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Psychosocial Experiences of Colorectal Cancer Patients with Stoma Maria, Riri; Dahlia, Debie; Kurnia, Dikha Ayu
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5378

Abstract

The formation of a stoma impacts various aspects of a patient's life, including physical, psychosocial, and spiritual well-being. If these impacts are not properly managed, it could decline the patient's quality of life. This study aimed to explore the psychosocial experiences of colorectal cancer patients living with a stoma. Method: twenty participants were interviewed using semi-structured questions, and the data was analyzed using a phenomenological approach. the findings revealed three key themes: emotional reactions having a stoma, limited social interactions, and worries about performing religious practices. Based on these results, the study recommend the need for education for colorectal cancer patients with stomas, particularly psychosocial aspects, to improve adaptation and quality of life.
Effectiveness of Cold Compress in Preventing Hematoma in Post Percutaneous Coronary Intervention (PCI) Patients: A Systematic Literature Review Pristya, Ifana Yunike; Nurachmah, Elly; Maria, Riri
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5807

Abstract

Percutaneous Coronary Intervention (PCI) is currently indicated for patients experiencing acute coronary syndrome and individuals with chronic stable angina that is refractory to optimal medical therapy. Advancements in devices, stent design, adjunctive technology, and the development of more potent and effective antiplatelet therapies have contributed to improved outcomes. However, major periprocedural complications during PCI remain a concern, with an overall transulnar access site complication rate of 41%, a vasospasm incidence of 7%, and a hematoma occurrence of 29%. Cold compress application is widely used due to its physiological effects, including vasoconstriction, reduced tissue metabolism, increased blood viscosity, and local anesthetic properties. Cold compresses can decrease blood flow and capillary permeability by inducing arteriolar vasoconstriction, thereby reducing bleeding.Objective: This study aims to examine the implementation of cold compress therapy in preventing hematoma in post-Percutaneous Coronary Intervention (PCI) patients.Methods: This study employs a systematic literature review approach. Data synthesis was conducted by analyzing eight studies that met quality assessment standards and inclusion-exclusion criteria. The databases used for literature retrieval included Google Scholar, PubMed, ScienceDirect, EBSCO, and ProQuest. The findings were processed and presented in tabular form.Result: Cold compresses can help reduce hematoma and pain after a Percutaneous coronary Intervention (PCI), cold compresses can also help prevent hematomas. How cold compresses help cold compresses vasoconstrict blood vessels and cold compresses speed up blood clotting.Conclusion: The reviewed articles indicate that the application of an ice pack or cold compress is more effective in reducing pain and preventing hematoma caused by catheter removal in patients undergoing Percutaneous Coronary Intervention (PCI).
Effectiveness of Physical Exercise in Managing Components of Metabolic Syndrome in Obese Populations: A Systematic Review Pertiwi, Ni Wayan Astiti; Dahlia, Debie; Kurnia, Dikha Ayu; Maria, Riri
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.v7i4.6346

Abstract

Obesity is one of the main contributing factors to metabolic syndrome, which results in an increased risk of chronic diseases such as diabetes mellitus, cardiovascular disease, and other metabolic dysfunctions. Physical exercise has long been recognized as a potential nonpharmacological strategy in reducing metabolic risk factors, but the effectiveness of various types of exercise in managing metabolic syndrome still needs to be further reviewed. This study aims to evaluate the effectiveness of physical activity in managing components of metabolic syndrome in an obese population. Using the PRISMA method of literature searches through Pubmed, Ebsco, Scopus and Wiley databases by using specific word combinations to obtain suitable articles. Inclusion criteria included English language articles published in the last five years (2019-2024), randomized controlled trial type, and discussing physical exercise interventions in obese populations. Of the 893 articles retrieved, 7 were reviewed. Studies show that physical exercise significantly reduced risk components of metabolic syndrome such as blood sugar, insulin, HOMA-IR, visceral fat and improved VO 2 max and quality of life. However, long term success was strongly influenced by the level of adherence to the exercise program. Physical exercise in an effective and safe intervention in reducing the risk of metabolic syndrome in obese individuals.
Systematic Review: The use of Propolis Mouthwash in Reducing Mucositis in Cancer Patients Undergoing Chemotherapy and Radiation Therapy Siregar, Ngolu; Nuraini, Tuti; Maria, Riri; Putri, Yossie Susanti Eka
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.v7i4.6490

Abstract

A systematic review of randomized clinical trials in cancer patients on the effectiveness of propolis mouthwash use in post-chemo and radiation cancer patients. Oral mucositis (OM) is a common and highly symptomatic complication of cancer therapy that affects function, quality of life. Chemotherapy and radiation are the most widely used interventions in cancer treatment. The prevalence of oral mucositis side effects among HNC patients is 93.9%. Research on the management of OM is still ongoing. This study aims to analyze a systematic review of the use of propolis in preventing and reducing the severity of oral mucositis in cancer patients undergoing chemo- and radiation therapy. Four databases through article searches tailored to the formulation of PICO questions consisting of ScienceDirect, Pubmed, ProQuest, Sage journals and EBSCO, A total of 2,252 articles were identified, and 8 articles were included in the final analysis. Of the ten articles selected, there were 6 articles that were suitable for oral mucositis treatment interventions that showed the effectiveness of using propolis mouthwash to treat ral mucositis with a Randomized Controlled Trial (RCT) design. The use of propolis mouthwash for oral mucositis can be done to overcome and prevent oral mucositis in cancer patients undergoing chemo and radiation therapy.
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

Abstract

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.
Pengaruh Pemberdayaan terhadap Self-Efficacy pada Pasien Kanker Payudara: Systematic Review Purnomo, Purnomo; Nuraini, Tuti; Putri, Yossie Susanti Eka; Maria, Riri
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.794

Abstract

Breast cancer is the second most prevalent type of cancer and one of the leading causes of mortality. Efforts to reduce mortality rates can be achieved by empowering patients to manage symptoms caused by cancer and the side effects of treatment therapies. This study aimed to evaluate the effectiveness of empowerment education in increasing self-efficacy in breast cancer patients. The study employed a systematic review of eight articles sourced from various databases, including ProQuest, SpringerLink, ScienceDirect, Sage Journal, Google Scholar, and PubMed. A total of 8,693 articles were retrieved from seven databases. After screening based on inclusion criteria, 638 articles were deemed eligible. Based on the selection of titles, abstracts, and full texts, 22 articles were chosen, and after duplicate elimination, 10 articles were analyzed using the Joanna Briggs Institute (JBI) quality assessment tool. The analysis results indicated that the empowerment approach is effective in improving self-efficacy and quality of life in breast cancer patients. By utilizing empowerment education, healthcare professionals can provide holistic support to patients, improve therapeutic outcomes, and reduce breast cancer mortality rates. This study recommended the integration of empowerment education as an essential component of breast cancer management in various healthcare facilities.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.253 KB) | DOI: 10.33377/jkh.v2i1.32

Abstract

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

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

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