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All Journal INOTEKS : Jurnal Inovasi Ilmu Pengetahuan, Teknologi, dan Seni Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal NERS JKG (Jurnal Keperawatan Global) IJNP (Indonesian Journal of Nursing Practices) Jurnal Kesehatan Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Silampari Nursing Current : Jurnal Keperawatan Media Keperawatan Indonesia Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Suaka Insan Jurnal Keperawatan Terpadu (Integrated Nursing Journal) South East Asia Nursing Research Jurnal Keperawatan (JKEP) JOURNAL EDUCATIONAL OF NURSING(JEN) Journal Of Bionursing Journal of Community Empowerment for Health JURNAL KESEHATAN BHAKTI HUSADA Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research JIKO(Jurnal Ilmiah Keperawatan Orthopedi) MAHESA : Malahayati Health Student Journal Jurnal Ipteks Terapan : research of applied science and education Nursing Information Journal Lentera Perawat Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Makara Journal of Health Research DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Journal of Pharmaceutical and Sciences. Media Kesehatan Politeknik Kesehatan Makassar Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Abdimas Sains JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
I Made Kariasa
Universitas Indonesia
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Resilience-focused interventions for post- stroke depression: A systematic review Hariyani, Liberti; Kariasa, I Made; Maria, Riri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.2044

Abstract

Background: Stroke is one of the leading causes of long-term disability and morbidity worldwide. Post-stroke depression (PSD) is a common psychological complication that negatively affects recovery, functional outcomes, and quality of life. Psychological resilience is considered a key factor in helping patients adapt to post-stroke challenges; however, evidence regarding effective interventions to strengthen resilience in patients with PSD remains limited. Purpose: To evaluate the effectiveness of interventions that potentially enhance resilience-related components in patients with post-stroke depression and to provide evidence-based recommendations for nursing and clinical practice. Method: A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Literature searches were performed across five databases such as PubMed, Scopus, ScienceDirect, ProQuest, and Wiley using the keywords post-stroke depression, resilience, and intervention. Randomized controlled trials published in English that involved PSD patients and reported psychological outcomes related to resilience were included. Of 9,241 identified records, nine studies involving 779 participants met the inclusion criteria and were analyzed using narrative synthesis. Results: Psychological interventions, including Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Interventions (MBI), showed significant improvements in psychological flexibility (25–35%), mindfulness (20–32%), and coping ability (15–25%), alongside a significant reduction in depressive symptoms (p < 0.001). Physical-based interventions such as Tai Chi and Yijinjing Qigong were associated with improved emotional regulation and reductions in depressive symptoms of up to 45%. Technology-assisted approaches, particularly Virtual Reality interventions, reduced depressive symptoms by up to 22%. Pharmacological treatments demonstrated faster mood improvement but showed limited effects on strengthening psychological resilience. Conclusion: ACT, MBI, and structured physical exercise appear to be the most effective interventions for enhancing resilience-related components and alleviating depressive symptoms in patients with post-stroke depression. Future studies are recommended to directly measure resilience outcomes and examine the long-term sustainability of these interventions.
Translation and validation of the Indonesian version of Richard Campbell Sleep Questionnaire (RCSQ) in intensive care unit patients Nurhayati, Nunung; Waluyo, Agung; Kariasa, I Made; Asih, Sali Rahadi; Pujasari, Hening; Hayat, Bahrul
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.620

Abstract

Background: Sleep quality is a critical determinant of recovery outcomes among patients admitted to intensive care units (ICUs); however, accurate sleep assessment remains challenging due to environmental disturbances and intensive medical interventions. The Richards–Campbell Sleep Questionnaire (RCSQ) is widely used to assess subjective sleep quality, yet evidence regarding its psychometric performance in Indonesian ICU settings remains limited. Objective: The purpose of this study was to evaluate the validity and reliability of RCSQ in the ICU and assess the extent to which this instrument can accurately reflect the patient's sleep experience in the ICU. Methods: A methodological cross-sectional study was conducted involving 11 adult ICU patients recruited using a total sampling technique. Data were collected between April and May 2025 using the Indonesian version of the RCSQ. Construct validity was assessed using item–total correlation analysis, while internal consistency was evaluated using Cronbach’s alpha coefficient. Descriptive statistics were used to summarize participants’ demographic characteristics. Results: All RCSQ items demonstrated satisfactory construct validity, with item–total correlation coefficients exceeding the critical r-value (r > 0.521) and statistical significance at p < 0.05. The instrument showed good internal consistency, with a Cronbach’s alpha value of 0.810, indicating reliable measurement of subjective sleep quality among ICU patients. Conclusion: The Indonesian version of the Richards–Campbell Sleep Questionnaire demonstrates acceptable validity and reliability for assessing subjective sleep quality in ICU patients. Nevertheless, further studies with larger and more diverse samples are recommended to confirm its robustness and to explore integration with objective sleep assessment methods in intensive care settings.
Pengkajian Keperawatan dengan Pendekatan Model Adaptasi Roy pada Pasien Stroke Iskemik dengan Komorbiditas SLE : Laporan Kasus Eni Marwanti; I Made Kariasa; Riri Maria; Anita Puspitasari
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.v9i2.42925

Abstract

Latar belakang : Stroke pada pasien dengan SLE menjadi tantangan dalam praktik keperawatan karena melibatkan kerumitan kondisi yang disebabkan oleh kombinasi dua penyakit utama: SLE sebagai penyakit autoimun sistemik dan stroke sebagai gangguan pada sistem neurologis. Pengkajian dengan pendekatan Model Adaptasi Roy memberikan kerangka kerja yang komprehensif untuk memahami bagaimana pasien merespons perubahan fisik, psikologis, dan sosial akibat kombinasi kondisi tersebut. Tujuan : Studi ini untuk menggambarkan penerapan model adaptasi roy dalam pengkajian keperawatan pada pasien stroke iskemik dengan komorbiditas SLE. Presentasi Kasus: Seorang pasien perempuan berusia 28 tahun dirawat di unit stroke dengan keluhan spastik hemiparesis kanan dan infark maligna pada wilayah middle cerebral crtery (MCA) kiri, serta telah menjalani kraniektomi pada hari ke-0. Hasil: Masalah keperawatan yang muncul dari hasil pengkajian dengan pendekatan model adaptasi roy yaitu  risiko penurunan curah jantung, ketidakefektifan perfusi jaringans perifer, risiko nutrisi kurang dari kebutuhan, gangguan mobilitas fisik, nyeri akut, risiko infeksi, ketidakefektifan perfusi jaringan serebral,  dan  gangguan komunikasi verbal. Kesimpulan: Pengkajian keperawatan dengan pendekatan model adaptasi roy  memberikan kerangka untuk pengkajian keperawatan yang holistik dan terfokus, yang memungkinkan perawat menilai proses adaptasi pasien dalam menghadapi kondisi yang kompeks.
Efektivitas Breathing Exercise Pursed Lips Breathing pada Pasien COVID-19 dan Non COVID-19: A Systematic Review Chairul Huda; I Made Kariasa; Luluk Nafisah; Asri Bashir; Imam Ghozali
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.v9i4.51137

Abstract

Pasien yang terdiagnosis Coronavirus Disease 2019 (COVID-19) berpotensi mengalami gangguan pada fungsi pernapasan yang dapat menyebabkan penurunan kadar saturasi oksigen dalam darah, sehingga menyebabkan terjadinya hipoksia. Diperlukan upaya untuk meningkatkan saturasi oksigen dalam darah, melalui penerapan latihan pernapasan atau Breathing Exercise sebagai salah satu intervensi nonfarmakologis yang efektif dalam memperbaiki oksigenasi. Salah satu teknik latihan pernapasan adalah Pursed Lip Breathing. Penelitian ini bertujuan untuk melihat efektifitas latihan pernafasan Pursed Lip Breathing pada pasien COVID- 19 dan Non COVID-19. Metode dalam penelitian ini adalah penelusuran sistematik literatur yang dilakukan secara sistematis melalui berbagai basis data daring dengan kata kunci “Breathing Exercise AND Pursed Lip Breathing AND COVID-19”. Artikel yang dipilih adalah artikel lengkap yang diterbitkan pada tahun 2019- 2021 dalam bahasa Inggris. Hasilnya ditemukan 243 artikel dan 6 artikel yang memenuhi kriteria inklusi dan eksklusi. Hasil sintesis berbagai literatur telah menunjukkan efek positif latihan pernapasan Pursed Lips Breathing dalam mengurangi gejala persisten dan peningkatan saturasi oksigen pada pasien COVID-19 dan non COVID-19.
Understanding sleep quality among postoperative patients in Intensive Care Unit: A conceptual analysis approach Nurhayati, Nunung; Waluyo, Agung; Kariasa , I Made; Asih, Sali Rahadi; Pujasari, Hening; Hayat, Bahrul
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2762

Abstract

Background: Sleep quality is an important yet understudied element influencing postoperative recovery in intensive care units. Considering that there is a lack of consistent knowledge of the quality of sleep, it is difficult to establish appropriate tests and therapies. Objective: To do a conceptual analysis of sleep quality in postoperative intensive care units patients utilizing the Walker and Avant framework, delineating its qualities, antecedents, consequences, and empirical referents. Methods: This study used the Walker and Avant eight-step process for idea analysis, which included a systematic literature evaluation of papers published between 2020 and 2024 in databases such as PubMed, Scopus, ScienceDirect, and ProQuest. Data was evaluated to determine important defining qualities, causes, outcomes, and measurable indicators of sleep quality. Results: The analysis identified four defining attributes of sleep quality: sleep architecture, sleep disturbances, subjective experience, and physiological indicators. Antecedents included environmental noise, lighting, pain, anxiety, and frequent medical interventions. Poor sleep quality was associated with adverse outcomes such as increased delirium risk, delayed wound healing, and prolonged intensive care units      stays. Empirical referents included patient-reported tools like the Pittsburgh Sleep Quality Index, polysomnography, and actigraphy. Conclusion: Sleep quality is a multidimensional concept central to postoperative care in intensive care unit. Addressing environmental and psychological factors through targeted interventions can improve sleep quality and enhance recovery outcomes.
Footbath Therapy in Stroke Rehabilitation: A Systematic Review of Physical and Psychological Outcomes and Implication for Nursing Practice Marwanti, Eni; Kariasa, I Made; Maria, Riri
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

Abstract

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.
Meningkatkan Self-Management Pasien Hipertensi melalui edukasi berbasis digital : A Systematic Review Kamahi, Sri Wahyuni; Kariasa, I Made; Arista, Liya
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56349

Abstract

Latar Belakang : Masalah hipertensi masih menjadi persoalan kesehatan global dengan tingkat kontrol tekanan darah yang masih rendah. Edukasi berbasis digital dinilai memiliki potensi dalam meningkatkan self-management pasien hipertensi, termasuk mengontrol tekanan darah, perubahan gaya hidup dan memberikan pencegahan faktor risiko komplikasi. Metode : Penelusuran literatur dilakukan melalui database ScienceDirect, Sage Journal, Pubmed, Scopus, dan Taylor & Francis. Terdapat total 10.825 artikel yang teridentifikasi, terdapat 8 artikel yang memenuhi kriteria inklusi dengan mempertimbangkan uji coba terkendali acak (RCT), waktu publikasi, teks lengkap berbahasa inggris, akses terbuka dan hasilnya disajikan. Hasil : Hasil telaah didapatkan 4 artikel mengidentifikasi bahwa edukasi berbasis digital,pengukuran tekanan darah, dan pengingat berpengaruh terhadap pengelolaan hipertensi, kepatuhan pengobatan, penurunan tekanan darah sistolik, pengetahuan, gaya hidup, kualitas hidup, fungsi sosial (peningkatan kemampuan care giver) dengan nilai p-value < 0,05. Terdapat 2 artikel mengidentifikasi bahwa edukasi berbasis digital dan pengukuran tekanan darah berpengaruh terhadap pengelolaan hipertensi, kualitas hidup, pengetahuan, penurunan tekanan darah sistolik dengan nilai p-value < 0,05 dan penurunan faktor risiko kardiovaskuler namun tidak signifikan dengan p-value >0,05. Sedangkan 2 artikel lainnya mengidentifikasi bahwa edukasi berbasis digital dan pengingat pesan berpengaruh terhadap pengelolaan hipertensi, kepatuhan pengobatan, peningkatan faktor sosial (care giver) dengan nilai p-value < 0,05. Secara keseluruhan edukasi berbasis digital memiliki dampak positif dalam meningkatkan self-management. Kesimpulan : Edukasi berbasis digital dapat menjadi pengelolaan hipertensi yang efektif dalam mendukung self-management, penggabungan beberapa intervensi dapat menghasilkan dampak yang lebih optimal. Penelitian lebih lanjut dengan sampel yang lebih besar dan durasi yang lebih lama diperlukan untuk mengkonfirmasi efek jangka panjang pada pengontrolan tekanan darah dan pencegahan komplikasi faktor risiko kardiovaskuler. Kata Kunci : Edukasi Digital, Edukasi tatap muka, Self management
Improving Sleep Quality in Stroke and Chronic Kidney Disease Patients: A Systematic Review of Non-Pharmacological Interventions Eriza, Yudia; Kariasa, I Made; Arista, Liya; Yona, Sri
Nursing Information Journal Vol. 5 No. 2 (2026): In Progress Issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sleep disturbances are common in patients with stroke and chronic kidney disease, potentially worsening health conditions and reducing quality of life. Non-pharmacological interventions have received less research attention, despite the potential for non-pharmacological approaches to improve sleep quality without causing side effects. This systematic review aimed to evaluate the effectiveness of non-pharmacological interventions in this population. Randomized controlled trials involving patients with stroke and chronic kidney disease aged >18 years were searched in seven English-language databases. Methodological quality was assessed using the JBI critical appraisal tool, and data were synthesized. 9 RCTs met inclusion criteria and demonstrated significant benefits. Cognitive Behavioral Therapy (4 studies) consistently improved sleep quality and reduced fatigue, anxiety, and depression (p < 0.001). Reflexology (2 studies) decreased anxiety and improved sleep quality (p < 0.001). Acupuncture significantly improved ISI, PSQI, and HADS scores (p < 0.001–0.003). Lavender aromatherapy reduced depression and improved sleep quality (p < 0.001), while spiritual care improved sleep quality and spiritual well-being (p < 0.001). These findings highlight the role of nurses in implementing non-pharmacological interventions to address sleep disturbances and related psychological symptoms in patients with stroke and chronic kidney disease. Cognitive Behavioral Therapy is recommended for patients with insomnia and psychological comorbidities, reflexology and massage may be beneficial for those undergoing hemodialysis, while acupuncture, aromatherapy, and spiritual care can be tailored to individual needs. Further research is needed to assess their long-term effectiveness and their integration into broader clinical practice.
Co-Authors AA Sudharmawan, AA Agung Waluyo Agung Waluyo Ahmad Faried Amelia Amelia Anhari, Anhari Anita Puspitasari Arif Hidayatullah Aryani, Denissa Faradita Asri Bashir Bahrul Hayat, Bahrul Bambang Wispriyono Basuki Rachmat Basuki Rachmat Chairul Huda Dahlia, Debie - Deni Yasmara Derrett, Sarah Dewi Irawaty Dewi Sartika Sinaga, Dewi Sartika Dikha Ayu Kurnia Diky Julianto Dwi Kartika Rahayuningtyas Dwi Sartika, Dwi Dyah Untari Effendy, Pepen Elly Nurachmah Elvina Elvina Eni Marwanti Eriza, Yudia Erna Fitriani Eva Chris Veronica Gultom Eva Yulianti Fahmi, Ismail Fajariyanto, Muhammad Iqbal Faljeki Kurniawan Fathurahman, Muhamad Ganefianty, Amelia Gayatri, Dewi Gustini Putri Dewanti Hariyani, Liberti Harun Al Rasid Hasby Pri Choiruna Hellena Deli Hening Pujasari Idha Nurfallah Idramsyah Idramsyah Imam Ghozali Irman Irman Irmina Ika Yuniarti Jelang, Destya Wenny Juliana G.E.P Massie Kamahi, Sri Wahyuni Krisna Yetti Kurnia, Anna Leo Ginting Lestari Sukmarini Liya Arista Luciana Kabang Luluk Nafisah M.G Enny Mulyatsih Maria , Riri Maria, Riri Maria, Riri Marwanti, Eni Masfuri - McAllister, Susan Muhamad Adam Muhammad Adam Muhammad Ardi, Muhammad Mulyatsih, Enny Mulyatsih, MG Enny Nia Khusniyati Nova, Prima Agustia Nunung Nurhayati Pertiwi, Ratna Pompey, Cut Sarida Pramita, Senja Prima Agustia Nova puspita, vema tiyas R, Maya Rahmawati, Ririn Setia Rakhman, Isnawan Risqi Ranukusuma, Candradewi Mahardika Ratna Sitorus Ratna Sitorus Ratna Sitorus Renditya Anggana Retno Yulianti Rika Diah Pitaloka, Rika Diah Ristinawati Ristinawati Rumiati, Rumiati - Rusjini Rusjini Rusmala Dewi S., Chiyar Edison Sali Rahadi Asih Salim Harris, Salim Sarjono, Kalih Senja Paramita Sespa, Elya Sri Yona Sri Yona Supartha, I Gede Nyoman Ardi Susanto, Dibyo Harjo Sutiono, Agung B Tatu Meri Tri Antika Rizki Kusuma Putri Triensya, Rafiana Tuti Herawati Vema Tiyas Puspita Wilson Simangunsong Wolagole, Lily Yeni Agustin Yuniarti, Irmina Ika Yunisar Gultom