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All Journal Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Kesehatan Saelmakers PERDANA (JKSP) Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Keperawatan (JKEP) Jurnal Keperawatan dan Kesehatan Jurnal Ilmiah Keperawatan Imelda Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Babali Nursing Research MAHESA : Malahayati Health Student Journal DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Journal of Global Research in Public Health
Sofiani, Yani
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU Astuty, Yeni; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.840

Abstract

Background: Anxiety is a common problem among patients in the Intensive Care Unit (ICU) and can result in hemodynamic instability. One innovative solution to reduce anxiety is to use video calls as a substitute for limited in-person family visits. Purpose: To determine the effect of virtual interaction as therapy in reducing anxiety and improving hemodynamics in ICU patients. Method: Quasi-experimental research with pre-test and post-test on one intervention group, conducted in the ICU of An-nisa Hospital Tangerang in October-December 2024. The sampling technique used purposive sampling with a sample size of 60 participants. The independent variable in this study is virtual interaction via video call, while the dependent variable is the level of anxiety of ICU patients. Data analysis used univariate in the form of frequency distribution and bivariate using the Wilcoxon Signed Rank test. Results: Video call therapy was effective in significantly reducing the anxiety level of ICU patients (pretest score 17.07±0.583 to 12.43±0.898; p=0.000). Video calls had a significant impact on hemodynamic parameters, namely a decrease in systolic pressure (166.00±7.376 to 1125.70±7.728), diastolic (111.80±9.876 to 89.33±8.821), heart rate (113. 00±9.927 to 78.533±6.981), and respiration rate (22.766±1.165 to 16.766±1.381) with p=0.000. This intervention is effective to reduce anxiety and improve hemodynamic stability. Conclusion: The video call intervention was effective in reducing anxiety levels and improving hemodynamic parameters.   Keywords: Anxiety; Hemodynamics; Intensive Care Unit (ICU); Therapy; Virtual Interaction.   Pendahuluan: Kecemasan merupakan masalah umum yang dihadapi oleh pasien di Intensive Care Unit (ICU) dan dapat berdampak pada ketidakstabilan hemodinamik. Salah satu solusi inovatif untuk mengurangi kecemasan adalah dengan menggunakan video call sebagai pengganti kunjungan langsung keluarga yang terbatas. Tujuan: Untuk mengetahui pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU. Metode: Penelitian kuasi-eksperimental dengan desain pre-test dan post-test pada satu kelompok intervensi, dilaksanakan di ICU Rumah Sakit An-nisa Tangerang, pada bulan Oktober-Desember 2024. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 60 partisipan. Variabel independen dalam penelitian ini adalah interaksi virtual melalui video call, sedangkan variabel dependen adalah tingkat kecemasan pasien ICU. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Wilcoxon Signed Rank. Hasil: Terapi video call efektif menurunkan tingkat kecemasan pasien ICU secara signifikan (skor pretest 17.07±0.583 menjadi 12.43±0.898 ketika posttest; p=0.000). Video call memberikan dampak signifikan terhadap parameter hemodinamik, yaitu penurunan tekanan sistolik (166.00±7.376 menjadi 1125.70±7.728), diastolik (111.80±9.876 menjadi 89.33±8.821), denyut jantung (113.00±9.927 menjadi 78.533±6.981), dan laju respirasi (22.766±1.165 menjadi 16.766±1.381) dengan nilai p=0.000. Intervensi ini efektif untuk menurunkan kecemasan dan memperbaiki stabilitas hemodinamik pasien. Simpulan: Intervensi video call terbukti efektif dalam menurunkan tingkat kecemasan dan memperbaiki parameter hemodinamik pasien.   Kata Kunci: Hemodinamik; Intensive Care Unit (ICU); Interaksi Virtual; Kecemasan; Terapi.
Application abdominal massage in reducing constipation in patients with traction Rahmasari, Ikrima; Sofiani, Yani; Yunitri, Ninik; Budiati, Dhiani
Riset Informasi Kesehatan Vol 13 No 1 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i1.831

Abstract

Backgrounds: Fractures represent a potential or actual threat to a person's integrity. Fracture management includes conservative measures and surgery. One of the conservative measures is the installation of protective traction. The purpose of traction training is to reduce spasm, reposition and immobilization. Immobilization is a limitation of independence, physical movement of the body or one or more extremities which is often caused by movement restrictions in the form of bed rest, physical restrictions due to external equipment (for example casts or skeletal traction), restrictions on voluntary movements, or physical disorders. There are various physical problems that can occur in a state of immobility, one of which is the problem of changes in fecal elimination, namely constipation. Abdominal massage is a complementary therapy that can be used as an effective intervention to treat constipation without causing side effects. Method: application of Evidence Based Practice (EBNP) with evidence sourcesobtained from the Pubmed journal. The article was published in 2020. Searches were carried out in several databases, namely the Cochrane Library, Biomed Central, MEDLINE (EBSCOhost), MEDLINE (PubMed), and Scopus. The author carried out screening using the PICO formulation. Results: Data analysis results were processed using Jamovi with the one sample T-Test statistical test. The average reduction in constipation was found before and after abdominal massage with a P-Value of 0.001. Conclusion: There is a significant difference in reducing constipation before and after giving abdominal massage with P-Value <0.005.).
Optimalisasi Disease Awareness Diabetes Melitus di SMA Muhammadiyah 1 Jakarta Pusat Sofiani, Yani; Agung, Rizki Nugraha; Astuti, Medya Aprilia; Septian, Alnendi; Lestari, Rini; Azzahra, Sabrina
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21421

Abstract

ABSTRAK Pergeseran pola penyakit dari penyakit menular masih tinggi  terhadap penyakit tidak menular pada negara berkembang seperti Indonesia, salah satunya adalah diabetes melitus (DM). Penelitian terbaru dari Kementrian Kesehatan RI (2023) menunjukan prevalensi diabetisi meningkat hingga 10,9% dalam dekade terkahir. Tingginya angka kejadian dan besarnya dampak yang ditimbulkan oleh penyakit diabetes maka diperlukannya pencegahan yang optimal melalui proses peningkatan pengetahuan dan kesadaran diri terhadap pengendalian DM. Pengabdian kepada masyarakat (PkM) ini bertujuan untuk meningkatkan pengetahuan dan kesadaran diri terhadap pengendalian DM. Pengabdian masyarakat dilakukan kepada guru dan staf di SMA Muhammadiyah 1 Jakarta dengan memberikan penyuluhan kesehatan melalui media video edukasi yang diputarkan sebanyak satu kali dan selanjutnya diberikan sesi diskusi dan diakhiri dengan penyerahan poster edukasi. Dalam program PkM kali ini, mayoritas peserta laki-laki. Sebanyak 23 peserta yang mengikuti post-test, 21 peserta (sekitar 91,3%) berhasil menjawab dengan benar semua dari 8 soal yang diberikan, hal tersebut menunjukkan pemahaman terhadap materi edukasi dengan baik. Hasil ini secara keseluruhan merefleksikan efektivitas program edukasi dalam meningkatkan pengetahuan peserta mengenai diabetes melitus. Kegiatan pengabdian masyarakat ini ini berhasil meningkatkan kesadaran peserta tentang pentingnya pencegahan dan deteksi dini Diabetes Melitus. Disarankan Perlu adanya program lanjutan berupa pelatihan guru sebagai duta kesehatan untuk mendukung penyuluhan dan deteksi dini Diabetes Melitus di lingkungan sekolah khususnya di SMA Muhammadiyah I Jakarta.  Kata Kunci: Berbasis Video, Diabetes Melitus, Edukasi Kesehatan, Kesadaran Penyakit  ABSTRACT The shift in disease patterns from infectious diseases to non-infectious diseases were still high in developing countries such as Indonesia, one of which is diabetes mellitus (DM). Research results from the Indonesian Ministry of Health (2023) showed that the prevalence of diabetes has increased to 10.9% in the last decade. The high incidence rate and large impact caused by diabetes requires optimal prevention through the process of increasing knowledge and self-awareness regarding DM control. This community service (PkM) aims to increase knowledge and self-awareness regarding DM control. Community service was carried out for teachers and staff at SMA Muhammadiyah 1 Jakarta by providing health education through educational video media which was played once and then a discussion session was given and ended with the handover of educational posters. In this PkM program, the majority of participants were male. A total of 23 participants took the post-test, 21 participants (around 91.3%) managed to answer all 8 questions correctly, this shows a good understanding of the educational material. These results overall reflect the effectiveness of the education program in increasing participants' knowledge about diabetes mellitus. This community service activity succeeded in increasing participants' awareness of the importance of prevention and early detection of Diabetes Mellitus. It is recommended that there is a need for a follow-up program in the form of teacher training as health ambassadors to support counseling and early detection of Diabetes Mellitus in the school environment, especially at SMA Muhammadiyah I Jakarta. Keywords: Diabetes Mellitus, Disease Awareness, Health Education, Video-Based
Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Arisanty, Irma Puspita; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Abstract

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.
Poor Sleep Quality Related to Impaired Cognitive Function Following Stroke: A Comparative Cross-Sectional Study Sofiani, Yani; Rahim Kamil, Abdu; Puspitasari, Nia Ayu; Hadi, Muhammad; Agung, Rizki Nugraha; Kurwiyah, Neneng
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.781 KB) | DOI: 10.30604/jika.v7i1.672

Abstract

Sleep deprivation is a common concern among stroke patients. There was a connection between sleep deprivation and poor cognitive function. Few studies, however, have compared sleep and cognitive variations in older adults with and without stroke, as well as explored the relationship between sleep quality and cognitive function. The objective of this study was to explore the quality and feature of sleep between patients with and without a stroke. To assess the association between sleep quality and cognitive dysfunction in older adults. A cross-sectional analysis was carried out. 156 participants completed this research. The study was carried out in 90 stroke patients and 66 of non-stroke patients. The patient was given a sleep quality questionnaire and took a cognitive test. In addition, a multivariate linear regression statistical analysis was used to determine the relationship between two variables. The global mean PSQI in patients with stroke was 7.12±3.96 versus 4.98±2.86, respectively, higher than the non-stroke group. Around 56.7 percent of stroke patients complained of poor sleep quality. Stroke patients scored lower than those who did not get a stroke on the memory and executive function test. Sleep quality affects memory by 28.6 percent. Poor sleep quality was strongly associated with memory dysfunction in stroke patients. To prevent patients with stroke from experiencing cognitive loss, health care providers should develop effective interventions to improve sleep quality.  Kurang tidur adalah masalah umum di antara pasien stroke. Ada hubungan antara kurang tidur dan fungsi kognitif yang buruk. Beberapa penelitian, bagaimanapun, telah membandingkan variasi tidur dan kognitif pada orang dewasa yang lebih tua dengan dan tanpa stroke, serta mengeksplorasi hubungan antara kualitas tidur dan fungsi kognitif. Tujuan dari penelitian ini adalah untuk mengeksplorasi kualitas dan fitur tidur antara pasien dengan dan tanpa stroke. Untuk menilai hubungan antara kualitas tidur dan disfungsi kognitif pada orang dewasa yang lebih tua. Sebuah analisis cross-sectional dilakukan. 156 peserta menyelesaikan penelitian ini. Penelitian dilakukan pada 90 pasien stroke dan 66 pasien non stroke. Pasien diberi kuesioner kualitas tidur dan menjalani tes kognitif. Selain itu, analisis statistik regresi linier multivariat digunakan untuk mengetahui hubungan antara dua variabel. Rata-rata PSQI global pada pasien stroke masing-masing adalah 7,12±3,96 versus 4,98±2,86, lebih tinggi daripada kelompok non-stroke. Sekitar 56,7 persen pasien stroke mengeluhkan kualitas tidur yang buruk. Pasien stroke mendapat skor lebih rendah daripada mereka yang tidak terkena stroke pada tes memori dan fungsi eksekutif. Kualitas tidur mempengaruhi memori sebesar 28,6 persen. Kualitas tidur yang buruk sangat terkait dengan disfungsi memori pada pasien stroke. Untuk mencegah pasien stroke mengalami kehilangan kognitif, penyedia layanan kesehatan harus mengembangkan intervensi yang efektif untuk meningkatkan kualitas tidur.
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

Abstract

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 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

Abstract

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.
Assessment of Diabetic Retinopaty Risk Factors in Type II Diabetes Mellitus Anggraini, Desy; Sofiani, Yani; Yunitri, Ninik; Rayasari, Fitrian
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.v7i4.6196

Abstract

Diabetic retinopathy (DR) is a leading microvascular complication of diabetes mellitus (DM), primarily caused by chronic hyperglycemia. It leads to vascular occlusion, increased vascular permeability, retinal abnormalities, and detachment, ultimately resulting in visual impairment and blindness. Implementing Evidence Based Nursing Practice using diagnostic tests to determine the sensitivity and specificity of the assessment instrument for Diabetic Retinopathy Risk Factors in Type II DM Diagnostic tests are descriptive observational studies with a cross-sectional study design. This application is classified as descriptive observational because only observations are made without any intervention (treatment). The test is carried out with ROC where to see the sensitivity and specificity of the application instrument. The results of the analysis showed that the sensitivity of the application of the assessment of diabetic retinopathy risk factors using the ROC Curve Test was 100%. Meanwhile, the specificity of the instrument for the application of the assessment of diabetic retinopathy risk factors was 81.3%. The application of diabetic retinopathy risk factor assessment can be used to assess the risk of diabetic retinopathy because it has good sensitivity (%) and specificity (%) values. However, when applying the diabetic retinopathy risk factor assessment, only the risk value of diabetic retinopathy was obtained where the application patient did not experience complaints and decreased visual acuity.
Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Maryani, Fenny; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6212

Abstract

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.
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.
Co-Authors Agung Widiastuti Agung, Rizki Nugraha Aisy, Rifa Rohadatul Amrullah, Syahid Ardiani, Kristi Arisanty, Irma Puspita Ashar Prima Astuti, Medya Aprilia Astuty, Yeni Atlantic, Mia Azzahra, Sabrina Azzam, Rohman Berniati, Berniati Budi Susanto Budiati, Dhiani Burmanajaya, Bram Desvita, Eva Desy Anggraini Desy, Kemala Dewi Anggraini Dewi Purnamawati Dwiyanto, Yusup Erni Kurniasih Erwin Erwin fari, aniska indah Fatma, Hindri Royiah Fauziah, Hani Firdaus, Nuzula Fredy, Muhammad Khalid Hamdah, Hamdah Hernani, Eny Hidayat, Agus Samsul Irawati, Diana Jumaiyah, Wati Kiki Rizki Amelia, Kiki Rizki Kurniasih, Dian Noviati Kurwiyah, Neneng Latipah, Siti Lofa, Priyo Hadi Prasetyo Luanda, Desi Lusiana Lusiana Maryani, Fenny Masykur Khair Moh. Heri Kurniawan Muhammad Hadi Mulyatsih, MG Enny Natashia, Dhea Oktavina, Risa Pramono, Cahyo Prima, Ashar Puspitasari, Nia Ayu Rahayu, Essih Rahim Kamil, Abdu Rahmasari, Ikrima Rayasari , Fitrian Rayasari, Fitrian Rini Lestari Rostini, Heny Rukmana, Aip Sakinah, Sri Santosa, Puji Raharja Saputri, Dwirima Satriani Satriani Septian, Alnendi Shahroh, Yuni Silistyorini, Cahyo Ismawati Siswandi, Iyar sri murtini . Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumedi Sumedi Suriadi Jais Warongan, Wardy widya astuti Yanti Silaban, Nataria Yohanes Andy Rias Yuliarti Yuliarti Yunitri, Ninik Yuntiri, Ninik Yunus, Muhammad Iqbal