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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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Early Mobilization For ICU-Acquired Weakness in the Critically Ill on A Ventilator Misbakul Munir; Erna Melastuti; Muh. Abdurrouf
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.v7i2.5800

Abstract

ICU-Acquired Weakness (ICU-AW) common in critically ill patient on ventilator. This can be caused by several factors, one of which is immobilisation. ICU-AW is at risk for increased ventilator duration and mortality. This literature review aims to evaluate the positive impact of early mobilization for ICU-AW in the critically ill on a ventilator. This study used a literature review of national and international journal in Indonesia and English published between 2020-2025. This research uses several available database sources in e-resources : Pubmed, ScinceDirect, Google Scholar and Sematic Scholar. The researchers searched the literature using the keywords ”early mobilization” and “intensive care unit-Acquired Weakness” with the PCC approach. The researchers identified 864 journals, analysed them using the PRISMA method and found 10 journals that met the inclusion criteria. Out of 83 journals, 10 journals showed results that early mobilisation was effective in reducing ICU-AW in ventilator-dependent patients. Based on journal analysis, early mobilization is effective in reducing ICU-AW in patients on ventilators
Non-Pharmacological Strategies to Reduce Bloating and Abdominal Distension: A Systematic Review Fedi Sudrajat; 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.v7i2.5874

Abstract

Bloating and abdominal distension are common complaints that can be caused by various factors, including intestinal motility disorders, postoperative effects, and functional digestive disorders. While pharmacological therapy is often used, various non-pharmacological interventions have been developed as safer alternatives with minimal side effects.This literature review aims to examine various non-pharmacological interventions for addressing intestinal motility disorders, bloating, and abdominal distension based on available evidence. A search for scientific articles, including randomized clinical trials and randomized controlled trials, was conducted using inclusion and exclusion criteria based on the PICOS format. Articles were retrieved from databases such as Google Scholar, PubMed, ScienceDirect, and CINAHL (2018–2025), focusing on publications in English and Indonesian. Keywords related to bloating, flatulence, and abdominal distension interventions were used to identify relevant studies. The process of searching for high-quality research articles was conducted using the PRISMA 2020 diagram. Initially, 831 articles were identified, with 648 eliminated due to duplication, being outside the topic, or lacking full-text access. This resulted in 183 articles screened. After the eligibility assessment, 170 articles were further excluded for not meeting the inclusion and exclusion criteria. The final selection process resulted in 13 articles that were included and discussed in this study. Non-pharmacological interventions have been shown to effectively reduce bloating and accelerate the recovery of intestinal peristalsis. Specific interventions include: (chewing gum, which promotes flatus release and defecation; mentha spicata L. essential oil, which has analgesic properties and reduces bloating; warm compresses, which significantly enhance intestinal peristalsis; thoracoabdominal biofeedback, which effectively reduces abdominal distension; early mobilization, which accelerates the recovery of intestinal peristalsis and lowers the risk of postoperative ileus; chamomile, which has therapeutic effects in reducing flatulence and distension; coffee or caffeine consumption, which significantly promotes intestinal function recovery. Non-pharmacological interventions have proven effective in alleviating symptoms and accelerating the recovery of intestinal peristalsis, bloating, and abdominal distension.
The Relationship between Lifestyle and Stress Levels with the Incidence of Diabetes Mellitus: Literature Study Ika Lilis Istiadah; Dwi Heppy Rochmawati; Erna Melastuti; Ahmad Ikhlasul Amal
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5912

Abstract

Diabetes Mellitus (DM) is a chronic disease marked by high blood glucose due to insulin dysfunction. Its prevalence is rising, with Indonesia ranking seventh globally. Unhealthy lifestyles and stress exacerbate the issue, highlighting the need for improved prevention and management strategies. This study examines how lifestyle and stress influence DM incidence in Indonesian patients, identifying risk factors to enhance healthcare strategies. A systematic review using PRISMA guidelines analyzed studies from various databases (2019-2024), selecting relevant articles based on inclusion criteria and extracting key research data. From 10 reviewed journals, 4 linked lifestyle to DM, 1 identified sedentary behavior as a prediabetes risk, and 5 highlighted stress as a major factor. Preventing and managing DM requires a healthy lifestyle, stress management, and healthcare interventions to enhance patient well-being while reducing economic and health burdens.
A Literature Review of Factors Contributing to Asthma Relapse Amalia Septiani; Suyanto Suyanto; Dwi Heppy Rochmawati; Erna Melastuti
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6228

Abstract

Asthma is a chronic respiratory condition characterized by airway narrowing, inflammation, and excessive mucus production. Relapse refers to the recurrence of symptoms, which can be severe and disrupt daily activities, often necessitating additional care, either outpatient or inpatient, sometimes with a longer duration than previous episodes. The objective of this literature review is to examine the factors influencing asthma relapse. This study employed a literature review design. Articles were identified through online databases, specifically Google Scholar and PubMed, using keywords and Boolean operators such as AND, OR, NOT. The search terms included “Factors Associated with Asthma” AND “Relapse Asthma.” The literature search was conducted in November 2024, focusing on articles published between 2020 and November 2024. A total of 683 articles were retrieved from Google Scholar and PubMed. Based on the review of 10 selected studies, it was concluded that asthma triggers may result from biological, environmental, or chemical factors. Factors associated with asthma exacerbations include a history of smoking, gastroesophageal reflux disease (GERD), obesity, nasal polyps, depression, and anxiety. Factors linked to severe asthma exacerbations include atopic conditions and passive smoking as primary indicators.
HUBUNGAN SPIRITUAL WELL-BEING TERHADAP STRES PASIEN HEMODIALISIS Puji Setya Kinasih; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Latar belakang: Pasien yang menjalani hemodialisis rentan mengalami stres akibat perubahan fisik, psikologis, dan sosial yang terjadi secara terus-menerus. Spiritual Well-Being berperan penting dalam membantu pasien beradaptasi serta menurunkan tingkat stres selama menjalani terapi jangka panjang. Tujuan: Studi ini menganalisis hubungan spiritual well-being terhadap stres pasien hemodialisis. Metode: Penelitian kuantitatif ini menggunakan desain cross-sectional dengan jumlah sampel 100 responden yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan Spiritual Well-Being Scale (SWBS) kuesioner Perceived Stress Scale (PSS). Analisis data dilakukan dengan uji korelasi Spearman. Hasil: Sebagian besar responden memiliki spiritual well-being kategori tinggi, serta stres kategori sedang. Hasil analisis menunjukan terdapat hubungan signifikan antara spiritual well-being terhadap stres (p< 0,05) dengan arah korelasi negatif, yang mengindikasikan bahwa semakin tinggi spiritual well-being, maka semakin rendah stres pada pasien hemodialisis. Kesimpulan: Spiritual well-being berhubungan signifikan terhadap stres pada pasien hemodialisis. Intervensi keperawatan yang mendukung aspek spiritual perlu dipertimbangkan untuk membantu pasien mengelola stres selama menjalani terapi.
PENGARUH TERAPI KOMBINASI MOBILISASI DINI DENGAN AROMATERAPI LEMON TERHADAP NYERI POST OPERASI PADA PASIEN CHOLELITHIASIS Sri Salma Rahmila; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Latar belakang: Nyeri post operasi merupakan masalah yang sering dialami pasien cholelithiasis setelah tindakan pembedahan dan dapat menghambat mobilisasi dini, memperlambat pemulihan, serta menurunkan kenyamanan pasien. Selain terapi farmakologis, perawat berperan penting dalam pemberian intervensi nonfarmakologis untuk mengurangi nyeri, salah satunya kombinasi mobilisasi dini dan aromaterapi lemon. Tujuan: mengetahui pengaruh terapi kombinasi mobilisasi dini dengan aromaterapi lemon terhadap nyeri post operasi pada pasien cholelithiasis. Metode: menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sampel berjumlah 36 responden yang dibagi menjadi kelompok perlakuan dan kelompok kontrol. Tingkat nyeri diukur menggunakan Numeric Rating Scale sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon dan uji Mann–Whitney. Hasil: rata-rata tingkat nyeri kelompok perlakuan menurun dari 3,78 ± 0,428 menjadi 2,28 ± 0,575 setelah intervensi. Uji Wilcoxon menunjukkan penurunan yang bermakna (p < 0,05) dengan kekuatan efek sangat kuat. Pada kelompok kontrol, perubahan tingkat nyeri tidak bermakna (p > 0,05). Uji Mann–Whitney menunjukkan perbedaan signifikan antara kelompok perlakuan dan kontrol setelah intervensi (p < 0,05), sehingga terapi kombinasi mobilisasi dini dengan aromaterapi lemon efektif menurunkan nyeri pascaoperasi pada pasien cholelithiasis. Kesimpulan: menunjukkan bahwa kombinasi mobilisasi dini dan aromaterapi lemon efektif menurunkan nyeri post operasi pada pasien cholelithiasis dan dapat direkomendasikan sebagai intervensi keperawatan nonfarmakologis.
PENGARUH TERAPI KOMBINASI RELAKSASI AUTOGENIK DAN SLEEP HYGIENE TERHADAP KUALITAS TIDUR PASIEN HEMODIALISIS Ima Rotul Khusna; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Latar Belakang: Gangguan tidur merupakan keluhan yang sering dialami pasien hemodialisis akibat akumulasi toksin uremik, ketidaknyamanan prosedur, perubahan ritme aktivitas, dan stres psikologis. Kondisi ini dapat berdampak pada kesehatan fisik, keseimbangan emosional, dan kualitas hidup. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh terapi kombinasi relaksasi autogenik dan sleep hygiene terhadap kualitas tidur pasien hemodialisis. Metode: Penelitian ini menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sebanyak 44 responden dipilih menggunakan teknik purposive sampling dan dibagi menjadi kelompok perlakuan dan kelompok kontrol. Kelompok perlakuan diberikan terapi kombinasi relaksasi autogenik dan sleep hygiene dua kali seminggu selama 20 menit setiap sesi. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil: Hasil penelitian menunjukkan bahwa sebelum intervensi, sebagian besar responden pada kelompok perlakuan memiliki kualitas tidur buruk (95,5%). Setelah diberikan terapi, kualitas tidur meningkat menjadi kategori baik (86,4%). Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Pada kelompok kontrol, kualitas tidur tidak menunjukkan perubahan yang bermakna. Kesimpulan: Terapi kombinasi relaksasi autogenik dan sleep hygiene berpengaruh signifikan dalam meningkatkan kualitas tidur pasien hemodialisis, sehingga direkomendasikan sebagai intervensi keperawatan nonfarmakologis yang dapat diterapkan secara rutin dalam praktik klinik.
FAKTOR-FAKTOR YANG MEMPENGARUHI SESAK NAPAS PADA PASIEN HEMODIALISIS Siti Mustafiatun; Erna Melastuti; Ahmad Ikhlasul Amal
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Latar belakang: Gagal Ginjal Kronik (GGK) merupakan keadaan yang berkembang secara bertahap dan menyebabkan fungsi ginjal semakin menurun pengganti ginjal berupa hemodialisis. Salah satu keluhan yang sering dialami pasien hemodialisis adalah sesak napas (dispnea), yang dipengaruhi oleh berbagai faktor seperti kelebihan volume cairan dan anemia. Studi ini tujuan untuk memahami berbagai faktor yang berkontribusi terhadap sesak napas pada pasien yang menjalani hemodialisis di RSUD dr. Loekmono Hadi Kudus. Tujuan: Studi ini bertujuan untuk memahami faktor-faktor yang berpengaruh terhadap gejala sesak napas pada pasien yang menjalani hemodialisis. Metode: Penelitian ini menerapkan desain deskriptif dengan pendekatan kuantitatif yang memanfaatkan data sekunder dari catatan medis. Terdapat sebanyak 211 pasien yang sesuai kriteria inklusi. Variabel yang dianalisis mencakup Interdialytic Weight Gain (IDWG) sebagai tanda kelebihan cairan dan konsentrasi hemoglobin sebagai penanda anemia. Pengolahan data dilakukan secara univariat dengan menggunakan distribusi frekuensi dan persentase. Hasil: Hampir semua pasien mengalami sesak napas. Mayoritas responden memiliki kategori IDWG baik, namun masih ditemukan pasien dengan IDWG berisiko. Berdasarkan kadar hemoglobin, sebagian pasien berada pada kategori anemia sedang. Kesimpulan: Kesimpulan penelitian ini menunjukkan bahwa Overload cairan dan anemia berperan penting terhadap sesak napas, sehingga pemantauan IDWG dan manajemen anemia perlu ditingkatkan.
The Effectiveness of Electronic and Print-Based Health Promotion on Emergency Prevention Behaviors for Respiratory Tract Infections: A Literature Review Olandina da Silva Pereira; Erna Melastuti; Indah Sri Wahyuningsi; Dwi Heppy Rochmawati
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.885

Abstract

Respiratory tract infections remain a leading cause of global morbidity and mortality, making the enhancement of emergency prevention behaviors a critical focus of health promotion strategies. Electronic and print media are widely used for health education; however, their comparative effectiveness in influencing community behavior has not been comprehensively examined. This literature review aims to evaluate the effectiveness of electronic and print-based health promotion in improving emergency prevention behaviors related to respiratory tract infections. A systematic search was conducted in Scopus, ScienceDirect, PubMed, and Google Scholar for publications from 2020–2025, using the PICO framework and PRISMA guidelines. Search terms included the following keywords: Health Education, Electronic Media, Digital Media, Respiratory Infection, Acute Respiratory Infection, ARI, Emergency Prevention Behavior. The population included communities or families; the intervention comprised electronic media, the comparator was print media, and outcomes focused on emergency prevention behaviors related to acute respiratory infections. Of the 1,865 identified articles, 13 met the inclusion criteria and were analyzed, with 10 undergoing critical appraisal using the JBI Critical Appraisal Tools. Electronic media particularly educational videos, digital applications, and interactive messaging demonstrated greater effectiveness in improving knowledge, awareness, and rapid responses to danger signs. Print media remained beneficial for populations with limited access to technology and served as a reinforcement for educational messages. Both electronic and print-based health promotion strategies are effective; however, electronic media show superior influence on behavioral change.
Effects of Back Massage and Music Relaxation on Blood Pressure among Patients with Hypertension: A Literature Review Lino Aparicio Pires Gusmão; Indah Sri Wahyuningsih; Dwi Heppy Rochmawati; Erna Melastuti
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1277

Abstract

Hypertension is a leading contributor to cardiovascular morbidity and mortality. Non-pharmacological strategies such as back massage and music relaxation have been proposed to attenuate sympathetic activation and stabilize blood pressure. Grounded in relaxation theory and stress physiology, this review synthesizes current evidence on the effectiveness of these interventions in patients with hypertension. A systematic review was conducted in accordance with PRISMA guidelines across national and international databases (2020–2025). The research question was structured using the PICO framework. Quasi-experimental and randomized controlled trials involving hypertensive patients and reporting pre–post or between-group changes in blood pressure were eligible. Of 312 records identified, 97 duplicates were removed. After title–abstract screening of 215 records and full-text assessment of 69 articles, 15 studies met the inclusion criteria and were narratively synthesized. Most studies demonstrated statistically significant reductions in systolic and diastolic blood pressure following back massage, music therapy, or combined relaxation approaches. However, notable heterogeneity was observed in intervention protocols, duration, comparators, and control for confounding factors. Back massage and music relaxation appear to be safe, complementary interventions with promising potential to reduce blood pressure among individuals with hypertension. Nonetheless, rigorously designed randomized controlled trials with standardized protocols and longer follow-up are warranted to strengthen the evidence base.
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