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Efek mobilisasi dini pada peningkatan fungsi fisik pasien post coronary artery bypass graft (CABG): A systematic literature review Pristya, Ifana Yunike; Nurachmah, Elly; Maria, Riri
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.791

Background: Heart surgery or Coronary Artery Bypass Graft (CABG) is one of the interventions of choice for the management of patients with cardiovascular disease that aims to minimize symptoms and optimize heart function. CABG is not without complications, complications caused by surgical procedures include physiological changes. Conditions during hospitalization due to immobilization cause loss of strength and muscle mass, decreased functional capacity, and decreased physical condition, so early mobilization of patients in the postoperative period of heart surgery who are treated in the intensive care unit (ICU). Purpose: To determine the implementation of early mobilization in improving the physical function of patients after coronary artery bypass graft (CABG). Method: A systematic literature review study using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reference and literature searches originating from databases including; Published, ScienceDirect, and SAGE Journal. Then 6 literatures were found which were processed and presented in tabulated form. Results: Based on a review of the 6 included literatures, it showed a significant positive effect of early mobilization and no adverse events occurred during early mobilization after heart surgery. The benefits of early mobilization can prevent and reduce the risk of post-CABG surgery complications, accelerate the recovery of functional walking capacity and have a positive impact on the length of stay, thereby reducing patient care costs. Conclusion: Early mobilization can prevent and reduce post-CABG complications, accelerate the recovery of functional walking capacity, have a positive impact on the length of stay, and thus reduce the cost of care. Suggestion: Nurses should also assess potential barriers to early mobilization, such as patient resistance, lack of motivation, anxiety, and postoperative pain because these factors can negatively impact patient cooperation. In addition, early movement after CABG can be combined with breathing exercises and psychoeducation to improve recovery outcomes. Keywords: Coronary Artery Bypass Graft (CABG); Early Mobilization; Physical Function. Pendahuluan: Bedah jantung atau Coronary Artery Bypass Graft (CABG) adalah salah satu intervensi pilihan untuk tatalaksana pasien dengan penyakit kardiovaskular yang bertujuan meminimalkan gejala dan mengoptimalkan fungsi jantung. Tindakan CABG dilakukan tidak tanpa komplikasi, komplikasi yang diakibatkan oleh prosedur bedah salah satunya yaitu perubahan fisiologis. Kondisi selama rawat inap karena imobilisasi, menyebabkan kehilangan kekuatan dan massa otot, penurunan kapasitas fungsional, dan penurunan kondisi fisik, sehingga sangat diperlukan mobilisasi dini pasien dalam periode pasca operasi bedah jantung yang dirawat di unit perawatan intensif (ICU). Tujuan: Untuk mengetahui implementasi dari mobilisasi dini pada peningkatan fungsi fisik pasien post coronary artery bypass graft (CABG). Metode: Penelitian systematic literature review menggunakan acuan Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) dan pencarian literatur berasal dari database antara lain; Pubmed, ScienceDirect, dan SAGE Journal. Kemudian ditemukan 6 literatur yang diolah dan disajikan dalam bentuk tabulasi. Hasil: Berdasarkan review dari 6 literature yang disertakan menunjukkan efek positif yang signifikan dari mobilisasi dini dan tidak ada kejadian buruk yang terjadi selama mobilisasi dini pasca bedah jantung. Manfaat dari mobilisasi dini dapat mencegah dan mengurangi risiko komplikasi pasca operasi CABG, mempercepat pemulihan kapasitas berjalan fungsional, dan berdampak positif dalam lama perawatan, sehingga mengurangi biaya perawatan pasien. Simpulan: Mobilisasi dini dapat mencegah dan mengurangi risiko komplikasi pasca operasi CABG, mempercepat pemulihan kapasitas berjalan fungsional, berdampak positif dalam lama perawatan, sehingga mengurangi biaya perawatan. Saran: Perawat juga harus menilai potensi hambatan terhadap mobilisasi dini, seperti penolakan pasien, kurangnya motivasi, kecemasan, dan nyeri pasca operasi karena faktor-faktor ini dapat berdampak negatif pada kerja sama pasien. Selain itu, mobilisasi dini setelah CABG dapat dikombinasikan dengan latihan pernapasan dan psikoedukasi untuk meningkatkan hasil pemulihan. Kata Kunci: Coronary Artery Bypass Graft (CABG); Early Mobilization; Fungsi Fisik.

Reducing Anxiety Through Education: A Systematic Review of Health Education for Hospitalized Tuberculosis Patients Rizal, Imam Kurniawan; Waluyi=o, Agung; Maria, Riri; Yona, Sri
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.04

Anxiety is a common psychological issue experienced by patients undergoing hospitalization, particularly those diagnosed with tuberculosis (TB), due to prolonged treatment periods and fear of stigma. As much as health education has been proposed as a potential intervention, research conducted so far is limited and varies in study methodology, and thus it's difficult to make conclusions. Further, there is no synthesized evidence regarding the impact of formal health education on anxiety among hospitalized TB patients, particularly where there is cultural diversity. This study aims to review the effect of health education interventions on anxiety levels in TB patients. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature was identified through PubMed, Scopus, and ProQuest databases. Inclusion criteria: RCTs or quasi-experimental studies involving pulmonary TB patients, evaluating the effect of health education on anxiety compared to other psychological interventions. Fifteen articles met the eligibility criteria and were included for analysis. The reviews summarized between 2019 and 2024 consistently showed that health education significantly reduces anxiety in hospital-admitted TB patients. This review update encapsulates the up-to-date evidence, expanding on the earlier work by adding recent evidence, mentioning varied forms such as single sessions, multimedia gadgets, and culturally sensitive materials. The findings highlight the importance of integrating health education as part of comprehensive TB care to address psychological distress and improve treatment outcomes.

Spiritual Care in Patient with Cancer Pain: Literature Review Maria, Riri; Waluyo, Agung; Khamarudin, Khamarudin
Indonesian Journal of Global Health Research Vol 6 No 1 (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.v6i1.2562

Spiritual care for cancer pain is an intervention to address the spiritual needs of patients with cancer in managing pain. Despite numerous studies conducted in this area, the diversity of spiritual care interventions for cancer pain remains a challenge. Objective: This literature review aimed to identify spiritual care interventions for cancer patients in managing pain. Method: The database used Scopus, Pubmed, Proquest, Science Direct, and Google Scholar. The keywords used were “spiritual care” OR “spiritual therapies” OR “spiritual healing” OR “faith healing” OR “spiritual intervention” OR “religious intervention” AND “cancer pain” OR “cancer-related pain” OR “neoplasm-related pain” OR “oncology pain. The search was limited to articles published between 2011 and 2021, resulting in the identification of 6642 articles, which only 10 met the inclusion criteria. The selected articles underwent critical appraisal using JBI tools. Results: This literature review showed that the types of spiritual care interventions consist of yoga, psychoreligious intervention, mindfulness, music therapy, and therapeutic touch, and the primary outcomes of spiritual care are pain levels. Conclusions: This literature review showed the interventions were very diverse in all types of cancer. Therefore, a spiritual care intervention study on managing pain with a specific type of cancer is needed.

EFEK SELF CARE BEHAVIOR UNTUK MENGATASI NYERI PADA PASIEN KANKER Silalahi, Tiur Dame Uli; Nuraeni, Tuti; Maria, Riri
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.28655

Penyakit kanker dapat menimbulkan nyeri, kelemahan, masalah tidur, dan kelelahan, dan mempengaruhi keterbatasan fungsi yang akan berakibat ke kehidupan sehari-hari. Salah satu gejala yang paling umum dan sering dikeluhkan pada pasien kanker adalah nyeri. Penulisan ini bertujuan untuk mengetahui efek self care behavior untuk mengatasi nyeri pada pasien kanker. Penulis menggunakan beberapa database seperti Scopus, SpringerLink, Sage Journal. Clinical Key Nursing. untuk digunakan dalam pencarian artikel yang relevan. Terdapat total 8 artikel yang telah dianalisis dimana terdapat beberapa intervensi self care behavior yang digunakan untuk mengatasi nyeri pada pasien kanker antara lain spiritual, music terapi, olahraga, meditasi dan pijat. Berdasarkan dari beberapa jurnal yang telah dianalisis dapat disimpulkan bahwa pemberian intervensi self care behavior dapat mempengaruhi skala nyeri pada pasien kanker.

Penerapan Program Perawatan Spiritual untuk Menurunkan Depresi pada Pasien Leukemia Rosliany, Nia; Irawaty, Dewi; Maria, Riri
Jurnal Kesehatan Holistic Vol. 2 No. 1 (2018): Jurnal Kesehatan Holistic Volume 2/Nomor 1/Januari 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

The role of nurse medical surgical specialist is as caregiver, researcher, and innovator applied on nursing care of cancer patients that used the chronic illness trajectory model approach, application of evidence based nursing practise in spiritual care program on leukemia patients to reduce depression, and perform innovation group project on educational management for patients undergoing radioactive Iodine 131 in Radioactive Isolation Ward Dharmais Cancer Hospital. The trajectory concept is one of the nursing theories that assist patients and caregivers’ empowerment to provide appropriate care in the stage and phase of patient's illness and focuses on palliative care. Palliative care is one of the focus areas of nurse specialist in the field of cancer care that will improve the patient's independence and quality of life. The application of spiritual care program is non-invasive, cheap, safe, and practically in managing the patient's depression status. Education could improve patients' understanding of radiotherapy and its side effects to improve the quality of nursing care

Implementasi Edukasi yang Dipimpin Perawat (Nurse-Led) Terhadap Kualitas Hidup Pasien dengan Penyakit Jantung Koroner: Systematic Review Aprilia, Nita; Nurachmah, Elly; Maria, Riri
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14556

ABSTRACT Patient management that is led, organized, and carried out by nurses or Nurse-led is proven to be able to improve self-management, prevent rehospitalizations and improve the quality of life in coronary heart disease (CHD) patients. It is necessary to review further the educational interventions provided to improve the quality of life in CHD patients. The aim of this study was to determine the effect of nurse-led educational interventions to improve the quality of life in CHD patients. Systematic review of four databases: PubMed, Scopus, ProQuest and ScienceDirect. Articles spanning the last 10 years with experimental designs were searched. Education led by nurses to explain quality of life in CHD patients is mostly long term, namely more than 6 months. However, all of them can significantly improve the quality of life of CHD patients with significance values of p<0.05 and p<0.001. Nurse-led education has proven to be effective in improving the quality of life in CHD patients. Future research is expected to develop the implementation of continuous nurse-led education to improve functional capacity and quality of life and further reduce the number of disability-adjusted life years (DALYs) in CHD patients. Keywords: Coronary Heart Disease; Coronary Artery Disease; Acute Coronary Syndrome; Myocardial Infarction; Angina; Percutaneous Coronary Intervention ABSTRAK Pengelolaan pasien yang dipimpin, diatur dan dilakukan oleh perawat atau nurse-led terbukti dapat meningkatkan manajemen diri, mencegah kejadian rawat inap berulang dan meningkatkan kualitas hidup pada pasien dengan penyakit jantung koroner (PJK), perlu ditinjau lebih lanjut terkait implementasi edukasi yang diberikan untuk dapat meningkatkan kualitas hidup pada pasien PJK. Tujuan dari penelitian ini adalah untuk mengetahui implementasi edukasi yang dipimpin oleh perawat untuk meningkatkan kualitas hidup pada pasien PJK. Systematic review pada empat database: PubMed, Scopus, ProQuest dan ScienceDirect. Artikel dalam rentang waktu 10 tahun terakhir dengan desain eksperimental ditelusuri. Edukasi yang dipimpin oleh perawat untuk peningkatkan kualitas hidup pada pasien PJK sebagian besar bersifat jangka panjang, yaitu lebih lebih dari 6 bulan. Meskipun demikian, seluruhnya secara signifikan dapat meningkatkan kualitas hidup pasien PJK dengan nilai signifikansi yaitu p<0,05 dan p<0,001. Edukasi yang dipimpin perawat (nurse-led) terbukti efektif untuk meningkatan kualitas hidup pada pasien PJK. Penelitian selanjutnya diharapkan dapat mengembangkan implementasi edukasi yang dipimpin oleh perawat secara berkesinambungan untuk meningkatkan kapasitas fungsional dan kualitas hidup serta lebih lanjut menurunkan angka disability-adjusted life years (DALYs) pada pasien PJK. Kata kunci: Penyakit jantung koroner; Penyakit arteri koroner; Sindrom Koroner Akut; Infark Miokard; Angina; Intervensi Koroner Perkutan.

Peran edukasi terstruktur dalam program discharge planning untuk meningkatkan efikasi diri pada pasien bedah jantung: A systematic review Nisaa, Mariani; Nurachmah, Elly; Maria, Riri; Waluyo, Agung; Adam, Muhamad
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1665

Background: Patients undergoing cardiac surgery often experience decreased self efficacy in managing their health condition, which can complicate recovery and reduce quality of life. Structured discharge planning programs provide ongoing support and instruction, which can help patients improve this self-efficacy. Purpose: To examine the role of structured education within discharge planning programs in improving self-efficacy in cardiac surgery patients. Method: This systematic review used PRISMA guidelines and included data published between 2020 and 2025 from the following databases: PubMed (n = 404), Science Direct (n = 24), ClinicalKey for Nursing (n = 769), Sage Journals (n = 47), ProQuest (n = 1063), and Wiley (n = 97). Results: Nine of the ten studies showed that patients who received structured discharge planning interventions, whether through direct instruction, technology (phone, WhatsApp, and augmented reality/AR), or home care, had higher levels of self efficacy. Furthermore, this intervention reduced readmission rates, depression, anxiety, and fatigue. Conclusion: A structured discharge planning program is effective in improving patient self efficacy after cardiac surgery and provides additional benefits on psychological aspects and quality of life. This program can be consistently implemented in patients undergoing cardiac surgery. Suggestion: Further research should be conducted in hospitals in Indonesia to determine the success of structured discharge planning in improving the self efficacy of cardiac surgery patients by linking local culture, family roles, and health systems. Keywords: Cardiac Surgery; Discharge Planning Program; Patients; Self Efficacy; Structured Education. Pendahuluan: Pasien yang menjalani operasi jantung sering mengalami penurunan efikasi diri dalam mengelola kondisi kesehatan pasien sendiri, yang dapat mempersulit pemulihan dan menurunkan kualitas hidup. Program rencana pemulangan terstruktur memberikan dukungan dan instruksi yang berkelanjutan, dapat membantu pasien meningkatkan efikasi diri. Tujuan: Untuk mengkaji peran edukasi terstruktur dalam program discharge planning untuk meningkatkan efikasi diri pada pasien bedah jantung. Metode: Penelitian systematic review menggunakan pedoman PRISMA, diterbitkan dari tahun 2020-2025 dari database: PubMed (n = 404), Science Direct (n = 24), ClinicalKey for Nursing (n = 769), Sage Journal (n = 47), ProQuest (n = 1,063), dan Wiley (n = 97). Hasil: Sembilan dari sepuluh penelitian menunjukkan, bahwa pasien yang menerima intervensi discharge planning terstruktur baik melalui instruksi langsung, teknologi (telepon, WhatsApp, dan Augmented Reality/ AR), atau home care mempunyai tingkat efikasi diri yang lebih tinggi. Selain itu, intervensi ini mengurangi jumlah rawat inap ulang, depresi, kecemasan, dan kelelahan. Simpulan: Program discharge planning dengan edukasi terstruktur efektif dalam meningkatkan efikasi diri pasien pascaoperasi jantung dan memberikan manfaat tambahan pada aspek psikologis dan kualitas hidup. Program ini dapat menjadi implementasi pada pasien yang menjalani operasi jantung secara konsisten. Saran: Penelitian lebih lanjut harus dilakukan di rumah sakit di Indonesia untuk mengetahui keberhasilan discharge planning terstruktur dalam meningkatkan efikasi diri pasien bedah jantung dengan mengaitkan budaya lokal, peran keluarga, dan sistem kesehatan. Kata Kunci: Bedah Jantung; Edukasi Terstruktur; Efikasi Diri; Pasien; Program Discharge Planning.

Effectiveness of Telehealth for Self-Care in Stroke Survivors: A Systematic Review Sinaga, Dewi Sartika; Kariasa, I Made; Maria, Riri; Arista, Liya
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 10 No. 2 (2025): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v10i2.934

Declining self-care ability in stroke survivors impairs recovery and lowers long-termquality of life. This systematic review evaluates the effectiveness of telehealth interventionsin improving self-care capacity. Based on the PRISMA framework, five databases:PubMed, Science Direct, Scopus, Sage Journals, and ProQuest were searched for literaturepublished between 2020-2024. This search returned 387 results, of which 10 randomizedcontrolled trials were selected and evaluated according to a critical checklist. The resultsof this review suggest that self-care telehealth interventions significantly improve physical(mobility and muscle strength, performance of daily activities) and psychologicalcomponents (self-efficacy, depression and anxiety) that constitute a better quality of life.Telehealth technologies promote autonomy in stroke survivors by remote healthmonitoring, and lessen dependence on direct care. Yet, technological barriers and lowerdigital literacy in older and/or marginalized populations are challenges that must beovercome to achieve fair access and impact

Intervensi keluarga untuk menurunkan caregiver burden pada keluarga yang merawat penyintas stroke: Sebuah tinjauan sistematis Rahmawati, Ririn Setia; Kariasa, I Made; Aryani, Denissa Faradita; Maria, Riri
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1452

Background: Stroke often causes physical impairments and risk of disability, making patients highly dependent on caregivers for physical and emotional support. The complex caregiving role frequently leads to physical, psychological, and social pressures, known as caregiver burden, which negatively impacts caregiver well-being and patient care. Purpose: To identify interventions provided to stroke caregivers to reduce caregiver burden. Method: A systematic review was conducted following PRISMA guidelines on randomized controlled trials (RCTs) published in English between 2014 and 2024 with full-text availability. Pilot and feasibility studies were excluded. Literature searches were performed through Science Direct, Medline (via EBSCOhost), Sage Journals, Taylor & Francis, and Scopus. Results: Eleven studies with a total of 1,229 stroke caregivers were included. Identified interventions comprised psychoeducation, counseling, coaching, education, and training, all designed to alleviate caregiver burden. Conclusion: Family-based interventions are effective in reducing caregiver burden. Their implementation can be initiated during the acute phase in the hospital and continued through follow-up approaches such as telenursing after discharge. This review emphasizes the potential of family-based interventions as a comprehensive and sustainable strategy to support stroke caregivers. Keywords: Caregiver Burden; Family Intervention; Stroke Survivors. Pendahuluan: Stroke sering menimbulkan gangguan fisik dan risiko kecacatan sehingga pasien mengalami sangat bergantung pada caregiver dalam pemenuhan kebutuhan fisik dan emosional. Peran yang kompleks kerap menimbulkan tekanan fisik, psikologis, dan sosial, yang dikenal sebagai caregiver burden. Hal ini akan berdampak pada kesejahteraan caregiver dan kualitas perawatan pasien. Tujuan: Untuk mengidentifikasi intervensi keluarga untuk menurunkan caregiver burden pada keluarga yang merawat penyintas stroke. Metode: Tinjauan literatur sistematis dilakukan sesuai panduan PRISMA terhadap artikel Randomized Controlled Trial (RCT) berbahasa Inggris, terbit antara tahun 2014-2024, dan tersedia teks lengkap. Artikel pilot atau feasibility study dikecualikan. Penelusuran menggunakan database Science Direct, Medline (via EBSCOhost), Sage Journals, Taylor & Francis, dan Scopus. Hasil: Sebanyak 11 penelitian dengan 1,229 partisipan (caregiver pasien stroke) diikutkan. Berbagai intervensi keluarga teridentifikasi, antara lain psikoedukasi, konseling, coaching, edukasi, dan pelatihan, yang bertujuan menurunkan beban caregiver. Simpulan: Intervensi keluarga terbukti efektif menurunkan beban caregiver. Pelaksanaannya dapat dimulai sejak fase akut di rumah sakit dan dilanjutkan dengan follow-up seperti telenursing setelah pasien pulang. Tinjauan ini menegaskan bahwa pendekatan intervensi keluarga berpotensi menjadi strategi komprehensif dalam mendukung caregiver penyintas stroke secara berkelanjutan. Kata Kunci: Caregiver Burden; Intervensi Keluarga; Penyintas Stroke.

Intervensi non-farmakologi untuk mengurangi mual muntah pada pasien kanker: Sebuah tinjauan sistematis Pertiwi, Christina Airyunda; Gayatri, Dewi; Maria, Riri; Allenidekania , Allenidekania
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9 (edisi khusus konference)
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1863

Background: Cancer patients frequently experience nausea and vomiting, which can be caused by the disease process, the effects of therapy, and psychological factors. This condition can affect patients' nutrition, comfort, and quality of life. Pharmacological interventions are often ineffective, so non-pharmacological interventions are used as alternatives to help manage symptoms. Purpose: To determine the effectiveness of non-pharmacological interventions in reducing nausea and vomiting in cancer patients. Method: This systematic review was conducted based on PRISMA guidelines. Literature was obtained from three databases: PubMed, Scopus, and Science Direct. Inclusion criteria were full-text articles, published in English, published within the last 10 years (2015-2025), and using a quantitative design (RCTs and quasi-experimental). Of the 263,189 articles found, 12 met the inclusion criteria and were analyzed. Results: Non-pharmacological interventions such as yoga, the Benson relaxation technique, acupressure, reflexology, peppermint and Citrus aurantium aromatherapy, and ginger herbal supplements, were effective in reducing the intensity and frequency of nausea and vomiting. The effectiveness of interventions varies based on the type of therapy, duration of treatment, and patient characteristics, while a combination of physical and psychological interventions has shown better outcomes. Conclusion: Overall, non-pharmacological interventions can be implemented in nursing practice to improve the quality of life of cancer patients. Keywords: Cancer Patients; Nausea and Vomiting; Non-Pharmacological Interventions. Pendahuluan: Pasien kanker sering mengalami mual dan muntah yang dapat disebabkan oleh proses penyakit, efek terapi, dan faktor psikologis. Kondisi ini dapat berdampak pada nutrisi pasien, kenyamanan, dan kualitas hidupnya. Intervensi farmakologi seringkali tidak sepenuhnya efektif, sehingga intervensi non-farmakologi mulai digunakan sebagai alternatif untuk membantu mengendalikan gejala. Tujuan: Untuk mengetahui efektivitas intervensi non-farmakologi dalam mengurangi mual muntah pada pasien kanker. Metode: Penelitian tinjauan sistematik yang disusun berdasarkan panduan PRISMA. Literatur diperoleh dari tiga database, yaitu PubMed, Scopus, dan Science Direct dengan kriteria inklusi artikel full-text, berbahasa inggris, terbit 10 tahun terakhir (2015-2025), dan menggunakan desain kuantitatif (RCT dan Quasi-experiment). Dari total 263,189 artikel yang ditemukan, 12 artikel memenuhi kriteria inklusi dan dianalisis. Hasil: Intervensi non-farmakologi seperti yoga, teknik relaksasi Benson, akupresur, pijat refleksi, aromaterapi peppermint, dan Citrus aurantium serta suplemen herbal jahe efektif menurunkan intensitas dan frekuensi mual serta muntah. Efektivitas intervensi bervariasi berdasarkan jenis terapi, lama pelaksanaan, dan karakteristik pasien, sementara kombinasi intervensi fisik dan psikologis menunjukkan hasil yang lebih baik. Simpulan: Secara keseluruhan, intervensi non-farmakologi dapat diterapkan dalam praktik keperawatan untuk meningkatkan kualitas hidup pasien kanker. Kata Kunci: Intervensi Non-Farmakologi; Mual Muntah; Pasien Kanker.

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