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FAKTOR-FAKTOR YANG MEMPENGARUHI SESAK NAPAS PADA PASIEN HEMODIALISIS Mustafiatun, Siti; 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.v8i2.6880

Abstract

Latar belakang: Gagal Ginjal Kronik (GGK) merupakan keadaan yang berkembang secara bertahap dan menyebabkan fungsi ginjal semakin menurun pengganti ginjal berupa hemodialisis. Salah satu keluhan yang sering dialami pasien hemodialisis adalah sesak napas (dispnea), yang dipengaruhi oleh berbagai faktor seperti kelebihan volume cairan dan anemia. Studi ini tujuan untuk memahami berbagai faktor yang berkontribusi terhadap sesak napas pada pasien yang menjalani hemodialisis di RSUD dr. Loekmono Hadi Kudus. Tujuan: Studi ini bertujuan untuk memahami faktor-faktor yang berpengaruh terhadap gejala sesak napas pada pasien yang menjalani hemodialisis. Metode: Penelitian ini menerapkan desain deskriptif dengan pendekatan kuantitatif yang memanfaatkan  data sekunder dari catatan medis. Terdapat sebanyak  211 pasien yang sesuai kriteria inklusi. Variabel yang dianalisis mencakup Interdialytic Weight Gain (IDWG) sebagai tanda kelebihan cairan dan konsentrasi hemoglobin sebagai penanda anemia. Pengolahan data dilakukan secara univariat dengan menggunakan distribusi frekuensi dan persentase. Hasil: Hampir semua pasien mengalami sesak napas. Mayoritas responden memiliki kategori IDWG baik, namun masih ditemukan pasien dengan IDWG berisiko. Berdasarkan kadar hemoglobin, sebagian pasien berada pada kategori anemia sedang. Kesimpulan: Kesimpulan penelitian ini menunjukkan bahwa Overload cairan dan anemia berperan penting terhadap sesak napas, sehingga pemantauan IDWG dan manajemen anemia perlu ditingkatkan.
The effectiveness of benson's relaxation technique to reduce pain intensity: A systematic review Husnul Mubarok; Ahmad Ikhlasul Amal; Dyah Wiji Puspita Sari; Dwi Retno Sulistyaningsih
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2123

Abstract

Background: Pain is a major clinical issue in both acute and chronic patients, affecting quality of life and causing psychological distress. Pharmacological therapy, particularly opioids, remains widely used but has limitations in the form of side effects and the risk of dependence. This has spurred the development of nonpharmacological interventions, one of which is Benson’s Relaxation Technique (BRT), which triggers a relaxation response and has the potential to reduce pain perception. Purpose: To evaluate the effectiveness of BRT in reducing pain intensity across various clinical populations. Method: A literature search was conducted using three databases—PubMed, ScienceDirect, and Web of Science—for articles published between 2015 and 2025. Included studies comprised randomized controlled trials and quasi-experimental designs assessing the effectiveness of BRT. Risk of bias was analyzed using the Joanna Briggs Institute critical appraisal tools. Results: Of the 705 articles identified, nine studies met the inclusion criteria, involving a total of 644 participants from India and Iran. Most studies demonstrated a significant reduction in pain intensity following BRT intervention, either as a standalone treatment or in combination with other therapies such as aromatherapy and psychoeducational interventions. Implementation protocols varied between 10–40 minutes per session with a frequency of 1–3 times per day, yet the results remained consistent. A risk of bias assessment indicated acceptable methodological quality. Conclusion: BRT has been proven to be an effective, safe, adaptable, and easy-to-practice complementary method for reducing pain. With its flexible and non-invasive nature, this technique has the potential to reduce reliance on pharmacological therapies. Large-scale, cross-cultural clinical trials are needed to confirm its long-term effectiveness.   Keywords: Benson's Relaxation Technique; Non-Pharmacological Therapy; Pain Intensity; Relaxation.   Pendahuluan: Nyeri merupakan masalah klinis utama pada pasien akut maupun kronis yang berdampak pada kualitas hidup dan beban psikologis. Terapi farmakologis, khususnya opioid, masih banyak digunakan tetapi memiliki keterbatasan berupa efek samping dan risiko ketergantungan. Hal ini mendorong berkembangnya intervensi nonfarmakologis, salah satunya Benson’s Relaxation Technique (BRT) yang memicu respon relaksasi dan berpotensi menurunkan persepsi nyeri. Tujuan: Untuk mengevaluasi efektivitas BRT dalam menurunkan intensitas nyeri pada berbagai populasi klinis. Metode: Pencarian literatur dilakukan melalui tiga database yaitu PubMed, ScienceDirect, dan Web of Science untuk publikasi artikel tahun 2015–2025. Studi yang disertakan meliputi uji acak terkontrol dan desain kuasi-eksperimental yang menilai efektifitas BRT. Risiko bias dianalisis dengan menggunakan Joanna Briggs Institute critical appraisal tools. Hasil: Dari 705 artikel yang teridentifikasi, sembilan studi memenuhi kriteria inklusi dengan total 644 responden dari Negara India dan Iran. Sebagian besar penelitian menunjukkan penurunan intensitas nyeri yang signifikan setelah intervensi BRT, baik secara mandiri maupun dikombinasikan dengan terapi lain seperti aromaterapi dan intervensi psikoedukatif. Protokol pelaksanaan bervariasi antara 10–40 menit per sesi dengan frekuensi 1–3 kali per hari, namun hasil tetap konsisten. Penilaian risiko bias menunjukkan kualitas metodologi yang dapat diterima. Simpulan: BRT terbukti sebagai metode komplementer yang efektif, aman, adaptif, serta mudah dipraktikkan untuk mengurangi nyeri. Dengan sifatnya yang fleksibel dan non-invasif, teknik ini berpotensi mengurangi ketergantungan pada terapi farmakologis. Uji klinis berskala besar dan lintas budaya diperlukan untuk memastikan efektivitas jangka panjangnya.   Kata Kunci: Benson's Relaxation Technique; Pain Instensity; Relaksasi; Terapi Non-Farmakologis.
Gambaran Intensitas Nyeri Saat Pengambilan Sampel Darah Paska Pemberian Napas dalam di IGD RS Sari Asih Karawaci Siti Masamah; Ahmad Ikhlasul Amal; Retno Setyawati
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.311

Abstract

Blood sampling is a mildly invasive medical procedure aimed at detecting diseases, assessing organ function, and evaluating the patient's overall health. It often causes pain, which can affect patient comfort. Pain perception during this procedure is influenced by both physiological and psychological factors. Therefore, safe and easily implemented non-pharmacological interventions are essential to alleviate pain intensity, and one such intervention is deep breathing relaxation. This descriptive observational study employed a quantitative one-shot case study design with a posttest-only approach. Pain intensity was measured after the deep breathing relaxation intervention was given, without any pretest. The findings revealed that after the deep breathing relaxation intervention, most respondents experienced mild pain (84 people, 70.6%), moderate pain (32 people, 26.9%), and severe pain (2 people, 1.7%). The results indicate that deep breathing relaxation significantly reduces pain intensity during blood sampling and can be effectively used as a non-pharmacological intervention to enhance patient comfort during medical procedures.
Hubungan Health Literacy dengan Pola Makan dan Kepatuhan Minum Obat Pasien Hipertensi Ekawati Ekawati; Ahmad Ikhlasul Amal; Retno Setyawati
Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i2.312

Abstract

Hypertension is a condition characterized by systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg. In Indonesia, the prevalence of hypertension showed an increasing trend in 2018, reaching 34.1% based on national survey data. Effective control of hypertension is essential to prevent long-term complications and acute cardiovascular events. Non-adherence to antihypertensive medication can increase cardiac workload. In addition to adherence to pharmacological therapy, unhealthy dietary patterns also contribute to the rising prevalence of hypertension. Therefore, adequate health literacy is required to support patients with hypertension in maintaining regular medication use and adopting healthy lifestyle changes, particularly in dietary management. To determine the relationship between health literacy and dietary patterns, as well as medication adherence among patients with hypertension. This study employed a non-experimental descriptive analytic design with a cross-sectional approach involving 113 respondents. Data were collected using questionnaires with ordinal scales and analyzed using the Gamma test. The results showed a p-value of 0.00 (<0.05) with correlation coefficients of R = 0.982 and R = 1.000, indicating a positive and very strong relationship between health literacy and dietary patterns, as well as medication adherence. There is a positive and very strong relationship between health literacy and dietary patterns and medication adherence among patients with hypertension.
The Relationship between Lifestyle and Stress Levels with the Incidence of Diabetes Mellitus: Literature Study Ika Lilis Istiadah; Dwi Heppy Rochmawati; Erna Melastuti; Ahmad Ikhlasul Amal
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.v7i3.5912

Abstract

Diabetes Mellitus (DM) is a chronic disease marked by high blood glucose due to insulin dysfunction. Its prevalence is rising, with Indonesia ranking seventh globally. Unhealthy lifestyles and stress exacerbate the issue, highlighting the need for improved prevention and management strategies. This study examines how lifestyle and stress influence DM incidence in Indonesian patients, identifying risk factors to enhance healthcare strategies. A systematic review using PRISMA guidelines analyzed studies from various databases (2019-2024), selecting relevant articles based on inclusion criteria and extracting key research data. From 10 reviewed journals, 4 linked lifestyle to DM, 1 identified sedentary behavior as a prediabetes risk, and 5 highlighted stress as a major factor. Preventing and managing DM requires a healthy lifestyle, stress management, and healthcare interventions to enhance patient well-being while reducing economic and health burdens.
Literature Review: Psychosocial Aspects as Determinants of Cancer Patients' Quality of Life Umi Khudoifah; Herry Susanto; Ahmad Ikhlasul Amal; Suyanto Suyanto
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.v7i4.6473

Abstract

Cancer is a chronic disease that not only affects patients physically, but also causes significant psychosocial distress. These psychosocial aspects have been shown to reduce patients' quality of life, yet are often overlooked in clinical practice. In fact, psychosocial-based interventions can strengthen emotional resilience and improve overall therapeutic outcomes. This review aims to evaluate the contribution of psychosocial aspects to cancer patients' quality of life based on recent scientific literature. This study was a systematic literature review by searching articles from two major databases, namely PubMed and Google Scholar, within the period 2020-2025. The search strategy was organized based on the PICO framework using keywords such as “psychosocial factors”, “quality of life”, and “cancer patients”. From a total of 180 articles found, 28 duplicate articles were eliminated, leaving 152 unique articles. The next stage of screening was done by reviewing the titles and abstracts, so 79 irrelevant articles were excluded and 73 articles continued to the next stage. At the eligibility assessment stage, 32 articles were selected after full-text reading and evaluation based on the inclusion criteria, which included discussing the relationship between psychosocial aspects and the quality of life of cancer patients, being available in full-text format, and written in either English or Indonesian. Finally, an in-depth evaluation of the quality and relevance of the articles was conducted, resulting in only 10 articles being deemed eligible for analysis in this literature review. The literature review indicated that psychosocial aspects such as anxiety, depression, coping, social support, and spirituality were shown to determine the quality of life of cancer patients. Psychosocial aspects are important determinants of cancer patients' quality of life.
How Effective Diabetic Foot Care is in Preventing Ulcers: Literature Review Davit Hermansyah; Sri Wahyuni; Dwi Retno Sulistyaningsih; Ahmad Ikhlasul Amal
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6884

Abstract

Diabetic foot ulcers are a serious complication of diabetes that can lead to severe infections and even amputation. Proper foot care is a key prevention strategy, although the effectiveness of interventions varies in practice. Objective: This study analyzes the effectiveness of foot care interventions in preventing ulcers in diabetic patients through a systematic literature review. A Systematic Literature Review was conducted following the PRISMA guidelines and the PICO approach (Population: type II diabetes patients; Intervention: foot care interventions; Comparison: standard education or no specific intervention; Outcome: prevention of foot ulcers). Article searches were conducted using the PubMed and Google Scholar databases from 2020 to 2025 using the keywords: diabetic foot care, foot ulcer prevention, and foot care education. The initial search yielded 268 articles, comprising 212 articles from Google Scholar and 56 articles from PubMed. Further screening was conducted by reading the titles and abstracts, removing duplicates and irrelevant articles, leaving 98 articles. During the eligibility stage, the full texts were thoroughly read and selected based on the established criteria, ultimately yielding 10 articles that met the criteria for further analysis. The methodological quality of the articles was assessed using the JBI Critical Appraisal Tools. A review of 10 articles showed that various interventions, including behavior-based education and technology models, were effective in improving foot care and significantly reducing the risk of ulcers (p < 0.05) across all studies.
HUBUNGAN SPIRITUAL WELL-BEING TERHADAP STRES PASIEN HEMODIALISIS Puji Setya Kinasih; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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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 Sri Salma Rahmila; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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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 Ima Rotul Khusna; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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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