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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Ilmiah Sultan Agung Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Keperawatan Berbudaya Sehat Jurnal Medika Nusantara Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Inovasi Kesehatan Global Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Protein: Jurnal Ilmu Keperawatan dan Kebidanan Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Siti Rufaidah Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Erna Melastuti
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Religion Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Electrical & Electronics Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary

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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 Kecemasan dengan Kadar Nilai Glukosa Darah Pasien Diabetes Melitus di RSUD Fakfak Apricilia Yuniarti Talla; Erna Melastuti; Indah Sri Wahyuningsih
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.230

Abstract

Diabetes mellitus is a chronic metabolic disease that affects not only the physical condition but also the psychological aspect of patients, particularly anxiety. This psychological condition can influence blood glucose stability and potentially worsen the clinical state of patients. The aim of this study was to analyze the relationship between anxiety and blood glucose levels among patients with diabetes mellitus at Fakfak General Hospital. The study applied a quantitative approach using an observational analytic method with a cross-sectional design. The sample consisted of 50 patients selected through total sampling. Anxiety data were collected using a questionnaire, while blood glucose levels were obtained from laboratory results. Data were analyzed using univariate and bivariate methods with the Chi-Square test at a significance level of p < 0.05. The findings showed that most patients experienced anxiety (96%) and the majority had normal blood glucose levels (70%). The Chi-Square test revealed a p-value of 0.000, indicating a significant relationship between anxiety and blood glucose levels in patients with diabetes mellitus at Fakfak General Hospital. This study highlights the importance of addressing psychological conditions as part of a comprehensive diabetes management program. It is recommended that health care services provide special attention to anxiety management as an effort to improve the quality of life of diabetic 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.
Gambaran Faktor-Faktor yang Mempengaruhi Kecemasan pada Pasien Diabetes Melitus Noer Chariesmalillah; Erna Melastuti; Ahmad Ikhlasul Amal
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1215

Abstract

Several problems occur in patients with diabetes mellitus, one of which is anxiety. Anxiety is a vague feeling of worry and is usually related to worrying about unexpected dangers that occur in the future. Anxiety can increase blood cortisol levels and increase the risk of progressive insulin resistance, which can lead to increased blood sugar levels.The purpose of this study was to describe the factors that influence anxiety in patients with diabetes mellitus.The type of research taken in this study is descriptive research, which is to see a description of the phenomena that occur in a certain population with a cross sectional data collection level. Data collection with AIS, DSES, HDFSS questionnaires with 114 respondents at RSI Sultan Agung Semarang with purposive sampling technique and data analysis using univariate analysis. Of the 114 respondents, the research results showed that the age of 51-60 was 45 people (39.5%), female gender was 75 people (65.8%), Muslim religion totaling 114 people (100%), long suffering from DM 1-5 years as many as 79 people (69.3%), did not have complications as many as 62 people (54.4%), low education (Not in School, Elementary School, Junior High School) as many as 79 people (69.3%), self-employed work as many as 57 people (50%), and income> Rp. 2. 500-000 - Rp 3,500.00 / month as many as 35 people (30.7%), moderate self-acceptance as many as 67 people (58.8%), good spirituality level as many as 86 people (75.4%), and high family support as many as 83 people (72.8%). The results of this study show that the factors that influence the anxiety of patients with diabetes mellitus are age, gender, religion, duration of DM, complications, education, occupation, income, self-acceptance, level of spirituality, family support.
Hubungan Tingkat Kegawatdaruratan Pasien dengan Tingkan Kecemasan Keluarga Pasien di IGD RSI Sultan Agung Semarang Norfita Ashari; Erna Melastuti; Ahmad Ikhlasul Amal
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1216

Abstract

Patients who come to the emergency room will be triaged. Categorization of patients based on triage often causes anxiety in the patient's family. Anxiety is a psychological condition of a person with fear accompanied by physical complaints. The purpose of this study was to determine the relationship between the level of patient emergency with the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang. This study is a type of quantitative research with correlational research design and cross sectional method. Data collection was done with a questionnaire with a total of 300 respondents with accidental sampling technique. The data obtained is statistically processed using the sommers test. Based on the analysis obtained, 41 respondents in ATS 2 experienced very severe anxiety, 63 respondents in ATS 3 experienced severe anxiety, 47 respondents in ATS 4 experienced moderate anxiety, 10 respondents in ATS 5 experienced mild anxiety. The results of the sommers test showed a p value of 0.00, meaning that there was a relationship between the level of emergency of the patient and the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang.
Gambaran Faktor – Faktor yang Mempengaruhi Terjadinya Kekambuhan pada Pasien Hipertensi Neli Izatil Minah; Erna Melastuti; Ahmad Ikhlasul Amal
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 2 (2025): March: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i2.1217

Abstract

Blood pressure that is higher than normal is known as hypertension. This is a disease to be wary of because it has no signs and symptoms. Recurrence experienced by a person more than once with characteristics that occur frequently and are usually unpleasant. Several factors that influence compliance with treatment, family history, stress, diet compliance. This research aims to identify factors that play a role in the occurrence of relapse in hypertension patients. This research uses a quantitative approach with a descriptive method, which aims to describe the phenomenon in a certain population. Data were collected through the MMAS-8, PSS, and DASH questionnaires from 140 respondents selected using purposive sampling techniques. Based on the results of research from 140 respondents suffer from hypertension, it can concluded that majority were 57 people (40.7%), 76 people were female (54.3%), 137 people were married (97.9%), 53 people had a high school education level. people (37.9%), the longest duration of suffering from hypertension is 1-5 years as many as 62 people (44.3%), the occupation of respondents who work is 86 (61.4%), genetics and family history are the most many families, 88 people (62.9%), 79 people (56.4%) were moderately compliant with medication, 105 people were moderately stressed (75.0%), and 132 people were compliant with diet (94.3%). The results of this research revealed that a number of factors that contribute to recurrence in hypertensive patients include age, gender, marital status, education level, duration of illness, family history, compliance with treatment, stress levels, and compliance with diet.
Lama Menjalani Hemodialisis dan Kualitas Hidup Pasien Gagal Ginjal Kronik : Korelasi Keduanya Ahmad Ikhlasul Amal; Erna Melastuti; Maharani Puspita Putri
Jurnal Medika Nusantara Vol. 4 No. 1 (2026): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v4i1.2185

Abstract

Hemodialysis is the primary life-sustaining therapy for patients with end-stage Chronic Kidney Disease. However, the complex burden of therapy has the potential to affect quality of life. The relationship between HD duration and quality of life still shows inconsistent results, warranting further investigation. This observational analytic study with a cross-sectional design involved 99 HD patients at Sultan Agung Islamic Hospital, Semarang. Sampling was conducted using consecutive sampling. HD duration data were collected from medical records, and quality of life was measured using the KDQOL-SF™ questionnaire. Data analysis used descriptive statistics and the Gamma correlation test. Most respondents were aged 51–70 years, female, had elementary school education, and worked as farmers. Analysis revealed a significant and positive relationship between the duration of HD and quality of life. Patients with an HD duration of more than 24 months tended to have a better quality of life compared to those with a duration of less than 12 months. The duration of hemodialysis has a strong positive correlation with the quality of life of CKD patients. This finding indicates that patient adaptation to the disease and therapy improves over time. Intensive support interventions are recommended for new patients to accelerate the adaptation process during the initial phase of therapy.
Hubungan Kepatuhan Pembatasan Cairan dan Konsumsi Sodium terhadap Overload Cairan Pasien Ginjal Kronik yang Menjalani  Hemodialisa Thalita Apriliani; Retno Setyawati; Erna Melastuti
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/mvgv6690

Abstract

Chronic kidney disease patients undergoing hemodialysis are vulnerable to fluid overload due to impaired renal excretion and dietary nonadherence. This cross sectional correlational study examined the relationship between fluid restriction adherence and sodium intake with fluid overload among one hundred chronic kidney disease patients receiving maintenance hemodialysis at Sultan Agung Islamic Hospital Semarang during September to October 2025. Data were collected using a modified End Stage Renal Disease Adherence Questionnaire, a semi quantitative food frequency questionnaire, and interdialytic weight gain measurements. Chi Square analysis demonstrated a significant association between fluid restriction adherence and fluid overload, as well as between sodium intake and fluid overload, with p values below 0.05. Patients who adhered to fluid restriction and reported infrequent sodium intake predominantly experienced mild fluid overload, whereas nonadherent patients and those with frequent sodium intake showed higher proportions of severe overload. These findings indicate that behavioral dietary factors play a critical role in determining hydration status among hemodialysis patients. Strengthening patient education, family involvement, and nursing based dietary management remains essential.
Pengaruh Terapi Kombinasi Brandt Daroff dan Aromaterapi Peppermint terhadap Skala Nyeri Kepala pada Pasien Vertigo Ulya Rohmatul Faizun; Retno Setyawati; Erna Melastuti
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/nyqg0d41

Abstract

Vertigo is frequently accompanied by headache that disrupts comfort and daily function, thus requiring effective nonpharmacological interventions. This study aimed to determine the effect of a combined therapy of Brandt-Daroff exercises and peppermint aromatherapy on headache pain intensity among vertigo patients. A pre-experimental one-group pretest–posttest design was applied with 14 hospitalized patients as respondents. Headache intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Prior to treatment, most participants experienced moderate pain (64.3%), while 28.6% reported severe pain and 7.1% reported very severe pain. After the intervention, pain distribution shifted markedly, with 85.7% experiencing mild pain and 14.3% reporting no pain. Wilcoxon signed-rank test revealed a significant difference between pretest and posttest scores (Z = -3.316; p = 0.001). These findings indicate that the combined Brandt-Daroff and peppermint aromatherapy intervention effectively reduces headache pain intensity in vertigo patients and may be recommended as a complementary nursing intervention to improve patient comfort and symptom control.
Co-Authors Ahmad Ikhlasul Amal Amelia Putri Khoirunnisa Anjalika Ulfarani Apricilia Yuniarti Talla Azza Husnu Wahda Dhita Agustina Dwi Retno Sulistyaningsih Eka Aprilia Diah Syafitri Filda Mayang Sari Indah Sri Wahyuningsih Lailya Husna Maharani Puspita Putri Maitsa Novia Ramandhani Megani Ifa Algandira Moch. Hendro Nurrokhim Naila Hilya Neli Izatil Minah Nila Maulida Awaliya Ramadhani Noer Chariesmalillah Norfita Ashari Novita Aulia Nur Anisah Nur Lu’luatul Maknunah Nurul Muzamil Nuryanti, Ria Qotrun Nada Salsabila Retno Setyawati Retno Setyawati Rika Dian Mustika Rismawati muhadi Rizsa Aulia Anindhita Senia Pangestu Luhur Cahya Siti Rohmah Thalita Apriliani Titis Nurhandayani Ulya Rohmatul Faizun Wildan Nafi’ah Windilla Windilla Yuna Ernawati