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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.
FAKTOR-FAKTOR YANG MEMPENGARUHI SESAK NAPAS PADA PASIEN HEMODIALISIS Siti Mustafiatun; 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: 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.
PENGARUH TRIPOD POSITION TERHADAP PERUBAHAN SKOR DYSPNEA PADA PASIEN PPOK DI POLIKLINIK PARU RSU BANYUMANIK 2 SEMARANG Nur Indah Febriani; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Ilmiah Penelitian Mahasiswa Vol 5, No 1 (2026): MARET 2026
Publisher : Jurnal Ilmiah Sultan Agung

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Abstract

Latar Belakang: Penyakit Paru Obstruktif Kronik (PPOK) merupakan penyakit kronis progresif yang ditandai dengan hambatan aliran udara dan keluhan utama berupa dyspnea (sesak napas). Dyspnea yang tidak terkontrol dapat menurunkan kualitas hidup pasien. Salah satu intervensi nonfarmakologis yang dapat dilakukan untuk membantu mengurangi sesak napas adalah tripod position, yaitu posisi duduk condong ke depan untuk mengoptimalkan kerja otot bantu pernapasan. Penelitian ini bertujuan untuk mengetahui pengaruh tripod position terhadap perubahan skor dyspnea pada pasien PPOK di Poliklinik Paru RSU Banyumanik 2 Semarang.Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain pre-eksperimental menggunakan rancangan one group pre-test and post-test design. Pengambilan sampel dilakukan dengan teknik consecutive sampling dengan jumlah responden sebanyak 35 pasien PPOK yang memenuhi kriteria inklusi dan eksklusi. Pengukuran tingkat dyspnea dilakukan sebelum dan sesudah intervensi menggunakan Modified Borg Dyspnea Scale. Analisis data dilakukan secara univariat dan bivariat. Uji statistik yang digunakan adalah Wilcoxon Signed-Rank Test karena data tidak berdistribusi normal.Hasil: Berdasarkan hasil penelitian, sebagian besar responden berusia ≥60 tahun (51,4%) dan didominasi laki-laki (71,4%). Sebelum intervensi, mayoritas responden mengalami dyspnea kategori sedang (74,3%) dengan rata-rata skor 3,8 ± 1,6. Setelah diberikan tripod position selama 10–15 menit, sebagian besar responden mengalami dyspnea kategori ringan (68,6%) dengan rata-rata skor menurun menjadi 2,1 ± 1,1. Hasil uji Wilcoxon menunjukkan nilai p = 0,000 (p < 0,05), yang berarti terdapat pengaruh signifikan tripod position terhadap penurunan skor dyspnea pada pasien PPOK.Simpulan: Tripod position berpengaruh signifikan terhadap penurunan skor dyspnea pada pasien PPOK di Poliklinik Paru RSU Banyumanik 2 Semarang dan dapat digunakan sebagai intervensi nonfarmakologis yang sederhana, aman, dan efektif dalam membantu mengurangi sesak napas.Kata kunci: PPOK, Tripod Position, Dyspnea, Modified Borg Dyspnea Scale, Intervensi Nonfarmakologis.
Analysis of Factors Influencing Nurse Performance in the Implementation of Nursing Care: A Literature Review: A LITERATURE REVIEW Maria Candida Dos Reis; Muh. Abdurrouf; Ahmad Ikhlasul Amal; Dyah Wiji Puspita Sari
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.905

Abstract

Nurse performance is a key determinant of patient safety and quality of care, yet remains highly influenced by multidimensional internal and external factors. This literature review aims to examine and synthesize the theoretical and empirical evidence regarding the determinants of nurse performance in the implementation of nursing care. This review draws upon theoretical perspectives of organizational behavior, motivational theory, and competency-based performance, supported by empirical findings from research published between 2020–2025. Using the PRISMA 2020 method, 1,310 articles were initially identified, from which 11 studies met the inclusion criteria. The literature was systematically reviewed through a structured process involving database searching (PubMed, DOAJ, Google Scholar, Garuda, Sinta, and Scopus), screening based on predefined inclusion and exclusion criteria, independent data extraction by two reviewers using a standardized form, and methodological quality assessment applying the JBI Critical Appraisal tools. Given the heterogeneity of study designs, a narrative synthesis approach was used to categorize determinants of nurse performance. Evidence synthesis demonstrates that nurse performance is shaped by individual factors (competence, tenure), psychological factors (stress, anxiety, burnout), motivational variables (self-efficacy, intrinsic and extrinsic motivation), and organizational determinants (leadership, managerial support, work culture), alongside environmental conditions (workload, shift patterns, equipment availability). Competence, work motivation, effective leadership, and supportive work environments consistently enhanced nurse performance, whereas workload burden and pandemic-related stress were associated with performance decline. Methodologically, most studies relied on cross-sectional designs and subjective self-report instruments, limiting causal interpretation and standardization. Nurse performance is driven by an interplay of personal, psychological, organizational, and systemic factors, necessitating a holistic improvement strategy incorporating competency development, motivational support, leadership strengthening, and work environment optimization.
Co-Authors Agustia Abida Mu’awanah Aldilla Aini Rahma Latifa Amelia Putri Khoirunnisa Andy Sunaryo Andy Sunaryo Angga Khoerul Rizal Arum Puspa Suryani Putri Aurora Almira Darwanto Badriyah Badriyah Cahyaningtias, Yulianti Davit Hermansyah Dela Arum Lorensa Depi Tri Saryani 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 Khasanah, Nopi Nur Khusna, Ima Rotul Kinasih, Puji Setya Kurnia Wijayanti Lily Herlina Batewa Luthfi Indriyani Maharani Puspita Putri Maria Candida Dos Reis Maulidan Nurun Nabila Megani Ifa Algandira MG Eny Mulyatsih Mochammad Saiqul Ulum Moh Saefudin Moh. Wafri Matorang 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 Rista Aristiyani Rizsa Aulia Anindhita S. Suyanto Safaatul Intani Saidah Qodtamalla Sari, Dyah Wiji Puspita Senia Pangestu Luhur Cahya Shafira Aura Anastasya Shinta Dewi Lestari Siska Dwi Yulianti Siti Karomah Siti Khoridah Dwi Aryani Siti Masamah Siti Mustafiatun Siti Rohmah Siti Syahriah Sri Salma Rahmila Sri Wahyuni Sri Wahyuni Suyanto Suyanto Suyanto Suzmita Septianing Permadya Tasika Marta Widia Ningsih Tika Roudotul Janah Tika Roudotul Jannah Umi Khudoifah Wahyu Puspitasari Yani Istadi Yeni Rusyani Yuniartin, Irianita Ervin Zamroni Zyarohtul Wildan Navilda