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Pelatihan dan Pendampingan Manajamen Kasus untuk Kelompok Lanjut Usia yang Membutuhkan Perawatan Jangka Panjang Sutini, Ni Kadek; Suyasa, I Gede Putu Darma; Nuartini, Ni Nyoman; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil Israfil
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19337

Abstract

ABSTRAK Lansia merupakan populasi rentan dan memiliki banyak masalah Kesehatan yang kompleks karena proses degeneratif. Manajemen kasus Kesehatan lansia dimasyarakat menjadi sangat penting dilakukan untuk memastikan bahwa lansia mendapatkan pelayanan Kesehatan yang baik. Keterlibatan kader Kesehatan lansia dalam manajemen kasus Kesehatan lansia dimasyarakat menjadi salah satu solusi yang dapat dilakukan untuk mencapai tujuan Kesehatan lansia. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan pelatihan dan pendampingan kepada kader Kesehatan lansia dalam melaksanakan manajemen kasus Kesehatan lansia dimasyarakat. Kegiatan ini dilaksankan di Desa Melinggih, Provinsi Bali. Peserta dalam kegiatan ini adalah kader kesehatn lansia diwilayah desa setempat yang berjumlah 10 orang. Kegiatan PKM dilaksanakan dengan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Hasil kegiatan ini menemukan adanya peningkatan pengetahuan dan kemampuan kader Kesehatan lansia dalam manajamen kasus Kesehatan lansia dimasyarakat dengan nilai uji statistik Wilcoxon Signed Ranks Test didapatkan nilai Z= -2.675b dengan p value = < 0,001. Kegiatan pelatihan dan pendampingan kepada kader Kesehatan lansia dimasa mendatang harus terus dilakukan untuk membangun meningkatkan pelayanan Kesehatan yang berbasis peran serta masyarakat untuk Kesehatan lansia yang membutuhkan perawatan Kesehatan. Kata Kunci: Lanjut Usia, Gerontik, Kader, Manajemen Kasus, Perawatan Jangka Panjang  ABSTRACT Elderly people are a vulnerable population and have many complex health problems due to the degenerative process. Health case management for the elderly in the community is very important to ensure that the elderly receive good health services. The involvement of elderly health cadres in the management of elderly health cases in the community is one solution that can be done to achieve elderly health goals. This community service activity aims to provide training and assistance to elderly health cadres in implementing elderly health case management in the community. This activity was carried out in Melinggih Village, Bali Province. Participants in this activity were elderly health cadres in the local village area totally 10 people. PKM activities were carried out using the PARE approach (Preparation, Action, Reflection and Evaluation). The results of this activity found an increase in the knowledge and abilities of elderly health cadres in managing elderly health cases in the community with the Wilcoxon Signed Ranks Test statistical test value obtained Z = -2.675b with p value = <0.001. Training and mentoring activities for elderly health cadres in the future must continue to be carried out to build improvements in health services based on community participation for the health of elderly people who need health care. Keywords: Elderly, Geriatric, Cadres, Case Management, Long-Term Care
Implementasi Interpersonal Edukasi dan Kolaborasi Dalam Rangka Peningkatan Kesehatan Pada Pasien Diabetes Melitus Tipe II di Club Diamed RS Balimed Denpasar Megayanti, Sri Dewi; Agustini, Ni Luh Putu Inca Buntari; Yusniawati, Yustina Ni Putu; Kamaryati, Ni Putu; Arka, I Gede Widhi; Juliani, Made; Trisna, Made Oktaviani Bulan; Halimah, Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.18571

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ABSTRAK Diabetes melitus merupakan penyakit metabolik yang ditandai dengan adanya kenaikan gula darah disebabkan oleh terganggunya hormon insulin yang memiliki fungsi untuk menjaga homeostasis tubuh dengan cara menurunkan kadar gula dalam darah. Tujuan dilakukannya pengabdiam masyarakat ini yaitu meningkatkan pengetahuan dan kesadaran masyarakat dan memandirikan masyarakat terkait upaya pencegahan penyakit diabetes mellitus tipe II. Adapun metode yang digunakan yaitu melakukan kerja sama IPE dan IPC oleh beberapa prodi di ITEKES Bali yaitu prodi anestesiologi, prodi farmasi, prodi kebidanan, prodi keperawatan dan prodi akupuntur. Hasil pengabdian masyarakat adanya peningkatakan pengetahuan dengan nilai rata-rata nilai pre test sebesar 64 dan rata-rata nilai post test sebesar 90. Artinya dengan adanya pelaksanaan kolaborasi IPE dan IPC adanya peningkatan pengetahuan terkait upaya pencegahan diabetes mellitus pada pasien dengan diabetes mellitus tipe II. Sehingga kedepannya diharapkan menjadi kegiatan rutin dalam proses pemberian edukasi khususnya pasien dengan diabetes mellitus. Kata Kunci: Diabetes Mellitus Tipe II, Kolaborasi IPE dan IPC, Tatalaksana DM  ABSTRACT Diabetes mellitus is a metabolic disease characterized by an increase in blood sugar caused by disruption of the hormone insulin which has a function to maintain the body's homeostasis by lowering blood sugar levels. The purpose of this community service is to increase public knowledge and awareness and make the community independent related to efforts to prevent type II diabetes mellitus. The method used is to collaborate on IPE and IPC by several study programs at ITEKES Bali, namely the anesthesiology study program, pharmacy study program, midwifery study program, nursing study program and acupuncture study program. The results of community service are an increase in knowledge with an average pre-test score of 64 and an average post test score of 90. This means that with the implementation of IPE and IPC collaboration, there is an increase in knowledge related to efforts to prevent diabetes mellitus in patients with type II diabetes mellitus. So that in the future it is expected to become a routine activity in the process of providing education, especially for patients with diabetes mellitus. Keywords: Type II Diabetes Mellitus, IPE and IPC Collaboration, DM Management
Integrasi pertolongan pertama dan aktivasi ambulans: Sebuah tinjauan literatur Susila, I Pasek Wayan Agung; Agustini, Ni Luh Putu Inca Buntari; Diyu, Ida Ayu Ningrat Pangruating; Sanjana, I Wayan Edi
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1687

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Background: Rapid response to medical emergencies is a crucial factor in reducing patient mortality and morbidity. However, the ambulance calling system in Indonesia still faces various challenges, such as limited access to information, delayed responses, and lack of integration with emergency command centers. Purpose: To review various studies related to the development of mobile/web-based applications for emergency medical services, and to identify research gaps and opportunities for further development. Methods: A search was conducted using the PubMed and ScienceDirect databases, followed by a review and synthesis process using PRISMA. An initial 219 articles were found, of which 15 were included in the study. Results: The application is capable of facilitating ambulance ordering, real-time location tracking, and accelerating emergency response. However, most studies are limited to technical function tests with small sample sizes and have not measured the application's effectiveness on clinical indicators. Conclusion: Innovation in web-based and mobile emergency applications has significant potential to improve response speed, ambulance calling accuracy, and community empowerment in first aid. However, further research is still needed with a broader scope, strong quantitative methods such as quasi-experiments or RCTs, as well as multi-dimensional evaluations involving technical, clinical, and user experience aspects.   Keywords: Emergency Medical Services; First Aid; Mobile Application.   Pendahuluan: Respon cepat terhadap keadaan gawat darurat medis menjadi faktor penting dalam menurunkan mortalitas dan morbiditas pasien. Namun, sistem pemanggilan ambulans di Indonesia masih menghadapi berbagai kendala, seperti keterbatasan akses informasi, keterlambatan respon, dan kurangnya integrasi dengan pusat komando darurat. Tujuan: Untuk meninjau berbagai penelitian terkait integrasi pertolongan pertama dan aktivasi ambulans. Metode: pencarian artikel dilakukan database PubMed dan ScienceDirect kemudian proses review dan sintesis dilakukan menggunakan PRISMA. Artikel awal yang ditemukan adalah 219, kemudian 15 artikel disertakan dalam penelitian. Hasil: Menunjukkan bahwa aplikasi mampu memfasilitasi pemesanan ambulans, pelacakan lokasi real-time, dan percepatan respon darurat. Namun, sebagian besar studi masih terbatas pada uji fungsi teknis dengan sampel kecil, belum mengukur efektivitas aplikasi pada indikator klinis. Simpulan: Inovasi aplikasi darurat berbasis web maupun mobile memiliki potensi besar dalam meningkatkan kecepatan respon, akurasi pemanggilan ambulans, dan pemberdayaan masyarakat dalam pertolongan pertama. Namun, masih diperlukan penelitian lanjutan dengan cakupan yang lebih luas, metode kuantitatif yang kuat misalnya quasi-experiment atau RCT, serta evaluasi multi-dimensi yang melibatkan aspek teknis, klinis, dan pengalaman pengguna. Kata Kunci: Aplikasi Seluler; Layanan Medis Darurat; Pertolongan Pertama.
Procedure for Using Crystalloid and Colloid Fluids in Blood Pressure in Sectio Caesaria Patients Using Spinal Anesthesia Technique Sanjaya, Dwi Arymbhi; Agustini, Ni Luh Putu Inca Buntari; Putra, I Gede Agus Shuarsedana; Lewar, Emanuel Ileatan
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.255

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Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the study about standard operating procedures (SOP) never have been done. The aim of this research was to describe and evaluate the SOP for the use of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 76.7% of respondents stated that there was no SOP for crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. In the multiple response tests, the effectiveness and side effects (21.3%) were the factors that had to be considered in the crystalloid and colloids fluid selection to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques in more detail, therefore the factors of effectiveness and risk of side effects are the main consideration.
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL Agustini, Ni Luh Putu Inca Buntari; Wardana, Dewa Gede Wisnu; Negara, I Gusti Ngurah Made Gusti Kusuma; Yusniawati, Yustina Ni Putu; Israfil, Israfil; Suyasa, I Gede Putu Darma
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.768

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Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
Evaluating Usability of EMR-Integrated Triage Technologies in the Emergency Department: A Literature Review I Gede Rendy Arizona Vallentino; Ni Luh Putu Inca Buntari Agustini; Wulandari, Ida Ayu Putri; Yustina Ni Putu Yusniarvati
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71530

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Introduction: The Emergency Department (ER) is a vital hospital unit that handles critically ill patients. The triage process determines treatment priorities, so speed and accuracy significantly impact patient safety. The implementation of Electronic Medical Records (EMR) is expected to improve triage quality. However, usability aspects such as ease of use, efficiency, error prevention, user satisfaction, and workflow compatibility still require a comprehensive review. This review aimed to explore current evidence on the usability of EMR-based triage systems in Emergency Departments and the factors influencing successful implementation.Methods: This literature review followed the PRISMA 2020 guidelines. Articles were searched through PubMed, ScienceDirect, and Google Scholar using the terms “usability,” “triage,” “electronic medical record,” and “emergency room.” Included articles were original studies published in English between 2020 and 2025 that addressed the validity, reliability, or usability aspects of an EMR-based triage system in the ED. Review articles, conference abstracts, and irrelevant studies were excluded. From the selection process, 15 articles were selected for analysis.Results: EMR-based triage instruments, such as EMOnco (Brazil) and CETS (China), are valid and reliable. Digital systems such as eResus, MUST-Plus, and CDSS improve documentation, accuracy, and patient safety. Mobile applications have yielded mixed results: MEDIC faces learnability challenges. At the same time, CoSMoS is easy to use despite limited EMR integration. User satisfaction increases when systems support team communication and transparency, but barriers such as low computer literacy, alert fatigue, resistance, and documentation burden persist.Conclusion: EMR-based triage technology in the ER has the potential to improve efficiency, accuracy, and patient safety, but its effectiveness depends heavily on usability. Successful implementation requires a user-centered design approach, ongoing training, and periodic usability evaluation.
Determinants of functional limitations in basic and instrumental daily activities among older adults living in rural settings: a cross-sectional study Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.83252

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Introduction: Maintaining the functional capacity of older adults is essential to support independence, particularly in rural areas. Understanding the factors contributing to the reduced ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) is essential for developing effective gerontological nursing strategies. This study identified the predictors of ADL and IADL impairment among older adults residing in rural communities. Methods: This cross-sectional study involved 318 older adults selected through simple random sampling. The Barthel Index and Lawton IADL Scale were used to measure ADL and IADL abilities. The Geriatric Depression Scale was used to assess depressive symptoms, whereas difficulties in vision, hearing, and communication were evaluated using the Washington Group Short Set. Chi-square tests and logistic regression were used to examine the associations and predictors. Results: ADL and IADL disabilities were identified in 4.4% and 10.1% of the respondents, respectively. Communication difficulties were a strong predictor of both ADL and IADL disabilities (AOR = 13.72; 95% CI = 3.26–57.76, p < 0.001 and AOR = 7.07; 95% CI = 2.34–21.34, p < 0.001). Depressive symptoms increased the risk of ADL disability (AOR = 4.17; 95% CI = 1.24–14.05, p = 0.021), and adults aged ≥ 75 years showed higher odds of IADL impairment (AOR = 4.39; 95% CI = 1.89–10.16, p < 0.001). Conclusions: Challenges in communication and depressive affect functional capacity among rural older adults. Maintaining independence and improving daily functioning by implementing early identification and intervention targeting communication and mental health are essential.
Hubungan Tingkat Pengetahuan Dengan Sikap Masyarakat Dalam Mengikuti Jalur Evakuasi Saat Terjadinya Erupsi Gunung Agung Di Dusun Tunas Sari Kabupaten Karangasem Ni Kadek Amelia Cahaya Putri; Ni Made Dewi Wahyunadi; I Gusti Agung Tresna Wicaksana; Ni Luh Putu Inca Buntari Agustini
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 2 (2026): Vol. 6 No. 2 (2026): April 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i2.1304

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Latar Belakang: Kesiapsiagaan masyarakat dalam mengikuti jalur evakuasi menjadi faktor penting dalam upaya pengurangan risiko bencana. Tingkat pengetahuan masyarakat diduga berperan dalam membentuk sikap masyarakat saat menghadapi kondisi darurat, khususnya dalam mengikuti jalur evakuasi. Tujuan: Untuk mengetahui hubungan antara tingkat pengetahuan dengan sikap masyarakat dalam mengikuti jalur evakuasi saat terjadi bencana erupsi Gunung Agung di Desa Tianyar. Metode: Penelitian ini menggunakan metode kuantitatif analitik korelatif dengan pendekatan cross-sectional. Penelitian dilaksanakan di Dunus Tunas Sari Kabupaten Karangasem dengan jumlah sampel yaitu 350 responden dengan menggunakan teknik total sampling. Data dikumpulkan menggunakan kuesioner tingkat pengetahuan dan sikap masyarakat. Uji normalitas Kolmogorov-Smirnov menunjukkan data tidak berdistribusi normal sehingga uji statistik yang digunakan yaitu Spearman’s Rho. Hasil: Hasil penelitian menunjukkan bahwa mayoritas responden memiliki tingkat pengetahuan baik sebanyak 299 responden (85,4%) dan sebagian besar memiliki sikap cukup dalam mengikuti jalur evakuasi sebanyak 206 responden (58,9%). Terdapat hubungan yang signifikan antara tingkat pengetahuan dengan sikap masyarakat (p-value < 0,001) dengan koefisien korelasi r =0,346 yang menunjukkan hubungan positif dengan kekuatan hubungan sedang. Kesimpulan: Terdapat hubungan yang signifikan antara tingkat pengetahuan dengan sikap masyarakat dalam mengikuti jalur evakuasi saat terjadi bencana erupsi Gunung Agung di Desa Tianyar.
Perbedaan Pengetahuan dan Sikap Mahasiswa Keperawatan Tentang Perawatan Paliatif Pada Anak Dengan Kanker Dan Non Kanker Di Denpasar Witarini, Ni Wayan Sri; Agustini, Ni Luh Putu Inca Buntari; Sriasih, Ni Kadek
Journal Center of Research Publication in Midwifery and Nursing Vol 7 No 2 (2023): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v7i2.300

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Latar Belakang: Perawatan paliatif merupakan perawatan yang diberikan secara menyeluruh kepada pasien maupun keluarga pasien yang menderita penyakit mengancam jiwa. Permasalahan yang dijumpai adalah pengetahuan dan sikap mahasiswa keperawatan tentang perawatan paliatif ditemukan masih kurang. Pengetahuan dan sikap mahasiswa keperawatan yang kurang dikhawatirkan akan berdampak pada ketidakmampuan melakukan perawatan paliatif. Tujuan: Untuk mengetahui pengetahuan dan sikap mahasiswa keperawatan tentang perawatan paliatif pada anak dengan kanker dan non kanker di Denpasar. Metedologi: Desain comparative study dengan metode cross-sectional. Populasi pada penelitian ini adalah mahasiswa program studi keperawatan tingkat IV dengan jumlah sampel 238 responden yang diambil dengan teknik total sampling. Alat pengumpulan data yang digunakan adalah kuesioner yang disebarkan secara online dalam bentuk google formulir. Analisa data yang digunakan yaitu analisa univariat dan analisa uji Wilcoxon Signed Ranks Test. Hasil: Dari 238 responden, sebanyak 50,4% dari total responden memiliki pengetahuan kurang terkait perawatan paliatif pada anak kanker dan sebanyak 63,4% memiliki pengetahuan kurang terkait perawatan paliatif pada anak non kanker. Sikap mahasiswa keperawatan sebanyak 86,6% dari total responden memiliki sikap cukup terkait perawatan paliatif pada anak kanker dan sebanyak 87,4% memiliki sikap cukup terkait perawatan paliatif pada anak non kanker. Hasil uji Wilcoxon Signed Ranks Test, didapatkan terdapat perbedaan antara pengetahuan kanker dengan non kanker serta sikap kanker dengan non kanker (p-value < 0,05). Kesimpulan: Responden mayoritas memiliki pengetahuan kurang dan sikap yang cukup tentang perawatan paliatif pada anak dengan kanker dan non kanker. Terdapat perbedaaan pengetahuan dan sikap terkait perawatan paliatif pada anak dengan kanker dan non kanker.
The Effectiveness of Autogenic Relaxation Therapy in Reducing Anxiety and Pain in Patients with Acute Myocardial Infarction: A Literature Review Ni Luh Putu Yudi Apriani; Ni Luh Putu Inca Buntari Agustini; Israfil Israfil; Anak Agung Istri Wulan Krisnandari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.538

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Autogenic Therapy (AT) is a relaxation technique widely used for stress and anxiety reduction, pain management, and psychological well-being. However, variations in its duration, frequency, and effectiveness across different populations remain unclear. Objective: This review aims to synthesize the available evidence on AT’s impact on psychological well-being and chronic pain management. A systematic review was conducted on studies evaluating AT interventions across different populations, including healthy individuals, cardiovascular patients, stroke survivors, cancer patients, individuals with chronic pain and type 2 diabetes, and those affected by crises. Data on intervention duration, session frequency, and health outcomes were extracted and analyzed. Findings indicate that AT interventions range from one week to several months, with session frequencies between two and five times per week. Short-term programs (1–4 weeks) are common in perioperative settings, while medium-term programs (6–12 weeks) are typically used for patients with cardiovascular, neurological, or diabetic conditions. Long-term interventions (≥12 weeks) are preferred for chronic pain and general anxiety. Higher session frequencies correlate with greater psychological and physiological benefits. AT is an effective intervention across diverse populations, but its efficacy is influenced by intervention length and session frequency. Tailored programs based on patient needs and conditions may enhance therapeutic outcomes. Future research should standardize protocols to optimize AT effectiveness.
Co-Authors Abdul Haris Abdurrahman, Firman Adi Satriani Adnyani, Putu Desi Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Apiradee Pimsen Arka, I Gede Widhi Arnaya, I Gede Putu Suka Artawan, I.K Artsanthia, Jintana Aryana, I Gusti Ngurah Cahyadi, Herry Suwaja Chi Jane Wang Cintariasih, Putu Dewa Gede Wisnu Wardana Dewa Gede Wisnu Wardana Dewi, Ni Putu Ayu Ratna Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Drs. I Wayan Darsana,M.Ed . Dwi Arymbhi Sanjaya Edi Sanjana, I Wayan Elsi Dwi Hapsari Emanuel Ileatan Lewar Gandamayu, Ida Bagus Maha Gede Khrisna Eka Yudha Gustiawan, Sastro Putre Handi Partiwi, Putu I Gede Agus Shuarsedana Putra I GEDE PUTU DARMA SUYASA I Gede Rendy Arizona Vallentino I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah , Aryana I Kadek, Miki Indra Bela I Ketut Alit Adianta I Ketut Swarjana I Made Dwi Krisma Prataba I Nyoman Windhu Paramarta I Putu Arya Wijayanatha I Putu Budiarsana I Wayan Edi Sanjana Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari IGN Made Kusuma Negara Kusuma Negara IGP Darma Suyasa Indrayani, Ni Luh Dwi Israfil Israfil Israfil, Israfil Israfil, Israfil Israfil Juliani, Made Kadek Buja Harditya Ketut Widia Khatijah Lim Lim Abdullah Komang Ardidhana Nugraha Putra Krisnandari D, Anak Agung Istri Wulan Kusuma Negara, I Gusti Ngurah Made LEWAR, EMANUEL ILEATAN Lewar, Emanuel Illeatan Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Maha Putra, I Nyoman Arya Mahaputra, I Nyoman Arya Nadya Treesna Wulansari Nadya Treesna Wulansari Nadya Tressna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Ni Kadek Amelia Cahaya Putri Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Adi Satriani Ni Luh Adi Satriani Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Manik Mas Puspa Sari Ni Luh Putu Yudi Apriani Ni Made Ayu Sukma Widyandari Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Dewi Wahyunadi Ni Made, Ratih Comala Dewi Ni Nyoman Nuartini Ni Putu Ayu Ratna Dewi Ni Putu Ayu Ratna Dewi Ni Putu Kamaryati Ni Wayan Sintia NLP Dina Susanti Nur Halimah Nur Halimah Nursalam Nursalam Nuryanto , I Kadek Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Only Hufana Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Priyantini, Diah Purnama Dewi, Sagung Mirah Purwadadi, I Kadek Putra, I Gde Agus Shuarsedana Putra, I Gede Agus Shuarsedana Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, I Nyoman Trisna Oka Putra, Ida Bagus Ardhi Putra, Komang Ardidhana Nugraha Putra, Putu Agus Sujana Putri, Ni Made Manik Elisa Putu Agus Sujana Putra Putu Desi Yulistina Putu Sundari Dewi Rittiruang, Amonwan Sagita, Ni Wayan Riska Sagung Mirah Purnama Dewi Sanjana, I Wayan Sanjana, I Wayan Edi Sastrawati, Desak Kadek Sastro Putre Gustiawan Satriani, Adi Satriani, Ni Luh Adi Setiawan Setiawan Sri Dewi Megayanti Sriasih, Ni Kadek Suryani, Ni Wayan Susanti, Ni Putu Aries Susila, I Pasek Wayan Agung Tanuparbrungson, Supawan Trisna, Made Oktaviani Bulan Wahyu Krisna Yoga Wahyu, I Made Yudi Wahyunadi, Ni Made Dewi Wahyuni, Ni Komang Sri Wardana, Dewa Gede Wisnu widia, ketut Wijayanatha, I Putu Arya Witarini, Ni Wayan Sri Wulandari, Sarah Kartika Yudha, Gede Khrisna Eka Yudi Apriani, Ni Luh Putu Yulistina, Putu Desi Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniarvati Yustina Ni Putu Yusniawati Yustina Ni Putu Yusniawati Yustina Ni Putu yusniawati