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Sofiani, Yani
Departemen Keperawatan Medikal Bedah Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Jakarta
Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Keberhasilan Acupressure dalam menurunkan Kadar Glukosa Darah Pasien DM Tipe 2 Sumah, Dene Fries; Sofiani, Yani; Kamil, Abdu Rahim; Ohorella, Usman Barus
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i0.3389

Abstract

Diabetes mellitus (DM) type 2, occurs due to the body's inability to respond to insulin activity produced by the pancreas (insulin resistance) so that normal glucose levels are not achieved in the blood. In response to the manifestations and complications of Type 2 DM, various pharmacological and nonpharmacological therapies are needed. One of the efforts of non-pharmacological therapy is Acupressure. Acupressure is a TCM method using noninvasive finger pressure on the meridians of the body. Acupressure can release endorphins in the brain to lower blood glucose levels. This study aims to prove the success of acupressure therapy in reducing blood glucose levels of DM Type 2 patients at Dr. M. Haulussy Ambon Hospital. The research design used is a quasi-experiment with a pre and post-test approach without control. The population of this study was Type 2 DM patients who underwent uncomplicated inpatient and outpatient treatment with 30 respondents and the sampling technique was simple random sampling. Data analysis using univariate, bivariate with independent t-test samples. The results of this study showed that the average value of respondents' blood glucose levels before and after acupressure per week decreased by 161.07 with a standard deviation of -8.98. This proves that there is a significant difference in values between glucose levels before the test and after the test in respondents with a statistical p-value test result of 0.002. This means that giving treatment in the form of acupressure to patients with Type 2 DM can cause a decrease in blood glucose levels.   Keywords: DM type 2; acupressure; blood glucose levels
Perbedaan Efektivitas Progressive Muscle Relaxation (PMR) dengan Slow Deep Breathing Exercise (SDBE) terhadap Tekanan Darah Penderita Hipertensi Andry Sartika; Anwar Wardi; Yani Sofiani
Jurnal Keperawatan Silampari Vol 2 No 1 (2018): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (528.758 KB) | DOI: 10.31539/jks.v2i1.380

Abstract

This study aimed to determine the differences between the effectiveness of Progressive Muscle Relaxation (PMR) and Slow Deep Breathing Exercise (SDBE) on BP of hypertension patients. The research was an experiment with a randomized pretest and posttest with three group design without a control group. There was no significant difference on the effectiveness between the three groups after intervention. The optimal time of reduction in systolic BP in the PMR and SDBE groups occurred on day three. In diastolic BP, the optimal time of reduction did not occured. Conclusion, the three relaxation techniques effectively reduced blood pressure of hypertension patients.The effective time of blood pressure reduction occurred on the third day. Keywords: Hypertension, Progressive Muscle Relaxation (PMR), Slow Deep Breathing Exercise (SDBE), Blood Pressure
Mekanisme Koping Berhubungan dengan Tingkat Depresi pada Pasien Diabetes Mellitus Serli Wulan Safitri; Yani Sofiani; Besral Besral
Jurnal Keperawatan Silampari Vol 5 No 1 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.4 KB) | DOI: 10.31539/jks.v5i1.2978

Abstract

This study aims to identify the relationship between coping mechanisms and the level of depression in patients with diabetes mellitus. This research method uses a cross-sectional approach. The results showed a relationship between the testing mechanism and the level of depression in patients with diabetes mellitus with a p-value = 0.000. Multiple logistic regression analysis was also performed to determine the most influential variable on the level of depression. It was found that coping mechanisms were predictors of depression (B = (2,158). ), SE=0.587, Wald=13,500, p value= 0.000. In conclusion, coping mechanisms are related to the level of depression. People with diabetes who use good coping mechanisms are stabbed eight times experience mild depression. People with diabetes exercise when experiencing problems well, using good coping mechanisms good. Keywords: Diabetes Mellitus, Coping Mechanism, Depression Level
The Effect of Pre-Operative Education on Anxiety in Patients Undergoing Percutaneous Coronary Intervention Cahyo Pramono; Wati Jumaiyah; Dhea Natashia; Yani Sofiani
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): 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.v6iS5.4694

Abstract

Myocardial infarction (MI) describes the process of myocardial cell death caused by ischemia or an imbalance between myocardial oxygen supply through the coronary arteries and demand. Coronary heart disease remains the leading cause of death worldwide, and in Indonesia it still shows that coronary heart disease is the highest cause of death at all ages after stroke. Providing preoperative education by providing relevant health care information and preparing physically and psychologically can reduce patient anxiety. The purpose of this research is to determine the effect of preoperative education on the anxiety of patients undergoing PCI. The method uses a quasi-experimental design. The research method used a quasi-experiment with an intervention group and a control group. The sampling technique used Purposive sampling. The number of samples in this study was 46 respondents, 23 intervention groups and 23 control groups. The study was conducted in May - June 2024 in the ICCU room of PKU Muhamadiyah Gamping Hospital, with a data collection time allocation of 15 minutes to measure anxiety and provide pre-operative education. Pre-test anxiety measurements were carried out during the ACS medical diagnosis and scheduled for PCI, then pre-operative education was given with booklet media, post-test measurements were carried out one hour before the PCI was carried out. The instrument used was the STAI (State-Trait Anxiety Inventory) questionnaire with 20 question. Data analysis using the Independent Samples Test. The result is a P value of 0.00, which means there is a difference in anxiety between the intervention group and the control group. The average anxiety of the intervention group pre-test was 34.39 decreasing to 30.57, and the control group pre-test anxiety average was 34.17 decreasing to 33.22. The conclusion is that pre-operative education is effective in reducing anxiety in patients undergoing PCI.
Pengaruh Intervensi Terapi Musik terhadap Tingkat Kecemasan pada Pasien Stroke Sri Murtini; Rizki Nugraha Agung; Ninik Yunitri; Yani Sofiani; Cahyo Ismawati Silistyorini
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14372

Abstract

ABSTRACT Stroke often leads to psychological impacts, including high levels of anxiety in patients. Uncontrolled anxiety can worsen health and hinder recovery. Music therapy, a non-pharmacological intervention, has been proven effective in reducing anxiety in stroke patients. Untreated post-stroke anxiety can affect long-term treatment processes. Music therapy uses music to achieve psychological effects on individuals. Implementing evidence-based nursing practice (EBNP) involves developing standard operating procedures (SOPs) to reduce anxiety in stroke patients through music therapy. The data analysis method used was RM ANOVA. Pre-tests and post-tests were conducted on all respondents, and then the results were compared. The number of respondents involved in the music therapy implementation was 20 respondents plus 10% for dropout risk, making a total of 22 stroke patients at the National Brain Center Prof. Dr. Mahar Mardjono East Jakarta. The EBNP implementation was carried out for 20 days, with instrumental music therapy being listened to once a day for two weeks, with a duration of 30 minutes. The health workers involved were seventh-floor nurses who were responsible for patient data collection in the E-Record Medical Records of RS PON, for patients who met the inclusion and exclusion criteria that had been determined beforehand. Music therapy significantly reduces anxiety levels (p-Value <0.001) in stroke patients with a large effect (Cohen’s d = 0.86). Posthoc analysis using the Tukey method showed a significant difference in anxiety levels in stroke patients between baseline measurements, mid-intervention, and immediate post-treatment (p-Value <0.001). The highest average change occurred between baseline measurements and immediate post-treatment (MD 7.35; p-Value <0.001). Keywords: Stroke, Music Therapy, Anxiety  ABSTRAK Stroke seringkali menyebabkan dampak psikologis, termasuk kecemasan yang tinggi pada pasien. Kecemasan yang tidak terkontrol dapat memperburuk kesehatan dan menghambat pemulihan. Terapi musik, intervensi non-farmakologis, telah terbukti efektif mengurangi kecemasan pada pasien stroke. Kecemasan pasca stroke yang tidak diatasi dapat mempengaruhi proses pengobatan jangka panjang. Terapi musik digunakan untuk mencapai pengobatan  efek-efek psikologis pada individu. Melakukan perawatan berbasis bukti (EBNP) melibatkan pembuatan standar prosedur operasional (SPO) untuk mengurangi kecemasan pada pasien stroke melalui terapi musik. Metode analisis data yang digunakan adalah RM ANOVA. Pre test dan post test dilakukan pada seluruh responden, kemudian hasilnya dibandingkan. Jumlah responden yang terlibat dalam penerapan terapi musik adalah 20 responden ditambah 10% untuk risiko dropout, sehingga total 22 pasien Stroke di RS Pusat Otak Nasional Prof. Dr. Mahar Mardjono Jakarta Timur. Penerapan EBNP dilakukan selama 20 hari, dengan mendengarkan musik instrumental yang diberikan sekali sehari selama dua minggu, dengan durasi 30 menit. Tenaga kesehatan yang terlibat adalah perawat lantai tujuh yang berperan dalam pendataan pasien di E-Rekam Medik RS PON, untuk pasien yang sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Terapi musik secara signifikan mengurangi tingkat kecemasan (p-Value <0,001) pada pasien stroke dengan efek yang besar (Cohen’s d = 0,86). Analisis posthoc menggunakan metode Tukey menunjukkan perbedaan yang signifikan dalam tingkat kecemasan pada pasien stroke antara pengukuran baseline, mid intervention, dan immediate post-treatment (p-Value <0,001). Perubahan rata-rata tertinggi terjadi antara pengukuran baseline dan immediate post-treatment (MD 7,35; p-Value <0,001). Kata Kunci: Stroke, Terapi Musik, Kecemasan 
Cognitive Behavioural Therapy untuk Meningkatkan Quality of Life Pasien Diabetes Melitus Tipe 2 Nur Wahyuni Munir; Yani Sofiani; Abdu Rahim Kamil
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk312

Abstract

Management of Type 2 Diabetes Mellitus (DMT2) aims to improve the quality of life of DMT2 sufferers and reduce the risk of complications. This study aims to determine the effect of cognitive behavioral therapy on the quality of life of patients with type 2 diabetes mellitus. The study is a systematic review, involving randomized controlled trials (RCTs) published in English during 2016 to 2021, which were searched through various electronic databases including PubMed, ScienceDirect, SAGE, Wiley Online Library, EBSCOhost, ClinicalKey for Nursing and Google Scholar. The main outcome variable is quality of life. Secondary outcomes were glycated hemoglobin (HbA1c), depressive symptoms, sleep quality, physical activity, self-efficacy and self-esteem. A total of 455 articles were identified, and 5 comprised the final 800 samples. All studies reported that cognitive behavioral therapy had a positive impact on quality of life (p < 0.001); two found reductions in HbA1c and depressive symptoms, one improved sleep quality, one demonstrated beneficial changes in physical activity and anthropometrics (body mass index, waist circumference), one improved self-efficacy and self-esteem. The findings show that CBT-based interventions are effective in improving quality of life, glycemic control, depressive symptoms, quality of sleep, physical activity, self-efficacy and self-esteem in adult patients with type 2 DM.Keywords: cognitive behavioral therapy; quality of life; type 2 diabetes mellitus ABSTRAK Penatalaksanaan Diabetes Mellitus Tipe 2 (DMT2) bertujuan untuk meningkatkan kualitas hidup penderita DMT2 dan mengurangi risiko komplikasi. Studi ini bertujuan untuk mengetahui pengaruh terapi perilaku kognitif terhadap kualitas hidup pasien diabetes melitus tipe 2. Studi merupakan tinjauan sistematik, yang melibatkan metode uji coba terkontrol acak (RCT) yang diterbitkan dalam bahasa Inggris selama 2016 hingga 2021, yang dicari melalui berbagai basis data elektronik termasuk PubMed, ScienceDirect, SAGE, Perpustakaan Online Wiley, EBSCOhost, ClinicalKey for Nursing dan Google Scholar. Variabel hasil utama adalah kualitas hidup. Hasil sekunder adalah hemoglobin terglikasi (HbA1c), gejala depresi, kualitas tidur, aktivitas fisik, efikasi diri dan harga diri. Total 455 artikel diidentifikasi, dan 5 terdiri dari final dengan 800 sampel. Semua penelitian melaporkan bahwa terapi perilaku kognitif memiliki dampak positif pada kualitas hidup (p <0,001); dua menemukan pengurangan HbA1c dan gejala depresi, satu meningkatkan kualitas tidur, satu menunjukkan perubahan yang bermanfaat dalam aktivitas fisik dan antropometrik (indeks massa tubuh, lingkar pinggang), satu meningkatkan efikasi diri dan harga diri. Temuan menunjukkan bahwa intervensi berbasis CBT efektif untuk meningkatkan kualitas hidup, kontrol glikemik, gejala depresi, kualitas tidur, aktivitas fisik, efikasi diri dan harga diri pada pasien dewasa dengan DM tipe 2.Kata kunci: terapi perilaku kognitif; kualitas hidup; diabetes melitus tipe 2
Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure Risa Oktavina; Wati Jumaiyah; Dhea Natashia; Yani Sofiani; Sumedi Sumedi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4350

Abstract

Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.
Assessment of Diabetic Retinopaty Risk Factors in Type II Diabetes Mellitus Desy Anggraini; Yani Sofiani; Ninik Yunitri; Fitrian Rayasari
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.v7i4.6196

Abstract

Diabetic retinopathy (DR) is a leading microvascular complication of diabetes mellitus (DM), primarily caused by chronic hyperglycemia. It leads to vascular occlusion, increased vascular permeability, retinal abnormalities, and detachment, ultimately resulting in visual impairment and blindness. Implementing Evidence Based Nursing Practice using diagnostic tests to determine the sensitivity and specificity of the assessment instrument for Diabetic Retinopathy Risk Factors in Type II DM Diagnostic tests are descriptive observational studies with a cross-sectional study design. This application is classified as descriptive observational because only observations are made without any intervention (treatment). The test is carried out with ROC where to see the sensitivity and specificity of the application instrument. The results of the analysis showed that the sensitivity of the application of the assessment of diabetic retinopathy risk factors using the ROC Curve Test was 100%. Meanwhile, the specificity of the instrument for the application of the assessment of diabetic retinopathy risk factors was 81.3%. The application of diabetic retinopathy risk factor assessment can be used to assess the risk of diabetic retinopathy because it has good sensitivity (%) and specificity (%) values. However, when applying the diabetic retinopathy risk factor assessment, only the risk value of diabetic retinopathy was obtained where the application patient did not experience complaints and decreased visual acuity.
Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Fenny Maryani; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6212

Abstract

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.
The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Hindri Royiah Fatma; Rohman Azzam; Ninik Yunitri; Yani Sofiani; Yuni shahroh
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.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agus Purnama Andry Sartika Anwar Wardi Anwar Wardi Anwar Wardy W Berniati Berniati Besral . Beti Haerani Cahyo Ismawati Silistyorini Cahyo Pramono Desi Luanda Desy Anggraini Dewi Anggraini Dhea Natashia Dian Noviati Kurniasih Dian Novita Egi Mulyadi Fenny Maryani Hani Fauziah Hindri Royiah Fatma Ida Yatun Khomsah Irawati, Diana Iyar Siswandi Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Lusiana Lusiana Muhammad Khalid Fredy Nataria Yanti Silaban Nur Wahyuni Munir Nuraeni Nuraeni Nuzula Firdaus Ohorella, Usman Barus Puji Raharja Santosa Rayasari, Fitrian Risa Oktavina Rizki Nugraha Agung Rohman Azzam Serli Wulan Safitri Siti Aminah Sri Murtini Sumah, Dene Fries Sumedi Sumedi Suryani Suryani Yuni shahroh Yunitri, Ninik Yusup Dwiyanto