Dinny Atin Amanah
Poltekkes Kemenkes Jakarta I

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PENGARUH TERAPI MUSIK TERHADAP CEMAS PASCA OPERASI PADA PASIEN BEDAH JANTUNG: PENERAPAN EVIDENCE BASED NURSING (EBN) Dinny Atin Amanah; Elly Nurachmah; Tuti Herawati; Hermin Esti Dianingtyas
Jurnal Gema Keperawatan Vol 19 No 1 (2026): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v19i1.4184

Abstract

Cardiovascular disease is a leading cause of mortality and morbidity worldwide and constitutes a major global burden. One proven effective treatment for cardiovascular disease is heart surgery, but patients often experience anxiety and depression both preoperatively and postoperatively. Unmanaged anxiety and depression in the postoperative period can negatively impact patient recovery. An intervention that nurses can implement to address anxiety is music therapy. This study aimed to prove the effect of music therapy on postoperative anxiety and depression in heart surgery patients. This study used a quantitative quasi-experimental research design with a two-group (non-equivalent) pretest-posttest control group design. Researchers divided respondents into two groups: the music therapy group and the control group. Respondents from both groups completed a questionnaire before being given the intervention. Respondents in the music therapy group were given classical music intervention twice, approximately 2 hours after post-extubation and the following day. Meanwhile, the control group was given routine room care intervention, namely deep breathing. The study sample consisted of 28 respondents in each group. Anxiety assessment was carried out using the Indonesian version of the Hospitalized Anxiety and Depression Scale (HADS). The results of the statistical test of the difference in mean anxiety and depression scores after both the first and second interventions between the intervention group and the control group using the Independent T-Test showed a significant difference (p<α; α = 0,05). These results indicate that there is an effect of music therapy on postoperative anxiety and depression in cardiac surgery patients. Music therapy can reduce postoperative anxiety and depression in cardiac surgery patients.
Complementary Therapy to Improve Sleep Quality in Heart Failure Patients: A Systematic Review of Complementary Interventions for Sleep Quality Improvement in Heart Failure Patients Uun Nurulhuda; Dinny Atin Amanah; Mumpuni Mumpuni
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 4 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i4.928

Abstract

Background: Heart failure is often associated with sleep disturbances that negatively impact physical health, cognitive function, daily activities, mental health, and disease prognosis. Complementary therapies need to be implemented to address sleep disturbances in patients with heart failure. Objective: This systematic review aims to identify complementary therapies for improving sleep quality in patients with heart failure. Methods: This study uses a systematic review design based on the formulation of PICO (Population, Intervention, Comparison, and Outcome). The search strategy followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was conducted in November 2022 using online databases, including ClinicalKey Nursing, Taylor & Francis, ProQuest, SAGE Journals, ScienceDirect, Scopus, and SpringerLink. Articles were selected based on the following criteria: publication in international journals within the previous 5 years; publication in English; use of an experimental research design, including randomized controlled trials (RCTs) or quasi-experimental studies; and inclusion of adult patients (aged >18 years). Results: Seven research articles met the inclusion criteria. The studies showed that complementary therapies can improve sleep quality in patients with heart failure. Complementary therapies recommended for use in outpatient settings include listening to classical music, brief behavioral treatment for insomnia, cognitive behavioral therapy for insomnia, aromatherapy, and sleep intervention programs. Conclusion: Complementary therapies that can be implemented in inpatient settings include leg thermal therapy and aromatherapy.