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All Journal Jurnal Ners Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Johanes Eban B. Dorman
Universitas Airlangga
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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The Effectiveness of Acupressure in Reducing Pain After Coronary Angiography: a Systematic Review Elvi Kurnia Damayanti; Asroful Hulam Zamroni; Johanes Eban B. Dorman; Rizki Nur Azhadin; Ninuk Dian Kurniawati
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44237

Abstract

Coronary angiography, a critical diagnostic tool for coronary artery disease, often results in post-procedural pain that affects patient recovery and satisfaction. Acupressure, a non-invasive technique rooted in traditional Chinese medicine, has shown promise in reducing pain by stimulating endorphin release and enhancing physiological responses. This systematic review aimed to evaluate the effectiveness of acupressure in managing pain among patients undergoing coronary angiography. Four databases (Scopus, PubMed, ProQuest, and ScienceDirect) were searched for relevant articles published between 2020 and 2025, using keywords such as "acupressure," "pain," and "coronary angiography." Joanna Briggs Institute guidelines were used to assess study quality. Seven randomized controlled trials involving 774 participants were included. All studies reported significant pain reduction after acupressure interventions (p < 0.05), with durations ranging from 15 to 120 minutes at points like LI4 and PC6. Acupressure not only reduced pain but also stabilized vital signs and reduced anxiety. These findings suggest that acupressure is an effective intervention for post-coronary angiography pain, providing a strong basis for its integration into clinical practice. Further research is needed to standardize protocols and explore long-term effects.
The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review Yulis Setiya Dewi; Achmad Fauzi; Albertina Dete Tabik; Aqmarina Abidah; Johanes Eban B. Dorman; Yulmira Maria Tisel; Ninuk Dian Kurniawati
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.v7i3.5662

Abstract

Acute Coronary Syndrome (ACS) is a serious condition that requires quick treatment to prevent complications and death. The education program is one of the effective interventions in improving the understanding, compliance, and quality of life of ACS patients. Objective: This study aims to evaluate the effectiveness of educational programs in ACS patient management through a scoping review. Method: This study uses the scoping review method with the PRISMA-Scr protocol. Data was obtained from Scopus, ProQuest, PubMed, and EBSCO databases with relevant keywords and publication of articles in the last 5 years (2019–2024). Articles that met the inclusion criteria were analyzed using a descriptive approach. Quality assessment is carried out using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: Of the initial 34,668 articles, 12 articles with good and medium quality were selected. Effective educational programs include behavioral, media, distance, and group-based methods. These interventions have been shown to improve patient understanding, medication adherence, and quality of life as well as reduce anxiety and depression. The instruments used included PPE-15, HADS-A, HADS-D, SF-12, HeartQoL and GENEActiv accelerometer questionnaires. Conclusions: Educational programs based on a patient-centered care approach (PCC), technology, and physical exercise have proven to be effective in improving ACS patient management. Behavioural and media-based education, such as traffic light labels for nutrition understanding, is able to support lifestyle changes and patient rehabilitation. Intensive education also has a positive impact in reducing the risk of long-term complications.
Digital-Based and Telerehabilitation Interventions in Orthopaedic Postoperative Recovery: Literature Review Albertina Dete Tabik; Asroful Hulam Zamroni; Aqmarina Abidah; I Made Dwi Budhiasa Ari Serengga; Johanes Eban B. Dorman; Kiki Fajar Nurhidayah; Lisa Isdaryanti; Rizki Nur Azhadin; Nursalam Nursalam; Tintin Sukartini; Akhmad Ja'far; Hendra Kurnia Rakhma
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.320

Abstract

Orthopedic surgery aims to treat musculoskeletal disorders; however, postoperative recovery often presents functional limitations. Digital interventions and telerehabilitation are increasingly being applied in nursing, although evidence of their effectiveness remains limited. This systematic review evaluated the effectiveness of these technologies in supporting postoperative orthopedic recovery and identified their contributions to evidence-based nursing practice. A systematic review following the PRISMA guidelines was conducted using Scopus, PubMed, Web of Science, ScienceDirect, and SAGE databases. Randomized controlled trials and quasi-experimental studies published between 2015 and 2025 involving adult postoperative orthopedic patients were included. The interventions were compared with conventional rehabilitation. Six outcome domains were evaluated: physical function, quality of life, pain, psychosocial aspects, self-efficacy, patient compliance and satisfaction. A total of 1,508 articles were identified, of which 16 studies met the inclusion criteria. Digital-based interventions and telerehabilitation consistently improved physical function (e.g., Timed Up and Go, Functional Independence Measure), increased quality of life (EQ-5D, SF-36), and reduced postoperative pain more rapidly than conventional rehabilitation did. Improvements were also observed in anxiety, depression, self-efficacy, health literacy, patient satisfaction, and adherence to the rehabilitation program. Digital and telerehabilitation interventions effectively support orthopedic postoperative recovery, positively affecting physical, psychosocial, and behavioral outcomes. A multimodal model integrating education, exercise, occupational therapy, and psychosocial support based on self-efficacy and biopsychosocial approaches yielded optimal results. Integration into surgical nursing practice is recommended, with attention to technological infrastructure and clinician training.
Adaptation of Novice Intensive Care Unit Nurses in Caring for Critically Ill Patients Requiring Mechanical Ventilation and High Acuity: A Systematic Literature Review Johanes Eban B. Dorman; Yulis Setiya Dewi; Arina Qona’ah
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61338

Abstract

Abstrak Adaptasi perawat ICU pemula di unit perawatan intensif merupakan proses transisi profesional yang kompleks, terutama ketika mereka harus merawat pasien kritis dengan ventilasi mekanik dan tingkat keparahan klinis yang tinggi. Situasi ini menuntut penguasaan keterampilan teknis, penalaran klinis yang cepat, kemampuan mengelola emosi, serta komunikasi tim yang efektif. Walaupun isu transisi perawat baru di ICU semakin banyak diteliti, sintesis yang secara khusus menelaah pengalaman adaptasi dalam konteks perawatan pasien ventilator dan pasien dengan kondisi sangat berat masih terbatas.Penelitian ini menggunakan desain systematic literature review dengan mengacu pada PRISMA 2020. Pencarian dilakukan pada empat basis data, yaitu Scopus, PubMed, ProQuest, dan ScienceDirect. Strategi pencarian memadukan kata kunci yang berkaitan dengan novice nurse, new graduate nurse, intensive care unit, adaptation, transition, mechanical ventilation, critically ill patient, dan severity of illness. Sebanyak 299 artikel teridentifikasi, terdiri dari Scopus (n=115), PubMed (n=95), ProQuest (n=38), dan ScienceDirect (n=51). Setelah duplikasi dihapus (n=190), tersisa 109 artikel untuk skrining judul dan abstrak. Sebanyak 50 artikel dieliminasi pada tahap ini, sehingga 59 artikel ditelusuri dalam bentuk full text. Sebanyak 36 artikel tidak berhasil diperoleh. Dua puluh tiga artikel dinilai kelayakannya, kemudian 17 artikel dikeluarkan karena keterbatasan akses, bahasa selain Inggris, desain studi tidak sesuai, atau tidak menjawab pertanyaan penelitian. Enam studi akhirnya disertakan dalam sintesis. Kualitas studi dinilai menggunakan Joanna Briggs Institute (JBI), dengan skor 77%–92%. Sintesis dilakukan secara naratif.Enam studi yang dianalisis berasal dari Inggris, Namibia, Iran, Korea Selatan, China, dan Singapura. Lima studi merupakan penelitian kualitatif primer atau grounded theory, sedangkan satu studi merupakan qualitative systematic review. Sintesis menghasilkan lima tema utama, yaitu kejutan transisi dan ketidaksiapan awal di ICU, beban emosional saat merawat pasien kritis dan pasien ventilator, kebutuhan terhadap orientasi dan mentoring yang terstruktur, fasilitator adaptasi berupa psychological capital, professional capital, dan social capital, serta perkembangan bertahap menuju stabilisasi dan komitmen profesional. Perawatan pasien ventilator dan pasien dengan kondisi sangat berat terbukti meningkatkan rasa takut salah, beban kognitif, dan kebutuhan belajar pada perawat baru. Namun, orientasi yang sistematis, preseptor yang konsisten, dan dukungan tim membantu mempercepat pembentukan rasa percaya diri dan kompetensi klinis.Adaptasi perawat ICU pemula berlangsung secara bertahap dan tidak linier. Proses ini dipengaruhi oleh kompleksitas pasien, kesiapan individu, dukungan organisasi, serta kultur kerja di ICU. Temuan review menunjukkan bahwa ventilasi mekanik dan kondisi pasien yang sangat berat memperbesar tantangan adaptasi karena meningkatkan tuntutan observasi, kewaspadaan, dan ketepatan respons klinis. Meskipun demikian, studi yang secara eksplisit menggunakan ambang APACHE II >30 masih sangat terbatas, sehingga sintesis ini lebih merepresentasikan konteks pasien kritis dengan high-acuity care dibandingkan bukti yang benar-benar spesifik terhadap APACHE II >30. Adaptasi perawat ICU pemula dalam merawat pasien kritis dengan ventilasi mekanik dipengaruhi oleh interaksi antara tuntutan klinis, beban emosional, dukungan organisasi, serta modal psikologis, profesional, dan sosial. Rumah sakit perlu menyediakan program orientasi ICU yang terstruktur, mentorship yang konsisten, dukungan psikologis, serta pembelajaran klinis bertahap untuk meningkatkan kesiapan perawat baru dalam merawat pasien dengan tingkat keparahan tinggi Kata Kunci: Adaptasi, perawat ICU pemula, ventilasi mekanik, pasien kritis.
Co-Authors Achmad Fauzi Akhmad Ja'far Albertina Dete Tabik Aqmarina Abidah Arina Qona’ah Asroful Hulam Zamroni Elvi Kurnia Damayanti Hendra Kurnia Rakhma I Made Dwi Budhiasa Ari Serengga Kiki Fajar Nurhidayah Kurniawati, Ninuk Dian Lisa Isdaryanti Nursalam, Nursalam Rizki Nur Azhadin Tintin Sukartini Sukartini, Tintin Sukartini Yulis Setiya Dewi Yulmira Maria Tisel