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Journal : Babali Nursing Research

The Influence of Slow Deep Breathing Technique on Inpatient Anxiety Nusa Harta, I Putu Arika; Kamaryati, Ni Putu; Putra, I Nyoman Arya Maha; Wicaksana, IGA Tresna
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43243

Abstract

Previous studies have shown that slow deep breathing techniques provide benefits in reducing anxiety in general, but there has been no specific review investigating its benefits in inpatient populations. Objective: To provide strong and up-to-date evidence on the effectiveness of slow deep breathing technique as a potential intervention in reducing anxiety in the inpatient population. Methods: This study is a literature review conducted during April-May 2023 using Google Scholar, PubMed, and ScienceDirect. The keywords used were "nafas dalam", "kecemasan", "rawat inap" in Indonesian, and "slow deep breathing," "anxiety," "inpatient care" in English. Results: The literature review identified eight articles that examined the anxiety of patients undergoing surgery and treatment in hospitals in Indonesia. These articles highlighted internal and external factors influencing anxiety. The dominant research approach employed experimental designs with pre-test and post-test measurements involving more than ten respondents. The study found that internal factors influencing anxiety included age, gender, education, health condition, and prior hospitalization experiences, while external factors included access to information, therapeutic communication, environment, and healthcare facilities. Conclusion: The implementation of slow deep breathing techniques is a major factor in reducing anxiety in inpatient populations. Further research is expected to emphasize the use of slow deep breathing techniques as a primary intervention in reducing anxiety levels in patients prior to undergoing surgery.
Adherence to Antiretroviral Therapy and Influencing Factors among People Living with HIV: A Literature Review Ni Wayan Deani; I Gede Putu Darma Suyasa; Putra, I Nyoman Arya Maha; Kadek Sriasih
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71532

Abstract

Introduction: Antiretroviral therapy is the main treatment for HIV/AIDS, requiring lifelong medication to suppress the virus, prevent complications, and improve the patient's quality of life. However, adherence to ARV medication remains low, influenced by factors such as self-efficacy, social support, spirituality, depression, and various clinical and psychosocial conditions. This study aimed to review studies on ARV medication adherence and its factors among HIV patients. Methods: This literature review explored studies on ARV medication adherence among HIV patients. Searches were conducted in Google Scholar, ScienceDirect, PubMed, Scopus, Web of Science, and CINAHL using keywords related to HIV, ARV adherence, self-efficacy, non-family caregivers, spirituality, and depression. The inclusion criteria consisted of original research articles published between 2020 and 2025 in English or Indonesian that examined factors influencing ARV adherence. Exclusion criteria included abstract-only papers, blogs, news articles, and review papers. Study quality was assessed using the JBI Critical Appraisal Checklist, and risk of bias was evaluated based on sampling methods, measurement tools, confounding factors, and data completeness. Findings were synthesized narratively. Results: A total of 1,653 publications were identified, and 15 studies met all criteria for inclusion. Overall, ARV adherence among HIV patients remained below the national 95-95-95 target. Key influencing factors were self-efficacy, social support (including non-family caregivers), spirituality, and depression, indicating that adherence is shaped by multiple interacting psychosocial and clinical dimensions. Conclusion: Strengthening self-efficacy, enhancing spiritual well-being, and reducing depressive symptoms may improve ARV medication adherence. Future research should explore integrated psychosocial–spiritual interventions and employ longitudinal or mixed-methods designs to understand better the causal pathways affecting ARV adherence.