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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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Enhancing Family Awareness of Stroke Warning Signs through Supportive Education in a Community Setting Latipah, Siti; Sofiani, Yani
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64514

Abstract

Introduction: Health education is a key nursing intervention for individuals, groups, or communities to address health issues and promote behavior change for better outcomes. In stroke management, it increases family knowledge of stroke signs and symptoms, helping prevent recurrence. Supportive education further strengthens understanding and awareness of early stroke warning signs, which is crucial to reducing the risk and severity of recurrent strokes. This study examined the relationship between the effectiveness of supportive education and family awareness of warning signs and symptoms in post-stroke patients. Method: A quantitative quasi-experimental pre- and post-design was applied without a control group and a cross-sectional approach. Purposive sampling was used based on inclusion and exclusion criteria. Using G*Power 3.1.9.4 with an effect size of 0.55 and 80% power, 22 participants were recruited. Data were analyzed using inferential statistics, including univariate analysis (frequency distribution) and bivariate analysis (Wilcoxon signed-rank test). The Stroke Recognition Questionnaire (SRQ) showed strong content validity, with a CVI of 0.90 for symptom items and 1.00 for risk factors. Ethical approval was obtained under reference number Un.01/F.10/KP.01.1/KE.SP/05.08.054/2025. Results: Among 22 stroke patients, 40.9% were aged over 65 years, and 72.7% were male. Hypertension was the most common risk factor (86.4%), and 68.2% had a prior stroke. The Wilcoxon test produced a p-value < 0.001, indicating significant improvement in family awareness after supportive education. Conclusion: Effective stroke care requires long-term, comprehensive family involvement with strong self-care skills to support recovery and prevent recurrence.
PENERAPAN TINDAKAN PROGRESSIVE MUSCLE RELAXATION (PMR) DAN DEEP BREATHING EXERCISES (DBE) UNTUK MENGATASI SESAK NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DI RSUP PERSAHABATAN JAKARTA TIMUR Yanti Silaban, Nataria; Rayasari , Fitrian; Anggraini, Dewi; Sofiani, Yani; Santosa, Puji Raharja
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): 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.v10i1.1576

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with progressive, irreversible and partially reversible airway obstruction. COPD includes chronic bronchitis and emphysema, or a combination. COPD patients generally complain of continuous shortness of breath and this will result in a decrease in the patient's quality of life and as a result the patient will go back and forth to the hospital. To prevent this, it is necessary to do breathing exercises. The aim of implementing EBNP is to implement Progressive Muscle Relaxation (PMR) and Deep Breathing Exercises (DBE) interventions to change the shortness of breath response in COPD patients in the form of a randomized controlled trial with a pre-post-test design. The sampling technique uses G-Power version 3.1.9.7 with T-test, one tail, effect size 0.53, alpha error 0.05, and power 0.80, a minimum of 18 is required plus a possibility of error of 10%, so the number of patients needed in this study is 20 at Persahabatan Hospital, East Jakarta. The implementation of PMR actions with 13 (thirteen) movements and DBE with 6 (six) movements is carried out every day for 5 weeks, from May 15 to June 16 2023. Method: The study design in this research is a case study involving 40 respondents. Respondents were divided into two groups, namely 20 people in the PMR group and 20 people in the DBE group. Evaluation is carried out every week using the dyspnoe-12 instrument. Results: This application shows that there is a difference in the response to shortness of breath between before and after the PMR procedure (P value 0.001) and the DBE procedure (P value = 0.001). Conclusion: The application of EBNP recommends the need for nurses to carry out PMR and DBE interventions to change the shortness of breath response in COPD patients.
The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City Sulistiyowati, Heppy; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Susanto, Budi; Prima, Ashar; Hamdah, Hamdah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.616

Abstract

Aims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City. Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents. Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674).  Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients.
The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta Desvita, Eva; Sofiani, Yani; Yunitri, Ninik
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.654

Abstract

Aims:  The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Penerapan Evidence Base Nursing Practice Skrining Diabetic Sensorimotori Polineuropathy (DSPN) di UPT RSUD Labuang Baji Makassar Sakinah, Sri; Sofiani, Yani; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18795

Abstract

ABSTRACT Diabetes Mellitus is a degenerative disease, if not treated properly it can have a negative impact on complications in various organ systems in the body (Syahid, 2021). One of the complications of diabetes that often occurs is neuropathy (nerve damage) in the feet which increases the incidence of foot ulcers, infections and even the need for foot amputation (Sianipar, 2023). The aim of this research is to prepare Standard Operating Procedures (SPO) for the implementation of EBNP regarding Diabetic Sensorimotor Polyneuropathy (DSPN) Screening in Type 2 Diabetes Mellitus patients. The number of respondents involved in implementing this EBNP was 14 people. In the implementation of EBNP, Diabetic Sensorimotor Polyneuropathy (DSPN) screening was carried out using the mTSN (Modified Toronto Clinic Score Neuropathy) instrument which aims to assess whether there are symptoms of neuropathy and no symptoms of neuropathy. DSPN screening is carried out based on Standard Operating Procedures (SOP). Based on the results of the two instrument tests between mTCSN and mNSI-E using the undercurve test, it can be concluded that the mTCSN instrument has a higher sensitivity value with a value of 0.909, while the sensitivity value for the mNSI-E instrument is smaller than the mTCSN instrument with a value of 0.571. So, to screen for neuropathy it is more effective to use the mTCSN instrument because the sensitivity score is higher. Keywords: Diabetes Mellitus, Screening, Polyneuropathy, DSPN  ABSTRAK Diabetes Melitus merupakan penyakit degeneratif bila tidak ditangani dengan baik dapat berdampak buruk menjadi komplikasi pada berbagai sistem organ dalam tubuh (Syahid, 2021). Salah satu komlikasi dari diabetes yang sering terjadi adalah Neuropati (kerusakan saraf) dikaki yang meningkatkan kejadian ulkus kaki, infeksi dan bahkan keharusan untuk amputasi kaki (Sianipar, 2023). Tujuan penelitian ini adalah tersusunnya Standar Prosedur Operasional (SPO) pelaksanaan EBNP tentang Skrining Diabetic Sensorimotori Polyneurophaty (DSPN) pada pasien Diabetes Melitus Tipe 2. Jumlah responden yang terlibat pada pelaksanaan EBNP ini adalah 14 orang. Pada pelaksanaan EBNP ini telah dilakukan skirining Diabetic Sensorimotori Polineuropathy (DSPN) dengan menggunakan instrumen mTSN (Modified Toronto Clinic Score Neuropathy) yang bertujuan untuk menilai ada gejala neuropati dan tidak ada gejala neuropati. Skrining DSPN dilakukan berdasarkan Standar Operasional Prosedur (SOP). Berdasarkan hasil kedua uji intrumen antara mTCSN dengan mNSI-E menggunakan uji undercurve, maka dapat disimpulkan, instrumen mTCSN memiliki nilai sensitivitas yang lebih tinggi dengan nilai 0.909, sedangkan nilai sensitivitas pada instrumen mNSI-E lebih kecil dari instrumen mTCSN dengan nilai 0.571. Maka, untuk melakukan skrining neuropathylebih efektif digunakan instrumen mTCSN karena skor sensitivitasnya lebih tinggi. Kata Kunci: Diabetes Mellitus, Skrining, Polyneurophaty, DSPN
Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Murtini, Sri; Agung, Rizki Nugraha; Yunitri, Ninik; Sofiani, Yani; Silistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

Abstract

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety  ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan  efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan 
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