Mutarobin, Mutarobin
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Application of Al-Qur'an Murottal Therapy Surah Ar-Rahman in Reducing Anxiety Levels in ST-Elevation Myocardial Infarction (STEMI) Post Primary PCI Patients in ICCU Room Luthfiyyah, Zahwah; Mutarobin, Mutarobin; Mumpuni, Mumpuni; Solihati, Indah
JENDELA NURSING JOURNAL Vol 9, No 1 (2025): JUNE 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v9i1.13092

Abstract

Background: STEMI is the most severe form of Acute Coronary Syndrome (ACS) that occurs due to complete obstruction of the coronary artery, causing extensive myocardial ischemia and necrosis. Although Primary PCI reperfusion intervention is the main therapy and is effective in reducing mortality, many patients still experience post-operative anxiety. This anxiety can worsen cardiovascular conditions through activation of the sympathetic nervous system and HPA axis, and hinder the patient's recovery process. Therefore, non-pharmacological interventions that are appropriate to the patient's spiritual and cultural values are needed to address such anxiety. Qur'anic murottal therapy, surah Ar-Rahman, to reduce anxiety levels through the effects of relaxation and psychological calmness.Purpose: To analyze the application of murottal therapy surah Ar-Rahman to the level of anxiety of STEMI patients.Methods: Uses a case study by applying intervention for 2x in 3 days.Results: EBN intervention using statistical tests obtained an effect before and after the interventions with a p-value of 0.028, systolic BP with a p-value of 0.005, and diastolic BP with a p-value of 0.005. While HR with a p-value of 0.875.Conclusion: The application of murottal therapy surah Ar-Rahman proved effective in reducing anxiety levels and stabilizing systolic and diastolic blood pressure in patients with STEMI in the ICCU room. These results support the importance of spiritual-based non-pharmacological interventions in holistic nursing care, particularly to assist the recovery process of patients after PPCI interventions. Nurses are expected to develop competence in providing spiritual healing as part of a comprehensive nursing approach.
Effects of Incremental Shuttle Walk Test on Maximal Oxygen Consumption and Comfort in Patients with Coronary Artery Disease Undergoing Phase 3 Cardiac Rehabilitation Mutarobin, Mutarobin; Tutiany, Tutiany
Jurnal Keperawatan Indonesia Vol 28 No 2 (2025): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i2.1343

Abstract

Coronary artery disease (CAD) is a condition characterized by impaired cardiac function due to a reduced blood supply to the myocardial tissue, resulting from narrowing or obstructing of the coronary arteries. This condition can negatively impact the physical, psychological, and social dimensions of the patient’s life, often leading to a decline in maximal oxygen consumption (VO2max) and perceived comfort. One solution for increasing the decreased VO2max is cardiac rehabilitation. Cardiac rehabilitation is an effective preventive and recovery intervention that includes assessments of VO2max, and the effects of the incremental shuttle walk test (ISWT) on the VO2max and comfort of CAD patients. This is a quasi-experiment with a pre-post control group design. Consecutive sampling was used to recruit 60 respondents, who were then divided into a control and an intervention group, with 30 respondents in each group. VO2max was measured using the distance achieved in the ISWT, and comfort was assessed using the Shortened General Comfort Questionnaire (SGCQ). Data were analyzed using a paired t test to determine whether the mean pretreatment VO2max and comfort levels significantly changed after the treatment. VO2max and comfort showed significant improvements after the ISWT (p = 0.001 for both variables), confirming the effectiveness of ISWT in CAD patients undergoing phase 3 cardiac rehabilitation. Therefore, ISWT should be considered an integral part of cardiac rehabilitation for the management of CAD patients after hospital discharge. Keywords: comfort, coronary artery disease, incremental shuttle walk test, VO2max   Abstrak Pengaruh Incremental Shuttle Walk Test terhadap Konsumsi Oksigen Maksimal dan Kenyamann Pada Pasien Penyakit Jantung Koroner yang Menjalani Rehabilitasi Jantung Fase 3. Penyakit Jantung Koroner (PJK) merupakan suatu kondisi yang ditandai dengan gangguan fungsi jantung akibat berkurangnya suplai darah ke jaringan miokardium yang disebabkan oleh penyempitan atau penyumbatan arteri koroner. Kondisi ini dapat berdampak negatif terhadap aspek fisik, psikologis, dan sosial dalam kehidupan pasien, yang sering kali menyebabkan penurunan konsumsi oksigen maksimal (VO2max) serta kenyamanan yang dirasakan. Salah satu solusi untuk meningkatkan VO2max yang menurun adalah melalui rehabilitasi jantung. Rehabilitasi jantung merupakan intervensi yang efektif dalam pencegahan dan pemulihan, yang mencakup penilaian terhadap VO2max serta pengaruh Incremental Shuttle Walk Test (ISWT) terhadap VO2max dan kenyamanan pasien PJK. Penelitian ini merupakan kuasi-eksperimen dengan desain pre-post control group. Pengambilan sampel dilakukan secara consecutive sampling terhadap 60 responden yang kemudian dibagi menjadi dua kelompok, yaitu kelompok kontrol dan kelompok intervensi, masing-masing terdiri dari 30 responden. VO2max diukur berdasarkan jarak yang dicapai dalam pelaksanaan ISWT, sedangkan kenyamanan dinilai menggunakan Shortened General Comfort Questionnaire (SGCQ). Analisis data dilakukan dengan paired t-test untuk mengetahui apakah terdapat perubahan yang signifikan pada nilai rata-rata VO2max dan tingkat kenyamanan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada VO2max dan kenyamanan setelah intervensi ISWT (p = 0,001 untuk kedua variabel), yang menegaskan efektivitas ISWT pada pasien PJK yang menjalani rehabilitasi jantung fase 3. Oleh karena itu, ISWT sebaiknya dipertimbangkan sebagai bagian integral dalam program rehabilitasi jantung untuk penatalaksanaan pasien PJK pasca perawatan rumah sakit. Kata Kunci: incremental shuttle walk test, kenyamanan, penyakit jantung koroner, VO2max
Application of Al-Qur'an Murottal Therapy Surah Ar-Rahman in Reducing Anxiety Levels in ST-Elevation Myocardial Infarction (STEMI) Post Primary PCI Patients in ICCU Room Luthfiyyah, Zahwah; Mutarobin, Mutarobin; Mumpuni, Mumpuni; Solihati, Indah
JENDELA NURSING JOURNAL Vol. 9 No. 1 (2025): JUNE 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v9i1.13092

Abstract

Background: STEMI is the most severe form of Acute Coronary Syndrome (ACS) that occurs due to complete obstruction of the coronary artery, causing extensive myocardial ischemia and necrosis. Although Primary PCI reperfusion intervention is the main therapy and is effective in reducing mortality, many patients still experience post-operative anxiety. This anxiety can worsen cardiovascular conditions through activation of the sympathetic nervous system and HPA axis, and hinder the patient's recovery process. Therefore, non-pharmacological interventions that are appropriate to the patient's spiritual and cultural values are needed to address such anxiety. Qur'anic murottal therapy, surah Ar-Rahman, to reduce anxiety levels through the effects of relaxation and psychological calmness.Purpose: To analyze the application of murottal therapy surah Ar-Rahman to the level of anxiety of STEMI patients.Methods: Uses a case study by applying intervention for 2x in 3 days.Results: EBN intervention using statistical tests obtained an effect before and after the interventions with a p-value of 0.028, systolic BP with a p-value of 0.005, and diastolic BP with a p-value of 0.005. While HR with a p-value of 0.875.Conclusion: The application of murottal therapy surah Ar-Rahman proved effective in reducing anxiety levels and stabilizing systolic and diastolic blood pressure in patients with STEMI in the ICCU room. These results support the importance of spiritual-based non-pharmacological interventions in holistic nursing care, particularly to assist the recovery process of patients after PPCI interventions. Nurses are expected to develop competence in providing spiritual healing as part of a comprehensive nursing approach.
The Effect of Fall Prevention Education on the Risk of Falls in the Elderly: Pengaruh Edukasi Pencegahan Jatuh Terhadap Risiko Jatuh Pada Lanjut Usia Widagdo, Wahyu; Mutarobin, Mutarobin; Mumpuni, Mumpuni; Susmadi, Susmadi
Essential English Grammar Vol 4 No 1 (2024): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v4i1.1651

Abstract

A fall in the elderly causes a person to suddenly lie down accidentally on the ground or floor or lower level. This condition is often experienced by 1 in 3 elderly people every year. Risk factors for falls in the elderly are behaviour, biological, environmental, and socio-economic. Nurses can make efforts to reduce the risk of falls in the elderly through education for the elderly and their families. The study aimed to determine the extent of the influence of fall  prevention educational interventions on the risk of falls in the elderly in the family context. This study used a quasi-experiment, a group pretest post-test, education was carried out using a fall prevention booklet for the elderly in the intervention group and without a booklet in the control group. This research used a purposive sampling method using inclusion criteria to obtain 60 respondents consisting of 30 respondents in the intervention group and 30 respondents in the control group with 6 interactions carried out. The results of this study using the Wilcoxon test from fall prevention education in the intervention group and control group showed a decrease or reduction in fall risk scores (negative rank) in 15 respondents in the intervention group with an average decrease of 8. In the control group, there were 5 respondents experienced a decrease fall risk score, where the average value decreases by 3. The results of this test show the influence of fall prevention education in the elderly on the risk of falls with a p-value <0.001. The conclusion is that educational interventions to prevent falls in the elderly have an impact on reducing risk factors for falls in the elderly. The suggestion is that health education about fall prevention should be given to elderly clients as individuals and groups so that it will reduce risk factors for falls.