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Faktor Yang Berhubungan dengan Pengetahuan Perawat Tentang Syok Hipovolemik: Sebuah Narrative Review Witjaksono, Galuh; Trisyani, Yanny; Emaliyawati, Etika
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.17799

Abstract

ABSTRACT Hypovolemic shock is a life-threatening condition resulting from loss of large amounts of blood or fluid, which requires immediate detection and treatment to prevent organ damage and death. Nurses’ knowledge of hypovolemic shock is essential to improve patient outcomes, especially in early recognition and intervention. This study aimed to explore the factors that influence nurses' knowledge about hypovolemic shock. This narrative review was conducted by identifying articles from two databases (PubMed and Cinahl) and Google Scholar. The keywords used were “Nurses OR Nursing AND Knowledge AND Hypovolemic Shock AND Factor OR Predictor”. Eight articles from various countries were analyzed using cross-sectional methods. The results showed that the level of nurses’ knowledge was influenced by age, education, work experience, and training that had been attended. Conclusion: Nurses’ knowledge of hypovolemic shock tends to be still lacking. This study suggests the need for increased access to continuing education and structured clinical training to strengthen nurses’ competence in managing hypovolemic shock, with a focus on simulation and clinical practice-based learning. Keywords: Hipovolemic Shock, Knowledge, Nurses  ABSTRAK Syok hipovolemik adalah kondisi yang mengancam jiwa akibat kehilangan darah atau cairan dalam jumlah besar, yang membutuhkan deteksi dan penanganan segera untuk mencegah kerusakan organ dan kematian. Pengetahuan perawat tentang syok hipovolemik sangat penting untuk meningkatkan hasil perawatan pasien, terutama dalam pengenalan dini dan intervensi. Studi ini bertujuan untuk mengeksplorasi faktor-faktor yang mempengaruhi pengetahuan perawat tentang syok hipovolemik. Narrative review ini dilakukan dengan mengidentifikasi artikel dari dua database (PubMed dan Cinahl) dan Google Scholar. Kata kunci yang digunakan adalah “Nurses OR Nursing AND Knowledge AND Hypovolemic Shock AND Factor OR Predictor”. Delapan artikel dari berbagai negara dianalisis dengan menggunakan metode cross-sectional. Hasilnya menunjukkan bahwa tingkat pengetahuan perawat dipengaruhi oleh usia, pendidikan, pengalaman kerja, serta pelatihan yang pernah diikuti. Pengetahuan perawat tentang syok hypovolemia cenderung masih kurang. Penelitian ini menyarankan perlunya peningkatan akses terhadap pendidikan berkelanjutan dan pelatihan klinis yang terstruktur untuk memperkuat kompetensi perawat dalam menangani syok hipovolemik, dengan fokus pada simulasi dan pembelajaran berbasis praktik klinis. Kata Kunci: Syok Hipovolemia, Pengetahuan, Perawat
The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review Fricilia Noya; Yanny Trisyani; Etika Emaliyawati
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.680

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Digital National Early Warning Score (NEWS) is a system designed to detect early clinical deterioration in patients by monitoring vital parameters using digital technology. The implementation of Digital NEWS in hospitals is increasingly gaining attention because of its ability to improve patient safety, efficiency in clinical decision-making, and reduce the workload of health workers. However, although many benefits have been identified, implementing Digital NEWS is open to various challenges and obstacles. This study aimed to explore the benefits, factors, and obstacles faced in implementing digital NEWS in Hospitals. This scoping review used the Arksey and O'Malley framework following the PRISMA for Scoping Review. Literature searches used three main databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and also one search engine, Google Scholar. Ten relevant articles were analyzed in this study. Implementation of digital NEWS can improve early detection of deteriorating patient conditions, reduce medical response time, and improve communication between health teams. However, the success of its implementation is influenced by several factors, such as the availability of technological infrastructure, adequate training, and technological literacy among health staff. The main challenges include lack of resources, alarm fatigue, and cultural resistance to technological change. This review concludes that implementing digital NEWS has many benefits, but health workers still face many challenges and barriers. A comprehensive approach is needed to optimize the benefits of digital NEWS implementation, including investment in infrastructure, training, and managerial support.
Pengalaman Hidup Pasien Chronic Kidney Disease yang Menjalani Hemodialisis: Scoping Review Rahmah, Tira Nur; Pujikurniawati, Citra Reza; Hendriyani, Desy; Handayani, Meyla Sari; Wahyuni, Hera; Sridiawati, Essy; Trisyani, Yanny
MAHESA : Malahayati Health Student Journal Vol 5, No 8 (2025): Volume 5 Nomor 8 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i8.18937

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ABSTRACT Chronic Kidney Disease is a global health problem that occurs every year. Patients can survive by undergoing hemodialysis therapy, but it still leaves a number of important issues as a result of hemodialysis therapy. The purpose of this study was to identify the life experiences of chronic kidney disease patients undergoing hemodialysis. This study used a literature review method with a scoping review approach to explore the experiences of chronic kidney failure patients undergoing hemodialysis. Searches of three databases includes EBSCOhost, PubMed, and Scopus. The keywords used in English were “chronic kidney disease” OR “chronic renal failure” OR “CKD” OR “ESRD” AND “life experiences” OR “lived experiences” AND “during hemodialysis” OR “undergoing hemodialysis”. There were several interrelated themes in exploring the experiences of chronic kidney failure patients undergoing hemodialysis, including emotional and social support, physical and life limitations, psychological impact, economic difficulties, changes in health and knowledge about treatment, and dependence. These findings suggest that the experiences felt by patients with chronic renal failure undergoing hemodialysis are interconnected and have a significant influence on patients' overall quality of life. The implications of these findings suggest that a holistic approach in the care of hemodialysis patients is necessary so that medical interventions cover the physical, emotional, social, and economic aspects of patients. This study provides important insights for healthcare professionals to design more comprehensive and patient-centered interventions. Keywords: Chronic Kidney Disease, Hemodialysis, Life experience  ABSTRAK Chronic Kidney Disease adalah masalah kesehatan global yang sering terjadi di setiap tahunnya. Pasien bisa bertahan hidup dengan menjalani terapi hemodialisis, namun masih menyisakan sejumlah persoalan penting sebagai dampak dari terapi hemodialisis. Tujuan penelitian ini adalah untuk mengidentifikasi pengalaman hidup pasien chronic kidney disease yang menjalani hemodialisis. Penelitian ini menggunakan metode literature review dengan pendekatan scoping review untuk mengeksplorasi pengalaman pasien gagal ginjal kronis yang menjalani hemodialisis. Pencarian menggunakan tiga database terdiri dari EBSCOhost, PubMed, dan Scopus. Kata kunci yang digunakan dalam bahasa Inggris yaitu “chronic kidney disease” OR “chronic renal failure” OR “CKD” OR “ESRD” AND “life experiences” OR “lived experience” AND “during hemodialysis” OR “undergoing hemodialysis”. Terdapat beberapa tema yang saling berkaitan satu sama lain dalam mengeksplorasi pengalaman pasien gagal ginjal kronis yang menjalani hemodialisis, diantaranya dukungan emosional dan sosial, keterbatasan fisik dan hidup, dampak psikologis, kesulitan ekonomi, perubahan kesehatan dan pengetahuan tentang perawatan, serta ketergantungan. Temuan ini menunjukkan bahwa pengalaman yang dirasakan oleh pasien dengan gagal ginjal kronis yang menjalani hemodialisis saling berhubungan dan memiliki pengaruh signifikan terhadap kualitas hidup pasien secara keseluruhan. Implikasi dari temuan ini menunjukkan bahwa pendekatan holistik dalam perawatan pasien hemodialisis sangat diperlukan agar intervensi medis mencakup aspek fisik, emosional, sosial, dan ekonomi pasien. Penelitian ini memberikan wawasan penting bagi tenaga kesehatan untuk merancang intervensi yang lebih komprehenif dan berpusat pada pasien.  Kata Kunci: Chronic Kidney Disease, Hemodialisis, Pengalaman Hidup
Literature Review: Hubungan Skor Modified Sequential Organ Failure Assessment (Msofa) dengan Nilai Diagnostik Prokalsitonin Pada Pasien Sepsis Nurdiansyah, Nurdiansyah; Trisyani, Yanny; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 5, No 8 (2025): Volume 5 Nomor 8 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i8.19101

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ABSTRACT Sepsis is an organ dysfunction caused by infection and is one of the leading causes of mortality and morbidity worldwide. Early assessment of sepsis is essential to reduce mortality and morbidity rates. The modified Sequential Organ Failure Assessment (mSOFA) score and procalcitonin diagnostic values have been utilized as tools to evaluate organ dysfunction and as biomarkers in sepsis patients. This study aims to identify the relationship between mSOFA scores and procalcitonin diagnostic values in sepsis patients. This study was conducted by searching scientific articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords "sepsis," "systemic inflammatory response syndrome," "mSOFA score," "SOFA score," "organ dysfunction scores," "procalcitonin," "mortality," "hospital mortality," and "morbidity." A total of 4 articles that met the inclusion criteria were identified. The literature analysis showed that the mSOFA score and procalcitonin diagnostic values can be used to evaluate the condition of sepsis patients. These tools contribute significantly to identifying the severity of organ dysfunction, predicting mortality risk, and guiding clinical decision-making. The mSOFA score and procalcitonin diagnostic values are significantly correlated and can be effectively used to assess the condition of sepsis patients. The utilization of these tools supports early assessment and management of sepsis patients to reduce mortality and morbidity rates. Keywords: MSOFa Score, Procalcitonin, Sepsis  ABSTRAK Sepsis adalah disfungsi organ akibat infeksi yang menjadi salah satu penyebab utama angka mortalitas dan morbiditas di seluruh dunia. Penilaian dini terhadap sepsis sangat penting untuk menurunkan angka mortalitas dan morbiditas. Skor modified Sequential Organ Failure Assessment (mSOFA) dan nilai diagnostik prokalsitonin telah digunakan sebagai alat untuk menilai disfungsi organ dan sebagai biomarker pada pasien sepsis. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara skor mSOFA dan nilai diagnostik prokalsitonin pada pasien sepsis. Penelitian ini dilakukan melalui penelusuran artikel ilmiah pada basis data PubMed, ScienceDirect, dan Google Scholar menggunakan kata kunci "sepsis," "systemic inflammatory response syndrome," "mSOFA score," "SOFA score," "organ dysfunction scores," "procalcitonin," "mortality," "hospital mortality," dan "morbidity." Dari hasil pencarian, ditemukan 4 artikel yang memenuhi kriteria inklusi. Hasil analisis literatur menunjukkan bahwa skor mSOFA dan nilai diagnostik prokalsitonin dapat digunakan untuk menilai kondisi pasien sepsis. Kedua alat ini memberikan kontribusi signifikan dalam mengidentifikasi tingkat keparahan disfungsi organ, memprediksi risiko mortalitas, dan memandu pengambilan keputusan klinis. Skor mSOFA dan nilai diagnostik prokalsitonin memiliki hubungan yang signifikan dan dapat digunakan secara efektif untuk menilai kondisi pasien sepsis. Penggunaan kedua alat ini mendukung penilaian dini dan pengelolaan pasien sepsis guna menurunkan angka mortalitas dan morbiditas. Kata Kunci: Prokalsitonin, Sepsis, Skor mSOFA
The Correlation Between Post-Procedural Complications and Length of Stay Among Post Primary PCI Patients: A Retrospective Study Sugiharto, Firman; Trisyani, Yanny; Nuraeni, Aan; Alya, Fania Putri
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.64834

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Background: Coronary heart disease (CHD) is a leading cause of morbidity and mortality globally. Primary PCI is an effective intervention, it is not without risks, and complications arising post-procedure can significantly affect both patient outcomes and the length of hospital stay (LOS).Aim: To describe the types and frequency of complications that occur in patients after Primary PCI and to analyze their relationship with the length of stay in the hospital.Design: This study employed a retrospective design, utilizing medical records of patients who underwent Primary PCI at a referral hospital in West Java, Indonesia, from December 2019 to April 2024. The study sample was selected using a convenience sampling method, focusing on patients who had complete medical records. Data analysis was conducted using univariate and bivariate analyses, including Fisher's exact test to assess the relationship between complications and LOS. The dependent variable, LOS, was categorized into three groups: ≤ 3 days, 4-5 days, and ≥ 6 days.Results: The findings showed that 81.8% of patients did not experience any complications post-procedure, while 14.5% experienced hematomas and 3.6% experienced bleeding. The median LOS was 4.00 ± 2.28 days, with 60.9% of patients having an LOS of more than 3 days. Patients who experienced complications, especially hematomas or bleeding, were more likely to have prolonged hospital stays, with 11.8% of them staying for ≥ 6 days.Conclusion: Complications following Primary PCI significantly affect the length of stay in the hospital. The study highlights that patients who experience complications such as hematomas or bleeding tend to have longer hospitalizations. These findings underscore the importance of early detection and timely management of post-procedural complications to reduce LOS and enhance patient outcomes.
Telehealth dan Teknologi Artificial Intelegence untuk Meningkatkan Dukungan Psikologis dan Kepatuhan terhadap Terapi dalam Perawatan Kanker Payudara: Sebuah Protokol Scoping Review Nur'aeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman; Andrianthi, Salsyah; Febianti, Ranti; Oktafianti, Mutiara Annisa
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.64809

Abstract

  Kanker payudara merupakan jenis kanker dengan kasus terbanyak secara global dan memberikan dampak serius terhadap kesehatan mental serta kepatuhan pasien terhadap terapi. Pasien sering menghadapi kecemasan, depresi, dan gangguan psikologis lain yang dapat menghambat proses pengobatan. Telehealth menawarkan solusi dukungan jarak jauh, namun masih memiliki keterbatasan dalam hal personalisasi dan keberlanjutan layanan. Integrasi kecerdasan buatan (Artificial Intelligence/AI) ke dalam sistem telehealth dinilai memiliki potensi besar untuk meningkatkan efektivitas intervensi melalui deteksi dini, pemantauan real-time, serta pemberian dukungan yang lebih responsif dan individual. Manuskrip ini merupakan protokol dari scoping review yang bertujuan untuk memetakan jenis, konten, dan pendekatan intervensi telehealth, baik yang berbasis AI maupun tidak, dalam mendukung kesehatan mental dan kepatuhan terapi pada pasien kanker payudara. Kajian disusun berdasarkan pedoman PRISMA-ScR dan menggunakan kerangka PCC (Population: pasien perempuan dengan kanker payudara; Concept: intervensi telehealth dan/atau AI; Context: dukungan psikologis dan kepatuhan terapi). Pencarian literatur dilakukan pada delapan basis data utama: PubMed, Scopus, Web of Science, ProQuest, CINAHL, EBSCO, ScienceDirect, dan Google Scholar, dengan rentang publikasi 2015–2025. Temuan dari review ini diharapkan dapat menjadi dasar pengembangan intervensi digital yang lebih efektif, personal, dan berkelanjutan, khususnya di wilayah dengan keterbatasan layanan kesehatan.  
The Information Needs of Breast Cancer Patients at All Stages of Their Journey: A Protocol of Scoping Review Priambodo, Ayu Prawesti; Trisyani, Yanny; Anna, Anastasia; Nuraeni, Aan; Oktafianti, Mutiara Annisa; Sugiharto, Firman; Pebianti, Ranti; Andrianthi, Salsyah
Padjadjaran Acute Care Nursing Journal Vol 4, No 2 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i2.65055

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Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer death in women, therefore breast cancer is the most common cancer in women in most countries. Providing adequate information needed by patients can reduce anxiety and feelings of insecurity. Most of women with breast cancer stated that the information obtained was unsatisfactory. However, few studies have comprehensively addressed the information needs of women with breast cancer across all stages of the disease. This scoping review aimed to fully understand the unique information needs of breast cancer patients at various stages of the cancer continuum. A scoping review will be conducted following PRISMA guidelines. Relevant studies will be identified from databases such as PubMed, Scopus, and Taylor & Francis, EBSCOhost, and ScienceDirect. In addition, searches via Google Scholar, interpersonal network recommendations, and reference chains will also be conducted. Studies will be selected based on PCC criteria, focusing on breast cancer patients as the population, information needs as content, and at various stages of the cancer continuum as the context. Data extraction and risk of bias assessment will be performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. This review is expected to provide comprehensive information needs of breast cancer patients at various stages of the cancer continuum. The findings will be valuable for educational institutions, healthcare facilities, in designing innovative, technology-based educating programs that enhance knowledge retention, practical skills, and psychological preparedness.
PEMASANGAN TEMPORARY PACEMAKER PADA POST OPERASI MITRAL VALVE REPLACEMENT SERTA PENANGANANNYA PASCA OPERASI: A CASE RESPORT Handayani, Audia; Emaliyawati, Etika; Trisyani, Yanny
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 3 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i3.1770

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Background: Valvular Heart Disease (VHD) occurs when one of the valves in the heart is damaged or dies. The highest prevalence of VHD is in mitral regurgitation. The management action that can be given to patients with mitral valve problems is Mitral Valve Replacement (MVR). Objective: To discuss the indications of Temporary Pacemaker (TPM) insertion in intra-operative MVR and the indications of collaborative drug administration in patients. Methods: Descriptive case-report of a 70-year-old woman with VHD after MVR surgery. Case Description: The patient had a history of Permanent Pacemaker (PPM 2023) ec. Bradycardia. Currently the patient was diagnosed with VHD and MVR surgery was performed. At the time of weaning Cardiopulmonary Bypass (CPB) to off, the patient's heart rhythm was not pacing and blood pressure dropped. So it was decided to go back on CPB and install a TPM. The patient received medical support therapy in postoperative care. Discussion: The indication for TPM insertion is to prevent postoperative heart rhythm disturbances and to temporarily replace the inactive PPM function. In postoperative management, the patient received medical therapy and therapeutic interventions. The results obtained are the patient's hemodynamic status is stable, pain is reduced, fluid balance is more negative, there are no signs of infection in the surgical wound, and minimal bleeding. Conclusion: TPM placement is required in patients with PPM if no pacing rhythm is found. The provision of collaborative medication with appropriate doses and indications is effective in reducing the risk of postoperative complications of MVR and stabilizing the patient's hemodynamics.
Disease prevention strategies following flood disasters: A scooping review Taqiuddin, Muhammad Hafidh; Stephania, Agnes; Wiguna, Ilham; Afriana, Reni; Agustin, Sigit; Liana, Yeni; Pakpahan, Yetty Mardelima Uli; Muthmainnah, Muthmainnah; Trisyani, Yanny; Emaliyawati, Etika
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1041

Abstract

Background: Floods are a frequent natural disaster that significantly impacts public health, particularly the spread of infectious diseases. Effective health interventions are needed to reduce post-flood health risks. Purpose: To map the literature related to post-flood disease prevention strategies. Method: This scoping review involved five main stages: (1) identifying the research question; (2) identifying relevant studies; (3) selecting studies; (4) recording data; and (5) summarizing and reporting the results. The literature search for this observation was conducted in three databases: the National Library of Indonesia, ScienceDirect, and Google Scholar. The inclusion criteria for articles were published between 2021 and 2025 in English and Indonesian, literature reviews, opinion pieces, editorials, or conference abstracts focused on post-flood disease prevention, the research setting was community-based, participants were health workers, and post-flood outcomes were the primary outcome. Results: Five key themes emerged from the analysis: increasing access to clean water and sanitation, community education, surveillance and rapid response, mental health support, and a multisectoral approach. Integrated and collaborative health interventions have proven crucial in reducing post-flood disease incidence. Conclusion: Despite progress in post-flood health interventions, there are still gaps in research focusing on long-term interventions, vulnerable populations, and multisectoral approaches. Recommendation: Future research should address these aspects to improve the effectiveness of health policies and practices in addressing post-flood health challenges.   Keywords: Disease Prevention; Post-Flood Disaster; Strategy.   Pendahuluan: Banjir merupakan bencana alam yang sering terjadi dan berdampak signifikan terhadap kesehatan masyarakat, terutama dalam penyebaran penyakit menular. Intervensi kesehatan yang efektif diperlukan untuk mengurangi risiko kesehatan pasca banjir. Tujuan:  Untuk memetakan literatur terkait strategi pencegahan penyakit pasca bencana banjir. Metode: Penelitian scoping review yang melibatkan lima tahapan utama: (1) mengidentifikasi pertanyaan penelitian; (2) mengidentifikasi studi yang relevan; (3) pemilihan studi; (4) pencatatan data; (5) merangkum dan melaporkan hasil. Pencarian literatur dalam tinjauan ini dilakukan di 3 database  yaitu Perpusnas, ScienceDirect dan Google Scholar. Kriteria inklusi artikel yaitu diterbitkan antara 2021-2025 dalam bahasa Inggris dan Indonesia, literature reviews, opini, editorial, atau abstrak konferensi berfokus pada pencegahan penyakit setelah banjir, setting penelitian di komunitas, partisipan adalah tenaga kesehatan, dan post floods sebagai outcome utama. Hasil: Lima tema utama yang muncul dari analisis adalah peningkatan akses air bersih dan sanitasi, edukasi masyarakat, surveilans dan respons cepat, dukungan kesehatan mental, dan pendekatan multisektoral. Intervensi kesehatan yang terintegrasi dan kolaboratif terbukti penting dalam mengurangi insiden penyakit pasca banjir. Simpulan: Meskipun terdapat kemajuan dalam intervensi kesehatan pasca banjir, masih terdapat kesenjangan dalam penelitian yang berfokus pada intervensi jangka panjang, populasi rentan, dan pendekatan multisektoral. Saran: Penelitian di masa depan perlu memperhatikan aspek-aspek ini untuk meningkatkan efektivitas kebijakan dan praktik kesehatan dalam menghadapi tantangan kesehatan pasca banjir.   Kata Kunci: Disease Prevention; Following Flood Disasters; Strategies.
Intervensi keperawatan untuk mengatasi kecemasan anak pada fase pemulihan pascabencana Gustiani, Ajeng; Ariestanti, Nurrachma; Izzany, Raden Maghfira; Nurani, Rai; Safitri, Helni Yusriya; Situmorang, Gantiar Marsaulina; Nuraeni, Aan; Trisyani, Yanny
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1034

Abstract

Background: Children are the most vulnerable group to the impacts of disasters, including disruptions to their physical and mental health. A common psychological effect is anxiety, which can develop into post-traumatic stress disorder (PTSD), depression, and prolonged trauma. Nurses play a crucial role in providing interventions to help reduce post-disaster anxiety in children. Purpose: Identify and explore nursing interventions that have been proven effective in reducing anxiety among children in post-disaster situations. Method: A scoping review method following the PCC (Population, Concept, Context) framework. Literature searches were conducted in the PubMed, Scopus, EBSCOhost, and Science Direct databases, covering publications from 2015 to 2025. Only experimental study designs (Randomized Controlled Trials and quasi-experimental studies) focusing on nursing interventions for post-disaster anxiety in children were included. Articles were selected using PRISMA guidelines and assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Results: 8,114 identified articles, seven met the inclusion criteria and were further analyzed. The findings indicate that various nursing interventions effectively reduce post-disaster anxiety in children, including Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), thought-stopping therapy, Eye Movement Desensitization and Reprocessing (EMDR), technology-based interventions (Bounce Back Now), and micronutrient supplementation. Studies suggest that technology-based and brief interventions can reach a wider population at a lower cost, while nutrition-based interventions provide additional benefits in reducing anxiety and improving psychosocial functioning. Conclusion: Nursing interventions such as CBT, technology-based approaches, and micronutrient supplementation are effective in managing post-disaster anxiety in children. Additionally, micronutrient supplementation can serve as a complementary intervention to support children's recovery.   Keywords: Anxiety; Children; Nursing Interventions; Post-Disaster.   Pendahuluan: Anak merupakan kelompok paling rentan terhadap dampak bencana, termasuk gangguan kesehatan fisik dan mental. Dampak psikologis yang sering terjadi adalah kecemasan, yang dapat berkembang menjadi gangguan stres pasca trauma (PTSD), depresi, dan trauma berkepanjangan. Perawat memiliki peran penting dalam memberikan intervensi yang dapat membantu mengurangi kecemasan anak pascabencana. Tujuan: Untuk mengidentifikasi dan mengeksplorasi intervensi keperawatan yang telah terbukti efektif dalam mengurangi kecemasan pada anak-anak pascabencana. Metode: Scoping review dengan mengikuti kerangka kerja PCC (Population, Concept, Context). Pencarian literatur dilakukan di database PubMed, Scopus, EBSCOhost, dan Science Direct dengan rentang tahun 2015–2025. Hanya artikel dengan desain penelitian eksperimental (Randomized Controlled Trial dan quasi-eksperimental) yang berfokus pada intervensi keperawatan dalam mengatasi kecemasan anak pascabencana. Artikel diseleksi menggunakan pedoman PRISMA dan dinilai menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Tools. Hasil: Sebanyak 8,114 artikel yang diidentifikasi, 7 artikel memenuhi kriteria inklusi dan dianalisis lebih lanjut. Berbagai intervensi keperawatan efektif dalam mengurangi kecemasan anak pascabencana, termasuk terapi kognitif perilaku (CBT), trauma-focused CBT (TF-CBT), terapi penghenti pikiran, desensitisasi gerakan mata dan pemrosesan ulang (EMDR), intervensi berbasis teknologi (Bounce Back Now), serta suplementasi mikronutrien. Studi menunjukkan intervensi berbasis teknologi dan terapi singkat dapat menjangkau populasi yang lebih luas dengan biaya lebih rendah, sementara intervensi berbasis nutrisi memberikan manfaat tambahan dalam mengurangi kecemasan dan meningkatkan fungsi psikososial. Simpulan: Intervensi keperawatan seperti CBT, teknologi, dan suplementasi mikronutrien efektif mengatasi kecemasan anak pascabencana. Selain itu, suplementasi mikronutrien dapat digunakan sebagai intervensi tambahan untuk mendukung pemulihan anak.   Kata Kunci: Anak-anak; Intervensi Keperawatan; Kecemasan; Pascabencana.
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nur’aeni Adelse Prima Mulya adimiharja, adimiharja Afriana, Reni Afriyani, Firda Agustin, Sigit Anastasia Anna Andrean Reynaldi Andrianthi, Salsyah Anisa Hasanah Anita Setyawati Arianto, Albertus Budi Ariestanti, Nurrachma Armansyah, Nuraulia Aghnia Arofiati, Fitri Ayu Prawesti Priambodo Azizah, Neng Zihan Nurul Budiman, Ganjar Wisnu Burhan Nurdin Cecep Eli Kosasih Damayanti, Roshy Deris Riandi Setiawan Dian Adiningsih Dinar Indriani Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah Dyana Eka Fuzi Yulianti Elsadai, Elsadai Esrha Theresya Siagian Etika Emaliyawati Etika Emiliyawati Faiza Zulfikar Saban Farisha Noor Fazriyyah, Yuni Fuji Febianti, Ranti Firman Sugiharto Fitri Haryanti Fricilia Noya Gita Maya Sari Gustiani, Ajeng Guztap Jabarul Haq Handayani, Audia Handayani, Meyla Sari Hapzi Ali Harlasgunawan, Alia Rahmi Hartati, Tita Helmy Hazmi Hendriyani, Desy Hera Wahyuni Ida Maryati Iis Haryati Iis Haryati Indah Enriani Wulansari Indriani Merlyn Manueke Indriati, Ririn Inggried Angelica Valentina Wiliyams Peni Intan Madulara Izzany, Raden Maghfira Izzati Adha Pratitis Jalaludin, Andi Mohamad Karti Nur Aryanti Kurhayati Kurhayati Kurnia Nasrullah Kusman Ibrahim Lia Puji Astuti Liana, Yeni Lilis Sulastri Luthfi Rahman, Luthfi Maziyya, Nur Megatami, Noviani Meyzabellah, Meriem Minh, Vo Hoang Moch. Didik Nugraha Muhaemin Muhaemin Muhammad Hadi Muhammad Iqbal Muhammad Nur Hidayah Muhammad Nur Hidayah Muthmainnah Muthmainnah Nabila Rifa Zahara Heriawan Ni Putu Wahyu Ariani Nilamsari Nilamsari Nina Maryam Nisa Utami, Nisa Novi Irmala Noya, Fricilia Nunik Wijayanti Nurani, Rai Nurdiansyah Nurdiansyah Nurdin, Irpan Muhamad Nurilhami, Ilham Taufik Nurinsani, Dwi Murti Nurlaeci Nurlaeci Nurlaeci Nurlaeci Nursalam Nursalam Nursanti, Irna Nur’aeni, Aan Nyimas Heny Purwati Oktafianti, Mutiara Annisa Oman Hendi Pakpahan, Yetty Mardelima Uli Pangestika, Destiya Dwi Pebianti, Ranti Prabawati, Dewi Pujikurniawati, Citra Reza Pujowati, Pujowati Puput Antika Sari Purwandi, Purwandi Putri Alya, Fania Putri, Aliza Zulpa Putri, Azalia Melati Rahmah, Tira Nur Rahmah, Tsabitah rahmalia amni Rahman, Lutfi Rai Nurani Ramdani Ramdani Ratnasari, Nia Rika Winarni Risnianingsih, Nina Ristina Mirwanti Ristina Mirwanti Roulita Roulita Safitri, Helni Yusriya Santi Susanti Saparingga Dasti Putri Saparingga Dasti Putri Saputri, Baiq Dara Wulandari Satrio, Rizki Juniar Eko Setiawan, Iriani Dewi Sheizi Pristasari Sijabat, Pasuria Br Silvestre Dos Reis Silvi Indriani Silviani, Sinta Sinaga, Freda Mai Situmorang, Gantiar Marsaulina Sridiawati, Essy Stephania, Agnes Sugiharto, Firman Sujana, Wendi Sultan Muhammad Wahyu Pamungkas Supriyansah, Gumilar Suryani Suryani Susanti, Vera Tambunan, Natalia Taqiuddin, Muhammad Hafidh Tetti Solehati Theresia Avila Kurnia Tintin Sukartini Sukartini, Tintin Sukartini Titin Mulyati Titin Mulyati Titin Sutini Tuti Nuraini Valentina B.M. Lumbantobing Valentina Belinda Marlianti Lumbantobing Vanny Leutualy Vera Susanti Wahyu Hidayati Wardaya, Wildan Akhmad Ihza Widyadhari, Elysia Wiguna, Ilham Wiguna, Yutika Winara Winara Winara, Winara Witjaksono, Galuh Y Dodi Setyawan Yayan Mulyana Yodha Pranata Yulia Sofiatin Zamharira Zamharira Zamharira, Zamharira