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All Journal Indonesian Journal of Global Health research Jurnal Locus Penelitian dan Pengabdian Nursing Applied Journal Jurnal Kesehatan Republik Indonesia Advances In Social Humanities Research Hippocratica: Journal of Modern Medicine and Healthcare Practice Indonesian Journal of Global Health Research
Dwi Heppy Rochmawati
Universitas Islam Sultan Agung
Aerospace Engineering Humanities Automotive Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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The Relationship Between Anxiety Levels and the Intensity of Pain from AV Shunt Punctures in Patients Undergoing Hemodialysis in Tegal Helfrida Diah Ayu Novriani; Dwi Heppy Rochmawati; Wahyu Endang Setyowati
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 3 (2026): : September: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The study examined the relationship between anxiety levels and pain intensity during AV shunt cannulation among patients undergoing hemodialysis at RSUI Harapan Anda Tegal. A quantitative correlational study with a cross-sectional approach was conducted among 103 patients selected through purposive sampling. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS), while pain intensity during AV shunt cannulation was measured using the Numeric Rating Scale (NRS), with the relationship between variables analyzed using the Spearman Rank test. The findings showed that 71 respondents (68.9%) experienced moderate anxiety, while 32 respondents (31.1%) experienced mild anxiety. Regarding pain intensity, 72 respondents (69.9%) reported moderate pain, 30 respondents (29.1%) reported mild pain, and 1 respondent (1.0%) reported severe pain during AV shunt cannulation. Spearman Rank analysis demonstrated a very strong, positive, and statistically significant relationship between anxiety level and AV shunt puncture pain intensity, with a correlation coefficient of Rho = 0.938 and p = 0.000. The positive correlation indicates that patients with higher anxiety levels tended to experience greater pain intensity during AV shunt cannulation. These findings highlight the importance of integrating psychological assessment with pain assessment in routine hemodialysis care. Early identification of anxiety and appropriate anxiety-management strategies may support individualized nursing interventions and improve patient comfort during repeated AV shunt cannulation.
The Relationship Between Social Media Use Intensity, Body Image, and Bullying Behavior Among Vocational High School Students: A Systematic Review and Bibliometric Analysis Hasbullah; Wahyu Endang Setyowati; Iskim Luthfa; Dwi Heppy Rochmawati
Advances In Social Humanities Research Vol. 4 No. 10 (2026): Advances In Social Humanities Research
Publisher : Sahabat Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/adv.v4i10.706

Abstract

Social media has reshaped peer interactions and perceptions of physical appearance among adolescents, raising concerns about body dissatisfaction and bullying. However, evidence regarding the relationships among these experiences remains fragmented, particularly among vocational high school students. This study aimed to synthesize evidence on the relationships among social media use intensity, body image, and bullying involvement while mapping the development and thematic structure of the relevant literature. A systematic review and bibliometric analysis were conducted in accordance with the PRISMA 2020 guidelines. Publications from January 2022 to May 2025 were identified through searches of Scopus, Web of Science, PubMed, and Google Scholar. Fifty-two studies were included, critically appraised using the Joanna Briggs Institute (JBI) critical appraisal tools, and synthesized narratively. Bibliometric mapping was performed using VOSviewer and Bibliometrix. The findings indicated that intensive and appearance-focused social media use was associated with greater body dissatisfaction through social comparison and the internalization of appearance ideals. Negative body image was also associated with bullying victimization, while digital environments facilitated harmful peer interactions, including cyberbullying. Bibliometric analysis identified interconnected research themes involving social media, body image, cyberbullying, and mental health. Nevertheless, heterogeneity in measurement approaches and the predominance of cross-sectional study designs limited causal inference, while evidence specifically concerning vocational high school students remained insufficient. The review concluded that integrated approaches combining digital literacy, positive body image promotion, and bullying prevention should be considered in school settings. Future longitudinal research is needed to examine contextual differences and directly test the proposed psychological pathways linking social media use, body image, and bullying involvement among adolescents.
Fast Education for Early Stroke Detection: Health Promotion Model-Informed Systematic Review Mamul Fadli; Wahyu Endang Setyowati; Iskim Luthfa; Dwi Heppy Rochmawati
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2755

Abstract

Family members and lay bystanders are often the first to recognise stroke signs and determine whether emergency care is sought promptly. FAST (Face, Arm, Speech, Time) simplifies symptom recognition, but improved knowledge does not necessarily translate into sustained action. To synthesise peer-reviewed primary evidence published from 1 January 2019 to 29 August 2026 on FAST and related stroke-education strategies among families and lay populations, and to interpret the findings using the Health Promotion Model (HPM). A structured narrative synthesis was conducted with reference to PRISMA 2020, SWiM, and PRISMA-S elements. Eligible studies were English-language primary reports published within the specified 2019–2026 period. Randomised studies were appraised with RoB 2 and non-randomised studies with appropriate JBI tools. Twenty-five primary reports represented 23 independent study/data units. Improvements were most consistent for knowledge and symptom recognition. Directly measured family attitudes were rarely assessed; preparedness or intention improved in several studies, mainly at short follow-up, whereas actual behaviours such as EMS/ambulance activation and earlier hospital arrival were heterogeneous and context-dependent. FAST is a useful core recognition message, while HPM is best positioned as a framework for developing interventions that address perceived benefits and barriers, self-efficacy, interpersonal and situational influences, and commitment to action.
Co-Authors Ahmad Ikhlasul Amal Amalia Septiani Andina Putri Hidayah Dwi Retno Sulistyaningsih Erna Melastuti Frisa Esa Suci Hasbullah Helfrida Diah Ayu Novriani Honan Honan Ika Lilis Istiadah Indah Sri Wahyuningsi Indah Sri Wahyuningsih Iskim Luthfa Lino Aparicio Pires Gusmão Mamul Fadli Muh. Abdurrouf Nur Hidayah Nur Hidayah Olandina da Silva Pereira Puji Triyanto Sari, Dyah Wiji Puspita Susanto, Wigyo Suyanto Umi Nuraini Umi Nuraini Wahyu Endang Setyowati