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Procedure-Specific Effectiveness of Warmed Versus Room-Temperature Irrigation Fluids for Preventing Perioperative Hypothermia: A Systematic Review Harlasgunawan, Alia Rahmi; Kosasih, Cecep Eli; Nuraeni, Aan
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.525

Abstract

This study investigates the impact of using warmed irrigation fluid over room-temperature fluid on patient body temperature during surgery, while also exploring the variables that influence its effectiveness. Systematic review following PRISMA guidelines. Comprehensive searches were conducted in PubMed/MEDLINE, Embase, Cochrane Central, and Web of Science (inception to March 2024) using PICO framework-derived search terms. Inclusion criteria: randomized controlled trials (RCTs) and systematic reviews comparing warmed irrigation fluids (≥36°C) versus room temperature in adult surgical patients. Quality assessment used Joanna Briggs Institute (JBI) critical appraisal tools. Data synthesis included descriptive analysis and meta-analysis where appropriate. Ten studies (eight randomized controlled trials and two systematic reviews/meta-analyses) met inclusion criteria, comprising 2,459 participants across various surgical procedures. Overall methodological quality was high (mean JBI score 10.2/11, 93%). Effectiveness analysis revealed that 67% of individual studies (6/9) demonstrated significant benefits, with clear procedure-specific patterns. Arthroscopic shoulder surgery showed the highest success rate (75%, 3/4 studies) with effect sizes of 67–80% reduction in hypothermia incidence when using 37°C irrigation. TURP procedures demonstrated conditional effectiveness (50% success rate) depending on anesthesia type, while laparoscopic surgery showed no benefit (0% success rate) due to competing heat loss mechanisms. Warmed irrigation fluids at 37°C demonstrate procedure-specific effectiveness, with arthroscopic shoulder surgery showing highest success rates (75%) and laparoscopic surgery showing no benefit.
Nutritional, Physical Activity, and Mental Health Interventions to Enhance Cardiovascular Health: A Scoping Review Elsadai, Elsadai; Trisyani, Yanny; Nuraeni, Aan
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.553

Abstract

Cardiovascular disease (CVD) remains the leading cause of mortality globally and in Indonesia, with rising incidence among younger populations due to modifiable risk factors such as poor diet, physical inactivity, and mental health issues. These lifestyle-related factors are increasingly prevalent, yet interventions addressing them are varied and dispersed across the literature. To explore recent nutritional, physical activity, and mental health interventions for the prevention of cardiovascular disease. This study used a scoping review design. Articles were obtained from six databases, EBSCO-host, CINAHL, PubMed, ScienceDirect, Scopus, Taylor and Francis, and Google Scholar, with the major keywords “dietary”, “physical activity”, “mental health”, “cardiovascular disease”, “prevention”. Inclusion criteria included original studies, in English, published between 2015–2025, and the population reviewed was Adults / General population / High-risk individuals (e.g., aged >30, person with history of CVD). Data extraction followed the PRISMA-ScR guidelines. Twelve articles meeting the inclusion criteria showed intervention of prevention of cardiovascular disease. Physical activities such as walking, yoga, and exercise programs effectively improve cardiovascular health and physical fitness. Nutritional approaches like the Mediterranean diet help reduce cholesterol levels and blood pressure. Mental health practices, including meditation and stress management, contribute to lowering anxiety and blood pressure.  This review emphasizes that integrating regular physical activity, a nutritious diet, and mental health support is essential for effectively preventing cardiovascular disease, with personalized approaches playing a key role in helping individuals maintain these healthy habits.
TELEHEALTH-BASED PSYCHOSOCIAL SUPPORT FOR WOMEN WITH BREAST CANCER: A NARRATIVE REVIEW Nuraeni, Aan; Trisyani, Yanny; Anna, Anastasia; Priambodo, Ayu Prawesti; Sugiharto, Firman
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12366

Abstract

Breast cancer is one of the most common malignancies among women worldwide and is associated with multidimensional burdens throughout the disease trajectory, including diagnosis, treatment, and survivorship. Beyond physical symptoms, women with breast cancer frequently experience psychosocial problems such as anxiety, depression, emotional distress, and impaired quality of life, which may persist even after active treatment and influence treatment adherence and long-term outcomes. Conventional psychosocial support is typically delivered through face-to-face interactions; however, access to such services is often limited by geographical, temporal, and resource-related constraints. Telehealth has emerged as a promising approach to support psychosocial care by utilizing information and communication technologies to deliver health services remotely. In the context of breast cancer, telehealth encompasses various modalities, including mobile health applications, web-based platforms, teleconsultations, text messaging, and remote monitoring systems. Recent developments also indicate a growing integration of artificial intelligence, such as chatbots and conversational agents, to enhance information delivery and emotional support. This narrative review aims to critically discuss the role of telehealth in providing psychosocial support for women with breast cancer. Relevant literature was identified through searches of major scientific databases and analyzed descriptively to explore psychosocial challenges, telehealth concepts, and potential benefits for mental health and patient engagement. The findings suggest that telehealth may contribute to improved access to psychosocial support, enhanced coping, and increased patient involvement in care, although evidence remains heterogeneous across intervention types and outcomes. Telehealth should be considered a complementary approach within holistic breast cancer care, with careful attention to individual needs, digital literacy, and implementation context.  
The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

Abstract

Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Depresi Pada Pasien dengan Penyakit Jantung Koroner yang mengalami Left Ventricular Ejection Fraction Rendah : A Scoping Review Abdullah, Dirman; Anna, Anastasia; Nuraeni, Aan
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21468

Abstract

ABSTRACT Depression is one of the most common psychological comorbidities in patients with coronary heart disease, but research on patients with low left ventricular ejection fraction remains limited. This condition can worsen clinical prognosis and reduce patients' quality of life. This review aims to identify depression in coronary heart disease patients with low left ventricular ejection fraction. This study used a scoping review design. Literature searches were conducted in three main databases, namely EBSCOhost, PubMed, and ScienceDirect, as well as one additional search engine, Google Scholar. The keywords used included: “coronary heart disease OR myocardial infarction OR acute coronary syndromes OR unstable angina AND Low Left Ventricular Ejection Fraction OR Low LVEF AND Depression”. Inclusion criteria included: (1) studies involving patients with coronary heart disease, (2) studies evaluating the relationship between left ventricular ejection fraction and symptoms of depression, and (3) publications in English or Indonesian. Data analysis was performed using descriptive qualitative methods. A total of 707 studies were found in the literature search, which were then selected based on their titles and abstracts. A total of 7 out of 707 articles were analyzed in this review. Four of the seven studies reported that low left ventricular ejection fraction was associated with increased symptoms of depression in patients with coronary heart disease, especially after myocardial infarction. Meanwhile, the other two studies stated that there was no direct relationship but rather the influence of other factors such as social support and psychological history. Depression is a common condition in patients with coronary heart disease. Patients with coronary heart disease with low left ventricular ejection fraction are closely related to an increased risk of depression in CHD patients, and both worsen the clinical prognosis. Early detection and integrated management of depression are crucial for improving patients' quality of life and cardiovascular outcomes. A comprehensive approach encompassing pharmacological and psychosocial interventions has proven to be the most effective strategy for addressing depression in CHD patients. Keywords: Depression, Low Left Ventricular Ejection Fraction, Coronary Heart Disease.  ABSTRAK Depresi merupakan salah satu komorbid psikologis yang umum terjadi pada pasien dengan penyakit jantung koroner, namun penelitian pada pasien dengan left ventricular ejection fraction rendah masih sangat terbatas. Kondisi ini dapat memperburuk prognosis klinis dan menurunkan kualitas hidup pasien. Review ini bertujuan untuk mengidentifikasi depresi pada pasien penyakit jantung koroner yang mengalami left ventricular ejection fraction rendah. Studi ini menggunakan desain scoping review. Pencarian literatur dilakukan pada tiga database utama, yaitu EBSCOhost, PubMed, dan ScienceDirect, serta satu mesin pencari tambahan, Google Scholar. Kata kunci yang digunakan mencakup: “coronary heart disease OR myocardial infarction OR acute coronary syndromes OR unstable angina AND Low Left Ventricular Ejection Fraction OR Low LVEF AND Depression”. Kriteria inklusi meliputi: (1) studi yang melibatkan pasien dengan penyakit jantung koroner, (2) studi yang mengevaluasi hubungan antara left ventricular ejection fraction dan gejala depresi, serta (3) publikasi dalam bahasa Inggris atau Indonesia. Analisis data dilakukan secara deskriptif kualitatif. Pencarian literature didapatkan total sebanyak 707 studi yang kemudian diseleksi judul dan abstrak. Sebanyak 7 dari 707 artikel  dianalisis pada review ini. 4 dari 7 studi melaporkan bahwa left ventricular ejection fraction rendah berhubungan dengan meningkatnya gejala depresi pada pasien penyakit jantung koroner, terutama pasca-infark miokard. Sedangkan, dua studi lainnya menyatakan tidak adanya hubungan langsung melainkan pengaruh faktor lain seperti dukungan sosial dan riwayat psikologis. Depresi merupakan kondisi yang umum terjadi pada pasien penyakit jantung koroner. Pasien penyakit jantung koroner dengan tingkat left ventricular ejection fraction rendah berkaitan erat dengan peningkatan risiko depresi pada pasien PJK, dan keduanya saling memperburuk prognosis klinis. Deteksi dini dan manajemen depresi secara terintegrasi sangat penting untuk meningkatkan kualitas hidup dan hasil kardiovaskular pasien. Pendekatan komprehensif yang mencakup intervensi farmakologis dan psikososial terbukti menjadi strategi yang paling efektif dalam mengatasi depresi pada pasien PJK. Kata Kunci: Depresi, Left Ventricular Ejection Fraction Rendah, Penyakit Jantung Koroner.
Mengatasi Hiperglikemia Kronis Menggunakan Herbal untuk Menangani Diabetes Mellitus Tipe 2: Laporan kasus uluwiyya, rahma; Anna, Anastasia; Nuraeni, Aan
Padjadjaran Acute Care Nursing Journal Vol 4, No 3 (2025): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pacnj.v4i3.69154

Abstract

Pengelolaan diabetes melitus mencakup 5 pilar yaitu edukasi, terapi nutrisi medis, aktivitas fisik, terapi farmakologi, serta pemantauan kadar glukosa darah mandiri. Dalam praktiknya masih banyak pasien yang belum menjalankan tata laksana diabetes secara menyeluruh sehingga menyebabkan hiperglikemia kronis yang akan memicu komplikasi makrovaskular yaitu Acute Limb Ischemia. Penelitian ini menggunakan metode laporan kasus yang bertujuan untuk melaporkan kasus pasien dengan diabetes mellitus tipe 2 selama 32 tahun yang mengalami komplikasi Acute Limb Ischemia karena pengelolaan diabetes mellitus yang tidak tepat sebelum masuk rumah sakit. Pasien perempuan berusia 58 tahun didiagnosa mengalami Acute Limb Ischemia. Pasien memiliki riwayat penyakit diabetes melitus tipe 2 selama 32 tahun. Pasien hanya berpuasa serta mengonsumsi obat herbal berbentuk kapsul yang mengandung jahe, kunyit, kayu manis serta ekstrak daun insulin untuk mengontrol kadar gula darahnya. Manajemen lima pilar diabetes yang tidak tepat pada pasien diabetes seperti kurangnya edukasi kesehatan, pemantauan gula darah, penggunaan farmakoterapi, pola makan sehat, dan aktivitas fisik, mengakibatkan hiperglikemia kronis yang tidak terkontrol, sehingga dapat terjadi komplikasi akut berupa acute limb ischemia. Obat herbal yang digunakan pasien secara teori dapat membantu menurunkan gula darah, namun tanpa disertai dengan lima pilar manajemen diabetes secara bersamaan, hasilnya tidak cukup ampuh untuk mengontrol kadar glukosa darah. Pengobatan herbal tanpa disertai dengan pengelolaan diabetes mellitus lima pilar secara optimal tidak dapat mencegah terjadinya komplikasi akut berupa Acute Limb Ischemia.