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All Journal Jurnal Kesehatan Holistic Jurnal Keperawatan Suaka Insan PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal Journal of Nursing Science Update Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Maria, Riri
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Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.
Resilience-focused interventions for post- stroke depression: A systematic review Hariyani, Liberti; Kariasa, I Made; Maria, Riri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.2044

Abstract

Background: Stroke is one of the leading causes of long-term disability and morbidity worldwide. Post-stroke depression (PSD) is a common psychological complication that negatively affects recovery, functional outcomes, and quality of life. Psychological resilience is considered a key factor in helping patients adapt to post-stroke challenges; however, evidence regarding effective interventions to strengthen resilience in patients with PSD remains limited. Purpose: To evaluate the effectiveness of interventions that potentially enhance resilience-related components in patients with post-stroke depression and to provide evidence-based recommendations for nursing and clinical practice. Method: A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed across five databases such as PubMed, Scopus, ScienceDirect, ProQuest, and Wiley using the keywords post-stroke depression, resilience, and intervention. Randomized controlled trials published in English that involved PSD patients and reported psychological outcomes related to resilience were included. Of 9,241 identified records, nine studies involving 779 participants met the inclusion criteria and were analyzed using narrative synthesis. Results: Psychological interventions, including Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Interventions (MBI), showed significant improvements in psychological flexibility (25–35%), mindfulness (20–32%), and coping ability (15–25%), alongside a significant reduction in depressive symptoms (p < 0.001). Physical-based interventions such as Tai Chi and Yijinjing Qigong were associated with improved emotional regulation and reductions in depressive symptoms of up to 45%. Technology-assisted approaches, particularly Virtual Reality interventions, reduced depressive symptoms by up to 22%. Pharmacological treatments demonstrated faster mood improvement but showed limited effects on strengthening psychological resilience. Conclusion: ACT, MBI, and structured physical exercise appear to be the most effective interventions for enhancing resilience-related components and alleviating depressive symptoms in patients with post-stroke depression. Future studies are recommended to directly measure resilience outcomes and examine the long-term sustainability of these interventions.
Co-Authors Adam, Muhamad Agung Waluyo Allenidekania , Allenidekania APRILIA, NITA Aryani, Denissa Faradita Dahlia, Debie - Dewi Gayatri Dewi Irawaty Dewi Sartika Sinaga, Dewi Sartika Dikha Ayu Kurnia Elly Nurachmah Hariyani, Liberti I Made Kariasa Khamarudin, Khamarudin Liya Arista Nisaa, Mariani Nuraeni, Tuti Nurhasty, Srie Wulan Pertiwi, Christina Airyunda Pertiwi, Ni Wayan Astiti Pristya, Ifana Yunike Rahmawati, Ririn Setia Rizal, Imam Kurniawan Rosliany, Nia Silalahi, Tiur Dame Uli Siregar, Ngolu Sri Yona Tuti Nuraini Waluyi=o, Agung Yossie Susanti Eka Putri