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All Journal Science Midwifery Community Empowerment MAHESA : Malahayati Health Student Journal
Qothrunnadaa, Azka
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Telehealth interventions on pain in postoperative orthopedic surgery patients: A systematic review Qothrunnadaa, Azka; Abidah, Aqmarina; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dewi, Yulis Setiya; Mariyanti, Herdina
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2014

Abstract

This systematic review evaluates the effectiveness of telehealth interventions in managing pain among postoperative orthopedic surgery patients. The introduction highlights the transformative potential of digital health technologies, such as telemedicine and mobile health applications, in improving access, quality, and efficiency of healthcare, particularly for pain management and patient adherence. The methods section outlines a structured literature search across Scopus, PubMed, and Proquest databases, adhering to PRISMA guidelines, with inclusion criteria focusing on randomized controlled trials (RCTs) and quasi-experimental studies involving adult orthopedic patients aged 18–60 years. Ten studies met the criteria, demonstrating varied telehealth approaches, including mobile apps, video consultations, and remote monitoring. Results indicate significant pain reduction and improved clinical outcomes in telehealth groups compared to standard care, with enhanced patient adherence, functional recovery, and reduced opioid use. However, variability in intervention duration and pain measurement tools underscores the need for standardization. The conclusion affirms telehealth as a valuable tool for postoperative pain management, emphasizing its role in education, monitoring, and psychosocial support. Future research should explore combined interventions and economic impacts to optimize implementation.
Optimizing nutritional education to improve quality of life in cancer patients Sukartini, Tintin; Zamroni, Asroful Hulam; Marina, Navy Sealsi Adinda Prisca; Syahri, Alfi; Ismail, Fachril; Tadi, Tadi; Qothrunnadaa, Azka; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dorman, Johanes Eban B.; Damayanti, Elvi Kurnia
Community Empowerment Vol 10 No 7 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13077

Abstract

Cancer remains a major contributor to morbidity and mortality globally. The disease itself and its treatments often lead to significant challenges that negatively impact patients' quality of life. The objective of this community service initiative was to enhance the knowledge and understanding of cancer patients regarding their nutritional needs through a focused educational program. The method employed was a health education approach that included demonstrations. The activity involved 30 cancer patients, all over 18 years of age, who were undergoing radiotherapy or chemotherapy. The results showed a significant improvement in the participants' quality of life, specifically in their knowledge and understanding of nutrition. The pre-intervention score of 50% increased to 87.3% post-intervention, representing a 37.3% improvement. This demonstrates that the application of education on nutritional management can effectively improve patients' nutritional status. A good nutritional status is expected to enhance the overall quality of life for cancer patients undergoing medical treatment, as they are better equipped to implement nutritional management strategies in line with their health conditions and medical recommendations.
Mobilisasi Dini pada Pasien Post Kraniotomi: Systematic Review Qothrunnadaa, Azka; Abidah, Aqmarina; Tisel, Yulmira Maria; Tabik, Albertina Dete; Mariyanti, Herdina; Harmayetty, Harmayetty
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20624

Abstract

ABSTRACT Craniotomy is a neurosurgical procedure associated with postoperative complications such as infection and neurological decline due to immobilization. Early mobilization may accelerate recovery; however, its safety remains controversial, particularly in critically ill patients.  This review aimed to analyze existing studies to determine the optimal timing for mobilization and its outcomes. A comprehensive literature search was conducted using descriptors and keywords in databases including Scopus, PubMed, ProQuest, Web of Science, and ScienceDirect. Study appraisal was carried out using the Joanna Briggs Institute (JBI) checklist. The included studies consisted of quasi-experimental designs, randomized controlled trials (RCTs), and non-experimental studies (prospective and retrospective) published between 2016 and 2025 in English. The search yielded 1,250 articles, of which 7 met the inclusion criteria and were reviewed. Early mobilization was initiated at 6, 12, 24, and 28–72 hours postoperatively, depending on patient tolerance. The studies involved patients undergoing general craniotomy procedures, including those for chronic subdural hematoma, aneurysms, and brain tumors. Outcomes assessed included length of stay (LOS), postoperative complications, and functional recovery. The findings suggest that initiating early mobilization within the first 24 hours—particularly within 12 hours—is an optimal strategy to reduce LOS, minimize complications, and accelerate functional improvement. Early mobilization typically progressed from head elevation, to sitting in a chair, standing unassisted, and walking, based on patient tolerance. Keywords: Early Mobilization, Post-Craniotomy.  ABSTRAK Kraniotomi adalah prosedur bedah saraf dengan risiko komplikasi pascaoperasi seperti infeksi dan penurunan neurologis akibat imobilisasi. Mobilisasi dini dapat mempercepat pemulihan, tetapi keamanannya masih diperdebatkan, terutama pada pasien kritis. Review ini menganalisis studi-studi untuk menentukan waktu optimal mobilisasi dan dampaknya. Pencarian literatur dilakukan secara komprehensif menggunakan deskriptor dan kata kunci pada database Scopus, PubMed, Proquest, Web Of Science dan ScienceDirect. Appraisal studi menggunakan checklistdari Joanna Briggs Institute (JBI). Desain studi artikel yang disertakan meliputi quasy eksperiment, Randomized Control Trial (RCT), serta non eksperiemental study (prospektif dan studi retrospektif) yang diterbitkan pada tahun 2016-2025 dalam Bahasa Inggris. Pencarian menghasilkan sebanyak 1250 artikel, dan 7 artikel ditelaah dalam review ini. Mobilisasi dini dilakukan saat 6 jam pascaoperasi, 12 jam pascaoperasi, 24 jam pascaoperasi, dan 28-72 jam pascaoperasi sesuai dengan toleransi pasien. Karakteristik pasien yang terdapat pada artikel mencakup pasien yang menjalani kraniotomi umum termasuk untuk chronic subdural hematoma, aneurisma, dan tumor otak. Penelitian-penelitian tersebut juga mengobservasi length of stay (LOS), komplikasi postoperasi, dan fungsional. Hasil menunjukkan bahwa inisiasi mobilisasi dini dalam 24 jam pertama, terutama 12 jam, merupakan strategi optimal untuk memperpendek (LOS), meminimalkan komplikasi, dan mempercepat peningkatan pemulihan fungsional. Mobilisasi dini dimulai dari elevasi kepala, kemudian duduk di kursi, berdiri tanpa bantuan, dan berjalan sesuai toleransi pasien.   Kata Kunci: Mobilisasi Dini, Post Kraniotomi.
Co-Authors Abidah, Aqmarina Damayanti, Elvi Kurnia Dorman, Johanes Eban B. Harmayetty, Harmayetty Herdina Mariyanti Ismail, Fachril Marina, Navy Sealsi Adinda Prisca Syahri, Alfi Tabik, Albertina Dete Tadi, Tadi Tintin Sukartini Sukartini, Tintin Sukartini Tisel, Yulmira Maria Yulis Setiya Dewi Zamroni, Asroful Hulam