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All Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN MAHESA : Malahayati Health Student Journal Journal of Applied Nursing and Health Journal of Nursing Invention Jurnal Siti Rufaidah Pemberdayaan Masyarakat: Jurnal Aksi Sosial
Julianto Julianto
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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THE EFFECTS OF FOOT GIVING MASSAGE OF LIMBS TO A DECREASED SCALE OF FATIGUE IN HEART FAILURE IN PATIENTS HOSPITAL X Julianto Julianto; Yuniarti Yuniarti; Mariana Mariana
Journal of Nursing Invention Vol 2 No 2 (2021): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.375 KB)

Abstract

Gagal jantung merupakan dimana jantung sebagai pompa yang tidak mampu memenuhi kebutuhan darah untuk metabolisme jaringan disebabkan bertambahnya usia. Kelelahan sering dialami oleh penderita gagal jantung. Terapi yang diberikan farmakologi dan non farmakologi dengan terapi komplementer seperti massage tungkai. Penelitian ini bertujuan untuk mengetahui Pengaruh Pemberian Massage Tungkai Terhadap Penurunan Skala Kelalahan Pada Pasien Gagal Jantung. Metode eksperemen yang menggunakan pendekatan atau rancangan one-group pre-post tes design. Jumlah sampel penelitian yaitu 20 pasien kelelahan pada gagal jantung yang mengalami kelelahan. Hasil penelitian ini sebelum dilakukan massage tungkai didapat nilai 0,370, sesudah dilakukan massage tungkai dapat nilai signifikan 0,558. Hasil p-value (0,000) < α (0,05) sehimgga telihat adanya penurunan massage tungkai pada pasien gagal jantung.
Hubungan Response Time Dengan Tingkat Kecemasan Pasien Pada Ruang IGD Rumah Sakit Daud, Izma; Julianto, Julianto; Aprilia, Hanura; Nasyir, Maulidan
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 3 (2023): SEPTEMBER
Publisher : NHM PRESS

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Abstract

Pertolongan gawat darurat memiliki sebuah waktu standar pelayanan yang dikenal dengan istilah waktu tanggap (response time) yaitu maksimal 5 menit. Pasien dengan kondisi medis yang memerlukan perawatan memiliki perasaan cemas dan ingin segera ditangani agar kondisinya tidak memburuk. Menganalisis hubungan Response Time dengan tingkat kecemasan pasien pada ruang IGD Rumah Sakit. Menggunakan pendekatan cross sectional. Populasi dan sampel sebanyak 38 perawat dan 38 pasien yang masuk ke ruang IGD rumah sakit. Teknik accidental sampling dan Instrumen HARS dan Observasi Respon Time dan menggunakan uji statistik Spearman Rank. Hasil uji statistik pada penelitian ini didapatkan nilai p value (0,000) < α (0,05) terdapat hubungan yang signifikan antara response time dengan tingkat kecemasan pasien di ruang IGD Rumah Sakit. Semakin lambat Respone Time maka akan semakin berat tingkat kecemasan yang dialami pasien.
H HUBUNGAN ANTARA TINGKAT PENGETAHUAN DAN MOTIVASI PERAWAT TERHADAP PELAKSANAAN EWS DI RSUD X Julianto, Julianto
Journal of Nursing Invention Vol. 3 No. 1 (2022): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v3i1.188

Abstract

Background: The high mortality rate in the hospital can be prevented with prompt and appropriate help. In the world, an early detection scoring system has been introduced using the Early Warning Score (EWS). The success of the EWS in reducing the incidence of cardiac arrest is influenced by the good implementation of the EWS instrument. A good implementation is influenced by several factors including knowledge and motivation. Objective: The research objective was to analyze The Relationship Between The Level Of Knowledge And Motivation Of Nurses In The Implementation Of EWS At Hospital. Method: This study used the Cross Sectional method, the population of inpatient nurses at Hospital, 43 samples, total sampling technique. The instrument questionnaire and observation sheet and used the Spearman rank test. Result: The results showed that the level of knowledge was good for 31 people (72%), enough motivation for nurses (93.1%) and the implementation of the EWS was good and sufficient for 40 people (95.4%). There is a relationship between the level of knowledge and motivation of nurses on the implementation of EWS at Hospital X. Knowledge level P = 0.018 (p <α) with a value of r = 0.358, motivation level P = 0.042 (p <α) with a value of r = 0.312.  Conclusion: Providing regular EWS training as well as providing rewards and increasing incentives for nurses is very good for increasing knowledge and motivation so that the implementation of EWS can always be maximized.  
Problem Solving For Better Health (PSBH) Rendam Kaki Air Hangat dengan Serai pada Penderita Hipertensi Doni Bilman Murizki; Amnaria Maretha; Fitrian Fitrian; Helwati Mursyida; Reza Rizki Amaliyah; Sri Nopita Sari; Verawanty Verawanty; Julianto Julianto
Pemberdayaan Masyarakat : Jurnal Aksi Sosial Vol. 2 No. 2 (2025): Juni : Pemberdayaan Masyarakat : Jurnal Aksi Sosial
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/aksisosial.v2i2.1520

Abstract

Hypertension is a global health issue that requires holistic management, including non-pharmacological therapies. This community service activity aimed to educate and assist residents of Pekauman RT 07 in applying warm foot soak therapy with lemongrass as an alternative method to reduce blood pressure. The implementation method used a participatory approach involving observation, education, direct practice, and pre-post intervention evaluation. The results showed that most participants experienced a decrease in blood pressure after the intervention. This therapy is considered simple, safe, and feasible to perform independently at home. The program is expected to continue as a community empowerment strategy in hypertension management.
Hubungan Tingkat Keparahan dan Tingkat Kontrol dengan Kualitas Hidup Pasien Asma Bronkial di Poli Paru RSUD dr. H. Moch. Ansari Saleh Banjarmasin Risma Dwi Rahimah; Olviani, Yurida; Julianto Julianto; Solikin Solikin
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.218

Abstract

Bronchial asthma is a chronic respiratory disease that significantly impacts the quality of life of sufferers. The severity and level of asthma control are important factors in determining a patient's condition. Data from the Pulmonary Clinic of Dr. H. Moch. Ansari Saleh Regional General Hospital (RSUD) show an increase in the number of asthma patients every year, necessitating further analysis of the factors that influence the quality of life of sufferers. This study aims to analyze the relationship between severity and control levels and the quality of life of bronchial asthma patients. This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 47 respondents selected using a purposive sampling method according to the inclusion criteria. The instruments used included a severity questionnaire based on the Global Initiative for Asthma (GINA) guidelines, the Asthma Control Test (ACT), and the Mini Asthma Quality of Life Questionnaire (Mini-AQLQ). Data analysis was performed using the Kendall's Tau-b test with a significance level of 0.05. The results showed that the majority of respondents were female (53.2%) and aged 31–45 years (36.2%). The highest asthma severity was mild persistent (29.8%), while the most dominant level of control was fully controlled (38.3%). The quality of life of the respondents was mostly in the moderate category (38.3%). Statistical tests showed a significant relationship between severity and quality of life (p = 0.003) and between control and quality of life (p = 0.001). It can be concluded that the higher the level of asthma severity, the lower the patient's quality of life tends to be, while better asthma control is associated with a better quality of life. These results emphasize the importance of early detection, optimal asthma control, and regular monitoring by healthcare professionals to improve patients' quality of life.
Hubungan Efikasi Diri dan Stres Kerja Perawat Dengan Pengetahuan Penatalaksanaan RJP Di IGD RSUD Brigjend H. Hasan Basry Kandangan M. Fadillah; Julianto, Julianto; Daud, Izma; Khalilati, Noor
Journal of Nursing Invention Vol. 4 No. 2 (2023): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v4i2.473

Abstract

Background: Scabies is a skin disease that is often found in Islamic boarding schools. Factors that influence the incidence of scabies are poor personal hygiene and unqualified occupancy density, thus accelerating the transmission and transmission of scabies. Objective: To determine the relationship between personal hygiene and occupancy density with the incidence of scabies skin disease. Method: This study uses a quantitative correlational research design with a cross-sectional approach. The data collection instruments used were personal hygiene questionnaires, observation sheets of occupancy density, and observation sheets of the incidence of scabies skin disease. Result: Based on the results of the Chi-Square Test show that the value of p = 0.000 <α = 0.05 the value is statistically meaningful (p < 0.05), meaning that it shows that there is a relationship between personal hygiene and occupancy density with the incidence of scabies skin disease in Islamic boarding schools. Conclusion: There is a significant relationship between personal hygiene and occupancy density with the incidence of scabies skin disease. Keywords: Personal Hygiene, Occupancy Density, Scabies Skin Disease.
Penerapan Terapi Dzikir menggunakan Aplikasi Mobile terhadap Tingkat Kecemasan Pasien Access Block di Instalasi Gawat Darurat Mira, Mira; Daud, Izma; Julianto, Julianto; Yuhansyah, Yuhansyah; Rachmadaniyah, Rachmadaniyah
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.22026

Abstract

ABSTRACT Access block is a condition in which patients are unable to promptly obtain appropriate inpatient beds, potentially triggering psychological issues such as anxiety. This situation poses a significant challenge in Emergency Department (ED) services. Dzikir therapy using a mobile application represents a modern spiritual approach that integrates technology into psychological interventions to meet patients’ spiritual needs and reduce distress. This study aimed to evaluate the effectiveness of mobile-based dzikir therapy in reducing anxiety levels among patients experiencing access block in the ED. The research employed a quantitative approach with a pre-experimental one-group pretest-posttest design. A total of 30 respondents were selected using accidental sampling. Data collection was conducted using the Hospital Anxiety and Depression Scale (HADS) to measure anxiety levels before and after the intervention. The intervention consisted of dzikir therapy delivered through a mobile application during the patient's waiting time in the ED. The Wilcoxon test analysis showed a Z value of -5.069 and a p-value of 0.000 (p < 0.05), indicating a statistically significant reduction in anxiety levels after the intervention. Prior to the therapy, most participants were categorized as experiencing moderate to severe anxiety, but post-intervention results revealed that all respondents showed reduced anxiety levels, falling into the normal category. In conclusion, dzikir therapy using a mobile application is proven effective in lowering anxiety levels in patients experiencing access block in the ED.  Keywords: Access Block, Anxiety, Dzikir Therapy, Mobile Application, Spiritual Intervention.  ABSTRAK Access block merupakan kondisi ketika pasien tidak dapat segera memperoleh ruang rawat inap yang sesuai, yang berpotensi memicu gangguan psikologis seperti kecemasan. Kondisi ini menjadi tantangan besar dalam pelayanan di Instalasi Gawat Darurat (IGD). Terapi dzikir menggunakan aplikasi mobile merupakan pendekatan spiritual modern yang mengintegrasikan teknologi dalam intervensi psikologis untuk memenuhi kebutuhan spiritual dan mengurangi distress pasien. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi dzikir berbasis aplikasi mobile dalam menurunkan tingkat kecemasan pada pasien yang mengalami access block di IGD. Penelitian menggunakan pendekatan kuantitatif dengan desain pre-eksperimental one group pretest-posttest. Sebanyak 30 responden dipilih melalui teknik accidental sampling. Instrumen yang digunakan adalah Hospital Anxiety and Depression Scale (HADS) untuk mengukur tingkat kecemasan sebelum dan sesudah intervensi. Intervensi berupa terapi dzikir menggunakan aplikasi mobile dilakukan selama masa tunggu pasien di IGD. Hasil analisis menggunakan uji Wilcoxon menunjukkan nilai Z = -5.069 dan p = 0.000 (p < 0.05), yang berarti terdapat penurunan tingkat kecemasan yang signifikan setelah diberikan terapi dzikir melalui aplikasi mobile. Sebelum intervensi, mayoritas responden berada pada kategori kecemasan berat dan sedang, namun setelah intervensi seluruh responden mengalami penurunan kecemasan hingga masuk kategori normal. Kesimpulannya, terapi dzikir menggunakan aplikasi mobile terbukti efektif dalam menurunkan tingkat kecemasan pasien access block di IGD.  Kata Kunci: Access Block, Kecemasan, Terapi Dzikir, Aplikasi Mobile, Intervensi Spiritual.
Association of Smoking, Obesity, and Psychological Stress with Asthma Severity Among Adult Patients: A Cross-Sectional Study Harun, Lukman; Mira, Mira; Novendra, Alda; Julianto, Julianto
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.666

Abstract

Background: Asthma is a chronic inflammatory airway disease that causes breathing difficulties and affects approximately 12 million people in Indonesia. Smoking status, obesity, and psychological stress have been associated with increased asthma severity and poor outcomes. However, few studies have simultaneously examined the relative influence of these factors on asthma severity among adult patients with asthma in primary healthcare settings. Therefore, this study aimed to analyze the association of smoking status, obesity, and psychological stress with asthma severity. Methods: A quantitative cross-sectional study was conducted among 51 adult asthma patients who had experienced an asthma attack within the previous month and were recruited through purposive sampling. Smoking status was assessed using the Brinkman Index, obesity using Body Mass Index (BMI), psychological stress level using the Perceived Stress Scale (PSS), and asthma severity using clinical classification criteria. Data were analyzed using Spearman’s rank correlation and multivariable ordinal logistic regression, with p < 0.05 considered statistically significant. Results: Among 51 participants, 45.1% had intermittent asthma. Smoking status (r = 0.377, p = 0.006), obesity (r = 0.264, p = 0.041), and psychological stress level (r = 0.375, p = 0.007) were significantly associated with asthma severity. Multivariable ordinal logistic regression revealed that smoking status (aOR = 5.23, 95% CI: 1.35–20.33, p = 0.017) and psychological stress level (aOR = 8.56, 95% CI: 1.64–44.79, p = 0.011) were independently associated with mild persistent asthma compared to those with intermittent asthma. Although obesity contributed significantly to the overall model, its adjusted effect estimates were imprecise and warrant cautious Interpretation. Conclusion: Smoking status and psychological stress were independently associated with asthma severity. Conversely, the association between obesity and asthma severity should be interpreted cautiously because of the imprecise effect estimate and limited statistical power. Of all factors, psychological stress demonstrated the strongest adjusted association with asthma severity.
Co-Authors Amnaria Maretha Doni Bilman Murizki Fitrian Fitrian Fittari, Mustika Handriyani Putri, Ade Firma Hanura Aprilia, Hanura Helwati Mursyida Izma Daud, Izma M. Fadillah Mariana Mariana Mira Mira Nasyir, Maulidan Noor Khalilati, Noor Novendra, Alda Rachmadaniyah, Rachmadaniyah Reza Rizki Amaliyah Risma Dwi Rahimah Solikin Solikin Sri Nopita Sari Sulistyowati, Dwi Ratna Syaiful M Tontowi Amsia Verawanty Verawanty Wiryanto Wiryanto Yuhansyah Yuhansyah Yuniarti Yuniarti Yurida Olviani, Yurida