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The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy Sismanto, Bayu Aji; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45021

Abstract

Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.
Early Mobilization with Digital-Based Isometric Exercise Intervention: Impact on Pain and Muscle Strength Post-ORIF Upper Extremity Febryandy, Valentino; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47270

Abstract

Background Fracture is a condition of partial or complete bone discontinuity. Upper extremity fractures can be caused by direct trauma (such as accidents) or indirect trauma (such as excessive pressure). Fracture management is performed through surgery such as Open Reduction Internal Fixation (ORIF), which can cause pain and muscle stiffness. Early mobilization with isometric exercises is needed to prevent these problems. Objective This study aims to determine the effect of digital-based Isometric Exercise on pain levels and muscle strength in patients post-ORIF upper extremity fracture. Methods The study used a Quasi-Experimental design with a Pretest-Posttest Control Group approach, involving 34 respondents divided into two groups. Muscle strength was measured using a Hand Grip Dynamometer, while pain was measured using the Brief Pain Inventory Short Form (BPI-SF). Isometric exercise intervention was performed 24 hours after surgery, twice daily with a duration of 35 minutes per intervention. Results The study showed a more significant increase in muscle strength in the intervention group compared to the control group with a Mean difference increasing to 4.23 (95% CI: 3.28-5.18), t=9.062, df=32, p=0.000. Pain levels also decreased more in the intervention group with a Mean difference of 1.81 (SD=0.866), 95% CI: 1.51-2.11, t=12.2, df=33, p=0.000. Conclusion: Isometric exercise is effective as early mobilization to reduce pain and increase muscle strength in ORIF upper extremity fracture patients. Keywords: Digital Intervention, Upper Extremity Fracture, Isometric Exercise, Muscle Strength, Pain
Efektifitas terapi refleksi dalam menurunkan fatigue pada pasien kanker: Systematic review Rahman, Ahmad Fadhlur; Gayatri, Dewi; Hargiana, Giur
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 2 (2025): May Edition 2025
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.v5i2.963

Abstract

Background: Fatigue is one of the most common and disturbing symptoms experienced by cancer patients during and after treatment. Reflexology as a complementary intervention is increasingly being studied for its ability to improve the quality of life of patients, including reducing fatigue. Purpose: To systematically review the effectiveness of reflexology therapy in reducing fatigue levels in cancer patients based on the latest scientific evidence. Methods: A systematic literature search was conducted in PubMed, ScienceDirect, and Google Scholar databases using the keywords “reflexology”, “cancer”, and “fatigue”. Included articles were quantitative studies published in 2015–2024 using reflexology interventions in cancer patients, and measuring fatigue as one of the main variables. Article selection followed the PRISMA guidelines, and the final eight studies were analyzed qualitatively. Results: Eight articles were analyzed, seven of which showed significant results that reflexology therapy can significantly reduce fatigue. The types of cancer studied varied, ranging from breast, lung, colorectal, to gynecological cancer. Reflexology therapy was carried out with a frequency of between two and five times per week for two to six weeks. Although there was one study that did not show significant results, overall reflexology therapy was considered effective and safe as a complementary approach. Conclusion: Reflexology therapy has been shown to be generally effective in reducing fatigue in cancer patients. This intervention can be part of a holistic approach to cancer care.   Keywords: Cancer; Complementary Therapy; Fatigue; Reflection Therapy.   Pendahuluan: Fatigue merupakan salah satu gejala paling umum dan mengganggu yang dialami pasien kanker selama dan setelah menjalani pengobatan. Terapi refleksi sebagai intervensi komplementer semakin banyak diteliti karena kemampuannya dalam meningkatkan kualitas hidup pasien, termasuk dalam mengurangi kelelahan. Tujuan: Untuk mengkaji secara sistematik efektivitas terapi refleksi dalam menurunkan tingkat fatigue pada pasien kanker berdasarkan bukti-bukti ilmiah terbaru. Metode: Penelusuran literatur dilakukan secara sistematis pada database PubMed, ScienceDirect, dan Google Scholar menggunakan kata kunci “reflexology”, “cancer”, dan “fatigue”. Artikel yang dimasukkan adalah studi kuantitatif yang dipublikasikan tahun 2015–2024 dengan menggunakan intervensi refleksi pada pasien kanker, dan mengukur fatigue sebagai salah satu variabel utama. Seleksi artikel mengikuti pedoman PRISMA, dan delapan studi akhir dianalisis secara kualitatif. Hasil: Delapan artikel yang dianalisis, tujuh di antaranya menunjukkan hasil signifikan bahwa terapi refleksi dapat menurunkan fatigue secara bermakna. Jenis kanker yang diteliti bervariasi, mulai dari kanker payudara, paru, kolorektal, hingga ginekologi. Terapi refleksi dilakukan dengan frekuensi antara dua hingga lima kali per minggu selama dua hingga enam minggu. Meskipun terdapat satu studi yang tidak menunjukkan hasil signifikan, secara keseluruhan terapi refleksi dinilai efektif dan aman sebagai pendekatan komplementer. Simpulan: Terapi refleksi terbukti secara umum efektif dalam menurunkan kelelahan pada pasien kanker. Intervensi ini dapat menjadi bagian dari pendekatan holistik dalam perawatan kanker.   Kata Kunci: Fatigue; Kanker; Kelelahan; Terapi Komplementer; Terapi Refleksi.
Remote Patient Monitoring Pada Pasien Kanker: Analisis Konsep Prima, Ashar; Gayatri, Dewi; Afiyanti, Yati; Effendy, Christantie
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1424

Abstract

Background. Remote Patient Monitoring (RPM) has emerged as an innovative approach in healthcare, particularly for monitoring patients with chronic conditions such as cancer. Variations in approaches in research and clinical practice can lead to differences in interpretation among healthcare professionals and researchers. Research Objectives. This study aims to explore the concept of remote patient monitoring. Method. Concept analysis was conducted following the eight-step approach by Walker and Avant: selecting the concept, determining the purpose of the analysis, identifying all uses of the concept, determining defining attributes, identifying model cases, identifying borderline and contradictory cases, identifying antecedents (preceding factors) and consequences, and defining empirical referents. A literature review was conducted using the Google Scholar, Scopus, ScienceDirect, EBSCOhost, and ProQuest databases to identify articles published between 2018 and 2024. Results. The analysis identified five main attributes of RPM: continuous monitoring, technology integration, multidisciplinary collaboration, service accessibility, and patient-centered care. These attributes are theoretically associated with positive consequences such as early detection of complications, improved health outcomes, cost-effectiveness, and patient empowerment and quality of life. Preceding factors include the availability of digital technology and infrastructure, the healthcare needs of cancer patients, challenges in accessing healthcare services, and patients' digital literacy and readiness. Conclusion. This study contributes theoretically by providing a conceptual model of RPM that can serve as a foundation for developing digital nursing practices and RPM implementation policies in oncology services. Standardizing the definition and conceptual modeling of RPM is crucial to ensuring consistent and effective integration within cancer patient care systems, where nurses play a central role in data interpretation and interprofessional coordination. Keywords: Remote Patient Monitoring; Cancer Patients
Determinan Perilaku Perawat dalam Pemberian Edukasi Pasien pada Rumah Sakit di Jakarta Selatan Yetti, Krisna; Pratiwi, Laras Adythia; Gayatri, Dewi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.561 KB)

Abstract

Nurse behavior has a strong influence on the need and trust of patient education which identifiesdeterminants of nurse behavior in presenting patient education with a cross sectional design. The studyused total sampling with 210 samples according to the inclusion criteria. The instrument used was amodification of various literature reviews which tested its validity and reliability. The majority of nurseshave the following characteristics: female, <35 years old, not attending D3 Nursing, having totalexperience <10 years, civil servant status, having attended training (in the last three years), but lackingknowledge related to providing patient education . There is a relationship between age, policies, policies,working conditions, supervision, social support, and the planning function of the head of the room with thebehavior of nurses in providing patient education (p = 0.001-0.037), the most dominant variable affectingthe behavior of nurses in providing patient education is support. social (OR = 5,186). Nursing managersand the ranks of the hospital need to create a support program to offer patient education, complete allexisting facilities and infrastructure, as well as prepare competent resources.
Fast tract: Pengaruh Dukungan Sosial dan Dukungan Psikologis Terhadap Peningkatan Kualitas Hidup Pasien Kanker Darmajayanti, Febry; Nuraini, Tuti; Waluyo, Agung; Gayatri, Dewi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i2.6088

Abstract

ABSTRACT Introduction: Cancer is one of the most challenging and high-risk diseases, which not only affects the physical health of patients but also their mental and emotional health. Objective: to explore the effect of social support and psychological support on improving the quality of life of cancer patients. Method: This Article used a systematic review method compiled based on the Preferred Referring Items for Systematic Reviews and Meta-Analyzes (PRISMA). The databases used include ProQuest, Jstor, Science Direct, Pubmed. Results: 11 articles that met the inclusion criteria were then analyzed and critiqued using the CASP instrument. Conclusion: social support and psychological support have a significant impact on improving the quality of life of cancer patients. Consistent social support from the surrounding environment plays an important role in providing a sense of security and reducing feelings of isolation and improving emotional well-being. In addition, psychological support through professional interventions not only reduces symptoms of anxiety and depression but also increases life expectancy and mental resilience of patients. Therefore, the integration of these two types of support in cancer patient care is highly recommended to maximize the quality of life of patients. Further research is needed to identify more specific and effective intervention methods in diverse contexts.Keywords: social support, psychological support, cancer, quality of life
Peran Navigasi Terhadap Kualitas Hidup Pasien Kanker Yulia Andriyani; Allenidekania Allenidekania; Dewi Gayatri; Tuti Nuraini
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i6.60542

Abstract

Navigasi pasien kanker merupakan pendekatan yang bertujuan untuk membantu individu dalam mengatasi hambatan selama proses diagnosis, pengobatan, hingga pemulihan. Penelitian ini bertujuan untuk mengkaji secara sistematis peran navigasi pasien dalam meningkatkan kualitas hidup penderita kanker melalui telaah literatur ilmiah. Metode yang digunakan adalah studi pustaka dengan menelusuri artikel dari database bereputasi internasional seperti PubMed, Springer, dan ScienceDirect. Hasil tinjauan menunjukkan bahwa navigasi pasien mampu mempercepat diagnosis dan inisiasi terapi, meningkatkan kepatuhan terhadap pengobatan, serta memberikan dukungan emosional dan informatif kepada pasien. Di negara berkembang, peran navigator juga berkontribusi dalam mengurangi ketimpangan akses layanan, khususnya bagi kelompok marjinal. Namun, di Indonesia, implementasi navigasi pasien masih terkendala oleh minimnya regulasi, pelatihan SDM, dan kesadaran masyarakat.. Kajian ini menekankan pentingnya integrasi layanan navigasi dalam perawatan kanker untuk mendukung kesejahteraan pasien secara holistik. Sehingga dapat disimpulkan bahwa navigasi pasien merupakan pendekatan strategis yang terbukti efektif dalam meningkatkan kualitas hidup pasien kanker, dan perlu diintegrasikan dalam sistem layanan onkologi nasional.
Effectiveness of Digital Application-Based Foot Care Education and Training Programmes in Improving Self-Efficacy and Foot Care Behaviour in Patients with Type 2 Diabetes Mellitus Feriadianto, Feriadianto; Natashia, Dhea; Gayatri, Dewi; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49962

Abstract

Background: Type 2 diabetic mellitus with low self-efficacy, which affects how they take care of their feet. This can lead to reduced foot sensitivity and increase the risk of serious complications like ulcers and infections. Objective: To determine the effectiveness of of the Diabetic Educare digital application foot care education and exercise program on self-efficacy, foot care behaviour and foot sensitivity in patients with type 2 diabetic mellitus. Methods: Quasy experiment research design with two groups, namely the intervention group (n=27) and the control group (n=27). Data collection was using Diabetic Management Self Efficacy Scale, Notthingham Assessment Foot Care Behavior and 10gram monofilament test measurements. Demographic characteristics analysis using univariate tests, bivariate analysis with paired t-test and independent t-test. Results: There was a significant effect on the intervention group to increase self-efficacy p-value =0.011 (p< 0.005) and foot care behavior p-value =0.032 (p< 0.005). Based on the independent t-test, it was shown that the intervention had no effect on the increase in foot sensitivity p-value = 0.141 (p< 0.005). Recommendation: Educare diabetic education and exercise program has an effect on improving self-efficacy and foot care behavior. The Diabetic Educare education and training program is expected to be a modality in the preparation of foot care education and exercise programs as part of a holistic nursing intervention, in patients with type 2 diabetic mellitus. Keywords: type 2 diabetic mellitus; Self-efficacy;Foot care behavior; Sensitivity; Digital Application-Based Foot Care Education and Training Program
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