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All Journal COPING (Community of Publishing in Nursing) Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Komunitas Jurnal Kesehatan Juiperdo Jurnal Riset Kesehatan Jurnal NERS Public Health of Indonesia Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal Jurnal Kesehatan Komunitas JURNAL CITRA KEPERAWATAN Jurnal Keperawatan Silampari Media Ilmu Kesehatan Nursing Current : Jurnal Keperawatan Jurnal Kesehatan Prima Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Indonesian Journal for Health Sciences (IJHS) International Journal of Nursing and Health Services (IJNHS) Faletehan Health Journal Jurnal Ilmu dan Teknologi Kesehatan J-Dinamika: Jurnal Pengabdian Kepada Masyarakat JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) Jurnal Keperawatan Respati Yogyakarta Menara Ilmu Jurnal Riset Kesehatan Poltekkes Depkes Bandung Health Information : Jurnal Penelitian JURNAL KESEHATAN MERCUSUAR Dinamika Journal : Pengabdian Masyarakat Adi Husada Nursing Journal Journal of Community Empowerment for Health Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Kesehatan Lentera Perawat TROPHICO: Tropical Public Health Journal Berita Kedokteran Masyarakat Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Journal of Pubnursing Sciences Jurnal Berita Ilmu Keperawatan Engagement: Jurnal Pengabdian Kepada Masyarakat Holistik Jurnal Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan VJKM: Varians Jurnal Kesehatan Masyarakat
Etty Rekawati
Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan Universitas Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The effect of slow deep breathing on lowering blood pressure in the elderly with hypertension: A systematic review Nuridah Nuridah; Etty Rekawati; Yossie Susanti Eka Putri; Ikhwanudin Ikhwanudin
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.964

Abstract

Background:  Increasing age causes an increase in blood pressure in the elderly which results in the emergence of various infectious to degenrative diseases, one of which is hypertension. Hypertension is an increase in systolic blood pressure exceeding 140 mmhg and diastolic 90 mmhg. One of the efforts in handling hypertension is with non-pharmacological therapies such as slow deep breathing exercises that play a role in stimulating the work of parasympathetic nerves and inhibiting sympathetic nerves to lower blood pressure in hypertensive elderly. Purpose: To determine the effect of slow deep breathing on lowering blood pressure in elderly with hypertension. Method: Systematic review approach by analyzing selected literature from various sources. Article searches were conducted through online databases, namely ProQuest, ScienceDirect and Goggle Scholar. The results of the article selection obtained 8 articles  that met the criteria and were analyzed and critiqued using the JBI instrument ... Quality assessment is based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes) checklist. Results: Slow deep breathing is a nonpharmacological therapy that is proven to be able to reduce blood pressure in elderly people with hypertension. Conclusion: The role of slow deep breathing (SDB) is proven to be effective in helping reduce blood pressure in the elderly with hypertension.
Effectiveness cognitive behavioral therapy in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients: A systematic review Matanari, Tety Nikasia; Rekawati, Etty; Nursasi, Astuti Yuni; Permatasari, Henny
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.
Development of a Home-Based Holistic Dementia Nursing Intervention Model for Family Caregivers Widyastuti, Rita Hadi; Sahar, Junaiti; Rekawati, Etty
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.65049

Abstract

Background: The number of older adults with dementia in Indonesia continues to increase. However, many family caregivers still have limited knowledge and skills, leading to adverse effects on both the older adults and the caregivers themselves. Existing interventions mainly focus on single aspects of care and have not adequately addressed the physical, psychological, social, and spiritual dimensions. Therefore, there is a need for a comprehensive intervention model that holistically meets caregivers’ needs.Purpose: This study aimed to develop a home-based holistic dementia nursing intervention model for family caregivers and identify its key features.Methods: Three approaches were used for model development: (1) literature review, (2) in-depth interviews, and (3) expert validation. Five articles addressing holistic care dimensions and nursing interventions were included in the review. Fifteen participants took part in the in-depth interviews, while expert validation involved three specialists in the geriatric field with specific qualifications. Data were collected between August and September 2022. Analysis was conducted by comparing and synthesizing the findings from the literature review, interviews, and expert validation.Results: The holistic dementia nursing intervention model for family caregivers consisted of four intervention domains: (1) physical, (2) psychological, (3) social, and (4) spiritual. The model also incorporated three key components: (1) communication processes, (2) organizational processes, and (3) belief systems.Conclusion: The home-based holistic dementia nursing intervention model for family caregivers offers a potential conceptual framework to comprehensively address the physical, psychological, social, and spiritual needs of both older adults and their caregivers.
Effectiveness of Family Nutrition Education on the Incidence of Stunting: Systematic Review Hardiyanti, Siti; Rekawati, Etty; Setiawan, Agus; Rahmadiyah, Dwi Cahya
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3058

Abstract

The family has an important role in the growth and development of babies so that they do not experience stunting. Knowledge has an impact on increasing understanding of toddler nutrition.Objective: The aim of this literature search is to determine the effectiveness of family nutrition education on the incidence of stunting. Literature search method by combining search term using Boolean operator, below are the keywords used in the literature “mother” AND “Family nutritional science” AND “stunting” OR “growth disorders”. Literature search on several databases: Sage Journal, PubMed, Clinical Key, Science Direct, Proquest, Ebsco, Embase, Springer Link published from January 2018 to December 2023 and found 75.261 article using the PRISMA method. This systematic review research study explains that family nutrition education has the aim of increasing family knowledge, healthy development, diversity of eating patterns, and increasing the growth and development of toddlers. Family nutrition education can increase knowledge and understanding regarding eating patterns and nutrition for toddlers, family nutrition education followed by training can further improve behavior in providing healthy nutrition for toddlers.
The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature Sagala, Adi Brando M; Rekawati, Etty; Nursasi, Astuti Yuni
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3085

Abstract

Pulmonary Tuberculosis (TB) incidence and mortality rates in 2021 are higher than in 2020. The main risk factor for TB is malnutrition. Conversely, TB patients with malnutrition will experience obstacles in the healing process. The aim of this study was to review the results of research on the effect of nutritional management on the nutritional status of clients. The study design was a systematic literature review with PRISMA protocol. The literature search was limited to the last 10 years (2013-2023) in six databases, namely: Pubmed, Proquest, Science Direct, Scopus, Sage Journal, Wiley, and supplemented with hand searched in Google Scholar. All literature obtained has been reviewed for quality by each researcher using the Joanna Bridge Institute checklist for critical appraisal, then summarizing evidence, and interpreting the results. The initial search obtained 2688 literatures. The final result was seven literatures in this study. The results of these studies show that nutritional management has a positive effect on the nutritional status of TB patients. The types of nutrition management activities are individual diet, provision of high-calorie and high-protein supplementary foods, nutrition counseling, and supplementation. It was concluded that the intervention of individualized diet preparation had a statistically significant effect on improving nutritional status.
Exercise Therapy is Efficacious in Reducing Pain of Musculoskeletal Disorders in Cleaning Workers: A Systematic Review Fikri, Fikri; Rekawati, Etty; Permatasari, Henny
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3197

Abstract

Musculoskeletal disorders (MSDs) are conditions that lower productivity, cause discomfort in the form of decreased range of motion or chronic pain and impair function. These can be made worse by the workplace and its surroundings, and they impact the muscles, bones, nerves, tendons, ligaments, joints, cartilage, and intervertebral discs. Exercise therapy is one non-pharmacological intervention that might be helpful in reducing pain complaints related to MSDs. This study aimed to review the literature regarding the efficacy of exercise therapy in mitigating pain associated with musculoskeletal disorders (MSDs) in cleaning workers. A systematic review was the methodology employed. Searches for articles published between 2013 and 2023 were conducted using Google Scholar, PubMed, ProQuest, and Science Direct. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach, the search strategy was conducted. Five of the articles were eligible for inclusion. Four studies employed a quasi-experimental design, and one study used an RCT design. Exercise therapy, which includes aerobic, motor control, functional, ergonomic, and foam roller exercises, was found to be beneficial in lowering musculoskeletal pain in cleaning workers across all studies. This evidence suggests that exercise therapy can be used as a nursing intervention to reduce musculoskeletal pain in cleaning workers.
The Effect of Midfulness Meditation in Maintaining Blood Pressure in Elderly People with Hypertension: Systematic Review Sinurat, Diana Nurhayati; Sahar, Junaiti; Rekawati, Etty; Rachmawati, Utami
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3472

Abstract

Elderly with hypertension is group necessary vulnerability​ handling in giving care nursing in a way comprehensive . The purpose of review from systematic This is explore about influence deep mindfulness meditation maintain pressure blood in the elderly with hypertension . Data obtained from Embase, Pubmed, Proquest and Ebscohost databases start from 2019-2023 . Collected articles in review systematic using the keywords "Older people" AND mindfulness meditation AND "Blood Pressure", and "elderly with Hypertension OR transcendental meditation AND Blood pressure ". Selected articles with screening using the PRISMA flowchart in quote from literature This . Review results show that influence mindfulness meditation on pressure blood in patients hypertension give enhancement quality self, reduction in levels of anxiet, stress, as well beneficial For various condition health, influence function and structure brain with fast.
Mindfulness Intervention Reduces Care Burden Status of Family Caregivers for the Elderly: A Systematic Review Iskandar, Syahrani; Rekawati, Etty; Kuntarti, Kuntarti
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.v7i2.5375

Abstract

ABSTRACT The increasing elderly population in Indonesia poses significant challenges for families acting as caregivers responsible for providing optimal care. Caregivers often experience physical, mental, and emotional stress, commonly referred to as caregiver burden. Mindfulness therapy has emerged as an effective approach to reducing stress by transforming negative thought patterns. Objective: This study aims to evaluate the effectiveness of mindfulness interventions in reducing caregiver burden and enhancing the health and well-being of caregivers for elderly family members through a systematic review. Method: A systematic review was conducted using the PRISMA approach. Data were collected from three databases: PubMed, EBSCOHost, and Scopus, with inclusion criteria focusing on research articles evaluating the effectiveness of mindfulness for caregivers of the elderly, published between 2019–2024. Five studies with a Randomized Controlled Trial (RCT) design were thoroughly analyzed using the Critical Appraisal Skills Programme (CASP). Results: The findings revealed that mindfulness interventions significantly reduced stress levels, depressive symptoms, and anxiety among caregivers. Additionally, improvements in sleep quality and emotional well-being were noted in some studies. While the effect on reducing caregiver burden was inconsistent, most studies demonstrated significant enhancements in mental health and overall well-being. Conclusion: Mindfulness-based interventions have proven effective in supporting the physical and mental health of caregivers for the elderly.
The Effect of Early Ambulation on Postoperative Elderly: A Systematic Review Susana, Susana; Rekawati, Etty; Sahar, Junaiti; Putri, Yossie Susanti Eka
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.v7i2.5412

Abstract

Elderly patients face various surgical risks, including complications, slower recovery, prolonged hospital stays, functional decline, and even death. Early ambulation is beneficial in reducing these risks in older adults. However, elderly patients often lack motivation to ambulate due to insufficient understanding and family support, leading to longer bed rest. Aim : To evaluate the impact of early ambulation as an intervention to enhance postoperative recovery in elderly patients. Methods: This is a systematic review study with a PICO approach. Article searches were conducted using online databases such as EBSCO, PubMed, ScienceDirect, SpringerLink, and Scopus with the keywords (Elderly OR Older Adult) AND (Post Operative OR Post Surgery) AND (Early Ambulation OR Early Mobilization) AND (Reduce Length of Stay) published between 2014–2024 and The 5 relevant articles were found. Results: Five studies indicated that the implementation of early ambulation programs in elderly surgical patients not only reduces length of stay but also improves functional capacity and decreases the incidence of complications such as pneumonia, atelectasis, and venous thrombosis. Conclusion: The studies show that early mobilization reduces hospital stays, accelerates organ function recovery, and provides psychological benefits, such as reduced postoperative anxiety.
The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review Al Djuwardi, Aminah Soemadi; Rekawati, Etty; Kurnia, Dikha Ayu
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.
Co-Authors A.A. Ayu Rani Puspadewi AA Sudharmawan, AA Achir Yani S. Hamid Adawiyah, Robiyatul Agung Waluyo Agus Setiawan Agus Setiawan Akbar, M. Agung Al Djuwardi, Aminah Soemadi Allenidekania Allenidekania Anggraini Marissa Aria Kekalih Arief Andriyanto Arief Andriyanto, Arief Arifin, Yelly Sari Arjuna Arjuna Arnoldy, Vincentia Exandy Salvera Astuti Nursasi Astuti Yuni Nursasi Azwar Azwar Budi Anna Keliat Cahyani, Reztika Candra, Adil Chodidjah, Siti Dahlia, Debie - Defrima Oka Surya Didi Kurniawan Didi Kurniawan Dikha Ayu Kurnia Dwi Cahya Rahmadiyah Dwi Nurviyandari Ede Surya Darmawan Efendi, Jamilatur Rasyidah 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 Iskandar, Syahrani Istifada, Rizkiyani Iswanto Iswanto Junaiti Sahar Juniati Sahar Juniati Sahar, Juniati Kartika, Annisa Wuri Kasfi, Anna Kristamuliana Kristamuliana Kuntarti Kusuma, Ceacilia Nika Candra Lestari, Ayu Widya Lily Herlinah Lita Heni Kusumawardani Mahmuddin Mahmuddin Mardhatillah, Mardhatillah Marwah Marwah Matanari, Tety Nikasia Mersiliya Sauliyusta Nani Nurhaeni Ni Made Candra Citra Sari Nuridah Nuridah Oky Octaviani Poppy Fitriani Poppy Fitriyani Prateek Gupta Prio, Asminarsih Zainal Pulungan, Indira Mastura Putra, Mepsa Rachmawati, Utami Rahayu, Bhekti Yuniarti Rahmawani, Atika Ratna Lestari Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Hadi Widyastuti Rizkiyani Istifada rohayati rohayati Rohayati, Rohayati Royani Royani Ryanti Maranata Safaruddin Sagala, Adi Brando M Sahara, Elvira Saraswati, Sarita Sari, Ni Luh Putu Dian Yunita Sheirly Mariani Sigit Mulyono Silvia Elki Putri Sinurat, Diana Nurhayati Siti Hardiyanti Sovia Sovia Sri Wulan Widyawati Sri Yona Susana Susana Sutrisno, Sutrisno Tandilangi, Trisnawati Paulus Tinneke A. Tololiu Trisno Putri, Noor Rochmah Ida Ayu Wafa Sofia Fitri Wahyuni, Anyta Hera Wanda , Dessie Wang, Jing Jy Wati, Dwi Nurviandari Kusuma Wati, Dwi Nurviyandari Kusuma Widyatuti Widyatuti Wiwin Wiarsih Yossie Susanti Eka Putri Yulita, Refi Yusriana Yusriana