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Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit Astuti, Nining Puji; Sriyono, Sriyono; Yunitasari, Esti; Kurniawati, Ninuk Dian; Baidhowy, Arief Shofyan
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): 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.v6i1.2664

Abstract

Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.
The Effect Of Virtual Reality On Pain In Diabetic Foot Ulcer Patients Baidhowy, Arief Shofyan; Nurhaslina Rahmah, Irma; Khoiriyah, Khoiriyah; Rejeki, Sri
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.261

Abstract

Background: Diabetes Mellitus (DM) is a heterogeneous group of disorders characterized by increased blood glucose levels or hyperglycemia which can cause complications such as Diabetic Foot Ulcer. Debridement can cause the patient to experience pain. A nursing intervention that can be used to reduce pain during the debridement of diabetic ulcers is a distraction. VR (Virtual Reality) become a popular distraction device to reduce pain. The purpose of this study was to analyze the effect of Islamic audio-visual therapy by using virtual reality on pain in the treatment of diabetic ulcers. Methods: This type of research uses a quantitative research type with Quasi-experimental with the One Group Pre-Post Test Design approach. The population in this study were diabetes mellitus ulcer pain patients at the Semarang Foid Clinic with a total of 26 patients with a total sample using 26 samples. The instrument used was the pain observation sheet. Data analysis used the Wilcoxon test. Results: the majority were male 65.4%, the majority had a high school education 42.3%, the majority suffered 1-2 months 73.1% and the majority had a grade I Diabetes Mellitus ulcer 65.4%. The results of p-value 0.001 <0.05 can be interpreted that there is an effect of Islamic audio-visual therapy on pain in diabetic ulcer care. Conclusion: This study provides an effect of Islamic audio-visual therapy by using virtual reality on pain in diabetic ulcer care. VR has an effective effect on lower pain in DFU patients. In future research, more detailed criteria are required, such as patients with similar diseases, same age group, and more participants to study.
Lifestyle Differences Between Rural and Urban Communities In Hypertension Prevention Arief Shofyan Baidhowy; Wahyu Haniq Maftuhah; Yunie Armiyati; Edy Soesanto
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.243-350

Abstract

Indonesian society is undergoing an epidemiological transformation as the burden of disease shifts from infectious diseases to non-communicable diseases. Hypertension has become a global problem and is one of the non-communicable diseases that requires special attention. The management of risk factors for hypertension is lifestyle. Rural and urban play an important role in lifestyle changes so that people in both places are at risk of hypertension. So it is necessary to see the differences in the lifestyles of urban and rural communities to prevent hypertension. The purpose of this study was to determine the differences in lifestyle that occur in urban and rural communities in preventing hypertension. This research is a type of descriptive analytic with a cross-sectional design. The sample in this study were 150 respondents selected by stratified random sampling technique. The results of this study show there is a significant relationship between lifestyle in rural and urban communities. Rural and urban lifestyles affect the prevention of patients with hypertension.
Penerapan terapi dzikir dalam menurunkan nyeri dada pada pasien Acute Coronary Syndrome di ruang Instalasi Gawat Darurat Hanifah Choirunnissa; Chanif Chanif; Arief Shofyan Baidhowy
Holistic Nursing Care Approach Vol 5, No 2 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/hnca.v5i2.15679

Abstract

Penyakit Acute Coronary Syndrome (ACS) menjadi suatu keadaan gawat darurat akibat tersumbatnya arteri koroner sehingga aliran darah yang menuju ke jantung akan berhenti secara tiba-tiba dan jaringan akan mati. Kondisi ini akan menimbulkan adanya rasa nyeri dada. Nyeri dada akan mempengaruhi kondisi fisik maupun psikologis penderita, sehingga perlu intervensi untuk mengurangi nyeri yang dirasakan. Salah satu intervensi non farmakologis yaitu menggunakan terapi dzikir. Tujuan studi kasus adalah untuk melakukan penerapan terapi dzikir yang dikombinasikan dengan terapi farmakologis untuk  menurunkan nyeri dada pada pasien ACS. Metode yang digunakan deskriptif studi kasus dengan pendekatan proses keperawatan. Subjek studi kasus adalah 3 pasien ACS dengan kriteria mengalami nyeri dada skala 4-6, berusia 55-65 tahun, beragama Islam, dan memperoleh terapi farmakologis aspirin. Intervensi terapi dzikir ini dilakukan sebanyak satu kali dengan durasi selama selama 17 menit setelah pemberian obat farmakologis. Skala nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah pemberian terapi dzikir. Hasil studi kasus menunjukkan ketiga subyek studi mengalami penurunan skala nyeri sebelum diberikan terapi dzikir yaitu skala nyeri sedang (4-6) dan setelah pemberian terapi dzikir yaitu turun menjadi nyeri ringan (1-3). Terapi dzikir dapat digunakan sebagai salah satu penatalaksanaan kombinasi untuk menurunkan nyeri dada pada pasien ACS.
Healthy Lifestyle Education Through Play-Based Learning among Children Aged Three to Four Years: A Case Study in Indonesia Prima Trisna Aji; Elinda Rizkasari; Arief Shofyan Baidhowy
Journal of Early Childhood Education Perspectives Vol. 2 No. 1 (2026): Journal of Early Childhood Education Perspectives
Publisher : Lia Center of Research and Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64850/jecep.v2i1.176

Abstract

This study explores the implementation of healthy lifestyle education through play-based learning in early childhood education settings. Early childhood is a critical developmental stage during which children begin to form daily habits related to nutrition, hygiene, physical activity, rest, and emotional well-being. This qualitative case study was conducted in a pseudonymized early childhood education center in Indonesia and focused specifically on children aged 3–4 years (n = 15) over a two-week observation period. Data were collected through classroom observations, semi-structured interviews with the classroom teacher, and documentation of learning activities. The findings revealed that integrating health-related content into play-based activities encouraged active participation and meaningful learning. Twelve out of fifteen children consistently demonstrated improved hand-washing routines, greater willingness to engage in physical movement activities, and increased awareness of healthy food choices during the observation period. These changes were identified through systematic observation and teacher reflection rather than formal behavioral scoring. Parental involvement played an important role in reinforcing health-related routines at home, contributing to behavioral consistency across settings. Teachers reported that play-based learning made health education more natural, developmentally appropriate, and enjoyable for children. In this study, internalization is understood as children’s consistent and self-initiated enactment of healthy behaviors within play and daily routines, supported by social interaction and repetition, rather than explicit verbal understanding of underlying health concepts. This study contributes to the literature by demonstrating how healthy lifestyle behaviors can be naturally embedded in early learning routines for children aged 3–4 years without direct instruction, expanding understanding of play-based learning as a mediating pathway for early health-habit internalization within Asian early childhood education contexts.
Pemberdayaan Remaja melalui Edukasi Kesehatan Berbasis Komunitas untuk Pencegahan Risiko Jantung Dini Aji, Prima Trisna; Baidhowy, Arief Shofyan; Rizkasari, Elinda
Kareba: Jurnal Inovasi dan Pemberdayaan Masyarakat Vol. 2 No. 1 (2026): Kareba: Jurnal Inovasi dan Pemberdayaan Masyarakat
Publisher : Lia Center of Research and Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64850/kareba.v2i1.306

Abstract

Penyakit jantung merupakan salah satu penyebab utama kematian yang dapat dipicu oleh perilaku tidak sehat sejak usia remaja, seperti pola makan tidak seimbang, kurang aktivitas fisik, dan kebiasaan merokok. Rendahnya pengetahuan dan kesadaran remaja terhadap faktor risiko tersebut menjadi dasar perlunya upaya promotif dan preventif melalui edukasi kesehatan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran remaja melalui edukasi kesehatan berbasis komunitas dalam pencegahan risiko penyakit jantung sejak dini. Kegiatan dilaksanakan di wilayah Gunungan, Kecamatan Serengan, Kota Surakarta, Jawa Tengah, dengan melibatkan 28 remaja usia 12–21 tahun. Metode pelaksanaan menggunakan pendekatan pemberdayaan berbasis komunitas melalui penyuluhan edukatif, diskusi interaktif, demonstrasi praktik sederhana, dan pendampingan reflektif. Evaluasi kegiatan dilakukan menggunakan desain pre-test dan post-test serta observasi partisipasi peserta selama kegiatan berlangsung. Hasil kegiatan menunjukkan terdapat peningkatan pengetahuan peserta, dengan nilai rata-rata meningkat dari 62,5 sebelum kegiatan menjadi 85,3 setelah kegiatan edukasi kesehatan berbasis komunitas dilaksanakan. Sebanyak lebih dari 75% peserta menunjukkan partisipasi aktif selama kegiatan dan mengalami peningkatan pemahaman terkait faktor risiko penyakit jantung, seperti merokok, pola makan tidak sehat, kurang aktivitas fisik, dan stres. Kegiatan ini memberikan kontribusi praktis dalam meningkatkan literasi kesehatan remaja serta mendorong keterlibatan aktif masyarakat dalam upaya promotif dan preventif penyakit jantung sejak dini. Dengan demikian, edukasi kesehatan berbasis komunitas dapat menjadi salah satu strategi pemberdayaan remaja dalam membangun perilaku hidup sehat secara berkelanjutan.
Optimalisasi Keterampilan Mahasiswa Melalui Hands-On Keperawatan Kritis Arief Shofyan Baidhowy; Sarinti Sarinti; Nugroho Lazuardi; Nayandra Keysha; Suharto Suharto; Richta Puspita Haryanti
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.12893

Abstract

Student competence in critical care is of particular concern. Various studies highlight barriers and deficiencies in knowledge and skills. These gaps can adversely affect students' readiness to provide quality care to critically ill patients. This community service aims to improve knowledge in dealing with critical nursing conditions. The method used was hands on / training with a blended learning approach demonstrating 4 skills to 202 participants consisting of students of Poltekkes Kemenkes Semarang. The skills provided were Ventilator, ECG interpretation, Set Titration and Acid-Base analysis. Data analysis test using the Paired t-test. The results of this community service found that knowledge increased from an average of 68 to 92. The results of the Paired t-test show that there is a significant difference between the pretest and posttest scores, with a p-value of 0.001. This critical nursing training is effective in improving student readiness through increased knowledge, skills and basic competencies for students.
Digital Health Literacy and Cognitive Learning Outcomes Among Pre-Service Primary School Teachers in Indonesia Elinda Rizkasari; Prima Trisna Aji; Arief Shofyan Baidhowy
Jurnal Pendidikan dan Pembelajaran Kimia Vol. 14 No. 3 (2025): Jurnal Pendidikan dan Pembelajaran Kimia
Publisher : Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objectives: This study aims to examine the relationship between digital health literacy and cognitive learning outcomes among pre-service primary school teachers in Indonesia. Methods: A quantitative approach with a correlational design was employed. The population consisted of all students enrolled in the Primary School Teacher Education (PGSD) Program at Universitas Slamet Riyadi, Surakarta. A proportionate stratified random sampling technique was used, and a total of 30 students participated as respondents and completed the research instruments. Digital health literacy was measured using the Digital Health Literacy Instrument (DHLI), while cognitive learning outcomes were obtained from official academic records of core courses. Findings: Descriptive analysis showed that the mean score of students’ digital health literacy was 95.27 (SD = 3.41) with a score range of 90-100. The mean score of cognitive learning outcomes was 94.83 (SD = 3.42) with a score range of 90-99. The results of the Pearson correlation test indicated that there was no significant relationship between digital health literacy and cognitive learning outcomes (r = -0.03; p = 0.893). Similarly, the Spearman rho test confirmed the absence of a significant association (ρ = -0.08; p = 0.686). These findings suggest that, statistically, there is insufficient evidence to conclude a relationship between the two variables within the context of this study. Conclusion: Although the statistical tests did not show a significant relationship between digital health literacy and cognitive learning outcomes, the high mean scores on both variables indicate that the students demonstrated good levels of digital health literacy as well as strong cognitive learning outcomes. Future studies involving larger samples and additional relevant variables are recommended to obtain a more comprehensive understanding of the factors influencing cognitive learning outcomes among pre-service primary school teachers.  
Implementasi Edukasi Self-Management dalam Pengendalian Tekanan Darah dan Pencegahan Kekambuhan pada Pasien Hipertensi: Laporan Kasus Prima Trisna Aji; Arief Shofyan Baidhowy; Erni Rahmawati
Ners Muda Vol 7, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v7i1.20894

Abstract

Hipertensi merupakan salah satu penyakit tidak menular yang memiliki prevalensi tinggi dan menjadi faktor risiko utama berbagai penyakit kardiovaskular. Pengendalian tekanan darah pada pasien hipertensi tidak hanya bergantung pada terapi farmakologis, tetapi juga memerlukan keterlibatan aktif pasien dalam mengelola kondisi kesehatannya melalui pendekatan self-management. Kurangnya pemahaman pasien mengenai pengelolaan hipertensi dapat menyebabkan rendahnya kepatuhan terhadap pengobatan serta meningkatkan risiko terjadinya kekambuhan hipertensi. Oleh karena itu, edukasi self-management menjadi salah satu intervensi keperawatan yang penting untuk membantu pasien dalam mengontrol tekanan darah secara optimal. Laporan kasus ini bertujuan untuk menggambarkan implementasi edukasi self-management pada pasien hipertensi dalam mengontrol tekanan darah dan mencegah kekambuhan. Laporan kasus ini memberikan gambaran klinis mengenai penerapan edukasi self-management secara terstruktur dalam asuhan keperawatan pasien hipertensi di layanan kesehatan primer. Penelitian ini menggunakan desain case report yang disusun berdasarkan pedoman CARE Guideline. Pengkajian dilakukan melalui wawancara, observasi, serta pemeriksaan fisik pada pasien hipertensi. Intervensi yang diberikan berupa edukasi self-management meliputi pemahaman mengenai hipertensi, kepatuhan terhadap pengobatan, modifikasi gaya hidup sehat, serta pemantauan tekanan darah secara mandiri. Hasil laporan kasus menunjukkan bahwa setelah diberikan intervensi edukasi self-management, pasien mengalami peningkatan pemahaman mengenai pengelolaan hipertensi, peningkatan kepatuhan terhadap terapi pengobatan, serta perubahan perilaku kesehatan yang lebih baik. Selain itu, tekanan darah pasien mengalami penurunan dari 160/100 mmHg menjadi 145/90 mmHg setelah dilakukan intervensi. Kesimpulan dari laporan kasus ini menunjukkan bahwa edukasi self-management dapat menjadi salah satu intervensi keperawatan yang efektif dalam membantu pasien hipertensi mengontrol tekanan darah serta mencegah kekambuhan hipertensi.
Penerapan Aromaterapi Chamomile Terhadap Kecemasan Pasien Pre-Pci di Rumah Sakit Abdul Moeloek Bandar Lampung Richta Puspita Haryanti; Arief Shofyan Baidhowy; Sandra Andini; Prima Trisna Aji
Malahayati Nursing Journal Vol 8, No 5 (2026): Volume 8 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i5.25449

Abstract

ABSTRACT Coronary heart disease is one of the leading causes of mortality worldwide. Patients with ST-Elevation Myocardial Infarction (STEMI) who are scheduled to undergo Percutaneous Coronary Intervention (PCI) often experience high levels of anxiety, which may worsen hemodynamic conditions and compromise clinical stability. One potential intervention to address this issue is the administration of chamomile aromatherapy. To analyze the effect of chamomile aromatherapy on anxiety levels in patients during the preoperative phase of PCI at Abdul Moeloek Hospital, Bandar Lampung. This study employed a quasi-experimental design with a pretest-posttest approach. A total of 10 respondents were selected using purposive sampling. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of inhalation of chamomile aromatherapy for approximately 8 hours at night over a period of three days. The study was conducted from January 25 to February 20, 2026. The findings showed that the mean anxiety score decreased from 44.60 to 34.80. Paired t-test analysis indicated a statistically significant difference (p = 0.000). Chamomile aromatherapy is effective in reducing anxiety levels among patients undergoing PCI in the preoperative phase. Keywords: Chamomile Aromatherapy, Anxiety, STEMI, PCI, Coronary Heart Disease.  ABSTRAK Penyakit jantung koroner termasuk salah satu penyebab utama kematian di dunia. Pasien dengan STEMI yang akan menjalani tindakan PCI sering mengalami kecemasan tinggi yang dapat memperburuk kondisi hemodinamik dan mengganggu stabilitas klinis pasien. Salah satu intervensi untuk mengatasi itu adalah dengan pemberian aromaterapi chamomile. Untuk menganalisis pengaruh aromaterapi chamomile terhadap tingkat kecemasan pasien pada fase preoperatif PCI di RS Abdul Moeloek Bandar Lampung. Desain penelitian menggunakan quasi-eksperimental dengan pendekatan pretest-posttest. Sampel sebanyak 10 responden dipilih secara purposive sampling. Pengukuran kecemasan menggunakan State-Trait Anxiety Inventory (STAI). Intervensi diberikan berupa inhalasi aromaterapi chamomile selama ±8 jam pada malam hari selama 3 hari. Periode penelitian berlangsung antara 25 Januari 2026 – 20 Februari 2026. Hasil penelitian menunjukkan rata-rata skor kecemasan menurun dari 44,60 menjadi 34,80. Uji paired t-test menunjukkan hasil signifikan (p = 0,000). Aromaterapi chamomile efektif dalam menurunkan kecemasan pasien preoperatif PCI. Kata Kunci: Chamomile Aromatherapy, Kecemasan, STEMI, PCI, Penyakit Jantung Koroner.