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Inhaled Lavender Aromatherapy for Preoperative Anxiety: A Systematic Review of Randomized Controlled Trials Gita Al-Fauzia Salsabilla; Arina Maliya
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1008

Abstract

Background: Preoperative anxiety is common among patients undergoing surgery and may adversely affect perioperative outcomes, including hemodynamic instability, increased anesthetic requirements, and delayed recovery. Lavender aromatherapy has been widely used as a complementary non-pharmacological intervention; however, its effectiveness in preoperative care remains variably reported across studies. Objective: This review aimed to synthesize evidence from randomized controlled trials (RCTs) on the effectiveness of inhaled lavender aromatherapy in reducing preoperative anxiety among adult surgical patients. Methods: A structured review of RCTs was conducted using Scopus, PubMed, and ScienceDirect. Studies published within the last 10 years were searched using combinations of terms related to lavender aromatherapy, inhalation, and preoperative anxiety. Eligibility criteria were defined using the PICOS framework. After duplicate removal, title and abstract screening, and full-text assessment, 11 RCTs were included in the final qualitative synthesis. Due to heterogeneity in surgical populations, intervention protocols, comparators, and anxiety measurement tools, findings were synthesized narratively. Results: Eleven RCTs met the inclusion criteria. Most studies reported reductions in preoperative anxiety following inhaled lavender aromatherapy compared with standard care, no-aroma control, or placebo. Several trials also reported additional benefits, such as improved hemodynamic parameters, reduced cortisol levels, and lower anesthetic requirements. However, the findings were not entirely consistent, as some studies found lavender to be comparable to other non-pharmacological interventions or not significantly different from placebo. Conclusion: Inhaled lavender aromatherapy appears to be a promising complementary intervention for reducing preoperative anxiety in adult surgical patients. Nevertheless, the evidence remains heterogeneous, and effectiveness may vary according to clinical context, comparator type, and intervention protocol. Further high-quality trials using standardized administration methods and outcome measures are needed to clarify its clinical role.
The Effectiveness of Intradialytic Exercise on Fatigue Levels in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review Mona Isabella; Tri Hadi Ningsih; Aurrell Adna Kusuma; Arina Maliya; Erni Susanti
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1923

Abstract

Chronic Kidney Disease (CKD) is a global health problem requiring long-term renal replacement therapy, including hemodialysis. Although hemodialysis is essential for survival, patients often experience fatigue, which negatively impacts functional capacity, daily activities, and quality of life. One non-pharmacological approach to reducing fatigue is intradialytic exercise, defined as physical activity performed during hemodialysis sessions. This systematic review aimed to evaluate the effectiveness of intradialytic exercise in reducing fatigue levels in patients with chronic kidney disease undergoing hemodialysis. The systematic review was conducted using the PICO framework. Articles published between 2020 and 2025 were identified from PubMed, ScienceDirect, and Google Scholar databases. A total of 137 articles were retrieved, and inclusion criteria were selected using full-text studies with quasi-experimental designs, randomized controlled trials, or pre-experimental studies examining intradialytic exercise and fatigue outcomes in hemodialysis patients. Study selection followed PRISMA guidelines, and data were extracted based on study design, sample size, intervention type, and outcomes. Therefore, ten articles that met the inclusion criteria were used. Findings consistently demonstrate that intradialytic exercise, including flexibility, aerobic, resistance, and stretching exercises, significantly reduces fatigue levels in patients undergoing hemodialysis. Several studies also report improvements in activity tolerance and dialysis adequacy. Intradialytic exercise is an effective and safe non-pharmacological nursing intervention to reduce fatigue in CKD patients undergoing hemodialysis. Integrating intradialytic exercise into routine hemodialysis care can improve patient well-being and quality of life.
Peppermint Aromatherapy to Reduce Nausea and Vomiting in Post-Operative Patients: A Literature Review Agung Cahyo Kuncoro; Arina Maliya
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.2057

Abstract

Postoperative nausea and vomiting are common complications after surgery and can slow the recovery process and increase the patient's clinical burden. This review aims to synthesize evidence from randomized controlled trials (RCTs) on the effectiveness of peppermint aromatherapy in reducing nausea and vomiting in postoperative patients. This study used a systematic literature review design with the PRISMA approach. Literature searches were conducted through PubMed, ScienceDirect, and Scopus databases in the period 2015–2025 with the keywords peppermint aromatherapy and nausea and vomiting and postoperative care. From the search results based on keywords, 123 articles were obtained, then selected articles were selected using PICOS criteria and limited to randomized controlled trial designs, as many as eight articles that met the inclusion criteria were analyzed qualitatively. All studies showed that peppermint aromatherapy through inhalation methods was able to reduce the intensity and frequency of nausea and vomiting compared to the control group, standard care, or placebo. Peppermint aromatherapy is effective as a non-pharmacological intervention in reducing postoperative nausea and vomiting and has the potential to be used as a safe and practical complementary therapy in nursing practice.
Tingkat kecemasan terhadap kualitas hidup pada penderita hipertensi usia produktif Rizkiyah Diyan Kunoviana; Arina Maliya
Hik Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.532

Abstract

Background: Hypertension is one of the most common non-communicable cardiovascular diseases, especially high blood pressure with systolic pressure ≥140 mmHg and diastolic >90 mmHg. This disease is a global problem and is a major cause of death worldwide. One of the factors causing hypertension is anxiety, such as worry, anxiety, and fear accompanied by physical complaints and health problems. Purpose: To determine the relationship between the level of hypertension anxiety and the quality of life of productive age patients. Method: Quantitative descriptive research involving two variables, namely anxiety level as the independent variable and quality of life as the dependent variable. The study population used were productive age hypertension sufferers in the Gatak Sukoharjo health center area and was carried out on September 5-24, 2024. Sampling using purposive sampling technique and obtained 84 respondents. Results: Most respondents were aged 56-64 years as many as 33 respondents (39.3%), the majority were female 78 (92.9%) and were married as many as 83 respondents (98.8%). The most recent education was only up to Elementary School as many as 34 respondents (40.5%), as a housewife as many as 65 respondents (77.4%). The majority experienced severe anxiety as many as 37 respondents (44.7%) and poor quality of life as many as 49 respondents (58.8%) with a p-value of 0.001 with a correlation coefficient of 0.765. Conclusion: There is a significant relationship between anxiety levels and quality of life in productive age hypertensive patients. Most respondents experienced severe anxiety followed by low quality of life. Suggestion: Hypertensive patients can improve their healthy lifestyle, check their health regularly, especially the physical health dimension, not feel hopeless in living their lives, get closer to God, and communicate with family and neighbors.   Keywords: Anxiety; Hypertension; Productive Age; Quality of Life.   Pendahuluan: Hipertensi merupakan satu dari penyakit kardiovaskular tidak menular yang paling umum, khususnya tekanan darah tinggi dengan sistolik ≥140 mmHg dan diastolic >90 mmHg. Penyakit ini menjadi masalah global dan sebagai penyebab utama kematian di seluruh dunia. Salah satu faktor yang menyebabkan terjadinya hipertensi adalah kecemasan, seperti khawatir, gelisah, dan takut yang disertai keluhan fisik dan gangguan kesehatan. Tujuan: Untuk mengetahui hubungan antara tingkat kecemasan dan kualitas hidup pasien hipertensi usia produktif. Metode: Penelitian deskriptif kuantitatif yang melibatkan dua variabel yaitu tingkat kecemasan sebagai variabel independen dan kualitas hidup sebagai variabel dependen. Populasi penelitian yang digunakan adalah penderita hipertensi usia produktif di wilayah puskesmas Gatak Sukoharjo dan dilaksanakan pada tanggal 5-24 September 2024. Pengambilan sampel menggunakan teknik purposive sampling dan didapatkan sebanyak 84 responden. Hasil: Sebagian besar responden berusia 56-64 tahun sebanyak 33 responden (39.3%), mayoritas perempuan 78 (92.9%) dan berstatus menikah sebanyak 83 responden (98.8%). Pendidikan terakhir paling banyak hanya sampai Sekolah Dasar sebanyak 34 responden (40.5%), sebagai ibu rumah tangga sebanyak 65 responden (77.4%). Mayoritas memiliki kecemasan berat sebanyak 37 responden (44.7%) dan kualitas hidup buruk sebanyak 49 responden (58.8%) dengan p-value 0.001 dengan correlation coefficient 0.765. Simpulan: Adanya hubungan signifikan antara tingkat kecemasan dengan kualitas hidup pada penderita hipertensi pada usia produktif. Mayoritas responden mengalami kecemasan kategori berat yang diikuti dengan rendahnya kualitas hidupnya. Saran: Penderita hipertensi dapat meningkatkan pola hidup sehat, memeriksa kesehatan secara rutin terutama dimensi kesehatan fisik, tidak merasakan putus asa untuk hidup, lebih mendekatkan diri pada Tuhan, serta melakukan komunikasi dengan keluarga dan tetangga.   Kata Kunci: Hipertensi; Kualitas Hidup; Kecemasan; Usia Produktif.
Hubungan kepatuhan diet dan pengetahuan perawatan kaki diabetik dengan perilaku pencegahan komplikasi diabetes mellitus tipe II Fatma Rini Sinaga; Arina Maliya
Hik Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1762

Abstract

Background: Diabetes mellitus is a chronic non-communicable disease characterized by elevated blood glucose levels due to impaired insulin secretion or action. The prevalence of this disease continues to increase both globally and nationally, leading to serious complications that reduce quality of life. One of the key factors in preventing complications is adherence to dietary management and knowledge of diabetic foot care, which remain low among many patients. Purpose: To determine the relationship between dietary adherence and knowledge of diabetic foot care with preventive behavior against complications among patients with type II diabetes mellitus. Method: Quantitative research with a cross-sectional correlational design was conducted to determine the relationship between dietary adherence and knowledge of diabetic foot care with preventive behavior toward complications in patients with type II diabetes mellitus. The study was carried out at Pajang Health Center, Surakarta, from August to September 2025, with a sample of 84 participants  with a Likert scale as an assessment instrument. Results: Most participants were aged 61–70 years (44.0%) and female (60.7%). Dietary compliance was mostly in the moderate category (52.4%), foot care knowledge was high (53.6%), and preventive behavior was moderate (51.2%). Spearman’s test showed a significant correlation between dietary compliance and preventive behavior (r = 0.350, p = 0.001), and between foot care knowledge and preventive behavior (r = 0.364, p = 0.001). Conclusion: There is a significant relationship between dietary adherence and preventive behavior, as well as between diabetic foot care knowledge and preventive behavior among patients with type II diabetes mellitus. Suggestion: Further research can develop variables such as family support, medication adherence, or physical activity to prevent diabetes complications.   Keywords: Behavior; Diabetes Mellitus; Knowledge; Prevention.   Pendahuluan: Diabetes melitus adalah penyakit kronis tidak menular yang ditandai dengan peningkatan kadar glukosa darah akibat gangguan sekresi atau kerja insulin. Prevalensi penyakit ini terus meningkat, baik secara global maupun nasional, yang menyebabkan komplikasi serius yang menurunkan kualitas hidup. Salah satu faktor kunci dalam mencegah komplikasi adalah kepatuhan terhadap manajemen diet dan pengetahuan tentang perawatan kaki diabetik, yang masih rendah pada banyak pasien. Tujuan: Untuk mengetahui hubungan antara kepatuhan diet dan pengetahuan perawatan kaki diabetik dengan perilaku pencegahan komplikasi pada pasien diabetes melitus tipe II. Metode: Penelitian kuantitatif dengan desain cross-sectional dan studi korelasi. Penelitian dilaksanakan di Puskesmas Pajang, Surakarta, pada bulan Agustus sampai September 2025 dengan sampel sebanyak 84 responden dan pengukuran dilakukan menggunakan kuesioner terstruktur dengan skala likert sebagai instrumen penilaian. Hasil: Sebagian besar responden berusia 61–70 tahun (44.0%) dan berjenis kelamin perempuan (60.7%). Kepatuhan diet sebagian besar kategori cukup (52.4%), pengetahuan perawatan kaki tinggi (53.6%), dan perilaku pencegahan komplikasi cukup (51.2%). Terdapat hubungan signifikan antara kepatuhan diet dengan perilaku pencegahan komplikasi (r= 0.350; p= 0.001) dan antara pengetahuan perawatan kaki dengan perilaku pencegahan komplikasi (r= 0.364; p= 0.001) Simpulan: Terdapat hubungan yang signifikan antara kepatuhan diet dengan perilaku pencegahan komplikasi diabetes melitus tipe II dan juga terdapat hubungan yang signifikan antara pengetahuan perawatan kaki diabetik dengan perilaku pencegahan komplikasi diabetes melitus tipe II. Saran: Penelitian lebih lanjut dapat mengembangkan variabel seperti dukungan keluarga, kepatuhan pengobatan, atau aktivitas fisik untuk mencegah komplikasi diabetes.   Kata Kunci: Diabetes Melitus; Pencegahan; Pengetahuan; Perilaku.
Co-Authors Afifah Dian Sari Afifah Nur Fitri Widyasari Afrischa Yusti Nabrita Agung Cahyo Kuncoro Ailani, Choirida Aini, Nisrina Nur Aldiansa, Prima Alfajri, Asri Alfia Dyah Permata Alfina Rahmadani Alin Ikmalia Amalia Siti Choirun Nisa Ani Syafriati Anisa Anggraeni Anisah, Isnaini Nur Apriyani Yesika Arsyifa Inneza Hermoko Ary Mulyantini Astari, Rizki Yulida Aurrell Adna Kusuma Ayunarwanti, Rizkya Aziz, Rafida Azzarine Hascahyo Bella Carissa Beti Kristinawati Burhanudin Ashar Dawaishafa Diva Nurani Dewi, Aulia Kusuma Dhamayanti, Meta Saskia Rina Dian Setyawan Dimas Ria Angga Pribadi Dinita, Fera Alfina Dyan Kurniasari Dyan Kurniasari Dyan Kurniasari Ekky Puspita Sonia Endang Zulaicha S Endang Zulaicha Susilaningsih Erni Susanti Erwanindyasari, Risma Nuril Etik Rositasari Fakhrana, Dina Fara Nabila Fatma Rini Sinaga Febi Kusuma Nugraha Fina Mahardini Firman Faradisi Frisca Uly Mufattichah Gita Al-Fauzia Salsabilla Hariyanto, Cechilya Anindhita Hasanudin, Muh Hasna Fadhilah Qotrunnada Hastuti, Ema Aprilia Setya Herminingrum, Ika Yuniar Hunain Suci Kamila Iffada, Salsabillah Ansafa Ika Yuniar Herminingrum Indri Erwhani Isnaini Nur Anisah Kartinah Khusnul Rohadi, Dickta Annafi Kristini, Puji Kurniasari, Dyan Laksono Trisnantoro Lina Wati Nur Azizah Lutfa, Umi Mahardini, Fina Mahrunnisa Syahratudar Maharani Maymona Rizqi Hardani Meliana Fitria Salichah Meliana Fitria Salichah Mona Isabella Muh Hasanudin Muhammad Ahsan Muhammad Luqman Prihananda Munika Pandu Srijaya Musa Bangkit Alfaruq Nadia Widyasari Nasichah, Siti Nur Alfiyatin Ni'mah Mufidah Nisrina Nur Aini Novita Sabila Nuriyatul Fitriyah Oktavika Maharani, Arlin Okti Sri Purwanti Pangarsi, Siti Perdana, Revansia Missi Poncorini, Eti Puji Kristini Puji Kristini Purnama, Arif Putra Rahmawati, Ellyza Regitasari, Dhesy Hamdan Lafaiz Revansia Missi Perdana Rina Sari Dewi Setyaningsih Riska Rosita Rizki Yulida Astari Rizkiyah Diyan Kunoviana Rizkya Ayunarwanti Rizkya, Titania Nur Rosida Nur Aisah Safaniah, Zuhro Muyassarotus Setyaningsih, Rina Sari Dewi Siti Nur Fatimah Siti Nur Fatimah Sri Mulyani SRI RAHAYU Srijaya, Munika Pandu Sudariyekti, Arian Wirani Sukamto, Ika Sumiyarsi Sulastri Sulastri - Sutoyo, Ronggo Adi Tri Hadi Ningsih Umi Lutfa Uswatun Hasanah Vandika, Danuartha Vinami Yulian Widiastuti, Sinta Tri Wita Oktaviana Wuriani, Wuriani Yossina Vatanjani