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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan PROSIDING SEMINAR NASIONAL Journal Of Holistic Nursing Science Journal of Dedicators Community Media Keperawatan Indonesia JURNAL PENDIDIKAN TAMBUSAI Journal of Islamic Nursing PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Kesehatan Terpadu (Integrated Health Journal) JURNAL MUTIARA NERS JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Surya Indonesian Journal of Global Health research Jurnal Ilmu Kesehatan MAKIA Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Gaster Jurnal Ilmu Kesehatan MAKIA Jurnal HUMANIS Jurnal Keperawatan 'Aisyiyah Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Keperawatan Jurnal Ilmiah Sultan Agung Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Medika Nusantara Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Inovasi Kesehatan Global Quantum Wellness : Jurnal Ilmu Kesehatan Protein: Jurnal Ilmu Keperawatan dan Kebidanan Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Gudang Jurnal Ilmu Kesehatan Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie International Journal of Health Science
Ahmad Ikhlasul Amal
Universitas Islam Sultan Agung
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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.
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.
Gambaran Lama Terdiagnosa dan Kadar Glukosa Darah Sewaktu terhadap Nefropati Diabetik pada Penderita Diabetes Mellitus Maulidan Nurun Nabila; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/af9jw396

Abstract

Diabetic nephropathy remains a major microvascular complication contributing to morbidity among patients with diabetes mellitus, particularly in relation to prolonged disease duration and poor glycemic control. This study aimed to describe the distribution of diabetes duration and random blood glucose levels among patients with diabetic nephropathy. A retrospective descriptive design was applied using medical record data of diabetic nephropathy patients treated at Sultan Agung Islamic Hospital, Semarang, in 2025. A total of 97 patients were selected using the Taro Yamane formula. Data on duration of diabetes diagnosis and random blood glucose levels were analyzed using univariate analysis and presented as frequency and percentage distributions. The findings indicate that most patients with diabetic nephropathy had been diagnosed with diabetes for more than one year and exhibited elevated random blood glucose levels, reflecting sustained metabolic stress. These patterns support the concept that cumulative exposure to hyperglycemia over time plays a critical role in the development of renal microvascular damage. The study highlights the clinical relevance of early glycemic monitoring and long-term disease management to mitigate the progression of diabetic nephropathy.
Pengaruh Kombinasi Pemberian Massage Effleurage dengan Nigella Sativa Oil Terhadap Penurunan Risiko Terjadinya Ulkus Dekubitus Siti Karomah; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/7m2cke55

Abstract

Pressure ulcers are conditions characterized by damage to the anatomical structure and normal function of the skin caused by continuous external pressure on prominent bony areas. This study was conducted to determine the effect of a combination of effleurage massage and Nigella sativa oil on reducing the risk of pressure ulcer development. Pressure ulcers are a common nursing problem, particularly among individuals with limited mobility and those undergoing prolonged bed rest. This study employed a quantitative approach using a quasi-experimental one-group design with post-intervention measurement. The sample consisted of 18 respondents who met the inclusion criteria and were determined using the Federer formula. All respondents received an intervention in the form of a combination of effleurage massage and Nigella sativa oil in accordance with established procedures. The risk of pressure ulcer development was assessed after the intervention using a standardized risk assessment instrument. The data were analyzed using appropriate statistical tests. The results showed a statistically significant reduction in the risk of pressure ulcer development after the intervention, with a p-value of 0.003. This study concludes that the combination of effleurage massage and Nigella sativa oil has a significant effect on reducing the risk of pressure ulcers.
Faktor-Faktor yang Berhubungan dengan Perawatan Diri pada Pasien Peningkatan Asam Urat Heppy Salsabella; Ahmad Ikhlasul Amal; Dwi Retno S
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/9bzr7f30

Abstract

This study was motivated by problems often experienced by gout sufferers, such as severe pain in the joints that recurs, especially at night and in the morning, accompanied by aching, swelling, and redness, with the aim of identifying factors related to self-care in patients with elevated uric acid at the Genuk Community Health Center in Semarang. The study employed a descriptive analytical design with a cross-sectional approach, data collection through questionnaires, involving 66 respondents using total sampling technique, and statistical analysis using the Spearman Rho test. The results showed that the average age of respondents was 48 years old and they had been diagnosed with gout for 3 years, with the majority being male (60.6%), having a high school education (62.1%), working as private employees (48.5%), receiving high levels of family support (71.2%), and having good self-care behaviors (59.1%). The study concluded that there was a relationship between age and education with self-care in gout patients (p value < 0.05), but there was no relationship between gender and self-care (p value > 0.05).  
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 Dela Arum Lorensa Dwi Heppy Rochmawati Dwi Retno S Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyoningsih Eko Anggoro Santoso Endang Purwati Erna Melastuti Erna Melastuti Erna Melastuti, Erna Fajar Ibnu Abdulrohman Febriana, Lina Fitri Cahyaningrum Hanun Nazih, Hanun Nazih Hendrawan, Gagah Satria Heppy Salsabella Hermansyah, Davit Hernugroho, Ananto Herry Susanto Indah Sri Wahyuni Indah Sri Wahyuningsih Indah Sri Wahyuningsih Issroviatiningrum, Retno Istiadah, Ika Lilis Janitra, Fitria Endah Khudoifah, Umi Khusna, Ima Rotul Kinasih, Puji Setya Kurnia Wijayanti Luthfi Indriyani Maharani Puspita Putri Mauliani, Dian Putri 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 Nurrahmah, Maulidiya 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 Rohmah Sri Wahyuni Suyanto Suyanto Suyanto Tika Roudotul Janah Tika Roudotul Jannah Wahyu Puspitasari Yani Istadi Yeni Rusyani Yuniartin, Irianita Ervin Zamroni Zyarohtul Wildan Navilda