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All Journal International Journal of Public Health Science (IJPHS) Journal Of Holistic Nursing Science Media Keperawatan Indonesia JURNAL PENDIDIKAN TAMBUSAI JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Surya Indonesian Journal of Global Health research Jurnal Ilmu Kesehatan The Journal of Palembang Nursing Studies Lentera Perawat Jurnal Keperawatan dan Kesehatan (JKK) Jurnal Ilmiah Sultan Agung Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Keperawatan Berbudaya Sehat Holistik Jurnal Kesehatan
Erna Melastuti, Erna
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Religion Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Efektifitas Musik Nature sounds dan Dzikir Terhadap Penurunan Tingkat Depresi Pasien Kanker Payudara Wahyuningsih, Indah Sri; Endah Janitra, Fitria; Melastuti, Erna
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v7i2.3084

Abstract

Depression is one of the psychological responses experienced by breast cancer patients. One of the actions to reduce the psychological impact of breast cancer patients is with music therapy. Music effects can calm the soul, provide comfort, calm, so that arises a sense of enthusiasm and positive thoughts. The music used in this study is nature sounds. This music is very close to the environment and each individual recognizes the sounds of nature so that it is more easily and efficiently applied. Natural sound music with a combination of dzikir can be used as an alternative therapy to improve the mental status of breast cancer patients who experience depression. This study aims to determine the effect of combination therapy of nature sound and dhikr on the level of depression in breast cancer patients. The method used in this study is a quasi-experimental approach with a pre-equivalent non-equivalent without control group approach, to see differences in the average level of depression before and after giving a combination of music therapy and dhikr. Giving music therapy is given with a rhythm of 60-80 bpm, stable, low frequency and relaxing melody has been done 2 times a week. The data was processed with SPSS statistical software version 20.0 with normality test and paired t test. The results showed that the majority of patients aged 36-45 years (46.7%) and undergoing 3rd cycle chemotherapy (33.3%). Natural sound music therapy and dzikir significant to reduce depression scores with p value = 0.001. In conclusion, this study proves that nature sounds music therapy effectively to reduce depression scores in breast cancer patients
TERAPI PSIKORELIGIOSPIRITUALITAS (SPIRITUAL CARE) SEBAGAI INTERVENSI KEPERAWATAN KUALITAS HIDUP PADA PASIEN PENYAKIT KRONIS. Melastuti, Erna; Wahyuningsih, Indah Sri
Jurnal Keperawatan dan Kesehatan Vol 14 No 1 (2023): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v14i1.270

Abstract

Latar belakang: Penyakit kronis merupakan suatu keadaan kesehatan yang terdapat beberapa gejala tertentu yang terjadi dalam kurun waktu lebih dari 3 bulan dengan waktu yang panjang dengan proses pemulihan atau pengendalian kondisi klinisnya yang pada umumnya lambat. Terapi psikoreligiospiritualias(spiritual care) merupakan salah satu bentuk psikoterapi yang mengkombinasikan pendekatan kesehatan jiwa modern (psikologis) dan pendekatan aspek religius atau keagamaan dan spiritualitas yang bertujuan meningkatkan mekanisme koping atau mengatasi masalah (Yosep, 2010 dalam Subandi, dkk, 2012). Kualitas hidup merupakan suatu indikator dimana seseorang merasakan keunggulan dalam kehidupannya. Untuk memperoleh kualitas hidup maka individu harus mampu menjaga kesehatan tubuh, jiwa, serta pikirannya. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan terapi psikoreligiospiritualitas(spiritual care) dengan kualitas hidup pada pasien penyakit kronis. Metode: Populasi dalam penelitian ini yaitu pasien dengan penyait kronis di Rumah Sakit Islam Sultan Agung Semarang yaitu di bagian rawat jalan serta rawat inap dengan jumlah 117 penderita penya kit kronis. Teknik pengambilan sampel yaitu menggunakan teknik random sampling dengan jumlah sampel 90 Responden. Hasil: Berdasarkan hasil penelitian yang dilakukan didapatkan mayoritas responden berjenis kelamin perempuan yaitu sebanyak 64,4 %, dengan rentan usia sebanyak 40,0 %, dan memiliki tingkat Pendidikan yaitu SD sebanyak 42,2%. Mayoritas pekerjaan responden adalah Ibu rumah tangga sebanyak 42,3%, dan lama menderita penyakit sebanyak 31,1%. Mayoritas responden memiliki spiritual care yang tinggi dengan presentase 91,1% serta memiliki kualitas hidup yang baik dengan jumlah 96,7%. Kesimpulan: Hasil dari penelitian ini didapatkan yaitu p-value 0,410 (> 0,05) yang berarti bahwa tidak terdapat hubungan antara terapi psikoreigiospiritualitas (spiritual care) dengan kualitas hidup pada pasien penyakit kronis di Rumah Sakit Islam Sultan Agung Semarang.
Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis Melastuti, Erna; Nursalam, Nursalam; Sukartini, Tintin; Priyantini, Diah
International Journal of Public Health Science (IJPHS) Vol 13, No 2: June 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i2.23361

Abstract

Self-management in regulating diet, fluids, activities, and medication in chronic renal failure patients which getting hemodialysis is still worse. This research aimed to develop the theory of compliance based on self-regulation to increase patient obedience and awareness. A cross-sectional approach of 130 respondents was recruited using simple random sampling. Structural equation modeling partial least square (SEM-PLS) was the statistical analysis for this study. All indicators in the outer model showed outer loading value >0.7, it declared feasible to predict each of the latent variables. The R-square value of appraisal latent was 0.576, Coping was 0.897, and self-care compliance was 0.713. The model was relevant when applied in other research studies with a Q-Square value=0.832. The goodness of fit (GoF) was 0.832>0.36, which means that the model was applied well. The appraisal variable is the strongest variable that influences coping, based on the hypothesis test. The self-regulation-based compliance model for blood pressure, interdialytic weight gain (IDWG), sodium levels, and functional independence can be developed through analysis of the structural model.
Self-regulatory-based compliance module improve chronic kidney failure patients condition Melastuti, Erna; Nursalam, Nursalam; Priyantini, Diah
International Journal of Public Health Science (IJPHS) Vol 13, No 2: June 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i2.23362

Abstract

Adherence is very important to pay attention to in health management and the quality of life among end-stage renal disease (ESRD) patients, in the fact that adherence is still lacking. This study aimed to analyze the effect of self-regulatory-based compliance modules improving interdialytic weight gains (IDWG), blood pressure (BP), sodium levels, and functional independence. A quantitative research design with a quasi-experiment approach (pre and post-test control study). A total of 28 samples for each group were taken using purposive sampling. Self-regulation based on health promotion was given using module and IDWG, sodium levels, BP measured with laboratories and physical examination, and Functional Independence measured using a questionnaire. Wilcoxon signed-rank test and Mann-Whitney test were the selected analyses for this study. There was a significant effect on self-regulation-based compliance to IDWG (p=0.012), sodium levels (p=0.001), systolic pressure (p=0.003), and functional independence (p=0.002) in the intervention group. A significant difference was also shown between the two groups (p<0.05). The self-regulation-based compliance module showed improved patient compliance in terms of fluid restriction, taking drugs, paying attention to diet, and managing activities. Adherence to patients increases good outcomes in controlling IDWG, BP, sodium levels, and functional independence in ESRD patients.
Hubungan Lama Hemodialisis Dan Tingkat Stres Dengan Kualitas Hidup Pasien Hemodialisa Puspita Putri, Maharani; Ikhlasul Amal, Ahmad; Melastuti, Erna; Dwi Retno Sulistyaningsih
An-Najat Vol. 3 No. 1 (2025): An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i1.2383

Abstract

Hemodialysis is a treatment for chronic kidney disease patients using a specially designed device to filter and remove metabolic waste as a substitute for kidney function. Patients often experience complications or common psychological effects, such as stress and the duration of hemodialysis, which influence their quality of life. This study adopts a kuantitative approach with a cross-sectional technique. Data were obtained through the distribution of questionnaires to 99 participants. The entire population was used as a sample (total sampling), and the data were statistically processed using gamma testing. The research findings revealed that the duration of undergoing hemodialysis and stress levels have a significant impact on the quality of life of hemodialysis patients, with a significance value of p < 0.001 and correlation coefficients of 0.711 and -0.954, respectively.
Efektivitas Terapi Relaksasi Otot Progresif (PMR) Dan Terapi Spiritual Dzikir Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Sinus Agustina, Wahyu; Ikhlasul Amal, Ahmad; Melastuti, Erna; Dwi Retno Sulistyaningsih
An-Najat Vol. 3 No. 1 (2025): An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i1.2386

Abstract

This study was conducted to evaluate the effectiveness of Progressive Muscle Relaxation (PMR) therapy and spiritual dhikr therapy in reducing blood pressure in hypertensive patients, a condition known to cause various serious health issues. The study design adopted a quasi-experimental approach with a pretest-posttest method and a control group. A total of 36 participants were selected using purposive sampling techniques and divided into two groups: one group receiving PMR and dhikr therapy as treatment, and a control group receiving standard care. Blood pressure measurements were taken before and after the intervention. The study findings revealed a significant reduction in systolic and diastolic blood pressure in the intervention group compared to the control group (p<0.05). These results indicate that PMR and dhikr are effective non-pharmacological approaches for reducing blood pressure in hypertensive patients.
Hubungan Konsep Diri dan Motivasi dengan Kepatuhan Pengobatan Pasien Tuberkulosis Nurrahmah, Maulidiya; Amal, Ahmad Ikhlasul; Melastuti, Erna
Jurnal Pendidikan Tambusai Vol. 9 No. 1 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i1.25845

Abstract

Tuberkulosis paru adalah penyakit menular yang disebabkan oleh bakteri Mycobacterium Tuberculosis. Penularan terjadi melalui percikan dahak dari pasien TB BTA positif. Jika penyakit ini tidak diobati dengan cepat atau pengobatannya tidak tuntas, dapat menyebabkan komplikasi serius hingga berisiko fatal. Pemerintah telah meluncurkan program pengobatan serta pedoman manajemen untuk menangani penyakit ini sesuai dengan standar yang berlaku. Namun, masih terdapat tingkat ketidakpatuhan yang tinggi di kalangan pasien TB. (Dinkes, 2017) Metode: Penelitian ini menggunakan desain korelasional dengan pendekatan cross-sectional. Pengumpulan data dilakukan melalui kuesioner, dan jumlah responden yang terlibat adalah 79 orang dengan teknik pengambilan sampel total. Hasil: Hasil analisis menunjukkan bahwa sebagian besar responden (83,5%) memiliki konsep diri yang tinggi, dengan 66 orang berada dalam kategori ini. Sebanyak 92,4% responden menunjukkan motivasi yang baik, dengan 73 orang terklasifikasi dalam kategori ini. Selain itu, mayoritas responden (92,4%) juga menunjukkan tingkat kepatuhan pengobatan yang tinggi, dengan 73 orang berada pada kategori tersebut. Kesimpulan dan Saran: Terdapat hubungan signifikan antara konsep diri dan kepatuhan pengobatan pada pasien tuberkulosis di Puskesmas Kedungmundu Semarang, yang dibuktikan dengan nilai p-value 0.000 (<0.05). Penelitian ini dapat menjadi referensi penting untuk studi lebih lanjut mengenai topik yang sama.
Hubungan antara Efikasi Diri dan Dukungan Sosial terhadap Manajemen Diri Pasien Tuberkulosis Paru di Rumah Sakit Islam Sultan Agung Semarang Indriyani, Luthfi; Amal, Ahmad Ikhlasul; Melastuti, Erna
Jurnal Pendidikan Tambusai Vol. 9 No. 1 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i1.25905

Abstract

Tuberkulosis disebabkan oleh bakteri yang bernama Mycobacterium tuberculosis. Seorang yang menjalani pengobatan membutuhkan waktu yang lama dalam prosesnya. Upaya dalam mengoptimalkan pengobatannya maka pasien membutuhkan manajemen diri yang baik. Untuk mendukung manajemen diri yang baik pasien juga membutuhkan efikasi diri dan dukungan sosial untuk mengoptimalkan keberhasilan dalam proses pengobatannya. Tujuan penelitian ini untuk menilai apakah terdapat hubungan antara efikasi diri dengan dukungan sosial terhadap manajemen diri pasien tuberkulosis paru di Rumah Sakit Islam Sultan Agung Semarang. Penelitian ini merupakan jenis penelitian kuantitatif menggunakan pendekatan cross sectional. Teknik pengambilan sampelnya menggunakan non probability sampling jenis total sampling, sedangkan untuk pengumpulan datanya menggunakan kuesioner. Jumlah responden sebanyak 56 orang. Data yang diperoleh diolah secara statistik dengan menggunakan uji spearman. Berdasarkan hasil analisis diperoleh pasien tuberkulosis paru yang menjalani pengobatan pada penelitian ini mayoritas memiliki efikasi diri yang baik sebanyak 71,4%, dukungan sosial dengan kategori tinggi sebanyak 55,4%, dan manajemen diri dengan kategori cukup sebanyak 62,5%. Analisis hubungan antara efikasi diri terhadap manajemen diri mendapatkan (p value = 0,001) dan hasil hubungan antara dukungan sosial terhadap manajemen diri mendaptkan (p value = 0,000). Terdapat hubungan antara efikasi diri dengan dukungan sosial terhadap manajemen diri pasien tuberculosis paru di Rumah Sakit Islam Sultan Agung Semarang dengan (p value > 0,05).
Gambaran Saturasi Oksigen dan Respiratory Rate pada Pasien Penyakit Paru Obstruktif Kronis: Descriptive Oxygen Saturation and Respiratory Rate in Chronic Obstructive Pulmonary Disease Sofiana, Zulia sofiana; Melastuti, Erna
Jurnal Keperawatan Berbudaya Sehat Vol. 3 No. 2 (2025): Juli 2025
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jkbs.v3i2.3873

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a condition that involves structural changes or scarring in the airways, leading to persistent inflammation that can hinder oxygen delivery through alveolar damage and respiratory physiological changes. These damages and changes result in symptoms such as shortness of breath, increased respiratory rate, limited lung movement, and excessive sputum production, as well as hindering the ciliary clearance process, causing sputum accumulation, and preventing effective airway clearance. The study aims to determine the oxygen levels and respiratory rate in COPD patients. The research approach is descriptive quantitative with a sample of 87 COPD patients treated at RS Awal Bros Bagan Batu. The research was conducted from November to December 2024, taking into account the results of blood gas analysis and calculating the respiratory rate using laboratory methods. The analysis used is univariate analysis. The survey results indicate that the majority of respondents (90-95%) experienced mild hypoxia, with 64 (73.6%) out of a total of 87 respondents (100%) experiencing mild hypoxia. The respiratory rate (RR) results show that 87 out of 87 subjects (100%) experienced tachypnea with a respiratory rate >20 times/minute.
Workplace violence against nurses and the challenge of underreporting: A literature review Serlina, Serlina; Melastuti, Erna; Wahyuningsih, Indah Sri
The Journal of Palembang Nursing Studies Vol. 4 No. 2 (2025): May 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns162

Abstract

Background: Workplace violence (WPV) against nurses is a critical global concern that negatively affects nurse well-being, professional performance, and patient safety. Despite its widespread occurrence, WPV is consistently underreported. This persistent gap between high incidence and low reporting limits accurate surveillance, weakens institutional responses, and delays the development of effective prevention strategies. Objective: To identify the reasons behind the low reporting rate of WPV among health workers, especially nurses Design: Literature review. Data Sources: Scopus, Google Scholar, and Taylor & Francis databases were searched using the keywords “Workplace Violence,” “Healthcare Workers,” and “Nurses.” Review Process: Inclusion criteria comprised articles that discussed WPV prevalence and reporting behaviors and dated from 2020 onward. Screening of titles, abstracts, and full texts was performed, followed by detailed analysis of eligible studies. Results: Eleven studies from 10 Asian countries were included, with sample sizes ranging from 11 participants in a qualitative study to more than 20,000 registered nurses. Across settings, workplace violence was widespread, with prevalence rates ranging from 13.6% to nearly 90%. Despite this high occurrence, reporting remained limited. Personal barriers to reporting included fear of negative consequences, shame, guilt, and the perception that violence is an unavoidable part of nursing practice. Organizational barriers included unclear or inconvenient reporting procedures, lack of training, absence of system privacy, limited managerial support, and mistrust in reporting mechanisms. Collectively, these factors reinforced underreporting and contributed to unsafe work environments for nurses. Conclusion: Underreporting of WPV among nurses persists due to both individual and organizational barriers. Addressing this issue requires supportive reporting systems, training on WPV management, and fostering a non-punitive safety culture. Without targeted interventions, unsafe work environments will persist, compromising both nurse well-being and quality of patient care.
Co-Authors Abdurrouf, Muh. Ahmad Ikhlasul Amal Amal, Akhmad Ikhlasul Anggraini, Septi Dwi Heppy Rochmawati Dwi Retno Sulistyaningsih Dwi Retno Sulistyaningsih Dyah Wiji Puspita Sari, Dyah Wiji Puspita Eko Kurniawan Hendrawan, Gagah Satria Hernugroho, Ananto Herry Susanto Ikhlasul Amal, Ahmad Indah Sri Wahyuningsih Istiadah, Ika Lilis Janitra, Fitria Endah Karnadi, Karnadi Khusna, Ima Rotul Kinasih, Puji Setya Luthfi Indriyani Mariana Mariana Martiasih, Zamsiah Mauliani, Dian Putri Misbakul Munir Muhadi, Rismawati Mulyati, Pipit Sri Mustafiatun, Siti Nurrahmah, Maulidiya Nursalam Nursalam Priyantini, Diah Puspita Putri, Maharani Rahmila, Sri Salma Rochmati, Dwi Heppy Septiani, Amalia Serlina, Serlina Sinus Agustina, Wahyu Sofiana, Zulia sofiana Sudrajat, Fedi Suyanto Suyanto Tintin Sukartini Sukartini, Tintin Sukartini Wahda, Azza Husnu