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All Journal Malahayati International Journal of Nursing and Health Science
Tuti Herawati
Fakultas Ilmu Keperawatan Universitas Indonesia
Health Professions Nursing Public Health

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The effectiveness of breathing exercises in reducing dyspnea in patients with heart failure: A systematic review Kristian Ade Chandra; Tuti Herawati; Anggri Noorana Zahra
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.913

Abstract

Background: Heart failure is a global health problem with a relatively high prevalence. Dyspnea is one of the typical symptoms of heart failure. Dyspnea can affect various aspects of life of people who are suffering from heart failure. Management of dyspnea is needed to reduce this problem and improve the quality of life of patients. One of the interventions that can be done is breathing exercises. Purpose: To reduce dyspnea in patients with heart failure. Method: A systematic review of articles obtained from several databases including Science Direct, Oxford, EBSCO, PUBMED, and Sage Journals, from 2015 to 2024. Results: Based on the results of article screening based on the criteria in this study, 7 articles were obtained that explained the effectiveness of breathing exercises to reduce dyspnea in heart failure. Conclusion: Breathing exercises can be considered as a non-pharmacological therapy to reduce dyspnea in heart failure.
Psychosocial factors influencing adherence to medication therapy and a low-sodium diet in patients with heart failure: A systematic review Ni Made Sridarmayanti; Tuti Herawati; Muhamad Adam
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.3073

Abstract

Background: Heart failure (HF) is a complex clinical syndrome with an increasing prevalence that contributes to decreased quality of life and increased mortality. Adherence to medication therapy and a low-sodium diet is a key component of HF management; however, patient adherence remains low. Various factors, including psychosocial aspects, influence this condition. Purpose: To identify and synthesize psychosocial factors that significantly influence adherence to medication therapy and a low-sodium diet in patients with heart failure based on the literature published between 2015 and 2025 Method: This systematic literature review was conducted in accordance with the PRISMA guidelines. A literature search was performed across six databases using the PICOT framework: PubMed, ProQuest, Scopus, EBSCOhost, SAGE, and ClinicalKey for Nursing. The quality of the articles was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: A total of 10 articles with a combined sample of 5.611 participants pant were analyzed. The results indicate that depression and anxiety are negative psychological predictors that reduce patients’ motivation and self-regulation regarding adherence. Depression emerged as the dominant factor associated with decreased medication adherence. Social factors, particularly social support, act as protective factors that improve treatment adherence. As a component of social support, family support specifically contributes to adherence to a low-sodium diet through a proxy adherence mechanism. Conclusion: Psychosocial factors influence adherence to therapy in patients with heart failure. Therefore, a holistic approach integrating psychosocial interventions is needed to optimize therapeutic adherence and improve clinical outcomes.
Co-Authors Anggri Noorana Zahra Kristian Ade Chandra Muhamad Adam Ni Made Sridarmayanti