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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Nurse Media Journal of Nursing Indonesian Journal of Applied Sciences JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Interest : Jurnal Ilmu Kesehatan Jurnal Skolastik Keperawatan (e-Journal) IJNP (Indonesian Journal of Nursing Practices) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Keperawatan Padjadjaran Journal Of Nursing Practice Media Keperawatan Indonesia JURNAL PENDIDIKAN TAMBUSAI Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Ilmiah Keperawatan Journal Of Bionursing MAHESA : Malahayati Health Student Journal Jurnal of Community Health Development (JCHD) International Journal of Biomedical Nursing Review (IJBNR) Jurnal Ilmiah Kesehatan Keperawatan Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research Jurnal Penelitian Perawat Profesional
Arif Setyo Upoyo
Universitas Jenderal Soedirman
Religion Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Penggunaan aplikasi visual infusion phlebitis (VIP) score terhadap keakuratan dan efisiensi penilaian flebitis: A systematic literature review Oriza, Nurudin Dian; Upoyo, Arif Setyo
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1940

Abstract

Background: Phlebitis is a common complication of peripheral intravenous catheterization that leads to pain, infection, and prolonged hospitalization. The Visual Infusion Phlebitis (VIP) Score is the global standard for assessing phlebitis severity; however, manual assessment often results in subjective variation, inter-observer inconsistency, and delayed documentation. With advances in health information technology, the use of digital applications or platforms based on the VIP Score is considered to improve the accuracy, precision, and efficiency of phlebitis assessment. Purpose: To assess the scientific evidence related to the use of the visual infusion phlebitis (VIP) score application on the accuracy and efficiency of phlebitis assessment. Method: This Systematic Literature Review was conducted by searching PubMed, ScienceDirect, ProQuest, Google Scholar, DOAJ, and related scientific repositories for articles published between 2014-2025 using the keywords “Visual Infusion Phlebitis Score,” “VIP Score application,” “digital phlebitis assessment,” “accuracy,” and “efficiency.” Eight articles met the inclusion criteria, including studies on VIP Score reliability, digital implementation within health information systems, telemedicine-based phlebitis assessment, and studies examining the effectiveness of VIP Score monitoring. Study quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal tools. Results: The eight included articles demonstrate that digital VIP Score applications improve accuracy and consistency through higher inter-observer reliability, standardized visual interfaces, and reduced assessment variability among nurses. Integration of the VIP Score into Health Information Systems (HIS) and telemedicine platforms showed enhanced clinical decision-making speed, easier documentation, and improved accessibility of assessment data. However, none of the studies quantitatively measured assessment duration, leaving direct evidence of time efficiency limited despite observed process improvements. Conclusion: VIP Score applications show strong potential to enhance the accuracy and consistency of phlebitis assessment and support process efficiency through digitalization and standardized documentation. Nevertheless, further research is needed to evaluate the direct impact of these applications on assessment speed and clinical outcomes.   Keywords: Assessment Accuracy; Assessment Efficiency; Phlebitis; Visual Infusion Phlebitis (VIP) Score Application.   Pendahuluan: Flebitis merupakan komplikasi umum dari pemasangan intravena perifer yang berdampak pada nyeri, infeksi, hingga perpanjangan lama rawat. Visual Infusion Phlebitis (VIP) score menjadi standar global untuk menilai derajat flebitis. Namun, penilaian manual masih menimbulkan variasi subjektif, inkonsistensi inter-observer, dan keterlambatan dokumentasi. Seiring berkembangnya teknologi informasi kesehatan, penggunaan aplikasi atau platform digital berbasis VIP score dinilai dapat meningkatkan akurasi, ketepatan, dan efisiensi proses penilaian. Tujuan: Untuk menilai bukti ilmiah terkait penggunaan aplikasi visual infusion phlebitis (VIP) score terhadap keakuratan dan efisiensi penilaian flebitis. Metode: Penelitian systematic literature review dilakukan melalui pencarian artikel pada PubMed, ScienceDirect, ProQuest, Google Scholar, DOAJ, serta repositori ilmiah yang diterbitkan pada rentang tahun 2014-2025 menggunakan kata kunci “Visual Infusion Phlebitis Score”, “VIP Score application”, “digital phlebitis assessment”, “accuracy”, dan “efficiency”. Berdasarkan hasil pencarian awal, diperoleh 8 artikel yang memenuhi kriteria inklusi meliputi studi reliabilitas VIP score, implementasi digital dalam sistem informasi kesehatan, penggunaan platform telemedicine untuk asesmen flebitis, serta studi terkait efektivitas pemantauan VIP score. Kualitas studi dinilai menggunakan instrumen Joanna Briggs Institute (JBI) critical appraisal. Hasil: 8 artikel inti menunjukkan, bahwa penggunaan aplikasi atau platform digital VIP score mampu meningkatkan akurasi dan konsistensi penilaian flebitis melalui reliabilitas inter-observer yang tinggi, tampilan visual terstandar, serta pengurangan variabilitas penilaian antar perawat. Beberapa studi, khususnya integrasi VIP score dalam Health Information System (HIS) dan telemedicine, membuktikan bahwa digitalisasi mempercepat pengambilan keputusan klinis, mempermudah dokumentasi, dan meningkatkan aksesibilitas data penilaian. Namun, belum ada studi yang mengukur durasi penilaian secara kuantitatif, sehingga bukti terkait efisiensi waktu masih terbatas meski indikator proses menunjukkan peningkatan. Simpulan: Aplikasi VIP score terbukti berpotensi meningkatkan akurasi dan konsistensi penilaian flebitis, serta mendukung efisiensi proses melalui digitalisasi dan dokumentasi terstandar. Meskipun demikian, penelitian lanjutan diperlukan untuk mengevaluasi pengaruh langsung aplikasi terhadap kecepatan penilaian dan dampaknya terhadap outcome klinis.   Kata Kunci: Akurasi Penilaian; Aplikasi Visual Infusion Phlebitis (VIP) Score; Efisiensi Penilaian; Flebitis.
Hubungan Self-Management Behavior dan Kepatuhan Pengobatan dengan Lama Kejadian Stroke Iskemik Berulang Alifiana Setyowati; Arif Setyo Upoyo; Akhyarul Anam
Jurnal Penelitian Perawat Profesional Vol. 7 No. 6 (2025): Desember 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i6.790

Abstract

Serangan stroke berpotensi untuk terulang kembali terutama pada pasien yang sudah pernah terkena serangan stroke dengan durasi kekambuhan yang bervariasi. Self-management dan kepatuhan pengobatan merupakan komponen penting dalam pencegahan sekunder terhadap kejadian stroke berulang. Penelitian ini bertujuan untuk mengkaji self-management behavior dan kepatuhan pengobatan pada pasien stroke dan hubungannya dengan lama kejadian stroke iskemik berulang di Poliklinik Saraf RSUD Prof. Dr. Margono Soekarjo. Metode penelitian ini menggunakan analisis korelasional dengan desain cross-sectional. Lokasi dan waktu penelitian dilakukan di Poliklinik Saraf RSUD Prof. Dr. Margono Soekarjo pada bulan Oktober 2024 dengan jumlah sampel sebanyak 86 responden  menggunakan teknik consecutive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner data demografi, Southampton Stroke Self-Management Questionnaire (SSSMQ), Morisky Medication Adherance Scale (MMAS-8). Instrumen SSSMQ telah dilakukan uji validitas dan reliabilitas dan dinyatakan valid (r-hitung 0,467-0,951 > r-tabel 0,1900) dan reliabel Alpha Cronbach 0,947). Selanjutnya, instrument MMAS-8 dinyatakan valid dikarenakan r-hitung > r-tabel (0,361) dan reliable dengan nilai Alpha Cronbach 0,735.  Analisis data menggunakan uji korelasi Somers’d.  Hasil penelitian menunjukkan mayoritas responden berusia lansia (>60 tahun), jenis kelamin laki-laki, pendidikan terakhir SMA, tinggal bersama suami/istri dan anak, status gizi normal, memiliki penyakit komorbid hipertensi, dan mengalami kejadian stroke berulang sebanyak 1 kali. Tidak terdapat hubungan yang bermakna antara self-management behavior terhadap lama kejadian stroke iskemik berulang (p= 0,289), sedangkan kepatuhan pengobatan memiliki hubungan yang bermakna dengan lama kejadian stroke iskemik berulang (p= 0,001).
Nursing Innovation to Reduce Anxiety in Newly Diagnosed Endstage Kidney Disease Patients Undergoing Hemodialysis: Literature Review Fathul Muin; Arif Setyo Upoyo
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.v8i3.1334

Abstract

End-stage renal disease (ESRD) patients who have just started hemodialysis frequently experience high levels of anxiety caused by lifestyle changes, uncertain prognosis, and the burden of long-term therapy. Anxiety negatively impacts treatment adherence and quality of life, highlighting the need for effective nursing interventions to support psychosocial well-being. Purpose: This systematic literature review aimed to identify and analyze evidence-based nursing innovations that are effective in reducing anxiety among newly diagnosed ESRD patients undergoing hemodialysis. Methods: A Systematic Literature Review (SLR) was conducted following the PRISMA guidelines for studies published between 2015 and 2025. Literature searches were performed in Scopus, PubMed, ScienceDirect, and Google Scholar using combinations of the keywords “end-stage renal disease,” “hemodialysis,” “anxiety,” “nursing intervention,” “cognitive behavioral therapy,” and “psychosocial intervention.” From 4,301 records initially identified, seven studies met the inclusion criteria, consisting of four randomized controlled trials (RCTs), two RCT protocols, and one pilot study. Data were synthesized narratively to evaluate the effectiveness of nursing and psychosocial interventions in reducing anxiety among newly diagnosed ESRD patients undergoing hemodialysis. Results: The review found that Cognitive Behavioral Therapy (CBT) was consistently effective in reducing anxiety and depressive symptoms, particularly when combined with resilience-based models or mindfulness techniques. Advance Care Planning (ACP) interventions improved patients’ emotional acceptance and psychological adjustment, although their direct effect on anxiety reduction was limited. Technology-based interventions, including internet-based CBT (iCBT) and guided problem-solving therapy (PST), demonstrated strong potential as flexible, accessible, and cost-effective approaches. In addition, a pilot study utilizing virtual reality (VR) during hemodialysis procedures reported reductions in procedural pain and anxiety. Conclusion: Evidence-based nursing innovations incorporating CBT, ACP, digital interventions, and virtual reality show considerable potential in reducing anxiety among patients newly undergoing hemodialysis. These findings emphasize the critical role of nurses as psychosocial facilitators and support the integration of holistic, patient-centered, and technology-driven care models into routine hemodialysis practice.
Interventional Affecting Hemostasis Time after Arteriovenous Fistula Needle Removal in Hemodialysis Patients: A Meta-Analysis Yunia Tri Prasetyani; Arif Setyo Upoyo
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.v8i4.1805

Abstract

Hemostasis following arteriovenous fistula (AVF) needle removal is a key determinant of vascular access outcomes in hemodialysis patients. This meta-analysis aimed to evaluate the effect of hemostatic dressings and needle bevel position on hemostasis time following arteriovenous fistula (AVF) needle removal in hemodialysis patients. This meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search of eight electronic databases identified randomized controlled trials and quasi-experimental studies published between January 2016 and June 2025. Eligible studies evaluated the effects of hemostatic dressings and needle bevel position on hemostasis time following AVF needle removal in adult hemodialysis patients. Study quality was assessed using the Joanna Briggs Institute critical appraisal tools. Due to substantial heterogeneity, random-effects meta-analyses were performed, and standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. Seven studies met the inclusion criteria. Three studies evaluating hemostatic dressings demonstrated a significant reduction in hemostasis time at arterial sites (SMD = −1.23, 95% CI −2.36 to −0.11; p=0.032) and venous sites (SMD = −1.35, 95% CI −2.16 to −0.54; p=0.001). Four studies assessing needle bevel position showed that the bevel-down position significantly reduced hemostasis time compared with the bevel-up position (SMD = −1.30, 95% CI −2.45 to −0.14; p=0.028). All pooled analyses exhibited high heterogeneity.
Motivation and self-efficacy as key factors influencing self-care in hypertensive adults: A cross-sectional study in Indonesia Arif Setyo Upoyo; Yunita Sari; Eman Sutrisna; Agis Taufik; Hae-Ra Han
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2609

Abstract

Introduction: Self-care is crucial for enhancing life quality and and preventing cardiovascular, renal, and vascular complications in individuals with hypertension. However, self-care among patient’s hypertension remains suboptimal. Our research aimed to identify the determinants of self-care practice among hypertensive patients in Indonesia. Methods: A survey that was cross-sectional. It carried out among 209 adults with hypertension attending community health centers in Central Java, Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge were assessed using the validated Hypertension Self-Care Profile (HBP-SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and multivariable logistic regression tests were used to evaluate the data. Results: Bivariate analysis revealed significant correlation between self-care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history of hypertension in the family (p=0.018). No significant associations were observed for age, gender, education, occupation, body mass index, blood pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy (OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants of good self-care. Conclusions: Motivation and self-efficacy are key determinants of hypertension self-care behaviors among Indonesian adults. Interventions should prioritize strengthening motivation and building self-efficacy through motivational interviewing, skills training, and structured follow-up by nurses and other healthcare professionals.
Web Application-Based Health Education Effect in Reducing Preoperative Anxiety Among Orthopaedic Surgery Patients: A Systematic Review Agus Gunawan; Arif Setyo Upoyo
Media Keperawatan Indonesia Vol 9, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.2.2026.182-195

Abstract

Preoperative anxiety is highly prevalent among patients undergoing Orthopaedic surgery and is associated with adverse postoperative outcomes, including increased pain, delayed functional recovery, and prolonged hospital stay. Digital and web-based preoperative health education has emerged as a potential strategy to address these challenges; however, evidence regarding its effectiveness remains heterogeneous. This systematic review aimed to synthesize current evidence on the effectiveness of digital and web-based preoperative education interventions in reducing preoperative anxiety and related outcomes among Orthopaedic surgery patients. This review followed PRISMA 2020 guidelines. A thorough search was performed on ScienceDirect, PubMed, Scopus, EBSCOhost, and Wiley Online Library for studies released from January 2020 to September 2025. Eligible studies included randomized controlled trials, feasibility or pilot randomized studies, and trial protocols. The outcomes of interest encompassed preoperative anxiety, pain levels, opioid consumption, functional recovery, and patient satisfaction. Methodological quality was assessed using the Joanna Briggs Institute's critical appraisal tools. Six studies met the inclusion criteria, involving diverse Orthopaedic populations, including elective and trauma surgeries. Interventions varied and included web-based education, digital behavioral programs, and AI-based chatbot support. Several studies reported reductions in preoperative anxiety, although results were heterogeneous. Digital behavioral interventions demonstrated more consistent benefits for postoperative pain and pain catastrophizing, while education-only platforms showed mixed findings. Patient satisfaction was consistently higher in digital intervention groups. Digital preoperative education shows promising potential to reduce anxiety and enhance patient experience in Orthopaedic surgery. However, heterogeneity in interventions and study designs limits generalizability, indicating the need for larger, methodologically robust trials.
Co-Authors - Maryana - Muniroh Agis Taufik Agis Taufik Agis Taufik Agus Gunawan Ahmad Ahmad Akhyarul Anam Akhyarul Anam Akhyarul Anam, Akhyarul Alifiana Setyowati Andri Tahta Annas Sumeru Arif Imam Hidayat Asrin, Atyanti Isworo Atyanti Isworo Bhunga, Yolanda Sri Candra Dian Ramawati Dwi Astuti Dwi ASTUTI Dwi Sarwani Sri Rejeki Eko Suryantoro Eman Sutrisna Endang Kusuma Wardani Endang Triyanto Fathul Muin Galih Noor Alivian Gunawan Gunawan Gunawan Irianto Gunawan Susanto Hae-Ra Han Haryanti, Hernita Kus Helwiyah Ropi Inne Yellisni Iwan Purnawan Januarti Isnaeni Joko Tri Suharsono Laksono Trisnantoro Made Sumarwati Made Sumarwati Mauliandari, Riana May Maria Magdalena Worabay Mekar Dwi Anggraeni Mulyani, Nani Sri Nani Sri Mulyani Novita Anggraeni Nuriya Nuriya Nuriya, Nuriya Oriza, Nurudin Dian Putri, Nirmala Rumaja Rahayu Wijayanti Ria Sitorus Saryono Saryono Saryono, Sashikirana, Amalda Septiriana, Nur Indarwati Sidik Awaludin Siti Fathimah Fadlulloh Sumarwati, Made Sumeru, Annas Suzanna Taryanto, Taryanto Tinidi, Deffy Anjani Triyandini, Ulya, Mahmudatun Wahyu Purbo Juwono WAHYUDI Wastu Adi Mulyono Wastu Adi Mulyono Yuli Dwi Hartanto Yunia Tri Prasetyani Yuniasti, Risna Devi Yunita Sari Yunita Sari