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Intervensi Terapi Musik Terhadap Penurunan Tingkat Cemas Pada Pasien Penyakit Kardiovaskular : Systematic Review Haris Fadjar Setiawan; Elly Nurachmah; Anggri Noorana Zahra; Agung Waluyo
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43064

Abstract

Cardiovascular disease is often characterised by symptoms such as chest pain, palpitations, dyspnoea, excessive sweating, trembling, dizziness, and somatic symptoms such as pain and fatigue. In addition to physical problems, cardiovascular patients also often face psychological disorders, especially anxiety. High levels of anxiety in these patients can hinder the treatment process and worsen their condition. One effective nonpharmacological therapy to reduce anxiety in cardiovascular patients is music therapy, which can help calm and relax patients. Aim: to describe whether music therapy intervention is effective in reducing anxiety levels in cardiovascular patients. Methods: the writing of this article uses a systematic review conducted through a search strategy on 4 databases namely Scopus, scince direct, Pubmed, and Clinical key with a total of 3,824 articles obtained. The articles were then filtered based on inclusion and exclusion criteria to leave 5 articles. A total of 5 articles that met the criteria were then subjected to critical appraisal using the JBI Critical Appraisal Checklist guidelines. Results: In general, this systematic review shows that music therapy intervention is effective in reducing the anxiety level of cardiovascular patients.
Effect Of Cognitive Behavioral Therapy On Reducing Anxiety, Stress And Depression In HIV-AIDS Patients : A Systematic Review Riska Eka Fatma Hasibuan; Sri Yona; Anggri Noorana Zahra
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43509

Abstract

Introduction: HIV/AIDS remains a major public health issue, impacting patients' physical, social, and psychological well-being. Psychological effects like anxiety, stress, and depression are prevalent due to stigma, uncertain prognosis, and treatment complexity. Persistent stress weakens the immune system, accelerates disease progression, and reduces quality of life. Psychotherapy, such as Cognitive Behavioral Therapy (CBT), has been widely developed and proven effective in managing these issues. Objective: This study aims to examine the effect of CBT on reducing anxiety, stress, and depression in HIV/AIDS patients. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods was used to select articles. Critical Appraisal Skills Programme was used for quality assessment. Discussion: This study reviewed ten articles on CBT's impact. Seven articles discussed CBT, two covered yoga therapy, and one explored mindfulness therapy. Results and Conclusions: CBT effectively reduces anxiety, stress, and depression in HIV/AIDS patients. Combining CBT with other therapies, such as Motivational Enhancement Therapy (MET), Medication Management Algorithm (MMA), and Enhanced Usual Depression Care (EUDC) plus the Healthy Options program, can provide additional benefits. CBT also improves patients' quality of life and has been shown to reduce HIV viral load.
Manfaat Pendidikan Kesehatan terhadap Perilaku Berisiko pada Pasien HIV: Systmatic Review Shendika Wirastiningtyas; Sri Yona; Anggri Noorana Zahra
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44471

Abstract

Latar belakang : Human Immunodeficiency Virus (HIV) masih menjadi masalah kesehatan global yang erat kaitannya dengan perilaku berisiko. Pendidikan kesehatan memiliki peran penting dalam meningkatkan pengetahuan, mengurangi stigma, dan mendorong perubahan perilaku pada Orang dengan HIV/AIDS (ODHA). Tujuan : Mengevaluasi pengaruh pendidikan kesehatan terhadap konsistensi penggunaan kondom pada ODHA. Metode : Penelitian ini menggunakan metode telaah sistematis beberapa artikel, Penelusuran artikel dilakukan pada database melalui beberapa sumber database yaitu Sage Journals, Science Direct, Springer Link dan Taylor & Francis dari mulai tahun 2014 hingga 2024. Hasil : menunjukkan bahwa intervensi pendidikan kesehatan mampu meningkatkan penggunaan kondom dan menurunkan perilaku seksual berisiko.. Kesimpulan : menegaskan bahwa pendidikan kesehatan efektif sebagai strategi preventif dan perlu diintegrasikan dalam layanan komprehensif bagi ODHA untuk menekan penyebaran HIV dan meningkatkan kualitas hidup pasien.
The Application of Mirror Therapy in Ischemic Stroke Patients with Hemiparesis to Improve Upper Extremity Muscle Strength Shafira Youanita Gunawan; Anggri Noorana Zahra
Journal of Applied Holistic Nursing Science Vol. 1 No. 3 (2025): June 2025
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jahns.v1i3.202

Abstract

Background: Ischemic stroke is one of the leading causes of disability worldwide, with hemiparesis being the most common clinical manifestation after stroke. Hemiparesis may reduce muscle strength and increase the risk of complications such as joint contractures Methods: This study aimed to evaluate the effectiveness of mirror therapy in improving upper extremity muscle strength in a 45-year-old male patient with ischemic stroke and left-sided hemiparesis. A case study design was used, with the intervention carried out over five consecutive days. The therapy consisted of adaptation exercises, basic movements, variations, and combination exercises, each repeated eight times. Results: The evaluation showed an improvement in upper extremity muscle strength from a score of 5555 | 4432 to 5555 | 4443. Additionally, there were no observed decreases in physical tolerance or therapy-related injuries. Conclusion: These findings suggest that mirror therapy is an effective, safe, and feasible rehabilitation intervention that can be implemented by nursing professionals in clinical settings for stroke patients with hemiparesis.
A Comparative Analysis of Kidney Donation Regulations and Ethics in Spain, the USA, and Iran: Lessons for The Indonesian Netral Gulo; Yulia; Anggri Noorana Zahra; Agung Waluyo
Nursing Current: Jurnal Keperawatan Vol. 14 No. 1 (2026): June
Publisher : Faculty of Nursing, Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/ncjk.v14i1.10980

Abstract

Background: Inequity in kidney donor availability remains a global challenge, including in Indonesia. Comparative analyses of different regulatory models and their ethical implications for Indonesia are still limited. Objective: To compare kidney donation regulations and ethical frameworks in Spain (opt-out), the United States (opt-in), and Iran (regulated compensation), and assess their relevance for Indonesia. Methods: A narrative literature review with a comparative thematic analysis was conducted on 12 articles published between 2015 and 2025. Results: The effectiveness of kidney donation systems depends not only on legal frameworks but also on implementation, public trust, donor protection, and transparency. Spain achieved high participation through a coordinated opt-out system and strong public education. The United States emphasized autonomy through opt-in but faced challenges in equitable distribution. Iran increased donor availability via regulated compensation, though ethical concerns regarding potential exploitation remain.cConclusion: No single model is universally applicable. Indonesia requires a context-specific approach integrating ethical principles, sociocultural values, and institutional capacity, with emphasis on public education, transparency, and donor protection.
Factors influencing spiritual needs in patients with chronic diseases: A systematic literature review Fatahillah Syafruddin; Riri Maria; Anggri Noorana Zahra
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 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.v9i4.3467

Abstract

Background: Spiritual needs are a critical component of holistic care for patients with life-threatening illnesses, yet their manifestation varies significantly across different disease pathways. Purpose: To identify and synthesize the multifaceted factors influencing spiritual needs in patients with cancer, cardiovascular disease (CVD), chronic kidney disease (CKD), and stroke, while mapping how different clinical trajectories contribute to variations in spiritual experiences. Method: Following PRISMA 2020 guidelines, a systematic search was conducted in Scopus and PubMed for primary empirical studies published between 2020 and 2026. A total of 398 records were identified, and after rigorous screening and quality assessment, 49 studies were included in the final synthesis. Results: Spiritual needs among patients with chronic diseases: cancer, cardiovascular disease, chronic kidney disease, and stroke are associated with interconnected clinical, demographic, physical, psychological, psychosocial, socioeconomic, and cultural factors. Disease burden, physical symptoms, psychological distress, social support, and personal beliefs collectively shape spiritual well-being, highlighting its dynamic nature throughout the illness trajectory. Conclusion: Spiritual needs among patients with chronic and life-threatening illnesses are associated with clinical, demographic, physical, psychological, psychosocial, socioeconomic, and spiritual-cultural factors. Integrating routine spiritual assessment and personalized spiritual care into healthcare practice may help improve coping, resilience, and quality of life.
Efficacy of Breathing Techniques anEfficacy of Breathing Techniques and Positioning Strategies on Dyspnea and Nocturnal Symptoms in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Reviewd Positioning Strategies on Dyspnea and Nocturnal Symptoms in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review Ary Septri Mulainy; Agung Waluyo; Anggri Noorana Zahra
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.951

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a major global health burden and is projected by the World Health Organization (WHO) to become the third leading cause of mortality by 2030. This trend highlights the urgent need for multidisciplinary healthcare management to maintain patient stability and improve outcomes. Objective to evaluate the effectiveness of non-pharmacological breathing exercise techniques and patient positioning strategies in reducing dyspnea, enhancing lung function, improving nocturnal symptoms, and supporting overall quality of life in individuals with COPD. This systematic review followed PRISMA 2020 guidelines. Literature searches were conducted in PubMed, Scopus, ProQuest, EBSCO, SAGE Journals, ScienceDirect, and ClinicalKey using MeSH terms, keywords, and Boolean operators. The search strategy used combinations of the following main keywords: COPD, breathing exercise, breathing technique, positioning, pulmonary rehabilitation, dyspnea, nocturnal symptoms, sleep disturbances. Inclusion criteria were Randomized Controlled Trials (RCTs), adult participants (≥19 years) and publication years 2020–2025. A total of 2,695 articles were identified. After screening, removal of duplicates, and full-text assessment, 14 studies met the inclusion criteria. Analysis of the 14 included studies demonstrated that a variety of non-pharmacological breathing techniques particularly when combined with optimal patient positioning, pulmonary rehabilitation, supportive devices, complementary therapies, and virtual-reality–based interventions consistently improved lung function, functional capacity, dyspnea, and health-related quality of life in patients with COPD. None of the included studies reported adverse effects related to the interventions. Breathing exercise techniques and therapeutic positioning are effective non-pharmacological strategies for managing COPD symptoms.
Hubungan antara Depresi dan Kelelahan dengan Gangguan Tidur pada Orang dengan HIV (ODHIV): Tinjauan Sistematis Bakhitah, Khairunnisa; Yona, Sri; Zahra, Anggri Noorana
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3296

Abstract

Latar Belakang: HIV tetap menjadi masalah kesehatan global. Gangguan tidur, depresi dan kelelahan merupakan masalah yang paling umum yang dirasakan orang dengan HIV. Meskipun masalah itu sering terjadi bersamaan, penelitian komprehensif mengenai depresi dan gangguan maupun fatigue dengan gangguan tidur masih terbatas. Tujuan: Tinjauan sistematis ini bertujuan untuk menyelidiki hubungan antara depresi dan kelelahan dengan gangguan tidur pada orang dengan HIV. Metode: Tinjauan literatur sistematis dilakukan pada empat basis data, yaitu, PubMed, Scopus, ScienceDirect dan Sage, yang mencakup publikasi dari Januari 2016 hingga April 2026, dengan mengikuti pedoman PRISMA 2020. Tiga belas studi yang memenuhi syarat. Kualitas metodologis dievaluasi menggunakan alat penilaian kritis JBI. Hasil: Sebanyak 13 studi dimasukkan dalam systematic review ini. Sebagian besar studi menunjukkan bahwa depresi berhubungan secara signifikan dengan gangguan tidur pada orang yang hidup dengan HIV (ODHIV), termasuk kualitas tidur yang lebih buruk, durasi tidur yang lebih pendek, dan efisiensi tidur yang lebih rendah. Fatigue juga berhubungan dengan gangguan tidur, terutama insomnia dan kantuk di siang hari. Kesimpulan: Depresi dan fatigue merupakan faktor penting yang berhubungan dengan gangguan tidur pada orang yang hidup dengan HIV (ODHIV). Temuan ini menekankan perlunya asesmen dan penatalaksanaan yang komprehensif terhadap masalah tidur dan psikologis dalam perawatan HIV.
Effectiveness of Massage on Hemodialysis Complications: A Systematic Review and Meta-Analysis Rusyda Anshari; Masfuri Masfuri; Anggri Noorana Zahra; Sri Yona
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 3 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i3.800

Abstract

Background: Patients undergoing hemodialysis frequently experience complications such as fatigue, restless legs syndrome, pruritus, and sleep disturbances that impair their quality of life. Although individual trials have suggested that massage therapy may alleviate these complications, no previous systematic review has synthesized its overall effectiveness across multiple hemodialysis-related outcomes. Objective: To evaluate the effectiveness of massage therapy in managing hemodialysis-related complications and to identify the key characteristics of massage interventions. Methods: This systematic review and meta-analysis followed the PRISMA 2020 guidelines. Articles published between 2019 and 2025 were identified through searches of six databases: ScienceDirect, Scopus, EBSCOhost, PubMed, Wiley, and ProQuest. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool, and data were analyzed using Comprehensive Meta-Analysis (CMA) software. Results: Eighteen randomized controlled trials involving a total of 1,383 patients undergoing hemodialysis were included in the meta-analysis. The pooled effect sizes indicated that massage interventions were effective in reducing fatigue (SMD = −0.88, 95% CI: −1.27 to −0.49), restless legs syndrome (SMD = −1.62, 95% CI: −2.31 to −0.93), and pruritus (SMD = −1.34, 95% CI: −2.65 to −0.03), while significantly improving sleep quality (SMD = 1.05, 95% CI: 0.63 to 1.47) and quality of life (SMD = 0.56, 95% CI: 0.31 to 0.81). Variations in massage techniques and intervention duration demonstrated differential effects on hemodialysis-related complications. Conclusion: Massage therapy, as a nonpharmacological intervention, was associated with improvements in several hemodialysis-related complications. However, the substantial between-study heterogeneity (I² = 42%–93%) warrants cautious interpretation of the findings. Massage therapy appears to be a low-cost, generally safe, noninvasive adjunctive intervention with minimal reported adverse effects for patients undergoing hemodialysis.
Pengaruh pelepasan dini gelang kompresi terhadap risiko komplikasi pasca angiografi koroner transradial: Tinjauan sistematik Conny Marthafanny; Tuti Herawati; Anggri Noorana Zahra
Hik Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.916

Abstract

Background: Transradial access is a widely used technique during coronary angiography procedures in diagnosing coronary heart disease. Prolonged use of compression bands can cause physical discomfort such as pain, hematoma and radial artery occlusion. Accelerated compression band removal is expected to provide the best balance in achieving hemostasis and minimizing the risk of these complications. Purpose: To determine the effect of early release of compression bands on the risk of complications after transradial coronary angiography. Method: A systematic review conducted based on the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. Articles were sourced from ScienceDirect, Scopus, and ProQuest databases from 2016-2025. Inclusion criteria included studies with randomized controlled trials, quasi-experiments, and cohort studies evaluating the effect of early compression band removal on the incidence of complications of pain, hematoma and radial artery occlusion. Nine studies were assessed using the Joanna Briggs Institute (JBI) and presented using a narrative and quantitative approach. Results: The search found 4 studies with randomized controlled trial designs and 5 cohort studies involving a total of 9.854 patients. The study findings showed that the rate of pain, hematoma and radial artery occlusion was lower in the early compression band release protocol (2 hours) compared to a duration of > 4 hours. The risk of bleeding increased with a faster release duration (<2 hours). The analysis showed that the early compression band release protocol was effective in reducing the risk of possible complications. Conclusion: An optimal early compression band release protocol can improve patient comfort and safety and minimize the risk of complications related to transradial coronary angiography procedures. Further studies are needed to ensure the safety and effectiveness of the early compression band release protocol in other procedures that use transradial as the primary access.   Keywords: Complications; Compression Band; Early Discharge; Post Transradial Coronary Angiography.   Pendahuluan: Akses transradial menjadi teknik yang banyak digunakan selama prosedur angiografi koroner dalam mendiagnosis penyakit jantung koroner. Penggunaan gelang kompresi berkepanjangan dapat menimbulkan ketidaknyamanan fisik, seperti nyeri, hematoma, dan oklusi arteri radial. Pelepasan gelang kompresi dengan durasi yang dipercepat diharapkan memberikan keseimbangan terbaik dalam mencapai hemostasis dan meminimalkan risiko komplikasi. Tujuan: Untuk Pengaruh pelepasan dini gelang kompresi terhadap risiko komplikasi pasca angiografi koroner transradial. Metode: Tinjauan sistematis yang dilakukan berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta Analyses (PRISMA). Artikel berasal dari basis data ScienceDirect, Scopus, dan ProQuest yang terbit pada tahun 2016-2025. Kriteria inklusi meliputi studi dengan uji coba terkontrol acak, kuasi eksperimen, dan studi kohort yang mengevaluasi pengaruh pelepasan dini gelang kompresi terhadap kejadian komplikasi nyeri, hematoma, dan oklusi arteri radial. 9 studi dinilai biasnya menggunakan Joanna Briggs Institute (JBI) dan disajikan menggunakan pendekatan naratif dan kuantitatif. Hasil: Penelusuran didapatkan 4 studi dengan desain uji coba terkontrol acak dan 5 studi kohort yang melibatkan total 9,854 pasien. Temuan studi menunjukkan bahwa tingkat nyeri, hematoma, dan oklusi arteri radial lebih rendah pada protokol pelepasan dini gelang kompresi (2 jam) dibandingkan dengan durasi >4 jam. Risiko perdarahan meningkat pada durasi pelepasan yang lebih cepat (<2 jam). Analisis menunjukkan protokol pelepasan dini gelang kompresi efektif menurunkan risiko komplikasi yang mungkin terjadi. Simpulan: Protokol pelepasan dini gelang kompresi yang optimal dapat meningkatkan kenyamanan dan keselamatan pasien serta meminimalkan risiko komplikasi terkait prosedur angiografi koroner transradial. Studi lebih lanjut diperlukan guna memastikan keamanan dan keefektifan protokol pelepasan dini gelang kompresi pada prosedur lain yang menggunakan transradial sebagai akses utamanya.   Kata Kunci: Gelang Kompresi; Komplikasi; Pasca Angiografi Koroner Transradial; Pelepasan Dini.