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All Journal JOURNAL EDUCATIONAL OF NURSING(JEN) Journal of Innovative and Creativity
imam subiyanto
STIKes RSPAD Gatot Soebroto
Education Languange, Linguistic, Communication & Media Mathematics Nursing Social Sciences Other

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Literature Review: Tele-nursing education to increase adherence fluid restriction in patients with End Stage Renal Disease undergoing hemodialysis Ana Khumaeroh; imam subiyanto; Teti Hayati
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 6, No 1 (2023): Journal Educational of Nursing (JEN)
Publisher : Akademi Keperawatan RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v6i1.136

Abstract

Background: Patients with End Satge Renal Disease (ESRD) should undergoing  hemodialysis therapy for excess fluid, solutes and toxins. To achieve hemodialysis success, there are four factors including diet, drug use, fluid intake restriction and the presence of hemodialysis. Limiting fluid intake is important for hemodialysis patients because excess fluid can cause interdialytic weight gain (IDGW) which will have an impact on cardiovascular complications such as congestive heart failure, pulmonary edema and death. However, meeting fluid requirements becomes a problem for HD patients and it is estimated that 30-70% of patients fail to meet fluid requirements. One of the interventions to improve fluid readiness is to increase patient knowledge about fluids.Purpose: This literature review aims to determine and review the results of research on the effectiveness of telenursing on fluid adherence in hemodialysis patients. Methods: This research is a literature review with a narrative method to explore research results by searching several database including ebcohost, scopus, proquest and sciendirect with keyword: hemodialysis, telenursing, tele education, nurse led telephone follow ups, tele-health, face to face education, education program, education based on behavior, adherence to fluid intake restriction and compliance to fluid intake restriction. The search for these journals is limited in the period from 2012 to 2021, with filters for full text, journals, English language and journals according to the topic which is then carried out critically in each journal to produce research conclusions.Results: It was found that telenursing was effective in adjusting use in hemodialysis patients, reducing depression, anxiety and stress in hemodialysis patients. In addition, the provision of direct or face-to-face education programs can also increase knowledge and adherence to direct contact with fluids, but in the results it is recommended to follow up with telephone or use telenursing to improve care and can reduce self-care of HD patients remotely.Conclusion: Based on the results based on a systematic basis, it was found that the use of telenursing education can increase adherence to knowledge and fluid compliance of hemodialysis patients and can reduce depression, anxiety and stress.Keyword: Tele nursing education, ESRD, Fluid Restriction, Hemodialysis 
Efektivitas Terapi Musik Klasik Mozart Terhadap Tingkat Kecemasan Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Di Rspad Gatot Soebroto Lady Huwaida Az Zahra; Imam Subiyanto; Riza Ginanjar
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Pasien penyakit ginjal kronik (PGK) yang menjalani hemodialisis sering mengalami masalah psikologis, salah satunya kecemasan. Prosedur hemodialisis yang berlangsung lama, ketergantungan pada mesin, serta perubahan gaya hidup dapat meningkatkan tingkat kecemasan dan berdampak pada kenyamanan serta kualitas hidup pasien. Salah satu intervensi keperawatan nonfarmakologis yang dapat digunakan untuk mengatasi kecemasan adalah terapi musik klasik Mozart. Penelitian ini bertujuan untuk mengetahui efektivitas terapi musik klasik Mozart terhadap tingkat kecemasan pada pasien penyakit ginjal kronik yang menjalani hemodialisis. Penelitian ini menggunakan desain kuantitatif dengan pendekatan pra-eksperimental one group pre-test and post-test. Penelitian dilaksanakan pada bulan November–Desember 2025 dengan jumlah sampel sebanyak 23 responden yang dipilih menggunakan teknik purposive sampling. Tingkat kecemasan responden diukur menggunakan Hamilton Anxiety Rating Scale (HARS) sebelum dan sesudah diberikan terapi musik klasik Mozart. Analisis data dilakukan menggunakan uji Wilcoxon signed-rank test. Hasil analisis menunjukkan nilai p = 0,000 (p < 0,05) yang berarti terdapat perbedaan tingkat kecemasan yang signifikan sebelum dan sesudah pemberian terapi musik klasik Mozart. Rata-rata skor kecemasan responden mengalami penurunan setelah intervensi diberikan. Kesimpulan penelitian ini menunjukkan bahwa terapi musik klasik Mozart efektif dalam menurunkan tingkat kecemasan pada pasien penyakit ginjal kronik yang menjalani hemodialisis. Terapi musik klasik Mozart dapat direkomendasikan sebagai salah satu intervensi keperawatan nonfarmakologis untuk membantu mengurangi kecemasan pasien selama proses hemodialisis.
Hubungan Ergonomi Fisik : Memindahkan Pasien Dengan Low Back Pain Pada Perawat IGD Di RSPAD Gatot Soebroto Bunga Larassati; Wilda Fauzia; Imam Subiyanto
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Low back pain (LBP) merupakan salah satu gangguan muskuloskeletal yang sering dialami oleh perawat, khususnya perawatInstalasi Gawat Darurat (IGD), akibat tingginya tuntutan kerja fisik dan penerapan prinsip ergonomi yang belum optimalsaat memindahkan pasien. Aktivitas mengangkat dan memindahkan pasien dengan postur kerja yang tidak ergonomisdapat meningkatkan risiko terjadinya LBP, yang pada akhirnya berdampak terhadap kenyamanan, keselamatan, sertaproduktivitas kerja perawat. Penelitian ini bertujuan untuk mengetahui hubungan ergonomi fisik saat memindahkan pasiendengan kejadian low back pain pada perawat IGD di RSPAD Gatot Soebroto. Penelitian menggunakan metode kuantitatifdengan desain analitik observasional dan pendekatan korelasional. Sampel penelitian berjumlah 54 perawat IGD yangdipilih menggunakan teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner Nordic Body Map untukmenilai ergonomi fisik dan The Pain and Distress Scale oleh William J. K. Zung untuk mengukur tingkat low back pain. Analisisdata dilakukan secara univariat dan bivariat menggunakan uji Spearman’s Rank. Hasil analisis menunjukkan adanyahubungan yang signifikan antara ergonomi fisik saat memindahkan pasien dengan kejadian low back pain pada perawat IGDdengan nilai signifikansi p = 0,001. Temuan ini menunjukkan bahwa semakin buruk penerapan ergonomi fisik dalamaktivitas pemindahan pasien, maka semakin tinggi risiko terjadinya low back pain pada perawat. Kesimpulan penelitian inimenunjukkan bahwa ergonomi fisik memiliki hubungan yang signifikan dengan kejadian low back pain pada perawat IGD.Oleh karena itu, penerapan prinsip ergonomi yang tepat dalam aktivitas pemindahan pasien sangat penting sebagai upayapencegahan gangguan muskuloskeletal dan peningkatan kesehatan kerja perawat.
Pengaruh Tindakan Mirror Therapy Terhadap Kekuatan Otot pada Pasien Stroke di Unit Rehabilitasi RSPAD Gatot Soebroto Siti Nur Fadillah; Wilda Fauzia; Imam Subiyanto
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7677

Abstract

Stroke is a neurological condition that often causes motor function disorders in the form of decreased muscle strength, especially in the extremities, which impacts the patient's ability to perform daily activities. Rehabilitation efforts are needed to maximize the recovery of motor function, one of which is through non-pharmacological treatment interventions such as mirror therapy. This therapy works by providing visual stimulation through mirrors to activate the motor areas of the brain and support neuroplasticity mechanisms. To determine the effect of mirror therapy on muscle strength in stroke patients in the Rehabilitation Unit of RSPAD Gatot Soebroto. This study used a quantitative pre-experimental design with a one-group pretest-posttest approach. Data collection was conducted from early December to the end of December 2025. The study sample consisted of stroke patients treated at the Stroke Unit of Gatot Soebroto Army Hospital and met the inclusion criteria using a purposive sampling technique. Muscle strength was measured before and after mirror therapy intervention using Manual Muscle Testing (MMT). Showed an increase in muscle strength after mirror therapy. The statistical test results showed a p-value <0.05, so it can be concluded that there was a significant difference between muscle strength before and after mirror therapy intervention.
Co-Authors Ana Khumaeroh Bunga Larassati Lady Huwaida Az Zahra Riza Ginanjar Siti Nur Fadillah Teti Hayati wilda fauzia