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Journal : Jurnal Ners

Penggunaan BEFAST Sebagai Instrumen Deteksi Awal Stroke di Fase Prehospital : Sebuah Literature Review Desi Susilawati; Ika Yuni Widyawati; Yulis Setiya Dewi
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.v9i2.41565

Abstract

Stroke merupakan penyebab kematian nomor.dua serta penyebab kecacatan utama diseluruh dunia. Pengenalan dan pengambilan keputusan terhadap Stroke dapat ditingkatkan dengan menggunakan BEFAST (Balance, Eyes, Face, Arm, Speech, Time) sebagai instrumen penilaian awal pada tahap prehospital. Tujuan penelitian ini adalah untuk mengetahui efektivitas penggunaan BEFAST sebagai deteksi dini stroke di prehospital. Desain penelitian ini menggunakan Systematic Review, yang diambil dari PubMed, Proquest, Science Direct, dan Google Scholar dari tahun 2019 sampai dengan 2024. Pencarian artikel inimenggunakan kata kunci Stroke OR cerebra arterial disease AND prehospital detection AND BEFAST. Desain penelitian menggunakan Preferred Reporting Items for Systemic Review and Meta-Analysis (PRISMA) Guidelines. Dari 217 artikel yang ditemukan, 5 artikel yang di review dalam penilitian ini. 5 artikel tersebut (100%) mendukung penggunaan BEFAST sebagai pengenalan awal stroke prehospital dengan sensitivitas dan spesifisitas yang tinggi. Penggunaan BEFAST merupakan aspek objektif untuk deteksi dini stroke prehospital, persiapan aktivasi kode stroke di unit gawat darurat, sehingga dapat mengurangi risiko kematian dan kecacatan.
Effectiveness of Nurse-Led mHealth on Self-Efficacy and Adherence Hemodialysis Patients: A Systematic Review I Made Dwi Budhiasa Ari Serengga; Ika Yuni Widyawati; Iqlima Dwi Kurnia
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51717

Abstract

ABSTRACT Introduction:. Hemodialysis patients with end-stage renal disease (ESRD) often experience low self-efficacy and poor adherence to treatment regimens, which negatively affect their health outcomes and quality of life. Conventional education methods have shown limited effectiveness in sustaining behavioral change. Nurse-led mobile health (mHealth) interventions provide an innovative approach that combines nursing expertise, behavioral theory, and digital technology to enhance self-efficacy and long-term adherence. Methods: This systematic review followed the PRISMA 2020 guidelines and included studies published between 2019 and 2025 from four databases: Scopus, PubMed, ProQuest, and Web of Science. Eligible studies examined nurse-led mHealth interventions aimed at improving self-efficacy and adherence among adult hemodialysis patients. The methodological quality of the included studies was evaluated using the JBI critical appraisal tools. Results: Fourteen studies met the inclusion criteria, comprising randomized controlled trials and quasi-experimental designs. Nurse-led mHealth interventions were delivered through mobile applications, telehealth platforms, and instant messaging systems, demonstrating consistent improvements in self-efficacy, adherence, and clinical indicators. Interventions guided by the FITT (Frequency, Intensity, Time, Type) framework and behavioral theories such as the Health Belief Model, Self-Efficacy Theory, and Transtheoretical Model achieved the most sustainable outcomes. Conclusions: Nurse-led mHealth interventions effectively improve self-efficacy and adherence among hemodialysis patients. Integrating behavioral theory, optimized digital dosage, and nursing leadership represents a scalable strategy to strengthen chronic disease management and patient empowerment in contemporary nursing practice. Keywords: Adherence, HBM , Health Education, Self-management, Self-efficacy
Effectiveness of Intradialytic Stretching Exercises In Preventing Muscle Cramps in Individuals Undergoing Hemodialysis : A Systematic Review Tadi Tadi; Ika Yuni Widyawati; Ira Suarilah
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54719

Abstract

Introduction: Individuals with Chronic Kidney Disease (CKD) may experience symptoms of uremic syndrome. Intradialytic stretching exercises have been proposed as a method to increase activity levels while reducing uremic symptoms. Muscle cramps are a common complication of hemodialysis treatment and often lead to early termination of sessions, therefore, timely intervention to address muscle cramps in hemodialysis patients is a critical priority. Objective: To systematically analyse the effectiveness of intradialytic stretching exercises on muscle cramps among individuals undergoing hemodialysis Methods: A systematic review was conducted through five major databases: Scopus, PubMed, Science Direct, ProQuest, and Wiley, for the last five years publication (2020 to 2025). Eligible studies included those that implemented intradialytic stretching exercises interventions focused on muscle cramps for individuals undergoing hemodialysis. Data extracted included study characteristics, sample demographics, design, and measured outcomes. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, and findings were synthesized through narrative analysis. Result: Eleven studies (n=11) that obtained JBI quality assessment scores ranging from 77% to 92% were included in the final analysis, involving 809 participants from 7 countries, with intervention durations ranging from 4 to 24 weeks. The reviewed intradialytic stretching exercise interventions addressed aspects of muscle cramps, urea levels, and fatigue. Conclusion: Intradialytic stretching exercises demonstrate significant potential in preventing muscle cramps of individuals undergoing hemodialysis. Further research is needed to evaluate long-term outcomes and optimise intervention designs.
Co-Authors Abigael Grace Prasetiani Abu Bakar Ah Yusuf Ah. Yusuf ah. Yusuf Ahmad Abdul Ghofar Abdulloh Aini, Nauvila Fitrotul Ainul Mufidah Ainunnajib, Ilham Akbar, Dian Rahmadin Aldri Frinaldi Anak Agung Istri Sri Wiadnyani Andi Safutra Suraya Andri Setiya Wahyudi Anggia Fajar Hardianti Anggun Perwita Sari Arifin, Hidayat Astuti, Trihaningsih Puji Azhadin, Rizki Nur Balmar Morangelita Nuach Budi Artini Cahyu Septiwi Candra Panji Asmoro, Candra Panji Damayanti, Elvi Kurnia Desak Putu Kurniawati Desi Susilawati Desi Susilawati, Desi Devi Rahma Sofia Dewi Irawaty Dhimas Wahyu Wicaksono Dian Retno Pratiwi Diansya, Mohammad Rizal Dorman, Johanes Eban B. Dunggio, Abdul Rivai Saleh Dwi Susi Pristiwatin Eka Mishbahatul Mar'ah Has Elida Ulfiana Elyana Asnar Endah Panca Lydia Fatma Fernandez, Gratsia Victoria Firda Yusniar Fitria Habibah Nita Yuliana Eka Putri Fitriatul Jannah Gratsia Victoria Fernandez Habsari, Dyah Unggul Putri Hadiyanti, Sonia Hakim Zulkarnain Hana Zumaedza Ulfa Harigustian, Yayang Harmayetty, Harmayetty Hasymi, Yusran Herdina Mariyanti Hidayathillah, Ariska Putri Huda, Nuh I Made Dwi Budhiasa Ari Serengga Ika Nur Pratiwi Ilma Rosida Rahmawati Imamatul Faizah Indah Sri Cahyanti Intan Widiastuti Iqlima Dwi Kurnia Joni Haryanto Jujuk Proboningsih, Jujuk Krisna Yetti Kurniawan, Ardhiles Wahyu Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Laily Hidayati Laily Hidayati Lee, Bih-O Liem, Khatijah Lingga Curnia Dewi Lingga Curnia Dwi Lisa Setyowati Luh Putu Ratna Sundari Luknis Sabri Maharani, Evi Kartika Mahmud, Mulyani Hertikawati Makhfudli Makhfudli Masfuri - Mohammad Nur Firdaus Murdiyanti, Dewi mustakim Nayluzzuharo' N, Fanny Ni Kadek Arie Octarini Ni Made Sekar Sari Nimah, Lailatun Nur Ainiyah Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurviana, Destya Eka Octaviani, Dinda Sesylia Paramita, Fajrinandetya Pawanis, Zulfayandi Pei-Lun Hsieh Prabawati, Dita Dwi Oktav Purwaningsih - Putu Thrisna Dewi, Ni Luh Qonaah, Arina Rachmat Hargono Rezkisa Dwi Prambudia Rheyma Sinar Al Fitri Rista Fauziningtyas, Rista Rizky Fitryasari RR Dian Tristiana Rustiana Tasya Ariningpraja Rusulustin Mustikaria S.Pd. M Kes I Ketut Sudiana . Sari Tauhidiyah Sari, Ni Made Sekar Sari, Purwanti Sari, Ratna Yunita Sekar Sari Septianingrum, Yurike Sholihatul Maghfirah Sholihatul Maghfirah Shrimarti Rukmini Devy Sifira Kristiningrum Sigit Sugiharto Siti Muniroh Sonia Hardiyanti Sriyono Sriyono Suarilah, Ira Suhaedi Kuling Sukma Randani Ismono Sulistiawati Sulistiawati Syafaatun Mirzanah Syahri, Alfi Sylvia Dwi Wahyuni Tadi Tadi Tintin Sukartini Sukartini, Tintin Sukartini Tsanifiandi, Fauzi Vivi Armany Dessy Wabula, La Rakhmat Wahyuni, Erna Dwi Wardani, Erika Martining Wati, Ni Made Nopita Widyatuti Wiwit Dwi Nurbadriyah Yahaya, Nor Aziyan Yani Indah Sari Yeni Siswanti Yulis Setiya Dewi Zahrotun Ulum Zamroni, Asroful Hulam