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Effectiveness of Implementing Modified Mindfulness Based Stress Reduction (MBSR) on Stress and Fatigue in Hemodialysis Patients Irawan, Aprianto Guntur; Natashia, Dhea; Gayatri, Dewi; Jumaiyah, Wati; Yuniarsih, Winda
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.v9i2.43554

Abstract

Stress and fatigue are common complaints among hemodialysis patients, significantly affecting their quality of life during long-term therapy. This study aimed to evaluate the effectiveness of a modified Mindfulness-Based Stress Reduction (MBSR) intervention on stress and fatigue in patients undergoing hemodialysis. The study adopted a quasi-experimental pretest-posttest control group design and employed simple random sampling. A total of 32 respondents participated, with 16 in each group. Stress was measured using the Perceived Stress Scale (PSS-10) and fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F 40). The modified MBSR intervention was conducted for 30 minutes per session. Data were analyzed using paired t-tests and independent t-tests. The results showed significant differences in stress (MD = -13.12, t = -4.748, p < 0.001) and fatigue levels (MD = 7.34, t = -3.865, p = 0.001) between the intervention and control groups. These findings indicate that the modified MBSR therapy was effective in reducing stress and fatigue, with a p-value < 0.05 indicating statistical significance. Therefore, this modified MBSR therapy is a promising non-pharmacological nursing intervention that can be integrated into nursing care for chronic kidney failure patients experiencing stress and fatigue during hemodialysis.
Pengaruh Intervensi Perawatan Spiritual Terhadap Kesejahteraan Spiritual Pasien Kanker Ni Nyoman Budi Indrayanti; Agung Waluyo; Dewi Gayatri; Allenidekania Allenidekania
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk304

Abstract

 Cancer affects all aspects of a patient's life, not only the physical aspect, but also the psychological, social and spiritual aspects. Without spiritual well-being, the other dimensions of health (biopsychosocial) cannot function properly. So a study is needed that aims to find out whether spiritual care interventions can improve spiritual well-being. This study is a literature review using the PRISMA method. A literature search was conducted through the ProQuest, Science Direct, Scopus, EBSCO, and Clinical Key databases. From the initial search, 2389 articles were obtained from all databases combined. After eliminating multiple articles, screening titles and abstracts, 233 potential articles were obtained. After reading the full text, 220 articles were excluded and finally only 8 articles met the criteria. Seven out of eight articles mentioned that spiritual care interventions can improve the spiritual well-being of cancer patients. It was further concluded that spiritual care can be used as an intervention that can be applied clinically to improve spiritual well-being in cancer patients.Keywords: spiritual care intervention; spiritual well-being; cancer patient ABSTRAK Kanker mempengaruhi semua aspek kehidupan pasien, tah hanya aspek fisik, tetapi juga aspek psikologis, sosial, dan spiritual. Tanpa kesejahteraan spiritual, dimensi lain dari kesehatan (biopsikososial) tidak akan dapat berfungsi dengan baik. Maka diperlukan studi yang bertujuan untuk mengetahui apakah intervensi perawatan spiritual dapat meningkatkan kesejahteraan spiritual. Studi ini merupakan literature review dengan menggunakan metode PRISMA. Pencarian literatur dilakukan melalui database ProQuest, Science Direct, Scopus, EBSCO, dan Clinical Key. Dari pencarian awal didapatkan 2389 artikel dari semua database yang digabungkan. Setelah penghapusan artikel ganda, skrining judul dan abstrak, diperoleh 233 artikel yang berpotensi. Setelah membaca teks lengkap, 220 artikel dikeluarkan dan akhirnya hanya 8 artikel yang memenuhi kriteria. Tujuh dari delapan artikel menyebutkan bahwa intervensi perawatan spiritual dapat meningkatkan kesejahteraan spiritual pasien kanker. Selanjutnya disimpulkan bahwa perawatan spiritual dapat digunakan sebagai intervensi yang dapat diterapkan secara klinis untuk meningkatkan kesejahteraan spiritual pada pasien kanker.Kata kunci: intervensi spiritual care; kesejahteraan spiritual; pasien kanker
RELATIONSHIP BETWEEN SELF-EFFICACY AND FEAR OF CANCER RECURRENCE IN CERVIX CANCER PATIENTS Isran Isran; Tuti Nuraini; Yati Afiyanti; Dewi Gayatri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2602

Abstract

Fear of cancer recurrence (FCR) makes cancer patients physically and psychologically disturbed. FCR is caused by cancer patients' lack of ability or competence to exercise self-control (self-efficacy) while undergoing cancer treatment. This study aims to determine the relationship between self-efficacy and fear of recurrence in cervix cancer patients. The method used was cross-sectional, and it was carried out on 169 cervix cancer patients using the CBI (Cancer Behaviour Inventory) instrument to measure self-efficacy and the FCRI (Fear of Cancer Recurrence) instrument to measure fear of recurrence. The results showed that low self-efficacy 90 patients (52,3%) and high fear of cancer recurrence 89 patients (55%). The domain of coping with medication and side effects had the lowest Self-efficacy with 96 patients (56.8%) and the domain of functional impairment was the highest FCR domain with 84 patients (49.7%). However, that a significant relationship between self-efficacy and FCR in cervix cancer patients (p=0,012) with an OR 2,290. Self-efficacy is needed by cancer patients to overcome their fear of cancer recurrence. Therefore, help from health workers is needed to increase the self-efficacy of cancer patients.
Identification of Affective Learning, Affective Aspect, and Measuring Tools Used in Nursing Education: a Systematic Review Ani Haryani; Dewi Gayatri; Enie Novieastari; Tuti Nuraini; Dita Sulistyowati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2662

Abstract

Attitude is one of the domains in the competence of nurses. Attitudes are formed through internalizing learning experiences related to how students feel when they learn. Affective Learning refers to learning that enriches emotions, belief systems, and professional values. In nursing education, the attitude aspect is often the goal of learning but is not followed by learning strategies and evaluations to achieve these learning goals. The research aims to identify effective learning strategies and measure tools used to identify changes from the affective skills or affective aspect studied. A systematic review using electronic literature databases published from year 2012 until 2022. Scopus Search, Clinical Key Nursing, ProQuest, Ebscohost, SAGE Journals, and Science Direct. The research design criteria are randomized control trials and quasi-experimental studies. Eligibility assessment by conducting a critical appraisal using tools from the Joanna Briggs Institute critical appraisal. 15 articles met the criteria, consisting of five Randomized Control Trial research articles, and 10 Quasi-experimental articles. The results of a systematic review show that Simulations using standardized patients and reflective practice are learning methods that are often used. Empathy is the most researched affective aspect followed by communication, self-efficacy, and self-confidence. Empathy as the most affective aspect studied was measured using The Jefferson Empathy Scale. Learning interventions aimed to improve an affective aspect of nursing students are not single, but integrate various learning methods. This is also influenced by the affective aspect developed in learning, which is not a single aspect, and uses several measuring tools to assess its development.
Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Maria Yulianti; Dhea Natashia; Dewi Gayatri; Diana Irawati; Wati Jumaiyah; Tuti Nuraini
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3706

Abstract

Fatigue is a common symptom in dialysis patients, with a significant prevalence rate. In overcoming the problem of fatigue, therapeutic management is done through the application of guided imagery and intradialytic exercise. Objective: Objective is assess the effect of guided imagery and intradialytic exercise regular flexibility on fatigue in patients with chronic kidney disease who are undergoing hemodialysis process. Methods: The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 23 respondents with a sample size of 22 respondents using total sampling technique. Measurement of fatigue using Functional Assessment Chronic Illness Therapy (FACIT). Data analysis was performed using paired t-test and Repeated Measures ANOVA. Results: The results showed that the mean value of fatigue before intervention in the first measurement was 24.00 (±3.911). The value increased in the second measurement to 25.22 (±4.095), in the third measurement to 28.11 (±3.411), in the fourth measurement to 33.89 (±2.908), and in the last measurement to 39.67 (±3.106). This finding explained that both interventions had a significant impact on reducing fatigue (t = -18.561, p = 0.000). Time effect analysis confirmed the significant impact of the interventions on fatigue reduction scores (F(1, 473) = 187.798, p < 0.000, partial eta squared = 0.917). Conclusion: This study can be used as a non-pharmacological treatment to reduce fatigue symptoms that can be done independently during the hemodialysis process, and is expected as an independent nursing intervention for a nurse in providing nursing care.
Optimism's Impact on Quality of Life in Chronic Disease Patients: A Systematic Review Yulis Andri Nuryani; Dewi Gayatri; Yati Afianti
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.v7i3.6315

Abstract

Chronic diseases have a significant impact on patients' quality of life, physically, psychologically and socially. Optimism, as part of positive psychology, plays an important role in helping patients face health challenges and improve their well-being. Objective: To identify the relationship between optimism and quality of life in patients with chronic diseases through a systematic review. Method: Following PRISMA 2020 guidelines, a comprehensive search across databases such as PubMed, Scopus, Sage, and Nature identified 7,340 articles, with six studies meeting the inclusion criteria. The review included only full-text, English-language quantitative studies—specifically case-control, cross-sectional, cohort, randomised controlled trials (RCTs), or quasi-experimental designs—that examined the relationship between optimism and quality of life in patients with chronic illnesses. There were no restrictions on publication year. Exclusion criteria comprised review articles, meta-analyses, and book or book chapter publications. Each included study was critically appraised using the CASP tool, which assessed research objectives, study design, sampling methods, measurement validity, bias control, and data analysis to ensure methodological rigour. Results: The analysis showed that optimism was positively associated with improved quality of life, especially in physical aspects such as reduced fatigue and improved mobility, as well as psychological aspects such as emotional and spiritual well-being. Social support also strengthened the impact of optimism on quality of life. Community-based interventions, occupational therapy, and multimodal approaches proved effective in increasing patient engagement in meaningful activities. Conclusions: Optimism is an important factor in improving the quality of life of chronic patients, and optimism-based interventions can be an effective strategy to support holistic patient well-being.
The Effectiveness of Massage Therapy in Reducing Fatigue among Cancer Patients Undergoing Chemotherapy: Systematic Review Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana
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.v7i4.6500

Abstract

Fatigue is one of the most common side effects experienced by cancer patients undergoing chemotherapy and has a serious impact on quality of life. Massage therapy has emerged as a potential non-pharmacological intervention to alleviate this symptom. Objective: To systematically review the effectiveness of massage therapy in reducing fatigue among cancer patients undergoing chemotherapy. Methods: This study employed a systematic review design based on the PRISMA guidelines. Literature was searched through PubMed, ScienceDirect, ProQuest, and Google Scholar databases. Articles published in English or Indonesian in the last 10 years (2014–2024). Included articles were randomized controlled trials (RCTs), quasi-experimental studies, or clinical trials evaluating the effects of massage therapy on fatigue in cancer patients. 139 Articles were founds and 10 article were selected. Study quality was assessed using the CASP tool, and data were analyzed descriptively. Results: A total of 10 studies met the inclusion criteria. Findings showed that massage therapy—including slow-stroke back massage, Swedish massage, hand and foot massage, and combinations with aromatherapy—was effective in reducing fatigue. The effectiveness was influenced by the type of massage, duration, and frequency of the intervention. Conclusion: Massage therapy is an effective intervention that can be integrated into clinical care to reduce fatigue in chemotherapy patients. Further research is needed to strengthen the existing evidence.
Thariqah-Based Neck Exercise Program Reduces Headache Intensity Among Indonesian College Students Sukarmin, Sukarmin; Nurachmah, Elly; Yona, Sri; Gayatri, Dewi; Rochana, Nana
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.65016

Abstract

Background: Headaches are common among students due to academic stress and poor sleep habits. One way to reduce headaches is through neck exercises using Thariqah movements. Previous studies have focused only on physical neck exercises, yet a more holistic approach by combining dzikr (Laa ilaha ilallah) recited Thariqah movements with the exercises has never been studied.Purpose: This study aimed to determine the impact of Thariqah-based neck exercises on headache intensity experienced by college students.Methods: The study used a two-arm parallel randomized controlled trial design. College nursing students were recruited through purposive sampling and then sequentially randomized, with 64 respondents in each group. Participants in the intervention group performed Thariqah-based neck exercises during dzikr three times per week for three weeks, while those in the control group received educational leaflets on headache management. Headache intensity was measured using the Numeric Pain Scale (0-10 scale). Data were analyzed using the Wilcoxon and Mann-Whitney tests.Results: The results showed that Thariqah-based neck exercises performed during dzikr had a significant effect on reducing headache intensity among students (p= 0.000). The differences in headache intensity before and after the intervention were also significant between the intervention and control groups (p=0.000).Conclusion: Neck exercises based on Thariqah movements accompanied by dzikr recitation may serve as a practical option for self-therapy or complementary therapy in managing mild to moderate headache complaints. The integration of physical and spiritual elements offers potential benefits for both physical relief and emotional well-being.   
Effectiveness of Sexual Counseling on Sexuality of Cancer Patients: A Systematic Review Nugraha, Rudi; Afiyanti, Yati; Pujasari, Hening; Gayatri, Dewi
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62475

Abstract

Introduction: Cancer patient care is a complex and ongoing process. The impact of cancer diagnosis and treatment on sexual quality is an important issue in cancer quality of life. Sexual counselling is one of the interventions chosen in handling sexual problems in cancer patients. This review aims to examine the effectiveness of sexual counselling on the sexuality of cancer patients. Methods: Literature searches were conducted through several databases, including PubMed, Scopus, ProQuest, Science Direct, Oxford, ClinicalKey Nursing, EBSCOhost, Springer Link, Taylor & Francis, using predetermined inclusion and exclusion criteria. The selected articles were analyzed based on the intervention method. A total of 15 14,287 articles were extracted and synthesized. Results: 15 intervention articles were obtained showing that sexual counselling effectively affects the sexuality of cancer patients and can be carried out for patients and their partners face-to-face, by telephone, by internet, or via WhatsApp. Conclusion: Sexual counselling programs for cancer patients are effective interventions for sexual problems in cancer patients.
Effectiveness of Cancer Patient Navigator Program to Reduce Caregiver Burden: A Systematic Review Rikumahu, Marisco; Allenidekania, Allenidekania; Pujasari, Hening; Gayatri, Dewi
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.105240

Abstract

Background: Cancer is a major disease that significantly affects global public health. In Indonesia, the number of cancer patients continues to increase, requiring innovative approaches in the cancer care system.Objective: This study aims to evaluate the effectiveness of cancer patient navigator programs in reducing caregiver burden, particularly among cancer patients.Methods: This systematic review followed the PRISMA guidelines and used inclusion criteria that included full-text articles published in English and quantitative studies. Literature searches were conducted in various academic databases using relevant keywords.Results: Out of 3,583 records retrieved, 6 studies met the criteria for further analysis. The results also showed that patient navigator programs can significantly reduce caregiver burden through improved education, emotional support, and access to healthcare services.Conclusion: The implementation of cancer patient navigator programs in Indonesia has the potential to reduce caregiver burden and improve the quality of cancer patient care. Recommendations for further research and health policy are also included.
Co-Authors Agung Waluyo Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Fadhlur Rahman Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alvian Harisandy Amalia Nur Aqmarini Anak Agung Ayu Emi Primayanthi Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Ani Haryani Anisah Ardiana Antaroza, Wiwik Aria Wahyuni Arif Rahman Asep Kuswandi Ashar Prima Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Mediawati Ayu Ramadhana Bejo Utomo Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Christantie Effendy Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Danny Des Kartyko Lakoro Darmajayanti, Febry Dede Kurniati dewi adnan Dhea Natasha Dhea Natashia Dhea Natashia Dhea Natashia Diah Arruum Dian Novita Kurniasih Dian Novita Kurniasih Diana Irawati Diana Irawati Diana Irawati Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Dita Sulistyowati Djuria, Syafrina Arbaani Dwi Suryani Edian Fitriana Ella Nurlaella Hadi Elly Nurachmah Elly Nurrachmah Eni Hidayati Enie Novieastari Ermi Rabiuliya Erni Saraswati Febrianti Asbaningsih, Febrianti Febrianty, Indida Leli Indah Febryandy, Valentino Feriadianto, Feriadianto Fitriyan Rayasari Hadi, Muhammad Hanny Handiyani Hargiana, Giur Harmilah Harmilah Hasan Fuadi Hening Pujasari Heri Kristianto Hilman Syarif I Ketut Suada Ida Yanti Iin Inayah Ikeu Nurhidayah Ikeu Nurhidayah Imam Ghozali Imami Nur Rachmawati Indah Susilowati Indah Susilowati Irawan, Aprianto Guntur Irman Irman Isran Janno Sinaga Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar Krisna Yetti Krisna Yetti Krisna Yetti Malawat Kristiani Sitorus Kuntarti Kustiyuwati Kustiyuwati La Ode Abd Rahman La Ode Abd Rahman Laras Adythia Pratiwi Lasiyani, Ni Luh Lasut, Margareth Legu, Ermelinda Toyo Lina Herida Pinem Liya Arista Malau, Mahda Chresginova Maria Yulianti Martiningsih Martiningsih, Martiningsih Masfuri - Meidiawati, Ati Surya Meilati Suryani Muhammad Adam Mustafidz, Mustafidz Nana Rochana, Nana Nani Nurhaeni Natashia, Dhea Ni Luh Kompyang Sulisnadewi Ni Nyoman Budi Indrayanti Ni Nyoman Budi Indrayanti Norma Sistina Nugraha, Rudi Nuiva, Uun Nuniek Nizmah Fajriyah Nur Miladiyah Nuraini, Tuti Nurbaeti, Reidha Fitri Nurlelasari Harahap Nurmalasari Nurmalasari Osty Histry Kapahang Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Purba, Venbora Putri Nurfitriani Raden Siti Maryam Rahma Jumila Rahman, Ahmad Fadhlur Ratna Aryani Ratna Sitorus Ratna Sitorus Rayasari, Fitrian Renie Kumalasari Resty, Dian Eka Ria Andjarwati Ria Mariatul Isnaani Ria Utami Riadinni Alita Rikumahu, Marisco Riski Oktafia Rita Erlina Rizany, Ichsan Rohman Azzam Ros Endah Happy Patriyani Rr Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati S., Chiyar Edison Saharuddin Sali Rahadi Asih Sapriyanti Sapriyanti Sari, Fani Hestiana Septi Kurniasari Setiyadi, Agus Setyowati Setyowati Setyowati, Setyowati Shanti Farida Rachmi Sigit Mulyono Sismanto, Bayu Aji Sri Hendrawati Sri Murtiasih Sri Purwaningsih Sri Yona Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sukma Wicaturatmashudi Susanti, Epi Susi Hartati Tantri Widyarti Utami Teresa Teresa Titiek Muhaeriwati Titin Sutini Tommy Indra Tri Cahyo Sepdianto Tulangow, Indri Winny Tuti Afriani Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Wati Jumaiyah Widyatuti Yari, Yarwin Yati Afianti Yati Afiyanti Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yulia Andriyani Yulis Andri Nuryani Yuniarsih, Winda Yusep Abdul Latif Yushlihah Rofiati Yusuf Zulfa Zulfa