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Hubungan Tingkat Kegawatdaruratan Pasien dengan Tingkan Kecemasan Keluarga Pasien di IGD RSI Sultan Agung Semarang Norfita Ashari; Erna Melastuti; Ahmad Ikhlasul Amal
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1216

Abstract

Patients who come to the emergency room will be triaged. Categorization of patients based on triage often causes anxiety in the patient's family. Anxiety is a psychological condition of a person with fear accompanied by physical complaints. The purpose of this study was to determine the relationship between the level of patient emergency with the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang. This study is a type of quantitative research with correlational research design and cross sectional method. Data collection was done with a questionnaire with a total of 300 respondents with accidental sampling technique. The data obtained is statistically processed using the sommers test. Based on the analysis obtained, 41 respondents in ATS 2 experienced very severe anxiety, 63 respondents in ATS 3 experienced severe anxiety, 47 respondents in ATS 4 experienced moderate anxiety, 10 respondents in ATS 5 experienced mild anxiety. The results of the sommers test showed a p value of 0.00, meaning that there was a relationship between the level of emergency of the patient and the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang.
Gambaran Faktor – Faktor yang Mempengaruhi Terjadinya Kekambuhan pada Pasien Hipertensi Neli Izatil Minah; Erna Melastuti; Ahmad Ikhlasul Amal
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1217

Abstract

Blood pressure that is higher than normal is known as hypertension. This is a disease to be wary of because it has no signs and symptoms. Recurrence experienced by a person more than once with characteristics that occur frequently and are usually unpleasant. Several factors that influence compliance with treatment, family history, stress, diet compliance. This research aims to identify factors that play a role in the occurrence of relapse in hypertension patients. This research uses a quantitative approach with a descriptive method, which aims to describe the phenomenon in a certain population. Data were collected through the MMAS-8, PSS, and DASH questionnaires from 140 respondents selected using purposive sampling techniques. Based on the results of research from 140 respondents suffer from hypertension, it can concluded that majority were 57 people (40.7%), 76 people were female (54.3%), 137 people were married (97.9%), 53 people had a high school education level. people (37.9%), the longest duration of suffering from hypertension is 1-5 years as many as 62 people (44.3%), the occupation of respondents who work is 86 (61.4%), genetics and family history are the most many families, 88 people (62.9%), 79 people (56.4%) were moderately compliant with medication, 105 people were moderately stressed (75.0%), and 132 people were compliant with diet (94.3%). The results of this research revealed that a number of factors that contribute to recurrence in hypertensive patients include age, gender, marital status, education level, duration of illness, family history, compliance with treatment, stress levels, and compliance with diet.
Lama Menjalani Hemodialisis dan Kualitas Hidup Pasien Gagal Ginjal Kronik : Korelasi Keduanya Ahmad Ikhlasul Amal; Erna Melastuti; Maharani Puspita Putri
Jurnal Medika Nusantara Vol. 4 No. 1 (2026): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v4i1.2185

Abstract

Hemodialysis is the primary life-sustaining therapy for patients with end-stage Chronic Kidney Disease. However, the complex burden of therapy has the potential to affect quality of life. The relationship between HD duration and quality of life still shows inconsistent results, warranting further investigation. This observational analytic study with a cross-sectional design involved 99 HD patients at Sultan Agung Islamic Hospital, Semarang. Sampling was conducted using consecutive sampling. HD duration data were collected from medical records, and quality of life was measured using the KDQOL-SF™ questionnaire. Data analysis used descriptive statistics and the Gamma correlation test. Most respondents were aged 51–70 years, female, had elementary school education, and worked as farmers. Analysis revealed a significant and positive relationship between the duration of HD and quality of life. Patients with an HD duration of more than 24 months tended to have a better quality of life compared to those with a duration of less than 12 months. The duration of hemodialysis has a strong positive correlation with the quality of life of CKD patients. This finding indicates that patient adaptation to the disease and therapy improves over time. Intensive support interventions are recommended for new patients to accelerate the adaptation process during the initial phase of therapy.
Pengaruh ROM Aktif-Asistif Dengan Spherical Grip Terhadap Kekuatan Genggam Tangan Dan Rentang Gerak Sendi Pasien Stroke Non-Hemoragik Eko Anggoro Santoso; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/evd11y50

Abstract

Non-hemorrhagic stroke is a leading cause of long-term disability, frequently resulting in upper-extremity muscle weakness, particularly reduced handgrip strength and limited joint range of motion. These impairments substantially diminish patients’ functional capacity and independence. Active-assisted Range of Motion (ROM) exercises combined with spherical grip training are believed to stimulate neuromuscular function and enhance muscle strength through repetitive motor practice. This study employed a pre-experimental two-group pretest–posttest design involving 36 respondents (18 in the intervention group and 18 in the control group) at RSUD Dr. H. Soewondo Kendal. Participants were selected using purposive sampling. Muscle strength was measured using Manual Muscle Testing (MMT), while joint range of motion was assessed with a goniometer. Data were analyzed using the Wilcoxon and Mann–Whitney tests. The findings demonstrated a significant improvement in handgrip strength and in most joint range-of-motion parameters following active-assisted ROM therapy with spherical grip (p ≤ 0.05). In contrast, the control group showed no statistically significant changes. These results indicate that active-assisted ROM therapy with spherical grip is effective in improving handgrip strength and joint range of motion in patients with non-hemorrhagic stroke. Therefore, this intervention is recommended as an integral component of nursing rehabilitation programs to enhance motor function and improve post-stroke quality of life
The Relationship Between Stigma and Family Support on the Psychosocial Adaptation of HIV/AIDS Patients Aurora Almira Darwanto; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6821

Abstract

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome) is a serious illness caused by the HIV virus, which attacks the immune system, leading to high morbidity and mortality. HIV cases in Indonesia reached an estimated 503,201 people in 2024. In addition to biological challenges, people living with HIV/AIDS (PLWHA) face severe psychosocial stress, primarily due to stigma and discrimination within both the family and the wider community. Therefore, the critical aspect of psychosocial adaptation requires a holistic approach, particularly through family support, to reduce stigma and ensure PLWHA receive optimal support. To determine the relationship between stigma and family support on the psychosocial adaptation of HIV/AIDS patients. This study used a quantitative research approach with a cross-sectional design. The sample consisted of 79 respondents. Sampling was determined using the accidental sampling technique. The data obtained were analyzed using the Spearman's rho correlation test. The results of the Spearman's rho correlation test indicate a relationship between stigma and family support on the psychosocial adaptation of HIV/AIDS patients. A relationship exists between stigma and family support on the psychosocial adaptation of HIV/AIDS patients.
The Correlation Between Antiretroviral (ARV) Adherence and Coping Strategies on the Immune Status of People Living with HIV (PLHIV) Fajar Ibnu Abdulrohman; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6822

Abstract

Acquired Immune Deficiency Syndrome (AIDS), caused by the Human Immunodeficiency Virus (HIV), remains a significant global health issue, with an estimated 39.9 million people living with HIV (PLHIV) worldwide. HIV damages the immune system, particularly CD4 T cells, making patients susceptible to opportunistic infections. Given this major impact, immune status is a primary focus for PLHIV, where two key factors adherence to Antiretroviral (ARV) therapy and coping strategies play a vital role. ARV adherence is proven to suppress viral replication and restore CD4 cell count, while adaptive coping strategies assist in managing stress that can weaken the immune response. To determine the correlation between ARV adherence and coping strategies on the immune status of people living with HIV (PLHIV). This study used a quantitative research type with a cross-sectional design. The sample consisted of 64 respondents. Sampling was determined using the Slovin formula technique. The data obtained were analyzed using the Spearman's Rho correlation test. The results of the Spearman's Rho correlation test indicated a correlation between antiretroviral (ARV) adherence and coping strategies on the immune status of people living with HIV (PLHIV). There is a correlation between antiretroviral (ARV) adherence and coping strategies on the immune status of people living with HIV (PLHIV).
Hubungan Tingkat Spiritualitas dan Self-Efficacy Dengan Penerimaan Diri Pada Orang Dengan HIV (ODHIV) Di Puskesmas Poncol Kota Semarang Dela Arum Lorensa; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/ps6ej279

Abstract

This study aimed to analyze the relationship between spirituality level and self-efficacy with self-acceptance among people living with HIV (PLHIV) at Poncol Primary Health Center, Semarang City. A quantitative cross-sectional design was applied involving 64 PLHIV selected using the Slovin formula. Data were collected using standardized questionnaires measuring spirituality, self-efficacy, and self-acceptance. Statistical analysis was conducted using Spearman’s rho test. The results indicated that most respondents had moderate levels of spirituality, self-efficacy, and self-acceptance. Bivariate analysis revealed a significant and strong positive correlation between spirituality and self-acceptance (r = 0.769; p < 0.001), as well as between self-efficacy and self-acceptance (r = 0.713; p < 0.001). These findings suggest that higher spirituality and stronger self-efficacy are associated with better self-acceptance among PLHIV. Spirituality provides meaning and emotional resilience, while self-efficacy strengthens individuals’ confidence in managing their condition and daily challenges. This study highlights the importance of integrating spiritual and psychological empowerment approaches into comprehensive HIV care services to enhance psychosocial well-being and adaptive capacity among PLHIV.  
HUBUNGAN SPIRITUAL WELL-BEING TERHADAP STRES PASIEN HEMODIALISIS Kinasih, Puji Setya; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6742

Abstract

Latar belakang: Pasien yang menjalani hemodialisis rentan mengalami stres akibat perubahan fisik, psikologis, dan sosial yang terjadi secara terus-menerus. Spiritual Well-Being berperan penting dalam membantu pasien beradaptasi serta menurunkan tingkat stres selama menjalani terapi jangka panjang. Tujuan: Studi ini menganalisis hubungan spiritual well-being terhadap stres pasien hemodialisis. Metode: Penelitian kuantitatif ini menggunakan desain cross-sectional dengan jumlah sampel 100 responden yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan Spiritual Well-Being Scale (SWBS)  kuesioner Perceived Stress Scale (PSS). Analisis data dilakukan dengan uji korelasi Spearman. Hasil: Sebagian besar responden memiliki spiritual well-being kategori tinggi, serta stres kategori sedang. Hasil analisis menunjukan terdapat hubungan signifikan antara spiritual well-being terhadap stres (p< 0,05) dengan arah korelasi negatif, yang mengindikasikan bahwa semakin tinggi spiritual well-being, maka semakin rendah stres pada pasien hemodialisis. Kesimpulan: Spiritual well-being berhubungan signifikan terhadap stres pada pasien hemodialisis. Intervensi keperawatan yang mendukung aspek spiritual perlu dipertimbangkan untuk membantu pasien mengelola stres selama menjalani terapi.
PENGARUH TERAPI KOMBINASI MOBILISASI DINI DENGAN AROMATERAPI LEMON TERHADAP NYERI POST OPERASI PADA PASIEN CHOLELITHIASIS Rahmila, Sri Salma; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6827

Abstract

Latar belakang: Nyeri post operasi merupakan masalah yang sering dialami pasien cholelithiasis setelah tindakan pembedahan dan dapat menghambat mobilisasi dini, memperlambat pemulihan, serta menurunkan kenyamanan pasien. Selain terapi farmakologis, perawat berperan penting dalam pemberian intervensi nonfarmakologis untuk mengurangi nyeri, salah satunya kombinasi mobilisasi dini dan aromaterapi lemon. Tujuan: mengetahui pengaruh terapi kombinasi mobilisasi dini dengan aromaterapi lemon terhadap nyeri post operasi pada pasien cholelithiasis. Metode: menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sampel berjumlah 36 responden yang dibagi menjadi kelompok perlakuan dan kelompok kontrol. Tingkat nyeri diukur menggunakan Numeric Rating Scale sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon dan uji Mann–Whitney. Hasil: rata-rata tingkat nyeri kelompok perlakuan menurun dari 3,78 ± 0,428 menjadi 2,28 ± 0,575 setelah intervensi. Uji Wilcoxon menunjukkan penurunan yang bermakna (p < 0,05) dengan kekuatan efek sangat kuat. Pada kelompok kontrol, perubahan tingkat nyeri tidak bermakna (p > 0,05). Uji Mann–Whitney menunjukkan perbedaan signifikan antara kelompok perlakuan dan kontrol setelah intervensi (p < 0,05), sehingga terapi kombinasi mobilisasi dini dengan aromaterapi lemon efektif menurunkan nyeri pascaoperasi pada pasien cholelithiasis. Kesimpulan: menunjukkan bahwa kombinasi mobilisasi dini dan aromaterapi lemon efektif menurunkan nyeri post operasi pada pasien cholelithiasis dan dapat direkomendasikan sebagai intervensi keperawatan nonfarmakologis.
PENGARUH TERAPI KOMBINASI RELAKSASI AUTOGENIK DAN SLEEP HYGIENE TERHADAP KUALITAS TIDUR PASIEN HEMODIALISIS Khusna, Ima Rotul; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6828

Abstract

Latar Belakang: Gangguan tidur merupakan keluhan yang sering dialami pasien hemodialisis akibat akumulasi toksin uremik, ketidaknyamanan prosedur, perubahan ritme aktivitas, dan stres psikologis. Kondisi ini dapat berdampak pada kesehatan fisik, keseimbangan emosional, dan kualitas hidup. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh terapi kombinasi relaksasi autogenik dan sleep hygiene terhadap kualitas tidur pasien hemodialisis. Metode: Penelitian ini menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sebanyak 44 responden dipilih menggunakan teknik purposive sampling dan dibagi menjadi kelompok perlakuan dan kelompok kontrol. Kelompok perlakuan diberikan terapi kombinasi relaksasi autogenik dan sleep hygiene dua kali seminggu selama 20 menit setiap sesi. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil: Hasil penelitian menunjukkan bahwa sebelum intervensi, sebagian besar responden pada kelompok perlakuan memiliki kualitas tidur buruk (95,5%). Setelah diberikan terapi, kualitas tidur meningkat menjadi kategori baik (86,4%). Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Pada kelompok kontrol, kualitas tidur tidak menunjukkan perubahan yang bermakna. Kesimpulan: Terapi kombinasi relaksasi autogenik dan sleep hygiene berpengaruh signifikan dalam meningkatkan kualitas tidur pasien hemodialisis, sehingga direkomendasikan sebagai intervensi keperawatan nonfarmakologis yang dapat diterapkan secara rutin dalam praktik klinik.
Co-Authors Agustia Abida Mu’awanah Aldilla Aini Rahma Latifa Amelia Putri Khoirunnisa Angga Khoerul Rizal Arum Puspa Suryani Putri Aurora Almira Darwanto Baehaqi Cahyaningtias, Yulianti Davit Hermansyah Dela Arum Lorensa Dwi Heppy Rochmawati Dwi Retno S Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyoningsih Ekawati Ekawati Eko Anggoro Santoso Endang Purwati Erna Melastuti Erna Melastuti Erna Melastuti, Erna Fajar Ibnu Abdulrohman Febriana, Lina Fitri Cahyaningrum Hanun Nazih, Hanun Nazih Heppy Salsabella Herry Susanto Husnul Mubarok Ika Lilis Istiadah Ima Rotul Khusna Indah Sri Wahyuni Indah Sri Wahyuningsih Indah Sri Wahyuningsih Issroviatiningrum, Retno Janitra, Fitria Endah Khusna, Ima Rotul Kinasih, Puji Setya Kurnia Wijayanti Luthfi Indriyani Maharani Puspita Putri Maria Candida Dos Reis Maulidan Nurun Nabila Megani Ifa Algandira Mochammad Saiqul Ulum Moh Saefudin Mohammad Arifin Noor Mohammad Arifin Noor Muh. Abdurrouf Mustafiatun, Siti Naila Hilya Neli Izatil Minah Nia Julian Wati Nila Maulida Awaliya Ramadhani Nizar Fahmi Noer Chariesmalillah Nopi Nur Khasanah Norfita Ashari Nur Indah Febriani Nurrahmah, Maulidiya Puji Setya Kinasih Qotrun Nada Salsabila Rahmila, Sri Salma Retno Issroviatiningrum Retno Issroviatiningrum Retno Setyawati Retno Setyawati Retno Setyawati Rika Dian Mustika RISKA WAHYUNI Rizsa Aulia Anindhita S. Suyanto Safaatul Intani Saidah Qodtamalla Sari, Dyah Wiji Puspita Senia Pangestu Luhur Cahya Shinta Dewi Lestari Siti Karomah Siti Khoridah Dwi Aryani Siti Masamah Siti Mustafiatun Siti Rohmah Sri Salma Rahmila Sri Wahyuni Suyanto Suyanto Suyanto Tika Roudotul Janah Tika Roudotul Jannah Umi Khudoifah Wahyu Puspitasari Yani Istadi Yeni Rusyani Yuniartin, Irianita Ervin Zamroni Zyarohtul Wildan Navilda