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All Journal INOTEKS : Jurnal Inovasi Ilmu Pengetahuan, Teknologi, dan Seni Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal NERS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA JKG (Jurnal Keperawatan Global) IJNP (Indonesian Journal of Nursing Practices) 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. Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Abdimas Sains JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Jurnal Kesehatan Jurnal Keperawatan Kritis Indonesia
I Made Kariasa
Universitas Indonesia
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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.
The Effect of A White Noise on Sleep Quality Among Critically Ill Patients in Indonesia: A Randomized Controlled Trial Nurhayati, Nunung; Waluyo, Agung; Kariasa, I Made; Jahja, Umar
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.93926

Abstract

Introduction:Sleep disturbance is a frequent problem among critically ill patients and may adversely affect recovery. White noise has been proposed as a non-pharmacological approach to reduce environmental disruption and improve sleep; however, evidence from Indonesian intensive care units (ICUs) is currently lacking. Objectives:This study aimed to evaluate the effect of white noise exposure on sleep quality among critically ill patients treated in ICUs in Indonesia. Methods: A randomized controlled trial was performed in the ICUs of three public hospitals in West Java, Indonesia, involving adult ICU patients. The intervention group received white noise twice daily for three days, while controls received standard care. Sleep quality was measured using the RCSQ and analyzed with repeated-measures ANOVA, Cohen’s d, and GEE models. Results: Final analyses included 25 participants in the intervention group and 25 in the control group. Sleep quality in the intervention group showed a significant improvement at the third measurement point, with a moderate effect size (d = 0.42). No significant changes were observed in the control group. GEE analysis demonstrated a significantly greater improvement in sleep quality in the intervention group compared with the control group after three days (β = 6.43, p 0.001). Conclusions:White noise intervention was associated with improved sleep quality among critically ill ICU patients. These findings support the incorporation of acoustic management strategies into ICU care to enhance patient comfort and recovery.
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

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.
VR's EFFICACY IN IMPROVING UPPER EXTREMITY MOTOR FUNGCTION IN STROKE PATIENTS Simangunsong, Wilson; Kariasa, I Made
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.932

Abstract

Background: Stroke remains the second leading cause of death and the third combined cause of death and disability expressed by disability-adjusted lost life years (DALYs) in the world. Technological developments are used to provide more personalized and precise health services and are used for stroke prevention.Purpose: The purpose of this literature review is to look at the Effectiveness of Increasing Upper Extremity Motor Function Based on Vertual Reality Technology in Stroke Patients.Methods: The method used in the search for articles is database: Clinicalkey Nursing, EBSCOhost, EMBASE, ProQuest, Sage Journal, ScienceDirect, Scopus, SpringerLink and ClinicalKey.Results: Based on a literature review of 5 selected articles, it was found that virtual reality is effective for improving upper extremity motor function in stroke patients.Conclusion: Stroke patients can use virtual reality as a therapy to improve upper extremity motor function.
Effectiveness of Music Therapy Intervention on Pain Levels in Patients with Primary Brain Tumor Nurfallah, Idha; Kariasa, I Made
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i2.974

Abstract

Introduction: Headache is a symptom that always occurs in brain tumours. During the disease, the patient experiences moderate to severe pain. Headaches gradually become more frequent and severe, as do nausea and vomiting, memory disturbances, seizures, balance disturbances and the risk of death—effective pain management in tumours whose treatment requires pharmacological and non-pharmacological interventions. Music therapy is part of complementary therapy. Music therapy has advantages as an intervention that can be applied in a simple, non-invasive, non-pharmacological relaxation stimulant that is safe, inexpensive, and effective.Objective: This review aims to explore and synthesize the scientific literature on music therapy as a non-pharmacological intervention to manage pain in primary Brain Tumor patients.Methods: The articles were searched in the SpringerLink, Proquest, Google Scholar, and Scopus databases using keywords and boolean operators. Searches used AND, OR, and NOT to produce targeted search results. Inclusion criteria for pain in brain tumors, full text, published within the last ten years from 2012 to 2022, provide information on non-pharmacological strategies in managing pain in primary brain tumors and are written in English. From a total of 8238 journals found, 12 were selected.Results: Based on a review of 12 selected journals, it was found that non-pharmacological management of music therapy effectively reduced pain in brain tumors.In conclusion, music therapy interventions effectively and safely reduce pain and increase patient comfort. Music therapy is a cheap, simple, non-invasive, and non-pharmacological method with no side effects; it can be used as an adjunct for analgesics and relaxation—the effectiveness of music therapy in reducing the pain of tumor or cancer patients.
GAMBARAN INDIKATOR KEBERHASILAN EKSTUBASI PADA PASIEN POST OPERASI DI RUANG PERAWATAN INTENSIF RUMAH SAKIT DR.CIPTOMANGUNKUSUMO JAKARTA Lina Virfa; Denissa Faradita Aryani; I made Kariasa
JKKI Vol 1 No 1 (2023)
Publisher : Himpunan Perawat Critical Care Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66351/jkki.v1i1.9

Abstract

Pasien yang menjalani prosedur pembedahan secara elektif dilakukan pembiusan umum dan tindakan intubasi serta menggunakan ventalisi mekanik. Ketika pasien dinilai sudah baik dan mampu dalam bernafas secara spontan, pengunaan ETT harus segera di lepaskan. Menyegerakan ekstubasi pada pasien dengan pasca pembedahan merupakan hal yang penting dilakukan agar tidak terjadi komplikasi yang cukup besar. Durasi intubasi yang lebih lama insiden komplikasi akan lebih tinggi, termasuk kejadian pneumonia terkait ventilator (VAP), dan peningkatan kematian. Penelitian ini bertujuan untuk mengetahui gambaran indikator keberhasilan ekstubasi bedasarkan karakteristik fisik dan psikologis pada pasien post operasi di ruang perawatan intensif. Penelitain ini menggunakan desain deskriptif murni dengan pendekatan retospektif melalui data sekunder pada 96 responden. Pengambilan sampel dilakukan dengan teknik stratifed random sampling. Instrumen yang digunakan adalah lembar cheklist penilaian ekstubasi. Hasil penelitian didapatkan bahwa 100% pasien post operasi dilakukan ekstubasi dengan status kesadaran compos mentis atau nilai GCS > 10, hemodinamik stabil dengan nilai mean teakanan darah sistolik 120,7mmhg, nilai AGD denagn nilai mean PO2 120, PCo2 39.99 dan SaO2 98.36%, memiliki nilai hemtokrit normal denagn nilai mean Hct 38,98%, telah dilakukan spontaneous breathing trial dan kooperatif. 96% pasien memiliki refleks batuk yang kuat sebelum dialakukan ekstubasi.
Meningkatkan Self-Management Pasien Hipertensi melalui edukasi berbasis digital : A Systematic Review Sri Wahyuni Kamahi; I Made Kariasa; Liya Arista
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 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 Yudia Eriza; I Made Kariasa; Liya Arista; Sri Yona
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
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 Basuki Rachmat Basuki Rachmat Chairul Huda Dahlia, Debie - Deni Yasmara Denissa Faradita Aryani 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 Eni Marwanti 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 Jahja, Umar Jelang, Destya Wenny Juliana G.E.P Massie Krisna Yetti Kurnia, Anna Leo Ginting Lestari Sukmarini Lina Virfa Liya Arista Luciana Kabang Luluk Nafisah M.G Enny Mulyatsih Maria , Riri Maria, Riri Maria, Riri Masfuri - McAllister, Susan Muhamad Adam Muhammad Adam Mulyatsih, Enny Mulyatsih, MG Enny Nia Khusniyati Nova, Prima Agustia Nunung Nurhayati Nurfallah, Idha 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 Sarjono, Kalih Senja Paramita Sespa, Elya Simangunsong, Wilson Sri Wahyuni Kamahi 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 Yudia Eriza Yuniarti, Irmina Ika Yunisar Gultom