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Latihan Fisik terhadap Kadar Glukosa Darah dan Kualitas Hidup Penderita Diabetes Melitus Tipe 2 Titanik, Geladis; Wahyudi, Andri Setiya; Pratiwi, Ika Nur
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9931

Abstract

This study aims to evaluate the effect of physical exercise on blood glucose levels and quality of life in people with Type 2 Diabetes Mellitus. Methods This research uses a systematic review method referring to PRISMA guidelines. Research shows that physical exercise, especially a combination of aerobic and resistance, effectively improves quality of life and glycemic control in type 2 diabetes patients. High-intensity exercise can improve cardiorespiratory fitness. The combination of vitamin D supplementation and exercise training has a synergistic effect in enhancing insulin resistance. Concomitant aerobic and resistance exercise is recommended for managing type 2 diabetes, with HIIT being an effective intensity option. In conclusion, physical exercise, especially a combination of aerobic and resistance, effectively improves the quality of life and glycemic control in T2DM individuals. Keywords: Physical Activity, Type 2 Diabetes Mellitus, Glucose Levels
Efektivitas relaksasi otot progresif pada stress pasien Covid-19: Tinjauan sistematis Dianita, Eka Mei; Sukartini, Titin; Pratiwi, Ika Nur; Fuadiati, Lie Liana; Sari, Purwanti Nurvita
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 8, No 2 (2022): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.8.2.26-35

Abstract

Pendahuluan:Coronavirus-2019 memberikan kontribusi stress bagi orang diseluruh dunia. Stres mempengaruhi mekanisme tubuh, otak, sistem hormon, menyebabkan penurunan sistem kekebalan tubuh. Kendalikan stress menggunakan relaksasi otot progresif. Teknik ini memberikan ketegangan otot dan diikuti relaksasi. Penelitian ini bertujuan mengetahui efektifitas latihan relaksasi otot progresif terhadap stress. Metode: Tinjauan sistematis dilakukan pada penelitian ini menggunakan PRISMA. Lima database digunakan penelitian ini yaitu: SAGE, Pubmed, Proquest, Science Direct dan Spinger. Pencarian artikel antara tahun 2019 dan 2022. Kata kunci digunakan “relaksasi otot progresif” dan “stress” dan “covid-19”. Hasil:Delapan artikel terlibat ditemukan danditinjau menunjukkan relaksasi otot progresif dilakukan pada pasien covid-19 efektif menurunkan tingkat stres. Selain itu relaksasi ini mampu menurunkan kecemasan dan memperbaiki kualitas tidur. Simpulan:Relaksasi otot progresif berdampak positif pada pasien covid-19 untuk memperbaiki kondisi mental dan fisik sehingga menurunkan stres. Perlu penelitian lebih lanjut mengenai kombinasi dan variasi relaksasi lain dan aman untuk mengoptimalkan penurunan tingkat stres. 
Pengembangan Aplikasi Relaksasi Autogenik Berbasis Android Terhadap Tingkat Stres Pada Pasien Gagal Jantung Eka Mei Dianita; Tintin Sukartini; Ika Nur Pratiwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 2 (2023): EDITION JULY 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i2.4358

Abstract

 Heart disease become a leading cause of death globally. Heart failure is also a problem in Indonesia. Stress-induced smoking, lessening physical activity, diet habits, and medication non-adherence affected morbidity and mortality among heart failure patients. In the current era of digitalization, smartphones become a communication tool and source of information that are easily accessible to the public due to time, effort, and cost efficiency. This study aims to develop an Android-based autogenic relaxation intervention application to reduce stress levels. A research and development study design was used. There are three steps, the exploration of stress levels, evaluation of stress management by nurses, application development with focus group discussions and expert consultations; and the feasibility test. In stage 1, about 109 patients were assessed using a perceived stress scale questionnaire and interview sheet. In stage 2, 10 patients were assessed using the system usability scale questionnaire. Descriptive analysis was used. The result showed lifestyle changes contributing to stress levels. Stress management by nurses resulting moderates stress levels (78.9%). The Android-based application develops a menu of autogenic relaxation instructions, exercises, health education, and level evaluation. The results of the feasibility test received good acceptance from users. The Android-based autogenic relaxation applications can reduce stress levels in heart failure patients. Another study to determine the effect of autogenic relaxation applications in reducing stress levels in heart failure patients is further recommended.
Kombinasi terapi totok waja dan aroma terapi lavender menurunkan kecemasan pada passem pre operasi Irawan, Arizka Dwi; Yusuf, Ah; Pratiwi, Ika Nur
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 9, No 1 (2023): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.9.1.1-12

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Pendahuluan: Kecemasan pada pasien pra operasi dapat mengakibatkan operasi tidak terlaksana atau dibatalkan, selain itu kecemasan dapat meningkatkan tekanan darah pasien. Peran perawat penting dalam mengurangi kecemasan pasien di IBS salah satunya dengan terapi non farmakologis menggunakan terapi totok wajah dan aroma terapi lavender. Metode: Penelitian ini merupakan quasy experimental dengan rancangan penelitian menggunakan one group pre test and post test design, teknik pengambilan sample menggunakan teknik purposive random sampling dengan jumlah 26 responden. Sebelum diberikan Terapi totok wajah dan aroma terapi lavender pasien dikaji kecemasan menggunakan Zung Self-Anxiety Rating Scale (Z-SAS) kemudian diberikan Terapi totok wajah dan aroma terapi lavender selama 10-15 menit, kemudian setelah dilakukan pengkajian kecemasan ulang di akhir sesi. Uji normalitas menggunakan uji saphiro wilk dan uji analiss menggunakan Dependen T-test dengan tingkat kepercayaan 95 % (α = 0.05). Hasil: Hasil penelitian Uji normalitas menggunakan uji saphiro wilk dengan skor tingkat kecemasan sebelum nilai 0,307 dan sesudah 0,301 dan uji analisis menunjukan nilai signifikansi P value (0,000) < (0,05) yang dapat disimpulkan ada pengaruh pemberian terapi totok wajah dan aroma terapi lavender terhadap penurunan tingkat kecemasan di ruang tunggu pasien(holding room). Simpulan: Terapi totok wajah dan aroma terapi lavender mampu menurunkan tingkat kecemasan pasien pre operasi.
Pengembangan dokumentasi intervensi keperawatan OTEK berbasis EMR untuk peningkatan kinerja perawat: Tinjauan sistematis Wardani, Indrasari; Nihayati, Hanik Endang; Pratiwi, Ika Nur; Suraya, Andi Safutra
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 9, No 1 (2023): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.9.1.60-70

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Pendahuluan: Penulisan intervensi keperawatan dalam dokumentasi asuhan keperawatan dianggap sangat memakan waktu, tidak ringkas, sehingga dokumentasi asuhan keperawatan yang ada ingin disesuaikan dengan standar asuhan keperawatan menurut PPNI. Dokumentasi asuhan keperawatan menurut standar merupakan salah satu bagian dari kinerja perawat. Penelitian ini bertujuan mendeskripsikan untuk memanfaatkan rekam medis elektronik (electronic medical record/EMR) untuk praktik klinis, penelitian, pendidikan dan surveilans.Metode: Tinjauan sistematis dilakukan pada penelitian ini menggunakan PRISMA. Database yang digunakan adalah Scopus, Science Direct, Proquest dan Pubmed. Pencarian artikel dari 2018-2022 dengan kata kunci "dokumentasi keperawatan" dan "rekam medis elektronik" dan "kinerja perawat". Tinjauan Sistematis ini menggunakan 20 artikel yang memenuhi kriteria inklusi. Hasil: Rekam medis elektronik (EMR) dapat memberikan kontribusi penting untuk meningkatkan kualitas layanan. Simpulan: Hasil tinjauan sistematis ini memberikan bukti bagi pembuat kebijakan untuk dapat mempertimbangkan pengembangan dokumentasi intervensi keperawatan OTEK berbasis EMR untuk peningkatan kinerja.
PROGRAM PEER HEALTH COACHING SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN KADER, KELUARGA DAN PASIEN DIABETES MELLITUS Widyawati, Ika Yuni; Pratiwi, Ika Nur; Fauziningtyas, Rista; Dewi, Lingga Curnia; Tristiana, Rr Dian
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 7: Desember 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetes Melitus (DM) memerlukan pemahaman secara komprehensif dan konsisten dalam untuk menghindari komplikasi penyakit. Tujuan dari kegiatan pengabdian kepada masyarakat (PKM) ini adalah untuk memberikan edukasi dan pelatihan Peer Health Coaching dalam upaya meningkatkan pengetahuan pada kader, keluarga dan pasien DM. PKM ini menggunakan pendekatan Community Based Research (CBR) dilakukan edukasi dan pelatihan dengan menerapkan peer health coaching di Kalidami, Kelurahan Mojo, Kecamatan Gubeng, Surabaya, Jawa Timur. Evaluasi PKM dengan membandingkan pengetahuan tentang penatalaksanaan DM dari Kuesioner DKQ-24 (Diabetes Knowledge Questionnaire). Peserta yang mengikuti kegiatan ini sebanyak 32 orang dimana pengukuran tingkat pengetahuan didapatkan p<0.001 (p<0,05) sehingga terdapat perbedaan yang bermakna antara sebelum dan sesudah diberikan pendidikan dan pelatihan dalam hal peningkatan pengetahuan terkait penatalaksanaan DM. Pendidikan dan pelatihan peer health coaching mampu meningkatkan pengetahuan terkait manajemen penyakit, pasien DM dan keluarganya untuk mampu menjalankan efikasi diri yang baik dalam manajemen DM.
The Effect of Physical Activity on Reducing Blood Sugar Levels in Type-2 Diabetes Mellitus Patients: Systematic Review Geladis Titanik; Andri Setiya Wahyudi; Ika Nur Pratiwi
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4973

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Diabetes mellitus is a metabolic disease characterized by hyperglycemia due to abnormal insulin secretion. Diabetes mellitus is characterized by increased blood sugar levels exceeding normal limits, due to a deficiency of the insulin hormone produced by the pancreas, causing a decrease in blood sugar levels. This study aims to determine the effect of physical activity on reducing blood glucose levels in patients with type 2 diabetes mellitus. Methods: Literature searches were conducted on the following databases: PubMed, Embes, Web of Science, and Scopus. By including all observational studies, randomized controlled trials, quasi-experiments, case controls, and pre-experiments and radiating their quality using the Joanna Briggs Institute tool often referred to as (JBI). Criteria: Articles in English, published in internationally recognized journals, and discussing physical activity in relation to lowering blood glucose levels. Results: Fifteen studies ranging in size from 28 to 100 participants physical activity is effective in lowering blood glucose levels with regular exercise three times a week physical exercise can be applied to the age range of 30-85 years. Conclusion: For people with type 2 diabetes mellitus, physical activity plays a very important role in controlling blood glucose levels. When exercising, blood sugar levels are much lower than when not exercising. It can be concluded that physical activity can lower blood sugar levels in people with type 2 diabetes.
Effect of Digital Health on Mobilization in Post-Operative Fracture Patients: A Systematic Review Baiq Rista Ananta Pratiwi; Ninuk Dian Kurniawati; Ika Nur Pratiwi
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.5057

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Post-operative rehabilitation for fracture patients is crucial in restoring mobility and preventing complications such as muscle atrophy, joint stiffness, and deep vein thrombosis. However, traditional rehabilitation methods often face significant barriers, including limited accessibility, high costs, and low patient adherence. These challenges highlight the need for innovative approaches to enhance rehabilitation outcomes. Digital health interventions (DHIs), such as mobile applications, telerehabilitation, and IoT (Internet of Things) devices, have emerged as promising solutions. By providing remote monitoring, real-time feedback, and personalized care, DHIs address many of the limitations of traditional rehabilitation methods and offer opportunities to improve recovery outcomes. Objective: This systematic review aims to evaluate the effectiveness of digital health interventions (DHIs) in improving mobilization and overall recovery for post-operative fracture patients. Methods: A comprehensive search was conducted across PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest for studies published between 2019 and 2024. Keywords included "digital health," "mobilization," "post-operative fractures," and "telerehabilitation." The review included randomized controlled trials (RCTs), cohort studies, and systematic reviews that evaluated DHIs for post-operative fracture rehabilitation. The inclusion criteria were studies involving post-operative fracture patients, DHIs (e.g., mobile apps, telerehabilitation, IoT devices), and outcomes related to mobility, pain management, and patient satisfaction. The quality of studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. Results: A total of 10 studies were included, involving 1,200 post-operative fracture patients. These studies assessed various digital health interventions, including mobile applications, IoT-based devices, and telerehabilitation. The results indicated significant improvements in mobilization, pain reduction, and patient satisfaction. Patients in the DHI groups demonstrated faster recovery times, better adherence to rehabilitation programs, and improved overall functional outcomes compared to traditional rehabilitation methods. Conclusions: Digital health interventions significantly improve mobilization and recovery outcomes for post-operative fracture patients. These interventions provide accessible, cost-effective, and personalized rehabilitation solutions. DHIs offer a valuable complement to traditional rehabilitation methods and have the potential to enhance patient care and satisfaction. Future research should focus on optimizing the implementation of these technologies and assessing long-term outcomes.
Effectiveness of Progressive Muscle Relaxation on Sleep Quality: A Systematic Review Farida, Novi; Bakar, Abu; Pratiwi, Ika Nur
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 13 No 2 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v13i2.253

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Progressive muscle relaxation (PMR) is a therapeutic technique that involves sequentially tensing and relaxing muscle groups to promote physical and mental relaxation. It is widely used to improve sleep quality, particularly in adults experiencing sleep disturbances. This systematic review aimed to examine the effectiveness of PMR in enhancing sleep quality. A systematic literature search was conducted using four electronic databases—ScienceDirect, Scopus, PubMed, and CINAHL—covering publications from 2017 to 2022. The keywords used were “progressive muscle relaxation” and “sleep quality.” A total of 1,085 articles were initially identified. After applying inclusion and exclusion criteria based on the PICOT framework (Population, Intervention, Comparison, Outcome, and Time), and following a multi-stage screening process, seven studies were included in the final analysis. The included studies consisted of randomized controlled trials (RCTs) and clinical observational studies involving adult participants. The methodological quality of each study was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. All seven studies reported statistically significant improvements in sleep quality following the implementation of PMR. However, variations were found in participant characteristics, duration and frequency of the PMR intervention, and the use of adjunct therapies. Progressive muscle relaxation, when performed under professional supervision, is an effective non-pharmacological intervention to improve sleep quality in adults.
Effectiveness of Early Warning Score (EWS) in Pre, Intra, and Post Dialysis: A Systematic Review Maharani, Evi Kartika; Widyawati, Ika Yuni; Pratiwi, Ika Nur
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6358

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The Early Warning Score (EWS) is a crucial tool for detecting early signs of clinical deterioration in hemodialysis (HD) patients. However, previous research has primarily focused on the intra-dialysis phase, necessitating a systematic review to explore the effectiveness of EWS across all phases (pre, intra, and post-dialysis). Objective: This study aims to assess the effectiveness of EWS in detecting complications in hemodialysis patients across these three phases and to evaluate its impact on morbidity, mortality, length of hospital stays, and readmission rates. Methods: This systematic review was conducted following PRISMA guidelines. Literature searches were performed in databases such as PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar. The keywords used in the search were “Early Warning Score” OR “EWS” AND “Hemodialysis” OR “Renal Dialysis” OR “Dialysis” AND “Pre-dialysis” OR “Intradialysis” OR “Post-dialysis” and can utilize Boolean logic (AND, OR, or NOT) to maximize search results. The screening of articles with respect to limitations including year 2016 - 2024. Results: Out of 1,246 identified articles, 15 studies met the inclusion criteria. The findings indicate that EWS is effective in detecting complications across all hemodialysis phases, with significant improvements in clinical management and reductions in morbidity and mortality rates. Conclusion: The comprehensive application of EWS in the pre, intra, and post-dialysis phases can enhance the safety of hemodialysis patients.