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The Relationship Between Stigma and Family Support on the Psychosocial Adaptation of HIV/AIDS Patients Aurora Almira Darwanto; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6821

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome) is a serious illness caused by the HIV virus, which attacks the immune system, leading to high morbidity and mortality. HIV cases in Indonesia reached an estimated 503,201 people in 2024. In addition to biological challenges, people living with HIV/AIDS (PLWHA) face severe psychosocial stress, primarily due to stigma and discrimination within both the family and the wider community. Therefore, the critical aspect of psychosocial adaptation requires a holistic approach, particularly through family support, to reduce stigma and ensure PLWHA receive optimal support. To determine the relationship between stigma and family support on the psychosocial adaptation of HIV/AIDS patients. This study used a quantitative research approach with a cross-sectional design. The sample consisted of 79 respondents. Sampling was determined using the accidental sampling technique. The data obtained were analyzed using the Spearman's rho correlation test. The results of the Spearman's rho correlation test indicate a relationship between stigma and family support on the psychosocial adaptation of HIV/AIDS patients. A relationship exists between stigma and family support on the psychosocial adaptation of HIV/AIDS patients.

The Correlation Between Antiretroviral (ARV) Adherence and Coping Strategies on the Immune Status of People Living with HIV (PLHIV) Fajar Ibnu Abdulrohman; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6822

Acquired Immune Deficiency Syndrome (AIDS), caused by the Human Immunodeficiency Virus (HIV), remains a significant global health issue, with an estimated 39.9 million people living with HIV (PLHIV) worldwide. HIV damages the immune system, particularly CD4 T cells, making patients susceptible to opportunistic infections. Given this major impact, immune status is a primary focus for PLHIV, where two key factors adherence to Antiretroviral (ARV) therapy and coping strategies play a vital role. ARV adherence is proven to suppress viral replication and restore CD4 cell count, while adaptive coping strategies assist in managing stress that can weaken the immune response. To determine the correlation between ARV adherence and coping strategies on the immune status of people living with HIV (PLHIV). This study used a quantitative research type with a cross-sectional design. The sample consisted of 64 respondents. Sampling was determined using the Slovin formula technique. The data obtained were analyzed using the Spearman's Rho correlation test. The results of the Spearman's Rho correlation test indicated a correlation between antiretroviral (ARV) adherence and coping strategies on the immune status of people living with HIV (PLHIV). There is a correlation between antiretroviral (ARV) adherence and coping strategies on the immune status of people living with HIV (PLHIV).

Kontrol Glukosa Darah Pada Pasien Diabetes Melitus Beata Rivani; Dwi Retno Sulistyaningsih; Iwan Ardian; M. Abdulrrouf
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44533

Penyakit Diabetes Melitus (DM) adalah sekumpulan gangguan metabolik yang dapat diidentifikasi melalui hiperglikemia, yang diakibatkan oleh kelainan dalam pelepasan insulin, efektivitas insulin, atau bahkan keduanya. Peningkatan jumlah individu yang terkena dampaknya menjadi isu kesehatan global, karena banyak yang tidak sadar akan kondisi mereka dan potensi komplikasinya. Hal ini menyebabkan pasien kembali ke fasilitas kesehatan dengan kadar glukosa darah yang tinggi serta keadaan yang mendukung munculnya komplikasi. Diabetes Melitus yang tidak terkelola dengan baik dapat mengakibatkan baik komplikasi jangka pendek maupun panjang. Penanganan bagi diabetes melitus mengikuti lima prinsip dasar, yang mencakup pendidikan, pengelolaan nutrisi medis, aktivitas fisik, pengobatan, dan pemantauan glukosa darah secara mandiri. Maksud dari pengendalian kadar glukosa adalah untuk meningkatkan kualitas hidup, baik dalam jangka pendek maupun jangka panjang. Kadar glukosa normal dalam darah berkisar antara 70-150 mg/dL, dan biasanya terjadi peningkatan setelah konsumsi makanan, dengan kadar terendah pada pagi hari sebelum makan. Target untuk kadar glukosa darah sebelum makan adalah antara 80 – 130 mg/dl dan untuk pengukuran 1-2 jam setelah makan adalah kurang dari 180mg/dl. Kadar glukosa darah akan kembali ke keadaan basal dengan menerapkan perilaku pengelolaan mandiri dan keyakinan diri yang tepat serta konsisten. Metode yang dipergunakan dalam penelitian ini adalah tinjauan literatur, yang bertujuan untuk mengidentifikasi, mengevaluasi, dan menginterpretasi semua temuan terkait suatu topik penelitian, guna menjawab pertanyaan penelitian yang sudah ditentukan sebelumnya. Hasil analisis menunjukkan adanya dampak positif dari penerapan perilaku pengelolaan mandiri dan keyakinan diri terhadap kontrol kadar glukosa bagi pasien Diabetes Melitus.

A Edukasi Terapi Hipnotis Lima Jari Berbasis Digital Terhadap Kecemasan Pasien Hipertensi: Literatur Review Hana Kamiliya Khairunnisa; Dwi Retno Sulistyaningsih; MG Eny Mulyatsih; Suyanto Suyanto
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53516

Latar Belakang: Hipertensi sering disertai kecemasan, dan hipnotis lima jari merupakan teknik relaksasi non-farmakologis yang berpotensi menurunkannya. Perkembangan teknologi memungkinkan edukasi hipnotis lima jari diberikan secara digital, namun bukti efektivitasnya pada pasien hipertensi masih terbatas. Tujuan: Literature review ini bertujuan mengevaluasi efektivitas edukasi terapi hipnotis lima jari berbasis digital terhadap tingkat kecemasan pada pasien hipertensi. Metode: Pencarian sistematis dilakukan pada PubMed, ScienceDirect, Google Scholar, SpringerLink, dan DOAJ (2020–2025). Strategi pencarian mengikuti kerangka PICO dan pedoman PRISMA 2020. Kriteria inklusi mencakup artikel penelitian asli dengan desain quasi-eksperimen, populasi dewasa/pasien hipertensi, intervensi edukasi hipnotis berbasis digital atau sejenis, serta kecemasan sebagai outcome. Dari 2.184 artikel teridentifikasi, 612 duplikasi dihapus. Setelah penyaringan dan penelaahan, 13 artikel dinilai kelayakannya, dan 10 artikel dimasukkan. Kualitas studi dinilai menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Tools. Hasil: Seluruh 10 studi quasi-eksperimen melaporkan penurunan kecemasan setelah intervensi edukasi digital hipnotis lima jari. Sebagian besar studi menunjukkan penurunan yang bermakna secara statistik (p < 0,05), dengan media intervensi berupa video digital, modul daring, atau aplikasi elektronik. Kesimpulan: Edukasi terapi hipnotis lima jari berbasis digital merupakan intervensi non-farmakologis yang menjanjikan untuk menurunkan kecemasan pada pasien hipertensi, dengan keunggulan kemudahan akses, fleksibilitas, dan potensi praktik mandiri.

Hubungan Antara Tingkat Spiritualitas dengan Kualitas Hidup Pasien Stroke yang Mengalami Gangguan Mobilitas Fisik Angelita Hardiyanti Rukmana; Mohammad Arifin Noor; Dwi Retno Sulistyaningsih
NAJ Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.583

Stroke is one of the leading causes of disability worldwide and significantly impacts patients' quality of life. Physical mobility impairment can reduce patients' independence, while spirituality potentially enhances coping mechanisms. This study aims to evaluate the relationship between spirituality level and the quality of life of stroke patients with physical mobility impairment at RSI Sultan Agung, Semarang. This study employs a descriptive quantitative design with a correlational approach. A total of 88 respondents were selected through simple random sampling and assessed using the Daily Spiritual Experience Scale (DSES) and WHOQOL-BREF. Results indicate that most respondents have a moderate level of spirituality (44.32%) and good quality of life (31.82%). Spearman correlation analysis shows no significant relationship between spirituality level and quality of life (r = 0.134; p = 0.212). Nevertheless, a holistic approach incorporating physical, psychological, social, and spiritual aspects remains essential for enhancing patient well-being.

Literature Review: The Positive Impact of Murottal Al-Qur'an Therapy on Anxiety in Hemodialysis Patients Zamsiah Martiasih; Dwi Retno Sulistyaningsih; Suyanto Suyanto; Erna Melastuti
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5485

Hemodialysis patients often experience anxiety that impacts quality of life and requires effective intervention. Murottal therapy has the potential to be an alternative to reduce anxiety, can be recommended as part of holistic care that is easy to apply and has minimal side effects for hemodialysis patients. Objectives: This literature review aims to evaluate the positive impact of Qur'anic murottal therapy on anxiety in hemodialysis patients. Methods: This study used a literature study of journal articles. Articles were searched through Google Scholar, PubMed, ResearchGate, and Semantic Scholar with the keywords “Hemodialysis”, “Anxiety”, and “Murottal Al-Qur'an” using the PCC approach. The PRISMA flowchart details the article selection process: initial identification of 462 articles, elimination of 203 duplications, exclusion of 185 articles based on irrelevant titles and abstracts, leaving 18 articles. 8 articles were again excluded after full text assessment as they did not meet the inclusion criteria. The selection process resulted in 10 final articles that met the inclusion criteria: national and international journal articles in Indonesian and English, published in 2019-2024, free full text available, and discussing murottal therapy for hemodialysis patient anxiety. Results: Out of hundreds of articles, ten articles showed consistent results that Qur'anic murottal therapy is effective in reducing the anxiety level of hemodialysis patients. Conclusion: Based on the literature analysis, Qur'anic murottal shows a positive impact as an effective therapy in overcoming anxiety in hemodialysis patients.

Literature Rivew: Effectiveness of Speech Therapy in Improving Verbal Communication Ability of Stroke Patients with Dysarthria” Eko Kurniawan; Suyanto Suyanto; Erna Melastuti; Dwi Retno Sulistyaningsih
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.v7i2.5604

Stroke often results in speech impairment, including dysarthria, which impacts the patient's verbal communication skills, quality of life, social interaction and independence. Therefore, understanding the effectiveness of speech therapy in improving verbal communication skills is necessary to determine the most effective rehabilitation approach. Objective: This study aims to explore the effectiveness of speech therapy in improving verbal communication of stroke patients with dysarthria, particularly in the aspects of articulation, voice clarity, and the ability to speak in daily life. Method: Methods: This study used a literature review of national and international published between 2019-2024 and freely available. A systematic search of the review was conducted using the Google Scholar database, Semantic Scholar, using keywords: Dysarthria Speech Therapy, Stroke, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. Initial searches were conducted through Google Scholar (1,215 articles), Semantic Scholar (485 articles). Initial screening of 1,450, removal of duplicate articles remaining 250 articles, articles were eliminated, so only 15 articles entered the further screening stage. From this process, 5 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed.. Result: The results of thousands of articles show ten articles showing consistent results that speech therapy can improve verbal communication skills in patients with diarthric stroke. Conclusion: There is general agreement that speech therapy is effective in improving verbal communication skills in stroke patients with dysarthria.

Decubitus Risk Assessment Instruments in ICU Patients: Literature Review Deni Supriyanti; Dwi Retno Sulistyaningsih; Indah Sri Wahyuningsih; Dwi Happy Rochmawati
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.v7i2.5635

Pressure ulcers can cause various problems for clients and hospitals. For patients, decubitus can cause extreme pain and discomfort, increase the length of stay (LOS), and quality indicators in the hospital cannot be achieved. The chronology of various factors means that a less standard decubitus assessment instrument will cause decubitus to continue to occur. This study aims to analyze the instruments used to prevent pressure ulcers in ICU patients. This study reviews eight relevant articles from 2019-2024. The results of a literature search of 2,662 journals resulted in a total of 15 journals being reviewed with the results of several studies using different pressure ulcer prevention instruments, including the Braden Scale, PUPrep, PUP Instrument, PIPGAI, COMHON, CFA, VALENT, PUKAT, KPUP, and RAPS, all instruments are used as decubitus detection instruments.

Non-Pharmacological Strategies to Reduce Bloating and Abdominal Distension: A Systematic Review Fedi Sudrajat; Suyanto Suyanto; Erna Melastuti; Dwi Retno Sulistyaningsih
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.v7i2.5874

Bloating and abdominal distension are common complaints that can be caused by various factors, including intestinal motility disorders, postoperative effects, and functional digestive disorders. While pharmacological therapy is often used, various non-pharmacological interventions have been developed as safer alternatives with minimal side effects.This literature review aims to examine various non-pharmacological interventions for addressing intestinal motility disorders, bloating, and abdominal distension based on available evidence. A search for scientific articles, including randomized clinical trials and randomized controlled trials, was conducted using inclusion and exclusion criteria based on the PICOS format. Articles were retrieved from databases such as Google Scholar, PubMed, ScienceDirect, and CINAHL (2018–2025), focusing on publications in English and Indonesian. Keywords related to bloating, flatulence, and abdominal distension interventions were used to identify relevant studies. The process of searching for high-quality research articles was conducted using the PRISMA 2020 diagram. Initially, 831 articles were identified, with 648 eliminated due to duplication, being outside the topic, or lacking full-text access. This resulted in 183 articles screened. After the eligibility assessment, 170 articles were further excluded for not meeting the inclusion and exclusion criteria. The final selection process resulted in 13 articles that were included and discussed in this study. Non-pharmacological interventions have been shown to effectively reduce bloating and accelerate the recovery of intestinal peristalsis. Specific interventions include: (chewing gum, which promotes flatus release and defecation; mentha spicata L. essential oil, which has analgesic properties and reduces bloating; warm compresses, which significantly enhance intestinal peristalsis; thoracoabdominal biofeedback, which effectively reduces abdominal distension; early mobilization, which accelerates the recovery of intestinal peristalsis and lowers the risk of postoperative ileus; chamomile, which has therapeutic effects in reducing flatulence and distension; coffee or caffeine consumption, which significantly promotes intestinal function recovery. Non-pharmacological interventions have proven effective in alleviating symptoms and accelerating the recovery of intestinal peristalsis, bloating, and abdominal distension.

Literature Review: Effectiveness of Early Mobilization on Clinical Outcomes of Mechanically Ventilated Patients in the Intensive Care Unit Efikal Efikal; Sri Wahyuni; Dwi Retno Sulistyaningsih; Suyanto Suyanto
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6348

Early mobilization of mechanically ventilated patients in the intensive care unit is an important intervention in preventing immobilization complications such as muscle weakness, decreased functional capacity, and prolonged length of stay. Despite its widely reported benefits, the implementation of early mobilization still faces various challenges, including limited resources, risk perception, and lack of systematic guidelines. Objectives: This study aimed to evaluate the effectiveness of early mobilization on clinical outcomes of mechanically ventilated patients in the intensive care unit through a literature review. Methods: This study used a systematic literature review approach by searching national and international scientific articles published in the last five years, 2020-2025. The search was conducted through three main databases: PubMed, Google Scholar, and SciSpace. The search strategy referred to the PICO (Population, Intervention, Comparison, Outcome) framework using keywords such as “early mobilization”, “mechanical ventilation”, “ICU outcomes”, and “clinical outcomes”. From a total of 108 articles found, an initial screening process eliminated duplicates and irrelevant articles, resulting in 32 articles for further review. After a selection process based on inclusion and exclusion criteria, only 9 articles met all criteria and were analyzed in depth. Results: The review showed that early mobilization positively contributed to various clinical outcomes, including increased muscle strength, reduced duration of ventilator use, decreased length of stay, and improved functional status of post-ICU patients. The success of this intervention was influenced by the involvement of a multidisciplinary team, clear mobilization protocols, and adequate training for health workers.

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