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Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Peran Navigasi Terhadap Kualitas Hidup Pasien Kanker Andriyani, Yulia; Allenidekania, Allenidekania; Gayatri, Dewi; Nuraini, Tuti
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.
MENGGALI KETERKAITAN BUDAYA ORGANISASI DENGAN TINGKAT STRES DAN KELELAHAN PERAWAT DI RUMAH SAKIT: SYSTEMATIC REVIEW Gorean, Grace Irma; Novieastari, Enie; Wildani, Andi Amalia; Gayatri, Dewi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.2990

Abstract

Organizational culture is summary of shared values, beliefs, or perceptions held by employees in  organization or organizational unit and can influence staff attitudes and behaviors. This has impact the quality of life of nurses, including health, emotional exhaustion, job satisfaction, work stress. . The purpose this study to explore relationship between organizational culture and levels of stress and burnout among nurses in hospitals, provide more objective and comprehensive description of the existing evidence, identify knowledge gaps, and provide recommendations based on consistent findings.This research method is  detailed analysis using the PRISMA flow diagram, Literature search in several databases, namely Proquest, Science Direct, Taylor & Francis Online, PubMed, Sage, Whiley and Scopus which are published. Article quality assessment using the JBI Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross Sectional Studies. Eleven articles were identified and analyzed that met the inclusion criteria; articles have abstract and full text, search type in the database with journal articles, published in English, articles published in the last 10 years 2014 - 2024, articles discussing organizational culture; positive organizational culture consisting of; open and transparent communication, strong social support, good teamwork, trust and appreciation for nurses, safe and comfortable work environment, articles discussing stress levels and burnout of nurses in hospitals. Exclusion criteria: articles cannot be accessed as full text, books, are literature reviews, theses, books. The results of the synthesis show a positive organizational culture is less likely to indicate stress levels and burnout in nurses.
Lifestyle Risk Factors and Hypertension on Students: a Cross Sectional Study Martiningsih, Martiningsih; Novieastari, Enie; Gayatri, Dewi; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1692

Abstract

The incidence of hypertension is likely to occur at an increasingly younger age. The incidence is mainly due to risk factors for unhealthy behavior and lifestyle in adolescents. The purpose of this study was to analyze behavioral and lifestyle risk factors that affect the incidence of hypertension in adolescents. This research design is a descriptive-analytic with the cross-sectional study. The subjects in this study were 407 respondents from 10 junior and senior high schools in Bima City. Independent variables were gender, age, some behaviors like smoking, alcoholic, drug abuse, exercise, and healthy diet, abdominal circumference, and body mass index. Whereas, the dependent variable covers the incidence of hypertension. Results: In this study, behavioral risk factors in adolescents that correlate with hypertension are body mass index, age, and smoking behavior. The omnibus test results p value = 0.018 (
The Effect of the Intervention Islamic Resilience Model on Blood Pressure and Spiritual Well-Being of Hypertensive Patients Sukarmin, Sukarmin; Nurachmah, Elly; Yona, Sri; Gayatri, Dewi; Aryani, Ratna; Awaludin, Sidik
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.14850

Abstract

Hypertension remains a disease that poses a problem in all countries. WHO reports that there are still 1.28 billion hypertensive patients worldwide. The aim of this study was to determine the effect of Islamic emotional resilience on blood pressure and spiritual well-being. This study used the RCT method involving 100 hypertensive patients, consisting of 50 respondents in the intervention group and 50 in the control group. The intervention group received an Islamic resilience model intervention for 3 weeks, while the control group continued taking antihypertensive medication. The study results showed a significant effect of the Islamic emotional resilience model on systolic blood pressure (p = 0.00), diastolic blood pressure (p = 0.00), and spiritual well-being (p = 0.00). In the control group, there was a significant difference in systolic blood pressure before and after (p = 0.00), diastolic blood pressure (p = 0.00), and spiritual well-being (p = 0.129). Islamic emotional resilience serves as an important complementary measure in the management of hypertensive patients
Effectiveness of Healthy Lifestyle Education through Card Games for The Early Detection and Prevention of Cancer in Women: A Quasi-Experimental Study Nuraini, Tuti Nuraini; Gayatri, Dewi; Afiyanti, Yati; Putri, Tissa Aulia; Hassan, Hamidah
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.15916

Abstract

Cancer prevention and early detection efforts in Indonesia remain suboptimal, primarily due to limited public awareness. Therefore, this study evaluated the effectiveness of a card game–based educational intervention in improving women’s knowledge of early cancer detection and healthy lifestyle practices. The researchers employed a quasi-experimental design involving 70 women in Depok and Jakarta, with 40 assigned to the intervention group and 30 to the control group. Eligible participants completed a validated questionnaire before and after the intervention. The intervention group received an interactive education session using card games, while the control group received a standard informational brochure. The ANCOVA analysis revealed a significant increase in post-test knowledge scores in both the intervention and control groups (mean square = 190.301, p < 0.05). However, a significant difference in knowledge score improvement was observed in the intervention group (mean square = 23.618, p < 0.05). These findings suggest that card game–based educational interventions have the potential to improve public understanding of cancer prevention and early detection. It is recommended that larger randomized controlled trials integrate this card game into community health activities (such as school-based programs) to ensure broader engagement and the sustainability of cancer awareness initiatives.
Factors influencing self-acceptance in cancer patients: A systematic review Samon, Bergita Olivia Hali; Allenidekania, Allenidekania; Waluyo, Agung; Gayatri, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1557

Abstract

Background: A cancer diagnosis often has a significant impact on patients’ psychological aspects, particularly on self-acceptance. Purpose: To identify and summarize various factors influencing self-acceptance in cancer patients. Method: The selection process followed the PRISMA guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases for studies published between 2010 and 2025, including English-language articles with quantitative study designs (cross-sectional, cohort, case-control, or case report), involving cancer patients aged ≥18 years. Results: Nine studies met the criteria for further analysis. Factors influencing self-acceptance included sociodemographic factors (age, gender, education, income, residence, marital status, employment status, social support, educational level, economic status), disease-related factors (TNM stage, metastasis status, disease duration), and psychosocial factors (social support, meaning-making, fear of recurrence). Conclusion: Self-acceptance in cancer patients is influenced by sociodemographic, disease-related, and psychosocial factors. These findings are important for developing more targeted psychosocial interventions to improve the well-being of cancer patients.
Y Snake & Ladder Interactive Games Kenal Kanker Sejak Dini (SIGMA KIDS) pada Anak Usia Sekolah di Depok Sigalingging, Astika Irmawaty; Fitriyanti, Dwi; Susiladewi, Ida Ayu Md Vera; Setiasih, Diana Tri Budi; Mataputun, Donny Richard; Sari, Mulat; Andriani, Zilya; Afiyanti, Yati; Gayatri, Dewi
Jurnal SOLMA Vol. 14 No. 3 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i3.20400

Abstract

Background: Usia sekolah merupakan periode potensial untuk melakukan edukasi pencegahan kanker seperti menghindari pola makan tidak sehat, meningkatkan aktivitas fisik, mengurangi paparan zat berbahaya seperti rokok dan polusi, serta melakukan vaksinasi pencegahan kanker sejak dini. Kegiatan pengabdian masyarakat ini bertujuan untuk memberikan edukasi pencegahan kanker pada anak usia sekolah dengan metode yang menyenangkan dan interaktif. Metode: Edukasi dilakukan menggunakan media video animasi dan snake & ladder interactive games melalui dua pendekatan, yaitu community-based dan school-based, untuk melihat efektivitas metode dalam konteks yang berbeda. Hasil: Berdasarkan hasil pretest dan posttest, terjadi peningkatan rerata skor pengetahuan dari 49,29 menjadi 76,67 (peningkatan 27,38 poin) pada pendekatan community-based, dan dari 54,71 menjadi 91,18 (peningkatan 36,47 poin) pada pendekatan school-based. Kesimpulan: Kegiatan pengabdian masyarakat terlaksana dengan baik dan efektif, Pendekatan ini juga berpotensi menjadi media edukasi kesehatan yang efektif dan menyenangkan.
Effectiveness of non-pharmacological interventions in managing dyspnea among cancer patients: A systematic review Atmajaya, Feri; Allenidekania, Allenidekania; Afiyanti, Yati; Gayatri, Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1738

Abstract

Background: The management of dyspnea in cancer patients still faces various challenges. Non-pharmacological interventions are increasingly recognized as effective, potentially cost-effective, and effective approaches to managing this symptom. Purpose: To identify, evaluate, and analyze evidence regarding the effectiveness of non-pharmacological interventions in managing dyspnea in cancer patients. Method: This systematic review followed PRISMA guidelines and conducted a literature search across five databases (Sage Journals, PubMed, ScienceDirect, Springerlink, and Google Scholar). Inclusion criteria included English-language articles published between 2015 and 2025, with a randomized controlled trial (RCT) or cohort study design. From 59,225 articles identified, 11 studies met the inclusion criteria for analysis. Results: A total of 1,369 cancer patients were analyzed across 10 RCTs and one cohort study. Various non-pharmacological interventions proven effective in managing dyspnea include Tai Chi, aerobic exercise, Respiratory Distress Symptom Intervention (RDSI), Inspiratory Muscle Training (IMT), home-based education programs, and acupuncture. Conclusion: Non-pharmacological interventions can be an important component in the management of dyspnea in cancer patients, significantly contributing to symptom reduction and overall patient well-being.
Application of Theory of Unpleasant Symptoms tRoad o Reduce Stress, Anxiety and Depression in Lung Cancer Patients Rufli, Arza; Gayatri, Dewi; Hargiana, Giur
Teewan Journal Solutions Vol. 2 No. 2 (2025): Juni
Publisher : Teewan Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/4t3the41

Abstract

Lung cancer patients often face significant psychosocial distress, negatively impacting their quality of life. To address this problem and equip patients with coping skills, the application of the concept of Theory of Unpleasant Symptoms (TOUS) has become a relevant assessment format. Ten cases of lung cancer patients managed by the Resident showed that EvidenceBased Nursing Practice (EBNP) interventions in the form of Mindfulness Loving-Kindness Meditation (MLKM) were effective in treating psychological distress. This intervention has been shown to significantly reduce levels of stress, anxiety, and depression in patients. Therefore, MLKM is recommended as an essential nursing intervention to help lung cancer patients cope with their psychological distress. Oncology nurses are advised to adopt the TOUS approach in managing lung cancer patients experiencing psychological problems, strengthening evidence-based nursing practices in holistic governance. Keywords: Lung Cancer, Psychological Distress, Loving Kindness Meditation, Discomfort Theory.
Co-Authors Abd Rahman, La Ode Achir Yani S. Hamid Agung Waluyo Agus Setiawan Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alvian Harisandy Amalia Nur Aqmarini Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Andriani, Zilya Andriyani, Yulia Ani Haryani, Ani Anisah Ardiana Antaroza, Wiwik Aria Wahyuni Arif Rahman Arruum, Diah Asep Kuswandi Ashar Prima Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Mediawati Atmajaya, Feri Ayu Ramadhana Bayu Aji Sismanto Bejo Utomo Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Christantie Effendy Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Darmajayanti, Febry Dede Kurniati dewi adnan Dhea Natasha Dhea Natashia Dian Novita Kurniasih Dian Novita Kurniasih Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Djuria, Syafrina Arbaani Dwi Suryani Edi Purnomo Edian Fitriana Edy Soesanto 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 Fitriyanti, Dwi Gorean, Grace Irma Hadi, Muhammad Hanny Handiyani Hargiana, Giur Harmilah Harmilah Hasan Fuadi Hassan, Hamidah 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 Irawati, Diana Irman Irman Isran, Isran Janno Sinaga Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar Krisna Yetti Krisna Yetti Krisna Yetti Malawat Kuntarti Kustiyuwati Kustiyuwati La Ode Abd Rahman Lakoro, Danny Des Kartyko Laras Adythia Pratiwi Lasiyani, Ni Luh Lasut, Margareth Latif, Yusep Abdul Legu, Ermelinda Toyo Lina Herida Pinem Liya Arista Malau, Mahda Chresginova Maria Yulianti, Maria Martiningsih Martiningsih, Martiningsih Masfuri - Mataputun, Donny Richard 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 Nugraha, Rudi Nuiva, Uun Nuniek Nizmah Fajriyah Nur Miladiyah Nuraini, Tuti Nuraini, Tuti Nuraini Nurbaeti, Reidha Fitri Nurfitriani, Putri Nurlelasari Harahap Nurmalasari Nurmalasari Nuryani, Yulis Andri Osty Histry Kapahang Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Primayanthi, Anak Agung Ayu Emi Purba, Venbora Putri, Tissa Aulia Raden Mohamad Herdian Bhakti Raden Siti Maryam Rahma Jumila Rahman, Ahmad Fadhlur Ratna Aryani 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 Rufli, Arza S., Chiyar Edison Saharuddin Sali Rahadi Asih Samon, Bergita Olivia Hali Sapriyanti Sapriyanti Sari, Fani Hestiana Sari, Mulat Septi Kurniasari Setiasih, Diana Tri Budi Setiyadi, Agus Setyowati Setyowati Setyowati, Setyowati Shanti Farida Rachmi Sidik Awaludin Sigalingging, Astika Irmawaty Sigit Mulyono Sistina, Norma Sitorus, Kristiani Sri Hendrawati Sri Murtiasih Sri Yona SUKARMIN Sukarmin Sukarmin Sukarmin Sukma Wicaturatmashudi Susanti, Epi Susi Hartati Susiladewi, Ida Ayu Md Vera 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 Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Widyatuti Wildani, Andi Amalia Yari, Yarwin Yati Afianti, Yati Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yuniarsih, Winda Yushlihah Rofiati Yusuf Zulfa Zulfa