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The Effectiveness of Structured Discharge Planning on Readiness for Discharge in Stroke Patients Rinawati, Rinawati; Jumaiayah, Wati; Azzam, Rohman; Kurniasih, Dian Noviati
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 02 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 02 Juni 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i02.3360

Background: Stroke is one of the non-communicable diseases (NCDs) with a continuously increasing incidence rate worldwide and in Indonesia. The implementation of discharge planning for patients in hospitals has generally not been well-executed, including providing limited education for home preparation and inadequate information related to health management. This results in ineffective discharge planning and a lack of continuity of care when the patient is at home. Objectives: This study aimed to determine the effect of structured discharge planning on home readiness in stroke patients in the hospital. Methods: This quantitative research employed a quasi-experimental design with pre- and post-test comparisons between groups. A simple random sampling technique was used, with 16 respondents in the intervention group and 16 in the control group. Data collection was conducted from April to June 2022. The Readiness for Hospital Discharge Scale (RHDS) questionnaire was used as the measuring instrument. Data analysis was carried out using a dependent t-test and an independent t-test. Results: The results indicated that structured discharge planning significantly affected the readiness to return home for stroke patients at Pasar Rebo Hospital Jakarta in both the intervention group (p-value 0.000) and the control group (p-value 0.000). Conclusion: It was concluded that there was no decrease in value from before to after the administration of structured discharge planning in both the intervention and control groups.

VIRAL LOAD AND OPPORTUNISTIC INFECTION AS THE INDICATOR OF QUALITY-OF-LIFE PEOPLE WITH HIV/AIDS Yuliaty, Rina; Rohman; Rayasari, Fitrian; Kurniasih, Dian Noviati; Aini, Nur; Shahroh, Yuni; Rusli, Adria; Maemun, Siti; Saadulloh, Dadang; Yunitri, Ninik
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.690

Background: Human immunodeficiency virus (HIV) is a significant concern in the field of global health. However, studies on the relationship between viral load, opportunistic infections, and quality-of-life among them are limited. Objectives: This study aims to determine the relationship between viral load count, the presence of opportunistic infection, and the quality-of-life among people living with HIV. Methods: A cross-sectional study was used involving 35 respondents recruited through convenience sampling. The quality-of-life of individuals living with HIV was assessed using the World Health Organization Quality-of-Life instrument for HIV. Statistical analysis using descriptive statistics, including mean, standard deviation, and proportion, and bivariate analysis with p-value<0.05. Results: Of the 35 participants, the majority were male (57.1%), with a mean age of 41.63 (9.09), and had a low education level (51.4%). The mean quality-of-life score was 86.88 (12.27), with a mean duration of ARV treatment of 7.23 years (5.36), undetectable viral load (68.6%), living with opportunistic infections (80%), and with tuberculosis being the most common (52.63%). There was a significant correlation between viral load and overall quality-of-life (p-value 0.04). Conclusion: The results of viral load testing and the identification of opportunistic infections can serve as indicators to assess the quality-of-life among people living with HIV. The outcomes of this study have practical implications for enhancing healthcare services in clinical settings. This information can guide the implementation of targeted interventions to strengthen social relationships and these individuals' environmental quality-of-life.

The Effectiveness of Sleep Hygiene on Sleep Quality in Patients with Congestive Heart Failure: A Randomized Controlled Trial Study Lofa, Priyo Hadi Prasetiyo; Yunitri, Ninik; Rayasari, Fitrian; Azzam, Rohman; Kurniasih, Dian Noviati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1119

Good sleep quality in congestive heart failure (CHF) patients helps repair heart muscle cells. Sleep hygiene is one of the non-pharmacological interventions to overcome sleep disorders. This study aims to determine the effectiveness of sleep hygiene on sleep quality in CHF patients. A Randomized Controlled Trial (RCT) with two groups was taken using probability sampling with block random sampling method. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and sleep habits using the Sleep Hygiene Index (SHI). Outputs were measured based on the change in the mean between the measurement time using the paired t-test and the difference in the mean between groups using the independent t-test. A total of 30 respondents were involved in this study. The intervention group showed a significant improvement in sleep quality after sleep hygiene therapy with a mean difference (MD) of 4.20 (SE=0.70; p-value=<0.01). Sleep quality between the two groups showed a significantly greater difference in the intervention group than in the control group (MD=-2.13, SE=1.00, p-value=0.04, effect size (Cohens'd)=-0.77). Sleep hygiene is a non-pharmacological intervention that effectively improves sleep quality in patients with CHF.

Pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU Astuty, Yeni; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.840

Background: Anxiety is a common problem among patients in the Intensive Care Unit (ICU) and can result in hemodynamic instability. One innovative solution to reduce anxiety is to use video calls as a substitute for limited in-person family visits. Purpose: To determine the effect of virtual interaction as therapy in reducing anxiety and improving hemodynamics in ICU patients. Method: Quasi-experimental research with pre-test and post-test on one intervention group, conducted in the ICU of An-nisa Hospital Tangerang in October-December 2024. The sampling technique used purposive sampling with a sample size of 60 participants. The independent variable in this study is virtual interaction via video call, while the dependent variable is the level of anxiety of ICU patients. Data analysis used univariate in the form of frequency distribution and bivariate using the Wilcoxon Signed Rank test. Results: Video call therapy was effective in significantly reducing the anxiety level of ICU patients (pretest score 17.07±0.583 to 12.43±0.898; p=0.000). Video calls had a significant impact on hemodynamic parameters, namely a decrease in systolic pressure (166.00±7.376 to 1125.70±7.728), diastolic (111.80±9.876 to 89.33±8.821), heart rate (113. 00±9.927 to 78.533±6.981), and respiration rate (22.766±1.165 to 16.766±1.381) with p=0.000. This intervention is effective to reduce anxiety and improve hemodynamic stability. Conclusion: The video call intervention was effective in reducing anxiety levels and improving hemodynamic parameters. Keywords: Anxiety; Hemodynamics; Intensive Care Unit (ICU); Therapy; Virtual Interaction. Pendahuluan: Kecemasan merupakan masalah umum yang dihadapi oleh pasien di Intensive Care Unit (ICU) dan dapat berdampak pada ketidakstabilan hemodinamik. Salah satu solusi inovatif untuk mengurangi kecemasan adalah dengan menggunakan video call sebagai pengganti kunjungan langsung keluarga yang terbatas. Tujuan: Untuk mengetahui pengaruh interaksi virtual sebagai terapi untuk mengurangi kecemasan dan meningkatkan hemodinamik pasien ICU. Metode: Penelitian kuasi-eksperimental dengan desain pre-test dan post-test pada satu kelompok intervensi, dilaksanakan di ICU Rumah Sakit An-nisa Tangerang, pada bulan Oktober-Desember 2024. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 60 partisipan. Variabel independen dalam penelitian ini adalah interaksi virtual melalui video call, sedangkan variabel dependen adalah tingkat kecemasan pasien ICU. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Wilcoxon Signed Rank. Hasil: Terapi video call efektif menurunkan tingkat kecemasan pasien ICU secara signifikan (skor pretest 17.07±0.583 menjadi 12.43±0.898 ketika posttest; p=0.000). Video call memberikan dampak signifikan terhadap parameter hemodinamik, yaitu penurunan tekanan sistolik (166.00±7.376 menjadi 1125.70±7.728), diastolik (111.80±9.876 menjadi 89.33±8.821), denyut jantung (113.00±9.927 menjadi 78.533±6.981), dan laju respirasi (22.766±1.165 menjadi 16.766±1.381) dengan nilai p=0.000. Intervensi ini efektif untuk menurunkan kecemasan dan memperbaiki stabilitas hemodinamik pasien. Simpulan: Intervensi video call terbukti efektif dalam menurunkan tingkat kecemasan dan memperbaiki parameter hemodinamik pasien. Kata Kunci: Hemodinamik; Intensive Care Unit (ICU); Interaksi Virtual; Kecemasan; Terapi.

Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Arisanty, Irma Puspita; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.

The Effectiveness of Sleep Hygiene on Sleep Quality in Patients with Congestive Heart Failure: A Randomized Controlled Trial Study Lofa, Priyo Hadi Prasetiyo; Yunitri, Ninik; Rayasari, Fitrian; Azzam, Rohman; Kurniasih, Dian Noviati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1119

Good sleep quality in congestive heart failure (CHF) patients helps repair heart muscle cells. Sleep hygiene is one of the non-pharmacological interventions to overcome sleep disorders. This study aims to determine the effectiveness of sleep hygiene on sleep quality in CHF patients. A Randomized Controlled Trial (RCT) with two groups was taken using probability sampling with block random sampling method. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and sleep habits using the Sleep Hygiene Index (SHI). Outputs were measured based on the change in the mean between the measurement time using the paired t-test and the difference in the mean between groups using the independent t-test. A total of 30 respondents were involved in this study. The intervention group showed a significant improvement in sleep quality after sleep hygiene therapy with a mean difference (MD) of 4.20 (SE=0.70; p-value=<0.01). Sleep quality between the two groups showed a significantly greater difference in the intervention group than in the control group (MD=-2.13, SE=1.00, p-value=0.04, effect size (Cohens'd)=-0.77). Sleep hygiene is a non-pharmacological intervention that effectively improves sleep quality in patients with CHF.

Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Maryani, Fenny; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
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.v7i3.6212

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.

Pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif Zaki, Muhamad; Sofiani, Yani; Agung, Rizki Nugraha; Rayasari, Fitrian; Kurniasih, Dian Noviati
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.2043

Background: Uncontrolled hypertension over a long period of time can lead to heart attacks, strokes, chronic heart failure (CHF), and chronic renal failure (CRF). The prevalence of hypertension in Indonesia's productive-age population is 13.2%, 20.1%, 31.6%, 45.3%, and 55.2%, among those aged 25-34. One non-pharmacological treatment that can be used to lower blood pressure in hypertensive patients is Nostril Breathing. Purpose: To determine the effect of nostril breathing on blood pressure depression in people with hypertension of productive age. Method: This quantitative quasi-experimental study, with pre- and post-tests without a control group, used a cross-sectional approach. This study was conducted at Astra Insurance Jakarta in August 2025 for 5 days, measuring blood pressure before and after the intervention in 40 participants with hypertension. Data analysis used repeated measures ANOVA at a p-value of 0.002 (<0.05). Results: The average systolic blood pressure before the intervention on day 1 was 151.18 ± 7.26, while the average diastolic blood pressure on day 1 before the intervention on the first day was 85.28 ± 6.91. In the next measurement, the average systolic blood pressure after the intervention on day 5 was lower than the previous days, at 133.63 ± 6.13. Meanwhile, the average diastolic blood pressure after the intervention on day 5 was lower than the previous days, at 82.63 ± 4.08. Conclusion: There is an effect of nostril breathing on blood pressure in people with hypertension, marked by a decrease in blood pressure with a p-value = 0.000 (<0.05). Suggestion: For future researchers, to further examine risk factors that influence the degree of hypertension, such as age and obesity, develop nursing interventions through experimental research, for example, the effect of health education on sleep quality on reducing blood pressure, employee behavior such as lack of physical activity, obesity, smoking, coffee consumption, and personality type. Keywords: Blood Pressure; Hypertension; Nostril Breathing. Pendahuluan: Hipertensi yang tidak terkontrol dalam waktu yang lama akan menyebabkan serangan jantung, stroke, chronic heart failure (CHF), dan chronic renal failure (CRF). Prevalensi hipertensi penduduk usia produktif di Indonesia pada umur 18-24 tahun sebesar 13.2%, umur 25-34 tahun sebesar 20.1%, umur 35-44 tahun sebesar 31.6%, umur 45-54 tahun sebesar 45.3%, dan umur 55-64 tahun sebesar 55.2%. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan untuk menurunkan tekanan darah pada pasien hipertensi adalah Nostril Breathing. Tujuan: Untuk mengetahui pengaruh nostril breathing terhadap depresiasi tekanan darah pada orang dengan hipertensi usia produktif. Metode: Penelitian kuantitatif quasy experiment dengan pre and post without control group menggunakan pendekatan cross-sectional. Penelitian ini dilakukan di Asuransi Astra Jakarta pada bulan Agustus 2025 selama 5 hari dengan mengukur tekanan darah sebelum dan sesudah intervensi kepada 40 partisipan dengan hipertensi. Analisis data yang digunakan adalah menggunakan repeated measure ANOVA pada ketetapan p-value 0.002 (< 0.05). Hasil: Rata-rata tekanan darah sistole sebelum intervensi pada hari ke-1 adalah 151.18 ± 7.26, sedangkan rata-rata tekanan darah diastole hari ke-1 sebelum intervensi pada hari pertama adalah sebesar 85.28 ± 6.91. Pada pengukuran berikutnya didapatkan hasil rata-rata tekanan darah sistole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 133.63 ± 6.13. Sementara itu, rata-rata tekanan darah diastole sesudah intervensi pada hari ke-5 lebih rendah dari hari-hari sebelumnya, sebesar 82.63 ± 4.08. Simpulan: Terdapat pengaruh nostril breating terhadap tekanan darah pada orang dengan hipertensi, ditandai adanya penurunan tekanan darah dengan p-value = 0.000 (<0.05). Saran: Bagi peneliti selanjutnya untuk meneteliti lebih lanjut faktor risiko yang memengaruhi derajat hipertensi, seperti usia dan obesitas kembangkan intervensi keperawatan melalui penelitian eksperimen, misalnya pengaruh penyuluhan kesehatan tentang kualitas tidur terhadap penurunan tekanan darah. perilaku pegawai seperti kurangnya aktivitas fisik, obesitas, merokok, konsumsi kopi, dan tipe kepribadian. Kata Kunci: Hipertensi; Nostril breathing; Tekanan darah.

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