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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Nurse Media Journal of Nursing Jurnal Kesehatan Masyarakat Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Journal Of Holistic Nursing Science Media Keperawatan Indonesia Aptisi Transactions on Technopreneurship (ATT) Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Keperawatan Jurnal Ners Journal of Telenursing (JOTING) Critical Medical and Surgical Nursing Journal Pediomaternal Nursing Journal Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Indonesian Journal of Global Health research Jurnal Pengabdian kepada Masyarakat Nusantara Jurnal Pengabdian Masyarakat dalam Kesehatan Indonesian Academia Health Sciences Journal Jurnal Pengabdian kepada Masyarakat GENIUS JOURNAL (General Nursing Science Journal) Journal of Health and Nutrition Research Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Jurnal Kesehatan dr. Soebandi Indonesian Journal of Global Health Research
Ika Yuni Widyawati
Department Of Nursing, Universitas Airlangga, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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): APRIL 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.
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.
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 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 Diansya, Mohammad Rizal Dunggio, Abdul Rivai Saleh Dwi Susi Pristiwatin Eka Mishbahatul Mar'ah Has Elida Ulfiana Elyana Asnar Endah Panca Lydia Fatma Evi Kartika Maharani Fauzi Tsanifiandi 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 Koesoemo, Rizki Fitryasari Patra 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 Mahmud, Mulyani Hertikawati Makhfudli Makhfudli Masfuri - Mohammad Nur Firdaus 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 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 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