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Agung Waluyo

Fakultas Ilmu Keperawatan Universitas Indonesia

Author-ID : 475557

Aerospace Engineering Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The Effect of Leg Elevation on Preload Responsiveness in Heart Failure Patients Mutia Annisa; Tuti Herawati; Amelia Kimin; Agung Waluyo
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.651

Accurate hemodynamic assessment is critical for guiding fluid therapy and avoiding fluid overload in patients with heart failure (HF). Leg elevation maneuvers, including passive leg raising (PLR) and leg lifting (PLL), have emerged as functional diagnostic interventions. Still, their multifaceted roles across different HF phenotypes have not been fully synthesized. This literature review aimed to evaluate the effect of leg elevation on preload responsiveness and its broader clinical applications in adult patients with HF. A comprehensive search of online studies published between 2019 and 2025 was conducted across multiple databases (Sage Journals, Scopus, ScienceDirect, PubMed, Wiley Online Library, and ProQuest). Keywords included “heart failure”, “passive leg raising”, and “hemodynamics.” A total of 1551 articles were identified, and 5 articles were thoroughly reviewed. Five articles that met the inclusion criteria were systematically analyzed to synthesize evidence on the impact of PLR on key hemodynamic parameters. Leg elevation serves distinct, context-dependent roles. PLR/PLL is a provocative test in patients with suspected HF with preserved ejection fraction (HFpEF), confirming latent diastolic dysfunction with a significant PCWP increase. A blunted increase in the stroke volume index (SVi) during PLR/PLL signifies exhausted preload reserve and is an independent predictor of poor clinical outcomes in patients with HF with reduced ejection fraction (HFrEF). A significant decrease in PPV during the maneuver accurately predicts fluid responsiveness, which is particularly crucial for vulnerable patients, such as those with heart failure, as it remains accurate even with low-tidal-volume ventilation. Leg elevation is a versatile and reliable non-invasive maneuver with a multifaceted role in the management of HF. Beyond simply predicting fluid responsiveness, it functions as a crucial diagnostic tool for HFpEF, a prognostic tool for HFrEF, and an accurate predictor of fluid needs in critical care settings. Integrating PLR/PLL into clinical practice allows for precise, physiology-based decision-making, fluid management optimization, and improved patient outcomes.

Efficacy of Breathing Techniques anEfficacy of Breathing Techniques and Positioning Strategies on Dyspnea and Nocturnal Symptoms in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Reviewd Positioning Strategies on Dyspnea and Nocturnal Symptoms in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review Ary Septri Mulainy; Agung Waluyo; Anggri Noorana Zahra
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.v8i2.951

Chronic Obstructive Pulmonary Disease (COPD) is a major global health burden and is projected by the World Health Organization (WHO) to become the third leading cause of mortality by 2030. This trend highlights the urgent need for multidisciplinary healthcare management to maintain patient stability and improve outcomes. Objective to evaluate the effectiveness of non-pharmacological breathing exercise techniques and patient positioning strategies in reducing dyspnea, enhancing lung function, improving nocturnal symptoms, and supporting overall quality of life in individuals with COPD. This systematic review followed PRISMA 2020 guidelines. Literature searches were conducted in PubMed, Scopus, ProQuest, EBSCO, SAGE Journals, ScienceDirect, and ClinicalKey using MeSH terms, keywords, and Boolean operators. The search strategy used combinations of the following main keywords: COPD, breathing exercise, breathing technique, positioning, pulmonary rehabilitation, dyspnea, nocturnal symptoms, sleep disturbances. Inclusion criteria were Randomized Controlled Trials (RCTs), adult participants (≥19 years) and publication years 2020–2025. A total of 2,695 articles were identified. After screening, removal of duplicates, and full-text assessment, 14 studies met the inclusion criteria. Analysis of the 14 included studies demonstrated that a variety of non-pharmacological breathing techniques particularly when combined with optimal patient positioning, pulmonary rehabilitation, supportive devices, complementary therapies, and virtual-reality–based interventions consistently improved lung function, functional capacity, dyspnea, and health-related quality of life in patients with COPD. None of the included studies reported adverse effects related to the interventions. Breathing exercise techniques and therapeutic positioning are effective non-pharmacological strategies for managing COPD symptoms.

Understanding sleep quality among postoperative patients in Intensive Care Unit: A conceptual analysis approach Nunung Nurhayati; Agung Waluyo; I Made Kariasa; Sali Rahadi Asih; Hening Pujasari; Bahrul Hayat
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2762

Background: Sleep quality is an important yet understudied element influencing postoperative recovery in intensive care units. Considering that there is a lack of consistent knowledge of the quality of sleep, it is difficult to establish appropriate tests and therapies. Objective: To do a conceptual analysis of sleep quality in postoperative intensive care units patients utilizing the Walker and Avant framework, delineating its qualities, antecedents, consequences, and empirical referents. Methods: This study used the Walker and Avant eight-step process for idea analysis, which included a systematic literature evaluation of papers published between 2020 and 2024 in databases such as PubMed, Scopus, ScienceDirect, and ProQuest. Data was evaluated to determine important defining qualities, causes, outcomes, and measurable indicators of sleep quality. Results: The analysis identified four defining attributes of sleep quality: sleep architecture, sleep disturbances, subjective experience, and physiological indicators. Antecedents included environmental noise, lighting, pain, anxiety, and frequent medical interventions. Poor sleep quality was associated with adverse outcomes such as increased delirium risk, delayed wound healing, and prolonged intensive care units stays. Empirical referents included patient-reported tools like the Pittsburgh Sleep Quality Index, polysomnography, and actigraphy. Conclusion: Sleep quality is a multidimensional concept central to postoperative care in intensive care unit. Addressing environmental and psychological factors through targeted interventions can improve sleep quality and enhance recovery outcomes.

Factors influencing self-acceptance in cancer patients: A systematic review Bergita Olivia Hali Samon; Allenidekania Allenidekania; Agung Waluyo; Dewi Gayatri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1557

Background: A cancer diagnosis often has a significant impact on patients’ psychological aspects, particularly on self-acceptance. Purpose: To identify and summarize various factors influencing self-acceptance in cancer patients. Method: The selection process followed the PRISMA guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases for studies published between 2010 and 2025, including English-language articles with quantitative study designs (cross-sectional, cohort, case-control, or case report), involving cancer patients aged ≥18 years. Results: Nine studies met the criteria for further analysis. Factors influencing self-acceptance included sociodemographic factors (age, gender, education, income, residence, marital status, employment status, social support, educational level, economic status), disease-related factors (TNM stage, metastasis status, disease duration), and psychosocial factors (social support, meaning-making, fear of recurrence). Conclusion: Self-acceptance in cancer patients is influenced by sociodemographic, disease-related, and psychosocial factors. These findings are important for developing more targeted psychosocial interventions to improve the well-being of cancer patients.

Nurses’ knowledge and attitudes associated with nutrition education for malnutrition prevention in patients with chronic obstructive pulmonary disease Erisca Carolina Tesalonike; Agung Waluyo; Denissa Faradita Aryani
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3911

Background: Malnutrition is one of the major complications among patients with chronic obstructive pulmonary disease (COPD) due to increased energy requirements and chronic systemic inflammation. This condition may worsen respiratory function, increase the risk of exacerbations, and reduce patients’ quality of life. Nutritional education plays an important role in preventing malnutrition; however, its implementation by nurses remains suboptimal. Purpose: To identify the relationship between nurses’ knowledge and attitudes and the implementation of nutritional education for malnutrition prevention among patients with COPD. Method: A cross-sectional study was conducted among 65 respondents providing nursing care to patients with COPD at Dr. H. Abdul Moeloek Regional General Hospital, Lampung, using a total sampling technique. Data were analyzed using Spearman’s correlation test and multiple linear regression. Results: There was a significant relationship between knowledge and the implementation of nutritional education (r=0.443, p<0.001), as well as between attitude and the implementation of nutritional education (r=0.718, p<0.001). No significant relationships were found between age, gender, educational level, length of employment, history of nutrition training, or experience in providing care for patients with COPD and the implementation of nutritional education (p>0.05). Attitude was identified as the variable most strongly associated with the implementation of nutritional education. Conclusions: Nurses’ knowledge and attitudes were significantly associated with the implementation of nutritional education as an effort to prevent malnutrition among patients with COPD. Attitude was the most dominant factor associated with the implementation of nutritional education.

Co-Authors Abd Rahman, La Ode Aby Yazid Al Busthomy Rofi'i Achir Yani S. Hamid Adam, Muhamad Adelia Pradita Adelia Pradita Ainur & Moch.Achwandi, Ika Aisyiyah, Umi Akbar, M. Agung Akhyarul Anam Allenidekania Allenidekania Amelia Amelia Amelia Kimin Amirudin, Ikhwan Anatha C Selaindoong Andi Sudrajat Andrian Waluya Adi Andriani, Zilya Anggri Noorana Zahra Anggri Noorana Zahra Anggri Noorana Zahra Anki Tias Yolanda Anki Tias Yolanda Anung Widi Armunanto Arief Andriyanto Arief Dwi Setiawan Arif Rahman Arisdiani, Triiana Arisdiani, Triiana Ary Septri Mulainy Aryani, Denissa Faradita Asep Novi Taufiq Firdaus Astuti Yuni Nursasi Azzam, Rohman Bahrul Hayat Bahrul Hayat, Bahrul Bambang Budi Siswanto Bambang Wispriyono Bergita Olivia Hali Samon Besral . Butarbutar, Sonang Veronika Chairul Huda Chaterina Janes Pratiwi Dahlia, Debie - Dameria Ginting Dasna Dasna Dede Wirdah Budiastuti Denissa Faradita Denissa Faradita Aryani Denissa Faradita Aryani Dewi Atika Sari Dewi Gayatri DEWI IRAWATI Dewi Irawati Dhea Nastashia Dhea Natashia Dian Ayubi Dikha Ayu Kurnia Ede Surya Darmawan Ede Surya Darmawan Edianto Edianto Edianto Edianto Efitra Efri Widianti Eliana Sinaga Elly Nurachmah Elteria Sianturi Elysabeth Sinulingga Endang Murwaningsih Enny Virda Yuniarti Erisca Carolina Erisca Carolina Tesalonike Etty Rekawati Eusabius Separera Niron Faljeki Kurniawan Faradilla Miftah Suranata Faradita, Denissa Fatma, Endah Panca Lydia Fatriani Fatriani Fatriani, Fatriani Fuadah, Samrotul Gatra Satria Gayatri, Dewi Gayatri Giri Widakdo Haeril Amir Hafan Sutawardana, Jon Hana Dodik Pramiasti Hanny Handiyani Happy Hayati Hapsari, Tutut Riana Haris Fadjar Setiawan Harison, Nunu Hasmi Hasmi Hening Pujasari Herlina Herlina Hermin Esti Dianingtyas Hesti Rahayu Hilman Syarif Hilman, Syarif Hulu, Soni Roy Kurniawan I Gd. Nym Ardi Supartha I Ketut Suada I Made Kariasa I Made Sumaharianta Radin Idramsyah Idramsyah Ikhwan Amirudin Imam Ghozali Imami Nur Rachmawati Ina Martiana Indah Indreani Sari Irawati, Diana Irman Irman irmayati, noverita Isnaeni Nur Khayati Jaemi Jaemi Jaemi, Jaemi Jahja, Umar Jaya, Irvantri Aji Josua Edison Mangole, Josua Edison Juli Andri Juliana GEP Massie Jumaiyah, Wati Jumaiyah, Wati Jumari Jumari Kapriana Tanty Natalia Kartikaningtyas Kusumastuti Katarina Windhi Anggita Sari Khamarudin, Khamarudin Krisna Yetti Krisna Yetti Krisna Yetti Kristina Lisum Kuntarti Kurnia, Pasti Kurniati, Amelia Laili Fitriana Legu, Ermelinda Toyo Lestari Sukmarini Liya Arista Lussy Afriyanti M. Agung Akbar M. Yogi Riyantama Isjoni Maesaroh Maesaroh Mansyur4, Muchtarudin Margaret I Fitch Maria Pele Maria Syelvrida Tumina Maria Syelvrida Tumina Maria, Riri Maria, Riri Maria, Riri Masfuri - Massie, Juliana G.E.P Mayasari Mayasari Mega Lybralia Permana Melly Rahmayani Mislan Mislan Mislan Moch. Abdul Mukid monika rini puspitasari Muchtaruddin Mansyur Muchtaruddin Mansyur Muhamad Adam Muhamad Adam Muhamad Adam Muhammad Putra Ramadhan Mukhlish Hidayat Mulyadi, Budhi Murwaningsih, Endang Mustikasari - Mutia Annisa Neli Mariani Netral Gulo Netty Herawati Ni Nyoman Budi Indrayanti Nila Fitri Nirwanto K. Rahim Nisa Utami Nisaa, Mariani Noor Diani Nor Aziyan noverita irmayati Novi Pampalia Novi Pampalia Nugroho, Rico Maulana Nunu Harison Nunung Nurhayati Nunung Nurhayati Nur Afni Wulandari Arifin Nuraidah Nuraidah Nurlelasari Harahap Nurmayanti Nurmayanti Nurrohmah, Mey Nyayu Nina Putri Calisanie Oky Octaviani Opan Sukiman Orpa Diana Suek Parman, Dewy Haryanti Pasaribu, Jesika Pasaribu, Yengsi Mei Karmita Br Pele, Maria Prima Agustia Nova Prima Khairunisa Primayanthi, Anak Agung Ayu Emi Purba, Sariaman Putra, Kharisma Adytama Putri, Arvianty Shafira QURRATA AINI Qurratu Iffoura Qurratu Iffoura Raden Mohamad Herdian Bhakti Rahmat Kurniawan Rahmatia Amelia Kaaba Ramal Saputra Ramdhani Ramlah Ramlah Ratna Esmayanti Ratna Fithriyah Sholihany Ratna Sitorus Ratna Sitorus Ratna Sitorus Ratna Sitorus Ratna Sitorus Reineldis Gerans Retnowati Retnowati Rica Fitria Rika Srywahyuni Rima Novia Putri Riri Maria Rita Fitri Yulita Rizany, Ichsan Rizka Amelia Rofi'i, Aby Yazid Al Busthomy Rohman Azzam Rohman Azzam Rosakawati Rosakawati Rr. Tutik Sri Hariyati Rumiati, Rumiati - Rusdian, Uti S., Chiyar Edison Sahrudi Sahrudi Sali Rahadi Asih Santi Wahyuningsih Sapto Haryatmo Sapto Haryatmo Sari, Indah Indreani Sekarsari, Rita Sembiring, Rinawati Sepang, Gledis Merry Septa Permana Setyowati Setyowati Setyowati Setyowati Shinta Restu Wibawa Siti - Aisah Siti Nurlaelah Siti Utami Dewi, Siti Utami Sitti Shoimatul A Sonang Veronika Butarbutar Sopiah, Siti Herlina Ali Sri Yona Suanda Saputra Supartha, I Gede Nyoman Ardi Supriadin Supriadin Suryaman, Agus Susiladewi, Ida Ayu Md. Vera Susy Puspasari Sutarni , Nani Tintin Sukartini Sukartini, Tintin Sukartini Tri Hapsari Retno Agustiyowati Tri Hapsari Retno Agustiyowati Triastuti Wuryandari Triensya, Rafiana Tris Eryando Tris Yonado Tulangow, Indri Winny Tuti Herawati Tuti Nuraini Tuti Nuraini Umi Aisyiyah Untung Sujianto Usman Barus Ohorella Uswatun Hasanah Uti Rusdian Vika Endria Wahyuni, Azriwi Wanda , Dessie Wasal Desrial Siregar Wibawa, Shinta Restu Widaningsih, Widaningsih Worabay, Apia Yeany Yati Afiyanti Yeni Rumyani Yossie Susanti Eka Putri Yowel Kambu Yudi Elyas Yulia yulia Yulia Yulia Yulia Yulia Yuliasih Yuliasih Yuniarti, Irmina Ika Yunisar Gultom Yunisar Gultom Yunita Devianti

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