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Efektifitas Penggunaan Aplikasi Kesehatan Digital (telenursing) dalam meningkatkan Rehabilitasi Pasien Fraktur: Literature Review Muhammad Irvan Firdausy; Riri Maria
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47057

Abstract

Pendahuluan: Penggunaan aplikasi kesehatan digital (telenursing) di negara maju, sangat berkembang pesat. Amerika Serikat adalah negara yang paling banyak menggunakan model ini dan melakukan riset keperawatan dengan 14 (37.8%), disusul oleh Kanada dan Inggris (Souza, Mendes, Mazzo, Godoy, 2016). Aplikasi telenursing dapat membantu pasien dan keluarga dalam melakukan perawatan terhadap anggota keluarga yang sakit. Salah satu area di mana telenursing dapat memiliki dampak signifikan adalah dalam perawatan dan pencegahan cedera muskuloskeletal. Fraktur merupakan salah satu cedera muskuloskeletal. Fraktur pada tulang panjang seringkali mengakibatkan tingkat keparahan yang tinggi, baik dari segi kegawatan, proses penyembuhan, dan dampak pengaruhnya terhadap kemampuan mobilisasi (Padila, 2012 dan Desiartama, 2017 dalam Andri et al., 2020). Tujuan: Studi ini bertujuan untuk mengetahui efektivitas penggunaan aplikasi kesehatan digital (telenursing) terhadap masalah muskuloskeletal. Metode: Penelitian menggunakan desain literature review dengan metode PRISMA. PICO diformulasikan dengan Population : pasien pre dan pasca fraktur usia > 18tahun, Intervention: penggunaan aplikasi kesehatan digital (telenursing), Comparison: perawatan konvensional atau tidak menggunakan aplikasi, Outcome: perbaikan hasil rehabilitasi (misalnya fungsi fisik, kualitas hidup). Pencarian literatur dilakukan pada database elektronik (Bing, EBSCO, ScienceDirect, ProQuest, dan Google Scholar) untuk artikel terbit Oktober 2014 – Oktober 2024. Kata kunci pencarian mencakup kombinasi Boolean : “fracture” OR “extremity fracture” AND “digital health application” OR “telehealth” OR “telemedicine” OR “telenursing” AND “rehabilitation” OR “improve rehabilitation”. Kriteria inklusi: artikel penelitian RCT, teks lengkap, akses terbuka, berbahasa inggris, subjek pasien fraktur (pre/pasca operasi). Kriteria eksklusi : artikel berupa tinjauan Pustaka, editorial, laporan khusus, abstrak konferensi, serta penelitian dengan subjek usia < 18 tahun atau wanita hamil. Kualitas metodologi studi dinilai dengan instrument JBI untuk RCT. Hasil: dari 83.307 artikel teridentifikasi, tersaring 4 artikel RCT dari 4 negara berbeda yang memenuhi kriteria inklusi. Keempat studi tersebut terdiri dari 2 RCT terkait rehabilitasi pasca fraktur dan dua RCT program tele-rehabilitasi untuk pencegahan fraktur pada populasi risiko tinggi. Secara keseluruhan, intervensi telenursing menunjukkan potensi mempercepat pemulihan, meningkatkan kepatuhan rehabilitasi, dan kualitas hidup pasien. Kata kunci: fraktur, fraktur ekstremitas, aplikasi kesehatan digital, telenursing, telehealth, telemedicine, rehabilitation, meningkatkan rehabilitasi
Efektivitas Hipnosis Sebagai Terapi Komplementer Untuk Nyeri Pasien Pasca Bedah Jantung Heksa Prihartini; Tuti Herawati; Riri Maria
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.v9i4.50688

Abstract

Pendahuluan: Nyeri pasca bedah jantung merupakan komplikasi umum yang sering terjadi dan menjadi perhatian utama bagi pasien. Pasien akan mengalami tingkat nyeri yang bervariasi, mulai dari sedang hingga berat, yang dirasakan saat istirahat dan meningkat saat aktivitas. Meskipun nyeri ini dapat diatasi melalui kombinasi berbagai obat analgetik, termasuk golongan opioid, NSAID, dan asetaminofen, namun penanganan nyeri yang tidak memadai dapat berpotensi meningkatkan morbiditas dan length of stay (LOS). Terapi Hipnosis sebagai pendekatan komplementer non-farmakologis dapat meningkatkan efektivitas manajemen nyeri pada pasien pasca bedah jantung. Tujuan: Memberikan gambaran melalui literature review mengenai efektivitas terapi komplementer Hipnosis dalam manajemen nyeri pasien pasca bedah jantung. Metode: menggunakan metode literature review melalui online database PubMed, Scopus, Science Direct, Proquest, dan Sage Journals dari tahun 2014 hingga 2024. Hasil: Hipnosis sebagai salah satu terapi komplementer non-farmakologis efektif dalam mengurangi persepsi nyeri. Selain itu Hipnosis juga memberikan efek tidak langsung terhadap penurunan dosis analgetik, penurunan kecemasan, dan meningkatkan mobilisasi dini pada pasien pasca bedah jantung. Teknik Hipnosis yang digunakan antara lain hipnosis dengan terapis langsung berhadapan atau melalui headphone, audio hipnosis (rekaman), dan self-hypnosis/ autohipnosis, menunjukkan hasil yang baik, dengan durasi sesi hipnosis berkisar dari 20 menit hingga 40 menit. Efektivitas penerapan hipnosis dalam manajemen nyeri sangat dipengaruhi oleh durasi prosedur, tingkat hipnotisabilitas pasien, dan kompleksitas prosedur yang diterapkan. Kesimpulan: Hipnosis merupakan salah satu terapi non-farmakologi yang terbukti efektif dapat digunakan sebagai terapi komplementer untuk meningkatkan efektifitas pengelolaan nyeri pada pasien pasca bedah jantung.
Peran Early Goal Directed Therapy (EGDT) dalam Managemen Awal Sepsis Terhadap Mortalitas, Keseimbangan Cairan, dan Lama Perawatan: Tinjauan Sistematis Fadilla Nur Safitri; Masfuri Masfuri; Muhamad Adam; Riri Maria
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52685

Abstract

Sepsis is a life-threatening organ dysfunction. Early management of sepsis is key to preventing worsening of the patient's condition. Early Goal-Directed Therapy (EGDT) is a method of early sepsis management that has been used for the past 10 years and is an important intervention in the early care of sepsis, the effectiveness and implementation of which are increasingly developing. EGDT is believed to provide comprehensive sepsis management and provide better benefits to sepsis patients. This systematic review aims to compile research findings from the past 10 years regarding the role of EGDT on outcome variables that indicate improvement in sepsis patients. The literature search used PRISMA guidelines from seven database sources and publishers: Science Direct, ProQuest, PubMed, Clinical Key, Scopus, Taylor & Francis, and Springer Nature. Ten articles were subjected to research critique using JBI Critical Appraisal Tools. Several studies have shown that the implementation of EGDT shows significant improvements in mortality, fluid balance, and length of stay. Modification of EGDT with the use of ultrasonography or echocardiography in monitoring fluid responsiveness shows better results in the initial management of sepsis.
Pengaruh Pemberdayaan terhadap Self-Efficacy pada Pasien Kanker Payudara: Systematic Review Purnomo Purnomo; Tuti Nuraini; Yossie Susanti Eka Putri; Riri Maria
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.794

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Breast cancer is the second most prevalent type of cancer and one of the leading causes of mortality. Efforts to reduce mortality rates can be achieved by empowering patients to manage symptoms caused by cancer and the side effects of treatment therapies. This study aimed to evaluate the effectiveness of empowerment education in increasing self-efficacy in breast cancer patients. The study employed a systematic review of eight articles sourced from various databases, including ProQuest, SpringerLink, ScienceDirect, Sage Journal, Google Scholar, and PubMed. A total of 8,693 articles were retrieved from seven databases. After screening based on inclusion criteria, 638 articles were deemed eligible. Based on the selection of titles, abstracts, and full texts, 22 articles were chosen, and after duplicate elimination, 10 articles were analyzed using the Joanna Briggs Institute (JBI) quality assessment tool. The analysis results indicated that the empowerment approach is effective in improving self-efficacy and quality of life in breast cancer patients. By utilizing empowerment education, healthcare professionals can provide holistic support to patients, improve therapeutic outcomes, and reduce breast cancer mortality rates. This study recommended the integration of empowerment education as an essential component of breast cancer management in various healthcare facilities.
Footbath Therapy in Stroke Rehabilitation: A Systematic Review of Physical and Psychological Outcomes and Implication for Nursing Practice Eni Marwanti; I Made Kariasa; Riri Maria
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.81-92

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Stroke remains a major neurological condition that frequently results in long-term functional impairments and reduced quality of life among survivors. In addition to pharmacological therapy, various non-pharmacological interventions have been investigated to support recovery, among which footbath therapy has demonstrated potential benefits for both physical and psychological outcomes. This systematic review aimed to identify and synthesise current scientific evidence regarding the effectiveness of footbath therapy in stroke patients. Following PRISMA guidelines, a comprehensive search was conducted for articles published between 2014 and 2024 in ProQuest, ScienceDirect, Cochrane, EBSCO, PubMed, and Google Scholar, using keywords developed through the PICO framework. A narrative synthesis approach was employed to analyze the findings, with six eligible studies comprising four randomized controlled trials (RCTs) and two quasi-experimental studies. The findings suggest that footbath therapy may enhance parasympathetic nervous system activity, improve muscle strength, and reduce spasticity and physical fatigue. Psychologically, it appears to alleviate anxiety and psycho-emotional stress while promoting comfort and sleep satisfaction. The evidence suggests potential benefits of footbath therapy in stroke patients. Given its low risk and ease of implementation, footbath therapy may be regarded as a promising complementary intervention in stroke patients. However, the evidence is based on a small number of heterogeneous studies, and the overall quality of evidence appears limited, suggesting that the findings should be interpreted with caution. Therefore, high-quality randomized controlled trials are needed to strengthen the evidence.
Factors influencing spiritual needs in patients with chronic diseases: A systematic literature review Fatahillah Syafruddin; Riri Maria; Anggri Noorana Zahra
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3467

Abstract

Background: Spiritual needs are a critical component of holistic care for patients with life-threatening illnesses, yet their manifestation varies significantly across different disease pathways. Purpose: To identify and synthesize the multifaceted factors influencing spiritual needs in patients with cancer, cardiovascular disease (CVD), chronic kidney disease (CKD), and stroke, while mapping how different clinical trajectories contribute to variations in spiritual experiences. Method: Following PRISMA 2020 guidelines, a systematic search was conducted in Scopus and PubMed for primary empirical studies published between 2020 and 2026. A total of 398 records were identified, and after rigorous screening and quality assessment, 49 studies were included in the final synthesis. Results: Spiritual needs among patients with chronic diseases: cancer, cardiovascular disease, chronic kidney disease, and stroke are associated with interconnected clinical, demographic, physical, psychological, psychosocial, socioeconomic, and cultural factors. Disease burden, physical symptoms, psychological distress, social support, and personal beliefs collectively shape spiritual well-being, highlighting its dynamic nature throughout the illness trajectory. Conclusion: Spiritual needs among patients with chronic and life-threatening illnesses are associated with clinical, demographic, physical, psychological, psychosocial, socioeconomic, and spiritual-cultural factors. Integrating routine spiritual assessment and personalized spiritual care into healthcare practice may help improve coping, resilience, and quality of life.
Psychosocial Experiences of Colorectal Cancer Patients with Stoma Riri Maria; Debie Dahlia; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5378

Abstract

The formation of a stoma impacts various aspects of a patient's life, including physical, psychosocial, and spiritual well-being. If these impacts are not properly managed, it could decline the patient's quality of life. This study aimed to explore the psychosocial experiences of colorectal cancer patients living with a stoma. Method: twenty participants were interviewed using semi-structured questions, and the data was analyzed using a phenomenological approach. the findings revealed three key themes: emotional reactions having a stoma, limited social interactions, and worries about performing religious practices. Based on these results, the study recommend the need for education for colorectal cancer patients with stomas, particularly psychosocial aspects, to improve adaptation and quality of life.
Effectiveness of Cold Compress in Preventing Hematoma in Post Percutaneous Coronary Intervention (PCI) Patients: A Systematic Literature Review Ifana Yunike Pristya; Elly Nurachmah; Riri Maria
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5807

Abstract

Percutaneous Coronary Intervention (PCI) is currently indicated for patients experiencing acute coronary syndrome and individuals with chronic stable angina that is refractory to optimal medical therapy. Advancements in devices, stent design, adjunctive technology, and the development of more potent and effective antiplatelet therapies have contributed to improved outcomes. However, major periprocedural complications during PCI remain a concern, with an overall transulnar access site complication rate of 41%, a vasospasm incidence of 7%, and a hematoma occurrence of 29%. Cold compress application is widely used due to its physiological effects, including vasoconstriction, reduced tissue metabolism, increased blood viscosity, and local anesthetic properties. Cold compresses can decrease blood flow and capillary permeability by inducing arteriolar vasoconstriction, thereby reducing bleeding.Objective: This study aims to examine the implementation of cold compress therapy in preventing hematoma in post-Percutaneous Coronary Intervention (PCI) patients.Methods: This study employs a systematic literature review approach. Data synthesis was conducted by analyzing eight studies that met quality assessment standards and inclusion-exclusion criteria. The databases used for literature retrieval included Google Scholar, PubMed, ScienceDirect, EBSCO, and ProQuest. The findings were processed and presented in tabular form.Result: Cold compresses can help reduce hematoma and pain after a Percutaneous coronary Intervention (PCI), cold compresses can also help prevent hematomas. How cold compresses help cold compresses vasoconstrict blood vessels and cold compresses speed up blood clotting.Conclusion: The reviewed articles indicate that the application of an ice pack or cold compress is more effective in reducing pain and preventing hematoma caused by catheter removal in patients undergoing Percutaneous Coronary Intervention (PCI).
Effectiveness of Physical Exercise in Managing Components of Metabolic Syndrome in Obese Populations: A Systematic Review Ni Wayan Astiti Pertiwi; Debie Dahlia; Dikha Ayu Kurnia; Riri Maria
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.v7i4.6346

Abstract

Obesity is one of the main contributing factors to metabolic syndrome, which results in an increased risk of chronic diseases such as diabetes mellitus, cardiovascular disease, and other metabolic dysfunctions. Physical exercise has long been recognized as a potential nonpharmacological strategy in reducing metabolic risk factors, but the effectiveness of various types of exercise in managing metabolic syndrome still needs to be further reviewed. This study aims to evaluate the effectiveness of physical activity in managing components of metabolic syndrome in an obese population. Using the PRISMA method of literature searches through Pubmed, Ebsco, Scopus and Wiley databases by using specific word combinations to obtain suitable articles. Inclusion criteria included English language articles published in the last five years (2019-2024), randomized controlled trial type, and discussing physical exercise interventions in obese populations. Of the 893 articles retrieved, 7 were reviewed. Studies show that physical exercise significantly reduced risk components of metabolic syndrome such as blood sugar, insulin, HOMA-IR, visceral fat and improved VO 2 max and quality of life. However, long term success was strongly influenced by the level of adherence to the exercise program. Physical exercise in an effective and safe intervention in reducing the risk of metabolic syndrome in obese individuals.
Systematic Review: The use of Propolis Mouthwash in Reducing Mucositis in Cancer Patients Undergoing Chemotherapy and Radiation Therapy Ngolu Siregar; Tuti Nuraini; Riri Maria; Yossie Susanti Eka Putri
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.v7i4.6490

Abstract

A systematic review of randomized clinical trials in cancer patients on the effectiveness of propolis mouthwash use in post-chemo and radiation cancer patients. Oral mucositis (OM) is a common and highly symptomatic complication of cancer therapy that affects function, quality of life. Chemotherapy and radiation are the most widely used interventions in cancer treatment. The prevalence of oral mucositis side effects among HNC patients is 93.9%. Research on the management of OM is still ongoing. This study aims to analyze a systematic review of the use of propolis in preventing and reducing the severity of oral mucositis in cancer patients undergoing chemo- and radiation therapy. Four databases through article searches tailored to the formulation of PICO questions consisting of ScienceDirect, Pubmed, ProQuest, Sage journals and EBSCO, A total of 2,252 articles were identified, and 8 articles were included in the final analysis. Of the ten articles selected, there were 6 articles that were suitable for oral mucositis treatment interventions that showed the effectiveness of using propolis mouthwash to treat ral mucositis with a Randomized Controlled Trial (RCT) design. The use of propolis mouthwash for oral mucositis can be done to overcome and prevent oral mucositis in cancer patients undergoing chemo and radiation therapy.
Co-Authors A N Dahlia Sinambela Aat Djanatunisah Adam, Muhamad Agung Waluyo Allenidekania Allenidekania Almira Yuni Sunaryanti Amal Chaliq Sjaaf Amelia Amelia Aminah, Ai Anatha C Selaindoong Anggri Noorana Zahra Anisa Muliyawati Anita Puspitasari Aries Sulaiman Ariyanti, Kadek Yemi Asep Solahudin Atnawanty, Tia Bietris Warisyu Dandi Oka Subantara Dasna Dasna Debie Dahlia Denissa Faradita Aryani Dewi Gayatri Dewi Irawati DEWI IRAWATI Dewi Irawaty Dewi Irawaty Dewi Irawaty Dewi Irawaty Dikha Ayu Kurnia Dwi Sartika Efadatus Zakiyah Eliana Sinaga Ellen Muthia Elly Nurachmah Elly Nurrachmah Eni Marwanti Eni Marwanti Eni Purwanty Fadilla Nur Safitri Faraniara Faraniara Faraniara, Faraniara Fatahillah Syafruddin Fitri Susilowati Heksa Prihartini Heru Komarudin I Made Kariasa I Made Sumaharianta Radin Ida Amalia Ifana Yunike Pristya Ina Nurul Rahmawati Indah Indreani Sari Irmariani Irbar Isnah Ariyanti Jelita Jelita JOKO NUGROHO Juni Netti Mardian Kapriana Tanty Natalia Koharuddin Koharuddin Komang Noviantari Krisna Yetti Krisna Yetty Kurnia, Pasti Liberti Hariyani Liya Arista Maharani, Made Yashinta Maria Kurnyata Rante Kada Masfuri Masfuri Meisa Ndari, Arni Budi Moh. Alhadi Haq Muhamad Adam Muhamad Adam Muhammad Adam Muhammad Irvan Firdausy Ngolu Siregar Ni Wayan Astiti Pertiwi Nila Fitri Nila Indrayati Nori Widiowati Widiowati Nurlelasari Harahap Oktavianti, Dewi Siti Philipus, Vitta Margareth Prasestiyo, Hamudi Puji Astuti Purnomo Purnomo Purnomo Purnomo Rai Bawa, Ngakan Nyoman Rica Fitria Riri Trinanda Ristina Fauzia Hernaningrum Rizany, Ichsan Rizki Andriani Rizki Andriani Rizki Paramita Sakti Rosiana Waicang S., Chiyar Edison Sahrudi Sahrudi Santi Apriyani Sari Eprina Nadeak Siti Utami Dewi Sonang Veronika Butarbutar Sri Dewi Megayanti Sri Dewi Megayanti Sri Endah Handayani Sri Yona Sungkono Sungkono Syahru Ramadhan Theresia Budi Lestari Tia Atnawanty Tuti Herawati Tuti Nuraini Tuti Nuraini Tuti Suhertini Ucip Sucipto Uti Rusdian Wahadi Wahadi, Wahadi Wella Meitri Weny Amelia, Weny Yati Afiyanti Yossie Susanti Eka Putri Yuli Yulia Yulia Yulia Yulia Yulia Yulia Yuzia Melantika