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Storytelling Therapy Effectively Reduces Anxiety in Children with Leukemia at DR Wahidin Sudirohusodo General Hospital Makassar Ruris Haristiani; Wahyuningsih Wahyuningsih; Susaldi Susaldi
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 12 No 02 (2022): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 12 Number 02 June 2022
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.03 KB) | DOI: 10.33221/jiiki.v12i02.1877

Abstract

Background: Children with leukemia are prone to experience anxiety due to various factors. Moreover, side effects of chemotherapy such as diarrhea, nausea, and vomiting add stress to the children. Storytelling therapy can be used as one of the non-pharmacological methods to reduce anxiety in children. Objectives: seeing the effectiveness of storytelling therapy with audio-visual media in reducing anxiety in children with leukemia. Methods: quantitative research with quasi-experimental: pretest-posttest without a control group. Anxiety in children is measured by Hamilton Anxiety Rating Scale (HARS) instrument. Statistical test with the Wilcoxon signed-rank test with α = 0,05. Results: There is a decrease in anxiety levels in children with leukemia after being given story-telling therapy. Based on data analysis by the Wilcoxon test, p: 0.000 means story-telling therapy is effective in reducing anxiety in children with leukemia at RSUP DR Wahidin Sudiro Husodo Hospital Makassar. Conclusion: Storytelling therapy with audio-visual media is effective in reducing anxiety levels in children with leukemia.
The Relationship between Demographic Characteristics and Disaster Preparedness for Facing Landslides in Rural Areas of Indonesia Nurhafidin Ramadhani; Rismawan Adi Yunanto; Baskoro Setioputro; Ruris Haristiani
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 2 (2024): June 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i2.369

Abstract

Indonesia, positioned amidst two oceanic continents, experiences varying rainfall intensities due to its tropical rainy climate, significantly impacting soil stability and rendering it prone to landslides. This study investigates community preparedness for landslides, focusing on demographic characteristics' influence. We used cross sectional method with utilizing an observational analytic approach. The data was collected from 89 respondents using the LIPI-UNESCO/ISDR questionnaire. The sampling technique used is simple random sampling using a computer application. Data analysis uses Spearman rho analysis to determine the correlation of each variable. Findings reveal a significant correlation between age and education with disaster preparedness, whereas previous disaster experience showed no correlation. Most respondents displayed inadequate preparedness, indicating a pressing need for enhanced disaster management efforts. The study underscores the imperative for targeted interventions to bolster community resilience, emphasizing education and awareness initiatives to bridge preparedness gaps. Overall, the findings provide valuable insights for policymakers and disaster management authorities in formulating proactive strategies to mitigate landslide risks and enhance community resilience in rural areas.
Combination of Foot Massage and Active Range of Motion in Nursing Care for Diabetic Neuropathy Patients with Ineffective Peripheral Perfusion: a Case Study Halimatus Sa'diyah; Jon Hafan Sutawardana; Ruris Haristiani; Jumanto Jumanto
Jurnal Ilmiah Kesehatan Rustida Vol 13 No 2 (2026): Juli
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v13i2.305

Abstract

Diabetic neuropathy is one of the most common chronic complications found in patients with type 2 diabetes mellitus, characterized by decreased foot sensitivity and impaired peripheral circulation. A frequently encountered nursing problem is ineffective peripheral perfusion, which increases the risk of diabetic foot ulcers and amputation. Non-pharmacological interventions such as foot massage and active range of motion (ROM) exercises have been proven effective in enhancing peripheral perfusion and sensory function. This study aims to explore the implementation of a combination of foot massage and active ROM exercises in improving sensitivity and peripheral circulation in patients with diabetic neuropathy. A case study design was used, employing a nursing care approach based on Evidence-Based Nursing (EBN). The therapy was administered over three consecutive days, consisting of a 25–30-minute foot massage followed by approximately 30 minutes of active ROM exercises each morning. Evaluation was conducted using the Toronto Clinical Neuropathy Score (TCNS) and Ankle Brachial Index (ABI) screening with Doppler ultrasound before and after the intervention. The results showed a decrease in TCNS score from 12 (severe neuropathy) on the first day to 6 (mild neuropathy) on the third day. ABI values increased from 0.30 (severe) to 0.71 (mild). Improvements were also observed in capillary refill time, skin color, reduced edema, and decreased paresthesia. In conclusion, the combination of foot massage and active ROM exercises effectively improved sensitivity and peripheral circulation in patients with diabetic neuropathy, thereby supporting conventional therapies provided during hospital care.
Association Between Nurses’ Compliance With Adult Early Warning Score Implementation and Inpatient Survival: A Cross-Sectional Study Faizatiwahida, Novia; Hemu, Viky Noviani; Rondhianto, Rondhianto; Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris; Fadilah, Superzeki Zaidatul
Journal of Applied Nursing and Health Vol. 8 No. 1 (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.v8i1.595

Abstract

Background: The adult Early Warning Score (EWS) is an essential instrument for early detection of a patient's deteriorating clinical condition. However, the effectiveness of EWS depends on nurses' compliance with its implementation. Non-compliance with EWS implementation can hinder early detection of patients' conditions and affect patient survival. This study aims to analyze the relationship between adult EWS implementation compliance and inpatient survival status. However, the evidence on the effect of compliance with EWS implementation on patient survival in real inpatient settings remains limited. This study aimed to examine the association between nurses’ compliance with adult EWS implementation and inpatient survival status. Methods: This study used an observational, cross-sectional design and was reported according to the STROBE guidelines. The research sample comprised 188 patients selected using a phased sampling technique (cluster sampling followed by simple random sampling). Data were obtained from the medical records of inpatients who met the inclusion and exclusion criteria. The independent variable in this study was compliance with the Early Warning System (EWS), while the dependent variable was the patient's survival status. Statistical analysis was carried out using Fisher's Exact test. Results: A total of 188 patients were analyzed, with 173 patients (92%) surviving and 15 patients (8%) dying. In the group that did not comply with the Early Warning System (EWS), there were 6 deaths (16.7%) and 30 patients survived (83.3%), while in the group that did comply with the Early Warning System (EWS), there were 9 deaths (5.9%) and 143 patients survived (94.1%). There was a significant association between EWS compliance and inpatient survival status (p = 0.044). Patients with EWS adherence had a higher chance of survival than non-compliant patients (OR = 3.18; 95% CI: 1.06–9.54). Conclusion: The implementation of EWS that is compliant plays an essential role in detecting early deterioration of patient conditions and improving patient survival and safety.
Augmented Reality Enhances Indonesian Nursing Students’ Knowledge and Motivation in Open Fracture Learning Rismawan Yunanto; Baskoro Setioputro; Ruris Haristiani; Nur Safira
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.1169

Abstract

Background: Open fracture cases have complex management that involves bleeding control based on comprehensive knowledge and training. Augmented Reality (AR) offers an interactive learning approach that may enhance nursing students' motivation and knowledge of emergency open fracture cases. This study aims to evaluate the effectiveness of augmented reality in improving the knowledge and learning motivation of Indonesian nursing students regarding open fracture learning. Methods: This study used a cluster randomized pretest–posttest control group design involving four class groups of nursing students (n = 155). Two clusters received the Open Fracture Augmented Reality Application, while two received conventional lectures. Motivation was measured using the validated MSLQ, and knowledge using a 29-item validated questionnaire. Both groups completed pretest and posttest assessments. Data were analyzed using descriptive statistics, Wilcoxon, and Mann–Whitney tests (α = 0.05). Results: A total of 155 nursing students participated, with balanced baseline characteristics between groups. The AR intervention significantly improved knowledge (p = 0.001, r = 0.38) and motivation (p = 0.022, r = 0.27) in the intervention group, while no significant gains occurred in the control group. Between-group analysis showed higher posttest knowledge in the AR group (p = 0.005), indicating that AR was more effective than conventional instruction, particularly for cognitive outcomes. Conclusion: Augmented Reality–based learning significantly improves nursing students’ knowledge of open-fracture management compared with traditional methods, while showing no significant between-group differences in motivation, highlighting AR’s value as an effective supplemental tool for enhancing understanding of complex clinical content.
EXPLORING THE RELATIONSHIP BETWEEN LACTIC ACID LEVELS AND CLINICAL OUTCOMES OF SEPSIS PATIENTS IN INTENSIVE CARE UNITS: IMPLICATIONS FOR NURSING PRACTICE Rismawan Adi Yunanto; Wahyu Novia Fajriati; Ruris Haristiani
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.6843

Abstract

Sepsis is a life-threatening condition frequently associated with clinical deterioration, including prolonged hospitalization and increased mortality risk. High lactate concentrations reflect tissue hypoxia and organ dysfunction, which may significantly worsen patient outcomes. However, previous studies on the association between lactate levels and clinical outcomes remain inconsistent. This study aimed to analyze the relationship between lactate levels, length of hospital stay, and mortality in sepsis patients in the intensive care unit. A retrospective observational cohort design was employed, with saturated sampling based on inclusion criteria (n=109). Data were collected from medical records with a total population of 134 patients. Results showed that the majority of sepsis patients were male, predominantly in the pre-elderly and elderly age groups. The most common comorbidities were pneumonia. Most patients had lactate levels >1.7 mmol/L, with prolonged hospitalization (≥3 days) observed and a mortality rate of 71.6%. Chi-square analysis revealed a significant association between lactate levels and both length of stay (p=0.039) and mortality (p=0.018). It can be concluded that elevated lactate levels were associated with prolonged hospitalization and increased mortality in sepsis patients. Lactate levels may serve as a prognostic marker, emphasizing the need for standardized sepsis management, including adherence to the “Hour-1 bundle” protocol, to improve patient outcomes.
Comparative effects of room-temperature water, cold water, normal saline, and aloe vera as first aid on burn wound healing in a rat model: An experimental study Ruris Haristiani; Rondhianto; Rismawan Adi Yunanto; Baskoro Setioputro; Azkiatulfikroh; Laily Nailul Farih; Trisya Ainur Alula
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 3 (2026): September 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i3.729

Abstract

Immediate first aid influences burn depth, infection risk, and healing. Common options include room-temperature water, cold water, normal saline, and Aloe vera, but direct comparative evidence remains limited. This study compared these interventions for burn wound healing in rats. A true experimental post-test-only control group design was used. Thirty male Wistar rats were randomly allocated to six groups (five per group). Standardized superficial partial-thickness burns were induced with a heated iron plate. Interventions comprised room-temperature water plus Burnazin, cold water plus Burnazin, normal saline plus Burnazin, room-temperature water plus Aloe vera, Aloe vera without irrigation, and room-temperature water plus vaseline. Wound diameter and macroscopic appearance were evaluated on days 1, 3, 7, and 14. Between-group differences were analyzed using one-way ANOVA (p < 0.05). Baseline wound diameter was 2.15 cm in all groups. Wound diameter increased on day 3, then decreased progressively on days 7 and 14. On day 14, the smallest mean diameters were observed in Aloe vera without irrigation (1.85 ± 0.29 cm), room-temperature water plus Burnazin (1.86 ± 0.31 cm), and room-temperature water plus vaseline (1.88 ± 0.26 cm). The largest diameter was observed in normal saline plus Burnazin (2.16 ± 0.42 cm). No statistically significant differences were found among groups on days 3, 7, or 14 (p = 0.056, 0.218, and 0.739). All interventions showed progressive wound healing. Aloe vera without irrigation showed a favorable but non-significant trend toward smaller wounds, requiring further verification.