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All Journal Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Manuju : Malahayati Nursing Journal Jurnal Manajemen Asuhan Keperawatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Surya Muda: Ilmu Keperawatan dan Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Idea Pengabdian Masyarakat Jurnal Kesehatan Kusuma Husada Jurnal Keperawatan Jurnal Keperawatan Berbudaya Sehat Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Sanitas: Journal of Health, Medical, and Psychological Studie International Journal of Health Science Jurnal Kesehatan Elisabeth Hippocratica: Journal of Modern Medicine and Healthcare Practice
Dwi Retnaningsih
Universitas Widya Husada Semarang
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Penerapan Imajinasi Terbimbing terhadap Kecemasan pada Pasien Preoperasi: Application of Guided Imagery to Anxiety Among Preoperative Patients Septi Kurniyati; Dwi Retnaningsih
Jurnal Keperawatan Berbudaya Sehat Vol. 4 No. 2 (2026): Juli 2026
Publisher : Universitas Ngudi Waluyo

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Abstract

Surgical procedures are invasive interventions that often cause anxiety in patients before surgery. Anxiety experienced by patients, if not managed properly, may affect physiological conditions such as increased blood pressure and heart rate, thereby potentially interfering with the implementation of surgical procedures. The goal of the study to determine the application of guided imagery techniques on anxiety levels in preoperative patients. This study used a case study design involving four preoperative patients as respondents. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale before and after the guided imagery intervention, which was conducted for approximately 20 minutes. Data were analyzed descriptively by comparing changes in anxiety scores before and after the intervention. The results showed that the average anxiety score before the intervention was 18, which was categorized as moderate anxiety. After the guided imagery technique was applied, the average anxiety score decreased to 13.5, which was categorized as mild anxiety. All respondents experienced a decrease in anxiety levels after receiving the intervention. Guided imagery techniques can be used as an effective non-pharmacological nursing intervention to help reduce anxiety and improve patients’ psychological readiness before undergoing surgical procedures.
The Effects of Autogenic Relaxation on Blood Pressure in Patients with Hypertension Istiqomah Istiqomah; Dwi Retnaningsih
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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Abstract

This empirical study examines the immediate cardiovascular shifts and neurovascular adaptations induced by autogenic relaxation in hospitalized adult patients diagnosed with essential hypertension. Utilizing a descriptive case approach with a structured pretest and posttest observational design, the research evaluated a participant cohort of five individuals undergoing concurrent pharmacological management. The nonpharmacological mind body intervention involved standardized standalone autogenic relaxation focusing on self induced somatic feelings of warmth and heaviness, administered once daily for twenty minutes across two consecutive days. Hemodynamic metrics were precisely captured using a calibrated manual sphygmomanometer and high sensitivity stethoscope to track immediate fluctuations resulting from minimized sympathetic hyperactivity. Quantitative results demonstrate consistent post intervention decompression, with systolic blood pressure decreasing by ten to fifteen millimeters of mercury and diastolic values dropping by five millimeters of mercury across all subjects. These uniform physiological reductions successfully shifted multiple participants into milder clinical hypertension categories without adverse secondary effects. The findings validate autogenic conditioning as a safe, effective, and reproducible complementary therapy capable of optimizing autonomic stability and enhancing target organ protection within contemporary medical surgical nursing frameworks.
PERBEDAAN PIJAT REFLEKSI KAKI DAN RELAKSASI NAFAS DALAM TERHADAP TINGKAT KECEMASAN PADA PENDERITA HIPERTENSI Dwi Retnaningsih; Asep Dody; Dyah Restuning Prihati
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 14, No 1 (2025): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : Institut Teknologi Kesehatan Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v14i1.1981

Abstract

Latar belakang: komplikasi dari hipertensi juga merupakan faktor yang menyebabkan kecemasan pada pasien. Upaya yang dapat dilakukan yaitu menggunakan terapi farmakologi dan non farmakolgi. Terapi farmakologi menggunakan obat-obatan sedangkan terapi non farmakologi tanpa obat-obatan seperti relaksasi nafas dalam maupun pijat refleksi kaki. Tujuan: menganalisis perbedaan pijat refleksi kaki dan relaksasi nafas dalam terhadap tingkat kecemasan pada penderita hipertensi. Metode: Desain rancangan yang digunakan adalah two group pretest posttest without control group design. Sampel dalam penelitian pada masing-masing kelompok 17 responden untuk kelompok relaksasi nafas dalam dan 17 responden untuk kelompok pijat refleksi. Teknik dalam pengambilan sampel dalam penelitian ini adalah purposive random sampling. Penelitian dilakukan di RSUD Kemayoran. Analisis yang digunakan adalah Man Whitney. Hasil: tingkat kecemasan sebelum intervensi relaksasi nafas dalam dengan rata-rata 15,53 dan sesudah intervensi dengan rata-rata 11,47. Tingkat kecemasan sebelum intervensi pijat kaki refleksi dengan rata-rata 16,06 dan sesudah intervensi dengan rata-rata 8,76. Kesimpulan: ada perbedaan pijat refleksi kaki dan relaksasi nafas dalam terhadap tingkat kecemasan pada penderita hipertensi dengan p value sebesar 0,028.
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 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.
Co-Authors Alfi Milenia Ari Loga Prianahatin Asep Dody Aulia Dewi Hastuti Cahyani Setianingrum Cahyani Setianingrum Cahyani Setianingrum Desi Ramadhani Dimas Arindha Sutrisno Dina Siti Maisyaroh Enggar Purnaningsih Ericca Ferari Erna Setiawan Hargianti Dini Iswandari Indah Permata Sari Irma Islamiasih Istiqomah Istiqomah Laesya Putri Ilmi Afifatul Ulya Mariyati Mariyati Maudi Susanti Muhammad Azkanni’am Nana Rohana Nika Nika Niken Larasati Nurul Mufidah Priharyanti Wulandari Prihati, Dyah Restuning Putri Puspita Sari Rahayu Winarti Riska Riska Roudhotul Auliyak Septi Kurniyati Vega Adzima Khoirunnisa Yushita Septiana