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Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Health Professions Nursing
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
Arjuna Subject : Keperawatan - Critical Care
Articles 123 Documents
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The Effectiveness of Spiritual Emotional Transcedence Care (SET Care ) On Stress Levels of Pulmonary Tuberculosis Patients: A Quasi-Experimental Study Hartono, Hartono; Kusnanto, Kusnanto; Wahyuni, Erna Dwi
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.65720

Abstract

Introduction: Tuberculosis (TB) is a chronic infectious disease that can affect various organs and often leads to psychological stress. Spiritual Emotional Transcendence Care (SET Care), which integrates the SEFT approach with self-transcendence theory, is a relaxation technique aimed at reducing stress in TB patients.  Methods: This quasi-experimental study used a non-randomized pretest-posttest control group design. A total of 20 pulmonary TB patients were selected through purposive sampling and divided into treatment (n=10) and control (n=10) groups. Stress levels were measured using a modified DASS-42 stress subscale. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test with a significance level of p ≤ 0.05. Results: Demographic data showed equal gender distribution (50% male, 50% female), with most participants aged 44–55 years and educated up to senior high school. A significant reduction in stress levels was found in the treatment group after the intervention (p = 0.004), while the control group showed no significant change (p = 0.655). The Mann-Whitney U test confirmed a significant difference in post-test scores between groups (p = 0.000). Conclusions: SET Care effectively reduces stress in pulmonary TB patients and can be considered a complementary nursing intervention. Its integration into nursing practice supports holistic care by addressing emotional and spiritual well-being, potentially enhancing treatment adherence and patient outcomes.
The Effect of Abdominal Stretching Exercise Therapy on Dysmenorrhea Pain Intensity in Adolescent Girls Marini, Gita; Priyantini, Diah; Sumara, Retno; Ghaliza, Galuh Mutia
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.65753

Abstract

Introduction: Adolescence is referred to as a transitional period towards adulthood or puberty which is marked by the occurrence of the first menstruation (menarche). Menstruation experienced by adolescent girls mostly causes pain called dysmenorrhea, although this is normal due to the production of prostaglandins. Prostaglandins will stimulate the smooth muscles of the uterine wall to contract. The higher the prostaglandin levels, the stronger the contractions will be, and the pain will also be stronger. This study aims to analyze the effect of abdominal stretching exercise therapy on the intensity of dysmenorrhea pain in adolescent girls.  Methods: The research design used was quantitative with a quasi-experimental research design, namely pre-post test with control group design. The population in this study were junior high school students, sampling using purpose sampling technique with a total sample of 66 respondents (33 intervention groups and 33 control groups) taken according to the inclusion and exclusion criteria. The independent variable of the study was the abdominal stretching exercise technique and the dependent variable was the intensity of dysmenorrhea pain. Abdominal stretching exercise therapy was given using standard operating procedures and pain intensity was measured using the Visual Analog Scale (VAS).  Results: The research data were statistically tested using the Wilcoxon test with a significance level of p<0.05. The results of the study showed that there was a significant effect of abdominal stretching exercise techniques on the intensity of dysmenorrhea pain with a value of p=0.000 (p<0.05). Conclusion: Abdominal stretching exercise intervention is effective to be applied in solving pain problems in adolescent girls who experience dysmenorrhea. Future research should explore the long-term effects and sustainability of abdominal stretching exercises in managing dysmenorrhea among adolescent girls, including variations in frequency, intensity, and duration of the intervention.
The Effectiveness of Nutritional Therapy in Patient with Chronic Obstructive Lung Disease: A Systematic Review of Randomized Controlled Trials Hasanudin, Hasanudin; Arif, Taufan; Authoria, Nila; Salma Yunia Rachmah, Ade; Tirmidzi, Achmad
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.75739

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide and is often complicated by malnutrition and muscle wasting, which adversely affect prognosis. Although nutritional therapy has been recommended as part of comprehensive COPD care, the effectiveness of recent interventions has not been systematically evaluated. This systematic review aimed to evaluate the impact of nutritional therapy on clinical, functional, and patient-centered outcomes in individuals with COPD.  Methods: Following the PRISMA guidelines, we searched Scopus, PubMed, EBSCO, and Nature for randomized controlled trials (RCTs) published between January 2020 and June 2025. Eligible studies included adult patients with COPD who received nutritional interventions. The risk of bias was assessed using the Cochrane RoB 2 tool. From 252 screened records, 13 RCTs involving 2,962 participants were included. Given the heterogeneity across interventions and outcomes, the findings were synthesized narratively.  Results: The interventions included oral nutritional supplements, high-energy formulas, individualized dietary counseling, vitamin D, ω-3 fatty acids, and multi-nutrient combinations. Seven studies reported significant improvements in quality of life, six demonstrated gains in weight and nutritional status, and three showed increased muscle strength. Two trials observed enhanced physical activity, whereas both vitamin D studies found no overall protective effect against exacerbations, except in patients with severe deficiencies. The risk of bias was low in eight studies and raised concerns in five. Overall, the strength of evidence was moderate, limited by heterogeneity, and inconsistent outcome reporting. Conclusion: Nutritional therapy improves nutritional status and selected clinical outcomes in patients with COPD. Standardized, adequately powered RCTs are warranted to establish optimal protocols and to confirm long-term benefits.

Page 13 of 13 | Total Record : 123

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