental design with a one-group pretest–posttest. As many as 34 palliative patients were selected using purposive sampling. The ARTIKU music therapy was administered for three consecutive days. Measurements were taken pre-post intervention using the ARTIKU questionnaire, which measured pain level, sleep duration, and anxiety. A paired sample t-test was used to analyze the data. The median values for anxiety and pain levels decreased significantly, from 2.00 to 1.00 (Z = -5.11; p < 0.001) and from 5.00 to 2.50 (Z = -4.49; p < 0.001), respectively. On the other hand, patients' sleep duration increased significantly from 4.00 to 5.50 hours (Z = -4.95; p < 0.001). The ARTIKU therapy intervention is highly effective in alleviating pain and anxiety, as well as enhancing sleep duration among palliative patients. ARTIKU therapy demonstrates preliminary effects in improving rest quality among palliative patients, showing significant improvements in pain, sleep duration, and anxiety. These findings suggest that ARTIKU has potential as a non-pharmacological intervention and warrant further investigation through randomized controlled trials with larger sample sizes and longer intervention duration to confirm its effectiveness.
Development and Functional Evaluation of a Smart Mom–Integrated Prototype for Real-Time Fetal Stress Monitoring Deswani Deswani; Andi Sari Bunga Untung; Indra Gunawan; Nina Primasari
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2410

Abstract

Fetal movement is a critical indicator of fetal well-being, yet practical devices integrated with digital interventions for direct, objective monitoring remain limited. This study aimed to develop and evaluate the functionality and safety compliance of the Smart Mom–Integrated Prototype for real-time fetal movement monitoring. Employing a Research and Development (R&D) approach, the prototype was developed using an accelerometer sensor, an ATmega328P microcontroller, an OLED display, and Bluetooth connectivity integrated with an Android application. The device underwent a rigorous four-stage evaluation: (1) simulated testing for initial movement detection accuracy; (2) laboratory functional testing for overall system performance; (3) safety testing based on the SNI IEC 60601-1 standard; and (4) limited clinical/user testing involving five third-trimester pregnant women (32–38 weeks gestation) monitored for 15–30 minutes.In simulated testing, the device achieved an initial fetal movement detection accuracy rate of 85%. Laboratory functional testing demonstrated a 93% system operation success rate with clear data visualization and stable Bluetooth transmission. Safety testing indicated that the device's surface temperature reached 35.2°C after eight hours of continuous use, with 0.0 mA leakage current and no reported skin irritation. In limited clinical testing, the device successfully recorded a mean of 20.6 movements per 30 minutes. Concurrently, maternal stress scores (PSS-10) decreased significantly post-intervention ($22.40 \pm 3.13$ to $15.80 \pm 2.28$; $p = 0.005$). Data sensitivity in the field was moderately influenced by maternal Body Mass Index (BMI) and biological motion artifacts. The Smart Mom–Integrated Prototype demonstrates functional feasibility and safety compliance for home-based screening. Future development should focus on refining signal processing algorithms to mitigate maternal biological artifacts alongside validation trials against clinical gold standards.
Co-Authors Andi Sari Bunga Untung Indra Gunawan Indra Gunawan Nina Primasari Sri Djuwitaningsih Syafdewiyani Syafdewiyani Yuli Mulyanti