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Nursing Care for Dengue Hemorrhagic Fever Patients with Deep Breath Relaxation Intervention to Reduce Pain Tita Saskia Asmoro; Muhamad Zulfatul A'la; Mulia Hakam; Heri Siswanto
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.322

Abstract

Dengue fever or hemorrhagic fever is an acute infectious disease that can be transmitted by the Aedes aegypti mosquito. The virus carried by the Aedes aegypti mosquito will attack cells in the liver, disrupting liver function and causing swelling and bleeding. Symptoms that can occur are high fever, muscle and joint pain, and rash. One of the nonpharmacological therapies is deep breath relaxation therapy to reduce pain. This study aims to analyze deep breath relaxation techniques to reduce pain. This research design used a case report approach.   The pain can decrease after being given deep breath relaxation therapy for 3 days. On the first day, on a scale of 7, it decreased to a scale of 2 on the third day of hospitalization. Applying deep breath relaxation techniques can help reduce pain intensity by relaxing skeletal muscles that experience spasms due to increased prostaglandins, so that vasodilation of blood vessels will increase blood flow that is spasmed and ischemic. This technique can help a person or patient control themselves when feeling emotional discomfort, physical stress, or pain. Deep breath relaxation techniques can be given to patients who experience pain as a nonpharmacological therapy. The application of this relaxation technique is proven to reduce pain intensity.
Optimizing Knowledge of Clean and Healthy Living Behavior among Santri in Az Zahro Islamic Boarding School through Public Health Podcast Media: Optimalisasi Pengetahuan Perilaku Hidup Bersih dan Sehat pada Santri di Pondok Pesantren Az Zahro, Curahdami Melalui Media Podcast Kesehatan Masyarakat Puskesmas Curahdami, Bondowoso Gesit Wira Mustapa; Yudho Tri Handoko; Muhamad Zulfatul A'la; Hamidah Retno Wardani
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.196

Abstract

Clean and Healthy Behavior (PHBS) is a behavior carried out on consciousness as a result of learning that makes a person. Problems of clean and healthy living behavior are most commonly found in groups, for instance, in the Training Houses.  This is often demonstrated by inappropriate environmental codes, including the availability of post-training health posts, the low level of knowledge of healthcare professionals such as managers and healthcare providers about clean and healthy living behaviour, and the high number of frequently occurring medical conditions such as scabies, diarrhea, and cold cough. This dedication to the community aims to provide knowledge and understanding of Clean and Healthy Living Behavior to the centurion so that there is a change in behavior and able to practice in his daily life in the Islamic boarding school Az Zahro Curahdami Bondowoso district. The method of implementation is done by means of giving education developed through viewing the public health podcast Primary Health Service Curahdami and is presented with questions and answers. Before conducting the education on Clean and Healthy Living Behavior, 75% of respondents had less knowledge, and 25% had sufficient knowledge about clean and healthy living behavior. Based on the results of observations showed that the activities of devotion to the community can improve the central knowledge about the behavior of a clean and healthy life through watching the Podcast Health Society Primary Health Service Curahdami district of Bondowoso.
Effectiveness of Implementing a Reminder Control Information System Using the SKEDit Program for Diarrhea Patients: Efektifitas Penerapan Sistem Informasi Reminder Control Menggunakan Program SKEDit Pada Pasien Diare Muhamad Hasan Basri; Agus Meriroja; Muhamad Zulfatul A’la; Dodi Wijaya
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 1 (2025): May 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i1.278

Abstract

Diarrhea is one of the main causes of death in the world. Environmental cleanliness, sanitation and access to clean water are still factors that trigger diarrhea, especially in developing countries such as Indonesia. Diarrhea can attack anyone at any time, both adults and children. This Community Service aims to determine the effectiveness of using the control reminder information system for diarrhea patients in increasing repeat visits at the Mayang Community Health Center. The implementation method is carried out by providing health education by providing information about diarrhea through posters, sending health education videos and Control message reminders using the SKEDit Application Program. Evaluation before health education was carried out using SKEDit, customer satisfaction was 67.8% and after health education was carried out using SKEDit, it was 80.1%. Meanwhile, the rate of repeat visits for diarrhea patients after receiving a control reminder increased by 70%. Based on the results of observations, it shows that this Community Service activity is able to increase customer satisfaction and increase repeat visits of diarrhea patients at the Mayang Community Health Center.
Integrating Handgrip Exercise and Lavender Aromatherapy into Nursing Care for Pain Management in Peptic Ulcer Patients with Melena Salma Dena; Muhamad Zulfatul A'la; Rondhianto Rondhianto; Mohammad Shodikin
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.451

Abstract

Peptic ulcer disease frequently precipitates acute pain and gastrointestinal hemorrhage, yet conventional analgesic use remains constrained by bleeding risks and mucosal irritation. This study evaluated the clinical effectiveness of integrating handgrip exercise and lavender aromatherapy into nursing care for pain reduction in a patient presenting with melena secondary to peptic ulcer disease. Employing a prospective single-patient case design, the intervention was administered over three consecutive days using standardized nursing protocols. Pain intensity was quantified using the Numerical Rating Scale (NRS) immediately before and after each 30-minute session, with continuous hemodynamic and clinical monitoring. Results demonstrated a progressive attenuation of pain intensity, with NRS scores declining from 7 to 4 across the intervention period, concurrent with improved physiological stability and enhanced patient-reported comfort. These outcomes suggest that the combined modalities operate through complementary neurophysiological pathways, leveraging diffuse noxious inhibitory controls and limbic-mediated autonomic regulation to modulate both sensory and affective pain dimensions. The findings underscore the clinical feasibility, safety, and analgesic potential of structured, nurse-delivered nonpharmacological interventions in acute gastrointestinal settings. Systematic integration of such multimodal protocols into routine nursing practice offers a viable strategy for optimizing pain management while minimizing pharmacological adverse effects. Further randomized controlled investigations are recommended to establish dose-response parameters, validate long-term efficacy, and develop standardized implementation guidelines for broader clinical adoption.
The Impact of Permanent Pacemaker Implantation on the Quality of Life in Elderly Patients: A Scoping Review Artha Artha; Muhamad Zulfatul A'la; 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 Baiq Linda Agustina; Anisah Ardiana; Muhamad Zulfatul A'la
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 Yulia Misni; Nurfika Amaningrum; Muhamad Zulfatul A'la
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.
Tinjauan Ruang Lingkup Alat Pengukuran Kepatuhan Kemoterapi di Asia: Implikasi untuk Penggunaan di Indonesia Mar'atus Sholihah; Muhamad Zulfatul A’la; Nurfika Asmaningrum
Journal of Islamic Medicine Vol 9, No 2 (2025): JOURNAL OF ISLAMIC MEDICINE EDISI SEPTEMBER 2025
Publisher : Faculty of Medicine and Health Sciences, UIN Maulana Malik Ibrahim Malang

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.
Strengthening Community Health Workers’ Capacity for Non-Communicable Disease Prevention and Control in Rural Settings: A Participatory Action Research Protocol Muhamad Zulfatul A'la; Rondhianto Rondhianto; Ridlwan Kamaluddin; Pairin Yodsuban
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.14694

Abstract

Non-communicable diseases (NCDs) are a leading cause of mortality and morbidity worldwide. Strengthening the capacity Community Health Workers (CHWs) is a key strategy for improving NCD prevention and control. However, its implementation remains suboptimal, particularly in rural settings. This study aims to co-design, implement, and refine a CHW capacity-building intervention for NCD prevention and control in rural settings using a Participatory Action Research (PAR) approach. This protocol describes a qualitative PAR study with process evaluation from August 2024 to June 2026 at Kaliwates Public Health Center (PHC), Jember, Indonesia. The completed pre-PAR phase involved 20 participants (CHWs and healthcare providers) to identify baseline needs and intervention development, while the subsequent PAR phase will involve 15 purposively selected CHWs. The post-PAR phase will explore participants' experiences, perceived benefits, feasibility, and sustainability of the co-developed intervention through observations, in-depth interviews, the Delphi method, and focus group discussions (FGDs). Data from the completed pre-PAR phase were analyzed using thematic analysis and Multiple-Perspective Interviews (MPI), supported by ATLAS.ti software, whereas data from the PAR and post-PAR phase will be analyzed upon completion. Ethical approval was obtained before the commencement of the pre-PAR phase. Preliminary findings from the pre-PAR needs assessment identified three overarching themes: systemic barriers to CHW role fulfilment; capacity gaps in training and skill development; and the need for participatory, culturally embedded training approaches. These findings provide an empirical foundation for the co-design, implementation, and evaluation of a contextually relevant CHW capacity-building intervention for NCD prevention and control in rural settings.
DEVELOPMENT OF CALM (CASE-BASED ADVANCED LEARNING FOR PAIN MANAGEMENT) TO IMPROVE THE ATTITUDES, KNOWLEDGE, AND BEHAVIOR OF FINAL-YEAR NURSING STUDENTS ON PAIN MANAGEMENT Rondhianto Rondhianto; Ika Adelia Susanti; Muhamad Zulfatul A’la; Farida Nur Qomariyah
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1072

Abstract

Background: Pain is a primary complaint among patients in healthcare services. The failure in pain management can increase morbidity and mortality rates. There is a need to improve nursing students' competencies through innovative Web-Based Learning (WBL) models, which leverage technology to create a comprehensive and interactive learning environment. This study aims to develop CALM (Case-based Advanced Learning for Pain Management) to enhance the attitudes and knowledge of final-year nursing students regarding pain.Method: The research design used was Research and Development (R & D), involving final-year nursing students from the Faculty of Nursing, University of Jember, who met the inclusion and exclusion criteria. The sampling technique used was purposive sampling. The research instruments used were the Knowledge and Attitude Survey Regarding Pain (KASRP), Nurse Behavior Questionnaire in Pain Management (NBQ-P), Focus Group Discussion (FGD) guide, and System Usability Scale (SUS). Data analysis was performed using descriptive statistical analysis.Results: The results of the study indicated that the knowledge and attitudes of final-year nursing students regarding pain fall into the low category (53.8%). In terms of pain management behavior, the majority of respondents were in the good category (55.90%). The development of CALM learning media resulted in six modules to be developed: pain assessment and evaluation; pain pharmacology; non-pharmacological interventions; pain in special populations; and cultural, spiritual, and ethical aspects of pain management. The feasibility test of CALM learning media showed positive results.Conclusions: The development of CALM learning media was highly accepted, functions optimally, facilitating access to pain-related information, and aligning with previous evidence regarding the effectiveness of e-learning and interprofessional curricula, which have the potential to enhance knowledge, assessment skills, and learning satisfaction among students
Co-Authors Agus Meriroja Agus Meriroja Agustiningsih Agustiningsih Akhmad Zainur Ridla Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha Artha Baiq Linda Agustina Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Cahyani, Puja Sheylla Riskita Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dicky Endrian Kurniawan Dodi Wijaya Emi Wuri Wuryaningsih Esoh, Nahyeni Bassah Evita Rohmaniah Farida Nur Qomariyah FARIKHAH, ZUMROTUL Fauziah, Oktaviani Fauziah Gesit Wira Mustapa Gunarto, Sugito Tri Hamidah Retno Wardani Hana R. Agustina Hana Rizmadewi Agustina Handoko, Yudho Tri Heri Siswanto Ifka Wardaniyah Iwan Setiawan Iyus Yosep Jon Hafan Sutawardana 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. Mar'atus Sholihah Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Mohammad Shodikin Muhamad Hasan Basri Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nistiandani, Ana Nurfika Amaningrum Nurfika Asmaningrum Pairin Yodsuban Pairin Yodsuban Rahmawati, Iis Retno Wardani, Hamidah Ridlwan Kamaluddin Risky Kusumawardhani Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Salma Dena Sanaah, Sanaah SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Susanti, Ika Adelia Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Undariningsih, Sutriani Wantiyah Wantiyah Wijaya, Dodi Win, Thandar Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yudho Tri Handoko Yulia Misni Yunanto, Rismawan Zetti Finali Zumrotul Farikhah