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Christian Spiritual Music Therapy Against Patient Anxiety In the Emergency Room Samy Rensya; Suhartini Ismail; Samuel Saiselar; Acmad Zulfa Juniarto
Jurnal Keperawatan Silampari Vol 7 No 1 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v7i1.5927

Abstract

This study aims to obtain a comprehensive picture of the effect of spiritual music therapy on reducing anxiety in patients in the emergency room (IGD). The method used in this research is a scoping review. Article searches used databases from Sciencedirect, PubMed, Sciencedirect, and Scopus. The keywords used are (“Patient Anxiety,” “Spiritual,” AND “Music Therapy). The results of the study showed that there was an effect of listening to Christian spiritual music on patient anxiety in the inpatient room. In conclusion, Christian spiritual music has proven to be significant in reducing patient anxiety, both mild anxiety and moderate anxiety, while in the ER. Keywords: Anxiety, Christian Spiritual Music
Complementary Nursing Interventions to Improve Consciousness in Stroke Patients: A Narrative Review Dika Ekivalent Setianingrum; Suhartini Ismail; Ridzki Hastanus Sembada
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.875

Abstract

Stroke is a leading cause of mortality and long-term disability, with disorders of consciousness (DoC) being a critical complication affecting 10–40% of acute stroke patients. Early recovery of consciousness is strongly associated with improved prognosis, reduced ICU stay, and better functional outcomes. Complementary nursing interventions, particularly sensory-based strategies, have emerged as low-risk approaches to enhance arousal and awareness in stroke patients. This narrative review aimed to synthesize evidence on complementary nursing interventions—specifically acupressure and multimodal sensory stimulation—to enhance consciousness in stroke patients. A comprehensive search was conducted across PubMed, Scopus, CINAHL, ScienceDirect, and Google Scholar (August–November 2025). From 316 identified records using keywords such as ‘stroke’, ‘consciousness’, ‘sensory stimulation’, and ‘acupressure’, ten eligible studies involving adult stroke patients were selected and synthesized narratively. The synthesis demonstrated that sensory-based interventions significantly improved Glasgow Coma Scale (GCS) scores, often within three days, while remaining safe and feasible for nurse-led implementation. Beyond arousal, these interventions enhanced cognitive function and behavioral responsiveness through mechanisms involving stimulation of the reticular activating system. However, heterogeneity in protocols currently limits standardization. Complementary sensory interventions offer effective, low-risk strategies for holistic neurorehabilitation. This study contributes to science by establishing the clinical value of early, structured, and personalized sensory stimulation and advocating its integration into routine nursing protocols to optimize patient outcomes.
Symptoms and Characteristics of Family Intensive Care Unit Syndrome among Families of Critically III Patients: A Scoping Review Dwi Cahyarani; Suhartini Ismail; Wahyu Hidayati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1063

Abstract

Family Intensive Care Unit Syndrome (FICUS) is a cluster of psychological, emotional, and physical symptoms experienced by family members of critically ill patients in response to prolonged stress, medical uncertainty, and the burden of decision-making during ICU care. Although research exploring this condition has grown in recent years, available evidence remains fragmented, highlighting the need for a comprehensive synthesis of symptom manifestations, risk factors, and emerging patterns across studies and contexts. This scoping review aimed to map the symptoms of FICUS systematically reported in the literature over the past 10 years and to identify key characteristics and thematic patterns emerging across various research designs and contexts. This study followed the methodological framework of Arksey and O’Malley, refined by Levac et al., and was reported according to PRISMA-ScR guidelines. A comprehensive search was conducted across five databases (PubMed, Scopus, ScienceDirect, CINAHL, and ProQuest) using a combination of keywords and MeSH terms related to ICU, critically ill patients’ families, psychological distress, and FICUS symptoms. The search was limited to full-text articles published in the last ten years (2015-2025) in English or Indonesian. Of 2,977 identified records, 1,240 duplicates were removed. A total of 1,737 titles and abstracts were screened, 184 full texts were reviewed, and 15 studies met the inclusion criteria. Data were extracted and analyzed using thematic narrative synthesis. FICUS symptoms were categorized into three domains: psychological (anxiety, depression, PTSD), emotional (sadness, anger, worry, psychological threat), and somatic/functional (sleep disturbance, fatigue, impaired concentration). Anxiety and depression were the most consistently reported symptoms, while emotional constructs—such as uncertainty, role identity threat, and spiritual distress—were predominantly identified in qualitative studies. The characteristic Major risk factors included younger caregiver age, female gender, patient mortality, longer ICU stay, and poor communication quality. FICUS is a multidimensional phenomenon consistently observed across different countries and ICU care contexts. Findings highlight the urgency for routine psychological screening, improved communication strategies, and structured emotional support interventions for families of critically ill patients.