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All Journal UNEJ e-Proceeding Journal Of Nursing Practice Nurse and Health: Jurnal Keperawatan Jurnal Kreativitas PKM Jurnal Ilmu Keperawatan Jiwa Journal of Applied Nursing (Jurnal Keperawatan Terapan) Jurnal Ilmiah Keperawatan The Indonesian Journal of Health Science Jurnal Peduli Masyarakat Nusantara Science and Technology Proceedings Journal of Vocational Nursing Proceedings of the International Conference on Nursing and Health Sciences Jurnal Keperawatan Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Journal of Rural Community Nursing Practice HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) Journal of Rural Community Nursing Practice DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat
Evy Aristawati
Program Studi D3 Keperawatan Kampus Kota Pasuruan, Fakultas Keperawatan, Universitas Jember
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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STRESS, ANXIETY, AND DEPRESSION IN STOMATITIS PATHOGENESIS: A SYSTEMATIC REVIEW Cahyono, Bagus Dwi; Huda, Nurul; Aristawati, Evy; Aditya, Ronal Surya; Rahmawati, Apriana; Kusuma, Erik; Nasriati, Ririn
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.72560

Abstract

Introduction: Recurrent Aphthous Stomatitis (RAS) is a chronic inflammatory condition characterized by painful ulcers on the oral mucosa. Emerging evidence indicates that psychological factors, such as stress, anxiety, and depression, may play a role in its development. This review aims to examine the influence of these mental health factors on the onset and progression of RAS based on recent scientific literature. Methods: he exact mechanisms through which psychological stressors contribute to RAS remain poorly understood. To address this, a systematic review was conducted following PRISMA guidelines to consolidate current research findings. A thorough search was performed across PubMed, the Cochrane Library, and Google Scholar to identify original studies published within the past decade. The search terms used were: ("Recurrent Aphthous Stomatitis" OR "RAS") AND ("Stress" OR "Anxiety" OR "Depression") AND ("Psychological Factors" OR "Mental Health"). Results: Findings from the reviewed literature indicate a strong correlation between stress and both the initiation and recurrence of RAS. This association appears to be largely driven by the activation of the hypothalamic–pituitary–adrenal (HPA) axis, resulting in increased cortisol levels and subsequent suppression of immune function. These physiological changes are believed to weaken mucosal defenses, thereby increasing vulnerability to ulcer formation. Conclusions: These insights underscore the importance of incorporating psychological interventions—particularly stress-reduction techniques—into the management of RAS to enhance patient well-being and reduce symptom burden.
LITERATURE REVIEW: APPLICATION OF POSITIVE ABILITY EXERCISES TO INCREASE LOW SELF-ESTEEM IN CLIENTS WITH SCHIZOPHRENIA Ichya' Ulumudin, Safetyan; Aristawati, Evy; Huda, Nurul; Zuhroidah, Ida; Cahyono, Bagus Dwi
Journal of Vocational Nursing Vol. 3 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i2.39187

Abstract

Introduction: Positive ability is the ability or positive aspect of an individual to identify the ability that exists in the individual so that clients can choose activities according to their abilities. Patients with low self-esteem see that they are not helpful and feel unable to; by practising positive abilities, they can explore aspects of their positive abilities so that they are expected to see themselves as valuable and become good individuals. Methods: The study used was a literature review of positive ability exercises. Searching for the article is done by Google Scholar or Google Scholar, published from 2015 to 2020, accessed full text in PDF format. Of the five studies used, three used the case study method, one used the Quasi-Experimental Pre-post without control method, and the other used the lecture and discussion method. The search strategy in this literature study uses databases, including Science Direct, Google Scholar and Garuda. Results: A literature review of 7 articles showed that positive ability training varied widely. Conclusions: Positive ability training can overcome nursing problems in patients with schizophrenia with impaired self-concept and low self-esteem.
Hubungan Tingkat Kecemasan Wanita Pra Menopause Dengan Masa Pra Menopause Di MI Miftakhul Ulum Kabupaten Pasuruan Puspitasari, R.A. Helda; Aristawati, Evy
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.90

Abstract

Pramenopause is 3-10 years before the arrival of menopause, at this stage ovarian hormone production decreases and fluctuates causing various symptoms. The average age in each country is different but around 45 and 55 years, these women will experience changes both physiological and psychological. The general objective of this research is to study the relationship between anxiety levels of pre-menopausal women and pre-menopausal periods. While the specific goal is to identify between the anxiety levels of pre-menopausal women, as well as to identify between pre-menopausal levels and periods. The design of this study used a descriptive method in which the approach was cross sectional, the sample was selected by saturation sampling of 25 people. Data is collected by filling out the questionnaire then the data obtained is then presented in tabular and narrative form. The results showed that the level of anxiety of women in the heavy pre-menopausal period (40%), while those in the moderate category were (36%), while those in the low category were (24%). For symptoms and consequences experienced in the pre-menopausal high as much (76%), and low (24%). The results of the chi square test obtained X 2 count 7.89 and X 2 table 5.991. Because the X 2 count is bigger and the X 2 table is Ho is rejected and H1 is accepted, it means there is a relationship between the pre-menopausal woman's anxiety level and the pre-menopausal periods.Keywords: Pre Menopause, Anxiety, Pra Menopause Steps
Peran Pendampingan Keluarga Dalam Senam Diabetes Pada Penderita Diabetes Di Puskesmas Sekargadung Aristawati, Evy; Puspitasari, R.A. Helda
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.91

Abstract

Diabetes Mellitus is often referred to as the great imitator, because it can affect all organs of the body and cause various complaints. Diabetes Mellitus can arise slowly so patients are not aware of changes such as drinking more frequent miktion. The aim of the study is to describe the role of family in the implementation of diabetes gymnastics in patients with Diabetes Mellitus (DM) type 2 at Gayungan Health Center Village Dukuh Denied Surabaya.This research design using descriptive research. The population is all families who have family members with cases of diabetes mellitus with a large sample of 4O people. Sampling using technique Total sampling The variables studied is the role of kleuarga in the implementation of diabetes gymnastics. Data collection was done by distributing questionnaires.The results showed that from 40 respondents in Gayungan Public Health Center, Dukuh Menanggal Surabaya, almost half of them play a good role in the implementation of diabetes gymnastics in diabetic patients as much as 40% (16 people).Health workers should improve health services by providing counseling - extension on diabetics millitus and their families.Keywords: Role Family, Diabetes Mellitus, Gymnastics
Cognitive behavioral Therapy Based on Local Wisdom Culture to Increase Happiness and Slow Degradation of Cognitive Function in the Elderly Post-Stroke Aristawati, Evy; Huda, Nurul; Dwi Cahyono, Bagus; Susanto, Tantut
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.663

Abstract

Background: Stroke in the elderly often leads to physical, psychological, and quality of life deterioration, which can hinder post stroke rehabilitation. Although Cognitive Behavioural Therapy (CBT) has been widely applied, the use of Cognitive Behavioural Therapy (CBT) integrated with local wisdom remains limited, particularly among elderly stroke survivors. Purpose: This study aimed to explore the lived experiences of elderly individuals after stroke who received local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer as a therapeutic medium. Methods: This study employed a qualitative phenomenological design. A total of 25 elderly post stroke participants were selected through purposive sampling and participated in in depth interviews. Data were analysed using thematic analysis following Braun and Clarke’s approach. Results: The findings revealed three main themes, namely biological experiences, psychosocial experiences, and spiritual experiences, reflecting participants’ perceptions of physical comfort, emotional regulation, and enhanced spiritual meaning during the recovery process. In conclusion, local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer provides meaningful biological, psychosocial, and spiritual support for elderly individuals after stroke. Conclusions: These findings imply that integrating culturally and spiritually sensitive Cognitive Behavioural Therapy (CBT) interventions may enhance holistic nursing care and rehabilitation outcomes for elderly stroke survivors.
Acupressure as a Complementary Nursing Intervention for Muscle Trauma Rehabilitation in Rural Farmers: A Quasi-Experimental Study Aristawati, Evy; Rahmawati , Apriana; Huda, Nurul; Cahyono, Bagus Dwi
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 2 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i2.222

Abstract

Musculoskeletal pain is one of the most prevalent health conditions among adults, frequently leading to reduced functional capacity and diminished quality of life. Non-pharmacological interventions such as soft tissue manipulation have gained increasing attention as strategies to reduce analgesic dependence and promote functional recovery. This study aimed to evaluate the effectiveness of soft tissue manipulation in reducing pain and improving functional activity in patients with muscle trauma. A quasi-experimental pretest–posttest control group design was employed, involving 100 participants allocated into an intervention group (n = 50) and a control group (n = 50). Pain intensity was assessed using the Visual Analog Scale (VAS), while functional ability was measured using the Patient-Specific Functional Scale (PSFS). Data were analyzed using appropriate parametric and non-parametric tests, with Odds Ratio (OR) calculated to determine the likelihood of clinically meaningful improvement. The intervention group demonstrated a substantially greater reduction in pain (?VAS = 3.4) compared with the control group (?VAS = 1.1). A total of 76% of participants in the intervention group achieved clinically significant improvement, yielding an OR of 6.09, indicating a six-fold higher likelihood of improvement relative to controls. Functional scores also increased significantly following the intervention. These findings highlight soft tissue manipulation as an effective non-pharmacological approach for reducing musculoskeletal pain and enhancing functional activity, supporting its integration into clinical rehabilitation practice.
Co-Authors Aditya, Ronal Surya Akrom, Akrom Apriana Rahmawati Ayu Dewi Nastiti Bagus Dwi Cahyono Dody Wijaya Dwi Cahyono, Bagus Dwining Handayani Erik Kusuma Fahruddin Kurdi Ichya' Ulumudin, Safetyan Kusumadayanti, Hasri Yudha Lantin Sulistiyorini, Lantin Nasriati, Ririn Nur Ainiyah Nurul Huda Nurul Huda Nurul Huda R.A. Helda Puspitasari Rahmawati , Apriana Salamah, Saidatus Supangat Supangat Susilawati, Endang Fauziah Tantut Susanto Zuhroidah, Ida