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Efektifitas Selimut Periksa Berbasis Syar’i Terhadap Kepuasan Pasien Pada Pelayanan Kesehatan Nunik Purwanti; Arif Helmi Setiawan; Eppy Setyowati
Jurnal Keperawatan Muhammadiyah Vol 7, No 1 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i1.10865

Peningkatan kepuasaan pasien pada pelayanan kesehatan menjadi indikator keberhasilan pelayanan kesehatan. Kepuasan pasien dapat dicapai dengan memberikan pelayanan terbaik salah satunya memberikan perlindungan dan menjaga privacy pasien selama pemeriksaan agar tubuh pasien terlindungi dan tidak terlihat oleh orang lain. Penggunaaan selimut berbasis syar’i merupakan modifikasi yang di gunakan untuk pasien dimana anggota tubuh tetap tertutup selama pemeriksaan. Tujuan penelitian menganalisis efektifitas selimut periksa berbasis syar’i terhadap peningkatan kepuasan pasien pada pelayanan kesehatan. Jenis penelitian kuantitatif dengan pendekatan cross sectional. Populasi seluruh pasien yang berkunjung ke tempat praktek mandiri dokter. Sampel sebagian pasien yang berkunjung ke tempat praktek mandiri dokter. Variabel penelitian tingkat kepuasan pasien. Data penelitian diambil menggunakan kuesioner dengan 15 pernyataan, kepuasan tinggi skor 36-48, kepuasan sedang skor 30-36, dan kepuasan kurang skor 15-30. Pengukuran tingkat kepuasan dilakukan baik pada kelompok kontrol maupun kelompok eksperimen masing-masing ada 15 pasien. Kelompok kontrol diberikan selimut yang biasanya di gunakan sehari-hari, kelompok eksperimen menggunakan selimut berbasis syar’i . Analisis data menggunakan mann whitney dengan α = 0,05. Hasil uji mann whitney ρ= 0,000 (0,000 < 0,05) menunjukkan terdapat pengaruh selimut berbasis syar’i terhadap tingkat kepuasan pasien. Secara umum penelitian ini membuktikan selimut berbasis syar’i efektif meningkatkan kepuasan pasien pada pelayanan kesehatan.

The Effectiveness of Patient Safety In Reducing Patient Safety Incidents Eppy Setyowati; Febi Ariska Putri; Wiwin Handayani; Kristianingrum Kristianingrum
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1188

Patient safety incidents (PSIs) continue to pose serious challenges to healthcare quality and public trust. The persistence of adverse events, near misses, and medical errors indicates that patient safety implementation remains inadequate, often due to weak reporting cultures, limited healthcare worker competence, and insufficient risk management systems. This study aimed to synthesize evidence on the effect of patient safety implementation in reducing patient safety incidents in healthcare services. A literature review was conducted on studies published between 2020 and 2025 using PubMed, Google Scholar, Semantic Scholar, and ScienceDirect. From 1,833 identified articles, duplicates were removed, titles and abstracts were screened, and methodological quality was assessed using the JBI Critical Appraisal Checklist. Seven eligible articles were included and analyzed through narrative synthesis. The findings show that effective patient safety implementation reduces patient safety incidents through four main components: incident reporting systems, strengthening safety culture, improving healthcare worker competence through education, and utilizing information technology for reporting and rapid response. These strategies enhance risk identification, procedural compliance, and prevention of recurrent incidents. Patient safety implementation significantly reduces patient safety incidents and improves healthcare service quality. Comprehensive strategies, managerial support, and continuous non-punitive reporting systems are essential for sustainable patient safety improvement.

Oral Care Protocol and the Prevention of Ventilator-Associated Pneumonia in ICU Patients: A Literature Review Eppy Setyowati; Bayu Rizky Pratama; Moh Sadli; Intan Cahyanti Sugianto
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1189

Patients undergoing mechanical ventilation are at high risk of developing infectious complications, particularly Ventilator-Associated Pneumonia (VAP). Structured oral care through the implementation of an oral care protocol plays a critical role in preventing such infections. This study employed a Systematic Literature Review design guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Relevant articles were identified from databases including Google Scholar, Elsevier, ScienceDirect, and ResearchGate. The review focused on articles published within 2020-2025 and relevant to oral care in mechanically ventilated patients. The keywords used in the article search were Ventilator-Associated Pneumonia, Oral Care Protocol, and Mechanical Ventilation. The findings indicate that structured oral care protocols significantly reduce the incidence of VAP. Effective strategies include the use of additional topical agents such as honey, disposable oral care kits, and individualized care approaches based on appropriate assessment tools. Regular training and ICU nursing certification are also key factors in optimizing the implementation of oral care. Moreover, attention to nurse-to-patient ratios contributes to improved care quality. Oral care for ventilated patients should be integrated into hospital Standard Operating Procedures (SOPs) using an evidence-based approach. Institutional support through training, resource provision, and policy development is essential to enhance intervention effectiveness and reduce complications such as VAP.

The Effectiveness of Self-Management Approaches on Improving Self-Efficacy and Quality of Life in Stroke Patients Undergoing Rehabilitation Programs: A Systematic Review Eppy Setyowati; Mardliyah Mardliyah; Sumiatin Sumiatin; Winarti Winarti
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1190

Stroke is a major global health problem and one of the leading causes of long-term disability and death worldwide. Post-stroke patients often experience decreased physical function and independence, while adherence to rehabilitation programs remains suboptimal due to low motivation, insufficient knowledge, and limited family support. The self-management approach has been introduced to encourage patients' active participation in their recovery process by improving self-efficacy and overall quality of life This study aims to evaluate the effectiveness of the self-management approach in improving self-efficacy and quality of life among post-stroke patients, and to critically appraise the quality of existing scientific evidence. This study applied a systematic review design following the PRISMA 2020 guidelines. Literature searches were conducted in PubMed, Scopus, Web of Science, Google Scholar, and Registers for studies published between 2020 and 2025. Of the 1,383 articles identified, 10 studies met the inclusion criteria and were analyzed. All ten studies consistently demonstrated that self-management interventions effectively improved self-efficacy , adherence to rehabilitation, and quality of life in post-stroke patients. The interventions also promoted independence in daily living activities ( Activities of Daily Living/ADL ) and strengthened patients' confidence and motivation in managing their health. Additionally, family involvement and healthcare support were identified as key factors contributing to the success of self-management programs. The self-management approach is proven to be an effective strategy for enhancing self-efficacy and quality of life among stroke survivors. It empowers patients to actively engage in their physical, psychological, and social recovery. Therefore, self-management programs should be integrated into post-stroke rehabilitation as a sustainable and patient-centered intervention model in both clinical and community settings.

The Relationship Between Chronic Kidney Disease and Sarcopenia: A Systematic Review Eppy Setyowati; Ragil Putri Fitriyanti; Aldila Ayu Widya; Justinho Soares
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1246

Chronic kidney disease (CKD) is a growing global health problem and is associated with multiple systemic complications. One important but often underrecognized complication is sarcopenia, characterized by progressive loss of muscle mass, strength, and physical performance. Sarcopenia is highly prevalent in patients with advanced CKD and those undergoing hemodialysis and is associated with poor clinical outcomes, including increased hospitalization, functional decline, and mortality. This literature review aimed to synthesize recent evidence on the relationship between CKD and sarcopenia, including prevalence, contributing factors, pathophysiological mechanisms, and clinical implications. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were conducted in PubMed, ScienceDirect, Google Scholar, and Semantic Scholar for English-language articles published between 2020 and 2025. Study selection was guided by the PICOS framework. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. A total of 15 studies meeting the inclusion criteria were included in the final synthesis. The included studies reported a high prevalence of sarcopenia among CKD patients, ranging from 15.9% to 64.1%, with higher rates observed in advanced CKD stages and hemodialysis populations. Sarcopenia was consistently associated with older age, malnutrition, protein–energy wasting, chronic inflammation, reduced physical activity, and metabolic disturbances. Clinically, sarcopenia was linked to increased mortality, hospitalization, reduced physical function, and poorer quality of life. Sarcopenia is a prevalent and clinically significant complication of CKD. Early detection and integrated interventions combining nutritional optimization, resistance exercise, and metabolic management are essential to improve patient outcomes. Further longitudinal studies are needed to strengthen preventive and therapeutic strategies.

The Effect of Exercise on Cardiovascular Parameters in Postmenopausal Women: A Systematic Review Eppy Setyowati; Ragil Putri Fitriyana; Tri Sunu Probolaksono; Sulis Setiyanti
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1247

Menopause is characterized by a decline in estrogen levels that leads to physiological changes increasing cardiovascular risk, including hypertension, dyslipidemia, reduced cardiorespiratory fitness, and vascular dysfunction. Consequently, cardiovascular disease remains a major public health concern among postmenopausal women. This study aimed to systematically review evidence on the effects of exercise on cardiovascular parameters in postmenopausal women and to identify the most effective exercise modalities for cardiovascular health improvement. A literature review was conducted in accordance with PRISMA 2020 guidelines. Electronic searches were performed in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Study selection followed predefined inclusion and exclusion criteria based on the PICOS framework. Methodological quality was assessed using the JBI Critical Appraisal Checklist. Fifteen studies met the eligibility criteria and were included in the synthesis. The findings consistently demonstrated that exercise significantly improves cardiovascular outcomes in postmenopausal women. Moderate-intensity aerobic exercise was most frequently associated with reductions in systolic and diastolic blood pressure and improvements in VO₂max. Resistance training improved body composition and cardiometabolic biomarkers, while combined aerobic–resistance programs provided broader cardiovascular benefits. High-intensity interval training yielded marked improvements in cardiorespiratory fitness but requires appropriate supervision. Mind–body exercises were associated with improved autonomic regulation and reduced inflammation. Exercise is a safe and effective strategy for improving cardiovascular health in postmenopausal women. A combination of aerobic, resistance, and complementary exercise modalities is recommended to optimize cardiovascular outcomes and support evidence-based menopausal health management.

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