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Penerapan Familiar Auditory Sensory Training (FAST) terhadap Tingkat Kesadaran Pada Pasien Stroke di Rumah Sakit Jakarta Firdaus, Nuzula; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizky Nugraha
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14152

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ABSTRACT Decreased consciousness in stroke patients can be caused by brain hypoxia due to blockage of blood vessels in ischemic strokes, while in hemorrhagic strokes, bleeding occurs in the brain accompanied by cerebral edema, increasing intracranial pressure (ICP) and causing narrowing of blood vessels and herniation of brain tissue. FAST sensory stimulation carried out by the family is more effective in influencing the patient's level of consciousness compared to stimulation carried out by nurses. FAST intervention, compared to other sensory stimulation, is a non-invasive method, with low risk, affordable cost, and simple in application, making it an attractive intervention and can be easily applied in patients with decreased consciousness. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. The characteristics of participants in the implementation of EBNP show that the majority are men (76.9%) with a high school education level (46.2%), Javanese ethnicity dominates (46.2%), and self-employed work dominates (53.8%). Participants' ages varied, with a mean of 53.1 years and a range of 42–67 years. The FAST intervention had a significant impact on patients' level of consciousness, with a mean increase from 10.1 to 11.6. These results show high statistical significance, and the implementation of FAST forms a standard operating procedure that can be adopted at PON hospitals. Keywords: Familiar Auditory Sensory Training (Fast), Level of Consciousness, Stroke Patients.    ABSTRAK Penurunan kesadaran pada pasien stroke dapat disebabkan oleh kondisi hipoksia otak akibat sumbatan pembuluh darah pada stroke iskemik, sedangkan pada stroke hemoragik, terjadi perdarahan di dalam otak yang disertai edema serebri, meningkatkan tekanan intrakranial (TIK) dan menyebabkan penyempitan pembuluh darah serta herniasi jaringan otak. Stimulasi sensori FAST yang dilakukan oleh keluarga lebih efektif dalam mempengaruhi tingkat kesadaran pasien dibandingkan dengan stimulasi yang dilakukan oleh perawat. Intervensi FAST, dibandingkan dengan stimulasi sensorik lainnya, merupakan metode non-invasif, dengan risiko rendah, biaya terjangkau, serta sederhana dalam aplikasinya, menjadikannya sebagai intervensi yang menarik dan dapat diterapkan dengan mudah pada pasien dengan penurunan kesadaran. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) digunakan untuk memahami dampak penerapan FAST terhadap tingkat kesadaran pasien stroke. Analisis data dalam penulisan ini menerapkan analisis data univariat untuk mengamati karakteristik demografi dan perubahan tingkat kesadaran pada setiap responden. Selanjutnya, uji statistik digunakan dengan uji paired t-test untuk mengevaluasi pengaruh tingkat kesadaran sebelum dan setelah penerapan Familiar Auditory Sensory Training, dengan tingkat signifikansi 0,05. Penulis menghitung jumlah responden menggunakan perangkat lunak G*Power Versi 3.1 (Kang, 2021) dengan total 11 responden. Karakteristik peserta dalam implementasi EBNP menunjukkan mayoritas adalah laki-laki (76,9%) dengan tingkat pendidikan SMA (46,2%), suku Jawa mendominasi (46,2%), dan pekerjaan wiraswasta mendominasi (53,8%). Usia peserta bervariasi, dengan rata-rata 53,1 tahun dan rentang 42-67 tahun. Intervensi FAST memberikan dampak signifikan pada tingkat kesadaran pasien, dengan peningkatan rata-rata dari 10,1 menjadi 11,6. Hasil ini menunjukkan signifikansi statistik yang tinggi, dan penerapan FAST membentuk standar operasional prosedur yang dapat diadopsi di RUMAH SAKIT JAKARTA . Kata Kunci: Familiar Auditory Sensory Training (Fast), Tingkat Kesadaran, Pasien Stroke
Efektivitas terapi musik natural terhadap penurunan ansietas pasien penyakit jantung koroner yang menjalani angiografi koroner di RSPAD Gatot Soebroto Suwito, Kafi Pangki; Jumaiyah, Wati; Natashia, Dhea
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2769

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Background: Coronary artery disease (CAD) is one of the leading causes of cardiovascular morbidity and mortality worldwide, including in Indonesia. Coronary angiography as the gold standard for CAD diagnosis often triggers significant anxiety in patients, which may affect physiological stability and increase the risk of complications.Objective: This study aimed to evaluate the effectiveness of natural music therapy in reducing anxiety among CAD patients undergoing coronary angiography at RSPAD Gatot Soebroto.Methods: This quasi-experimental study employed a non-randomized control group pretest–posttest design. The study was conducted at RSPAD Gatot Soebroto, Jakarta, in 2024. A total of 30 patients were divided into intervention and control groups. The intervention group received 20 minutes of natural music therapy, while the control group did not receive any intervention. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI), and physiological parameters (blood pressure, heart rate, respiratory rate) were also assessed. Data were analyzed using paired t-test, Wilcoxon signed rank test, and Mann–Whitney U test with a significance level of α = 0,05.Results: The findings revealed a significant reduction in anxiety scores in the intervention group (mean difference = 24,13 ± 11,64; p = 0,000), whereas the control group showed no significant change (mean difference = 0,20 ± 3,19; p = 0.812). Between-group analysis demonstrated a statistically significant difference in anxiety reduction (p = 0,000). However, natural music therapy did not significantly influence physiological parameters.Conclusion: Natural music therapy was effective in reducing anxiety among CAD patients undergoing coronary angiography.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3694

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Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Yulianti, Maria; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3706

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Fatigue is a common symptom in dialysis patients, with a significant prevalence rate. In overcoming the problem of fatigue, therapeutic management is done through the application of guided imagery and intradialytic exercise. Objective: Objective is assess the effect of guided imagery and intradialytic exercise regular flexibility on fatigue in patients with chronic kidney disease who are undergoing hemodialysis process. Methods: The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 23 respondents with a sample size of 22 respondents using total sampling technique. Measurement of fatigue using Functional Assessment Chronic Illness Therapy (FACIT). Data analysis was performed using paired t-test and Repeated Measures ANOVA. Results: The results showed that the mean value of fatigue before intervention in the first measurement was 24.00 (±3.911). The value increased in the second measurement to 25.22 (±4.095), in the third measurement to 28.11 (±3.411), in the fourth measurement to 33.89 (±2.908), and in the last measurement to 39.67 (±3.106). This finding explained that both interventions had a significant impact on reducing fatigue (t = -18.561, p = 0.000). Time effect analysis confirmed the significant impact of the interventions on fatigue reduction scores (F(1, 473) = 187.798, p < 0.000, partial eta squared = 0.917). Conclusion: This study can be used as a non-pharmacological treatment to reduce fatigue symptoms that can be done independently during the hemodialysis process, and is expected as an independent nursing intervention for a nurse in providing nursing care.
The Effect of Marjoram Aromatherapy and Deep Breathing Techniques on Blood Pressure of Hypertensive Patients Pinamiranti, Firza; Nusanti, Irna; Jumaiyah, Wati; Natashia, Dhea; Ismail, Ii; Noviana, Noviana
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.4068

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Hypertension is a major cause and risk factor for death worldwide. Nonpharmacological therapy of hypertension to reduce blood pressure of hypertensive patients, one of which is marjoram aromatherapy and deep breathing techniques that have proven effective in hypertensive patients. Objective: The purpose of the study was to determine the effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients. Methods: This type of research is a quasy experiment with a one group pretest-postest design without control group approach, the number of samples was 20 respondents using total sampling. The data collection technique used is observation through blood pressure measurement. Hypothesis analysis is normality test, One Way Repeated Measurement (ANOVA), and multiple linear regression. Results: There is an effect of marjoram aromatherapy and deep breathing techniques on blood pressure of hypertensive patients (p-value <0.05). Conclusion: There is an effect of marjoram aromatherapy and deep breathing techniques on the blood pressure of hypertensive patients. Marjoram aromatherapy interventions and deep breathing techniques can be socialized in hospitals and can be done independently at home to reduce blood pressure in people with hypertension.
Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure Oktavina, Risa; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani; Sumedi, Sumedi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4350

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Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.
The Effect of Progressive Muscle Relaxation on Stress and Blood Sugar in Diabetes Mellitus Patients Mustafida, Ika; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4428

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Diabetes Mellitus is a chronic condition characterized by impaired insulin production, leading to hyperglycemia. Physically and psychologically, Diabetes Mellitus can cause stress and fluctuations in blood sugar levels. This application aims to determine the effect of Progressive Muscle Relaxation (PMR) on stress and blood sugar levels in Diabetes Mellitus patients through the evidenced based nursing practice. This study used a quasi-experimental method with one group pretest posttest design. Data collection was carried out using the Diabetes Distress Scale (DDS-17) and blood sugar level measurements. Determination of the sample using purposive sampling of 25 Diabetes Mellitus patients. This study showed that there was a decrease in stress scores of 0.162 points and a decrease in blood sugar levels of 8.12 mg/dl after the implementation of Progressive Muscle Relaxation for 3 days. Progressive Muscle Relaxation has been proven to be effective in reducing stress and blood sugar levels in patients with Diabetes Mellitus and can be used as an evidence-based intervention in nursing care for patients with Diabetes Mellitus.
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Pramono, Cahyo; Jumaiyah, Wati; Natashia, Dhea; Sofiani, Yani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): 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.v6iS5.4694

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Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
Discharge Planning Method of Diatohc (Diabetes Transition of Hospital Care) for Readmission Prevention Hartati, Yeni; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati; Hasanah, Uswatun
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4719

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Diabetes mellitus is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia) caused by lack of insulin, inability of insulin to work or both. Lack of education or information from health workers can have an impact on patient compliance with treatment, which will result in repeated treatment. This innovation program aims to reduce the risk of readmission in Diabetes Mellitus patients by providing integrated education using the DiaTOHC method, patients who are screened using the DERRI application if the score is > 27%, patients are at risk of readmission, then they will be given education using the DiaTOHC method, which is integrated education. When patients are treated, they will be given education on the 5 pillars, after the patient goes home during the control, they will be reviewed whether there are any obstacles or obstacles in the treatment, then in weeks 2, 3 and 4 the patient will be contacted by telephone for re-education and evaluation of treatment. The results of the trial of this program from 17 samples were successful, all of which were readmissions, it was concluded that there was effectiveness in providing education using the DiaTOHC method in Diabetes Mellitus patients to reduce the risk of readmission. Data is collected by interview, observation and filling out questionnaires, after the data is collected, data analysis is carried out by inputting all data found in excel software and then assessing the percentage of patients who are readmitted.
Implementation of Educational Interventions for Prevention Diabetic Foot Complications Handayani, Martuti Dwi; Rayasari, Fitrian; Anggraini, Dewi; Jumaiyah, Wati; Hasanah, Uswatun
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4743

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Diabetic Foot Care is primary prevention in diabetic foot management to prevent injury to the occurrence of wounds on the feet of people with diabetes mellitus. Objective: To prove that educational interventions can prevent chronic complications, namely diabetic neuropathy (motor, sensory and autonomic) or death of the nerves in the feet, often exacerbated by infection. Method: This study used the Quasi Experiment method with the One Group pretest and posttest design method . Data collection was carried out using NAFF (Nottingham assessment of Functional Footcare) and the Attitude instrument modified by the Knowledge, Attitude and Practice (KAP) questionnaire. Determination of the sample using the accidental sample method of 24 people in Type 2 Diabetes Mellitus patients. Results: This study showed an increase in value of 11.12 points on NAFF and an increase of 1.41 points on attitudes after educational interventions related to diabetic foot care were carried out from May 30, 2024 to June 7, 2024. Conclusion: Diabetic Foot Care Education Intervention has been proven effective in reducing complications in diabetic feet and can be used as an evidence-based intervention in preventive care of diabetic feet in patients with Diabetes Mellitus.
Co-Authors Abriyanti, Rika Mustika Agung Waluyo Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Aisyah Aisyah Aji, Prima Trisna al Hasbi, Sulthan Dzahir Anggaraini, Dewi Anggareni, Dewi Ardiani, Kristi Aresta, Annisa Septiani Arifuddin Arifuddin Arsianti, Lyana Ashar Prima Asmara, Amelia Atlantic, Mia Budi, Arif Wahyu Setyo Burmanajaya, Bram Desy anggraini Dewi ANGGRAENI Dewi Anggraini Dewi Gayatri Dewi Purnamawati Dian Hudiyawati Dila Nurul Arsyi Endah, Tria Astika Ernawati, Dedeh Erwin Erwin Fajarini, Melati Fawwaz, Achmad Daffa Firdaus, Nuzula Firmansyah, Doddy Hamdah, Hamdah Handayani, Martuti Dwi Harison, Nunu Hartati, Yeni Hendi, Oman Hentu, Ardin Saleh Hernani, Eny Ibrahim, Mufti Inayati, Anik Indraswati, Ita Irawati, Diana Ismail, Ii Jaemi, Jaemi Jum’atina, Jum’atina Junaidin, Junaidin Kamil, Abdu Rahim Khaier, Nurhayati Komalawati, Dedeh Lakoro, Danny Des Kartyko Latipah, Siti Maesaroh Maesaroh Maria Yulianti, Maria Masykur Khair Moh. Heri Kurniawan Mulyadi, Egi Mulyatsih, MG Enny Munaya Fauziah Munaya, Munaya Mustafida, Ika Natashia, Dhea Nathasia, Dhea Noviana Noviana Nugraha, Rizky Nurhayati, Elis Nurrahman, Aris Nursanti, Irna Nurwijayanti Nusanti, Irna Octoba, Fatwa Achmad Oktavina, Risa Pinamiranti, Firza Pramono, Cahyo Purnawati, Dewi Ratna Dewi Rayasari, Fitrian Rinawati Rinawati Rohani Rohani Saputra, M. Khalid Fredy Setiawati, Desy Silalahi, Lenny Erida Siswahyudianto Siswandi, Iyar Siti Aminah Siti Hanifah SRI ATUN Suhartini, Euis Sulistiyowati, Heppy Sumedi Sumedi Suryanti, Asih Dwi Suwandi, Wawan Suwito, Kafi Pangki Syafriati, Ani Tallulembang, Abdi Toha Muhaimin Triantono, Bayu Tuti Nuraini Tyawarman, Ady Uly, Nilawati Uswatun Hasanah Wahidi, Kemala Desy Yani Sofiani Yuli Widyastuti Yuliarti Yuliarti Yuliastutik, Fitri Yulistriani, Anisa Yuniarsih, Winda Yunitri, Ninik Yunus, Muhammad Iqbal Zuliani, Peri