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All Journal Jurnal Medika Cendikia (e-Journal) Jurnal Kesehatan Jurnal Keperawatan Galuh Nursing Care and Health Technology Journal (NCHAT) Jurnal Kesehatan komunitas Indonesia Media Informasi Journal of Pubnursing Sciences Asy-Syifa: Journal of Science and Technology Nursing MEJORA Jurnal Kesehatan Bakti Tunas Husada Journal of Smart Nursing and Health Science Poltekita: Jurnal Ilmu Kesehatan
Riyana, Asep
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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PENGARUH POSISI PRONASI TERHADAP PENURUNAN KADAR BILIRUBIN PADA BAYI NEONATUS Wardeni, Resa; Rosuliana, Novi Enis; Herliana, Lia; Riyana, Asep
Jurnal Kesehatan Komunitas Indonesia Vol 21, No 2 (2025)
Publisher : Fakultas Ilmu Kesehatan Universitas Siliwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37058/jkki.v21i2.16873

Abstract

Background: Hyperbilirubinemia in neonates is a yellowing of the skin, conjunctiva, and sclera of the baby caused by an increase in bilirubin levels in the plasma during the early life of the baby, which appears after a few days following birth. Efforts to manage the increase in bilirubin levels in infants include performing phototherapy and positioning the baby in a prone position every 2 hours, which can help reduce bilirubin levels in the baby. Purpose: Understanding the application of phototherapy and the prone position on the reduction of bilirubin levels in neonates. Method: The method used is through research in the form of a case study conducted in the Level 1 NICU (Perinatology) / Salman Al-Farizi on newborns (Neonates) who meet the inclusion and exclusion criteria, totaling two individuals, with data collection techniques consisting of interviews and observations. The pronation positioning intervention was carried out once a day for three days with a duration of 30 minutes every two hours. Results: To determine the effect of the prone position on the decrease in bilirubin levels after the administration of the action with patient 1 bilirubin levels to 10 mg / dL and patient 2 bilirubin levels to 11 mg / dL. Conclution: The prone position has been proven effective in reducing bilirubin levels in neonates, hospitals are expected to be able to implement the prone position to help reduce high bilirubin levels. Suggestion: For parents at home who have babies experiencing an increase in bilirubin levels or changes in skin color to yellowish, they can expose the baby to sunlight under direct sunlight from 07:00 to 08:00 AM WIB using available tools and materials as long as the light is able to reach the entire area of the baby's body.
Application of Rebuke Techniques and Spiritual Remembrance Therapy for Hallucination Patients in the Purbaratu Community Health Center,Tasikmalaya City Riyana, Asep
Journal of Smart Nursing and Health Science Vol. 2 No. 1 (2024): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v2i1.632

Abstract

Hallucinations are one of the symptoms of mental disorders in individuals characterized by sensory alterations of perception , perceiving false sensations in the form of sounds, visions, tastings, touching or discolorations that actually feel a stimulus that no client who experiences hallucinations can lose control of himself so as to harm himself, others and the environment. How to control hallucinations, one of which is to rebuke hallucinations by rejecting the hallucinations that appear can control hallucinations. Zikir is defined as all kinds of forms of remembering Allah, mentioning the name of Allah, either by reading tahlil, prayer beads, tahmid, taqdis, takbir, tasmiyah, hasbalah, asmaul husna, or reading prayers that are mat'sur from the Prophet Muhammad SAW. knowing the description of the application of rebuking techniques and zikir spiritual therapy, knowing the ability to control hallucinations after rebuking techniques and zikir spiritual therapy are carried out. The design in this study is qualitative with a case study approach to explore problems in hallucinatory patients using rebuking techniques and spiritual therapy. Data collection with assessment and instruments of signs and symptoms as well as instruments of the ability to control hallucinations. The results of the second study of patients after the act of rebuking and spiritual therapy suggested a decrease in the signs and symptoms of hallucinations as well as the ability to control the patient's hallucinations. In patient 1 there was a decrease in signs and symptoms by 7 signs and symptoms, in patient 2 as many as 4 signs and symptoms. The conclusion after the implementation of the technique of rebuking and spiritual therapy of thought the researcher was able to describe the application, signs and symptoms, the ability to constrict hallucinations. Suggestions for other studies to study in more depth and in conducting research can use a longer time so that the data obtained are more accurate and more convincing that the application of rebuking and spiritual therapy can be useful when hallucinations appear.
Effect of Diabetic Gymnastics on Blood Glucose Levels in Type 2 Diabetes Mellitus Patients: A Quasi-experimental Study Prasetia, Arif Budi; Cahyati, Yanti; Riyana, Asep
Journal of Pubnursing Sciences Vol 3 No 04 (2025): Journal of Pubnursing Sciences
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v3i04.333

Abstract

Background: Diabetes mellitus is a non-communicable disease characterized by persistently elevated blood glucose levels exceeding the normal range of 70–150 mg/dL. Effective diabetes management consists of five key components: education, nutritional therapy, physical activity (including diabetic exercises), pharmacological treatment, and regular blood glucose monitoring. Diabetic exercise, when tailored to an individual’s age and physical condition, can help lower blood glucose levels, enhance stamina, and maintain healthy body weight in individuals with type 2 diabetes mellitus. The recommended duration of diabetic exercise is at least 30 minutes per session, three to four times per week for adults, and 60 minutes with similar frequency for children and adolescents. Aim:  To analyze the effect of diabetic exercise (diabetes mellitus gymnastics) on blood glucose levels in patients with type 2 diabetes mellitus. Method: This study employed a quasi-experimental design using a one-group pretest–posttest approach. The sample consisted of 20 individuals diagnosed with type 2 diabetes mellitus, selected through purposive sampling based on predefined inclusion and exclusion criteria. Blood glucose levels were measured before and after the diabetic exercise intervention. Data were analyzed using the paired sample t-test to determine the statistical significance of the differences observed. Results: The findings revealed a significant reduction in blood glucose levels following the diabetic exercise intervention. The mean random blood glucose (RBG) level before the intervention was 202.85 mg/dL, and after the intervention, it decreased to 164.50 mg/dL, with a mean difference of 38.35 mg/dL. Statistical analysis using the paired t-test produced a significance value (2-tailed) of 0.000 (p < 0.05), indicating that diabetic exercise had a statistically significant effect in lowering average RBG levels among participants. Conclusion: This study demonstrates that diabetic exercise effectively reduces blood glucose levels in patients with type 2 diabetes mellitus. These findings support the integration of structured physical activity as a safe, feasible, and non-pharmacological intervention within diabetes management programs, particularly at the primary healthcare level.
Implementasi Relaksasi Genggam Jari Dan Nafas Dalam Untuk Menurunkan Tekanan Darah Pada Pasien Congestive Heart Failure (Chf) Syipa Audia Nurpadilah; Syaukia Adini; Ida Rosdiana; Riyana, Asep
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.298

Abstract

Congestive heart failure (CHF) is one of the non-communicable diseases caused by structural or functional impairment of the heart. In Indonesia, the highest number of CHF cases is reported in West Java Province, with 186,809 cases. Inadequate management of CHF may lead to serious complications; therefore, blood pressure control is an essential component in preventing such complications. In addition to pharmacological therapy, blood pressure management can be supported by non-pharmacological interventions, one of which is finger-holding relaxation combined with deep breathing. This relaxation technique works by reducing sympathetic nervous system activity and promoting a relaxation response. This study aimed to describe the implementation of finger-holding relaxation and deep breathing therapy in reducing blood pressure among patients with CHF. A qualitative method with a case study approach was used. The study was conducted at Pandega Regional Hospital, Pangandaran, from April 8 to April 28, 2025, involving two CHF patients with a nursing diagnosis of ineffective peripheral perfusion. The intervention was administered for three consecutive days. The results showed a decrease in blood pressure in both patients after the implementation of finger-holding relaxation and deep breathing therapy. Systolic blood pressure decreased by 40 mmHg in the first patient and by 55 mmHg in the second patient, while diastolic blood pressure decreased by 25 mmHg and 30 mmHg, respectively. These findings indicate that finger-holding relaxation and deep breathing therapy can help reduce blood pressure in patients with CHF and a history of hypertension and may be used as a complementary therapy alongside pharmacological treatment.
APPLICATION OF CONVERSATION TECHNIQUES AND SCHEDULED PRAYER ACTIVITIES FOR PATIENTS WITH HALLUCINATIONS Riyana, Asep
Journal of Smart Nursing and Health Science Vol. 3 No. 1 (2025): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v3i1.761

Abstract

Hallucination is a manifestation of a mental problem, where individuals experience alterations in sensory perception, such as hearing voices, sometimes seeing things, and also feeling sensations, touch, and smell. Patients may experience hallucinations in the form of stimuli where they hear various sounds that practically do not exist, not even human voices. They may hear other voices that correspond to what the patient will later perceive as commanding them to harm themselves, others, or the community. The impact of auditory hallucinations is often accompanied by symptoms of depression and anxiety. The purpose of this scientific paper is to determine the effect of talking therapy and scheduled activities, specifically praying, on the ability to control hallucinations. This qualitative case study was conducted for 5 days, from April 6, 2023, to April 19, 2023. The data from the two respondents were collected using an instrument sheet to assess hallucination symptoms. The results of this case study show a decrease in hallucination symptoms in both respondents, with patient 1's initial score of 9 decreasing to 3, and patient 2's initial score of 13 decreasing to 6. In conclusion, this scientific paper indicates that talking therapy and scheduled activities, specifically praying, have an influence on reducing hallucination symptoms, as well as advice for families to always accompany the implementation of conversation therapy and carry out scheduled activities for patients and for puskesmas to always make regular visits to the community with schizophrenics.
The Effect of Combined Guided Imagery and Slow Deep Breathing Relaxation Techniques on Reducing Blood Pressure in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Quasi-Experimental Study Olivia, Devina Hana; Riyana, Asep; Kuswandi, Asep
Journal of Pubnursing Sciences Vol 4 No 01 (2026): Journal of Pubnursing Sciences (JPS)
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v4i01.446

Abstract

Background: Chronic kidney disease (CKD) can lead to hypertension, especially in patients undergoing hemodialysis. Relaxation techniques, such as Guided Imagery and Slow, Deep Breathing, may help reduce blood pressure. Aims: To assess the effectiveness of the combined Guided Imagery and Slow Deep Breathing relaxation techniques in lowering blood pressure among patients with CKD undergoing hemodialysis. Methods: This study used a quasi-experimental pretest-posttest control group design. A total of 38 patients, 19 in each group, were purposively sampled using specific inclusion and exclusion criteria. The normality of systolic and diastolic blood pressure data was tested using the Shapiro-Wilk test, which indicated a normal distribution. Statistical analysis was performed using paired t-test and independent t-test. Results: The intervention group experienced a mean reduction of 10.11 mmHg in systolic blood pressure (SD = 7.44), while the control group showed a mean change of -7.74 mmHg (SD = 5.50). For diastolic blood pressure, the intervention group decreased by a mean of 9.11 mmHg (SD = 7.36), compared to a change of -7.47 mmHg (SD = 6.28) in the control group. The independent t-test revealed statistically significant differences between groups for both systolic and diastolic blood pressure, with p-values of 0.000 (p < 0.05). These results demonstrate that the combined Guided Imagery and Slow Deep Breathing intervention significantly lowers blood pressure in patients undergoing hemodialysis for chronic kidney disease. Conclusion: The combined relaxation techniques significantly reduce systolic and diastolic blood pressure in CKD patients undergoing hemodialysis, supporting their use as non-pharmacological interventions for hypertension management.
Spiritual Emotional Freedom Technique and Progressive Muscle Relaxation to Reduce Fatigue in Hemodialysis Patients Rosdiana, Ida; Cahyati, Yanti; Riyana, Asep
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4190

Abstract

Background: Fatigue represents a common and debilitating complaint in individuals undergoing dialysis, with substantial implications for quality of life and overall well-being. This study investigated the effect of combining Spiritual Emotional Freedom Technique (SEFT) therapy with Progressive Muscle Relaxation (PMR) exercises on fatigue levels among hemodialysis patients at Dr. Soekardjo Tasikmalaya Regional General Hospital. Methods: A quasi-experimental pretest-posttest design was employed to evaluate the effects of a combined intervention involving Spiritual Emotional Freedom Technique (SEFT) and Progressive Muscle Relaxation (PMR) on fatigue levels. The study included 49 hemodialysis patients who fulfilled the established inclusion criteria. Fatigue intensity was assessed using the Fatigue Severity Scale (FSS), and statistical analysis was performed with a paired t-test, with significance determined at p < 0.001. Data collection took place between July and September 2022. Results: The mean fatigue score significantly decreased from 51.8 ± 10.0 before the intervention to 17.5 ± 5.2 after the intervention (p < 0.001). Conclusion: SEFT therapy combined with PMR exercises effectively reduces fatigue in hemodialysis patients. Nurses are encouraged to incorporate these techniques into comprehensive self-care interventions for hemodialysis patients. The study was constrained by being conducted at a single institution and by the inclusion of a relatively limited number of participants, factors that may restrict the broader applicability of the results. Future research with a larger, multi-center sample is recommended.
Co-Authors A.S Hidayat, Asep Abda Abda Amalia Cintai, Rossa Arip Rahman Arsilia Fitriawati, Devita Asep Kuswandi Cahyati, Yanti Dudi Hartono Fazrin, Nabila Nurfauziah Fitriani, Silvi Alviani Hidayat, Asep AS Ida Rosdiana Juantika, Noni Kusmiyati Kusmiyati Lia Herliana Margaretha, Meysa Maulana, Heri Dj Nisa, Alifah Khaerun Nurjanah, Pina Nurjannah, Lulu Olivia, Devina Hana Pamungkas, Tryan Bayu Paridah, Ishmah Nur Peni Cahyati, Peni pradana, aditia Prasetia, Arif Budi Pratiwi, Novi Dini Qibtia, Annisa Mariatul Ridwan Kustiawan, Ridwan Rosdiana, Ida Rosuliana, Novi Enis Siti Badriah Somantri, Iwan Syaukia Adini Syipa Audia Nurpadilah Triguna, Yudi Unang Arifin Hidayat Wardeni, Resa Yanyan Bahtiar