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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.
Self-Management Programs of Fatigue Syndrome in Children and Adolescents Living with Chronic Conditions: A Systematic Review Vincentia Exandy Salvera Arnoldy; Allenidekania Allenidekania; Siti Chodidjah; Etty Rekawati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6118

Abstract

Chronic fatigue syndrome is a debilitating illness of unknown cause that affects physical, psychological, emotional, and social aspects of life, manifesting in poor physical stamina, reduced social interaction, and depression. Self-management programs involve the deliberate practice of specific tasks, activities, and behaviors aimed at managing the medical, psychosocial, and daily life impacts of chronic illness. These programs include strategies such as symptom monitoring, adherence to treatment plans, and maintaining healthy practices. Aim to evaluate the effectiveness of self-management programs in reducing fatigue so as to improve quality of life. In a study utilizing the PICO search strategy related to self-management activities for reducing fatigue, 396 articles were found in the Cochrane, PubMed, Medline, Taylor & Francis, ProQuest, ScienceDirect, and Sage databases between 2020-2024; four articles meeting the inclusion criteria were analyzed in depth using quality assessment tools such as PRISMA. The study protocol was registered in the Prospective Register of Systematic Reviews (PROSPERO) with the following registration number: CRD42024622785. Based on the literature search was conducted without restrictions on the start year, including publications up to 2024.", 415 articles were identified, 19 duplicate articles were selected, until 5 eligible articles were obtained based on the selection of design, participant, intervention, and outcome This review concludes that self-management, such as lifestyle advice, web-based programs, and physical activity, is effective in reducing fatigue, and to achieve better quality of life and fatigue reduction outcomes, tailored to patient needs and conditions needed to be strengthened.
The Use of Virtual Reality to Improve Nutritional Fulfillment in Hospitalized Children: A Systematic Review Yelly Sari Arifin; Dessie Wanda; Ayu Widya Lestari; Etty Rekawati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6211

Abstract

Hospitalized children often experience decreased appetite, which is influenced by stress and anxiety. This decrease in appetite can worsen the recovery process and increase the risk of complications. VR technology has emerged as one of the promising innovations to reduce anxiety and improve nutritional fulfillment in children during medical treatment. Objective: To evaluate the effectiveness of Virtual Reality (VR) in improving nutritional fulfillment in hospitalized children. Method: A literature search was conducted on four major databases: PubMed, ProQuest, ScienceDirect, and Scopus. Three articles with Randomized Controlled Trial (RCT) design that met the inclusion criteria were selected and analyzed in this review. The articles were evaluated using the Joanna Briggs Institute (JBI) form to assess risk of bias and methodological quality. Results: This study shows that VR is more effective than animated videos in reducing anxiety, increasing appetite, and motivating children to eat nutritious food. In addition, VR also provides benefits as an interactive educational tool that appeals to children. Conclusion: VR is a promising intervention in improving nutritional fulfillment in hospitalized children. This technology not only reduces anxiety, but also has the potential to increase children's participation in the recovery process. Further research with larger samples is needed to confirm these findings and explore the applicability of VR to different age groups and diverse medical conditions.
Factors Associated with Frailty Syndrome in the Elderly: A Systematic Review Jamilatur Rasyidah Efendi; Etty Rekawati; Henny permatasari; Utami Rachmawati
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.v7i4.6254

Abstract

Frailty syndrome is a common condition among the elderly. Frailty has become a major health issue in the 21st century, affecting older adults and being associated with various negative outcomes such as decreased quality of life, increased mortality, hospital admissions, risk of falls, depression, and dementia. Objective: This study aims to identify and summarize the factors associated with frailty syndrome in the elderly through a systematic literature review. The findings are expected to serve as a basis for early prevention and management efforts of frailty in older adults. This study employs a systematic literature review method by analyzing 7 relevant journal articles published between 2020 and 2025. Articles were sourced from databases such as ProQuest, SpringerLink, and ClinicalKey for Nursing, selected based on topic relevance and publication quality to provide a comprehensive overview of the factors influencing frailty syndrome in the elderly. Based on the review of 7 journal articles, several factors influencing frailty syndrome were identified, including: age over 80 years, polypharmacy (use of multiple medications), gender, low body mass index (BMI), history of hospitalization, previous alcohol use, history of falls, living alone, presence of comorbidities, and impaired cognitive function. Frailty syndrome in the elderly is influenced by various risk factors spanning physical, psychological, and social aspects. Identifying these factors is crucial to support early interventions and preventive efforts, thereby improving the quality of life of older adults and reducing the risk of further complications. This systematic review can serve as a reference in developing strategies for the prevention and management of frailty among the elderly population.
The Influence of Discharge Planning on Family Preparedness in Caring for Elderly Stroke Patients: A Systematic Review Mardhatillah Mardhatillah; Etty Rekawati; Kuntarti Kuntarti
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.v7i4.6306

Abstract

Stroke is the second leading cause of death and the third leading cause of disability worldwide . Lack of understanding and information received by families, as well as minimal involvement during patient care, can lead to unpreparedness in caring for patients. Discharge planning is an important process in ensuring a safe transition of care from hospital to home, especially for elderly stroke patients. Family readiness to care for elderly stroke at home is greatly influenced by the effectiveness of discharge planning . Objective: This study aims to examine and analyze the effect of discharge planning on family readiness to care for elderly stroke. Method: Five databases through article searches adjusted to the PICO question formulation consisting of ScienceDirect, ProQuest, Googlescholer, Sage Journals, and Taylor and Franchise from 2019-2024. The keywords used are Stroke in Elderly, older, Older adult, Cerebral Infarction AND Discharge Planning AND family readiness, , family satisfaction.The number of articles found was 1,335, and after screening, 5 articles were analyzed. Results: There were five selected articles. Based on the results of the analysis, comprehensive discharge planning, involving education, training, and psychosocial support, has been shown to increase family readiness to care for elderly stroke at home. With a Randomized Controlled Trial (RCT ) and quasi-experimental design . Conclusion: Effective discharge planning can increase family readiness and satisfaction in caring for elderly stroke at home.
Translation and validation of the Indonesian version of the Family Support Scale (FSS) for elderly Didi Kurniawan; Junaiti Sahar; Etty Rekawati; Ratu Ayu Dewi Sartika
Lentera Perawat Vol. 6 No. 4 (2025): October - December
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.611

Abstract

Abstract Background: Family support is a crucial determinant of elderly wellbeing, influencing emotional stability, independence, and overall quality of life. The Family Support Scale (FSS) is widely used internationally to measure perceived family support; however, no standardized Indonesian version has been available for elderly populations. Objective: This study aimed to translate, culturally adapt, and evaluate the validity and reliability of the Family Support Scale (FSS) for Older People into the Indonesian language for use among the elderly. Methods: A methodological design was applied using a standardized back-translation procedure encompassing forward translation, synthesis, blind back-translation, and expert harmonization. Fifty elderly respondents aged ≥60 years in Pekanbaru were recruited to assess the instrument’s psychometric properties. Construct validity was evaluated through corrected item–total correlation, while reliability was measured using Cronbach’s Alpha. Results: All 20 items demonstrated acceptable corrected item–total correlation values (>0.30), indicating good construct validity. Reliability testing yielded a Cronbach’s Alpha of 0.949, reflecting excellent internal consistency. The translation and cultural adaptation process successfully preserved semantic, cultural, and conceptual equivalence with the original instrument. Conclusion: The Indonesian version of the FSS is valid and reliable for assessing perceived family support among the elderly in Indonesia. The instrument is suitable for use in clinical practice, community health assessments, and elderly-focused research. Future studies should include larger and more diverse samples and incorporate exploratory and confirmatory factor analyses to further strengthen the construct structure.
Development and Psychometric Evaluation of the Holistic Diabetes Self-Efficacy Scale (HDSES) in Indonesia La Ode Saltar; Junaiti Sahar; Rekawati Etty; Dian Ayubi; M Agung Akbar
Lentera Perawat Vol. 3 No. 2 (2022): Lentera Perawat
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v3i2.756

Abstract

Background: Type 2 diabetes mellitus requires consistent self-management, and successful disease control is strongly influenced by patients’ self-efficacy in performing daily care behaviors. Existing instruments mainly emphasize behavioral and treatment-related aspects and may not adequately capture broader holistic dimensions, including psychosocial adaptation and spiritual coping.Objective: This study aimed to develop and psychometrically evaluate the Holistic Diabetes Self-Efficacy Scale (HDSES) among individuals with type 2 diabetes mellitus in Indonesia.Methods: This methodological study followed four stages of instrument development, namely construct definition, item pool generation, scale design, and psychometric evaluation. The HDSES was conceptualized across six dimensions: nutrition, physical exercise, treatment adherence, blood glucose check, psychosocial adaptation, and spiritual coping. The initial questionnaire consisted of 30 items and was reviewed by three nurse lecturers specializing in diabetic care. Data were collected from patients with type 2 diabetes mellitus in the working areas of public health centers in Kendari City using simple random sampling. The final instrument consisted of 28 items rated on a five-point Likert scale ranging from 1 (very uncertain) to 5 (very confident). Validity was assessed using Pearson correlation, and reliability was examined using Cronbach’s alpha.Results: The findings showed that all six HDSES dimensions demonstrated adequate item validity and good internal consistency. The dimensions of nutrition, physical exercise, treatment adherence, blood glucose check, psychosocial adaptation, and spiritual coping were all found to be valid and reliable for assessing holistic diabetes self-efficacy.Conclusion: The HDSES is a valid and reliable instrument for measuring holistic diabetes self-efficacy among patients with type 2 diabetes mellitus in Indonesia. The scale may support more comprehensive nursing assessment, health education, and tailored interventions in primary care settings.
The Effectiveness of Community-Based Nutrition Education in Reducing Stunting in Remote Areas: A Systematic Review Nasirun, Hafizs; Rekawati, Etty; Rahmadiyah, Dwi Cahya; Wiarsih, Wiwin
Journal of Islamic Nursing Vol 11 No 1 (2026): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v11i1.63930

Abstract

Abstract Community-based nutrition education is a key strategy for addressing stunting in geographically isolated regions, yet synthesized evidence on its effectiveness in these specific high-constraint environments remains limited. This systematic review evaluates the impact of community-based nutrition education on stunting and child nutrition outcomes in remote and rural areas. We searched six major databases (ProQuest, ScienceDirect, Scopus, SAGE, SpringerLink, Taylor & Francis) for randomized controlled trials and quasi-experimental studies published between 2014 and 2024. Following PRISMA guidelines, twelve studies (N=53,570) from Asia, Africa, and Latin America were included for qualitative synthesis. Interventions combining nutrition counseling, cooking demonstrations, and home visits significantly improved complementary feeding practices, dietary diversity, and hygiene behaviors. While all studies reported improvements in caregiving, significant reductions in stunting prevalence (ranging from 4.9% to 35%) were primarily observed in multi-year programs that integrated educational components with targeted nutritional supplementation and growth monitoring. In isolation, education improved dietary diversity but had modest, statistically insignificant effects on linear growth. Community-based nutrition education is most effective in reducing stunting when implemented as a multifaceted, long-term intervention linked to social support and supplementation. Policy design for remote areas must prioritize culturally adapted, resource-integrated models to achieve measurable anthropometric gains. Keywords: adolescents, assertive training, boarding school, Islamic values, interpersonal communication.
Effectiveness cognitive behavioral therapy in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients: A systematic review Tety Nikasia Matanari; Etty Rekawati; Astuti Yuni Nursasi; Henny Permatasari
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.989

Abstract

Background: Tuberculosis not only affects the physical condition of sufferers but also causes psychological problems such as anxiety and depression in tuberculosis patients. These psychological disorders will have an impact on treatment that is still undergoing treatment. The efforts that can be given are non-pharmacological therapy, namely Cognitive Behavioral Therapy (CBT), this therapy is carried out by changing the wrong way of thinking about the disease experienced by the patient. Purpose: To determine the effectiveness of Cognitive Behavioral Therapy (CBT) in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients diagnosed with pulmonary tuberculosis who experience psychological stress, I: Cognitive Behavioral Therapy (CBT), C: Standard care or conventional treatment without CBT, O: Reduction in psychological stress (levels of stress, anxiety, or depression), S: Randomized Controlled Trials. The article search was conducted systematically using the keywords: "Tuberculosis" AND "Cognitive Behavioral Therapy” AND “Cognitive Therapy” AND “Medication Adherence” AND “Medication Compliance” AND “Psychological“AND “Depression” AND “Anxiety”. Results: This study shows that Cognitive Behavioral Therapy (CBT) is effective in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Conclusion: CBT is effective in increasing medication adherence in pulmonary tuberculosis patients.
The effect of reminiscence therapy on psychological well being of the elderly: A systematic review Ceacilia Nika Candra Kusuma; Etty Rekawati; Junaiti Sahar; Yossie Susanti Eka Putri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1129

Abstract

Background: Aging increases health problems, decreases physical abilities and daily activities that reduce the psychological well-being of the elderly. The aging process is accompanied by psychological problems, such as: increased symptoms of depression, stress, anxiety, and mental well-being problems. Research interventions to improve psychological well-being of elderly have been widely investigated. One of the therapies that has been widely researched and developed is reminiscence therapy, so the research question of the systematic review is how does reminiscence therapy affect psychological well-being of elderly. Purpose: To determine the effect of reminiscence therapy on the psychological well-being of the elderly. Method: A systematic search review of 3 databases: ProQuest, Science Direct, and Wiley Online Library in February 2025 to identify all relevant peer-reviewed journal articles. Based on the search results with the keywords reminiscence therapy and (parents or elderly or elderly) and (psychology of well-being or depression or anxiety or emotional) obtained 63,002. Furthermore, the journal article limiter (scientific journal, the last 5 years 2020-2025, English, nursing psychology journal) obtained 819 articles. Then the screening compiled the title and abstract obtained 23 articles, then the screening by reading the article as a whole obtained 10 articles, after the article criticism/critical assessment was carried out, 8 journals were analyzed in this systematic review. Results: Shows that reminiscence therapy can improve well-being, reduce depression, increase life satisfaction, increase self-esteem, increase meaning in life, increase a sense of cohesion, improve problem-solving skills, reduce anxiety about death, and improve the ability of older adults to adapt to aging.   Conclusion: Reminiscence therapy is effective to improve psychological well-being of the elderly. The application of reminiscence therapy can be carried out in health service practices, both elderly in nursing homes and in the community. Suggestion: It is hoped that a more comprehensive systematic review can be developed by conducting a review of previous literature, searching for articles from various databases, and exploring other sources such as the web and others.
Co-Authors A.A. Ayu Rani Puspadewi AA Sudharmawan, AA Achir Yani S. Hamid Achir Yani Syuhaimie Hamid Adawiyah, Robiyatul Adil Candra Agung Waluyo Agus Setiawan Akbar, M. Agung Allenidekania Allenidekania Aminah Soemadi Al Djuwardi Anggraini Marissa Aria Kekalih Arief Andriyanto Arief Andriyanto, Arief Arjuna Arjuna Astuti Nursasi Astuti Yuni Nursasi Ayu Widya Lestari Azwar Azwar Budi Anna Keliat Cahyani, Reztika Candra, Adil Ceacilia Nika Candra Kusuma Dahlia, Debie - Defrima Oka Surya Dewi Srimauli Simorangkir Dian Ayubi Didi Kurniawan Dikha Ayu Kurnia Dwi Cahya Rahmadiyah Dwi Nurviyandari Ede Surya Darmawan Eriska, Winda Faridah, Ida Fatin, Nurul Fikri Fikri Fina Mahardini Fitriani Fitriani Fonny Veronika Runtulalo Fransiska Novita Sari Gupta, Prateek Handayani, Eka Sila Henny Permatasari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Indah Permata Sari Indah Permata Sari Indah Permatasari Indira Mastura Pulungan Istifada, Rizkiyani Iswanto Iswanto Jamilatur Rasyidah Efendi Junaiti Sahar Juniati Sahar Juniati Sahar, Juniati Kartika, Annisa Wuri Kasfi, Anna Kristamuliana Kristamuliana Kuei-Ru Chou Kuntarti La Ode Saltar Lestari, Ayu Widya Lily Herlinah Lita Heni Kusumawardani Mahmuddin Mahmuddin Mardhatillah Mardhatillah Marwah Marwah Mersiliya Sauliyusta Nani Nurhaeni Nasirun, Hafizs Ni Made Candra Citra Sari Nuridah Nuridah Oky Octaviani Poppy Fitriani Poppy Fitriyani Prateek Gupta Prio, Asminarsih Zainal Putra, Mepsa Putri, Yossie Susanti Eka Rachmawati, Utami Rahayu, Bhekti Yuniarti Rahmawani, Atika Ratna Lestari Ratu Ayu Dewi Sartika Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Hadi Widyastuti rohayati rohayati Rohayati, Rohayati Rossyda, Erna Netty Royani Royani Royani Royani Ryanti Maranata Safaruddin Sagala, Adi Brando M Sahara, Elvira Saraswati, Sarita Sari, Ni Luh Putu Dian Yunita Sheirly Mariani Sigit Mulyono Silaswati, Shinta Silvia Elki Putri Sinurat, Diana Nurhayati Siti Chodidjah Siti Hardiyanti Sovia Sovia Sri Wulan Widyawati Sri Yona Susana Susana Sutrisno, Sutrisno Syahrani Iskandar Tandilangi, Trisnawati Paulus Tangnga, Martinus Tety Nikasia Matanari Tinneke A. Tololiu Trisno Putri, Noor Rochmah Ida Ayu Utami Rachmawati Vincentia Exandy Salvera Arnoldy Wafa Sofia Fitri Wahyuni, Anyta Hera Wanda , Dessie Wang, Jing Jy Wati, Dwi Nurviandari Kusuma Wati, Dwi Nurviyandari Kusuma Widyatuti Widyatuti Wiwin Wiarsih Yelly Sari Arifin Yossie Susanti Eka Putri Yulita, Refi Yusriana Yusriana Zubair, M. Abdul Hamid