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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Journal of Health Sciences Jurnal Ilmiah Keperawatan Community Development Journal: Jurnal Pengabdian Masyarakat Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Indonesian Journal of Global Health research Nurse and Holistic Care Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Soleha, Umdatus
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Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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ANALYSIS OF NURSING CARE IN NSTEMI PATIENTS WITH THE APPLICATION OF DEEP BREATHING RELAXATION AND MURATTAL THERAPY TO OVERCOME THE PROBLEM OF ACUTE PAIN Milaningrum, Kartika; Ainiyah, Nur; Soleha, Umdatus; Firdaus
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.5012

Abstract

Introduction: Non-ST Elevation Myocardial Infarction is usually caused by severe narrowing of the coronary arteries, this can cause chest pain that can last long and intense, cold sweat, nausea and vomiting, and feeling as if you are facing death. Objective: This study investigates the application of deep breathing relaxation and Murattal therapy in nursing care for NSTEMI patients experiencing acute pain. The research assesses their effectiveness in pain management, revealing significant reductions in pain levels post-intervention. These results suggest their potential integration into nursing practice and the need for further exploration into non-pharmacological pain management strategies. Methods: This research uses a case study design with a nursing care process approach. The participant was a 55-year-old patient with a diagnosis of NSTEMI who experienced acute pain. The instrument used is an observation sheet with a measurement scale using a Numerical Rating Scale. Results: Before deep breathing relaxation therapy and Murattal therapy, it was found that the patient experienced moderate pain with complaints of pain during strenuous activity, pain like stabbing, pain in the chest that penetrated the back, pain scale 5 (moderate pain), persistent pain frequency, whereas, after management pain relief, deep breathing relaxation therapy, Al-Qur'an Murattal therapy 1x/day for a total of 3 days with a total duration± 25 minutes, it was found that the patient's pain decreased to become lighter with complaints of pain during strenuous activities, the quality of pain was like stabbing, pain in the chest penetrated to the back, pain scale 2 (mild pain), the frequency of pain began to disappear. Conclusions: The conclusion from the results of the case study shows that deep breathing relaxation therapy and Murattal therapy which are carried out routinely and according to the procedure are effective for reducing chest pain in Mr.I with NSTEMI. Suggestions for nurses to routinely provide deep breathing relaxation therapy and Murattal therapy to patients who experience NSTEMI.
The Potential of Walnut Oil with Massage Effleurage to Prevent Grade 1 Decubitus Wounds of Bed Rest Patients Noventi, Iis; Soleha, Umdatus; Hasina, Siti Nur
Journal of Ners and Midwifery Vol 8 No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p309-314

Abstract

The main problem in decubitus patients is the risk of damage to skin integrity related to factors: immobility, decreased sensory perception, decreased tissue perfusion, decreased nutritional status, friction and pulling force, advanced age, and increased humidity. The decubitus is a problem faced by patients with chronic diseases, weak conditions, and patients who experience paralysis. This study aimed to analyze the potential of walnut oil in preventing grade 1 decubitus Wounds of bed Rest Patients. This study used a Quasi-Experimental design (pretest-posttest control group). The sample was 20 people, divided into 2 groups; treatment and control. The treatment group received effleurage massage with walnut oil given twice a day for 7 days, while the control group received pressure ulcers prevention treatment according to the SOP applied in the hospital. A total of 10 patients who received massage using walnut oil showed a p-value of 0.04 (<0.05), which meant that walnut oil massage was affected significantly in preventing pressure ulcers. In conclusion, decubitus wounds can be prevented by effleurage massage with walnut oil which is given regularly twice a day.
EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY Sulistiyawati, Sri; Septianingrum , Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.72

Abstract

Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence. Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients. Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient. Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results. Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.74

Abstract

Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
The Effectiviness of Aquatic Therapy as A Rehabilitation Innovation for Stroke Patients: Water as A Medium of Recovery-A Systematic Literature Review Babo, Leticia Freitas; Septianingrum, Yurike; Hidayatullah, Achmad; Soleha, Umdatus; Wijayanti, Lono
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6646

Abstract

Stroke often causes long-term disabilities, significantly affecting motor and functional abilities. Rehabilitation interventions such as aquatic therapy, which utilize the properties of water to enhance movement and reduce pain, have gained increasing attention as innovative rehabilitation strategies. This systematic literature review aims to analyze and summarize the effectiveness of aquatic therapy as a rehabilitation innovation for improving functional recovery in stroke patients. A systematic search was conducted in three databases—PubMed, ScienceDirect, and Google Scholar—for articles published between January 2020 and January 2025. The keywords used in English included “aquatic therapy,” “stroke rehabilitation,” and “water-based therapy.” From the initial search, a total of 45 articles were identified. After screening titles and abstracts based on inclusion criteria (language, publication year, and open-access availability), 20 full-text articles were reviewed in detail. Following critical appraisal and relevance assessment to the research objectives, 10 articles were selected for final analysis. These articles were then synthesized to evaluate the effects of aquatic therapy on functional recovery, particularly focusing on gait and balance improvement in post-stroke patients. This review found 45 studies after identification. Most studies showed that aquatic therapy significantly improved balance, gait, muscle strength, and quality of life among stroke survivors. Additionally, resistance offered by water supports muscle strengthening without overstraining. However, variations in session duration, water temperature, and exercise intensity across studies suggest a need for standardized protocols. Aquatic therapy is an effective and innovative rehabilitation approach for stroke patients, particularly in enhancing motor recovery and quality of life. Future research should focus on standardized intervention protocols and long-term outcomes.
Assessment Tools for Post-Stroke Discharge Readiness: A Literature Review Kadir, Afrizal Nur; Septianingrum, Yurike; Aprilian, Arvino; Wijayanti, Lono; Soleha, Umdatus
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6699

Abstract

Stroke survivors are at high risk of hospital readmission due to recurrent stroke, comorbidities, and inadequate discharge preparation. Readiness for hospital discharge plays a pivotal role in ensuring a safe transition of care and improving post-stroke outcomes. Evaluating patient and caregiver readiness for hospital discharge is essential to reduce the likelihood of readmission and optimize home care outcomes. This review aimed to identify, describe, and evaluate existing tools used to assess discharge readiness in post-stroke patients, and examine their effectiveness in supporting care transitions and preventing hospital readmissions.Methods: A systematic review was conducted in accordance with PRISMA guidelines. Four databases-PubMed, Science Direct, Clinical Key, and Google Scholar—were searched for relevant articles published between 2021 and 2025 using predefined keywords related to stroke, discharge readiness, transition of care, and readmission. After screening 202 initial records, 34 articles were selected for full-text review. Ten studies met the inclusion criteria and were then critically appraised using the Joanna Briggs Institute (JBI) checklist to assess methodological quality and risk of bias. The included studies were synthesized narratively based on study design, assessment tools used, psychometric properties, and their impact on discharge readiness and hospital readmission outcomes. The review identified several validated tools, including the Readiness for Hospital Discharge Scale (RHDS), the Preparedness Assessment for the Transition Home After Stroke (PATH-s), and the Caregiver Contribution to Self-Care Inventory (CC-SC-CII-v2). These tools varied in focus, population, and application context. While some showed strong psychometric properties and predictive power for readmission, others highlighted the need for caregiver inclusion and context-specific adaptation. However, inconsistencies in implementation, limited integration into clinical workflows, and lack of long-term outcome evaluations remain significant barriers. This review enhances understanding of discharge readiness assessment tools in post-stroke care and underscores their value in reducing readmissions and optimizing care transitions.
The Relationship Between Perfectionism and Non-Suicidal Self Injury Incidents Among Nursing Students Wulandari, Maharani Suci; Budury, Syiddatul; Soleha, Umdatus; Sharoni, Siti Khuzaimah Ahmad
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.73-79

Abstract

Students with perfectionistm personalities tend to always want to look perfect, so they are at high risk of experiencing despair, shame, anger, and depression. This condition often triggers Non-Suicidal Self Injury (NSSI) behavior as a way to vent or suppress emotions, which can cause body damage and the risk of infection. This study aims to analyze the Relationship between Perfectionist Personality and NSSI Incidents in Nursing Undergraduate Students. This study uses a cross-sectional approach. The population of this study were 160 undergraduate nursing students at Semester 7. The sample obtained 115 respondents using proportionate stratified. Data collection used the Hewitt and Flett Multidimensional Perfectionism Scale and the Inventory of Statements About Self Injury. Data analysis used the Spearman test with a significance level of α = 0.01. The results of the study were obtained from 115 respondents, almost half of which 40 (34.8%) respondents had a very high perfectionism personality, and almost half of which 55 (47.8%) respondents had very low Non-Suicidal Self Injury behavior. Based on the results of the Spearman test, the value of ρ = 0.000 was obtained, which means that there is a relationship between Perfectionism Personality and Non-Suicidal Self Injury Incidents among nursing students. The high level of perfectionism in nursing students, accompanied by low levels of NSSI, indicates that most of them have adaptive behavioral patterns. This means that even though they tend to be perfectionists, they are able to manage stress without engaging in destructive behavior. It is expected that the University will strengthen the counseling or campus psychologist services by holding regular counseling sessions that are scheduled regularly. This can help students cope with stress, anxiety, and other mental health issues, including preventing perfectionism personality and NSSI behavior.
Unveiling Bullying Dynamics in Islamic Boarding Schools for Adolescent Mental Health Promotion Khamida, Khamida; Fitriyah, Fifi Khoirul; Hidaayah, Nur; Fitriasari, Andikawati; Algristian, Hafid; Soleha, Umdatus; Iskandar
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.8-13

Abstract

Background: Islamic boarding schools as educational institutions that teach religious morals as a basis for behavior should be a safe and comfortable place of education for students. There should be no more violence occurring in Islamic boarding schools, but in fact, recently there has been a lot of news about incidents of violence or bullying occurring in Islamic boarding schools. Islamic boarding schools are expected to provide a safe environment for students while fostering religious and moral values. However, incidents of bullying continue to occur within these institutions, highlighting a gap between expected and actual student experiences. Objective: This study aimed to analyze the factors that influence bullying incidents in an Islamic boarding school environment. Methods: A cross-sectional study was conducted at Al-Hidayah Islamic Boarding School, Sidoarjo, involving 109 students selected through simple random sampling (10% of the population). Independent variables included age, gender, school level, length of stay, and peer perception, while the dependent variable was bullying incidence. Data were collected using a validated and reliable questionnaire and analyzed using multiple linear regression at a significance level of 0.05. Results: The results indicated that 68.8% of respondents were in early adolescence (12–16 years), 60.6% were male, and 52.3% had stayed at the boarding school for over 35 months. Additionally, 68.8% of respondents had negative perceptions of their peers. The regression analysis yielded a significance value of 0.004 (p < 0.05) with an R-square of 15.4%, indicating that all independent variables jointly influenced bullying incidents. Conclusion: Age, gender, school level, length of stay in the boarding school, and peer perceptions collectively influence bullying behavior among students. These findings highlight the need for boarding school administrators to implement policies and interventions that address these contributing factors to reduce bullying prevalence.
Co-Authors Achmad Hidayatullah, Achmad Agustin, Dian Rahmawati Ah Yusuf, Ah Algristian, Hafid Amansyah Tohari, Delly Anisah, Choirun Aprilian, Arvino Babo, Leticia Freitas Budury, Syiddatul Danny Irawan Difran Nobel Bistara Ernawati, Yayuk Fifi Khoirul Fitriyah Firdaus Firnanda Erindia Fitriasari, Andikawati Hidaayah, Nur Imamatul Faizah ISKANDAR Kadir, Afrizal Nur Khamida, Khamida Milaningrum, Kartika Muhammad, Akbar Reza Muna, Latifatul Noventi, Iis Nur Ainiyah Nursalam Nursalam Nyoto Nyoto, Nyoto Putri, Dini Firdiana Putri, Rahmadaniar Aditya Ratna Yunita Rohmawati, Riska RR Dian Tristiana S.Pd. M Kes I Ketut Sudiana . Sari, Ratna Yunita Septianingrum , Yurike Septianingrum, Yurike Setiawan, M. Arif Helmi Sharoni, Siti Khuzaimah Ahmad Sulistiyawati, Sri Suwito, Bambang Edi Taufiq, Isa Wahyu Pranoto Wijayanti, Lono Winoto, Priyo Mukti Pribadi Wulandari, Maharani Suci Zahroh, Chilyatiz