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The Effectiveness of Massage Therapy on Pain Reduction in Rheumatoid Arthritis Patients: Literature Review Achlish Abdillah; Syaifuddin Kurnianto; Meylinda Rizky Wahyuni
Health and Technology Journal (HTechJ) Vol. 1 No. 6 (2023): December 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i6.120

Abstract

Rheumatoid Arthritis is a chronic inflammatory disease that can cause bone damage and cause disability. The most common and dominant symptom is pain, especially swelling in the morning. There is a way to treat pain in rheumatoid arthritis patients with massage. Massage has the effect of reducing anxiety and muscle tension. This muscle massage stimulation is enriched to stimulate delta-A nerve fibers and C fibers and releases substance P in the afferent nerves, where there are mechanoreceptors (tactile apparatus: skin) as a defense mechanism, and in the central cortex, the descending nerves release endogenous. opiates, namely endorphins produced by the pituitary as a pain reliever. So, it can block or reduce pain impulses. This study aims to determine the effect of massage on reducing pain intensity in rheumatoid arthritis patients. This research uses a literature review design using 2 databases, namely PubMed and Scopus. The results showed that in journal research, giving massage for ± 15 minutes every day resulted in reduced pain and anxiety. In the journal, rheumatoid arthritis sufferers had a decrease in the quality of pain using back massage therapy with p=0.05. The conclusion of this study shows that the use of massage therapy is effective for patients with rheumatoid arthritis who experience pain.
Healthy Food After COVID-19 Vaccination: Makanan Sehat Paska Vaksinasi COVID-19 Sri Wahyuningsih; Achlish Abdillah; Nurul Hayati; R. Endro Sulistyono; Syaifuddin Kurnianto
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 1 (2023): May 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i1.31

Abstract

Coronavirus is a cause of infectious diseases. The European Food Safety Association (EFSA), on March 9, 2020, explained that there is no evidence yet to show that food is part of the coronavirus transmission route (of course, when we consume food in the right and clean way standard). Basic Health Research conducted by the Ministry of Health in 2018 shows that few Indonesian citizens are malnourished or suffer from diabetes. This group risks experiencing fatal health problems when attacked by the coronavirus. The aim of this health promotion is that the post-vaccination participants for COVID-19 in the D3 Nursing Study Program, Faculty of Nursing, University of Jember, Lumajang Campus, have a better understanding of consuming healthy food after the COVID-19 vaccination. The service method uses counseling using lectures, question and answer, and demonstrations with X banner and leaflet media for participants after the COVID-19 vaccination, which was carried out on March 17, 2022, taking place at the D3 Nursing Study Program, Faculty of Nursing, Universitas Jember, Lumajang Campus. The results of this community service activity are likely successful. This can be observed in the level of attendance and the activeness of the participants. This activity took place in an orderly and good manner without experiencing significant obstacles. The follow-up that needs to be done is to continue to provide information on healthy food after the COVID-19 vaccination, so that confusing and untrue news can be suppressed so that the people of Indonesia are free of COVID-19, especially the people of Lumajang.
Optimizing Early Detection of TIA: A Literature Review of Clinical and Technological Screening Methods Eko Prasetya Widianto; Syaifuddin Kurnianto; Arista Maisyaroh; Erik Kusuma
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.371

Abstract

Transient Ischemic Attack (TIA) is a critical predictor of future stroke, yet it is frequently underrecognized due to its transient and often mild neurological manifestations. This literature review aims to synthesize clinical and technological approaches for early screening and detection of TIA, emphasizing strategies aligned with timely intervention and stroke prevention. A systematic search was conducted across PubMed, Scopus, and Google Scholar, identifying 94 articles. Following PRISMA guidelines, 10 studies were selected based on inclusion criteria related to early detection, emergency response, and digital health interventions. The analysis yielded three major themes: (1) the clinical relevance of early recognition of subtle neurological symptoms, (2) the role of emergency medical services and prehospital screening tools, and (3) the emergence of mobile health (mHealth) and telemedicine platforms in supporting early TIA detection. Findings indicate that while TIA symptoms are transient, they signal a significant risk of subsequent stroke, underscoring the need for prompt and accurate assessment. Technological innovations such as mobile applications and teleconsultation enhance traditional diagnostic methods but face challenges in implementation, including disparities in digital access and limited public awareness. In conclusion, integrating clinical vigilance with scalable technological solutions holds promise for improving early TIA detection, particularly in resource limited or remote settings. It is recommended that health systems invest in training emergency responders and adopt validated digital tools into prehospital protocols. Future research should focus on clinical validation and real-world integration of mHealth platforms to support global stroke prevention efforts.
Active Cycle Breathing Technique for Ineffective Airway Clearance in a COPD Patient:ACase Study Wardah Wardah; Erik Kusuma; Syaifuddin Kurnianto; Suhendra Agung Wibowo; Mufidah Mufidah
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4313

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that commonly causes ineffective airway clearance due to excessive mucus production and sputum retention. Active Cycle Breathing Technique (ACBT) is a breathing exercise used to facilitate secretion mobilization and improve airway clearance. Objective: This study aimed to describe the implementation of ACBT in a patient with ineffective airway clearance associated with COPD. Methods: A descriptive case study design was used involving one COPD patient hospitalized in Melati Ward, Bangil Regional Hospital. The intervention consisted of breathing control, thoracic expansion exercises, and forced expiration techniques administered once daily for three consecutive days. Clinical indicators observed included respiratory rate, oxygen saturation, cough effectiveness, dyspnea, breath sounds, and sputum characteristics. Results: The results showed progressive improvement during the intervention period. Respiratory rate decreased from 25 to 20 breaths/minute, oxygen saturation increased from 98% to 99%, dyspnea resolved, cough effectiveness improved, and sputum became thinner and easier to expectorate. Conclusion: These findings indicate that Active Cycle Breathing Technique contributed to improved airway clearance and respiratory status. ACBT can be recommended as a complementary nursing intervention for patients with ineffective airway clearance due to COPD.
Family Perspectives on ICU–ICCU Nurses’ Assertive Communication at Universitas Airlangga Hospital for Service Excellence Kartika Nurhayati; Syaifuddin Kurnianto
Clinical Practices and Hospital Management Vol. 1 No. 1 (2025): Clinical Practices and Hospital Management
Publisher : Rumah Sakit Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cphm.v1i1.75611

Abstract

Assertive communication by staff in intensive care units (ICU–ICCU) is essential for delivering family-centered care and achieving service excellence. This study aimed to explore patient families’ perceptions of ICU–ICCU nurses’ assertive communication at Universitas Airlangga Hospital, Surabaya. A quantitative descriptive-analytic design was employed involving 30 purposively selected family members. Data were collected using a validated 10-item assertive communication questionnaire (α = 0.93; r = 0.514–0.929) and analyzed using descriptive statistics, one-sample t-test, one-way ANOVA, and Pearson correlation. The mean total assertive communication score was 36.9 ± 3.7, with 74.2% of respondents rating the nurses’ communication as very assertive. The highest-rated indicators were empathetic listening (mean = 3.87) and comfort in asking for help (mean = 3.80), while openness to criticism received the lowest rating (mean = 3.07). A one-sample t-test showed the mean score was significantly higher than the theoretical midpoint of 25 (t(29) = 17.80; p < 0.001). No significant differences were found based on gender, age, education, or duration of accompaniment. However, a significant difference was observed based on the respondent’s relationship to the patient (F(3, 26) = 3.40; p = 0.032). Although ICU–ICCU nurses were generally perceived as highly assertive communicators, the low rating for feedback openness reveals a relational gap. Assertive communication training should therefore emphasize not only clarity and confidence, but also empathy, receptiveness to criticism, and inclusive, relationship-centered approaches to strengthen family engagement in care.