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Spiritual Mindfulness Effect on Anxiety, Respiratory Rate and Oxygen Saturation in Pneumonia Patients Diah Priyantini; Daviq Ayatulloh; Dimas Hadi Prayoga
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.v7i1.4551

Abstract

Pneumonia in addition to causing problems in the respiratory system, also causes psychological disorders, manifesting as anxiety, causing worry, instilling feelings of restlessness, and triggering constant fear that has implications for daily functioning. Supportive therapy is needed to provide a good impact on the respiratory system and patient anxiety. The purpose of this study was to analyze the effect of spiritual mindfulness on anxiety, respiratory rate and oxygen saturation of pneumonia patients. Quantitative research with a quasi-experimental approach (pre-post test with control group design) in one of the hospitals in Gresik Regency. The sample in the study consisted of 64 divided into intervention groups and control groups recruited using purposive sampling. The independent variable is spiritual mindfulness with a frequency of 3 days and an intensity of 15 minutes. The research instrument to measure anxiety used a questionnaire from Zung SARS, respiratory rate was measured using direct observation for 1 minute and oxygen saturation was measured by observation through pulse oximetry. The analysis used in the study used the paired T-Test and the Wilcoxon signed rank test with a significance level of α ≤ 0.05. Spiritual mindfulness intervention showed a significant effect on respiratory rate (p=0.000), oxygen saturation (p=0.000) and anxiety (p=0.000) in the intervention group, but in the control group all showed no significant effect. The results of the calculation of the effect size of respiratory rate showed a value of d = 1.059, oxygen saturation showed a value of d = 0.735 and anxiety showed a value of d = 1.436. Spiritual mindfulness showed effectiveness in reducing anxiety levels, reducing respiratory rate and increasing oxygen saturation in pneumonia patients.
Studi Kasus Penurunan Tekanan Darah Pada Lansia Menggunakan Isomatic Handgrip Moch Fachmi Mawardi; Diah Priyantini; Septian Galuh Winata; Nur Mukarromah
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i2.26577

Abstract

Penelitian ini bertujuan untuk menganalisis efektivitas penggunaan isomatic handgrip dalam menurunkan tekanan darah pada populasi lansia. Studi kasus dilakukan terhadap sekelompok lansia berusia 60-75 tahun yang mengalami hipertensi. Metode yang digunakan adalah studi kasus, melibatkan 4 partisipan dengan melakukan Intervensi melakukan latihan isomatic handgrip selama 8 minggu dengan frekuensi 3 kali seminggu. Hasil penelitian menunjukkan penurunan signifikan pada tekanan darah sistolik dan diastolik pada kelompok intervensi dibandingkan kelompok kontrol (p < 0.05). Rata-rata penurunan tekanan darah sistolik adalah 8.5 mmHg dan diastolik 6.2 mmHg. Penelitian ini menyimpulkan bahwa latihan isomatic handgrip efektif sebagai terapi non-farmakologis untuk menurunkan tekanan darah pada lansia dengan hipertensi.
Faktor yang Mempengaruhi Emotional Exhaustion pada Perawat di Rumah Sakit: A Cross-Sectional Study Daviq Ayatulloh; Diah Priyantini; Ahmad Hasan Basri; Ade Faiz Ahmadi
Indonesian Academia Health Sciences Journal Vol 6 No 2 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i2.30841

Abstract

Introduction: Emotional exhaustion among hospital nurses represents a major occupational health challenge, particularly in healthcare systems facing increasing service demands and workforce constraints. Identifying organizational determinants based on the Job Demands–Resources (JD-R) framework is essential to inform context-specific workforce strategies. Methods: A cross-sectional study was conducted among 72 nurses working in various clinical units at a hospital in Gresik, Indonesia. Cluster sampling was applied to ensure proportional representation across units. Emotional exhaustion was measured using the Emotional Exhaustion subscale of the Maslach Burnout Inventory–Human Services Survey. Job demands (workload, emotional demands, role conflict, workplace incivility) and job resources (supervisor support, organizational support, team support, job autonomy) were assessed using validated questionnaires. Data were analyzed using multiple linear regression to determine the relative contribution of each predictor. Results: Job demands and job resources were significant predictors of emotional exhaustion (p < 0.001), accounting for 50% of the variance. Workload emerged as the strongest positive predictor, followed by emotional demands. Among job resources, supervisor support demonstrated the most substantial protective effect. Higher job demands were associated with increased emotional exhaustion, whereas stronger job resources were associated with reduced levels of exhaustion. Discussion: The findings reinforce the JD-R framework, highlighting the interplay between structural workload pressures and organizational support mechanisms in shaping nurse wellbeing. Organizational strategies focusing on workload management and strengthening supervisory support may contribute to reducing emotional exhaustion in hospital settings.
Autogenic Relaxation as a Form of Non-Pharmacological Supportive Intervention for Headaches in Hypertensive Patients Diah Priyantini; Noryani Noryani; Suyatno Hadi Saputro; Retno Sumara; Daviq Ayatulloh
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

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

Abstract

Hypertension is a major public health problem and is frequently associated with headache, which can significantly interfere with daily activities. Pharmacological therapy remains the most common treatment; however, long-term use may lead to side effects and reduced adherence. Therefore, non-pharmacological supportive therapies, such as autogenic relaxation, are increasingly considered as alternative approaches. This study aimed to evaluate the effectiveness of autogenic relaxation therapy in reducing headache intensity among patients with hypertension. This research employed a case intervention approach conducted at a community health center in Surabaya, Indonesia. Four patients diagnosed with hypertension participated in the study. Data collection was carried out through home visits, including interviews, observation, and review of health history over the past six months. Blood pressure was measured using a tensiometer, and headache intensity was assessed using the Numeric Rating Scale (NRS) and PQRST method. Participants were guided to perform autogenic relaxation therapy twice weekly and independently at home for 20 minutes per session. The results demonstrated that all participants initially experienced moderate headache intensity (NRS 4–6). After the intervention, there was a consistent reduction in pain levels, with all participants reporting mild headache intensity (NRS 2–3). The most notable reduction was observed after the second session of therapy, indicating a progressive improvement in pain control. In conclusion, autogenic relaxation therapy is effective in reducing headache intensity among patients with hypertension. This non-pharmacological approach can be considered a simple, safe, and accessible intervention to complement conventional treatment and improve patient well-being.
Level of Family Depression as Caregivers of Patients in the Intensive Care Room Nugroho Ari Wibowo; Dian Puji Wahyuningsih; Diah Priyantini; Aries Chandra Ananditha
Indonesian Academia Health Sciences Journal Vol 5 No 2 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.31355

Abstract

Intensive Care Unit (ICU) is a hospital inpatient room for observation, care and therapy of patients who need treatment and who are life threatening and have complex needs, supported by special equipment. When a patient is in the ICU, the risk of death is higher, giving rise to problems with feelings of physical, psychological, social and spiritual stress. The aim of this study was to identify the level of depression in the families of patients undergoing treatment in the Intensive Care Room at Haji Hospital, East Java province. The research used a quantitative design with a descriptive approach to the families of patients treated in the Intensive Care ward of the Haji Hospital, East Java Province. A total of 85 respondents were recruited using purposive sampling. The research instrument used to identify the level of family depression experienced by respondents was the Beck Depression Inventory II (BDI II) questionnaire sheet. The results of the study showed that the level of depression in the families of patients in the Intensive Care room was 37 respondents (43.53%) experienced mild depression, 31 respondents (36.4%) experienced minimal depression, 11 respondents (12.94%) experienced moderate depression and 6 respondents (7.06%) experienced severe depression. Health workers provide comprehensive health services by helping patients and their families meet their biological, psychological and social needs, as well as providing support to always improve their spirituality by praying to God and always thinking positively in all events they experience in the hope of preventing depression during the treatment period. patient.
The Effect of Murottal Therapy of Surah Ar-Rahman on the Hemodynamic Status of Patients Receiving Intensive Care in the ICU Kristin Widyowati; Silviana Damayanti; Lailatul Chodiriyah; Mohammad Alif Agus; Wajihatin Zuhroh; Vira Aulia Aviari; Diah Priyantini; Indarti Indarti
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v7i1.31425

Abstract

Introduction : ICU is a unit of care for patients with life-threatening chronic diseases that require ongoing care, monitoring, and the use of life-saving support equipment and drugs. Critical patients who can be treated in the ICU are divided into several criteria, where for the first category or criteria patients treated in the ICU are critical patients with conditions and hemodynamics that are unstable, requiring intensive care and tetritation. Hemodynamic instability is a problem that often occurs in critical patients, because the control mechanisms do not function normally. The high stressor in the ICU room causes the patient's hemodynamics to become unstable. Therefore, it is necessary to carry out non-pharmacological measures to complement the pharmacological therapy that has been given to control hemodynamic status. Non-pharmacological action that can be done is Murrotal therapy. Where murotal therapy can stimulate the hypothalamus to release endorphins so that patients become relaxed and calm and increase parasympathetic nerves. Objective: To analyze the effect of Surah Ar-Rahman murottal therapy on the hemodynamic status of patients in intensive care in the ICU. This research method uses a descriptive method with a case report approach. The population in this study were 1 patient in the ICU RSU HAJI Surabaya. The sample technique used was purposive sampling technique, with the object under study determined based on the criteria the researcher wanted by applying inclusion and exclusion criteria. The independent variable in this study was the administration of Surah Ar-Rahman murottal therapy and the dependent variable in this study was the patient's hemodynamic status. Results: Based on the results of the study, it was found that Murottal therapy in patients in the Intensive Care Unit was effective in stabilizing the patient's hemodynamics. Murottal Al-Qur'an therapy is one of the interventions that can be implemented by nurses to help stabilize the patient's hemodynamics in the ICU room.
Family Support for Adherence to Routine Checkups in Patients with Diabetes Mellitus Retno Sumara; Nugroho Ari Wibowo; Sindy Dwi Fitria Nilam Sari; Diah Priyantini
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v7i1.33211

Abstract

Introduction: Diabetes mellitus (DM) is known as the “Mother of Diseases” among various incurable chronic conditions. Adherence to routine check-ups is a crucial component of effective diabetes management and treatment. One factor influencing adherence is family support. Objective: To determine the relationship between family support and adherence to routine check-ups among diabetes mellitus patients. Methods: The study design employed a correlational analytical approach using a cross-sectional design. The sample consisted of 80 respondents selected via simple random sampling. Data were collected through a family support questionnaire and secondary data (medical records) from the community health center. Data analysis used the Spearman rank test with a significance level of α < 0.05. Results: This study found that 90% of participants had good family support, 10% had adequate family support, 88% adhered to routine check-ups, and 12% did not adhere to routine check-ups. Based on the Spearman’s rho correlation test, the significance value (two-tailed) was 0.001 < 0.05, indicating a significant association between family support and adherence to follow-up visits. Discussion: Family involvement in patient care is crucial for the management and control of diabetes mellitus (DM). Families can foster positive behaviors, such as enhancing motivation and improving adherence among DM patients.
Nurses’ Work Motivation Based on Maslow’s Hierarchy of Needs in the Inpatient Wards of a Psychiatric Hospital: A Descriptive Cross-Sectional Study Mundakir Mundakir; Dwi Nurcahyono; Siswanto Agung Siswanto Agung; Reliani Reliani; Diah Priyantini
Indonesian Academia Health Sciences Journal Vol 7 No 1 (2026): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v7i1.33222

Abstract

Background: Nurses working in psychiatric inpatient settings provide continuous care in environments characterized by complex patient needs, safety concerns, emotional demands, and shift-based work. Work motivation is therefore important for sustaining nursing performance and service quality. Maslow’s hierarchy of needs offers a multidimensional framework for examining whether nurses’ physiological, safety, affiliation, esteem, and self-actualization needs are being met. Objective: To describe nurses’ work motivation according to the five domains of Maslow’s hierarchy of needs in the inpatient wards of a psychiatric hospital in Surabaya, Indonesia. Methods: This descriptive cross-sectional study included 79 inpatient staff nurses selected from a population of 98 nurses using purposive sampling. Eligible participants were civil-service or public-service-agency staff nurses, had worked for more than one year, and held a diploma or professional nursing qualification. Data were collected using a Likert-type questionnaire adapted from a previous work-motivation instrument. Domain scores were classified as good (76%–100%), moderate (56%–75%), or poor (<56%). Data were summarized using frequencies and percentages. Results: The sample was almost evenly divided by sex (50.6% women), and 40.5% were aged 41–50 years. Most nurses held a diploma in nursing (81.0%), and 39.2% had worked for more than 10 years. The proportion classified as having good motivation was 62.0% for physiological needs, 64.6% for safety and security needs, 87.3% for affiliation and acceptance needs, 91.1% for esteem and status needs, and 68.4% for self-actualization needs. Esteem and status represented the strongest domain, whereas physiological needs had the lowest proportion in the good category. Conclusion: Most inpatient psychiatric nurses reported good motivation across all five Maslow domains, particularly in esteem and affiliation. Nevertheless, approximately one-third of nurses did not reach the good category for physiological, safety, or self-actualization needs. Hospital managers should maintain recognition and supportive relationships while strengthening compensation adequacy, workplace safety, career development, and opportunities for professional growth.
EFFECTIVENESS OF DEEP BREATHING EXERCISE AND INCENTIVE SPIROMETRY ON OXYGEN SATURATION AND PEAK EXPIRATORY FLOW RATE IN POSTEXTUBATION ICU PATIENTS: A QUASI-EXPERIMENTAL STUDY Nugroho Ari Wibowo; Diah Priyantini; Gangga Kristin Nurfiyatul Jannah; Miranda Meifa
NurseLine Journal Vol. 10 No. 2 (2025): November 2025
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v10i2.60273

Abstract

Background: Reintubation of patients in the ICU due to respiratory failure is a serious problem in medical world. Supportive therapy is needed for breathing exercises to prevent reintubation due to respiratory muscle weakness. Objective: Aims to analyze effectiveness of deep breathing exercise and Incentive spirometry on oxygen saturation and peak expiratory flow rate inextubated patients. Methods: A quantitative, quasi-experimental design with 33 respondents (11 in the deep breathing group, 11 in the incentive spirometry group, and 11 in the combined deep breathing and incentive spirometry group), recruited through purposive sampling. The independent variable was the combination of Deep Breathing and Incentive Spirometry, implemented according to the module guidelines. The dependent variables were oxygen saturation, measured by pulse oximetry, and peak expiratory flow rate, measured by a peak flow meter. Data were analyzed using a paired sample t-test. Results: Deep breathing exercises and incentive spirometry showed a significant effect on oxygen saturation, as shown in the combined results (p = 0.000; Delta = 4.55). Peak expiratory flow rate also showed significant deep breathing exercise and incentive spirometry interventions,with the most significance value in the combination intervention (p = 0.000; Delta = 130.27). Conclusion: The combination of deep breathing exercises and incentive spirometry interventions showed greater effectiveness, suggesting it may be a supportive intervention for post-extubation patients.
The Effectiveness of Spiritual-Based Relaxation Technique on Patients With Post-Traumatic Stress Disorder After Treatment in an Integrated Cardiac Intensive Care Unit Diah Priyantini; Suyatno Hadi Saputro; Siswanto Agung Wijaya; Daviq Ayatulloh
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.32489

Abstract

Background: Patients who have undergone treatment in an Integrated Cardiac Intensive Care Unit may experience psychological distress after discharge, including symptoms of post-traumatic stress disorder. Exposure to life-threatening cardiac events, invasive procedures, uncertainty, and the intensive care environment may contribute to persistent fear, intrusive memories, sleep disturbance, and emotional dysregulation. Spiritual-based relaxation technique, including Spiritual Emotional Freedom Technique, combines relaxation, spiritual affirmation, acceptance, and body-based stimulation to reduce emotional distress. Objective: This study aimed to examine the effectiveness of a spiritual-based relaxation technique in reducing post-traumatic stress disorder symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. Methods: A pre-experimental one-group pretest–posttest study was conducted among 30 patients who had completed treatment in an Integrated Cardiac Intensive Care Unit. Participants were selected using purposive sampling. The intervention consisted of spiritual-based relaxation sessions delivered over three consecutive days. Post-traumatic stress disorder symptoms were measured before and after the intervention using a standardized PTSD symptom questionnaire. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: The mean age of participants was 56.4 years, and most participants were male. The mean PTSD symptom score decreased from 42.6 ± 7.8 before the intervention to 28.9 ± 8.1 after the intervention. The median PTSD score decreased from 43.0 to 29.0. The Wilcoxon signed-rank test showed a statistically significant reduction in PTSD symptoms after the intervention (Z = −4.62, p < .001). The mean score reduction was 13.7 points, indicating clinically meaningful improvement after spiritual-based relaxation. Conclusion: Spiritual-based relaxation technique was effective in reducing PTSD symptoms among patients after treatment in an Integrated Cardiac Intensive Care Unit. This intervention may be considered as a simple, low-cost, and holistic nursing approach to support psychological recovery after intensive cardiac care. Further studies using randomized controlled designs and larger samples are recommended.
Co-Authors Abdul Aziz Alimul Hidayat Achmad Zakaria Achmad Zakaria Ade Faiz Ahmadi Ade Faiz Ahmadi Ade Faiz Ahmadi Ahmad Hasan Basri Ahmad Hasan Basri Anandhita, Aries Chandra Andayani, Evi Andre Arianto Anis Fauziah Anis Rosyiatul Husna, Anis Rosyiatul Anita Rahmawati Annisa' Wigati Rozifa Aries Chandra Anandita Aries Chandra Ananditha Aries Chandra Ananditha Aries Chandra Ananditha Aries Chandra Ananditha, Aries Chandra Aries Chandra Anindhita Arif Zahid Sugiarto Asri asri Aviari, Vira Aulia Ayatulloh, Daviq Azahra, Yasmin Badriyah, Fatin Lailatul Basri, Ahmad Hasan Berliana Hanifah Alisya Chlara Yunita Prabawati Daviq Ayatulloh Daviq Ayatulloh Daviq Ayatulloh Daviq Ayatulloh Dessy Era Puspitasari Dewi, Arum Puspita Dian Istanti Dian Puji Wahyuningsih Dianis Wulan Sari Dimas Hadi Prayoga Dluha Maf’ula Dwi Nurcahyono Dwi Prasetyaningati Dzakiyatul Fahmi Mumtaz Elok Faradisa Elsi Dwi Hapsari Enniq Mazayudha Erna Melastuti, Erna Fahmi Rizka Laily, Nurul Fathiya Lutfil Yumni Fathiya Lutfil Yumni Fiani, Putri Ohkta Firdaus, Dhiyah Aini Nissa Fuad, Abdullah Gangga Kristin Nurfiyatul Jannah Ghaliza, Galuh Mutia Hasan Basri, Ahmad Hidayat Arifin Husna Ardiana Ifada Nur Rohmaniah Ilya Krisnana, Ilya Indarti Indarti Indarti Indarti Indarwati , Retno Kartikaratri, Erinda Sari Ken Siwi Khalifatus Zuhriyah Alfianti Khalifatus Zuhriyah Alfianti Khatijah Lim Abdullah Khatijah Lim Lim Abdullah Kiptiyah, Mariyatul Koesoemo, Rizki Fitryasari Patra Kondwani Joseph Banda Kornelis Nama Beni Kristin Kristin Kristin Widiyowati Kristin Widyowati Kun Arifi Abbas Kurniawati, Ninuk Dian Lailatul Chodiriyah M Hasinuddin M Yusuf Marini, Gita Mariyatul Kiptiyah Martini Sri Wulaningsing Masruri Masruri Masruro, Wiwi Septa Hakim Miranda Meifa Misutarno Misutarno Misutarno Misutarno, Misutarno Moch Fachmi Mawardi Moch Masruri Moecharom Moecharom Mohammad Alif Agus Mundakir Musrifatul Uliyah Nanik Dwi Lestari Nanik Dwi Lestari Ni Luh Putu Inca Buntari Agustini Noryani Noryani Novelia, Ranty Dwi Nugroho Ari Wibowo Nur Mukarromah Nurfiyatul Jannah, Gangga Kristin Nursalam Nursalam Nursalam Nursalam Nursalam, Nursalam Nurul Chayatin Nurul Fahmi Rizka Laily Puji Rahayu Putri, Dwi Whisnu Artanti Eka Rachma Wati Reliani Reliani, Reliani Retno Sumara Retno Twistiandayani Rifky Octavia Pradipta Rio Ady Erwansyah Rizki Dwi Prameswari Rochman, Diana Rofiqi, Erfan Rusdi, Ainur Saputro, Suyatno Hadi Septian Galuh Winata Septian Galuh Winata Setiawan Setiawan Setiawan Setiawan Sevia Ofarisma N Sila, Nissa Aruming Silvia Farhanidiah Silviana Damayanti Sindy Dwi Fitria Nilam Sari Sirikanok Klankhajhon Siswanto Agung Siswanto Agung Siswanto Agung Wijaya Siswanto Agung Wijaya Siswanto Agung Wijaya Siswanto Agung Wijaya Siti Aisyah Sulistyorini Sulistyorini Supatmi . Supatmi Supatmi Susanti, Inta Suyatno Hadi Saputro Tanti Dwi Cahyani Tintin Sukartini Sukartini, Tintin Sukartini Triharini, Mira Ulfa, Ariana Vijay Wahyu Handoyo Adi Vira Aulia Aviari Wajihatin Zuhroh Wijaya, Siswanto Agung Wikan Purwihantoro Sudarmaji Wiwin Yuli Triana Yuanita Wulandari Yumni, Fathiya Lutfil