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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Padjadjaran JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Ners Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Ilmiah Kesehatan Rustida Indonesian Journal of Global Health research Community Empowerment Lentera Perawat Jurnal HUMANIS Jurnal Keperawatan dan Kesehatan (JKK) Jurnal Ilmiah Sultan Agung JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Medicare Sanitas: Journal of Health, Medical, and Psychological Studie Indonesian Journal of Global Health Research
Erna Melastuti
Dosen Program Studi Ilmu Keperawatan, Fakultas Ilmu Keperawatan, Universitas Islam Sultan Agung Semarang
Religion Arts Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Gambaran Pengetahuan dan Peran Perawat dalam Perawatan Paliatif pada Pasien Kondisi Terminal Di RSI SA Semarang Saidah Qodtamalla; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Ilmiah Penelitian Mahasiswa Vol 1, No 1 (2022): September
Publisher : Jurnal Ilmiah Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.886 KB)

Abstract

Keberhasilan perawatan paliatif sangat didukung oleh pengetahuan dan peran seorang perawat. Pengetahuan dan peran perawat yang baik dan tepat tentang perawatan paliatif diperlukan untuk pasien dalam kondisi terminal. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan dan peran perawat pada perawatan paliatif pada pasien kondisi terminal. Penelitian ini merupakan penelitian deskriptif observasional. Desain yang digunakan dalam penelitian ini yaitu desain penelitian kuantitatif dengan menggunakan pendekatan observasional. Berdasarkan hasil penelitian menunjukan bahwa secara umum perawat yang memiliki pengetahuan yang baik sebanyak 90 orang dengan presentase 97,8%, perawat yang memiliki pengetahuan yang cukup sebanyak 1 orang dengan presentase 1,1%, dan perawat yang memiliki pengetahuan kurang sebanyak 1 orang dengan presentase 1,1%, total responden adalah 92 orang. Hasil penelitian ini didapatkan ada 90 responden yang memiliki pengetahuan yang baik akan tetapi ada hanya ada 76 responden yang memiliki peran yang baik, dengan begitu ada 14 responden yang memiliki pengetahuan baik tetapi memiliki peran yang cukup.
Edukasi Berbasis Digital tentang Pengetahuan Pasien Penyakit Ginjal Kronis (PGK) Dengan Terapi Hemodialisis: Tinjauan Literatur Ekawati Ekawati; Erna Melastuti; Suyanto Suyanto
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41889

Abstract

In the era of technology, providing digital-based education through the concept of applications by displaying theories or videos is one of the many results of technological advances that can be used as an interesting means of health education. This literature review aims to see the effectiveness of digital-based education in increasing the knowledge of chronic kidney disease (CKD) patients with hemodialysis therapy. The design used is a literature review. The search for articles in this study was through online databases that can be accessed via Google Scholar, Science Direct, Scopus, Elseiver and PubMed using keywords and Boolean Operators. Based on the results of the review of 10 selected journals, it was concluded that interventions by providing digital-based education and applications can effectively increase the knowledge of chronic kidney disease (CKD) patients with hemodialysis therapy. It is hoped that the provision of digital-based education and this application can be developed and used by health institutions and patients.
Faktor Pemberian Terapi Non Farmakologi Oleh Perawat Kepada Pasien Dengan Nyeri Post Operasi di Rumah Sakit : Studi Literatur Sri Lestari Handayani; Dwi Retno Sulistyaningsih; Suyanto Suyanto; Erna Melastuti
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44497

Abstract

Ketidaknyamanan pasca-operasi merupakan masalah yang sering terjadi di lingkungan layanan kesehatan yang sering membuat pasien tidak puas. Perawat memiliki kemampuan untuk meredakan nyeri ini melalui terapi non-obat, namun dalam skenario dunia nyata, pendekatan semacam itu jarang digunakan oleh staf perawat. Tinjauan pustaka ini bertujuan untuk mengidentifikasi elemen-elemen yang terkait dengan perawatan non-farmakologis yang diberikan oleh perawat untuk individu yang mengalami nyeri pasca-operasi di fasilitas medis. Kerangka kerja artikel ini adalah Tinjauan Pustaka. Ini melibatkan pemanfaatan kata kunci dan pencarian berbagai basis data atau jurnal yang dapat diakses melalui sumber daya seperti PubMed, Google Scholar, Scopus, Science Direct, dan Elsevier. Tinjauan terhadap sepuluh jurnal terpilih menghasilkan kesimpulan bahwa aspek-aspek yang memengaruhi penerapan terapi non-farmakologis oleh perawat meliputi pengetahuan, sikap, motivasi, pelatihan, kompetensi, beban kerja, dan faktor organisasi. Diharapkan bahwa temuan dari tinjauan pustaka ini akan berfungsi sebagai landasan dan panduan bagi penelitian masa depan dalam mengidentifikasi faktor-faktor yang relevan, dan diharapkan bahwa peneliti berikutnya akan fokus pada pengembangan penelitian yang tidak hanya mengeksplorasi hubungan tetapi juga meneliti dampak terapi non-farmakologis dalam mengurangi tingkat nyeri pada pasien pasca-operasi.
Efektivitas Relaksasi Benson dalam Menurunkan Tingkat Kecemasan Pre Operatif: Telaah Literatur Fegit Jupandri; Suyanto Suyanto; Nopi Nur Khasanah; Erna Melastuti
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45338

Abstract

Latar Belakang: Kecemasan sebelum dilakukan tindakan operasi adalah perasaan tidak nyaman yang dialami pasien yang akan menjalani prosedur anestesi, rawat inap, dan operasi. Relaksasi Benson adalah terapi yang bertujuan untuk menenangkan pikiran dan tubuh dengan cara menjauhkan diri dari rangsangan luar, sehingga membantu pasien untuk mencapai ketenangan batin. Teknik ini melibatkan metode seperti hipnotis, meditasi yoga, dan Latihan mental. Telaah literatur ini bertujuan untuk menganalisis efektivitas relaksasi Benson dalam menurunkan tingkat kecemasan pada pasien pra operasi. Metode: Penelitian ini menggunakan desain telaah literatur dengan pencarian artikel melalui Google Scholar dengan menggunakan kata kunci dan Boolean Operator. Hasil: Berdasarkan analisis dari 10 artikel, relaksasi Benson terbukti efektif menurunkan tingkat kecemasan pada pasien pre-operatif dibandingkan dengan Teknik distraksi lain atau menggunakan perawatan standar. Kesimpulan: Relaksasi Benson diharapkan dapat diadopsi oleh institusi Kesehatan sebagai intervensi non farmakologis untuk mengurangi kecemasan pre-operatif.
GAMBARAN FAKTOR-FAKTOR YANG MEMENGARUHI KADAR HB PADA PASIEN HEMODIALISA Ainul Adillah Rusdiana; Erna Melastuti; Ahmad Ihklasul Amal
Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i2.360

Abstract

Patients with chronic kidney failure undergoing hemodialysis often experience a decrease in hemoglobin levels as an indication of anemia, which is greatly influenced by various factors such as nutritional status, age, gender, and family history. This study aims to identify the factors affecting hemoglobin levels in hemodialysis patients at RSUD Dr. Loekmono Hadi Kudus. This study used a descriptive analytical method with a quantitative descriptive approach. A sample of 129 patients was taken using purposive sampling. Data were collected through observation and medical records, then analyzed using correlation and significance statistical tests. The analysis results showed that malnutrition has a significant relationship with hemoglobin levels (p < 0.05) using the Chi-square test, while factors such as age, gender, and family history did not show a significant relationship. Malnutrition impacts low hemoglobin levels, potentially worsening the patient's condition. Malnutrition is a significant factor affecting hemoglobin levels in hemodialysis patients. Therefore, special attention to the nutritional status of patients is very important to maintain hemoglobin levels and improve the quality of life of hemodialysis patients.
Pengalaman pasien myasthenia gravis yang menjalani therapeutic plasma exchange Catur Wijayanti; Dwi Retno Sulistyaningsih; Erna Melastuti
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 3 (2026): March Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i3.2643

Abstract

Background: Myasthenia gravis is a rare autoimmune neuromuscular disorder that significantly impacts patients' quality of life due to fluctuating muscle weakness and the risk of myasthenic crisis. Therapeutic plasma exchange is one of the primary therapies used to manage acute exacerbations by removing pathogenic antibodies from the circulation. Purpose: To explore the lived experiences of patients with myasthenia gravis undergoing therapeutic plasma exchange from physical, psychological, social, cultural, and spiritual perspectives. Method: A qualitative study using a phenomenological approach was conducted involving nine participants diagnosed with myasthenia gravis who had undergone therapeutic plasma exchange more than once. Data were collected through in-depth face-to-face interviews and analyzed using Husserlian phenomenological analysis. Results: Participants reported physical symptoms including ptosis, diplopia, dysphagia, dyspnea, dysphonia, and limb weakness. During the procedure, common complaints were a sensation of coldness and fatigue, while post-therapy improvements included reduced shortness of breath, clearer voice, improved eyelid function, and increased muscle strength. Conclusion: The experiences of patients with Myasthenia Gravis undergoing Plasma Exchange Therapy are multidimensional. Holistic nursing care that addresses physical, psychological, social, cultural, and spiritual aspects is crucial to support treatment success and improve patient outcomes.   Keywords: Holistic Nursing Care; Myasthenia Gravis; Phenomenology; Patient Experience; Therapeutic Plasma Exchange.   Pendahuluan: Miastenia Gravis adalah gangguan neuromuskular autoimun langka yang secara signifikan memengaruhi kualitas hidup pasien karena kelemahan otot yang berfluktuasi dan risiko krisis miastenia. Pertukaran Plasma Terapeutik adalah salah satu terapi utama yang digunakan untuk mengelola eksaserbasi akut dengan menghilangkan antibodi patogen dari sirkulasi. Tujuan: Untuk mengeksplorasi pengalaman hidup pasien Miastenia Gravis yang menjalani Pertukaran Plasma Terapeutik dari perspektif fisik, psikologis, sosial, budaya, dan spiritual. Metode: Studi kualitatif dengan pendekatan fenomenologis dilakukan yang melibatkan sembilan partisipan yang didiagnosis dengan Miastenia Gravis yang telah menjalani Pertukaran Plasma Terapeutik lebih dari sekali. Data dikumpulkan melalui wawancara tatap muka mendalam dan dianalisis menggunakan analisis fenomenologis Husserlian. Hasil: Partisipan melaporkan gejala fisik termasuk ptosis, diplopia, disfagia, dispnea, disfonia, dan kelemahan anggota tubuh. Selama prosedur, keluhan umum adalah sensasi dingin dan kelelahan, sementara perbaikan pasca-terapi meliputi berkurangnya sesak napas, suara yang lebih jernih, peningkatan fungsi kelopak mata, dan peningkatan kekuatan otot. Simpulan: Pengalaman pasien dengan Myasthenia Gravis yang menjalani Terapi Pertukaran Plasma bersifat multidimensional. Perawatan keperawatan holistik yang menangani aspek fisik, psikologis, sosial, budaya, dan spiritual sangat penting untuk mendukung keberhasilan pengobatan dan meningkatkan hasil pasien.   Kata Kunci: Fenomenologi; Myasthenia Gravis; Pengalaman Pasien; Perawatan Keperawatan Holistik; Terapi Pertukaran Plasma.
Effectiveness of combined ar-rahman murottal therapy and lavender aromatherapy for family anxiety reduction in intensive care unit waiting rooms: A systematic review Sukran Suyanto; Ahmad Ikhlasul Amal; Erna Melastuti; Indah Sri Wahyuningsih
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.733

Abstract

Background: Family members who wait for patients in intensive care units frequently experience anxiety due to uncertainty, emotional burden, and fear related to critical illness. Non-pharmacological interventions such as Qur’anic murottal therapy and lavender aromatherapy have been increasingly explored because both approaches may promote relaxation, emotional comfort, and psychological stability in stressful clinical situations. However, evidence regarding their combined effectiveness for reducing anxiety among families in ICU waiting rooms remains limited and scattered across different clinical contexts. Objective: This systematic review aimed to examine the effectiveness of combined Ar-Rahman murottal therapy and lavender aromatherapy for reducing anxiety among family members in intensive care unit waiting rooms. Methods: This study used a systematic review design and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. Literature searches were conducted in ClinicalKey for Nursing, SAGE Journals, ProQuest, and Google Scholar using combinations of keywords related to murottal therapy, lavender aromatherapy, anxiety, ICU, and family health. Studies published in English or Indonesian within the last 10 years were considered. Experimental and quasi-experimental studies were included, while irrelevant studies, methodologically weak articles, grey literature, and studies outside the review focus were excluded. Study selection, quality appraisal, and data extraction were conducted independently by two reviewers. Of 1,942 records initially identified, 12 full-text articles were assessed, 2 were excluded because of high risk of bias, and 10 studies were included in the final synthesis. Results: The included studies showed that the combination of Ar-Rahman murottal therapy and lavender aromatherapy was associated with reduced anxiety across several clinical contexts. The strongest evidence came from studies involving family members in ICU waiting rooms, where the combined intervention significantly reduced anxiety levels. Indirect evidence from preoperative, inpatient, and waiting-room populations supported the anxiolytic potential of both therapies. Overall, the findings suggested a consistent positive direction of effect, although the evidence remained heterogeneous in terms of population, setting, intervention duration, and measurement instruments. Conclusion: Combined Ar-Rahman murottal therapy and lavender aromatherapy appears to be a promising complementary intervention for reducing anxiety among family members in ICU waiting rooms. Nevertheless, further rigorous studies focusing specifically on ICU family populations are needed to strengthen the evidence base and support wider implementation in family-centered critical care nursing.  
Literature Review: The Positive Impact of Murottal Al-Qur'an Therapy on Anxiety in Hemodialysis Patients Zamsiah Martiasih; Dwi Retno Sulistyaningsih; Suyanto Suyanto; Erna Melastuti
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.5485

Abstract

Hemodialysis patients often experience anxiety that impacts quality of life and requires effective intervention. Murottal therapy has the potential to be an alternative to reduce anxiety, can be recommended as part of holistic care that is easy to apply and has minimal side effects for hemodialysis patients. Objectives: This literature review aims to evaluate the positive impact of Qur'anic murottal therapy on anxiety in hemodialysis patients. Methods: This study used a literature study of journal articles. Articles were searched through Google Scholar, PubMed, ResearchGate, and Semantic Scholar with the keywords “Hemodialysis”, “Anxiety”, and “Murottal Al-Qur'an” using the PCC approach. The PRISMA flowchart details the article selection process: initial identification of 462 articles, elimination of 203 duplications, exclusion of 185 articles based on irrelevant titles and abstracts, leaving 18 articles. 8 articles were again excluded after full text assessment as they did not meet the inclusion criteria. The selection process resulted in 10 final articles that met the inclusion criteria: national and international journal articles in Indonesian and English, published in 2019-2024, free full text available, and discussing murottal therapy for hemodialysis patient anxiety. Results: Out of hundreds of articles, ten articles showed consistent results that Qur'anic murottal therapy is effective in reducing the anxiety level of hemodialysis patients. Conclusion: Based on the literature analysis, Qur'anic murottal shows a positive impact as an effective therapy in overcoming anxiety in hemodialysis patients.
Literature Rivew: Effectiveness of Speech Therapy in Improving Verbal Communication Ability of Stroke Patients with Dysarthria” Eko Kurniawan; Suyanto Suyanto; Erna Melastuti; Dwi Retno Sulistyaningsih
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5604

Abstract

Stroke often results in speech impairment, including dysarthria, which impacts the patient's verbal communication skills, quality of life, social interaction and independence. Therefore, understanding the effectiveness of speech therapy in improving verbal communication skills is necessary to determine the most effective rehabilitation approach. Objective: This study aims to explore the effectiveness of speech therapy in improving verbal communication of stroke patients with dysarthria, particularly in the aspects of articulation, voice clarity, and the ability to speak in daily life. Method: Methods: This study used a literature review of national and international published between 2019-2024 and freely available. A systematic search of the review was conducted using the Google Scholar database, Semantic Scholar, using keywords: Dysarthria Speech Therapy, Stroke, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. Initial searches were conducted through Google Scholar (1,215 articles), Semantic Scholar (485 articles). Initial screening of 1,450, removal of duplicate articles remaining 250 articles, articles were eliminated, so only 15 articles entered the further screening stage. From this process, 5 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed.. Result: The results of thousands of articles show ten articles showing consistent results that speech therapy can improve verbal communication skills in patients with diarthric stroke. Conclusion: There is general agreement that speech therapy is effective in improving verbal communication skills in stroke patients with dysarthria.
The Effect of Socialization Externalization Conbination Internalization Methods in Improving the Implementation of Early Mobilization in Inpatient Wards Karnadi Karnadi; Suyanto Suyanto; Erna Melastuti; Herry Susanto
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5611

Abstract

Early mobilization is a therapeutic approach involving physical activity or patient mobilization that begins early after medical procedures, such as surgery, especially in the context of intensive care unit (ICU) care. The purpose of this study was to prevent complications associated with immobility, such as muscle weakness, decreased physical function, and cardiovascular problems, and to accelerate patient recovery. The research method used a literature review with a search for relevant articles using semantic science. This study is in accordance with the keywords that have been found and refers to the criteria for dysarthria and speech therapy, the overall search results for articles from 3 databases contained 350 articles. After filtering the full text obtained 10 journals from scientific articles published in the last 5 years (2019-2024), which showed that there was an influence of the externalization socialization method combined with internalization in improving the implementation of early mobilization in the inpatient ward. Research with an orthogonal design showed no influence of the externalization socialization method combined with internalization in improving the implementation of early mobilization.
Co-Authors Ah. Yusuf Ahmad Ihklasul Amal Ahmad Ikhlasul Amal Ahmad Ikhlasul Amal Ainul Adillah Rusdiana Akhmad Ikhlasul Amal Amalia Septiani Anjalika Ulfarani Asih Puji Lestari Ayi Fachrudin Catur Wijayanti Dwi Heppy Rochmawati Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Ekawati Ekawati Eko Kurniawan Fedi Sudrajat Fegit Jupandri Filda Mayang Sari Harif Fadhilah Hayatun Nafsiah Herry Susanto Ika Lilis Istiadah Ima Rotul Khusna Indah Sri Wahyuningsi Indah Sri Wahyuningsih Indah Wahyuningsih Janitra, Fitria Endah Karnadi Karnadi Khasanah, Nopi Nur Lailya Husna Lia Ulvi Avianti Lino Aparicio Pires Gusmão Maitsa Novia Ramandhani Misbakul Munir Moch. Asfihan Muh. Abdurrouf Olandina da Silva Pereira Puji Setya Kinasih Retno Issroviatiningrum Retno Setyawati Retno Setyawati Rika Viyanti Saidah Qodtamalla Septi Anggraini Siti Mustafiatun Sri Lestari Handayani Sri Salma Rahmila Sukran Suyanto Suyanto Yan Adi Wibawa Zamsiah Martiasih