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The Audiovisual-Based Health Education as a Therapeutic Modality for Managing Anxiety in CKD Patients Facing Fluid Intake Limitations Firmanda, Giovanni Iga; Wahyuningsih, Aries
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.619

Abstract

Chronic Kidney Disease (CKD) patients undergoing hemodialysis often experience heightened levels of anxiety due to complex treatment regimens and strict fluid intake restrictions. This study aimed to evaluate the effectiveness of an audiovisual intervention in reducing anxiety levels among CKD patients. A pre-experimental one-group pretest-posttest design was employed, involving 60 CKD patients selected through purposive sampling. The intervention consisted of a five-minute audiovisual presentation combining fluid restriction education and relaxation techniques. The independent variable was the audiovisual intervention, while the dependent variable was the patients' anxiety levels. Anxiety was assessed using the standardized Generalized Anxiety Disorder-7 (GAD-7) questionnaire, administered both before and after the intervention. Data analysis was conducted using paired t-tests to compare mean anxiety scores, with a significance threshold set at p < 0,05. Prior to the intervention, the majority of participants (56.6%) experienced moderate anxiety, while 41,6% had mild anxiety, and 1.8% had severe anxiety. After the intervention, a notable shift occurred: 91,6% of patients reported mild anxiety, and only 8,4% experienced moderate anxiety, with no cases of severe anxiety. The average anxiety score significantly decreased from 11,03 to 7,57, resulting in a mean difference of 2,466 and a p-value of 0,000, indicating a statistically significant improvement. These findings suggest that audiovisual media are effective in reducing anxiety in hemodialysis patients by improving their understanding of fluid management and promoting relaxation. The engaging and accessible nature of the intervention empowered patients and helped alleviate emotional distress, supporting its use in clinical settings as a complementary therapeutic tool.
Beyond the Stigma: Leveraging Education and Empathy for Effective Tuberculosis Care Wahyuningsih, Aries; Probandari, Ari; Sumardiyono; I Wayan Gede Artawan Putra; Firmanda, Giovanni Iga
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63485

Abstract

Introduction: Tuberculosis (TB) remains a major global health issue, with stigma continuing to hinder effective prevention, diagnosis, and treatment. Stigma can discourage patients from seeking care, adhering to treatment, and engaging with healthcare providers. This systematic review aims to identify stigma-related issues in TB and explore practical strategies to reduce stigma.Methods: A scoping literature search was conducted for studies published between 2012 and 2024  using ProQuest, PubMed, and ScienceDirect databases. Articles were selected based on predefined inclusion and exclusion criteria, and the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) methodology was used for critical appraisal and synthesis.Results: A total of 15 articles were included in the final analysis. The findings indicate that key strategies to reduce TB stigma include health education to correct misconceptions, promoting empathy, and non-discriminatory attitudes among healthcare providers. Educational interventions raise awareness and dispel myths, while empathetic care fosters trust and reduces negative perceptions. Cultural understanding enhances communication and patient engagement. Despite these efforts, TB-related stigma remains pervasive and continues to be a barrier to effective care.Conclusion: The review concludes that current interventions are insufficient and that sustained, targeted strategies focusing on education, empathy, and cultural competence are essential to reduce stigma and improve TB outcomes. A long-term commitment to these approaches is critical to advancing TB control efforts globally.
The Role of Interprofessional Communication in Enhancing the Quality of Hospital Health Services: A Scoping Review Wahyuningsih, Aries; Firmanda, Giovanni Iga
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.570

Abstract

Interprofessional communication is vital in delivering high-quality hospital healthcare services by promoting teamwork, minimizing errors, and enhancing patient outcomes. This study explores the role of interprofessional communication in improving the quality of hospital healthcare services. The research employed a scoping review design, utilizing data from Elsevier and ScienceDirect databases for articles published between 2017 and 2025. The review process adhered to PRISMA guidelines 2020, with inclusion criteria focusing on articles discussing interprofessional communication in hospital settings. A standardized data extraction form was used to record study characteristics, communication interventions, and outcomes. Thematic analysis was applied to map and synthesize key themes and subthemes. A rigorous selection process yielded 14 relevant articles, ensuring consistency and scientific credibility. The findings identified two main themes: strategies to enhance interprofessional communication—such as structured tools like SBAR and interdisciplinary meetings—and the impact of communication on healthcare quality, including improvements in patient safety, clinical outcomes, and team collaboration. Subthemes included communication barriers, leadership support, and continuous training. The study concludes that hospitals should prioritize implementing structured communication protocols and cultivating a culture of teamwork and ongoing professional development to optimize service delivery and patient safety.
IMPLEMENTASI KEBIJAKAN PROTOKOL KESEHATAN : PENERAPAN BUDAYA NILAI “IPK” IMAN,PENGHARAPAN DAN KASIH SEBAGAI UPAYA PENCEGAHAN COVID-19 DI STIKES RS BAPTIS KEDIRI : HEALTH PROTOCOL POLICY: IMPLEMENTATION OF THE "IPK" VALUES OF FAITH, HOPE AND LOVE AS A PREVENTION EFFORT FOR COVID-19 IN STIKES BAPTIS KEDIRI HOSPITAL Wahyuningsih, Aries
JURNAL TERAS KESEHATAN Vol 5 No 2 (2022): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v5i1.92

Abstract

WHO has declared Corona Virus Disease 2019 (COVID-19) a pandemic. The government made a series of policies to deal with it. Policy (policy) is the principle or way of acting that is chosen to direct decision making. Minister of Health RI. No. HK. 01. 07/ MENKES /382/2020 regulates the Health Protocol for the Community in Public Places and Facilities in the Context of Prevention and Control of Covid-19. The purpose of writing is to describe the implementation of health protocol policies through the application of basic GPA values ??(Faith, Hope and Love) to deal with the Covid-19 pandemic at STIKES Baptist Hospital Kediri. Descriptive survey research design by conducting a literature study. The primary data source used is to collect data on the Covid 19 Task Force Team policy that is applicable and implemented at STIKES Baptist Hospital Kediri. Furthermore, the data and information obtained is done by induction, reduction and then presented in a simple form so that it is easy to understand. The implementation of the Covid-19 Health Protocol policy at STIKES Baptist Hospital Kediri was carried out using the Input, Process and Output cycle and had been carried out in accordance with the applicable standards at STIKES Baptist Hospital Kediri.
LITERATURE REVIEW: HUBUNGAN MUTU PELAYANAN KESEHATAN DENGAN KEPUASAN PASIEN BPJS RAWAT INAP Wahyuningsih, Aries; Wahyudi, Zefanya Adinda Viola
Jurnal Administrasi Rumah Sakit Indonesia Vol 4 No 2 (2025): Jurnal Administrasi Rumah Sakit Indonesia
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jarsi.v4i2.965

Abstract

Mutu pelayanan kesehatan memiliki pengaruh besar terhadap tingkat kepuasan pasien, khususnya dalam pelayanan BPJS Kesehatan di Indonesia. Beragam penelitian telah dilakukan untuk menguraikan elemen-elemen yang memengaruhi mutu pelayanan serta dampaknya terhadap pengalaman pasien. Metode penelitian yang digunakan adalah literature review, dengan menganalisis lima jurnal yang menyoroti mutu pelayanan dan tingkat kepuasan pasien di rumah sakit. Jurnal-jurnal tersebut mencakup berbagai dimensi pelayanan dan pengalaman pasien. Tujuan penelitian ini adalah untuk mengevaluasi mutu pelayanan yang diberikan oleh rumah sakit, mengukur tingkat kepuasan pasien, serta mengidentifikasi faktor-faktor utama yang memengaruhi keduanya. Hasil penelitian menunjukkan bahwa mutu pelayanan di beberapa rumah sakit berada pada kategori baik, meskipun ada juga yang belum memenuhi standar yang memadai. Variasi tingkat kepuasan pasien teridentifikasi, di mana beberapa laporan menyebutkan tingkat kepuasan yang tinggi, sementara lainnya menunjukkan ketidakpuasan yang cukup signifikan, terutama terkait aspek waktu tunggu dan kualitas komunikasi. Kesimpulan penelitian ini adalah menekankan pentingnya peningkatan mutu pelayanan sebagai upaya untuk meningkatkan kepuasan pasien.
Efektivitas Pelvic Floor Muscle Training dan Bladder Training dalam Mengelola Inkontinensia Urine pada Alzheimer: Literature Review Firmanda, Giovanni Iga; Wahyuningsih, Aries; Pratiwi, Wahyu Nur
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 2 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95655

Abstract

Background: Urinary incontinence is a common problem in Alzheimer's patients that significantly affects the quality of life and well-being of the sufferers. Non-pharmacological interventions such as Pelvic Floor Muscle Training (PFMT) and Bladder Training have been considered effective methods in managing this condition, but the cognitive limitations of Alzheimer's patients pose special challenges in their implementation. Objective: This literature review aimed to analyze the effectiveness of PFMT and Bladder Training in managing urinary incontinence in Alzheimer's patients and to understand the challenges and obstacles faced in implementing these interventions. Method: The type of study was a literature search. It was carried out through the EBSCO, Proquest and Science Direct electronic databases that discussed the problem of incontinence in Alzheimer's patients published in 2017-2022. Studies that met the inclusion and exclusion criteria were selected and evaluated using the JBI critical appraisal tool. Results: From the search results, 4 studies met the inclusion criteria and were analyzed in this review. The findings indicated that PFMT and Bladder Training can reduce the frequency of urinary incontinence in elderly with Alzheimer's.Conclusion: PFMT and Bladder Training (BT) play important roles in managing urinary incontinence in Alzheimer's patients. PFMT helps improve pelvic floor muscle control, while BT helps regulate mixed frequency. The combination of these two therapies can provide significant benefits in the management of urinary incontinence in Alzheimer's patients, helping to improve the patient's quality of life and overall well-being.INTISARILatar belakang: Inkontinensia urine merupakan masalah umum pada pasien Alzheimer, yang secara signifikan memengaruhi kualitas hidup dan kesejahteraan penderitanya. Intervensi non-farmakologis seperti Pelvic Floor Muscle Training (PFMT) dan Bladder Training telah dipertimbangkan sebagai metode efektif dalam mengelola kondisi inkontinensia urine ini. Namun, keterbatasan kognitif pada pasien Alzheimer menimbulkan tantangan khusus dalam penerapannya. Tujuan: untuk mengevaluasi efektivitas PFMT dan Bladder Training dalam mengelola inkontinensia urine pada pasien Alzheimer, serta memahami tantangan dan kendala yang dihadapi dalam penerapan intervensi ini. Metode: Jenis penelitian ini adalah pengkajian literatur. Pencarian literatur dilakukan melalui database elektronik EBSCO, Proquest, dan Science Direct, yang membahas masalah inkontinensia pada pasien Alzheimer, terbitan tahun 2017-2022. Literatur yang memenuhi kriteria inklusi, diseleksi dan dievaluasi menggunakan JBI’s critical appraisal tools. Hasil: Dari hasil pencarian, sebanyak 4 literatur memenuhi kriteria inklusi dan dianalisis dalam review ini. Hasil temuan menunjukkan bahwa PFMT dan Bladder Training berpengaruh terhadap pengelolaan inkontinensia urine pada pasien Alzheimer, meningkatkan kontrol otot dan frekuensi miksi, serta meningkatkan kualitas hidup pasien.Simpulan: Pelvic Floor Muscle Training (PFMT) dan Bladder Trainining (BT) dapat mengurangi frekuensi inkontinensia urine pada lansia dengan Alzheimer. 
The Nurses' Role in Management Complaint Wahyuningsih, Aries; Firmanda, Giovanni Iga; Pratiwi, Wahyu Nur; Margaretta, Sheylla Septina
Babali Nursing Research Vol. 5 No. 3 (2024): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.53392

Abstract

Background: As primary caregivers, nurses ensure patient safety and quality health services by effectively managing patient complaints. Proper handling of these complaints is crucial for providing effective treatment. Develop management and understanding of handling patient complaints efficiently by providing a systematic framework and identifying effective communication techniques to deal with patient complaints effectively. Methods: ProQuest, Ebsco, Science Direct, and Elsevier were the literature sources examined between 2013 and 2023. Results: Nursing managers should enhance nurses' communication skills to improve patient care and complaint management. Studies indicate that targeted training in communication significantly boosts nurses' effectiveness and patient satisfaction.Conclusion: Implementing training programs, regular assessments, and ongoing support will improve patient outcomes and more effective complaint handling.
HUBUNGAN FAKTOR LINGKUNGAN FISIK RUMAH TERHADAP KEJADIAN TUBERKULOSIS PARU Wahyuningsih, Aries; Sari, Dyah Ayu Kartika Wulan; Apreliya, Resa
Jurnal Penelitian Keperawatan Vol 10 No 2 (2024): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v10i2.776

Abstract

Penyakit Tuberkulosis merupakan penyakit menular yang dipengaruhi oleh salah satu faktor yakni Environment atau lingkungan. Lingkungan fisik rumah yang berhubungan dengan kejadian Tuberkulosis adalah lingkungan fisik rumah yang belum memenuhi syarat rumah sehat. Tujuan penelitian ini adalah untuk mengetahui hubungan faktor lingkungan fisik rumah terhadap kejadian Tuberkulosis Paru. Desain yang digunakan adalah literature review dengan populasi penelitian 10 jurnal literatur dari tahun 2012-2019 menggunakan sistem pencarian Google Scholar, SINTA. Analisis jurnal menggunakan analisa PICO. Hasil dari analisa literature review menunjukkan faktor lingkungan fisik rumah tidak memenuhi syarat pencahayaan (69,4%), ventilasi (66,2%), kelembaban (56,28%), suhu (56,28%), dan kepadatan hunian (58,6%) dengan kejadian Tuberkulosis (47,6%), faktor yang berhubungan dengan kejadian Tuberkulosis berdasarkan uji statistik masing masing jurnal dengan nilai P< 0,05 didapatkan pencahayaan (100%), ventilasi (50%), kelembaban (87,5%), suhu (50%), kepadatan hunian (37,5%). Kesimpulan hasil penelitian literature review ini adalah faktor lingkungan fisik rumah pencahayaan dan kelembaban rumah memiliki hubungan terhadap kejadian Tuberkulosis paru.
Pengaruh Stigma Sosial dan Efektivitas Model Edukasi Fast dalam Meningkatkan Kepatuhan Pengobatan Pasien Tuberkulosis di Layanan Kesehatan Primer Wahyuningsih, Aries; Fitria, Indraningrum; Buranda, Lucky Sarjono
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23477

Abstract

ABSTRACT Stigma remains a critical barrier to successful tuberculosis (TB) treatment adherence, particularly in primary health care settings. This study aimed to examine the influence of social stigma on TB treatment adherence and to evaluate the effectiveness of the FAST educational model (Familiné Andum Semangat Tumandhang) in reducing stigma and improving adherence. A quasi-experimental one-group pretest–posttest design was conducted among 40 pulmonary TB patients and their primary family supporters in community health centers in Kediri City, using purposive sampling. Data were collected using the Tuberculosis Stigma Scale and the Morisky Medication Adherence Scale (MMAS-8). Results indicated a significant reduction in stigma scores from 94.60 to 74.78 (t = 4.372; p < 0.001) and a significant improvement in adherence scores from 2.05 to 1.13 (t = 9.505; p < 0.001). The findings confirm that social stigma significantly influences treatment adherence. The FAST model effectively reduces stigma and enhances adherence through culturally and family-centered education. Integrating this model into routine TB care is recommended to support national TB control goals. Keywords: Tuberculosis, FAST Educational Model, Treatment Adherence, Stigma, Family-Based Intervention, Primary Health Care  ABSTRAK Stigma masih menjadi penghalang utama dalam keberhasilan kepatuhan pengobatan tuberkulosis, khususnya di layanan kesehatan primer. Penelitian ini bertujuan untuk menganalisis pengaruh stigma sosial terhadap kepatuhan pengobatan tuberkulosis serta mengevaluasi efektivitas model edukasi FAST (Familiné Andum Semangat Tumandhang) dalam menurunkan stigma dan meningkatkan kepatuhan. Desain penelitian yang digunakan adalah kuasi-eksperimen dengan pendekatan one-group pretest–posttest, melibatkan 40 pasien tuberkulosis paru yang menjalani terapi di puskesmas wilayah Kota Kediri, masing-masing didampingi oleh satu anggota keluarga sebagai pendukung utama. Teknik pengambilan sampel menggunakan purposive sampling. Pengumpulan data dilakukan dengan kuesioner Tuberculosis Stigma Scale dan Morisky Medication Adherence Scale (MMAS-8). Hasil penelitian menunjukkan adanya penurunan signifikan pada skor stigma dari 94,60 menjadi 74,78 (t = 4,372; p < 0,001) serta peningkatan signifikan pada skor kepatuhan dari 1,13 menjadi 2,05 (t = 9,505; p < 0,001). Sebagian besar peserta awalnya mengalami tingkat stigma sedang (50%) dan kepatuhan rendah (37,5%), yang keduanya meningkat setelah intervensi. Temuan ini menegaskan bahwa stigma sosial berperan penting sebagai determinan kepatuhan pengobatan. Model edukasi FAST terbukti efektif dalam menurunkan stigma dan meningkatkan kepatuhan melalui pendekatan edukasi berbasis keluarga dan budaya. Integrasi model FAST dalam program rutin perawatan TB direkomendasikan untuk mempercepat pencapaian target eliminasi TB nasional. Kata Kunci: Tuberkulosis, Model Edukasi FAST, Kepatuhan Terapi, Stigma Sosial, Intervensi Keluarga, Layanan Kesehatan Primer.