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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 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 Jurnal Siti Rufaidah Holistik Jurnal 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 Indonesian Journal of Global Health Research
Ahmad Ikhlasul Amal
Universitas Islam Sultan Agung
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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.
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 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