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All Journal Jurnal Keperawatan Indonesia Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Silampari International Journal of Nursing and Health Services (IJNHS) Faletehan Health Journal Human Care Journal Real in Nursing Journal Jurnal Riset Kesehatan Nasional Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Menara Medika Nursing Sciences Journal Jurnal Ipteks Terapan : research of applied science and education JRKN Jurnal Nurse Jurnal Sahabat Keperawatan Malahayati International Journal of Nursing and Health Science Indonesian Journal of Global Health Research
Dikha Ayu Kurnia
Fakultas Ilmu Keperawatan, Universitas Indonesia
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Dampak Mobilisasi Dini Pada Pasien Post Operasi Total Knee Replacement: Sistematika Review Novrin Senselia Putri Ziliwu; Debie Dahlia; Dikha Ayu Kurnia
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60931

Abstract

Latar Belakang: Total Knee Replacement (TKR) merupakan prosedur yang efektif untuk mengatasi osteoarthritis lutut stadium lanjut. Meskipun demikian, pasien umumnya mengalami penurunan mobilitas dan gangguan fungsi fisik pada periode post operasi. Mobilisasi dini adalah salah satu intervensi untuk mempercepat pemulihan, tetapi efektivitasnya masih perlu dievaluasi secara komprehensif. Tujuan: Mengevaluasi dampak mobilisasi dini terhadap kemampuan mobilitas pada pasien post operasi TKR. Metode: Tinjauan sistematis. Pencarian literatur dilakukan pada enam basis data elektronik (PubMed, ProQuest, Sage Journals, SpringerLink, ScienceDirect, dan ClinicalKey) untuk artikel berbahasa yang diterbitkan tahun 2016-2026. Delapan studi yang terdiri atas Randomized Controlled Trial (RCT) dan Cohort Study memenuhi kriteria inklusi dan dianalisis secara deskriptif. Hasil: Mobilisasi dini terbukti meningkatkan kemampuan mobilitas, fungsi lutut, dan rentang gerak, menurunkan intensitas nyeri, mempersingkat lama rawat inap, serta mengurangi risiko komplikasi post operasi tanpa meningkatkan efek samping. Kesimpulan: Mobilisasi dini merupakan intervensi rehabilitasi yang aman dan efektif untuk mempercepat pemulihan serta meningkatkan kemampuan mobilitas pada pasien pasca operasi.
The Predictors of Diabetic Nephropathy in Adult Patient with Diabetes: Systematic Literature Review Nurul Azizatunnisa; Amelia Kurniati; Dikha Ayu Kurnia
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.v6iS6.5065

Abstract

Diabetes is a type of chronic disease that progresses over time and can lead to various complications, one of which is diabetic nephropathy. The prevalence of kidney disorders in individuals with diabetes at a productive age in Indonesia is 4%, but only 0.6% have been diagnosed. This systematic review provide information about many factors affecting diabetic nephropathy, both physical and psychological factors in adult patient with diabetes. This systematic literature review utilizes several databases, i.e EBSCO, Oxford Journal, ProQuest, PubMed, Sage Journal, Science Direct, and Springer Link which published in the past five years (2019-2024). We used PICO in literature searching process, i.e. diabetic nephropathy (population), self-care OR family support OR risk factor OR primary assessment OR early warning signs (intervention), standard care (comparison), diabetic nephropathy OR diabetic kidney disease OR glomerulosclerosis, diabetic (outcome). Articles were selected based on inclusion and exclusion criteria and are presented using the PRISMA diagram. There were 10 relevant articles were identified. The sample size in this study was 7.892 from many health care areas from primary health care, outpatient clinic, and emergency department. Diabetic patients in this study include prediabetes, type 1 diabetes, and type 2 diabetes, DM ESRD and asymptomatic severe hypertension that potential to suffer kidney disfunction. The physical factors of diabetic nephropathy were body mass index (BMI), duration of diabetes diagnosis, vital signs, laboratory examination and comorbidity. Psychological factors include family support, self-care, diabetes control and education, Quality of Life (QoL) or Well-Being Index. There were six physical factors and four psychological factors that could be predictors of diabetic nephropathy.
Psychosocial Experiences of Colorectal Cancer Patients with Stoma Riri Maria; Debie Dahlia; Dikha Ayu Kurnia
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.v7i1.5378

Abstract

The formation of a stoma impacts various aspects of a patient's life, including physical, psychosocial, and spiritual well-being. If these impacts are not properly managed, it could decline the patient's quality of life. This study aimed to explore the psychosocial experiences of colorectal cancer patients living with a stoma. Method: twenty participants were interviewed using semi-structured questions, and the data was analyzed using a phenomenological approach. the findings revealed three key themes: emotional reactions having a stoma, limited social interactions, and worries about performing religious practices. Based on these results, the study recommend the need for education for colorectal cancer patients with stomas, particularly psychosocial aspects, to improve adaptation and quality of life.
The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review Aminah Soemadi Al Djuwardi; Etty Rekawati; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5729

Abstract

Approximately 40-50% of hemodialysis patients are elderly who experience chronic health conditions such as end-stage renal disease. Routine medications, lifestyle changes, and side effects of treatment often cause anxiety. Anxiety is described as a disturbing feeling as a situation of fear or threat. The sensation of anxiety can consist of palpitations, tremors, nervousness, and shortness of breath, interfering with the procedure. hemodialysis. Long duration of treatment and physical discomfort caused by it cause anxiety. Therefore, appropriate and safe non-pharmacological therapy is needed in the elderly. Objective to reduce anxiety in the elderly undergoing hemodialysis. The search was conducted through journal sources from ScienceDirect, ProQuest, EBSCO, and Pubmed (2019-2024) with keywords using medical subject headings (MeSH) "older adults" OR "elderly" OR "geriatrics" AND "music therapy" AND "acoustic therapy" OR "mindfullness" OR "Meditation" from 2899 article, 3 articles reviewed consisting of 1 quasi-experimental article 2 RCT articles it was proven that music therapy has a positive effect and increases satisfaction during hemodialysis as well as mindful meditation has been shown to reduce anxiety. Music therapy as an intervention that is cheap, easy and safe for the elderly can reduce anxiety levels, as well as mindful meditation although more research is still needed to see the evidence base.
Effectiveness of Physical Exercise in Managing Components of Metabolic Syndrome in Obese Populations: A Systematic Review Ni Wayan Astiti Pertiwi; Debie Dahlia; Dikha Ayu Kurnia; Riri Maria
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.v7i4.6346

Abstract

Obesity is one of the main contributing factors to metabolic syndrome, which results in an increased risk of chronic diseases such as diabetes mellitus, cardiovascular disease, and other metabolic dysfunctions. Physical exercise has long been recognized as a potential nonpharmacological strategy in reducing metabolic risk factors, but the effectiveness of various types of exercise in managing metabolic syndrome still needs to be further reviewed. This study aims to evaluate the effectiveness of physical activity in managing components of metabolic syndrome in an obese population. Using the PRISMA method of literature searches through Pubmed, Ebsco, Scopus and Wiley databases by using specific word combinations to obtain suitable articles. Inclusion criteria included English language articles published in the last five years (2019-2024), randomized controlled trial type, and discussing physical exercise interventions in obese populations. Of the 893 articles retrieved, 7 were reviewed. Studies show that physical exercise significantly reduced risk components of metabolic syndrome such as blood sugar, insulin, HOMA-IR, visceral fat and improved VO 2 max and quality of life. However, long term success was strongly influenced by the level of adherence to the exercise program. Physical exercise in an effective and safe intervention in reducing the risk of metabolic syndrome in obese individuals.
Peer-Based Interventions to Improve Self-Efficacy in Patients with Chronic Diseases Maria Fulgensia Bengu Ndona; Elly Nurachmah; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6755

Abstract

Chronic diseases such as heart failure, diabetes, and hypertension require active patient involvement in self-management. Self-efficacy is a key factor that influences the success of self-management among individuals with chronic conditions. This article aims to synthesize current empirical evidence on the effectiveness of peer-based interventions in improving self-efficacy among patients with chronic diseases. This study employed a systematic review approach based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Literature was retrieved from PubMed, ScienceDirect, ProQuest, EBSCOhost, Wiley, and Google Scholar databases. The inclusion criteria were full-text articles in English, with designs such as randomized controlled trials, quasi-experiments, and pilot studies published between 2015 and 2025. Of the 635,062 8 articles identifie the inclusion criteria and were analyzed. The included articles were critically appraised using appropriate tools and independently reviewed for quality and relevance, with data systematically extracted and narratively synthesized due to methodological heterogeneity. All reviewed studies reported a significant increase in self-efficacy following peer-based interventions. These interventions were implemented in various formats, including group training, theory-based peer coaching (eg, Health Belief Model, Health Promotion Model), digital peer support, and nurse-facilitated peer programs. Some studies also demonstrate long-term effects and additional benefits such as improved quality of life, better stress management, and reduced stigma. Peer-based interventions are proven effective in enhancing self-efficacy among patients with chronic diseases and may serve as a complementary strategy in clinical practice and primary health care services.
The Effect of Physical Exercise on Cognitive Impairment in Patients with Diabetes Mellitus Yeane Anastania; Debie Dahlia; Sri Yona; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6868

Abstract

Diabetes mellitus has been proven to be associated with cognitive decline and an increased risk of dementia. Exercise, both physical activity and brain training, as a non-pharmacological intervention, has the potential to improve cognitive function. Objective to investigate the effect of physical activity on cognitive impairment in patients with diabetes mellitus. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) method was used to select articles. The JBI critical appraisal checklist was used for quality assessment. Articles were searched through PubMed, Medline, and ScienceDirect databases from 2014 to 2024, using full-text articles. Out of 507 articles identified, 13 articles were included in the review, selected through a screening process based on predefined inclusion and exclusion criteria, and all demonstrated that physical activity, cognitive training, combined training, and training with lifestyle modifications can improve cognitive function in patients with type 2 diabetes mellitus. Exercise programs such as aerobic exercise, combined training, or other more specific exercises have been proven to improve cognitive function and metabolic indicators in patients with diabetes mellitus, such as HbA1c levels and insulin resistance. However, the majority of study participants were older adults.
The Implementation of Digital Technology to Support Self-Care among Heart Failure Patients: A Literature Review Efadatus Zakiyah; Riri Maria; Dikha Ayu Kurnia
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.930

Abstract

Heart failure has high morbidity and mortality rates, with a prevalence ranging from 1–2% in the adult population, increasing to more than 10% in people over 70 years of age. Self-care abilities are very low. Technologies such as mHealth, telemonitoring, and SMS can support the education and monitoring of heart failure patients. Objective to evaluate the impact of digital self-care education interventions on improving the behavior and quality of life of heart failure patients. A systematic literature review was conducted using the PRISMA 2020 guidelines, searching databases including PubMed, ScienceDirect, Wiley Online Library, and Clinical Key for Nursing from 2020 to 2025. 10 articles meeting the criteria were identified and analyzed using the JBI tool and 10 article in review. Digital interventions such as mHealth applications, Bluetooth, and educational SMS messages can improve self-care maintenance, symptom recognition, adherence, and quality of life in patients (p < 0.05–0.001). Like medication reminders, symptom alarms can improve and strengthen self-care. However, changes in patient behavior have not fully affected key indicators, such as NT-proBNP, for short-term hospitalization. Digital self-care can improve self-care behaviors among nurses in educating heart failure patients and has the potential to increase independence and quality of life. Long-term research is needed to examine the effect on symptom severity in heart failure patients.
Effectiveness of Various Chlorhexidine-Based Insertion Site Protocols in Preventing CRBSI among Hemodialysis Patients: A Systematic Review and Synthesis Without Meta-analysis (SWiM) Sri Hariyanti; Yulia Yulia; Dikha Ayu Kurnia
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.v8i4.2012

Abstract

Chronic Kidney Disease (CKD) is a global health issue affecting 10–15% of the world's population, often progressing to End-Stage Renal Disease (ESRD). Hemodialysis (HD) is the primary renal replacement therapy; however, the use of a Central Venous Catheter (CVC) for vascular access increases the risk of Catheter-Related Bloodstream Infections (CRBSI). Skin pathogens such as Staphylococcus aureus account for 40–80% of CRBSI cases, contributing to increased morbidity and mortality. The use of chlorhexidine (Chlorhexidine Gluconate/CHG) at the insertion site aims to inhibit extraluminal bacterial colonization. However, the effectiveness of various CHG protocols remains a subject of debate due to the risk of contact dermatitis and cost-effectiveness. This systematic review aims to evaluate the effectiveness of various chlorhexidine-based insertion site care protocols in preventing CRBSI events in hemodialysis patient. This systematic review was conducted in accordance with the PRISMA 2020 guidelines, using the “Synthesis Without Meta-analysis” approach, and is registered with PROSPERO 2026 under CRD420261368887. A search was conducted in the EBSCO, PubMed, Sage Journals, ScienceDirect, Scopus, and Wiley databases using the keyword “chlorhexidine-based catheter insertion care for the prevention of CRBSI.” Articles published between 2010 and 2025 were searched, resulting in a total of 1,412 articles identified from the initial database search.. A total of 7 articles meeting the inclusion criteria, consisting of RCTs and quasi-experimental studies. The outcomes analyzed included catheter-related infections such as CRBSI, CLABSI, and CRI. The direction of effects was analyzed narratively, and study quality was assessed using RoB 2 and JBI. Four studies showed a reduction in the incidence of infection, while three studies showed no significant difference. No increased risk of infection was found in any of the studies. Most studies used chlorhexidine sponges or patches (4 studies, 57%); 28% used chlorhexidine-impregnated dressings; and the remainder used chlorhexidine solution. Most studies were of moderate to good quality, with some potential for bias. Three studies showed p-values < 0.05. Chlorhexidine-based care protocol interventions show a tendency to reduce catheter-related infections in hemodialysis, but results remain inconsistent. The implementation of evidence-based nursing practices, particularly tailored to tunneled and non-tunneled catheters, is necessary to optimize infection prevention.
Utilization of virtual and digital technologies in reducing psychological problems in the elderly with chronic illness: A systematic review Indira Mastura Pulungan; Etty Rekawati; Dikha Ayu Kurnia; Utami Rachmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1268

Abstract

Background: Globally the prevalence of chronic diseases continues to increase every year. In 2021, it is estimated that around 43 million people will die from chronic diseases, with 73% of them being prevalent in low-income or developing countries. Purpose: To conduct an analysis related to the use of virtual and digital technology in reducing psychological problems in the elderly with chronic diseases. Method: This paper is a review of the literature related to the topic of the use of virtual and digital technology in the elderly with chronic diseases on its effect on psychological problems. The analysis begins with a literature search across several databases, including PubMed, Google Scholar, Sage Journals, ProQuest, ScienceDirect, and SpringerLink. The article search was conducted using the PICO form (P = Elderly with chronic diseases; (2) Intervention = Utilization of virtual technology, utilization of digital technology; (3) Outcomes = Reducing psychological problems, elderly rehabilitation). The author identified 33 articles for analysis and filtered them, resulting in 5 articles that employed the Randomized Controlled Trial (RCT) research method. Furthermore, the author conducted an analysis using a critical appraisal form, namely the CASP (Critical Appraisal Skill Program) form. Results: The virtual technologies can minimise depression, anxiety, and increase self-efficacy in elderly people with chronic disease. The digital application technologies give a psychological impact based on the features and the basic purpose of making that application. Conclusion: Virtual and digital technologies have an impact on the psychological well-being of the elderly, based on the features that these technologies provide for them.
Co-Authors Agung Waluyo Amelia Kurniati Aminah Soemadi Al Djuwardi Ardiyati, Adelina Vidya Dahlia, Debie - Debbie Dahlia Dewi Ayu Pratiwi Dwi Cahya Rahmadiyah Efadatus Zakiyah Elly Nurachmah Etty Rekawati Eva Yulianti Fathiya Hanisya Fina Mahardini Gipta Galih Widodo Hanisya, Fathiya I Made Kariasa I Putu Adi Suryawan I Putu Adi Suryawan Imelda Imelda Indira Mastura Pulungan Jesica Pasaribu Laode Saltar Maria Fulgensia Bengu Ndona Maria, Riri Nekka Juliani Neng Intan Ni Wayan Astiti Pertiwi Novrin Senselia Putri Ziliwu Nurul Aini Sabichiyyah Nurul Azizatunnisa Pius Almindu Leki Berek Priyanto Priyanto Rachmawati, Utami Rahmadiya, Siska Retno Yuli Hastuti Ria Andriani Rima Novia Putri Rinda Apriani Riri Maria Rizky Hidayat Siska Rahmadiya Sri Hariyanti Sri Yona Susanti Niman Tuti Herawati Umi Solekhah Umi Solekhah Utari Christya Wardhani Vetty Priscilla Wahyuni, Anyta Hera Yeane Anastania Yulia Yulia Yunizar Gultom