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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan PROSIDING SEMINAR NASIONAL Jurnal Ilmu Keperawatan dan Kebidanan Journal of Islamic Nursing Jurnal Perawat Indonesia Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Ilmiah Sultan Agung Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan MOTORIK Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Protein: Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Siti Rufaidah Jurnal Riset Multidisiplin Edukasi Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Dwi Retno Sulistyaningsih
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Pengaruh Relaksasi Benson dan Aromaterapi Lemon terhadap Penurunan Skala Nyeri pada Pasien Sindrom Koroner Akut di Ruang Anggrek Hanun Nazih, Hanun Nazih; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5490

Abstract

Acute coronary syndrome (ACS) is one of the leading causes of death worldwide and remains a serious health problem characterized by chest pain due to narrowing or blockage of the coronary arteries. Pain experienced by ACS patients can affect both physiological and psychological conditions, therefore prompt and appropriate management is required. In addition to pharmacological therapy, non-pharmacological interventions such as relaxation techniques and aromatherapy can serve as alternatives to help reduce pain intensity. This study aimed to determine the effect of combining Benson relaxation and lemon aromatherapy on pain scale reduction among ACS patients in the Anggrek Ward of RSUD dr. H. Soewondo Kendal. The research employed a pre-experimental design with a one-group pretest-posttest approach. A total of 29 respondents were recruited using purposive sampling based on predetermined inclusion and exclusion criteria. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test because the data were not normally distributed. The results showed that the mean pain score before the intervention was 7.14 (moderate to severe pain), while after the intervention it decreased to 4.24 (mild to moderate pain). The Wilcoxon test revealed a significant difference between pain scores before and after the intervention (p = 0.000, p < 0.05). In conclusion, the combination of Benson relaxation and lemon aromatherapy was significantly effective in reducing pain among ACS patients. This intervention may be recommended as a non-pharmacological alternative to support acute pain management in patients with acute coronary syndrome.
Hubungan antara Kualitas Tidur dan Kecemasan dengan Tekanan Darah Pasien Pre Operasi Vitrectomy di Ruang Baitul Izzah 2 RSI Sultan Agung Semarang Windilla Windilla; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1754

Abstract

Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients
Hubungan Response Time Perawat dengan Kepuasan Pasien di IGD RSU Islam Harapan Anda Kota Tegal Nurul Muzamil; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2316

Abstract

Nurses’ response time is a crucial indicator of service quality in the Emergency Department (ED). A prompt response not only plays a vital role in ensuring patient safety but also significantly affects patient satisfaction with the care received. Patient satisfaction in the ED is often considered a benchmark of hospital quality, as the ED operates 24/7 and frequently deals with critical conditions. This study aimed to determine the relationship between nurses’ response time and patient satisfaction in the ED of Harapan Anda Islamic General Hospital, Tegal. This study employed an observational analytic design with a cross-sectional approach. A total of 92 ED patients were included as samples based on inclusion criteria. Nurses’ response time was measured using a stopwatch, starting from the completion of triage until the first contact with the nurse. Patient satisfaction was assessed using the standardized Brief Emergency Department Patient Satisfaction Scale (BEPSS) questionnaire. Data analysis was conducted using Pearson’s Chi-Square test to examine the relationship between the two variables. The results showed that 75 patients (81.5%) experienced a fast response time, while 72 patients (78.3%) reported being satisfied with the care provided. Statistical analysis yielded a Pearson’s Chi-Square value of 11.933, with an odds ratio of 6.545 and a significance level of 0.001 (p < 0.05). These findings indicate a significant association between nurses’ response time and patient satisfaction. In conclusion, nurses’ response time is strongly related to patient satisfaction in the ED of Harapan Anda Islamic General Hospital. Other factors such as effective communication, clinical competence, ED environment, and triage system may also influence satisfaction and should be considered in future studies.
Hubungan Dukungan Keluarga dan Komunikasi Terapeutik terhadap Tingkat Kecemasan Pasien di Ruang ICU Nur Anisah; Dwi Retno Sulistyaningsih; Erna Melastuti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2318

Abstract

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.
Perbandingan Lokasi Kompres Ice Gel antara Dada dan Ketiak terhadap Perubahan Suhu Tubuh Pasien Post Craniotomy di Ruang ICU RSI Sultan Agung Semarang Fitri Cahyaningrum; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : 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.v2i4.2321

Abstract

Craniotomy is a medical procedure to open the skull in order to repair and assess damage to the brain, which can cause fever due to thermoregulatory disturbances in the central nervous system. Monitoring the body temperature of post-craniotomy patients is crucial, as hyperthermia can increase the risk of complications. One non-pharmacological therapy to reduce fever is the use of ice gel compresses. This study aims to compare the effect of ice gel compress placement between the chest and armpit on body temperature changes in post-craniotomy patients in the ICU of RSI Sultan Agung Semarang. This research uses a pre-experimental design with a two-group pretest-posttest design, involving 22 respondents selected through total sampling technique. Data were collected using observation sheets, and statistical analysis was performed using the Paired Samples Test. The analysis results showed that the p-value for the chest was 0.867 (p > 0.05) and for the armpit was 0.199 (p > 0.05), indicating no significant difference in body temperature before and after the ice gel compress at both locations in relation to the body temperature changes of post-craniotomy patients. In conclusion, the application of ice gel compresses to the chest and armpit locations did not show a significant effect on reducing body temperature in post-craniotomy patients.
Pengaruh Kombinasi Clapping dan Suction terhadap Tidal volume pada Pasien Gagal Napas dengan Ventilasi Mekanik Aldilla Aini Rahma Latifa; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1753

Abstract

Patients who are admitted to the Intensive Care Unit (ICU) often require mechanical ventilation due to respiratory failure. One of the common problems that arises in patients with mechanical ventilation is the buildup of sputum, which can interfere with the ventilation process as well as lower the tidal volume. To overcome this, a combination of clapping and suction interventions are used as a therapeutic method with the aim of helping to clear the airways and improve ventilation function. This study aims to determine the effect of the combination of clapping and suction on tidal volume in patients with respiratory failure using mechanical ventilation. The research design used a pre-experiment with a one-group pretest-posttest approach on 43 respondents in the ICU room. Interventions in the form of clapping and suction are given in a structured manner according to standard nursing procedures. The results showed that the majority of respondents were female (53.5%), with the most medical diagnosis being SNH (23.3%). Most of the respondents were in the late adult age category (32.6%) and used PCV ventilation mode (51.2%). Before the intervention, most respondents had a low tidal volume (72.1%), while after the intervention the majority had an increase to the normal category (90.7%). The Wilcoxon test showed a value of p = 0.001, which means that there is a significant effect of the combination of clapping and suction on the increase in tidal volume. Thus, it can be concluded that the combination of clapping and suction is an effective intervention in increasing tidal volume in patients with respiratory failure with mechanical ventilation at the ICU of RSI Sultan Agung Semarang.
Dukungan Keluarga dan Kecemasan Pada Klien Diabetes Melitus Arma Vica Hulandari; Dwi Retno Sulistyaningsih
An-Najat Vol. 3 No. 4 (2025): November: An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i4.3449

Abstract

Diabetes melitus is a degenerative disease that increase every year and it is at risk of having serious complications that can cause anxiety. Family support is an important factor when a person had a healthy problem as a preventive effort to reduce anxiety. This research purpose to know the relation between family support and anxiety to the patients with diabetes melitus. This research applies cross sectional design. The populations in this research are patients with diabetes melitus at periuk jaya primary health center. The sampling technique used total sampling according to inclusion criteria as many as 43 respondents. The data were collected by using questionnaires. Analyzed by chi square. The result of the research showed that a small percentage of people with diabetes melitus who had anxiety were 2 people (4.7%) and those who did not get family support were 18 people (41,9%). Statistic test result with significance P=0.169, showed that P-value is bigger than 0.05 (0.169>0.05). In conclution the result showed that family support is not related with anxiety on patients with diabetes miletus. The significance result of this research showed that family support did not affect anxiety. It becomes a basic that family support is not one of the factors that affect anxiety. Therefore, hopefully health workers can pay attention to psychosocial needs, especially to the patients with diabetes melitus. Key words: Anxiety, Family support, Diabetes melitus. Diabetes melitus merupakan penyakit degeneratif yang mengalami peningkatan setiap tahunnya dan beresiko memiliki komplikasi serius sehingga bisa menimbulkan kecemasan. Dukungan keluarga merupakan faktor penting ketika seseorang mengalami masalah kesehatan, sebagai upaya preventif untuk mengurangi cemas. Penelitian ini bertujuan untuk mengetahui adakah hubungan dukungan keluarga dengan kecemasan pada klien diabetes melitus. Penelitian ini menggunakan desain cross sectional. Populasi dalam penelitian ini klien diabetes melitus di Puskesmas Periuk Jaya. Teknik sampling menggunakan total sampling sesuai dengan kriteria inklusi sebanyak 43 responden. Pengumpulan data menggunakan kuesioner. Analisa dilakukan menggunakan uji chi square. Hasil penelitian sebagian kecil klien diabetes melitus yang mengalami kecemasan yaitu 2 orang (4.7%) dan yang tidak memiliki dukungan keluarga yaitu 18 orang (41.9%). Hasil uji statistik diperoleh dengan nilai signifikasi p-0.169, yang menunjukkan nilai p-value lebih besar dari 0.05 (0.169 > 0.05). Dari hasil tersebut disimpulkan bahwa tidak ada hubungan antara dukungan keluarga dengan kecemasan pada klien diabetes melitus. Hasil yang signifikasi penelitian ini menunjukkan dukungan keluarga tidak mempengaruhi kecemasan. Ini menjadi dasar bahwa dukungan keluarga adalah bukan salah satu faktor yang mempengaruhi kecemasan. Dengan ini, diharapkan petugas kesehatan dapat memperhatikan kebutuhan tentang psikososial khususnya pada klien diabetes melitus. Kata kunci: Kecemasan, Dukungan keluarga, Diabetes melitus.
Hubungan Tekanan Darah dan Lama Menderita dengan Laju Filtrasi Glomerulus Pasien Hipertensi Adiba Zaza Salsabila; Dwi Retno Sulistyaningsih; Indah sri wahyuningsih
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: 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/cr1yxh51

Abstract

Hypertension is a prevalent chronic health condition and a major risk factor for cardiovascular disease and chronic kidney disease. Persistent elevation of blood pressure can lead to progressive damage to blood vessels and glomeruli through hemodynamic and structural mechanisms, ultimately resulting in a decline in the glomerular filtration rate (GFR). In addition to blood pressure levels, the duration of hypertension plays a crucial role in determining the extent of renal damage over time. This study aimed to analyze the relationship between blood pressure, duration of hypertension, and GFR. A quantitative study with a cross-sectional design was conducted involving 103 patients with hypertension. Data were obtained from medical records, including systolic and diastolic blood pressure, duration of hypertension, and GFR values, and were analyzed using Spearman’s correlation test. The results showed that systolic blood pressure was significantly associated with GFR (p < 0.05), with a weak negative correlation, while diastolic blood pressure showed no significant association. The duration of hypertension was also significantly associated with GFR. In conclusion, systolic blood pressure and the duration of hypertension influence renal filtration function, highlighting the importance of regular monitoring of blood pressure and GFR to prevent further kidney damage.
Hubungan Dukungan Keluarga dan Self Efficacy terhadap Tingkat Resiliensi pada Pasien Stroke Fadila Ananda; Dwi Retno Sulistyaningsih; Indah Sri Wahyuningsih
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/4w6dhd45

Abstract

Stroke causes various physical, psychological, and social changes that may reduce a patient’s ability to adapt. Resilience plays a crucial role in helping patients manage their condition after a stroke. Family support and self-efficacy are important factors that can strengthen resilience; however, the level of resilience varies among individuals. Therefore, it is necessary to examine the relationship between family support, self-efficacy, and resilience among stroke patients. To determine the relationship between family support and self-efficacy with the level of resilience among stroke patients at Sultan Agung Islamic Hospital, Semarang. This study employed a quantitative correlational design with a cross-sectional approach. A total of 114 respondents were included using a total sampling technique. The instruments used were the Family Support Questionnaire, the Stroke Self-Efficacy Questionnaire, and the Connor–Davidson Resilience Scale. Data were analyzed using the Spearman Rank correlation test. The findings revealed a significant relationship between family support and resilience (p = 0.000; r = 0.665), indicating a strong positive correlation. Self-efficacy and resilience (p = 0.000; r = 0.851), indicating a very strong positive correlation. These results show that higher family support and higher self-efficacy are associated with better resilience in stroke patients. There is a significant and strong relationship between family support and self-efficacy with the level of resilience among stroke patients. Increased family support and stronger self-efficacy contribute to higher resilience in managing post-stroke conditions.
Pengaruh ROM Aktif-Asistif Dengan Spherical Grip Terhadap Kekuatan Genggam Tangan Dan Rentang Gerak Sendi Pasien Stroke Non-Hemoragik Eko Anggoro Santoso; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
Journal of Medical Practice and Research Vol 1 No 2 (2025): December: 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/evd11y50

Abstract

Non-hemorrhagic stroke is a leading cause of long-term disability, frequently resulting in upper-extremity muscle weakness, particularly reduced handgrip strength and limited joint range of motion. These impairments substantially diminish patients’ functional capacity and independence. Active-assisted Range of Motion (ROM) exercises combined with spherical grip training are believed to stimulate neuromuscular function and enhance muscle strength through repetitive motor practice. This study employed a pre-experimental two-group pretest–posttest design involving 36 respondents (18 in the intervention group and 18 in the control group) at RSUD Dr. H. Soewondo Kendal. Participants were selected using purposive sampling. Muscle strength was measured using Manual Muscle Testing (MMT), while joint range of motion was assessed with a goniometer. Data were analyzed using the Wilcoxon and Mann–Whitney tests. The findings demonstrated a significant improvement in handgrip strength and in most joint range-of-motion parameters following active-assisted ROM therapy with spherical grip (p ≤ 0.05). In contrast, the control group showed no statistically significant changes. These results indicate that active-assisted ROM therapy with spherical grip is effective in improving handgrip strength and joint range of motion in patients with non-hemorrhagic stroke. Therefore, this intervention is recommended as an integral component of nursing rehabilitation programs to enhance motor function and improve post-stroke quality of life
Co-Authors Adiba Zaza Salsabila Ahmad Ikhlasul Amal Aldilla Aini Rahma Latifa Arma Vica Hulandari Arum Zahrotul Niswah Ayu Firnida Nongsoh Azza Husnu Wahda Baehaqi Dela Arum Lorensa Dhestri Setia Sari Eko Anggoro Santoso Endang Purwati Enjelika Dwi Amelia Erna Melastuti Erna Melastuti, Erna Fadila Ananda Filda Mayang Sari Fitri Cahyaningrum Hanun Nazih, Hanun Nazih Ikhlasul Amal, Ahmad Ikoh Ropikoh Ina Ardila Indah Sri Wahyuningsih Maulidan Nurun Nabila Maulina, Dewi Maulina Megani Ifa Algandira Meita Prima Dewi Moh Saefudin Mohammad Arifin Noor Mohammad Taufik Akbar Muhammad Isra’ul Majiid Nopi Nur Khasanah Novita Aulia Nur Anisah Nurul Muzamil Puspita Putri, Maharani Retno Setyawati Ririn Marliana Sinus Agustina, Wahyu Siti Karomah Siti Naili Baroroh Usmanto, Uus Windilla Windilla Yanti Winarni Yanuar Widayati Yuna Ernawati