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The instruments for measuring QoL in hemodialysis patients: A scoping review Baiq Reny Ermayuningsih; Muhammad Zulfatul A'la; Iis Rahmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1403

Abstract

Background: Quality of life (QoL) is a crucial indicator for evaluating the well being of patients undergoing hemodialysis, encompassing physical, psychological, social, and environmental dimensions. Accurate measurement of QoL serves as a fundamental basis for clinical decision making, care planning, and the development of patient centered policies. Purpose: To identify, synthesize, and analyze the instruments used to measure QoL in hemodialysis patients within the international literature. Method: The PRISMA-ScR approach, employing a systematic search across four major databases: ProQuest, BMC, PubMed, Wiley, and other sources. The search yielded seven articles that met the inclusion criteria and were subsequently analyzed thematically. Results: Seven primary instruments were identified, namely the KDQOL-SF™, KDQOL-36, QDIS-7, HARQ, WHOQOL-BREF, EQ-5D-5L, and the Caregiver Quality of Life Inventory. Each instrument demonstrated specific strengths related to construct design, contextual applicability, and target population, with adequate validity and reliability. However, variations in dimensional coverage, limited cross cultural validation, and a predominance of cross-sectional designs without longitudinal evaluation were observed. Conclusion: The findings highlight the importance of contextual adaptation, multi-cultural validation, and integration of QoL instruments into clinical evaluation systems. They also provide a foundation for developing more responsive and culturally relevant tools to improve care quality and patient well-being.
Diabetic Foot Exercise to Reduce High Blood Sugar Levels in Diabetes Mellitus Patient: A Case Study Musarrofa, Faise Lailatul; Rondhianto; A’la, Muhammad Zulfatul; Sujarwanto
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.365

Abstract

Diabetes mellitus is a metabolic disorder in the pancreas organ so that sugar levels increase due to a decrease in the amount of insulin in the pancreas. Therapeutic management pharmacology, namely administering insulin and administering oral hypoglycemic drugs, while non-pharmacological includes health education, diet, and exercise or physical training such as diabetes foot exercises. This research uses a case study method using pre and post methods carried out before and after the intervention. The data collection location was in the Lavender room at dr. Soebandi Hospital starts on 30 October 2023. Based on these results, it shows a change in blood sugar levels before and after administering diabetic foot exercise therapy is carried out for three consecutive days once a day, carried out in the morning 1-2 hours after breakfast. Diabetic foot exercises that are done regularly are expected to prevent complications often occurs in patients such as infected wounds on the feet. The results of the nursing evaluation are related to the diagnosis of instability in blood glucose levels which indicates changes in the patient's blood sugar levels where the patient's blood sugar values decreased after the intervention.
Tinjauan Ruang Lingkup Alat Pengukuran Kepatuhan Kemoterapi di Asia: Implikasi untuk Penggunaan di Indonesia Sholihah, Mar'atus; A’la, Muhamad Zulfatul; Asmaningrum, Nurfika
Journal of Islamic Medicine Vol 9, No 2 (2025): JOURNAL OF ISLAMIC MEDICINE EDISI SEPTEMBER 2025
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v9i2.32182

Abstract

Latar belakang:  Berbagai alat ukur telah dikembangkan untuk menilai tingkat kepatuhan pasien terhadap kemoterapi, namun belum ada standar yang disepakati secara luas di Indonesia. Oleh karena itu, diperlukan kajian yang sistematis untuk mengidentifikasi alat ukur kepatuhan kemoterapi yang telah digunakan di Asia dan mengevaluasi kesesuaiannya dalam konteks Indonesia. Tujuan: Penelitian ini bertujuan untuk melakukan scoping review terhadap alat ukur kepatuhan kemoterapi yang digunakan di Asia serta mengevaluasi relevansinya bagi penerapan di Indonesia. Metode: Penelitian ini menggunakan Scoping Review dengan framework Arksey O’Malley. Pencarian artikel dilakukan di PubMed, Scopus, Web of Science, dan Google Scholar. Data diekstraksi menggunakan PRISMA-ScR, dengan variabel utama meliputi nama alat ukur, metode, validitas, reliabilitas, serta konteks penggunaannya. Hasil:.Hasil tinjauan menunjukkan bahwa alat ukur kepatuhan kemoterapi yang paling sering digunakan di Asia adalah Morisky Medication Adherence Scale (MMAS-8), Medication Possession Ratio (MPR), Medication Event Monitoring System (MEMS), Beliefs about Medication Questionnaire (BMQ), dan aplikasi berbasis mobile. Masing-masing alat ukur memiliki kelebihan dan keterbatasan. Kesimpulan: Berdasarkan hasil analisis, tidak ada satu alat ukur yang ideal untuk semua konteks, sehingga kombinasi beberapa metode direkomendasikan. Adaptasi dan validasi lokal diperlukan untuk memastikan alat ukur yang digunakan sesuai dengan konteks budaya dan sistem kesehatan di Indonesia.
The Impact of Permanent Pacemaker Implantation on the Quality of Life in Elderly Patients: A Scoping Review Artha, Artha; A'la, Muhamad Zulfatul; Rondhianto, Rondhianto
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.v7i2.5761

Abstract

The implantation of a permanent pacemaker has become a primary strategy for managing cardiac arrhythmias in elderly patients to enhance quality of life, reduce cardiovascular symptoms, and improve physiological function. While pacemakers have been proven effective in enhancing mobility, emotional well-being, and physical endurance, their impact varies among patients depending on health conditions, social support, and psychological readiness. Therefore, further exploration of the clinical and psychosocial implications of pacemaker implantation in elderly individuals is required. This scoping review aims to identify and analyze the impact of permanent pacemaker implantation on the quality of life of elderly patients, with a focus on patient safety, psychosocial adaptation, and implementation challenges.Methods: A systematic search was conducted in ScienceDirect, ProQuest, and PubMed to identify relevant articles published between January 2015 and December 2024. Out of 1,321 articles initially identified, 33 articles were selected for full-text review after applying inclusion and exclusion criteria. A critical appraisal using the Joanna Briggs Institute (JBI) framework determined that 9 articles met the final criteria for analysis. The studies included in this review involved elderly patients with pacemakers across various healthcare settings, including hospitals, outpatient clinics, and community healthcare services, to assess the impact of pacemakers on physical and mental well-being as well as patient satisfaction. Results: Pacemaker implantation generally improves the quality of life of elderly patients, particularly in terms of cardiovascular function, mobility, and independence. Additionally, pacemakers help reduce the risk of arrhythmia-related complications, enhance patient confidence, and improve adherence to medical therapy. However, several challenges persist, including post-implantation infection risks, psychosocial disturbances, and limited access to pacemaker technology in certain regions. The studies also identified research gaps, particularly in longitudinal evaluations of the impact of pacemakers on elderly patients with comorbidities and cognitive impairment.Conclusion: Pacemaker implantation is an effective intervention for improving the quality of life of elderly patients with cardiac arrhythmias. However, a more comprehensive patient-centered approach, including psychosocial support, pre-implantation education, and optimized post-procedural monitoring, is crucial. Further research is recommended to explore the long-term effects of pacemaker implantation and develop more adaptive care strategies for vulnerable elderly populations.
Evaluating the Impact of the Primary Nursing Care Model on Nursing Outcomes: A Scoping Review Agustina, Baiq Linda; Ardiana, Anisah; A'la, Muhamad Zulfatul
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.v7i3.6077

Abstract

The Primary Nursing Care Model (PNCM) aims to enhance continuity of care, nurse autonomy, and therapeutic nurse-patient relationships. While widely implemented, its outcomes vary across settings, requiring a comprehensive assessment of its broader impact on nursing outcomes. This scoping review examines the influence of PNCM on patient care quality, nurse competence, and patient satisfaction in diverse healthcare environments. This study aims to explore and analyze the impact of PNCM on nursing outcomes, focusing on patient care quality, nurse competence, and patient satisfaction. Additionally, it seeks to identify existing research gaps and provide insights into the model’s effectiveness across different healthcare settings. A systematic search was conducted in ProQuest, ScienceDirect, and PubMed for studies published between January 2020 and December 2024. From 880 identified articles, 212 underwent full-text screening, and 15 met the final inclusion criteria based on the Joanna Briggs Institute (JBI) framework. The review focuses on studies involving nurses and patients in hospitals, outpatient clinics, and community healthcare settings where PNCM is implemented. Key outcomes assessed include patient care quality, nurse competence, and patient satisfaction. PNCM enhances nursing outcomes by strengthening nurse-patient relationships, improving competence, and fostering a safety culture. It reduces care fragmentation, increases nurse accountability, and promotes holistic care. However, research gaps persist in evaluating long-term outcomes and its application to vulnerable populations. PNCM is effective in improving nursing outcomes and patient satisfaction. Further research should explore its long-term impact and adaptation for underserved populations to optimize its benefits.
Subjective Workload Assessment among Nurses and Its Relationship with Work Quality Satisfaction: A Scoping Review Misni, Yulia; Amaningrum, Nurfika; A'la, Muhamad Zulfatul
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.v7i3.6078

Abstract

Subjective Workload Assessment among nurses is a crucial aspect in evaluating the well-being of healthcare professionals and the quality of care provided. High workload levels have been associated with increased stress, burnout, and decreased job satisfaction, ultimately affecting the quality of healthcare services. Additionally, organizational factors such as uneven workload distribution, inflexible work schedules, and limited social support further exacerbate the negative effects of excessive workload. Therefore, a comprehensive review is necessary to understand how subjective workload influences job satisfaction and how social support-based interventions can mitigate its adverse effects. This scoping review aims to identify and analyze the relationship between subjective workload assessment, social support, and job satisfaction among nurses in non-intensive care units. A systematic literature search was conducted across PubMed, Scopus, Web of Science, and the Cochrane Library, with a publication date range from 2020 to 2024. Article selection was based on the Population, Concept, Context (PCC) framework developed by the Joanna Briggs Institute (JBI). Out of 228 identified articles, 45 passed the initial screening phase. Following a critical appraisal using the Joanna Briggs Institute Critical Appraisal Tools, 12 studies met the final inclusion criteria. The reviewed studies employed quantitative, qualitative, and mixed-methods approaches, investigating subjective workload in nurses and its relationship with job satisfaction and social support. Literature analysis indicates that high subjective workload is associated with decreased job satisfaction, increased stress, burnout, and negative impacts on nurses’ mental health. Studies further reveal that peer support is more effective in alleviating workload-related stress compared to support from supervisors or management. Additionally, a supportive work environment and flexible organizational policies contribute to higher job satisfaction despite high workload levels. However, challenges persist in implementing workload evaluation strategies, particularly due to the lack of standardized assessment frameworks and the limited availability of longitudinal research examining the long-term effects of subjective workload on nurses’ well-being. High subjective workload has significant negative effects on nurses' mental well-being and job satisfaction. However, peer support, flexible organizational policies, and evidence-based interventions can mitigate the adverse effects of excessive workload. Therefore, further research is needed to explore more effective intervention strategies for improving nurses' well-being. This review also recommends the development of inclusive policies and standardized workload assessment frameworks to ensure that healthcare professionals can deliver optimal care in a healthier and more supportive work environment.
Exploring the supportive care needs for people with cancer undergoing chemotherapy: a qualitative descriptive study A'la, Muhamad Zulfatul; Nuntaboot, Khanitta
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41837

Abstract

Introduction: Chemotherapy's side effects cause people with cancer to encounter difficult situations that might impact their supportive care needs. Exploration of supportive care needs may assist the nurse in improving the quality of life of people with cancer undergoing chemotherapy (PwCUC). Therefore, this study aims to explore the supportive care needs of PwCUCs. Methods: A qualitative descriptive study from November 2021 until May 2022 was utilized through in-depth interviews and Focus Group Discussions (FGD) in three public health centers in Jember, Indonesia. Data saturation was achieved after the researcher conducted an in-depth interview of 27 informants and FGD of 13 informants. A total 40 informants from PwCUCs, family of PwCUCs, doctors, and nurses was recruited based on inclusion criteria using purposive sampling technique. The researcher developed an in-depth interview and FGD guidelines to collect the data. Six-step thematic analysis was used. Triangulation, member-checking, and thick description were performed to maintain trustworthiness. Results: The study yielded four themes that represent participants' voices. These were 1) social support needs, 2) accompanying needs, 3) information needs, and 4) healthcare service support. Conclusion: Supportive care needs for PwCUCs is a complex and contextual phenomenon. This study revealed that PwCUCs required individual, social, and healthcare service support to meet their needs. Therefore, further study is required regarding developing a nursing care plan for PwCUCs based on cultural-sensitive supportive care needs.
Effectiveness of Compression Therapy on Lower Extremity Oedema in Heart Failure Patients: A Case Study Batrisyia, Irdina; Sutawardana, Jon Hafan; A'la, Muhamad Zulfatul; Setiawan, Iwan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.339

Abstract

Background: Heart Failure is a condition that the heart can not pump enough blood to meet the circulatory needs used in the body's metabolic processes. Patients with heart failure disease may experience swelling (oedema) in certain parts of the body, especially the lower extremities. Oedema that is not treated will exacerbate damage to the circulatory system. One of the treatments for lower extremity oedema in heart failure patients can be done by giving compression therapy. Purpose: The purpose of this study is to determine the effectiveness of compression therapy on lower extremity oedema in heart failure patients. Method: This research is a case study that managed one patient with heart failure disease who has lower extremity oedema. Data collection was carried out by observation, interview and provision of interventions carried out for 4 days using moderate pressure (20-30 mmHg). This research use compression stocking for 18 hours within 24 hours. Compression therapy is given once a day that the stocking is used at 14.00 WIB and removed at 08.00 WIB on the following day. The instrument used in this study was the pitting oedema observation sheet. Result: The results of this study were a decrease in the degree of pitting oedema in patients from a value of +3 with a depth of 5 mm in a return time of 65 seconds to a value of +1 with a depth of 1 mm in a return time of 2 seconds. Conclusion: Compression therapy is effective in reducing the degree of pitting oedema in patients with heart failure. Compression therapy has optimal effectiveness on the third day of intervention. Therefore, this therapy is highly recommended to be applied in the inpatient room, especially in patients with heart failure who have oedema in lower extremity.
Efek Faktor Individu, Manajemen dan Pendukung Terhadap Penundaan Operasi Elektif Sriwardani, Endang; Wijaya, Dodi; A’la, Muhamad Zulfatul
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16440

Abstract

Delays in elective surgery are considered a fundamental problem in healthcare because they cause significant disruptions to patient flow, further exacerbating already limited operational capacity, and consequently reducing hospital performance and patient satisfaction. The purpose of this study was to determine the reasons for surgical delays across hospitals and countries. The method used in this study was a literature review. The search terms used were "Delay" AND "Elective" AND "Surgery" in the Scopus, ScienceDirect, PubMed, and Proquest databases. Articles reviewed were limited to the last five years in English. The study's findings are divided into three domains: individual factors, including patient condition, type of surgery, medical diagnosis, ASA scoring, race, kidney failure, steroid use, gender, and health insurance. Management factors include insufficient human resources, including nurses and specialist doctors, as well as hospital policies. Supporting factors include insufficient operating room capacity and inadequate equipment. The study concluded that the main causes of surgical delays fall into three domains and are potentially controllable by hospital managers, who can strive to improve areas such as patient flow and capacity management.Keywords: surgery; elective; postponement ABSTRAK Penundaan operasi elektif dianggap sebagai masalah fundamental dalam layanan kesehatan karena menyebabkan gangguan yang signifikan terhadap alur pasien, yang semakin memperburuk kapasitas operasional yang seringkali sudah terbatas, dan akibatnya mengurangi kinerja rumah sakit serta kepuasan pasien. Tujuan studi ini adalah mengetahui alasan penundaan operasi di berbagai rumah sakit dan negara. Metode yang digunakan dalam studi ini adalah literature review. Kata kunci yang digunakan dalam mencari literatur adalah “Delay” AND “Elective” AND “Surgery” pada database Scopus, ScienceDirect, PubMed, dan Proquest. Artikel yang ditelaah dibatasi 5 tahun terakhir dalam Bahasa inggris. Temuan studi ini dibagi menjadi 3 domain yaitu faktor individu yang meliputi kondisi pasien, jenis operasi, diagnose medis, skoring ASA, ras, gagal ginjal, penggunaan steroid, jenis kelamin, dan asuransi kesehatan. Faktor manajemen meliputi sumber daya manusia yang kurang yaitu perawat dan dokter spesialis serta kebijakan rumah sakit. Sedangkan pada faktor pendukung ditemukan kurangnya kapasitas kamar operasi dan peralatan yang kurang memadai. Kesimpulan studi ini menyatakan bahwa penyebab utama penundaan operasi terbagi atas 3 domain dan memungkinkan dapat dikendalikan oleh manajer rumah sakit, yang dapat berupaya untuk meningkatkan area seperti aliran pasien dan manajemen kapasitas.Kata kunci: pembedahan; elektif; penundaan
Nursing Care for Pleural Effusion Patients Through Semifowler Position on Hemodynamic Status: A Case Report Mas’ulyatul Hukmiyah; Muhamad Zulfatul A'la; Ika Adelia Susanti; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.320

Abstract

Pleural effusion is the accumulation of fluid in the pleural cavity or membrane that separates the inner chest wall from the lungs. Pleural effusion can affect hemodynamics because increased intrapleural pressure can push organs in the mediastinum. Providing a semi-fowler position is one of the nursing interventions that is expected to improve hemodynamic status in patients with pleural effusion. This study aims to determine the implementation of nursing care for patients with pleural effusion by applying the semi-fowler position to hemodynamic status in the Catleya Room, dr. Soebandi Hospital, Jember. The research method in this study uses a case study. The respondents and place in this study were Mr. T. with pleural effusion in the Catleya Room of RSD dr. Soebandi Jember. Semifowler position intervention was given for 3 days with a duration of 2 hours. The results of this study indicate that on the first day, there was a decrease in blood pressure, MAP, and respiratory rate. While the pulse rate and oxygen saturation increased. On the second and third day, of the application of the semifowler position, the results showed that there was a decrease in respiratory rate and an increase in pulse rate and oxygen saturation. While there were no hemodynamic changes in blood pressure and MAP. The conclusion of this study is that the implementation of the semi-Fowler position has an effect on hemodynamic status, especially on reducing respiratory rate and increasing pulse rate and oxygen saturation.
Co-Authors Agus Meriroja Agustina, Baiq Linda Agustiningsih Agustiningsih Akhmad Zainur Ridla Amaningrum, Nurfika Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha, Artha Baiq Reny Ermayuningsih Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dodi Wijaya Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Esoh, Nahyeni Bassah Evita Rohmaniah Fauziah, Oktaviani Fauziah Gunarto, Sugito Tri Hafan Sutawardana, Jon Hana R. Agustina Hana Rizmadewi Agustina Heri Siswanto Ifka Wardaniyah Ika Adelia Susanti Iwan Setiawan Iyus Yosep Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Misni, Yulia Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nurfika Asmaningrum Pairin Yodsuban Rahmawati, Iis Retno Wardani, Hamidah Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Sanaah, Sanaah Sholihah, Mar'atus Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Wantiyah Wantiyah Wijaya, Dodi Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yunanto, Rismawan Zetti Finali Zumrotul Farikhah