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Efektifitas Terapi Relaksasi Dzikir Terhadap Kecemasan Pada Pasien Gagal Ginjal Kronik dengan Hemodialisa di RSUD Subang Agustina, Habsyah Saparidah; Minanton, Minanton; Fauziyah, Nuridha
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.13090

Abstract

ABSTRACT Kidney failure is a sudden decline in kidney function and has an increasing prevalence, poor prognosis, and high treatment costs. Thus, patients experience anxiety due to crises, fear, the threat of death, and feelings of threat. Therefore, an effective, efficient, and flexible approach is needed to reduce patient anxiety and adapt to existing stressors. Relaxation and dhikr are efforts made by individuals to achieve a state of relaxation, which is characterised by reduced sympathetic nerve activity, through their spiritual and religious beliefs, so that they can control their physical and mental conditions well. This study aims to determine how effective dhikr relaxation therapy is for anxiety in chronic kidney failure patients on hemodialysis at Subang District Hospital.  This research is a pre-experimental research with a one-group pre-test-post test design with a sample of 50 respondents. Relaxation therapy and dhikr had a significant effect on reducing respondents' anxiety levels, with a p-value of 0.000. Spiritual therapy has been proven to have a significant effect on reducing anxiety in hemodialysis patients. It is hoped that this combination of deep breathing and relaxation therapy can become a standard hospital operational procedure and be applied to all hemodialysis patients. In addition, it is easy, effective, flexible, and efficient for nurses and patients to carry out. Keywords: Anxiety, Dzikir Therapy, Hemodialysis, Kidney Failure, Relaxation Therapy   ABSTRAK Gagal ginjal adalah penurunan fungsi ginjal secara mendadak dan memiliki prevalensi kejadian yang semakin meningkat, prognosis yang buruk, dan biaya pengobatan yang tinggi. Sehingga, pasien mengalami kecemasan akibat krisis, ketakutan, ancaman kematian, dan perasaan terancam. Oleh karena itu, pendekatan yang efektif, efisien, dan flexibel diperlukan untuk mengurangi kecemasan pasien dan menyesuaikan diri dengan stresor yang ada. Relaksasi spiritual adalah upaya yang dilakukan oleh individu untuk mencapai keadaan relaksasi yang ditandai dengan berkurangnya aktivitas saraf simpatis melalui keyakinan spiritual dan agama mereka, sehingga dapat mengendalikan keadaan fisik dan jiwa dengan baik.  Penelitian ini bertujuan mengetahui bagaiamana efektifitas terapi relaksasi dzikir terhadap kecemasan pada pasien gagal ginjal kronik dengan hemodialisa di RSUD Subang. Penelitain ini merupakan penelitian pre-eksperimental dengan desain one group pre test – post test  dengan sample sejumlah 50 responden. Terapi relaksasi dan dzikir berpengaruh signifikan menurunkan tingkat kecemasan responden, dengan nilai p-value 0,000. Terapi spiritual terbukti berpengaruh secara signifikan dalam menurunkan kecemasan pada pasien hemodialisa. Diharapkan kombinasi terapi relaksasi napas dalam dan ini dapat menjadi prosedur operasional standar rumah sakit dan diterapkan kepada seluruh pasien hemodialisis. Selain itu, mudah, efektif, fleksibel dan efisien untuk dilakukan oleh perawat dan pasien. Kata Kunci: Gagal Ginjal, Hemodialisa, Kecemasan, Terapi Dzikir, Terapi Relaksasi.
Implementation of Prototype Biodigester for the Development of Healthy and Productive Villages through Community Empowerment Maziyya, Nur; Rahayuwati, Laili; Pramukti, Iqbal; Luthfi, Wazirul; Agustina, Habsyah Saparidah; Ibrahim, Kusman; Lukman, Mamat; Rosidin, Udin; Witdiawati, Witidiawati
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.67219

Abstract

Waste remains a complex environmental problem, particularly in rural areas that rely heavily on agricultural and livestock activities. This condition requires sustainable technology-based waste management alternatives to prevent deterioration in sanitation quality, contamination of water sources, and the decline of environmental carrying capacity for community life. Compreng Village, located in Subang Regency, is predominantly inhabited by farmers, making it vulnerable to environmental pollution due to inadequate waste management practices.This Community Service Program was implemented by introducing an alternative waste management approach, namely the utilization of a Biodigester prototype for household organic waste and agricultural residue processing. The program was carried out under the theme “Healthy and Productive Village,” in which community members were trained to convert organic waste into a renewable energy source as a complementary alternative to LPG gas, while the resulting bioslurry was processed into compost fertilizer. The implementation methods consisted of four main stages: program socialization, training on waste segregation and biodigester operation, mentoring for organic waste processing practice, and technology transfer through community-based biodigester prototype application. A pre- and post-program knowledge assessment was also conducted using a paired t-test. The evaluation results narratively indicated that community members were able to utilize the biodigester prototype to manage organic waste and use the produced bioslurry as fertilizer. Additionally, the paired t-test results showed a significant increase in knowledge regarding the use of biodigesters for organic waste management (p < .001). As a recommendation, ongoing evaluation and follow-up planning are necessary to ensure the sustainability of this program, so that it may be applied. Keywords: Biodigester, environment, healthy productive village, waste management. 
Effectiveness of Happy Spiritual Intervention in Reducing Hallucination Levels Among Schizophrenia Patients Firdaus, Annisa Mazda; Agustina, Habsyah Saparidah; Muttaqin, Muhammad Zaenal
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2765

Abstract

Hallucinations are the main symptom of schizophrenia that negatively affect patients’ social and psychological functioning. Reducing the level of hallucinations is crucial, particularly during the recovery phase when patients require a holistic approach to improve their quality of life. Spiritual-based non-pharmacological interventions represent an alternative therapy with the potential to help decrease hallucination levels. The objective of this study was to determine the effect of the happy spiritual intervention on hallucination levels in patients with schizophrenia at the West Java Provincial Mental Hospital. Methods: This study employed a pre-experimental one-group pretest-posttest design with a quantitative approach. The sample consisted of 30 respondents selected through purposive sampling. The happy spiritual intervention was administered for 6 days, with each session lasting 15 minutes. Hallucination levels were measured using the Psychotic Symptom Rating Scale (PSYRATS). Data were analyzed using the Wilcoxon test with a significance level of 0.05. The findings showed a significant effect, namely a reduction in hallucination levels after the intervention (p = 0.001). Conclusion: The happy spiritual intervention significantly reduced hallucination levels in patients with schizophrenia during the recovery phase. This intervention can be used as a complementary Islamic spiritual-based therapy in psychiatric nursing practice and is recommended for routine implementation in mental health facilities
Prototype Protection Mobile: AI-Powered Mental Health Screening for Building Inclusive Campus Agustina, Habsyah Saparidah; Haryati, Haryati; Abdurrachman, Taufan
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2810

Abstract

Adolescent mental health issues require early detection to prevent worsening conditions. This study aim developed a rule-based expert system for automating mental health screening instrument interpretation using Forward Chaining inference and Certainty Factor for uncertainty handling. The system encodes interpretation guidelines from two validated instruments: Mini MindHEAR Youth Scale V.1 for ages 10-18 years and Self-Reporting Questionnaire-29 for ages 19-24 years. From 710 survey respondents, 494 representative samples were selected using Stratified Random Sampling for validation. The knowledge base consists of 17 rules for Mini MindHEAR Youth Scale V.1 and 8 rules for Self-Reporting Questionnaire -29 with Certainty Factor values ranging from 0.5 to 0.95 based on symptom severity. Validation results showed the system achieved an overall guideline-alignment accuracy of 89.68% (443 matching interpretations out of 494 samples), measuring the system's ability to faithfully reproduce instrument interpretation guidelines rather than clinical diagnostic accuracy. The system demonstrated high explainability through transparent reasoning traces. This expert system can assist healthcare workers in automating screening instrument interpretation, particularly in resource-limited settings