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Rachmat Susanto
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The Effect of Foot Bath with Magnesium Sulfate on Blood Pressure Stability in Hypertensive Patients Rachmat Susanto; Arif Hendra Kusuma; Fa’iq Hanif Mubarok
Journal of Science and Education (JSE) Vol. 6 No. 1 (2025): Journal of Science and Education (JSE)
Publisher : CV. Media Digital Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58905/jse.v6i1.649

Abstract

Fluctuations in blood pressure (BPV) can increase the risk of heart related problems. Simple, non-medical treatments, like foot baths with ma nenesium sulfate (MgSO₄), may help lower blood pressure and promote overall heart health. To analyze the effect of foot baths with MgSO₄ on the mean andshort-term variability of systolic blood pressure (SBP) and diastolic blood pressure (DBP) in hypertensive patients. A randomized controlled trial was conducted at the Maos Community Health Center (July–August 2025) with 60 hypertensive patients randomly assigned to intervention (foot immersion with 2% MgSO₄) or control (plain water). Blood pressure and variability (RMSSD, ARV, CV%) were measured across 15 sessions and analyzed using Repeated Measures ANCOVA (p < 0.05). The mean SBP was significantly lower in the intervention group (140.1 vs 155.4 mmHg; p<0.001; d=1.26). RMSSD (9.6 vs 12.7; p<0.001) and ARV (7.4 vs 10.7; p<0.001) were significantly lower in the intervention group, indicating better SBP stability. ANCOVA revealed a significant group effect on RMSSD (F=11.31; p=0.0014; η²=0.17) and ARV (F=17.50; p=0.0001; η²=0.24). DBP did not show significant differences.Foot baths with MgSO₄ reduced the average SBP and improved short-term SBP stability. This intervention has potential as a complementary non-pharmacological therapy for hypertension.
Nurse-Led Digital Self-Management Intervention pada Pasien Penyakit Kronis: Scoping Review terhadap Komponen Intervensi, Outcome Klinis, dan Implikasi Keperawatan Medikal Bedah Rachmat Susanto
Jurnal Bina Cipta Husada Vol 22 No 2 (2026): Jurnal Bina Cipta Husada
Publisher : STIKes Bina Cipta Husada

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Abstract

Penyakit kronis masih menjadi tantangan besar dalam pelayanan kesehatan karena memerlukan perawatan jangka panjang, kepatuhan terapi, perubahan perilaku, dan pemantauan berkelanjutan di luar rumah sakit. Dalam keperawatan medikal bedah, pasien diabetes melitus, hipertensi, penyakit jantung, PPOK, stroke, kanker, dan multimorbiditas sering mengalami hambatan mempertahankan self-management setelah pulang dari fasilitas kesehatan. Digital health memberi peluang bagi perawat untuk memperluas edukasi, monitoring, konseling, dan koordinasi perawatan melalui intervensi digital yang dipimpin perawat. Artikel ini bertujuan memetakan komponen nurse-led digital self-management intervention pada pasien penyakit kronis, mengidentifikasi outcome klinis dan nonklinis, serta merumuskan implikasinya bagi keperawatan medikal bedah. Review disusun dengan pendekatan scoping review berdasarkan Joanna Briggs Institute dan PRISMA-ScR, berfokus pada literatur internasional tahun 2020–2026. Hasil sintesis menunjukkan lima komponen utama dan berbagai outcome positif, meskipun masih terdapat tantangan terkait platform, literasi digital, kesiapan perawat, keamanan data, dan integrasi layanan.  
Co-Authors Agung Widarman Ahmad Muktamar B Anita Ninasari Antonius Rino Vanchapo Arif Hendra Kusuma Ati Surya Mediawati Bambang Abdul Syukur Ekan Faozi Fa’iq Hanif Mubarok GS , Achmad Daengs Hartin Kurniawati I Nyoman, Sudyana, Irma Maria Dulame Khoironi Fanana Akbar Rulinawaty Sara Surya Siti Fadlilah Sulistyo Andarmoyo Suwarno Suwarno