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All Journal Jurnal Berita Ilmu Keperawatan Jurnal Kesehatan Jurnal Penelitian Kesehatan Suara Forikes JURNAL WACANA KESEHATAN Jurnal Kesehatan Komunitas Jurnal Keperawatan Silampari Manuju : Malahayati Nursing Journal Jurnal Ners Journal of Telenursing (JOTING) JHeS (Journal of Health Studies) Jurnal Keperawatan
Jumaiyah, Wati
Faculty Of Nursing, Universitas Muhammadiyah Jakarta
Humanities Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Jurnal Ners

 1 
Effectiveness of Implementing Modified Mindfulness Based Stress Reduction (MBSR) on Stress and Fatigue in Hemodialysis Patients Aprianto Guntur Irawan; Dhea Natashia; Dewi Gayatri; Wati Jumaiyah; Winda Yuniarsih
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43554

Abstract

Stress and fatigue are common complaints among hemodialysis patients, significantly affecting their quality of life during long-term therapy. This study aimed to evaluate the effectiveness of a modified Mindfulness-Based Stress Reduction (MBSR) intervention on stress and fatigue in patients undergoing hemodialysis. The study adopted a quasi-experimental pretest-posttest control group design and employed simple random sampling. A total of 32 respondents participated, with 16 in each group. Stress was measured using the Perceived Stress Scale (PSS-10) and fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F 40). The modified MBSR intervention was conducted for 30 minutes per session. Data were analyzed using paired t-tests and independent t-tests. The results showed significant differences in stress (MD = -13.12, t = -4.748, p < 0.001) and fatigue levels (MD = 7.34, t = -3.865, p = 0.001) between the intervention and control groups. These findings indicate that the modified MBSR therapy was effective in reducing stress and fatigue, with a p-value < 0.05 indicating statistical significance. Therefore, this modified MBSR therapy is a promising non-pharmacological nursing intervention that can be integrated into nursing care for chronic kidney failure patients experiencing stress and fatigue during hemodialysis.
The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy Bayu Aji Sismanto; Dewi Gayatri; Dhea Natashia; Wati Jumaiyah; Winda Yuniarsih
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45021

Abstract

Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.
Determinan Self Care Pasien Penyakit Jantung Koroner Setelah Intervensi Koroner Perkutan: Determinan Self Care Pasien Penyakit Jantung Koroner Setelah Intervensi Koroner Perkutan Erni Kurniasih; Wati Jumaiyah; Dewi Purnamawati; Yani Sofiani; Erwin Erwin
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47105

Abstract

The intervention for coronary heart disease (CHD) is myocardial reperfusion with percutaneous coronary intervention (IKP). However, after the IKP procedure, there is a risk of recurrent myocardial infarction and so restenosis, self-care is an important part in efforts to improve the quality of life of patients who have undergone IKP. This study aims to identify the determinants of self-care in patients undergoing IKP. The research design used a cross-sectional survey on 300 respondents who were taken by consecutive sampling technique at the Heart Polyclinic at Hermina Bekasi Hospital. The study used the SC-CHDI (self-care coronary heart disease inventory) questionnaire, the CADE-Q SV (Coronary Artery Disease Education Questionnaire Short Version) questionnaire and the family support questionnaire. The results showed that factors related to self-care were gender (p=0.000), education (p=0.000), length of IKP (p=0.165), occupation (p=0.000), income (p=0.000), knowledge (p=0.000) and family support (p=0.000). Meanwhile, in multivariate analysis, the most dominant factor with self-care is family support (p=0.000) with OR 6.724. Respondents who have high family support have more adequate self-care. The implication in nursing is to provide education according to the needs of patients by identifying educational needs beforehand and involving families in providing education.
Effectiveness of Digital Application-Based Foot Care Education and Training Programmes in Improving Self-Efficacy and Foot Care Behaviour in Patients with Type 2 Diabetes Mellitus Feriadianto Feriadianto; Dhea Natashia; Dewi Gayatri; Wati Jumaiyah; Winda Yuniarsih
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49962

Abstract

Background: Type 2 diabetic mellitus with low self-efficacy, which affects how they take care of their feet. This can lead to reduced foot sensitivity and increase the risk of serious complications like ulcers and infections. Objective: To determine the effectiveness of of the Diabetic Educare digital application foot care education and exercise program on self-efficacy, foot care behaviour and foot sensitivity in patients with type 2 diabetic mellitus. Methods: Quasy experiment research design with two groups, namely the intervention group (n=27) and the control group (n=27). Data collection was using Diabetic Management Self Efficacy Scale, Notthingham Assessment Foot Care Behavior and 10gram monofilament test measurements. Demographic characteristics analysis using univariate tests, bivariate analysis with paired t-test and independent t-test. Results: There was a significant effect on the intervention group to increase self-efficacy p-value =0.011 (p< 0.005) and foot care behavior p-value =0.032 (p< 0.005). Based on the independent t-test, it was shown that the intervention had no effect on the increase in foot sensitivity p-value = 0.141 (p< 0.005). Recommendation: Educare diabetic education and exercise program has an effect on improving self-efficacy and foot care behavior. The Diabetic Educare education and training program is expected to be a modality in the preparation of foot care education and exercise programs as part of a holistic nursing intervention, in patients with type 2 diabetic mellitus. Keywords: type 2 diabetic mellitus; Self-efficacy;Foot care behavior; Sensitivity; Digital Application-Based Foot Care Education and Training Program
Co-Authors Abdu Rahim Kamil Ady Tyawarman Agung Waluyo Ahmad Redho ani syafriati Aprianto Guntur Irawan Arifah Rakhmawati Asep Novi Taufiq Firdaus Bayu Aji Sismanto Briefman Tampubolon Busjra Busjra Denny Alfiansyah dewi adnan Dewi Gayatri Dewi Gayatri Dewi Gayatri Dewi Purnamawati Dhea Nastashia Dhea Natashia Dian Hudiyawati Dian Novianti K Dian Novianti Kurniasih Dimas Utomo Hanggoro Putro Dina Rahmawati Erni Kurniasih Erwin Erwin Faradilla Miftah Suranata Fatriani Fatriani Feriadianto Feriadianto Fernalia Fernalia Ii Ismail Ilham Suryana Irawati, Diana Irna Nursanti Jaemi Jaemi Juli Andri Jumari Jumari Kustiyuwati Kustiyuwati Marni Marni Masmun Zuryati Mayasari Mayasari Melati Fajarini Mustikasari Mustikasari Nunu Harison Nunung Nursasih Nurmayanti Nurmayanti Prima Trisna Aji Purnamawati, Dewi Rayasari, Fitrian Rohman Azzam Rohman Azzam Sapriyanti Sapriyanti Sarida Surya Manurung Siti Aminah Sugiyono Sugiyono Suryati Suryati Toha Muhaimin Tria Astika Endah Permatasari Uswatul Khasanah Wasis Widodo Wawan Suwandi Winda Yuniarsih Winda Yuniarsih Winda Yuniarsih Yani Sofiani Yanto Suryanto