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Effects of Digital Intervention on Improving Self-Management Patients with Peritoneal Dialysis: A Systematic Review Efendi, Cahyaningsih; Kurniawati, Ninuk Dian; Mariyanti, Herdina
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4911

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) is an effective alternative for renal failure patients to undergo treatment with more independence and flexibility. However, the success of CAPD is highly dependent on the patient's skills and knowledge. Many patients lack sufficient information, which may hinder the effectiveness of the dialysis process. The Objectives of this study is to determine the best way to use digital interventions to enhance self-management capabilities in peritoneal dialysis patients. A systematic review following the PRISMA 2020 guidelines was conducted. Article selection used PICO. The research focused on peritoneal dialysis patients and how the use of applications to improve self-management skills. article searches in 2015-2024 in 4 databases, namely EBSCO, Proquest, Scopus, and Pubmed databases. MeSH was used in the medical domain for keyword search. Papers were evaluated for quality using the Jonna Briggs Institute (JBI) framework. There were 7 relevant papers found in the literature search. Implementing digital interventions in healthcare in peritoneal dialysis patients has been used worldwide. Digital interventions used include the use of mobile health text messages, websites and apps. Significant improvements in peritoneal dialysis-related knowledge as well as patient satisfaction are characteristic of most therapies. The resulting impact of digital interventions varies widely with the attitudes and decision-making of individuals undergoing peritoneal dialysis. Digital interventions present a new approach to enhancing self-management capabilities in patients with chronic kidney disease who use peritoneal dialysis. The use of technology can provide the necessary support to manage their condition effectively.
Effect of Digital Health on Mobilization in Post-Operative Fracture Patients: A Systematic Review Pratiwi, Baiq Rista Ananta; Kurniawati, Ninuk Dian; Pratiwi, Ika Nur
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.v7i1.5057

Abstract

Post-operative rehabilitation for fracture patients is crucial in restoring mobility and preventing complications such as muscle atrophy, joint stiffness, and deep vein thrombosis. However, traditional rehabilitation methods often face significant barriers, including limited accessibility, high costs, and low patient adherence. These challenges highlight the need for innovative approaches to enhance rehabilitation outcomes. Digital health interventions (DHIs), such as mobile applications, telerehabilitation, and IoT (Internet of Things) devices, have emerged as promising solutions. By providing remote monitoring, real-time feedback, and personalized care, DHIs address many of the limitations of traditional rehabilitation methods and offer opportunities to improve recovery outcomes. Objective: This systematic review aims to evaluate the effectiveness of digital health interventions (DHIs) in improving mobilization and overall recovery for post-operative fracture patients. Methods: A comprehensive search was conducted across PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest for studies published between 2019 and 2024. Keywords included "digital health," "mobilization," "post-operative fractures," and "telerehabilitation." The review included randomized controlled trials (RCTs), cohort studies, and systematic reviews that evaluated DHIs for post-operative fracture rehabilitation. The inclusion criteria were studies involving post-operative fracture patients, DHIs (e.g., mobile apps, telerehabilitation, IoT devices), and outcomes related to mobility, pain management, and patient satisfaction. The quality of studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. Results: A total of 10 studies were included, involving 1,200 post-operative fracture patients. These studies assessed various digital health interventions, including mobile applications, IoT-based devices, and telerehabilitation. The results indicated significant improvements in mobilization, pain reduction, and patient satisfaction. Patients in the DHI groups demonstrated faster recovery times, better adherence to rehabilitation programs, and improved overall functional outcomes compared to traditional rehabilitation methods. Conclusions: Digital health interventions significantly improve mobilization and recovery outcomes for post-operative fracture patients. These interventions provide accessible, cost-effective, and personalized rehabilitation solutions. DHIs offer a valuable complement to traditional rehabilitation methods and have the potential to enhance patient care and satisfaction. Future research should focus on optimizing the implementation of these technologies and assessing long-term outcomes.
The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review Dewi, Yulis Setiya; Fauzi, Achmad; Tabik, Albertina Dete; Abidah, Aqmarina; Dorman, Johanes Eban B.; Tisel, Yulmira Maria; Kurniawati, Ninuk Dian
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5662

Abstract

Acute Coronary Syndrome (ACS) is a serious condition that requires quick treatment to prevent complications and death. The education program is one of the effective interventions in improving the understanding, compliance, and quality of life of ACS patients. Objective: This study aims to evaluate the effectiveness of educational programs in ACS patient management through a scoping review. Method: This study uses the scoping review method with the PRISMA-Scr protocol. Data was obtained from Scopus, ProQuest, PubMed, and EBSCO databases with relevant keywords and publication of articles in the last 5 years (2019–2024). Articles that met the inclusion criteria were analyzed using a descriptive approach. Quality assessment is carried out using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: Of the initial 34,668 articles, 12 articles with good and medium quality were selected. Effective educational programs include behavioral, media, distance, and group-based methods. These interventions have been shown to improve patient understanding, medication adherence, and quality of life as well as reduce anxiety and depression. The instruments used included PPE-15, HADS-A, HADS-D, SF-12, HeartQoL and GENEActiv accelerometer questionnaires. Conclusions: Educational programs based on a patient-centered care approach (PCC), technology, and physical exercise have proven to be effective in improving ACS patient management. Behavioural and media-based education, such as traffic light labels for nutrition understanding, is able to support lifestyle changes and patient rehabilitation. Intensive education also has a positive impact in reducing the risk of long-term complications.
Pengkajian Kebutuhan Dasar Perawatan Paliatif Pasien Paska CABG (Coronary Artery Bypass Graft) di Ruang Perawatan Intensif Astuti, Nining Puji; Sriyono; Kurniawati, Ninuk Dian; Saktiana, Henry
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 4 No 2 (2023): DESEMBER
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/asjn.v4i2.1339

Abstract

Latar Belakang: Perawatan paliatif merupakan layanan keperawatan yang seharusnya diberikan sejak pasien didiagnosis sakit kronis, masa perawatan hingga meninggal dunia dan berduka. Namun kondisi ini dimaknai berbeda oleh Indonesia dimana perawatan paliatif didefinisikan sebagai perawatan menjelang ajal kematian sehingga dalam perawatan pasien paska bedah jantung tim medis tidak berkenan melakukan kolaborasi dalam tindakan paliatif sedangkan kebutuhan dasar perawatan harus tetap dijalankan untuk memaksimalkan kualitas hidup pasien. Tujuan: Studi kasus ini bertujuan untuk membahas peran tindakan perawatan paliatif dalam perawatan pasien paska bedah jantung pada pasien paska CABG di Ruang ICCU RSUP Dr. Kariadi Semarang pada bulan Juli 2023. Metode: Penelitian dilakukan dengan pendekatan deskriptif kualitatif studi kasus melalui wawancara pasien, keluarga dan analisa kasus hasil pemeriksaan medis pasien. Hasil: Program perawatan paliatif pasien paska tindakan CABG belum terintegrasi dengan tim perawatan paliatif. Hasil pengkajian kebutuhan dasar pasien paliatif di dapatkan data bahwa pasien dan keluarga membutuhkan perawatan paliatif untuk mengurangi gejala nyeri, kelelahan, insomnia, kehilangan nafsu makan dan dampak finansial akibat kondisi sakit pasien. Kesimpulan: Hasil penelitian ini dapat digunakan sebagai pengembangan ilmu pengetahuan terkait pentingnya pengkajian kebutuhan dasar untuk memaksimalkan kualitas hidup pasien paska CABG. Diperlukan alat ukur pengkajian kebutuhan dasar perawatan paliatif guna mengukur kebutuhan dasar perawatan paliatif.
Efektifitas Terapi Musik Terhadap Penurunan Kecemasan Dan Kelelahan Pada Pasien Dengan Penyakit Kanker Payudara Dimasa Pandemi Covid-19: A Systematic Review Martini, Made Yuni; Triana, Wiwin Yuli; Ilmiatun, Nur Annisa; Damayanti, Yuni; Pella, Yosin Herloheti; Lema, Elizabeth Risha Murlina; Mairo, Ratu Izza Auwah; Zaki, Muhammad; Kurniawati, Ninuk Dian
BRILIANT: Jurnal Riset dan Konseptual Vol 7 No 2 (2022): Volume 7 Nomor 2, Mei 2022
Publisher : Universitas Nahdlatul Ulama Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.284 KB) | DOI: 10.28926/briliant.v7i2.952

Abstract

Pendahuluan: Kanker payudara merupakan penyakit yang dapat menyebabkan gangguan fisik seperti kelelahan, penurunan fungsional, psikologis sampai kematian pada wanita, sehingga dibutuhkan intervensi yang dapat meringankan gejala pada penderita kanker payudara. Tujuan: Terapi pengobatan paliatif ini bertujuan untuk mengetahui pengaruh efektifitas terapi music terhadap penurunan kecemasan dan kelelahan pada penderita kanker payudara. Methods: review ini menggunakan  pendekatan PRISMA dan sumber jurnal dari beberapa database, Science Direct, PubMed, CINAHL, ProQuest, dan Web of Science selama lima tahun terakhir. Kombinasi kata kunci yang digunakan ("‘breast cancer’, ‘anxiety’, ‘fatigue’, dan ‘music therapy’) dengan padanan kata MeSH yang dihubungkan dengan Boolean operator “AND” dan “OR” Hasil: Total 901 artikel yang diidentifikasi tereksklusi sebanyak 659 artikel, dengan metode uji coba secara acak (RCT).Dari uji kelayakan full text article tersisa 48 artikel dan diambil 10 artikel penelitian untuk di review. Kesimpulan: Terapi music merupakan salah satu terapi yang efektif digunakan untuk mengurangi stres psikologis (kecemasan) dan kelelahan pasien paliatif kanker dengan stadium lanjut. Keywords: Anxiety, Breast Cancer, Fatigue, and Music Therapy
Navigating Do-Not-Resuscitate Orders in the Emergency Department: a Case Report on Ethical Decision Making Hersinta Retno Martani; Rizki Puji Agustin; Ninuk Dian Kurniawati; Suis Galischa Wati; Sriyono
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22427

Abstract

A patient with Chronic Kidney Disease Stage V presented to the Emergency Department (ED) with severe shortness of breath, caused by pulmonary edema resulting from non-compliance with fluid restriction. The patient and her husband consented to the use of a mechanical ventilator and dialysis; however, they declined to authorise cardiac and pulmonary resuscitation in the event of cardiac arrest or to establish a Do-Not-Resuscitate (DNR) order. This presents a dilemma, as patients with requiring ventilatory support typically necessitate ICU admission; nevertheless, patients with DNR orders are generally not admitted to ICU. The situation worsened when the extended family opposed the DNR Order established by the patient and her husband. This case report aimed to provide solutions for nurses addressing ethical dilemmas concerning the determination of DNR orders. This case report follows the CARE Case Report Guidelines. Following immediate and continuous care in the emergency department and intensive care unit, the patient demonstrated significant improvement. The nurse resolved ethical issues by organizing a family conference that included the patient’s family and care team, discussing the treatment plan on the basis of the most recent assessment results. Nurses’ proactive engagement of multiple stakeholders in patient care within the hospital effectively addresses Do-Not-Resuscitate order-associated ethical dilemmas. To effectively address ethical conflicts, nurses should improve their emphatic communication skills, prioritizing patient interests. Keyword: Do-Not-Resuscitate, Ethical dilemmas, Decision making, Advance care planning, Case report
The Effectiveness of Acupressure in Reducing Pain After Coronary Angiography: a Systematic Review Elvi Kurnia Damayanti; Asroful Hulam Zamroni; Johanes Eban B. Dorman; Rizki Nur Azhadin; Ninuk Dian Kurniawati
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.v9i2.44237

Abstract

Coronary angiography, a critical diagnostic tool for coronary artery disease, often results in post-procedural pain that affects patient recovery and satisfaction. Acupressure, a non-invasive technique rooted in traditional Chinese medicine, has shown promise in reducing pain by stimulating endorphin release and enhancing physiological responses. This systematic review aimed to evaluate the effectiveness of acupressure in managing pain among patients undergoing coronary angiography. Four databases (Scopus, PubMed, ProQuest, and ScienceDirect) were searched for relevant articles published between 2020 and 2025, using keywords such as "acupressure," "pain," and "coronary angiography." Joanna Briggs Institute guidelines were used to assess study quality. Seven randomized controlled trials involving 774 participants were included. All studies reported significant pain reduction after acupressure interventions (p < 0.05), with durations ranging from 15 to 120 minutes at points like LI4 and PC6. Acupressure not only reduced pain but also stabilized vital signs and reduced anxiety. These findings suggest that acupressure is an effective intervention for post-coronary angiography pain, providing a strong basis for its integration into clinical practice. Further research is needed to standardize protocols and explore long-term effects.
Relationship between Information Skills and Antiretroviral Adherence in People Living With HIV/AIDS Lailiah, Novianti; Nursalam, Nursalam; Kurniawati, Ninuk Dian
Fundamental and Management Nursing Journal Vol. 4 No. 1 (2021): APRIL 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v4i1.25551

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Introduction: Adherence in ARV therapy is an important mechanism in preventing drug resistance. The level of adherence is influenced by several factors, one of which is the information skills factor. This study aims to analyze the relationship between information skills and ARV adherence in People Living With HIV/AIDS (PLWHA).Method: This was a cross-sectional approach with a sample size of 100 respondents who were selected through simple random sampling technique. The inclusion criteria for respondents were PLWHA who were undergoing ARV therapy, cooperative, aged 20-60 years. The instrument used was information skills questionnaire and Medical Adherence Rating Scale (MARS). The data were analyzed using descriptive analysis and logistic regression test with p value ≤ 0.05.Results: Information skills were  associated with ARV adherence (p = 0.01). Information skills consisting of knowledge about HIV/AIDS and ARV therapy can increase ARV adherence in PLWHA with indicators taking drugs regularly and have medical control on schedule.Conclusions: The information skills factor has an effect on ARV adherence. Increasing information skills can be done through educational activities or peer-group support aimed at gaining insight into disease and treatment, especially for newly diagnosed PLWHA.
A Systematic Review of Pressure Ulcers Prevention Wahyuni, Erna Dwi; Dewi, Yulis Setiya; Laili, Nadia Rohmatul; Kurniawati, Ninuk Dian; Wulandari, Sartika; Gunawan, Gunawan; Lestari, Diah
Fundamental and Management Nursing Journal Vol. 6 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.41956

Abstract

Introduction: Pressure ulcers in high-risk patients are contributes to patient burden and cost financially. Identifying strategies on the prevention of high ulcers among those with high risk is necessity. Nevertheless, an intense study exploring those issues is scarce. The study aimed to analyze the prevention method and their effectiveness in pressure ulcer prevention. Method: This study used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) to guide the systematic review process. The article searches were conducted on Web of Science (WOS), ScienceDirect, Wiley Online Library, and Scopus using the keywords used Decubitus Ulcer, Pressure Ulcer, Management, and Prevention, and any possible combinations. Results: A total of 18 studies met the inclusion criteria for this review and show some different prevention for a pressure ulcer. The findings of the present study are foam dressings, support surfaces, repositioning, topical-based interventions, wearable patient sensors, and two distinct endotracheal tube fixations affect the incidence of pressure ulcers. Conclusions: This current review emphasized a bundle care consisted of two methods or more are effective to reduce the incidence of pressure ulcers rather than a single treatment. Nurses should consider intervention to prevent ulcers among high-risk patients by way analyses of each single treatment prior bundling. Further study investigating factors associated wound's ulcer healing is necessary.
Co-Authors -, Ririn Probowati Abdan Syakura Abidah, Aqmarina Abu Bakar Abu Bakar Achmad Fauzi Achmad Tirmidzi Adi Sukma Septiana Adi Sukrisno Aesthetica Islamy Agoesta Pralita Sari Agostinha Soares Agostinha Soares Ah Yusuf, Ah ah. Yusuf Ahmad Mufid Sultoni Ahsan Ahsan Ainul Mufidah Ambarwati, Diah Retno Amin Rahmawati Purwaningrum Aminuddin, Achmad Thobib Andri Setiya Wahyudi Andri Setya Wahyudi Andri Setya Wahyudi Andy Kristiyan Ardi, Ekal Maulana Arief, Yuni Sufyanti Arina Qona'ah Ariningpraja, Rustiana Tasya Asroful Hulam Zamroni Ayatulloh, Daviq Baidhowy, Arief Shofyan Bakhtiar, Arief Budi Utomo Candra Panji Asmoro, Candra Panji Chasanah, Nur Rofiqoh Cucuk Rahmadi Purwanto Dadik Dwi Fata Suparda Dariroh, Khoirotur Rizkia Deni Yasmara Desky, Meutia Azkia M Dessy Era Puspitasari Dewa Kadek Adi Surya Antara Dewi, Fifi Rahmawati Diah Lestari, Diah Dian Naelatul Karimah Dorman, Johanes Eban B. Dwi Dina Romantika Dwi Maryuni Dwi Uswatun Sholikhah Dwikora Dwikora Dwikora Novembri Utomo Dyah Sekaringtyas Ciptaningrum Efendi, Cahyaningsih Eka MHas Elida Ulfiana Elok Faradisa Elvi Kurnia Damayanti Erna Dwi W Erwansyah, Rio Ady Esti Yunitasari Fanni Okviasanti Firman Oswari Fransisco Godinho Pereira Gunawan Gunawan Hakim Zulkarnain hammad, hammad Harianto, Susilo Hariyati, Leli Ika Harmayetti Harmayetti Harmayetty, Harmayetty Hartin I.K Nadi Hasanudin Hasanudin Henry Saktiana Herdina Mariyanti Herminia Maria Ximenes Hersinta Retno Martani I Ketut Sudiana Ifada Nurrohmaniah Ika Nur Pratiwi Ika Puspita Sari Ika Yuni Widyawati Ike Nesdia Rahmawati Ilmiatun, Nur Annisa Inda Rian Patma Putri Indarwati , Retno Intan Munawaroh Irvana, Titi Roedhotul Iswatun, Iswatun Johanes Eban B. Dorman Junait Junait Junait, Junait Karingga, Devangga Darma Khotimatul Husna Kristiawati Kristiawati Kristiyan, Andy Kusnanto Kusnanto Kusnanto Kusnanto Laely Sholihah Lailatun Nikmah Lailatun Ni’mah Laili, Nadia Rohmatul Lailiah, Novianti Laily Hidayati Lataima, Nurmawati S Lema, Elizabeth Risha Murlina Lin, Mei-Feng Madiha Mukhtar Mairo, Ratu Izza Auwah Makhfudli Makhfudli Maria Theresia Dhiu Maropi, Anuchit Martani, Hersinta Retno Martini, Made Yuni Melan Apriaty Simbolon Moecharom Moecharom Muftikhar, Zulfian Kurniadi Muhalla, Hafna Ilmy Muhammad Amin Muhammad Iqbal Muhammad Sajidin Muhammad Zaki Nadia Rohmatul Laily Ni Wayan Trisnadewi, Ni Wayan Nihayati, Hanik Endang Nining Puji Astuti Noviani Nastiti Susantiningdyah Nur, Akbar Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nuzul Qur'aniati Pella, Yosin Herloheti Praba Diyan Pradanie, Retnayu Prananda Surya Airlangga Pratiwi, Baiq Rista Ananta Priyantini, Diah Puji Astuti Purwaningsih - Qona'ah, Arina Rahmadani, Nida Harosa Rini Winasih Rini Winasih, Rini Rismayanti, I Dewa Ayu Rizki Nur Azhadin Rizki Puji Agustin RR Dian Tristiana Rusdi, Ainur Saktiana, Henry Santi Dwi Lestari Sari, Diah Nur Indah Sellyta, Anggraini Yudia Sila, Nissa Aruming Siti Nur Cahyaningsih Sriyono Sriyono Sriyono Sriyono Sriyono Suarilah, Ira Suciari, Ana Suharto Suharto Suis Galischa Wati Sukma Randani I Suniyadewi, Ni Wayan Suparda, Dadik Dwi Fata superzeki Zaidatul Fadilah Tabik, Albertina Dete Tiara Aninditha Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Titiek Berniyanti Tri Nurhudi Sasono Triana, Wiwin Yuli Ulin Marliana Wahyudi, Andri Setya Wahyuni, Erna Dwi Wijayanti, Nunik Wilandika, Angga Yulia Kurniawati Yulis Setiya Dewi Yulita Thadea Retanubun Yuni Damayanti Zahra, Naili Raudiatus Zamroni, Asroful Hulam