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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 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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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.
Nursing Inovation: Telenursing Interventions to Improve Medication Adherence and Blood Pressure Control among Hypertension Patients in Primary Health Care: Systematic Review Diyah Ayu Indriyani; 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.v8i4.2006

Abstract

Hypertension is a chronic condition with a high global prevalence that requires long-term management. One of the main challenges in achieving optimal blood pressure control is poor medication adherence. Technology-based approaches, such as telenursing, offer innovative solutions to enhance patient engagement in disease management. Methods: A Systematic Literature Review (SLR) was conducted following the PRISMA guidelines. Literature searches were performed in Scopus, PubMed, ScienceDirect, and Google Scholar for studies published between 2021 and 2026. A total of 4,301 records were identified, and seven randomized controlled trials (RCTs) met the inclusion criteria. The findings showed that most telenursing interventions significantly improved medication adherence and reduced blood pressure levels. Multicompoent interventions combining education, remote monitoring, and reminder systems demonstrated greater effectiveness compared to single-component approaches. Telenursing represents a promising strategy for hypertension management in primary healthcare. Its implementation requires adequate system support and evidence-based practice standards to optimize nursing care delivery.
The Effect of Hypnotherapy on Pain Intensity in Postoperative Patients: A Systematic Review Yuniasti, Risna Devi; Upoyo, Arif Setyo; Taufik, Agis
IJNP (Indonesian Journal of Nursing Practices) Vol. 5 No. 2 (2021): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v5i2.10938

Abstract

Background: Pain is a common problem in patients undergoing surgery. The constant postoperative acute pain can affect the physiological and psychological aspects of the patient.Objective: Non-pharmacological therapy is widely used for the treatment of chronic pain. Non-pharmacological therapy needs to be developed in acute postoperative pain due to concerns about the side effects of pharmacological treatment. There is non-pharmacological management that effectively reduces pain intensity, namely hypnotherapy.Methods: The systematic search for this review used the Google Scholar database, Directory of Open Access Journal (DOAJ), ProQuest, and PubMed using keywords (Hypnosis OR Hypnotism OR Hypnoanalysis OR Hypnotherapy OR Hypnotherapies OR Mesmerism) AND (Post-surgical Pain OR Post surgical Pain OR Postsurgical Pain OR Post-operative Pain OR Post operative Pain OR Post-operative Pains OR Postoperative Pain OR Acute Postoperative Pain OR Acute Post-operative Pain OR Acute Post operative Pain). The quality of journals was assessed using the Critical Appraisal Skills Program (CASP) instrument. The synthesis method used was narrative synthesis (narrative synthesis).Results: 10 articles were fully reviewed from 2010-2020. The visualization technique with rapid conversational induction has the best effect than other techniques. The most effective way of conveying suggestions is indirect with a permissive approach. The study results showed that hypnotherapy tended to reduce postoperative pain in minor surgical procedures than in major surgeries.Conclusion: Hypnotherapy affects reducing the pain intensity of postoperative patients. The results of this study recommend that hypnotherapy suggestions and pain measures must be tailored to the patient's condition.
Factors Associated with Post-Non Hemorrhagic Stroke Depression: a cross-sectional study Putri, Nirmala Rumaja; Upoyo, Arif Setyo; Sumeru, Annas
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.17945

Abstract

Background: Post-stroke patient depression can result in delays in stroke recovery and healing. The degree of severity of stroke will cause neurological deficits which can become stressors that will affect individual coping mechanisms.Objective: This research aims to analyze factors associated with non-hemorrhagic post-stroke depression.Methods: Analytical observational with a cross-sectional approach. The research was conducted at the Neurology Clinic of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The population is 435 post-stroke non-hemorrhagic patients. The sample is 104 respondents with the sampling technique used consecutive sampling. The instruments used were the Brief COPE, NIHSS, and PHQ-9. Bivariate analysis used the Kendall-Tau correlation test.Results: The majority of respondents were elderly, male, primary school education level/equivalent, married, live with husband/wife and children, left hemisphere lesion location, had stroke duration >2 years, did not experience recurrent strokes, hypertension, had problem-focused coping and mild stroke severity with varying degrees of depression. Age, gender, marital status, living together, location of the lesion, duration of stroke, stroke frequency, comorbidities and coping mechanisms were not significantly related (p>0.05) while education level and stroke severity was significantly associated with post-stroke depression (p<0,05).Conclusions: There is a significant relationship between education level and severity of stroke with post-stroke depression. Nurses can also motivate patients to always take medication regularly, increase patient knowledge about stroke and depression, or implement non-pharmacological therapy such as Range of Motion (ROM) so that they can help reduce the severity of a stroke and prevent or reduce the occurrence of depression after non-hemorrhagic stroke.
Intervention Model to Increase Muscle Strength in Stroke Patients: A Systematic Literature Review Haryanti, Hernita Kus; Upoyo, Arif Setyo; Anggraeni, Mekar Dwi
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i2.21141

Abstract

Background: Stroke remains the most common cause of death and disability. Stroke may suffer from several neurological disorders, including hemiplegia, communication disorders, cognitive disorders, and visual-spatial cognitive disorders.Objective: The purpose of this study was to look at how strength training affected stroke patients' muscle strength.Methods: A systematic search for this review used PubMed, ProQuest, Science Direct, Springer Open, Directory of Open Access Journal (DOAJ), and Wiley Online Library using the keywords “strength training (strength training OR strength exercise)” AND “muscle strength” AND “stroke” AND “randomized controlled trial” NOT (systematic review OR meta-analytic). Journals are appraised using the Critical Appraisal Skills Programme (CASP) JBI 2020 the synthesis method used is narrative synthesis. To analyze the agreement between reviewers using the Interclass Correlation Coefficients (ICC) test, with the ICC result being good (r = 0.79; 95% CI, 0.53, 0.92) against the quality assessment of the selected articleResults: 15 articles fully reviewed from 2018-2023. Muscle strengthening exercises are the most effective method for enhancing muscle strength in stroke patients. The research results show that strength training tends to increase the patient’s muscle strength if it is done from the start of a stroke and is carried out for 4-6 weeks of training.Conclusion: The results emphasize the value of strength training regimens for stroke victims in order to avert life-threatening impairment
Pemberdayaan kader posyandu lansia untuk meningkatkan kemandirian keluarga dalam perawatan pasca stroke Arif Setyo Upoyo; Dwi Sarwani Sri Rejeki; Eman Sutrisna
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol. 12 No. 1 (2025): January
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v12i1.7991

Abstract

Introduction: The problems that post-stroke patients still face after being hospitalized are weakness in one side of the body (hemiparesis), speech disorders (dysarthria/aphasia), difficulty swallowing (dysphagia) and psychological disorders such as post-stroke depression and the risk of recurrent attacks. The purpose of the service is to improve the knowledge and skills of partners about: early detection of stroke, post-stroke care, post-stroke physical exercise, post-stroke speech therapy, post-stroke swallowing therapy, post-stroke psychological management. The method carried out is training with lectures, discussions and demonstrations, the media used are modules and videos. The participants were elderly Posyandu cadres and families who took care of family members after a stroke totaling 19 people. The success of the training was evaluated by comparing pre and posttest scores and assessing the participants' ability to demonstrate the actions taught. The results obtained by the knowledge of early detection, psychological management and post-stroke care of participants were 100% improved. Skills about early detection of stroke, ROM exercises, swallowing exercises and speech therapy 89.47% of participants improved. Conclusion: The training is effective in improving the knowledge and skills of cadres and families in caring for post-stroke patients. Key word: post-stroke, training, cadres, family, care
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 Diyah Ayu Indriyani 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 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