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All Journal Jurnal Keperawatan PROSIDING SEMINAR NASIONAL Jurnal Kesehatan Kusuma Husada Jurnal Mahasiswa Ilmu Kesehatan Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Journal of Health Science Journal of Mental Health Journal of Nursing Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Dwi Retnaningsih
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Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Pengaruh Terapi Relaksasi Benson terhadap Tekanan Darah Pasien Hipertensi Intradialitik di RSUD Batang Nur Khakimah; Dwi Retnaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2479

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of experiencing intradialytic complications, one of which is hypertension. Management of hypertension in hemodialysis units is generally pharmacological, although non-pharmacological interventions may serve as an effective, simple, and safe complementary option. One such technique is Benson relaxation, which combines controlled deep breathing with spiritual elements to reduce sympathetic activity and promote relaxation. This case study to determine the effect of Benson relaxation therapy on blood pressure of intradialytic hypertension patients at RSUD Batang. The case study design was a case study involving 5 CKD patients undergoing hemodialysis. The intervention was performed by guiding patients to practice Benson relaxation for about 10–15 minutes, with blood pressure measured before and after the intervention using a digital sphygmomanometer. The results showed a decrease in blood pressure in most respondents. The average systolic blood pressure decreased from 153.4 mmHg to 145.6 mmHg, while diastolic pressure decreased from 92.4 mmHg to 87.6 mmHg. In addition to physiological improvement, patients also reported subjective relief such as reduced dizziness, palpitations, and tension. In conclusion, Benson relaxation therapy proved effective in reducing blood pressure among intradialytic hypertension patients. This intervention can be recommended as a complementary non-pharmacological therapy in nursing care to improve comfort in hemodialysis patients.
Penerapan Nesting terhadap Perubahan Suhu Tubuh pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang R. Teguh Ady P; Dwi Retnaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2494

Abstract

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition results from the immaturity of organ systems, including thermoregulation, making infants vulnerable to hypothermia. One non-pharmacological intervention to maintain body temperature stability is the nesting technique, which positions the baby in a flexed posture similar to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on body temperature changes in LBW infants in the perinatology room of RSUD Batang. The study used a descriptive case study with a nursing process approach involving five LBW infants (<2500 g, spontaneous breathing). The intervention involved applying nesting for 30 minutes daily over three consecutive days. Body temperature was measured before and after the intervention using a digital thermometer. The results showed an increase in body temperature in all subjects. The average temperature before intervention was 35.9°C and increased to 36.6°C after three days of nesting therapy. This indicates that nesting effectively helps maintain body temperature stability in LBW infants by providing comfort, reducing stress, and conserving body energy. In conclusion, nesting is an effective evidence-based nursing intervention for improving body temperature in LBW infants and is recommended for perinatology care settings.
Penerapan Nesting terhadap Perubahan Saturasi Oksigenasi dan Frekuensi Nadi pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang Sri Rahayu; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i1.2481

Abstract

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    
Pengaruh Pemberian Teknik Relaksasi Genggam Jari terhadap Perubahan Kecemasan Pasien dengan Pasien Pre Operasi di RSUD Batang Johan Mukhibul Ahkam; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i1.2482

Abstract

Patients undergoing surgery often experience preoperative anxiety due to concerns about the outcome, pain, and the risk of complications. Uncontrolled anxiety can affect the patient's physiological and psychological condition and slow the recovery process. One non-pharmacological effort that can be used to reduce anxiety is the finger-holding relaxation technique, a simple method that can help balance emotions and provide a sense of calm. To determine the effect of the finger-holding relaxation technique on changes in preoperative anxiety levels in patients at Batang Regional General Hospital. Method: This study used a descriptive case study approach. The respondents were four patients who were about to undergo surgery and were experiencing anxiety. The intervention was conducted for approximately 15 minutes using the finger-holding relaxation technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). All respondents experienced a decrease in anxiety levels after the intervention. The average reduction in anxiety scores was 7.25 points. Before the intervention, two patients experienced severe anxiety and two patients experienced moderate anxiety. After the intervention, two patients experienced mild anxiety and two others experienced a decrease to moderate levels. This indicates that finger-holding therapy has a positive effect on reducing preoperative anxiety in patients. The finger-holding relaxation technique has been proven effective in reducing preoperative anxiety in patients. This intervention can be used as a simple, safe, and easy-to-implement non-pharmacological therapy alternative for nurses to improve patient psychological comfort.
Pengaruh Terapi Murrotal terhadap Kualitas Tidur Pasien Hipertensi di RSUD Kajen Kabupaten Pekalongan Irma Islamiasih; Dwi Retnaningsih
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/ewns2644

Abstract

Hypertension is a non-communicable disease characterized by elevated blood pressure above normal values and is often accompanied by sleep quality disturbances. Poor sleep quality can worsen hypertension by increasing sympathetic nervous system activity and physiological stress. Therefore, in addition to pharmacological therapy, safe, easy-to-apply, and effective non-pharmacological interventions are needed to improve sleep quality in hypertensive patients. One such non-pharmacological intervention is murottal therapy, which involves listening to recitations of the Holy Qur’an and provides relaxation and psychological calmness. This study aimed to determine the effect of murottal therapy on sleep quality in hypertensive patients at Kajen Regional Hospital, Pekalongan Regency. The research method used was a pre-experimental design with a one-group pre-test and post-test approach without a control group. The study subjects consisted of five patients who met the inclusion criteria. Sleep quality was measured before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). The murottal therapy intervention involved listening to the recitation of Surah Ar-Rahman for 15–30 minutes per day for three consecutive days. The results showed that all respondents experienced a decrease in PSQI scores, indicating an improvement in sleep quality after receiving murottal therapy. Murottal therapy was proven to have a positive effect as a non-pharmacological complementary therapy for hypertensive patients with sleep quality disturbances
Hubungan Self-Efficacy Terhadap Koping Stres Pada Pasien Kanker Rs Colombia Asia Semarang Budi Lestari; Dwi Retnaningsih; Menik Kustriyani
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: 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/p30tqf16

Abstract

This study examines the relationship between self-efficacy and stress coping strategies among cancer patients at Columbia Asia Hospital Semarang using a quantitative correlational design with a cross-sectional approach. The study involved 30 cancer patients selected through non-probability sampling based on predefined inclusion criteria. Data were collected using validated instruments, namely the General Self-Efficacy Scale (GSE) and Brief COPE Inventory, and analyzed using univariate and Spearman rank correlation tests. The findings indicate that most patients demonstrated moderate levels of self-efficacy and coping strategies, reflecting an ongoing psychological adaptation process to disease-related stressors. A statistically significant and very strong positive correlation (ρ = 0.926; p < 0.05) was identified between self-efficacy and coping strategies, suggesting that higher self-efficacy is associated with more adaptive coping mechanisms. These results highlight the critical role of self-efficacy as a psychological determinant in managing stress among cancer patients. The study underscores the need for integrating psychosocial interventions into oncology care to enhance patients’ adaptive capacity, improve treatment adherence, and promote overall well-being.
Hubungan Tingkat Kecemasan Dengan Kualitas Tidur Pasien Kanker Di RSKB Columbia Asia Semarang Yushita Septiana; Dwi Retnaningsih
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: 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/a6zg5010

Abstract

This study aimed to examine the relationship between anxiety levels and sleep quality among cancer patients in a clinical setting. A quantitative empirical approach with a cross-sectional design was employed, involving 35 respondents selected through consecutive sampling. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Athens Insomnia Scale (AIS). The findings revealed that most patients experienced moderate to severe anxiety and mild to moderate insomnia. Bivariate analysis using Spearman Rank correlation demonstrated a very strong and statistically significant positive relationship between anxiety levels and sleep quality (ρ = 0.937; p < 0.05). Higher anxiety levels were consistently associated with poorer sleep quality. This relationship can be explained through biopsychosocial mechanisms, including sympathetic nervous system activation and stress-related hormonal changes that disrupt sleep regulation. These findings highlight the importance of integrating psychological assessment and sleep evaluation into routine cancer care. Comprehensive interventions, including psychosocial support, patient education, and relaxation techniques, are recommended to improve overall patient well-being and clinical outcomes.
Hubungan tingkat kecemasan dengan kualitas hidup pada pasien hipertensi Adjeng Juniar Nur Sandy; Dwi Retnaningsih; Dyah Restuning Prihati
Link Journal of Health Science Vol 3 No 2 (2026): September : Journal of Health Science
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljhs.v3i2.165

Abstract

Latar belakang: Hipertensi ditandai dengan kenaikan tekanan darah yang melampaui batas normal dan berisiko memicu komplikasi organ yang fatal serta menurunkan derajat kualitas hidup penderitanya. Kondisi kesejahteraan hidup pasien hipertensi kerap kali terganggu oleh gangguan fisik maupun tekanan psikis, khususnya kecemasan. Jika tidak dikelola dengan tepat, kecemasan tersebut akan menghambat aktivitas harian serta interaksi sosial. Tujuan: mengidentifikasi keterkaitan antara tingkat kecemasan dan kualitas hidup pada penderita hipertensi di RS Permata Medika Semarang. Metode: Penelitian menggunakan pendekatan kuantitatif dengan desain analitik observasional. Sebanyak 45 responden dilibatkan dalam penelitian ini, yang dipilih berdasarkan metode purposive sampling. Instrumen yang digunakan adalah kuesioner Zung Self-Rating Anxiety Scale (SAS/SRAS) untuk mengukur tingkat kecemasan dan kuesioner WHOQOL-BREF untuk mengukur kualitas hidup. Analisis data menggunakan uji korelasi Rank Spearman. Hasil: Temuan di lapangan mengindikasikan bahwa kelompok lansia awal (44,5%) dan gender perempuan (66,7%) mendominasi karakteristik responden. Sebanyak 21 orang (46,7%) mengalami kecemasan dalam kategori berat, sementara 25 orang (55,6%) memiliki kualitas hidup yang buruk. Berdasarkan uji korelasi Rank Spearman, ditemukan nilai p-value sebesar 0,023 (p<0,05). Kesimpulan: Terdapat hubungan yang signifikan antara tingkat kecemasan dengan kualitas hidup pada pasien hipertensi di RS Permata Medika Semarang. Semakin berat tingkat kecemasan, maka semakin buruk kualitas hidup pasien, dan sebaliknya. Pasien hipertensi diharpkan untuk meningkatkan kualitas hidupnya dan mampu meminimalisir terjadinya kecemasan ketika mengalami hipertensi.
Co-Authors Adjeng Juniar Nur Sandy Bayu Tirta Sanjaya Budi Lestari Caca Relica Devi Novitasari, Devi Dwi Nur Aini Dyah Restuning Prihati Eka Safitri, Intan Nuraini Endang Supriyanti Euis Aliyah Fikkih Ichtiar Firdaus Irma Islamiasih Ita Yulianti Johan Mukhibul Ahkam Madnur Soleh Maulidta Karunianingtyas Wirawati Menik Kustriyani Muhamad Khilmi Akbarudin Mukti Krisdianto, Harry Novika Lutfiana Nur Khakimah Nur Martyana, Annisa Priharyanti Wulandari R. Teguh Ady P Ramadhani, Desi Sakinah Shinta Puspitasari Shisca Octavia Maharani, Shisca Octavia Maharani Soimun Soimun SRI RAHAYU Umi Musarofah Wahyuningsih Yuni Dwi Lestari Yushita Septiana Zahrani Fahrisa Putri