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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 JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Keperawatan Berbudaya Sehat Holistik Jurnal Kesehatan
Erna Melastuti, Erna
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Non-Pharmacological Strategies to Reduce Bloating and Abdominal Distension: A Systematic Review Sudrajat, Fedi; Suyanto, Suyanto; Melastuti, Erna; Sulistyaningsih, Dwi Retno
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5874

Abstract

Bloating and abdominal distension are common complaints that can be caused by various factors, including intestinal motility disorders, postoperative effects, and functional digestive disorders. While pharmacological therapy is often used, various non-pharmacological interventions have been developed as safer alternatives with minimal side effects.This literature review aims to examine various non-pharmacological interventions for addressing intestinal motility disorders, bloating, and abdominal distension based on available evidence. A search for scientific articles, including randomized clinical trials and randomized controlled trials, was conducted using inclusion and exclusion criteria based on the PICOS format. Articles were retrieved from databases such as Google Scholar, PubMed, ScienceDirect, and CINAHL (2018–2025), focusing on publications in English and Indonesian. Keywords related to bloating, flatulence, and abdominal distension interventions were used to identify relevant studies. The process of searching for high-quality research articles was conducted using the PRISMA 2020 diagram. Initially, 831 articles were identified, with 648 eliminated due to duplication, being outside the topic, or lacking full-text access. This resulted in 183 articles screened. After the eligibility assessment, 170 articles were further excluded for not meeting the inclusion and exclusion criteria. The final selection process resulted in 13 articles that were included and discussed in this study. Non-pharmacological interventions have been shown to effectively reduce bloating and accelerate the recovery of intestinal peristalsis. Specific interventions include: (chewing gum, which promotes flatus release and defecation; mentha spicata L. essential oil, which has analgesic properties and reduces bloating; warm compresses, which significantly enhance intestinal peristalsis; thoracoabdominal biofeedback, which effectively reduces abdominal distension; early mobilization, which accelerates the recovery of intestinal peristalsis and lowers the risk of postoperative ileus; chamomile, which has therapeutic effects in reducing flatulence and distension; coffee or caffeine consumption, which significantly promotes intestinal function recovery. Non-pharmacological interventions have proven effective in alleviating symptoms and accelerating the recovery of intestinal peristalsis, bloating, and abdominal distension.
Literature Review: The Triage Optimization with Emergency Severity Index (ESI) Impact on Emergency Department Quality of Care Mariana, Mariana; Melastuti, Erna; Sari, Dyah Wiji Puspita; Wahyuningsih, Indah Sri
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5895

Abstract

Emergency Departments are critical healthcare units where efficient triage plays an important role in ensuring optimal patient care. The Emergency Severity Index (ESI) is a widely used triage system designed to improve prioritization and resource allocation. Proper use of ESI-based triage will improve the quality of care. Objective: This literature review aims to analyze the impact of ESI-based triage optimization on Emergency Department service quality. Methods: A systematic search was conducted using Google Scholar, PubMed, ResearchGate, and SciSpace databases, using the keywords: Emergency Severity Index (ESI), Emergency Department, Triage, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. The initial search was conducted through Google Scholar (5,521 articles), PubMed (2,019 articles), ResearchGate (881 articles), and SciSpace (99 articles). The process of removing duplicate articles left 8,151 articles, the initial screening of 8,125 articles was eliminated, so only 26 articles entered the further screening stage. From this process, 16 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed. Results: The findings showed that ESI optimization improved patient flow, reduced waiting time, and improved resource utilization, leading to better clinical outcomes and patient satisfaction. Conclusion: implementation of an optimized ESI-based triage system contributes significantly to the efficiency and quality of Emergency Department care, emphasizing the need for consistent training and protocol adherence.
The Relationship between Lifestyle and Stress Levels with the Incidence of Diabetes Mellitus: Literature Study Istiadah, Ika Lilis; Rochmawati, Dwi Heppy; Melastuti, Erna; Amal, Ahmad Ikhlasul
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.v7i3.5912

Abstract

Diabetes Mellitus (DM) is a chronic disease marked by high blood glucose due to insulin dysfunction. Its prevalence is rising, with Indonesia ranking seventh globally. Unhealthy lifestyles and stress exacerbate the issue, highlighting the need for improved prevention and management strategies. This study examines how lifestyle and stress influence DM incidence in Indonesian patients, identifying risk factors to enhance healthcare strategies. A systematic review using PRISMA guidelines analyzed studies from various databases (2019-2024), selecting relevant articles based on inclusion criteria and extracting key research data. From 10 reviewed journals, 4 linked lifestyle to DM, 1 identified sedentary behavior as a prediabetes risk, and 5 highlighted stress as a major factor. Preventing and managing DM requires a healthy lifestyle, stress management, and healthcare interventions to enhance patient well-being while reducing economic and health burdens.
A Literature Review of Factors Contributing to Asthma Relapse Septiani, Amalia; Suyanto, Suyanto; Rochmawati, Dwi Heppy; Melastuti, Erna
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.v7i4.6228

Abstract

Asthma is a chronic respiratory condition characterized by airway narrowing, inflammation, and excessive mucus production. Relapse refers to the recurrence of symptoms, which can be severe and disrupt daily activities, often necessitating additional care, either outpatient or inpatient, sometimes with a longer duration than previous episodes. The objective of this literature review is to examine the factors influencing asthma relapse. This study employed a literature review design. Articles were identified through online databases, specifically Google Scholar and PubMed, using keywords and Boolean operators such as AND, OR, NOT. The search terms included “Factors Associated with Asthma” AND “Relapse Asthma.” The literature search was conducted in November 2024, focusing on articles published between 2020 and November 2024. A total of 683 articles were retrieved from Google Scholar and PubMed. Based on the review of 10 selected studies, it was concluded that asthma triggers may result from biological, environmental, or chemical factors. Factors associated with asthma exacerbations include a history of smoking, gastroesophageal reflux disease (GERD), obesity, nasal polyps, depression, and anxiety. Factors linked to severe asthma exacerbations include atopic conditions and passive smoking as primary indicators.
Hubungan Tingkat Ansietas Terhadap Skala Nyeri Pada Pasien Miocard Infark Melastuti, Erna
Jurnal Ilmu Kesehatan Vol 10 No 1 (2021): Edisi Januari-Juni 2021
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (531.119 KB) | DOI: 10.32534/jik umc.v10i1.1968

Abstract

ABSTRAK Latar Belakang: Miocard infark merupakan penyakit myocardial ditandai dengan terhambatnya aliran darah di arteri koroner yang menyebabkan otot jantung kekurangan oksigen sehingga terjadi infark. Serangan infark biasanya diikuti oleh reaksi psikologis seperti ansietas, depresi, dan nyeri dada kardiak karena dapat mengakibatkan terjadinya sekresi kortisol yang diatur oleh cortex di sistem saraf pusat. Metode: Desain penelitian cross sectional dengan teknik pengambilan sampel menggunakan total sampling. Hubungan tingkat ansietas terhadap skala nyeri diuji nonparametrik dengan uji korelasi Gamma. Hasil:Hasil penelitian menunjukkan 30 responden sebagian besar responden berusia 46 – 55 tahun sebanyak 50,0%, dengan karakteristik pendidikan responden terbanyak SD sejumlah 50,0%. Frekuensi tertinggi tingkat ansietas yaitu cemas ringan dengan jumlah 50,0%, dan skala nyeri yang banyak dirasakan oleh responden yaitu nyeri sedang sejumlah 60,0%. Simpulan: Hasil antara tingkat ansietas terhadap skala nyerimenunjukkan adanya hubungan tingkat ansietas terhadap skala nyeri pasien miocard infark. Kata kunci:Miocard Infark, Tingkat Ansietas, Skala Nyeri
HUBUNGAN SPIRITUAL WELL-BEING TERHADAP STRES PASIEN HEMODIALISIS Kinasih, Puji Setya; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6742

Abstract

Latar belakang: Pasien yang menjalani hemodialisis rentan mengalami stres akibat perubahan fisik, psikologis, dan sosial yang terjadi secara terus-menerus. Spiritual Well-Being berperan penting dalam membantu pasien beradaptasi serta menurunkan tingkat stres selama menjalani terapi jangka panjang. Tujuan: Studi ini menganalisis hubungan spiritual well-being terhadap stres pasien hemodialisis. Metode: Penelitian kuantitatif ini menggunakan desain cross-sectional dengan jumlah sampel 100 responden yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan Spiritual Well-Being Scale (SWBS)  kuesioner Perceived Stress Scale (PSS). Analisis data dilakukan dengan uji korelasi Spearman. Hasil: Sebagian besar responden memiliki spiritual well-being kategori tinggi, serta stres kategori sedang. Hasil analisis menunjukan terdapat hubungan signifikan antara spiritual well-being terhadap stres (p< 0,05) dengan arah korelasi negatif, yang mengindikasikan bahwa semakin tinggi spiritual well-being, maka semakin rendah stres pada pasien hemodialisis. Kesimpulan: Spiritual well-being berhubungan signifikan terhadap stres pada pasien hemodialisis. Intervensi keperawatan yang mendukung aspek spiritual perlu dipertimbangkan untuk membantu pasien mengelola stres selama menjalani terapi.
PENGARUH TERAPI KOMBINASI MOBILISASI DINI DENGAN AROMATERAPI LEMON TERHADAP NYERI POST OPERASI PADA PASIEN CHOLELITHIASIS Rahmila, Sri Salma; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6827

Abstract

Latar belakang: Nyeri post operasi merupakan masalah yang sering dialami pasien cholelithiasis setelah tindakan pembedahan dan dapat menghambat mobilisasi dini, memperlambat pemulihan, serta menurunkan kenyamanan pasien. Selain terapi farmakologis, perawat berperan penting dalam pemberian intervensi nonfarmakologis untuk mengurangi nyeri, salah satunya kombinasi mobilisasi dini dan aromaterapi lemon. Tujuan: mengetahui pengaruh terapi kombinasi mobilisasi dini dengan aromaterapi lemon terhadap nyeri post operasi pada pasien cholelithiasis. Metode: menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sampel berjumlah 36 responden yang dibagi menjadi kelompok perlakuan dan kelompok kontrol. Tingkat nyeri diukur menggunakan Numeric Rating Scale sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon dan uji Mann–Whitney. Hasil: rata-rata tingkat nyeri kelompok perlakuan menurun dari 3,78 ± 0,428 menjadi 2,28 ± 0,575 setelah intervensi. Uji Wilcoxon menunjukkan penurunan yang bermakna (p < 0,05) dengan kekuatan efek sangat kuat. Pada kelompok kontrol, perubahan tingkat nyeri tidak bermakna (p > 0,05). Uji Mann–Whitney menunjukkan perbedaan signifikan antara kelompok perlakuan dan kontrol setelah intervensi (p < 0,05), sehingga terapi kombinasi mobilisasi dini dengan aromaterapi lemon efektif menurunkan nyeri pascaoperasi pada pasien cholelithiasis. Kesimpulan: menunjukkan bahwa kombinasi mobilisasi dini dan aromaterapi lemon efektif menurunkan nyeri post operasi pada pasien cholelithiasis dan dapat direkomendasikan sebagai intervensi keperawatan nonfarmakologis.
PENGARUH TERAPI KOMBINASI RELAKSASI AUTOGENIK DAN SLEEP HYGIENE TERHADAP KUALITAS TIDUR PASIEN HEMODIALISIS Khusna, Ima Rotul; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6828

Abstract

Latar Belakang: Gangguan tidur merupakan keluhan yang sering dialami pasien hemodialisis akibat akumulasi toksin uremik, ketidaknyamanan prosedur, perubahan ritme aktivitas, dan stres psikologis. Kondisi ini dapat berdampak pada kesehatan fisik, keseimbangan emosional, dan kualitas hidup. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh terapi kombinasi relaksasi autogenik dan sleep hygiene terhadap kualitas tidur pasien hemodialisis. Metode: Penelitian ini menggunakan desain quasi-eksperimen dengan pendekatan pretest–posttest with control group. Sebanyak 44 responden dipilih menggunakan teknik purposive sampling dan dibagi menjadi kelompok perlakuan dan kelompok kontrol. Kelompok perlakuan diberikan terapi kombinasi relaksasi autogenik dan sleep hygiene dua kali seminggu selama 20 menit setiap sesi. Kualitas tidur diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil: Hasil penelitian menunjukkan bahwa sebelum intervensi, sebagian besar responden pada kelompok perlakuan memiliki kualitas tidur buruk (95,5%). Setelah diberikan terapi, kualitas tidur meningkat menjadi kategori baik (86,4%). Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Pada kelompok kontrol, kualitas tidur tidak menunjukkan perubahan yang bermakna. Kesimpulan: Terapi kombinasi relaksasi autogenik dan sleep hygiene berpengaruh signifikan dalam meningkatkan kualitas tidur pasien hemodialisis, sehingga direkomendasikan sebagai intervensi keperawatan nonfarmakologis yang dapat diterapkan secara rutin dalam praktik klinik.
FAKTOR-FAKTOR YANG MEMPENGARUHI SESAK NAPAS PADA PASIEN HEMODIALISIS Mustafiatun, Siti; Melastuti, Erna; Amal, Ahmad Ikhlasul
Jurnal Online Keperawatan Indonesia Vol 8 No 2 (2025): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v8i2.6880

Abstract

Latar belakang: Gagal Ginjal Kronik (GGK) merupakan keadaan yang berkembang secara bertahap dan menyebabkan fungsi ginjal semakin menurun pengganti ginjal berupa hemodialisis. Salah satu keluhan yang sering dialami pasien hemodialisis adalah sesak napas (dispnea), yang dipengaruhi oleh berbagai faktor seperti kelebihan volume cairan dan anemia. Studi ini tujuan untuk memahami berbagai faktor yang berkontribusi terhadap sesak napas pada pasien yang menjalani hemodialisis di RSUD dr. Loekmono Hadi Kudus. Tujuan: Studi ini bertujuan untuk memahami faktor-faktor yang berpengaruh terhadap gejala sesak napas pada pasien yang menjalani hemodialisis. Metode: Penelitian ini menerapkan desain deskriptif dengan pendekatan kuantitatif yang memanfaatkan  data sekunder dari catatan medis. Terdapat sebanyak  211 pasien yang sesuai kriteria inklusi. Variabel yang dianalisis mencakup Interdialytic Weight Gain (IDWG) sebagai tanda kelebihan cairan dan konsentrasi hemoglobin sebagai penanda anemia. Pengolahan data dilakukan secara univariat dengan menggunakan distribusi frekuensi dan persentase. Hasil: Hampir semua pasien mengalami sesak napas. Mayoritas responden memiliki kategori IDWG baik, namun masih ditemukan pasien dengan IDWG berisiko. Berdasarkan kadar hemoglobin, sebagian pasien berada pada kategori anemia sedang. Kesimpulan: Kesimpulan penelitian ini menunjukkan bahwa Overload cairan dan anemia berperan penting terhadap sesak napas, sehingga pemantauan IDWG dan manajemen anemia perlu ditingkatkan.
Procedural implementation of the hospital integrated referral system (Sistem Rujukan Terintegrasi/ SISRUTE) in Indonesia: A systematic review Anggraini, Septi; Amal, Akhmad Ikhlasul; Melastuti, Erna
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.713

Abstract

Background: The Integrated Referral System (Sistem Rujukan Terintegrasi or SISRUTE) has been introduced in Indonesia to strengthen coordination, timeliness, and continuity of patient referrals across health care facilities. However, the available evidence remains dispersed across local studies and broader referral system literature. Objective: This review aimed to examine the procedural implementation of SISRUTE in hospitals in Indonesia and to identify the factors that influence its effectiveness, supporting conditions, and implementation barriers within referral service procedures. Methods: This study employed a systematic review design. Literature searches were conducted in Google Scholar, PubMed, ProQuest, and ScienceDirect using combinations of terms related to SISRUTE, patient referral, emergency referral, and hospitals. Studies published between 2021 and 2025, available in full text, and relevant to SISRUTE implementation in Indonesian health care settings were considered. Data from the included studies were extracted systematically and synthesized using a narrative approach. Results: Ten studies were included in the final review. The findings showed that SISRUTE and other digital referral systems generally improved referral efficiency, accelerated response time, and strengthened coordination between health facilities. Hospital-based evidence indicated that referral response commonly occurred within a short time frame, while digital referral implementation also contributed to improved workflow efficiency and user satisfaction. However, implementation remained constrained by limited bed capacity, inadequate infrastructure, uneven system integration, information quality issues, and variations in staff readiness. The review also found that performance expectancy, effort expectancy, and facilitating conditions influenced system use, whereas broader evidence emphasized the importance of interoperability, training, and organizational support. Conclusion: The procedural implementation of SISRUTE in hospitals in Indonesia shows substantial potential to improve referral management and service coordination. Nevertheless, the effectiveness of the system depends on technological readiness, institutional capacity, and sustained support for health workers. Strengthening infrastructure, integrating referral platforms with hospital service systems, and improving workforce preparedness are essential to optimize the contribution of SISRUTE to hospital referral quality in Indonesia.  
Co-Authors Abdurrouf, Muh. Ahmad Ikhlasul Amal Amal, Akhmad Ikhlasul Anggraini, Septi Catur Wijayanti, Catur 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 Nur Indah Febriani 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