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EMERGENCY NURSING ANALYSIS PREVENTION AND TREATMENT OF COGNITIVE DYFUNCTION AFTER TRAUMATIC BRAIN INJURY: LITERATURE REVIEW Alivian, Galih Noor; Hidayat, Arif Imam; Awaludin, Sidik; Purnawan, Iwan
International Journal of Biomedical Nursing Review Vol 1 No 1 (2022): International Journal of Biomedical-Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2022.1.1.6535

Abstract

Introduction: Traumatic brain injury or traumatic brain injury according to the national consensus of treatment head trauma defines traumatic brain injury as mechanical trauma to the head either directly or indirectly that can cause disturbance neurological functions such as physical, cognitive and psychosocial disorders both temporarily nor permanent. This literature review aims to determine the prevention and treatment of cognitive dysfunction after traumatic brain injury. Literature search with using the ProQuest, PubMed, Garuda and Google Scholar databases with 2017-2022 publication range. Articles that meet the criteria are analyzed and rated quality according to inclusion and exclusion. Obtained ten articles discussing related to the prevention and treatment of cognitive dysfunction after traumatic brain injury, two articles using the literature review method. The results of the analysis of the 5 articles show below there are various alternatives can be used in the prevention and treatment of people with cognitive dysfunction or disorders positive after traumatic brain injury such as the use of trehalose drugs, computer-assisted cognitive stimulation or neurocognition, use of neurofeedback, prophylactic therapy, neuroradiographic imaging and basic and optional neurologic examinations use of anti-epileptic drugs (OATs). Until now there is no therapy that can be applied for primary brain injury, therapy for people with cognitive impairment focused on neurocognitive rehabilitation in cognitive impairment after traumatic brain injury
Integrative Non-Pharmacological Interventions for Anxiety Management in Chemotherapy Patients: A Systematic Review Hidayat, Arif Imam; Taufik, Agis; Alivian, Galih Noor; Triyanto, Triyanto
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.17847

Abstract

Abstract Background: Anxiety is a prevalent and debilitating symptom among cancer patients undergoing chemotherapy. Pharmacological anxiolytics can produce undesirable side‑effects and may interact with cancer treatments. Consequently, research has explored non‑pharmacological interventions—such as mindfulness‑based interventions, cognitive–behavioural and acceptance therapies, relaxation practices, and complementary modalities—to reduce anxiety. This review critically evaluates randomized controlled trials (RCTs) and systematic reviews published between 2016 and 2025 on non‑pharmacological interventions for chemotherapy‑related anxiety. Methods: A systematic search of PubMed, Scopus, Web of Science, and Google Scholar (January 2016–September 2025) identified RCTs and meta-analyses on non-pharmacological interventions for anxiety in adult cancer patients receiving chemotherapy or survivors. Non-randomized, pharmacological, and pediatric studies were excluded. Two reviewers independently extracted data on samples, interventions, outcomes, and effect sizes. RCT quality was assessed using Cochrane’s risk-of-bias tool. Results: Twenty-three studies (14 RCTs and nine reviews) met inclusion criteria, evaluating mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), virtual reality (VR), music therapy, relaxation techniques, aromatherapy, gratitude or behavioral activation, Tai Chi/Qigong, hypnosis, acupuncture, and reflexology. MBSR showed the strongest effects, reducing distress (SMD = –1.35) and anxiety (SMD = –1.48) and improving self-efficacy. ACT and CBT achieved small-to-moderate anxiety reductions (SMD = –0.41 and –0.61). VR alleviated anxiety, pain, and stress, while music therapy alone or combined with relaxation significantly reduced anxiety and depression. Aromatherapy and gratitude-based interventions yielded modest benefits, whereas Tai Chi/Qigong (SMD = –0.99) and hypnosis improved anxiety. Guidelines recommend MBIs, yoga, hypnosis, relaxation, music, and lavender oil during treatment, and MBIs, yoga, acupuncture, Tai Chi/Qigong, and reflexology post-treatment. Conclusions: Non-pharmacological interventions offer promising adjuncts for chemotherapy-related anxiety. Strong evidence supports mindfulness-based therapies, ACT, CBT, VR, music therapy, relaxation, aromatherapy, and gratitude practices. Tai Chi/Qigong and hypnosis show emerging benefits, while evidence for reflexology and acupuncture remains limited. Integration should reflect patient preferences and resource availability. Future research needs standardized outcomes, larger trials, and combined approaches to strengthen evidence and optimize supportive care in oncology.