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Effects of murottal al-qur'an therapy on anxiety and vital signs among primigravida pregnant women in pre-operation caesarean section Yumni, Fathiya Lutfil; Priyantini, Diah; Prabawati, Chlara Yunita; Ayatulloh, Daviq
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.53022

Abstract

Introduction: This research aims to analyze the effect of Murottal Al-Qur'an Therapy on reducing anxiety and vital signs in primigravid pregnant women before C-Section surgery. Methods: A quasi-experimental study on pregnant women who will undergo C-Section surgery at a hospital in Surabaya, Indonesia. A total of 84 respondents (42 in the intervention group and 42 in the control group) were recruited using purposive sampling. Anxiety variables were measured using the Zung Self-Rating Anxiety Scale (ZSRAS), and vital signs (pulse, blood pressure, respiration rate) were measured using a sphygmomanometer and a calibrated clock. Data analysis was used to test the Wilcoxon Signed Rank Test and the Mann-Whitney Test. Results: The intervention group's vital signs for blood pressure decreased to 120.98 mmHg and diastolic blood pressure to 70.08 mmHg. The mother's pulse showed an average of 79.95 times per minute and respiration an average of 20 times per minute. Testing the effect of Murottal Al-Qur'an Therapy showed a significant effect on the Intervention group for anxiety (p=0.001), systolic pressure (p=0.005), diastolic pressure (p=0.001), pulse (p=0.005), and respiration rate (p=0.001), respectively. The difference test shows a significant difference after the intervention, with a p-value of <0.001. Conclusions: Murottal Al-Qur'an Therapy can reduce anxiety levels, systolic and diastolic blood pressure, pulse rate, and respiration rate in primigravida pregnant women who will undergo C-Section surgery. So, the results of this research can be applied by primary nurses in maternity rooms or operating rooms for primigravida pregnant patients who will undergo cesarean Section surgery.
Relationship between Anxiety Level and Vital Signs of Pneumonia Patients in Hospital Ayatulloh, Daviq; Priyantini, Diah; Fuad, Abdullah; Fiani, Putri Ohkta; Kiptiyah, Mariyatul; Nurfiyatul Jannah, Gangga Kristin
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.27498

Abstract

Pneumonia is one of the acute respiratory tract infections that is still a serious and complex global health problem, with a very significant impact on public health worldwide. The purpose of this study was to analyze the relationship between anxiety levels and vital signs in hospitalized pneumonia patients. This study used an observational analytical research design with a cross-sectional approach with 64 respondents were recruited using convenience sampling techniques. The independent variable of the study was anxiety level and the dependent variable was vital signs (blood pressure, pulse, respiration, and temperature). The research instrument used was the Hamilton Anxiety Rating Scale (HARS) Questionnaire to measure anxiety levels and the dependent variable was measured using the Vital Signs Observation Sheet, Digital Tensimeter and Digital Thermometer. Data Analysis Data were analyzed using the Spearman or Pearson correlation test (according to data normality) with a confidence level of 95% (α = 0.05). Vital signs of pneumonia patients showed that 28.13% of patients were not anxious and had normal blood pressure, 25.00% of patients had normal respiration rate, 21.88% showed normal pulse rate and 23.44% showed normal oxygen saturation. High anxiety levels showed that 25.00% of patients had abnormal blood pressure, 25.00% of patients had abnormal respiration rate, 28.13% showed abnormal pulse rate and 23.44% of patients had abnormal oxygen saturation. The results of the study showed that anxiety had a significant relationship with blood pressure, pulse rate, respiration rate, and oxygen saturation with a p value <0.05.
COMMUNITY SERVICE APPLICATION OF SPIRITUAL MINDFULNESS COMBINATION WITH SELF-REGULATION IN REDUCING ANXIETY IN PNEUMONIA PATIENTS Ayatulloh, Daviq; Priyantini, Diah
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 3 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i3.2025.485-494

Abstract

Pneumonia, a serious respiratory infection, remains a significant global health challenge in the modern era. This disease not only impacts the physical health of patients, but also often triggers deep anxiety and requires intervention. One form of intervention that can be given is a spiritual approach through mindfulness meditation combined with a self-regulation theory approach to provide positive stimuli in reducing anxiety in pneumonia patients. This community service focuses on implementing a spiritual mindfulness intervention approach combined with self-regulation in reducing anxiety in pneumonia patients. This method is implemented through a series of sessions involving: 1) Introduction to the concept of mindfulness and basic techniques; 2) Integration of spiritual elements according to each patient's beliefs; 3) Self-regulation training, including breathing and relaxation techniques; 4) Daily mindfulness practice with guidance; 5) Group discussions to share experiences and support each other. The characteristics of the participants are an average age of 45.6 years and female gender (60%) is more dominant. The average duration of pneumonia is 14.3 days. Before the intervention, the average score of the patient's anxiety level was 24.8 (indicating moderate anxiety). After being given mindfulness activities, participants showed improvements in their anxiety conditions, the average score was 14.2 (indicating a significant decrease). The combination of mindfulness, spiritual approaches, and self-regulation showed very promising results in reducing anxiety levels in pneumonia patients. This holistic approach combines meditation techniques, spiritual practices, and emotion management strategies for patients.
HEAD UP POSITION 30° - 45° FOR SUCCESSFUL VENTILATOR WEANING PROCESS IN INTENSIVE CARE UNIT Wibowo, Nugroho Ari; Priyantini, Diah; Saputro, Suyatno Hadi; Kartikaratri, Erinda Sari; Ayatulloh, Daviq
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.74048

Abstract

Introduction: Ventilator weaning is the process of transitioning a patient from ventilator support to independent breathing for more than 48 hours. A 30°-45°head-up position, where the patient's head is raised above the bed, with the body parallel to the bed and the legs straight or unflexed, is believed to influence the success of the weaning process. This study aims to analyze the relationship between a 30°-45°head-up position and the success of ventilator weaning. Methods: A retrospective design was used, with 40 patients meeting the inclusion and exclusion criteria. Total sampling was applied, taking the entire population as the sample. Data were collected from patient medical records in the ICU from May to July 2023 to evaluate the head-up position and the success of ventilator weaning. Data analysis was performed using the chi-square test to determine the significance of the relationship between the variables. Results: The study results showed a significant association between a 30°-45° head-up position and successful weaning in ventilator patients, with a p-value of 0.000 (<0.05). The majority of patients positioned with their heads up were successfully extubated and did not require further ventilator support for the next 48 hours. This head-up position is believed to help increase lung capacity and respiratory efficiency during the weaning process. Conclusions: maintaining a 30°-45° head-up position playe a crucial role in successful ventilator weaning. Therefore, careful monitoring and thorough assessment during the weaning process could be essential to ensure rapid and accurate extubation in ventilator patients.
Development of Nurse Behavior Models Based on Work Productivity and the Informational Motivation Behavioral Skill on Compliance with Documenting Integrated Patient Progress Record Rochman, Diana; Triharini, Mira; Indarwati, Retno; Ayatulloh, Daviq; Priyantini, Diah
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3314

Abstract

Integrated patient progress record (IPPR) documentation shows that it is still not 100% complete and needs improvement. The aim of the research is to develop a model of nurse behavior based on work productivity and the informational motivation behavioral skills on IPPR documentation compliance. Phase 1 research used explanatory research with a cross sectional approach on 155 nurses at Blambangan Hospital, Banyuwangi who were recruited using cluster random sampling. Independent variables: organizational characteristics, nurse characteristics, work characteristics, information skills, social motivation, documentation behavior and the dependent variable is documentation compliance. The instrument is an instrument that was modified by the researcher and has first been tested and declared valid and reliable. Analysis of research data using SEM-PLS. Phase 2 research uses a qualitative design in the preparation of modules through FGD and expert consultation. Phase 1 research shows that the outer model construct validity of all indicators is valid with loading factor values ≥ 0.5. Reliability for all indicators shows reliability with Cronbach's alpha > 0.6. Hypothesis testing showed that all were significant, only the influence of work characteristics on nurse characteristics was not significant. The results of the phase 2 research module are based on recommendations from FGDs and expert consultations. During model development, the strongest path in combining the two theories is the nurse characteristics path through the work productivity and IMBS-based documentation behavior path and towards IPPR documentation compliance. So, it is very important to emphasize that in increasing nurses' compliance in carrying out IPPR nursing documentation, it is necessary to improve nurses' self-efficacy by increasing the knowledge, abilities, attitudes, personality, self-perception, beliefs and hopes that exist within nurses.
Development of Supervision Based on Emotional Intelligence Model on Nursing Service Quality Andayani, Evi; Fitryasari, Rizki; Sari, Dianis Wulan; Ayatulloh, Daviq; Priyantini, Diah
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3325

Abstract

The quality of nursing services in hospitals is related to the assessment of patient and family satisfaction, so supervision is needed to minimize the provision of less-than-optimal nursing services. Supervision is influenced by the emotional condition and intelligence of the supervisor. This research aims to develop a supervision based on emotional intelligence (EI) model for the quality of nursing services. The research consisted of two stages, namely stage 1 using an explanatory survey with a cross sectional approach. The population was 262 nurses at Blambangan Hospital, Banyuwangi Regency, r sample of 168 respondents was obtained through probability sampling with cluster random sampling. Data was collected using a questionnaire and analyzed using Partial Least Square (PLS). Stage 2 research is the preparation of a supervision based on EI module that refers to strategic issues obtained from the results of the first stage research, focus group discussions and expert consultations. There is a significant influence of individual factors (T=8.789), organizational factors (T=4.519), psychological factors (T=13.853), and work factors (T=3.517) on supervision based on EI. There is an influence of individual factors (T=11.703), organizational factors (T=5.012), psychological factors (T=9.008), and work factors (T=6.512) on the quality of nursing services. There is an influence of supervision based on EI (T= 3.224) on the quality of nursing services, as well as the arrangement of supervision based on EI modules to improve the quality of nursing services. The development of supervision based on EI which includes normative, formative and restorative can be an effort by the head of the room or supervisor to improve the quality of nursing services and it is important to pay attention to self-awareness, social awareness, self-management and relationship management.
Pengaruh Family Empowerment Terhadap Kemampuan Deteksi Dini dan Perilaku Pencegahan Stunting di Pamekasan, Madura Mukarromah, Nur; Priyantini, Diah; Winata, Septian Galuh; Rofiqi, Erfan; Prabawati, Chlara Yunita; Ayatulloh, Daviq
Jurnal Keperawatan Muhammadiyah Vol 9 No 1 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i1.22389

Abstract

Objective: The purpose of this study was to analyze the effect of family empowerment on the ability to detect early and prevent stunting. Methods: A quasy experiment study with two groups consisting of 66 respondents was recruited using purposive sampling. The family empowerment instrument uses the media module and the ability for early detection is measured using the The Stunting Tool for Early Prevention questionnaire and prevention behavior is measured using stunting prevention behavior. Data were analyzed using SPSS version 21 with the Wilcoxon Signed Rank and Mann Whitney Tests. The results showed that the ability of early detection and stunting prevention behavior showed an increase in the intervention group with good category (22.41 to 79.48 and 23.87 to 81.35, respectively). Results: The results of the significance test showed that family empowerment had a significant effect on early detection ability (p = 0.001) and stunting prevention behavior (p = 0.000). Conclusion: Early detection ability and stunting prevention behavior can be improved through family empowerment that specifically focuses on growth, nutritional status, knowledge, additional supplements, hygiene and discipline in posyandu activities
Faktor Determinan yang Mempengaruhi Perilaku Caring Perawat Emergency Di Ruang Instalasi Gawat Darurat Ayatulloh, Daviq; Laily, Nurul Fahmi Rizka; Alfianti, Khalifatus Zuhriyah; Priyantini, Diah; Masruri, Masruri
Jurnal Keperawatan Muhammadiyah Vol 9 No 2 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i2.22951

Abstract

Objective: This study aimed to analyze the factors that most influence the caring behavior of emergency nurses in the Emergency Room (IGD) of RSUD Dr. Soetomo, Surabaya. Methods: Quantitative research using a cross sectional approach. A total of 48 respondents were recruited as research samples from 70 populations. The sampling technique used non-probability sampling with purposive sampling. Independent variables are individual factors of personality, psychological factors of motivation, and organizational factors of workload and rewards. Data analysis using SPSS version 21 with multiple logistic regression test with a = 0,05 and 95% confidence level significant. Results: The results showed that there was an influence of individual factors of personality (p=0.047), psychological factors of motivation (p=0.045), organizational factors of workload (p=0.018), and organizational factors of rewards (0.021). The largest Exp (B) value / OR is the workload organizational factor which is 26.150, which means that the perceived workload has a chance of 26.150 times affecting the caring behavior of emergency nurses. Conclusion: Individual personality factors, motivational psychological factors, workload organizational factors and rewards have a significant influence on the caring behavior of emergency nurses. However, there is one factor that most dominantly affects the caring behavior of emergency nurses is the organizational factor of workload.
The Effect of Clinical Pathway Socialization with Explicit Instruction Methods on Nurse Compliance in the Implementation of the COVID-19 Clinical Pathway Twistiandayani, Retno; Ayatulloh, Daviq; Kinarti, Meli Candra
Fundamental and Management Nursing Journal Vol. 5 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v5i1.37987

Abstract

Introduction: Clinical pathway is an integrated concept in the form of preventing unnecessary care, medication errors or other harmful incidents. Strategies to improve nurse compliance on clinical pathways have widely implemented. However, the effectiveness was found to be inconsistent. This study aimed to determine the effect of the socialization of the explicit instruction method on nurse compliance in the implementation of the COVID-19 clinical pathway. Method: This research method applied a pre-experimental research design with one group pretest-posttest design. The sampling technique used total sampling with a sample of 24 respondents from September to November 2021. The dependent variable was the socialization of the clinical pathway with the explicit instruction method.The independent variable was nurse compliance in the implementation of the COVID-19 clinical pathway. Data was taken by means of observation using a clinical pathway checklist instrument which was then analyzed using the Wilcoxon Signed Ranks Test with sig p <0.05. Results: the results of this study prove that there was a significant effect of providing socialization. Explicit instruction method on nurse compliance showed a significant impact on the implementation of the COVID-19 clinical pathway with a value (p = 0.008) with a compliance rate of 83%. Conclusions: Compliance with the established clinical pathway increase quality of health care service. This study found explicit instruction method effectively increase nurse compliance on the COVID-19 clinical pathway. Studies measuring explicit instruction in combination with other methods that strengthen nurse compliance with clinical pathway are crucial to be conducted.
Deep breathing relaxation with guided imagery on pain intensity and vital signs of post-caesarean section patients with a Comfort Theory approach Diah Priyantini; Daviq Ayatulloh; Nursalam Nursalam
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.1-8

Abstract

HIGHLIGHTS The combination of deep breathing relaxation therapy with guided imagery is an effective non-pharmacological therapy for post-caesarean section patients. The combined intervention of deep breathing relaxation with guided imagery based on the Comfort Theory approach has an impact on the pain intensity of post-caesarean section patients.   ABSTRACT Objective: This study aimed to evaluate the effect of combining deep breathing relaxation techniques with guided imagery on pain intensity and vital signs in patients following caesarean section. Materials and Methods: A quasi-experimental study was conducted among mothers who had undergone caesarean section. A total of 40 respondents were allocated into an intervention group (n=20) and a control group (n=20) using purposive sampling. The independent variable was deep breathing relaxation combined with guided imagery based on Comfort Theory, whereas the dependent variables were pain intensity, assessed using the Numerical Rating Scale, and vital signs (TTV), including blood pressure, pulse rate, and respiratory frequency, measured using examination and observation sheets. Data were analyzed using paired t-tests and independent t-tests. Results: In the intervention group, the intervention significantly affected systolic blood pressure, diastolic blood pressure, pulse rate, and pain intensity (p<0.05). The greatest improvement was observed in systolic blood pressure (Δ=15.75), followed by diastolic blood pressure (Δ=4.25), pulse rate (Δ=3.80), and pain intensity (Δ=2.40). Between-group analysis after the intervention demonstrated significant differences in systolic blood pressure (p=0.000), pulse rate (p=0.009), respiratory frequency (p=0.004), and pain intensity (p=0.000), whereas diastolic blood pressure did not differ significantly between the groups (p=0.126). Conclusion: Deep breathing relaxation combined with guided imagery based on Comfort Theory effectively reduced pain intensity in patients following caesarean section, as demonstrated by a reduction in pain scores from 5–7 to 1–3. The intervention also improved patients' vital signs by reducing systolic and diastolic blood pressure as well as pulse rate.