Claim Missing Document
Check
Articles

Found 12 Documents
Search

The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Fatma, Hindri Royiah; Azzam, Rohman; Yunitri, Ninik; Sofiani, Yani; shahroh, Yuni
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
The THE RELATIONSHIP BETWEEN SELF EFFICACY AND SPIRITUAL WELL-BEING WITH THE USE OF COPING STRATEGIES IN PEOPLE WITH HIV (ODHIV) Sukmawati, Lina; Azzam, Rohman; Yunitri, Ninik; Rayasari, Fitrian; Novianti, Dian; Maemun, Siti
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1598

Abstract

HIV infection continues to be a significant public health problem worldwide, including Indonesia, with impacts spanning social, economic, and cultural aspects. People living with HIV (PLHIV) are faced with various pressures and are in dire need of coping strategies. This study aimed to determine the relationship between self-efficacy and spiritual well-being with the use of coping strategies in PLHIV. This study is an analytic study with a cross sectional approach. A sample of 39 ODHIV was selected using purposive sampling method. Data were collected by filling out the GSES questionnaire to assess self-efficacy, the SWBS questionnaire to measure spiritual well-being, and the BRIEF RCOPE questionnaire to determine coping strategies. Logistic regression multinomial inferencial test found no association between self-efficacy and spiritual well-being with the use of coping strategies. Most were male (76.9%), high school education level (64.1%), and married (59%). Descriptive analysis obtained respondents who used problem-oriented coping strategies (28.2%); emotion-oriented (38.5%); and religious-oriented (33.3%). Multinomial logistic regression test showed no significant association between self-efficacy and the use of coping strategies and no association between spiritual well-being and coping strategies (p-value > 0.05). Spiritual aspects are important to consider as they can be a source of coping and motivation to help patients cope with sudden illness and reduce the level of pain due to the perceived condition so as to quickly move towards healing. Nurses need to apply nursing care using coping instruments, comprehensively from the assessment process to the evaluation process.