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All Journal Nurse Media Journal of Nursing Majalah Keperawatan Unpad Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Interest : Jurnal Ilmu Kesehatan Jurnal NERS Jurnal Skolastik Keperawatan (e-Journal) Jurnal Berita Ilmu Keperawatan Jurnal Keperawatan Sriwijaya Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Keperawatan Padjadjaran Jurnal SOLMA Journal of Midwifery Journal Of Bionursing Jurnal Untuk Masyarakat Sehat (JUKMAS) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Intan Husada : Jurnal Ilmiah Keperawatan MAHESA : Malahayati Health Student Journal Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Journal of Health and Nutrition Research DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal of Community Health Development (JCHD) JPMB Parahita Jurnal Berita Ilmu Keperawatan International Journal of Biomedical Nursing Review (IJBNR) Pedagogic Research - Applied Literacy Journal Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Journal Of Bionursing Jurnal Ilmu Keperawatan dan Kebidanan
Iwan Purnawan
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Religion Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The Voice of the Qur'an's Potential in Pain Management : Review Study Purnawan, Iwan; Widyastuti, Yunita; Setiyarini, Sri; Probosuseno, P
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.16990

Abstract

Pain is multidimensional. Pharmacological therapy is still not optimal and has unwanted side effects. Therefore, a safe, effective, and comprehensive non-pharmacological therapy is needed to compensate for the lack of pharmacological therapy. Listening to the recitation of the Quran in several studies has been shown to have a relaxing effect in various situations. The study aims to see whether listening to the Quran as a type of non-pharmacological therapy will help people overcome pain. Method used is comprehensive search on multiple databases (Clinical Key, Cochrane Lab, Medline, Host EBSCO, ProQuest, Science Direct, and Springer Link) using the term "Quran, Holy Quran, Koran, Quran, Pain, Pain Management, and endorphins.". There were 209 articles found, and after several screening stages, 9 articles met the inclusion and exclusion criteria. The level of evidence and the Cochrane Collaboration's tool for assessing the risk of bias was used to assess the article's quality. The result is listening to The Qur'an has been shown to reduce pain in post-surgery, blood sampling, wound care, dysmenorrhea, and childbirth. Some studies are still lacking evidence and are biased. Listening to the Quran is highly recommended for use as a health service.
Vasoactive-inotropic score for prediction of critical patient mortality: A systematic review Umarmono, Umarmono; Purnawan, Iwan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.481

Abstract

Background: A medical emergency is a clinical situation that requires immediate and planned treatment to prevent permanent disability or death. It involves sudden, progressive, and often life-threatening disturbances in vital body functions, such as cardiovascular, respiratory, or neurological disorders. The Vasoactive-Inotropic Score (VIS) is a clinical tool used to assess the need for vasoactive and inotropic drugs in critically ill patients. The VIS plays an important role as a prognostic indicator in critically ill patients, with higher VIS scores associated with increased risk of death. Purpose: To evaluate vasoactive-inotropic score for prediction of critical patient mortality. Method: A literature review with the aim of reviewing and evaluating previous research related to the use of VIS in predicting mortality in medical emergency patients using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram method. The search for scientific articles was conducted in October-November 2024 by determining the population/problem, intervention, comparison, and outcome (PICO) method. The database search process was carried out through the Publish or Perish application from PubMed, Scopus, Crossref, Semantic Scholar, and CINAHL. Determination of the article year range was focused on articles from 2018-2024 through keywords consisting of ''inotrope'' AND ''predictor'' AND ''mortality'', ''VIS'' AND ''Patient critical ill'', ''VIS'' OR Predictor mortality, ''VIS'' OR ''ICU''. Results: The Vasoactive-Inotropic Score (VIS) is an effective and practical clinical tool to be used as a predictor of mortality in emergency and critical patients. VIS provides a quantitative picture of the severity of hemodynamic disorders as well as the pharmacological need to maintain the patient's cardiovascular stability. Its use has been shown to be significant in a variety of critical conditions, such as postoperative cardiac surgery, cardiogenic shock, sepsis, and out-of-hospital cardiac arrest, where higher VIS values are often correlated with an increased risk of mortality. The accuracy of VIS in predicting mortality risk can be improved through integration with other clinical parameters, such as inflammatory biomarkers and organ dysfunction scores, which provide a more comprehensive picture of the patient's physiological status. Conclusion:  VIS is consistently used as a predictive tool with varying morbidity-mortality thresholds in critically ill patients depending on population size. Factors that influence VIS values ​​include patient demographic characteristics, hemodynamic status, disease severity, and quality of therapy received by the patient.
EFEKTIFITAS MENDENGARKAN MUROTTAL DAN DOA TERHADAP PENURUNAN KECEMASAN PADA PASIEN HEMODIALISIS DI RSUD WATES Alivian, Galih Noor; Purnawan, Iwan; Setiyono, Danang
Jurnal Keperawatan Sriwijaya Vol. 6 No. 2 (2019): Vol 6, No 2 (2019)
Publisher : Bagian Keperawatan Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Tujuan: Pasien yang menjalani hemodialisis mengalami masalah fisik dan psikologi. Salah satu masalah psikologi yang timbul yaitu kecemasan. Kecemasan yang tidak teratasi dengan baik dapat berdampak buruk pada kualitas hidup mereka. Terapi murottal dan doa mampu menurunkan kecemasan. Tujuan penelitian ini untuk mengetahui perbedaan terapi murottal dan doa untuk mengurangi skor kecemasan pada pasien hemodialisis. Metode: Penelitian quasy experiment ini menggunakan rancangan pretest-posttest with control group design. Penelitian ini menggunakan 30 responden yaitu 15 kelompok doa dan 15 kelompok murottal sesuai kriteria inklusi dan eksklusi. Pengukuran skor kecemasan menggunakan Visual Analog Scale Anxiety (VASA) 0-100. Uji statistik menggunakan paired t test dan independent t test. Hasil: Terdapat perbedaan yang bermakna antara skor cemas sebelum dan sesudah mendengarkan terapi murottal dan doa dengan masing-masing p value < 0,001, sedangkan skor kecemasan antara kelompok murottal dan doa tidak terdapat perbedaan yang bermakna dengan p value 0,571. Simpulan: Terapi mendengarkan murottal dan doa secara statistik sama-sama mampu menurunkan skor kecemasan pada pasien hemodialisis, tidak terdapat perbedaan yang bermakna antara terapi murottal dengan terapi doa.
Effectiveness Of Structured Spiritual Care Models in Improving Psychological and Physiological Outcomes in Intensive Care Unit (ICU) Patients: A Systematic Review Wirakhmi, Ikit Netra; Purnawan, Iwan
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.385

Abstract

Despite their critical role in patient well-being, spiritual needs are often overlooked in intensive care settings. Addressing these needs through structured interventions may improve patients' psychological and physiological outcomes in Intensive Care Unit (ICU). This systematic review aims to identify and evaluate various spiritual care models implemented in ICU settings and their impact on patient outcomes. A systematic search was conducted across six databases (PubMed Central, ScienceDirect, Sage Journals, Cambridge Core, Cochrane Library, and ProQuest) for studies published up to 2023. Eligible studies met the following criteria: (i) experimental design, (ii) spiritual care interventions, and (iii) ICU implementation. The screening process was conducted in two phases: title and abstract screening, followed by full-text assessment, with methodological quality evaluation. A total of 6,975 articles were identified, and 11 studies involving 842 participants met the inclusion criteria. Three distinct spiritual care models were identified: Chaplain-led picture-guided spiritual care, HeartTouch Technique, and Islamic-based spiritual care. Chaplain-led picture-guided spiritual care was particularly effective in reducing anxiety, while Islamic-based spiritual care, particularly Quran recitation, demonstrated significant benefits in reducing stress and promoting emotional well-being. These interventions demonstrated significant benefits, including reductions in stress and anxiety (reported in 4/11 studies), improvements in well-being (3/11 studies), and decreased feelings of isolation (2/11 studies). No significant adverse effects were reported. Spiritual care interventions in ICU settings provide psychological and emotional benefits for patients, reducing anxiety, stress, and isolation.
Effect of combined lateral and supine positioning on oxygen saturation in ICU patients during the mechanical ventilator weaning process: A randomized controlled trial Purnawan, Iwan; Susetya, Putut Anggara; Hidayat, Arif Imam; Awaludin, Sidik; Alivian, Galih Noor; Chanshintop, Sawinee; Wirakhmi, Ikit Netra
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2431

Abstract

Be a Life Saver; Training Manajemen Bantuan Hidup Dasar (BHD) untuk Remaja Karangtaruna Desa Pamijen Kecamatan Sokaraja Kab. Banyumas Alivian, Galih Noor; Awaludin, Sidik; Hidayat, Arif Imam; Purnawan, Iwan
Jurnal of Community Health Development Vol 6 No 1 (2025): Vol 6 No 1 (2025): Journal Of Community Health Development terbitan bulan Januari
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2025.6.1.10596

Abstract

Olahraga merupakan suatu gaya yang bekerja pada tubuh atau sebagian dari tubuh yang melampui kemampuan tubuh untuk mengatasinya. Dari kegiatan olahraga tersebut bisa terjadi cedera, baik karena jatuh, benturan ataupun salah gerak. Cedera olahraga (sport injury) adalah segala macam cedera yang timbul, baik pada waktu latihan maupun pada waktu berolahraga (pertandingan) ataupun sesudah pertandingan. Cedera olahraga biasanya terkena pada bagian tulang, otot, tendo serta ligamentum. Metode RICE merupakan suatu metode penanganan cedera, yang bertujuan untuk mencegah cedera lebih lanjut dan mengurangi rasa nyeri. Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan bekal keilmuan dalam bidang penanganan cedera olahraga dengan metode RICE pada remaja karangtaruna.
A Systematic Review : The Effectiveness of Nebulizer Inhalation Therapy in Increasing Oxygen Saturation in Patients with Acute Respiratory Failure Martanti, Yuniar Dwi; Purnawan, Iwan
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.v5i8.19062

Abstract

ABSTRACTAcute respiratory failure is a critical condition that necessitates prompt intervention to improve oxygen saturation and prevent further complications. Nebulizer inhalation therapy is widely used to deliver medications directly to the respiratory tract, enhancing oxygenation and alleviating respiratory distress. This systematic review aims to evaluate the effectiveness of nebulizer inhalation therapy in improving oxygen saturation and overall clinical outcomes in patients with acute respiratory failure. Using the keywords "nebulizer inhalation," "oxygen saturation," and "acute respiratory failure", an extensive body of literature search was carried out in PubMed, GoogleScholar, and ScienceDirect.  Research released within the past ten years, including observational studies and randomized controlled trials (RCTs). Seven eligible studies focusing on oxygen saturation, respiratory distress, length of hospital stay, and mortality outcomes were systematically analyzed. The analysis revealed that nebulizer inhalation therapy, particularly using hypertonic saline and surfactants, significantly improves oxygen saturation and reduces respiratory distress. Additionally, the therapy contributes to shorter hospital stays and lower mortality rates among individuals suffering from severe respiratory failure. Nebulizer inhalation therapy is an effective intervention for increasing oxygen saturation and improving clinical outcomes in patients with acute respiratory failure. Further high-quality studies are recommended to standardize protocols and optimize its application in clinical practice. Keywords: Nebulizer Inhalation, Oxygen Saturation, Acute Respiratory Failure, Respiratory Therapy, Systematic Review, Randomized Controlled Trials.
Be a Life Saver; Training Manajemen Bantuan Hidup Dasar (BHD) untuk Remaja Karangtaruna Desa Pamijen Kecamatan Sokaraja Kab. Banyumas Alivian, Galih Noor; Awaludin, Sidik; Hidayat, Arif Imam; Purnawan, Iwan
Jurnal of Community Health Development Vol 6 No 2 (2025): Journal Of Community Health Development Terbitan Bulan Juli 2025
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2025.6.2.13143

Abstract

Latar Belakang: Pengetahuan dan keterampilan Bantuah Hidup Dasar (BHD) penting diajarkan tentang teknik dasar penyelamatan korban henti jantung dan henti nafas. Kesiapsiagaan yang tepat berupa pelatihan kepada Masyarakat khususnya remaja dalam pemberian bantuan hidup dasar sebagai upaya penanggulangan yang cepat dan tepat sehingga dapat meminimalisir kematian akibat henti jantung yang terjadi di Masyarakat khususnya di Desa Pamijen Kecamatan Sokaraja Kabupaten Banyumas. Tujuan: Melalui program penerapan IPTEK ini diharapkan para remaja karangtaruna mengalami peningkatan pengetahuan dan keterampilan tentang untuk peningkatan pengetahuan dan pemahaman remaja dalam memberikan pertolongan pada korban henti nafas dan henti jantung jika ada kejadian henti jantung dan henti nafas yang terjadi di lingkungan, ditunjukkan dengan peningkatan nilai skor pengetahuan saat dilakukan pre test dan post test. Metode: Program penerapan IPTEK ini dilakukan melalui pendidikan kesehatan berbasis kebutuhan melalui metode penyuluhan, diskusi, dan demonstrasi tentang Bantuan Hidup Dasar (BHD). Jumlah peserta yang mengikuti kegiatan penyuluhan adalah 25 orang yang terdiri dari beberapa remaja karangtaruna Desa Pamijen Kec. Sokaraja. Hasil: Kegiatan penyuluhan meningkatkan pengetahuan remaja karangtaruna, skor pengetahuan di ukur sebelum dan sesudah pemberian edukasi, nilai rata- rata pre test skor pengetahuan kader posyandu lansia adalah (52,8), sedangkan nilai rata- rata post test skor pengetahuan kader posyandu lansia (80). Hasil analisa tersebut menunjukkan bahwa ada perbedaan yang bermakna antara nilai skor pengetahuan remaja karangtaruna terhadap pemahaman tentang Bantuan Hidup Dasar (BHD). Kesimpulan: Program PKM penerapan IPTEK telah berjalan dengan lancar dan menghasilkan jasa berupa pemberian penyuluhan oleh para ahli di bidang kesehatan tentang Bantuan Hidup Dasar (BHD).
UNRAVELLING THE IMPACT OF RELIGIOUS THERAPY ON STRESS BIOMARKERS IN ICU PATIENTS - A TRUE EXPERIMENTAL STUDY Purnawan, Iwan; Hidayat, Arif Imam; Awaludin, Sidik; Alivian, Galih Noor; Sutrisna, Eman; Wirakhmi, Ikit Netra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2243

Abstract

Elevated stress biomarkers, such as cortisol, in response to stress conditions, can impede the healing process, prolong hospitalization, and escalate healthcare costs. This research examines the influence of religious therapy on cortisol levels in Intensive Care Unit (ICU) patients. Employing a true experimental design, 40 ICU patients were randomly assigned to the intervention or control group, comprising 20 participants each. Salivary cortisol samples were collected before and after the intervention and analyzed using the ASSAY method.The intervention group received religious therapy consisting of 15-minute sessions of listening to Quranic recitations, while the control group received no treatment. Statistical analysis involved an independent t-test to assess mean differences in cortisol level reduction between the two groups. Homogeneity testing confirmed that both groups had similar demographic characteristics regarding gender and age (p 0.05).The results showed a significant difference in mean cortisol level reduction between the intervention group (16.3 + 25.3 ng/ml) and the control group (-0.4 + 18.2 ng/ml) (p = 0.021). Additionally, Cohen's d-test indicated a substantial effect size of 0.71, highlighting the notable impact of religious therapy on cortisol level reduction. In conclusion, religious therapy effectively reduced cortisol levels among critically ill patients in the ICU. 
Hubungan Aktivitas Fisik dengan Hipertensi Pada Lanjut Usia di Puskesmas Kutasari Wirakhmi, Ikit Netra; Purnawan, Iwan
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 7, No 1 (2023): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v7i1.2385

Abstract

Hipertensi adalah kondisi terjadinya peningkatan tekanan darah sistolik lebih dari ≥ 140 mmHg dan atau diastolik ≥ 90 mmHg. Aktivitas fisik merupakan salah satu faktor yang mempengaruhi kejadian hipertensi. Peningkatan aktivitas fisik direkomendasikan sebagai sarana untuk mencegah terjadinya hipertensi. Tujuan penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dengan hipertensi pada lanjut usia di Puskesmas Kutasari. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain deskriptif korelatif. Sampel dalam penelitian ini adalah pasien hipertensi di wilayah Puskesmas Kutasari Kabupaten Purbalingga sebanyak 105 orang. Hasil penelitian didapatkan umur responden paling banyak adalah lansia tua (75 -  90 tahun) sebanyak 48 responden (45%) dan jenis kelamin paling banyak adalah perempuan sebanyak 67 responden (63.8%) serta tidak ada hubungan aktivitas fisik dengan hipertensi pada lanjut usia di Puskesmas Kutasari (p value = 0.142). Tidak ada hubungan aktivitas fisik dengan hipertensi pada lanjut usia di Puskesmas Kutasari (p value = 0.142). Tenaga kesehatan diharapkan memberikan edukasi yang lengkap dan jelas kepada pasien tentang pentingnya aktivitas fisik bagi penderita hipertensi.Kata kunci: Aktivitas Fisik, Hipertensi, Lanjut Usia AbstractHypertension is a condition where there is an increase in systolic blood pressure of more than 140 mmHg and/or diastolic 90 mmHg. Physical activity is one of the factors that influence the incidence of hypertension. Increased physical activity is recommended as a means to prevent hypertension. The purpose of this study was to determine the relationship between physical activity and hypertension in the elderly at Kutasari Health Center. The type of research used is quantitative research with a descriptive correlative design. The sample in this study were 105 people with hypertension in the Kutasari Public Health Center, Purbalingga Regency. The results showed that the majority of respondents were elderly (75 - 90 years) as many as 48 respondents (45%) and the most gender was female as many as 67 respondents (63.8%) and there was no relationship between physical activity and hypertension in the elderly at the Puskesmas. Kutasari (p value = 0.142). There is no relationship between physical activity and hypertension in the elderly at Kutasari Health Center (p value = 0.142). Health workers are expected to provide complete and clear education to patients about the importance of physical activity for people with hypertension. Keywords : Physical Activity, Hypertension, Elderly
Co-Authors Adiratna Sekar Siwi Agis Taufik Alfianto, Candra Alivian, Galih Noor Ariesto, Mohammad Rizky Arif Imam Hidayat Arif Rakhman Arif Setyo Upoyo Arikh Ratna Purwadi Arni Nur Rahmawati Azizy, Agil Wafi Bambang Sumantri, R Bagus Cecep Eli Kosasih Chanshintop, Sawinee Danang Setiyono Dani Tri Santosa Dani Tri Santosa Dedy Firmansyah, Dedy Dian Ramawati Dian Ramawati Eman Sutrisna Galih Noor Alivian Galih Noor Alivian Galih Noor Alivian Hartiah Haroen Hartono Hartono Hidayat Sulistyo Ikit Netra Wirakhmi Lita Heni Kusumawardani Made Sumarwati Made Sumarwati Maniasih, Elisah Martanti, Yuniar Dwi Maya Safitri Mekar Dwi Anggraeni Mekar Dwi Anggraeni Mulyani, Nani Sri Mulyaningrat, Wahyudi Mursiyam Mursiyam Mursiyam Mursiyam Nafisah Nafisah Nani Sri Mulyani Nonah Suciati Nurhanif Nurhanif Nurhanif, Nurhanif Oktora, Sasongko Priyo Dwi Priyanto , Edy Probosuseno, P Purwandar, Haryatiningsih Resmi, Fuji Indah Ridlwan Kamaluddin Ridlwan Kamaluddin Rismah, Rismah Safaah, Siti Saryono, Sastranegara, Hawariyyun Setiyono, Danang Sidik Awaludin Siti Safaah Sobihin, Sobihin SRI SETIYARINI, SRI Sumeru, Annas Suratman Suratman Susetya, Putut Anggara Tin Utami Tuswati Tuswati Tuswati, Tuswati Tyas Sitaresmi Kumalasari Umarmono, Umarmono Uswatun Hasanah Kartika Sari Utami, Tin Wahyudi Mulyaningrat Walohtae, Fa-is Welas Haryati Wirakhmi, Ikit Wirakhmi, Ikit Netra Wiwit Rita Suprilatin Yuli Dwi Hartanto Yuliani, Any Yunita Sari Yunita Sari Yunita Sari Yunita Widyastuti