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Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review Nurul Hidayati; Ika Yuni Widyawati; Ira Suarilah; Trihaningsih Puji Astuti; Fauzi Tsanifiandi; Andi Safutra Suraya
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.4011

Abstract

Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.
Effectiveness of Early Warning Score (EWS) in Pre, Intra, and Post Dialysis: A Systematic Review Evi Kartika Maharani; Ika Yuni Widyawati; Ika Nur Pratiwi
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6358

Abstract

The Early Warning Score (EWS) is a crucial tool for detecting early signs of clinical deterioration in hemodialysis (HD) patients. However, previous research has primarily focused on the intra-dialysis phase, necessitating a systematic review to explore the effectiveness of EWS across all phases (pre, intra, and post-dialysis). Objective: This study aims to assess the effectiveness of EWS in detecting complications in hemodialysis patients across these three phases and to evaluate its impact on morbidity, mortality, length of hospital stays, and readmission rates. Methods: This systematic review was conducted following PRISMA guidelines. Literature searches were performed in databases such as PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar. The keywords used in the search were “Early Warning Score” OR “EWS” AND “Hemodialysis” OR “Renal Dialysis” OR “Dialysis” AND “Pre-dialysis” OR “Intradialysis” OR “Post-dialysis” and can utilize Boolean logic (AND, OR, or NOT) to maximize search results. The screening of articles with respect to limitations including year 2016 - 2024. Results: Out of 1,246 identified articles, 15 studies met the inclusion criteria. The findings indicate that EWS is effective in detecting complications across all hemodialysis phases, with significant improvements in clinical management and reductions in morbidity and mortality rates. Conclusion: The comprehensive application of EWS in the pre, intra, and post-dialysis phases can enhance the safety of hemodialysis patients.
Perioperative Assessment in Cancer Patients: A Systematic Review of Existing Domains and Practices Restuwati Restuwati; Ika Yuni Widyawati; Laily Hidayati; Richal Grace Zefanya Uly
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.v8i2.624

Abstract

Perioperative assessment is essential to optimize surgical outcomes and reduce complications, especially in cancer patients who often have complex clinical conditions. This systematic review aims to provide an overview of existing domains and practices in perioperative assessment specific to cancer patients. A systematic search was conducted in databases including ScienceDirect, Scopus, PubMed, and Google Scholar, identifying 1,071 articles. After removing 384 duplicates, 687 articles underwent title and abstract screening, leading to the exclusion of 980 articles. Forty-five full-text articles were reviewed for eligibility; 16 were excluded due to inaccessibility, resulting in 12 articles included in the final analysis. Data were synthesized descriptively to identify common assessment domains and practices. The review found several key domains commonly assessed perioperatively in cancer patients, such as nutritional status, frailty, psychological health, cardiopulmonary function, and immunological parameters. However, there is notable variability in the instruments and methods used across studies, indicating a lack of standardized assessment protocols. Comprehensive perioperative evaluations that integrate these domains may enhance surgical planning and risk prediction in oncology patients. While multiple domains are recognized as important in perioperative cancer assessment, standardized and integrated approaches remain limited. Addressing these gaps could improve risk stratification and patient outcomes, although challenges like tool inconsistency, interdisciplinary coordination, and resource availability must be overcome.
Postoperative Neurological Monitoring and Care Stratification in Adult Patients After Craniotomy: A Systematic Literature Review Imanuella Imanuella; Fayza Asyahlaa Rihastara; Fiza Paluphi Andita Nugroho; Nurur Rachman Machmudy; Muhammad Muttaqien; Ika Yuni Widyawati
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.v8i4.2096

Abstract

The postoperative period following craniotomy is a critical phase because patients are at risk for early neurological deterioration, the need for escalation of care, delirium, delayed awakening, and other complications that can impact safety and clinical outcomes. An appropriate approach to neurological monitoring, including the selection of the care unit and stratification of observation intensity, is a crucial issue in modern neurosurgical practice. Synthesizes current scientific evidence regarding postoperative neurological monitoring and care stratification in adult patients after craniotomy, specifically regarding the safety of non-intensive care unit (non-ICU) care, the use of prediction scores, and postoperative clinical outcomes. This review used a systematic literature review design following the PRISMA 2020 principles and has been registered with PROSPERO (CRD420261350040). Searches were conducted in PubMed, Scopus, Web of Science, SAGE, and Springer Nature for articles published between 2020 and 2026. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools according to study design. Due to the heterogeneity of designs, interventions, and outcomes, the synthesis was conducted narratively and thematically. Of the initial 534 articles, 18 studies met the inclusion criteria. Four studies were of high quality and fourteen studies were of moderate quality. Three main themes were identified: (1) non-ICU monitoring pathways in selected patients can be safe when supported by structured neurological observation; (2) prediction scores and risk stratification help adjust monitoring intensity; and (3) structured postoperative pathways, including same-day discharge in selected patients, have the potential to reduce length of stay, costs, and ICU use without showing significant safety signals. Available evidence suggests that structured, risk-based postoperative neurological monitoring supported by strong nursing competencies has the potential to improve resource efficiency without compromising patient safety. However, the evidence remains largely based on observational studies.  
PENGARUH EDUKASI SENAM KAKI TERHADAP KETERAMPILAN MELAKUKAN SENAM KAKI PADA PASIEN DEWASA DIABETES MELLITUS TIPE 2 DI SURABAYA Fitriatul Jannah; Ika Yuni Widyawati; Firnanda Erindia; Dina Istiana; Hilda Dea Revani; Adiva Talidah; Elief Aliyah
Zaitun : Jurnal Ilmu Kesehatan Vol 14, No 1 (2026): Februari 2026
Publisher : Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/zijk.v14i1.6075

Abstract

Pendahuluan: Diabetes Mellitus (DM) Tipe 2 merupakan penyakit kronis yang berisiko menimbulkan komplikasi vaskular dan neuropati pada kaki. Senam kaki diabetik efektif mencegah komplikasi, namun keterbatasan pengetahuan pasien sering kali menjadi kendala dalam pelaksanaannya. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh edukasi senam kaki menggunakan media leaflet terhadap keterampilan melakukan senam kaki pada pasien dewasa DM Tipe 2. Metode: Penelitian ini menggunakan desain pre-experimental (One Group Pretest–Posttest Design) dengan teknik purposive sampling yang melibatkan 46 responden pasien DM Tipe 2. Data dikumpulkan menggunakan lembar observasi keterampilan berdasarkan SOP senam kaki dan dianalisis menggunakan uji Wilcoxon Signed Ranks Test. Hasil: Analisis statistik pada kelompok yang diberikan edukasi menunjukkan nilai Z sebesar -3,640 dengan p-value = 0,000 (p < 0,05). Sebanyak 16 responden mengalami peningkatan skor keterampilan senam kaki secara signifikan setelah diberikan intervensi edukasi. Kesimpulan: Terdapat pengaruh yang signifikan dari pemberian edukasi senam kaki terhadap peningkatan keterampilan melakukan senam kaki pada pasien dewasa Diabetes Mellitus Tipe 2.
Kejadian Burnout Syndrome pada Perawat di Surabaya: Studi Analisis Faktor Dyah Unggul Putri Habsari; Ika Yuni Widyawati; Laily Hidayati; Nursalam Nursalam
Indonesian Academia Health Sciences Journal Vol 2 No 1 (2021): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v2i1.23396

Abstract

Introduction: Burnout syndrome is still a problem related to nurses' psychology, especially during the current COVID-19 pandemic. Burnout syndrome can be influenced by interpersonal and environmental factors of a person. The purpose of this study was to analyze the relationship between personality, workload and appreciation of burnout syndrome in nurses who treat COVID-19 patients at the Indrapura Field Hospital, Surabaya. Methods: This study uses a descriptive analytic design with a cross sectional approach. The number of samples was 42 respondents who were taken using a non-probability sampling technique, namely purposive sampling. Analysis using Spearmen Rho test. Result: The results showed that there was a relationship between workload (p = 0.034; r = 0.327) and rewards (p = 0.039; r = -0.320) with burnout syndrome in nurses treating COVID-19 patients at the Indrapura Field Hospital Surabaya. There was no relationship between personality (p=0.244;r=-0.184) and burnout syndrome in nurses who treated COVID-19 patients at the Indrapura Field Hospital, Surabaya. Conclusion: Burnout syndrome in nurses who treat COVID-19 patients at the Indrapura Field Hospital Surabaya is related to workload and rewards. Personality factors with positive attitudes are not necessarily able to prevent someone from experiencing burnout syndrome. So that this research can be used as an illustration for nurses during the current COVID-19 pandemic and situations in the future.
Effectiveness of Nursing-Led Interventions on Stoma Self-Care and Quality of Life in Patients with Urinary Diversion: Systematik Literatur Riview Fiza Paluphi Andita; Muhammad Muttaqien; Imanuella Imanuella; Nurur Rachman Machmudy; Fayza Asyahla Rihastara; Ika Yuni Widyawati
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2196

Abstract

Patients who undergo radical cystectomy with urinary diversion often have difficulty managing their stoma independently, which can affect their quality of life. Various nursing-led interventions have been developed to improve stoma care skills, but the available evidence remains varied. The objective of this study is to assess how nurse-led interventions affect stoma self-care and quality of life, and to identify the intervention elements that support these outcomes. Guided by the PRISMA 2020 guidelines, this study conducted a systematic literature review. As of January 2020 to March 2026, literature searches were performed in PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar. Fourteen out of 326 identified articles met the inclusion criteria. The JBI tool was used to evaluate methodological quality, followed by narrative synthesis. The PROSPERO registration number for this study protocol is CRD420261353559. Fourteen studies, including quasi-experimental trials and randomized controlled trials, were examined. Nurse-led interventions generally reduced peristomal complications and improved stoma self-care ability, self-efficacy, and quality of life. Stoma self-care and quality of life were consistently enhanced by interventions centered on education, stoma care skills training, and continuous care. Following radical cystectomy, patients’ quality of life and stoma self-care can be improved through nurse-led interventions. Although there is limited evidence supporting the promising outcomes of multidimensional and ongoing interventions, further research is needed to confirm these findings.
Kejadian Burnout Syndrome pada Perawat di Surabaya: Studi Analisis Faktor Dyah Unggul Putri Habsari; Ika Yuni Widyawati; Laily Hidayati; Nursalam Nursalam
Indonesian Academia Health Sciences Journal Vol 2 No 1 (2021): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v2i1.23396

Abstract

Introduction: Burnout syndrome is still a problem related to nurses' psychology, especially during the current COVID-19 pandemic. Burnout syndrome can be influenced by interpersonal and environmental factors of a person. The purpose of this study was to analyze the relationship between personality, workload and appreciation of burnout syndrome in nurses who treat COVID-19 patients at the Indrapura Field Hospital, Surabaya. Methods: This study uses a descriptive analytic design with a cross sectional approach. The number of samples was 42 respondents who were taken using a non-probability sampling technique, namely purposive sampling. Analysis using Spearmen Rho test. Result: The results showed that there was a relationship between workload (p = 0.034; r = 0.327) and rewards (p = 0.039; r = -0.320) with burnout syndrome in nurses treating COVID-19 patients at the Indrapura Field Hospital Surabaya. There was no relationship between personality (p=0.244;r=-0.184) and burnout syndrome in nurses who treated COVID-19 patients at the Indrapura Field Hospital, Surabaya. Conclusion: Burnout syndrome in nurses who treat COVID-19 patients at the Indrapura Field Hospital Surabaya is related to workload and rewards. Personality factors with positive attitudes are not necessarily able to prevent someone from experiencing burnout syndrome. So that this research can be used as an illustration for nurses during the current COVID-19 pandemic and situations in the future.
Efektivitas Intervensi Latihan Fisik dan Mindfulness Terhadap Nyeri Neuropatik dan Kualitas Hidup Pada Pasien Neuropati Diabetik: Systematic Review Tiara Kudri; Ika Yuni Widyawati; Dianis Wulan Sari
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62834

Abstract

Nyeri neuropatik dan penurunan kualitas hidup merupakan permasalahan yang sering terjadi pada pasien neuropati diabetik. Permasalahan ini mengganggu aktivitas serta kesejahteraan pasien. Intervensi nonfarmakologis, seperti foot exercise dan mindfulness, berpotensi menjadi pendekatan komplementer dalam membantu mengurangi nyeri dan meningkatkan kualitas hidup. Systematic review ini bertujuan untuk mengidentifikasi efektivitas intervensi foot exercise dan mindfulness terhadap nyeri neuropatik dan kualitas hidup pada pasien dengan neuropati diabetik. Pencarian literatur dilakukan pada database Scopus, ProQuest, PubMed, ScienceDirect, dan CINAHL untuk artikel yang diterbitkan pada tahun 2020–2025. Strategi pencarian menggunakan kombinasi kata kunci “diabetic peripheral neuropathy” AND (“foot exercise” OR “mindfulness” OR “mindfulness breathing”) AND (“neuropathic pain” OR “quality of life”) AND (“randomized controlled trial” OR “experimental”). Artikel diseleksi berdasarkan kriteria inklusi yang telah ditetapkan serta dilaporkan mengikuti pedoman PRISMA. Sebanyak 12 artikel memenuhi kriteria dan dianalisis dalam systematic review ini. Hasil kajian menunjukkan bahwa intervensi latihan fisik dan mindfulness berpotensi memberikan manfaat terhadap penurunan nyeri neuropatik dan peningkatan kualitas hidup pasien neuropati diabetik
Co-Authors Abigael Grace Prasetiani Abu Bakar Adiva Talidah Ah Yusuf Ah. Yusuf ah. Yusuf Ahmad Abdul Ghofar Abdulloh Aini, Nauvila Fitrotul Ainul Mufidah Ainunnajib, Ilham Akbar, Dian Rahmadin Aldri Frinaldi Alfi Syahri Anak Agung Istri Sri Wiadnyani Andi Safutra Suraya Andri Setiya Wahyudi Anggia Fajar Hardianti Anggun Perwita Sari Arifin, Hidayat Balmar Morangelita Nuach Budi Artini Cahyu Septiwi Candra Panji Asmoro, Candra Panji Desak Putu Kurniawati Desi Susilawati Desi Susilawati, Desi Devi Rahma Sofia Dewi Irawaty Dhimas Wahyu Wicaksono Dian Retno Pratiwi Dianis Wulan Sari Diansya, Mohammad Rizal Dina Istiana Dunggio, Abdul Rivai Saleh Dwi Susi Pristiwatin Dyah Unggul Putri Habsari Eka Mishbahatul Mar'ah Has Elida Ulfiana Elief Aliyah Elyana Asnar Endah Panca Lydia Fatma Evi Kartika Maharani Fauzi Tsanifiandi Fayza Asyahla Rihastara Fayza Asyahlaa Rihastara Fernandez, Gratsia Victoria Firda Yusniar Firnanda Erindia Fitria Habibah Nita Yuliana Eka Putri Fitriatul Jannah Fitriatul Jannah Fiza Paluphi Andita Fiza Paluphi Andita Nugroho 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 Hilda Dea Revani Huda, Nuh I Made Dwi Budhiasa Ari Serengga Ika Nur Pratiwi Ilma Rosida Rahmawati Imamatul Faizah Imanuella Imanuella Indah Sri Cahyanti Intan Widiastuti Iqlima Dwi Kurnia Joni Haryanto Jujuk Proboningsih, Jujuk Koesoemo, Rizki Fitryasari Patra Krisna Yetti Kurniawan, Ardhiles Wahyu Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Laily Hidayati Laily Hidayati Laily Hidayati Lee, Bih-O Liem, Khatijah Lingga Curnia Dewi Lingga Curnia Dwi Lisa Setyowati Luh Putu Ratna Sundari Luknis Sabri Mahmud, Mulyani Hertikawati Makhfudli Makhfudli Masfuri Masfuri Mohammad Nur Firdaus Muhammad Muttaqien Murdiyanti, Dewi mustakim Nauvila Fitrotul Aini Nayluzzuharo' N, Fanny Ni Kadek Arie Octarini Ni Made Sekar Sari Nimah, Lailatun Nur Ainiyah Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurur Rachman Machmudy 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 Restuwati Restuwati Rezkisa Dwi Prambudia Rheyma Sinar Al Fitri Richal Grace Zefanya Uly Rista Fauziningtyas, Rista 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 Sylvia Dwi Wahyuni Tadi Tadi Tiara Kudri Tintin Sukartini Sukartini, Tintin Sukartini Trihaningsih Puji Astuti 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