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HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI APENDIKTOMI DI RUANG RAWAT INAP RUMAH SAKIT Wati, Susila; Rochmawati, Dwi Heppy; Susanto, Wigyo
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i2.134

Abstract

Early mobilization is an important intervention in post-appendectomy care to accelerate recovery, prevent complications, and improve patient comfort. The implementation of early mobilization is greatly influenced by the patient's level of knowledge regarding the benefits, timing, and implementation techniques. Objective: To determine the relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Method: This study used a descriptive correlative design with a cross-sectional approach. The sample of the study was 40 post-appendectomy respondents with a total sampling technique. Data were collected using a questionnaire on the level of knowledge and early mobilization behavior, then analyzed bivariately using the Chi-Square test. Results: The results of the Chi-Square test showed that the p-value was 0.000 (p <0.05). So there is a significant relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Conclusion: There is a relationship between knowledge level and early mobilization behavior of appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang.
PENGARUH GUIDED IMAGERY TERHADAP CEMAS DAN NYERI PADA PASIEN CHOLELITIASIS DI RUMAH SAKIT Fitriyati, Yayat; Susanto, Wigyo; Rochmawati, Dwi Heppy
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.136

Abstract

Cholelithiasis patients experience gallstone obstruction which causes the patient to feel pain in the abdomen, the pain makes the patient feel anxious to do activities or mobilization. Anxiety and pain can be overcome with non-pharmacological measures, one of which is guided imagery therapy. Guided imagery relaxation techniques can be used to restore hormonal balance in the body after experiencing disorders, making the body feel more relaxed overall. Objective: This study aims to determine the effect of guided imagery on anxiety levels and pain scales in cholelithiasis patients at Sari Asih Hospital. Method: A quasi-experimental study with a pre-experiment one group pre-post test design involving 35 cholelithiasis patients at Sari Asih Hospital was taken using consecutive sampling techniques. Data were analyzed univariately and bivariately using the chi square test. Results: The results of the univariate analysis showed that before the intervention the majority of anxiety was severe (71.4%) and pain was moderate (62.9%), while, after the intervention the majority of anxiety was mild (51.4%) and pain was mild (62.9%). Bivariate analysis results showed an effect of guided imagery on anxiety (p=0.000) and pain (p=0.000) in cholelithiasis patients. Conclusion: Guided imagery has an effect on anxiety and pain in cholelithiasis patients at Sari Asih Hospital.
PENGARUH HIPERTENSI LEARNING TERHADAP TINGKAT KECEMASAN PASIEN HIPERTENSI DI RUMAH SAKIT X Septiani, Yuliya; Susanto, Wigyo; Rochmawati, Dwi Heppy
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.138

Abstract

The development of digital technology in the health sector has given birth to various health learning applications, one of which is a special education application for hypertension. This study aims to determine the effect of hypertension learning on anxiety levels in hypertension patients at Sari Asih Hospital, Serang. Method: This study uses a quantitative approach with a pretest & posttest design, using a total sampling technique. Hypothesis testing uses a marginal homogeneity test. The questionnaire uses the Zung Self Anxiety Scale. Results: The P Value is: 0.157 which is greater than 0.05 (>0.05), which means there is no significant difference between anxiety levels before and after the intervention. The correlation coefficient (r) cannot be calculated because all anxiety values ​​in the post-test are in one category, namely all mild (there is no data variation). The direction of the relationship is positive, because it is towards improvement in all (towards mild), the density of the relationship is clinically strong, because 100% of the post-test results are in the best category (mild). Conclusion: Although no statistically significant differences were found, the Hypertension Learning application was clinically effective in maintaining and improving anxiety levels in hypertensive patients. These findings support the theory that digital education increases self-efficacy, reduces perceived threat of illness, and improves psychological responses in chronic patients. Therefore, Hypertension Learning continues to have important practical and clinical value as part of technology-based nursing interventions in the era of digital transformation in healthcare.
Effect of deep breathing relaxation on pain in postoperative orthopedic patients Wiki Revi Maqriza; Wigyo Susanto; Bettie Febriana
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.2971

Abstract

Background: Postoperative orthopedic pain resulting from surgical trauma and inflammatory response is a major problem commonly experienced by patients. Despite pharmacological therapy, many patients continue to experience moderate to severe pain, necessitating complementary non-pharmacological interventions. Purpose: To determine the effect of the deep breathing relaxation technique in reducing pain intensity among postoperative orthopedic patients. Method: This study employed a quasi-experimental design with a non-equivalent control group. A total of 40 postoperative orthopedic patients participated, selected using total sampling. Pain was assessed using the Verbal Descriptor Scale (VDS). Univariate analysis was used to describe respondents' demographic characteristics, while bivariate analysis was performed using the Wilcoxon signed-rank test. Results: Following the intervention, 80% of the intervention group (n=16) experienced decreased pain intensity, while the control group showed no change. The Wilcoxon signed-rank test revealed a statistically significant difference in pain levels between pre-intervention and post-intervention measurements (p = 0.000). Conclusion: Deep breathing relaxation technique effectively reduces pain intensity in postoperative orthopedic patients. Implementation of this non-pharmacological intervention in routine postoperative care protocols is recommended to enhance multimodal pain management.
Hubungan antara Tingkat Stres dengan Beban Kerja Perawat di Rumah Sakit Semarang Ika Chandra Putri; Dwi Heppy Rochmawati; Wigyo Susanto
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.840

Abstract

Nurses are healthcare workers who have a high workload because they are in direct contact with patients 24 hours a day. Complex tasks, limited manpower, and high service demands often cause work stress. Unresolved stress can affect nurses' health, reduce performance, and even impact patient safety. This study aims to investigate the relationship between stress levels and workloads among nurses at Semarang General Hospital. The study design employs a cross-sectional approach with a quantitative methodology. The study population consists of all nurses in the inpatient ward of Semarang General Hospital, with a sample size of 80 respondents selected using proportional random sampling. The research instruments used the Perceived Stress Scale (PSS-10) questionnaire to measure stress and the NASA-TLX questionnaire to measure workload. Data analysis was conducted using the Spearman Rank test. The results of the study show that most nurses are in the moderate stress category (65%), while the highest workload is in the high category (58.8%). Bivariate analysis yielded a p-value of 0.001 (p < 0.05) with a correlation coefficient of r = 0.412, indicating a significant positive relationship between stress levels and nurses' workload. The higher the workload of nurses, the higher the stress levels they experience. Hospitals are encouraged to implement effective workload management, including proportional task distribution, additional staff, and stress management programs for nurses.
Gambaran Tingkat Kecemasan pada Pasien Pre Operasi Laparascopy Cholesistectomy di Rumah Sakit Semarang Umi Nuraini Umi Nuraini; Dwi Heppy Rochmawati; Wigyo Susanto
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.841

Abstract

Preoperative anxiety in patients undergoing laparoscopic cholecystectomy is an important issue because it can affect the psychological and physiological condition, as well as the postoperative recovery process. This study aims to describe the level of anxiety in preoperative laparoscopic cholecystectomy patients at Sultan Agung Islamic Hospital (RSI) Semarang. This research used a quantitative descriptive design with a population of all preoperative laparoscopic cholecystectomy patients and a total sample of 91 respondents, selected using purposive sampling technique. Data collection was performed using a questionnaire, which was then analyzed univariately to obtain the frequency distribution of anxiety levels. The results showed that most respondents were in the elderly group (41.8%), male (79.1%), employed (75.8%), and had no medical history (72.5%). The majority of respondents experienced moderate anxiety (73.6%), followed by mild anxiety (23.1%) and severe anxiety (3.3%). These findings indicate that most patients experience moderate anxiety before the surgical procedure. These results can serve as a basis for healthcare providers to deliver psychological interventions to reduce preoperative anxiety, such as providing adequate information, emotional support, and relaxation techniques to improve patient comfort and readiness for the medical procedure.
Hubungan antara Tingkat Kecemasan dengan Kualitas Hidup Pasien Stroke di Semarang Nur Hidayah Nur Hidayah; Dwi Heppy Rochmawati; Wigyo Susanto
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.842

Abstract

Stroke is one of the leading causes of disability, resulting in a decline in the quality of life of its sufferers. In addition to physical impairments, stroke patients often experience anxiety, which can hinder the recovery process and lower overall quality of life. This study aims to analyze the relationship between anxiety levels and the quality of life of stroke patients. The research design used a correlational descriptive approach with a cross-sectional method. The study population consisted of stroke patients receiving care or rehabilitation in healthcare facilities, with a total sampling technique for sampling. The research instruments included an anxiety questionnaire and a quality of life questionnaire. Data analysis was performed using Somers’ d statistical test. The results showed that most stroke patients experienced moderate anxiety and had low quality of life. The Somers’ d test indicated a significant relationship between anxiety and the quality of life of stroke patients (p < 0.05). These findings suggest that the higher the anxiety level, the lower the quality of life perceived by the patients. Therefore, healthcare providers are expected to not only focus on physical therapy but also provide psychological interventions to reduce anxiety, thus improving the quality of life of stroke patients.
Co-Authors ., Ellisa A Nur Anna AS Abrori, Abrori Adhitya Indra Maulana Agatha Alfadiazti Andria Pragholapati Aslam, Putri Latifa Astry Ratna Afriyanti Atmojo, Fajar Widhi Bakhtiar, Erwin Betie Febriana Betie Febriana Betie Febriana Betie Febriana Betie Febriana Bettie Febriana Dewi, Perwita Rameka Dhani Luthfi Hakim Dian Oktaviana Dwi Heppy Rochmawati Dwi Heppy Rochmawati Dwi Heppy Rochmawati Dwi Heppy Rochmawati Dwi Heppy Rochmawati Dwi Heppy Rochmawati, Dwi Dwi Nurul Badiah Endang Setyowati, Wahyu Ersa Putri Andini Eryanto, Bambang Evi Wahyuni, Evi Fajar Widhi Atmojo Farkhah, Laeli Febriana, Betty Fendy Eko Wahyudi, Fendy Eko Firman Hidayat Fitriyati, Yayat Hadiansyah, Tantan Haq, Baihaqi Izzul Hendrawan, Gagah Satria Hetty Catur Ellyawati, Hetty Catur Himatul Millaini Assyifa Ika Chandra Putri Imas Triayani Indah Tri Ayu Irgi Ahmad Fahrezi Laili Sukmawati Laily Nafisah Leni Alfiyah Lia Khainun Nisa’ Lidya Fitrianingrum Lindawati Lindawati Lolla Loviana Subakir Masrokan Maulana, Rifkya Mira Santika Mochamad Abdoel Gofoer Muhammad Farhan Muhammad Safaat Agung Tubagus Muhlis Muhlis Mutiara Salsa Nabila Noviana, Aini Niswatun Nur Hidayah Nur Hidayah Nurul Azzahrah Pratama, Raditiya Beni Putri, Mayshella Reghita Putri, Sinta Asaliyah Annisa Ratna E, Suci Rifki Sakinah Nompo Rifkya Maulana Safitri, Adilia Zulfa Septiani, Yuliya Setyowati, Wahyu Endang Sholekhah, Sholekhah Susila wati, Susila Syahrani, Nabilah Titik Suerni Tubagus, Muhammad Safaat Agung Tyas, Lutvi Mahendra Ning Ulumuddin, Muhammad Ikmal Umi Aghni Umi Lailatussa’adah Umi Nuraini Umi Nuraini Wahyu Endang Setiawati Waluyo Sejati Waluyo Sejati Wiki Revi Maqriza Yuliana Kholifah