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All Journal Public Health of Indonesia Citra Delima Scientific journal of Citra Internasional Institute Jurnal 'Aisyiyah Medika Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Lentera Perawat International Journal of Scientific and Professional Citra Delima Scientific journal of Citra Internasional Institute Jurnal Inspirasi Kesehatan (JIKA) Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Kepada Masyarakat Citra Delima Journal of Nursing Science Research
Suraya, Citra
Program Studi Keperawatan, Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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DETERMINANTS OF ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.590

Abstract

Hospitalization is a stressful experience for preschool children, which can trigger anxiety due to unfamiliar surroundings, medical procedures, and separation from family. Understanding the factors that influence this anxiety is important to support children's psychological well-being. This study aims to identify the determinants of anxiety in preschool children who are hospitalized at the Siti Khadijah Islamic Hospital, Palembang. Methods A quantitative descriptive study was conducted in April 2024 involving 124 preschool children who were hospitalized. Data were collected through structured questionnaires filled out by caregivers and direct observation of children's behavior. The variables studied included age, gender, previous hospitalization experience, parental presence, type of illness, and length of hospitalization. Descriptive statistical analysis and correlation were used to process the data. The results of this study found several factors to have a significant effect on anxiety levels, such as the absence of parents, no previous hospitalization experience, invasive medical procedures, and longer hospitalization length. Age and gender also played a role; girls and younger children showed higher anxiety. The presence of parents, especially mothers, helped reduce anxiety. Children with previous hospitalization experience tended to adapt more easily. The conclusion of the study found that Anxiety of preschool children who are hospitalized is influenced by various factors such as age, gender, presence of parents, previous hospitalization experience, type of action and length of treatment. Family-based care approaches and parental presence are very important in reducing anxiety and supporting children's emotional health.
PELATIHAN ASUHAN KEPERAWATAN SPIRITUAL MENGGUNAKAN SDKI, SLKI DAN SIKI MELALUI PRESENTASI AUDIOVISUAL DAN DEMONSTRASI TERHADAP PENGETAHUAN PERAWAT DI RSUD PALEMBANG BARI Aris Citra Wisuda; Citra Suraya; Rusmarita; Dian Emiliasari
Ukhuwah : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 1 (2023): UKHUWAH : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : STIK SITI KHADIJAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52395/ujpkm.v1i1.366

Abstract

Pengetahuan perawat merupakan modal dasar yang dibutuhkan perawat dalam penerapan asuhan keperawatan spiritual. Pelatihan ini bertujuan untuk meningkatkan pengetahuan perawat di RSUD Palembang BARI melalui pendekatan penerapan asuhan keperawatan spiritual dengan metode presentasi, audiovisual dan demonstrasi. Pelatihan ini dilakukan terhadap 35 perawat. Bentuk kegiatan berupa pelatihan yang dilakukan melalui telekonferensi, diawali dengan ceramah dan diskusi serta penayangan video terkait tata cara memfasilitasi ibadah pasien yang dirawat di rumah sakit. asuhan keperawatan spiritual dengan menggunakan buku pedoman dari Persatuan Perawat Nasional Indonesia (PPNI) yaitu Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Hasil Keperawatan Indonesia (SLKI), dan Intervensi Keperawatan Indonesia. Standar (SIKI). Hasil penelitian bahwa memiliki perbedaan pengetahuan pre dan post intervensi (pelatihan) pada metode presentasi, audiovisual dan demonstrasi pelatihan penerapan asuhan spiritual dengan metode presentasi, audiovisual dan demonstrasi terhadap pengetahuan perawat. Perawat diharapkan mampu memenuhi kebutuhan pasien secara komprehensif baik biologi, psikologi, sosialspiritual, namun kebutuhan spiritual belum sepenuhnya terpenuhi. Pemenuhan kebutuhan spiritual terkait ibadah tentunya diberikan sesuai dengan agama masing-masing individu. Perawat dapat berperan sebagai fasilitator dalam memenuhi kebutuhan spiritual
Development of a Family-Centered Hypertension Education Module to Prevent Cardiovascular Complications in Community Settings Emiliasari, Dian; Wisuda, Aris Citra; Suraya, Citra
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.118

Abstract

Hypertension is a major risk factor for cardiovascular complications and remains a prevalent public health concern, particularly in community settings. Family involvement plays a vital role in supporting lifestyle modifications and treatment adherence. However, educational tools tailored to family support in hypertension management are still limited. This study aimed to develop a family-centered hypertension education module designed to enhance knowledge, promote behavioral changes, and prevent cardiovascular complications among hypertensive patients in the community. A research and development (R&D) design was employed using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. The study was conducted at Puskesmas (Community Health Center) 23 Ilir Palembang from May to June 2025. Data were collected through interviews, expert validation, and pre-post tests involving 30 families of hypertensive patients. Validation involved a panel of experts in nursing, cardiology, and health education. Descriptive and paired t-test analyses were applied. The developed module consists of five core sections: understanding hypertension, healthy diet, physical activity, medication adherence, and family roles in disease management. Expert validation showed high content validity (CVI = 0.94). Post-intervention testing revealed a significant improvement in family knowledge and engagement (p < 0.05), indicating the module's effectiveness. The family-centered hypertension education module is feasible, valid, and effective in improving family support and awareness to prevent cardiovascular complications. Implementation of the module is recommended in community health centers to strengthen family involvement in hypertension management. Further research with larger samples and long-term follow-up is advised to evaluate its sustained impact.
Comparative Effectiveness of Benson Relaxation and Mindfulness Breathing on Blood Pressure Reduction in Hypertensive Patients Saputra, Ardi Dwi; Wisuda, Aris Citra; Putry, Mayang Novyanti; Suraya, Citra; Hamdan, Ichsan Nur; Martilopa, Iis; Budiyono, Arif; Erpina, Eli; Sari, Indah Tirta
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.121

Abstract

Hypertension is a major public health problem and one of the leading risk factors for cardiovascular morbidity and mortality worldwide. Non-pharmacological interventions, such as relaxation and breathing techniques, have been widely explored to complement medical treatment in controlling blood pressure. Benson relaxation and mindfulness breathing are two techniques that may effectively reduce stress and blood pressure through physiological and psychological mechanisms. This study aimed to compare the effectiveness of Benson relaxation and mindfulness breathing interventions in reducing blood pressure among hypertensive patients. A quasi-experimental study was conducted at RSUD Sungai Lilin from February to April 2025. A total of 140 hypertensive patients were selected using total sampling and randomly assigned into two intervention groups: Benson relaxation (n = 70) and mindfulness breathing (n = 70). Interventions were administered regularly for four weeks. Blood pressure was measured before and after the intervention using a standardized sphygmomanometer. Data were analyzed using paired and independent t-tests. Both Benson relaxation and mindfulness breathing significantly reduced systolic and diastolic blood pressure in hypertensive patients (p < 0.05). However, the mindfulness breathing group demonstrated a greater mean reduction in both systolic and diastolic blood pressure compared to the Benson relaxation group (p < 0.05). Both interventions are effective in reducing blood pressure, but mindfulness breathing shows superior effectiveness compared to Benson relaxation. These findings suggest that mindfulness breathing can be recommended as a complementary non-pharmacological therapy for hypertension management.
Comparative Effectiveness of Islamic Spiritual Care and Physical Relaxation in Controlling Blood Pressure among Hypertensive Patients Putry, Mayang Novyanti; Wisuda, Aris Citra; Dwi Saputra, Ardi; Suraya, Citra; Hamdan, Ichsan Nur; Martilopa, Iis; Budiyono, Arif; Erpina, Eli; Sari, Indah Tirta
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.122

Abstract

Hypertension remains a major public health problem worldwide and is a leading risk factor for cardiovascular morbidity and mortality. Beyond pharmacological treatment, complementary approaches such as spiritual care and relaxation techniques have been increasingly recognized as effective strategies for managing blood pressure. This study aimed to compare the effectiveness of Islamic spiritual care and physical relaxation in controlling blood pressure among hypertensive patients.A quasi-experimental study was conducted at RSUD Sungai Lilin, South Sumatra, Indonesia, from February to April 2025. A total of 120 hypertensive patients were recruited using total sampling and divided into two intervention groups: Islamic spiritual care (n = 60) and physical relaxation (n = 60). The Islamic spiritual care intervention consisted of guided dhikr and prayer-based relaxation, while the physical relaxation group received progressive muscle relaxation training. Blood pressure was measured before and after the 4-week intervention. Data were analyzed using paired and independent t-tests to compare within-group and between-group differences. Both interventions significantly reduced systolic and diastolic blood pressure compared to baseline (p < 0.05). However, patients receiving Islamic spiritual care demonstrated a greater mean reduction in systolic blood pressure (−12.8 ± 6.4 mmHg) and diastolic blood pressure (−8.6 ± 4.7 mmHg) compared with those in the physical relaxation group (−8.3 ± 5.9 mmHg and −5.2 ± 4.1 mmHg, respectively; p < 0.05). Islamic spiritual care and physical relaxation are both effective in reducing blood pressure among hypertensive patients. Nevertheless, Islamic spiritual care appears to provide greater benefits, suggesting its potential as a culturally appropriate complementary intervention in hypertension management.
Enhancing Nurses’ Knowledge and Documentation Skills Through 3S Training (SDKI, SLKI, SIKI): A Quasi-Experimental Study Rachmawaty, Lusy; Wisuda, Aris Citra; Sujariah, Fitri; Wijaksana, M. Agung; Sidik, Abu Bakar; Agustina, Novita; Suraya, Citra
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.123

Abstract

The quality of nursing documentation in Indonesia remains low, with an achievement rate of only 7%, far below international standards. The Indonesian National Nurses Association (Persatuan Perawat Nasional Indonesia/PPNI) has developed the Triple S (SDKI, SLKI, SIKI) documentation standards to improve the quality of nursing documentation. To analyze the effect of 3S training on nurses’ knowledge and skills in nursing care documentation at RSUD Gelumbang. A quasi-experimental study with a nonequivalent control group pretest-posttest design was conducted, involving 50 nurses who were divided into an intervention group (n=25) and a control group (n=25). The intervention group received 3S training over a period of two days, while the control group received no intervention. Data were analyzed using Independent T-Test, Paired T-Test, Mann-Whitney, and Wilcoxon tests. The 3S training had a significant effect on nurses’ knowledge (p = 0.000 < 0.05), with an average score increase from 48.60 to 74.40. However, it did not have a significant effect on skills (p = 0.585 > 0.05). The 3S training was effective in improving nurses’ knowledge, but a comprehensive approach is required to enhance practical skills.
Development of a Storytelling Module to Reduce Hospitalization Anxiety in Preschool Children: A Pediatric Nursing Intervention Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
International Journal Scientific and Professional Vol. 4 No. 4 (2025): September-November 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i4.140

Abstract

Hospitalization is often a stressful experience for preschool children, frequently leading to elevated anxiety due to separation from caregivers, unfamiliar medical environments, and invasive procedures. Storytelling, as a developmentally appropriate and therapeutic communication method, offers a promising approach for pediatric nurses to reduce emotional distress in young patients. This study aimed to develop a storytelling module as a pediatric nursing intervention to reduce hospitalization anxiety in preschool-aged children. A Research and Development (R&D) approach was employed using the Borg and Gall model. The study was conducted from April to June 2024 at Siti Khadijah Islamic Hospital, Palembang. The development process involved a literature review, expert validation by pediatric nurses, child psychologists, and linguists, module drafting, and limited field testing. The participants included 20 hospitalized children aged 3–6 years and five pediatric nurses. Anxiety levels were measured using the State-Trait Anxiety Inventory for Children (STAI-C) before and after the intervention, with descriptive analysis used to assess outcomes. The finalized module comprised six storytelling themes, colorful visual aids, and structured nursing guidelines designed to address common sources of hospitalization anxiety in preschoolers. Expert validation yielded a high Content Validity Index (CVI = 0.91), and field testing demonstrated a clear reduction in children’s anxiety scores post-intervention. The storytelling module is a culturally relevant, feasible, and effective pediatric nursing tool to reduce hospitalization anxiety in preschool children.
IMPLEMENTASI MODUL CITRA DALAM PRAKTIK KEPERAWATAN ANAK UNTUK MENURUNKAN KECEMASAN ANAK PRASEKOLAH YANG MENJALANI RAWAT INAP DI RUMAH SAKIT Suraya, Citra; Aris Citra Wisuda; Tukimin bin Sansuwito; Masniati Arafah; Fermata Sari; Dian Emiliasari; Isrizal; Nuriza Agustina; Rifka Zalila
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 3 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/yprerx11

Abstract

Anxiety in preschool children during hospitalization can affect their psychological well-being, cooperation during procedures, and recovery process. This community service program aimed to implement the CITRA Module (Communication Through Interactive Therapeutic and Reflective Storytelling Approach) in nursing practice to reduce anxiety among hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang. The program was conducted from July to September 2025 and involved 10 nurses as training participants and 30 preschool children as intervention recipients. The method applied was training and education combined with clinical mentoring, including therapeutic storytelling education, simulation of CITRA implementation, direct clinical practice in pediatric wards, and evaluation through descriptive observation of children’s behavior and emotional responses. The results of descriptive evaluation showed a notable improvement in nurses’ therapeutic communication skills after training and mentoring. In addition, approximately 80% of children demonstrated a decrease in anxiety indicators such as excessive crying, physical tension, and fear of procedures. The CITRA Module proved to be feasible and practical to implement, enabling nurses to build more positive therapeutic interactions with children and enhance the quality of pediatric nursing care. This program is recommended for sustainable implementation in pediatric clinical nursing practice.
PEMBERDAYAAN PERAWAT MELALUI PENERAPAN MODUL ARIS UNTUK MENGURANGI KECEMASAN DAN DEPRESI PADA PASIEN PENYAKIT KRONIS Wisuda, Aris Citra; Suraya, Citra; Sansuwito, Tukimin bin; Ersita, Ersita; Deviliawati, Atma; Rosalina, Santi; Heriziana Hz
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 3 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/ts64b752

Abstract

Anxiety and depression are common psychological problems experienced by patients with chronic illnesses and may affect the recovery process. Islamic spiritual care is considered a complementary approach that can help enhance calmness and strengthen patients’ coping abilities. This community service program aimed to empower nurses through the implementation of the ARIS Module (Anxiety and Depression Reduction Through Islamic Spiritual Care) to improve their competence in providing spiritual care and to contribute to better psychological outcomes among patients. The program was conducted at Siti Khadijah Islamic Hospital Palembang from August to September 2025 and involved 35 nurses. The activities included intensive training, demonstrations, role play, and supervised clinical practice, covering therapeutic communication, guided dzikr and prayer, selected Qur’anic verses, and spiritual reflection based on the ARIS Module. Evaluation was carried out through pre–post tests and monitoring of patients’ psychological responses. The program showed improvements in nurses’ knowledge and skills in delivering more structured, empathetic, and needs-based spiritual care. The implementation of the ARIS Module also contributed to reduced anxiety and depression among patients, reflected in greater calmness, relaxation, and readiness to face illness. This program provided a positive contribution to strengthening holistic nursing care in the hospital.
DEVELOPMENT OF THE CITRA NURSING MODULE (COMMUNICATION THROUGH INTERACTIVE THERAPEUTIC  AND REFLECTIVE STORYTELLING APPROACH) TO REDUCE ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Suraya, Citra; Wisuda, Aris Citra; Sansuwito, Tukimin bin; Dioso, Regidor III
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/dwasha29

Abstract

Background: Hospitalization often triggers significant anxiety in preschool children due to unfamiliar environments, separation from parents, and invasive procedures. Interactive and therapeutic communication approaches are essential to support children’s emotional stability during care. Objective: This study aimed to develop and evaluate the CITRA Nursing Module (Communication through Interactive Therapeutic and Reflective Storytelling Approach) as an intervention to reduce hospitalization anxiety in preschool children. Methods: This research employed a Research and Development design using the ADDIE model. The module was developed through literature review, expert validation, and preliminary observations, then tested on 46 hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang between February and July 2025. Anxiety levels were measured before and after the intervention using a validated anxiety instrument for preschoolers. Paired statistical tests were used to determine intervention effectiveness. Results: The CITRA module was effective in reducing hospitalization anxiety. Post-intervention scores showed a significant decrease, indicating improved emotional comfort and coping abilities. Feedback from nurses and parents confirmed the module’s feasibility, practicality, and acceptability in clinical practice. Conclusion: The CITRA Nursing Module is an effective intervention for reducing hospitalization anxiety in preschool children. Its implementation has the potential to strengthen therapeutic communication and support child-centered hospitalization practices. Further research with a larger and more diverse population is recommended to enhance the generalizability of the findings.
Co-Authors Adelia, Raden Ayu Dhiyaa agustina, novita Andika Sasmita Putra, Muhamad Arafah, Masniati Ardi Dwi Saputra Arif Budiyono Aris Citra Wisuda, Aris Citra Wisuda Asrini, Putri Puji Atikasari Atikasari Atma Deviliawati Dian Emiliasari Dioso, Regidor III Dwi Saputra, Ardi Emiliasari, Dian Erpina, Eli Ersita Ersita Hamdan, Ichsan Nur Hasana, Pitri Helsy Desvitasari Heriziana Hz Husin Husin, Husin Hz, Heriziana Isrizal KK, Indra Frana Jaya Kurniasari, Indri Martilopa, Iis Miming Oxyandi Muhamad Andika Sasmita Saputra Nainggolan, Sutrisari Sabrina Nuriza Agustina Oxyandi, MIming Oxyandi, Miming Oxyandi Patimah Patimah Pratiwi, Penti Meka Putry, Mayang Novyanti Rachmawaty, Lusy Raden Surahmat Regidor III Dioso Regidor III Poblete Dioso Rifka Zalila Rosalina, Santi Rusmarita Sansuwito, Tukimin bin Sari, Fermata Sari, Indah Tirta Sasmita Saputra, Muhamad Andika Sidik, Abu Bakar Sujariah, Fitri Tukimin Tukimin bin Sansuwito Utama, Yofa Anggriani Wijaksana, M. Agung Wisuda, Aris Citra Wisuda, Aris Citra Wisuda