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Mery Rotua Ginting; Aniska Indah Fari; Lilik Pranata; M.Kus Fitriani Fruitasari

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Hypertension is a condition characterized by an increase in blood pressure, defined as systolic values ≥ 140 mmHg or diastolic values ≥ 90 mmHg, and it remains one of the most common health problems experienced by the elderly. Non-pharmacological approaches such as low-impact aerobic exercise are recommended, as this type of exercise is performed at a low to moderate intensity for 20–50 minutes, three times a week. It has been shown to strengthen and maintain the functions of the heart, lungs, blood circulation, muscles, and joints, thereby contributing positively to the management of high blood pressure. This study aims to determine the effect of low-impact aerobic exercise on blood pressure among elderly patients with hypertension through the application of evidence-based practice. A quantitative case study approach was employed to gain a deeper understanding of changes in blood pressure following the intervention. Three elderly respondents diagnosed with hypertension were involved and instructed to perform low-impact aerobic exercise for three consecutive days. The results showed a decrease in blood pressure among all respondents, although the outcomes varied. The first respondent experienced changes from 140/80 mmHg to 130/70 mmHg and 130/90 mmHg, the second respondent from 150/90 mmHg to 160/80 mmHg and then 150/70 mmHg, and the third respondent from 150/80 mmHg to 110/70 mmHg and 130/70 mmHg. These findings indicate that low-impact aerobic exercise has a positive effect in reducing blood pressure, despite some variability between individuals. In conclusion, low-impact aerobic exercise is proven to help control blood pressure in hypertensive patients. This study highlights the importance of encouraging hypertensive individuals to adopt regular and independent low-impact aerobic exercise as a simple strategy to maintain stable blood pressure and improve overall quality of life.

Mayyaza Min Azkia; Kuswardani Kuswardani

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Tennis elbow, or lateral epicondylitis, is an inflammatory condition of the lateral epicondyle commonly caused by repetitive overuse of the forearm extensor muscles. It is characterized by pain, limited joint range of motion, decreased muscle strength, and reduced functional capacity. Physiotherapy interventions, particularly ultrasound and exercise therapy, have been widely applied to reduce pain and restore functional performance. This study employed a case study design involving a 42-year-old female patient diagnosed with left-sided tennis elbow. The intervention was conducted over four therapy sessions. The modalities consisted of ultrasound, providing thermal and micromassage effects to reduce pain, combined with exercise therapy, including passive stretching to increase soft tissue flexibility and eccentric exercise to improve tendon strength and function. After four sessions, the patient showed significant improvement, including reduced pain during movement and palpation, increased joint range of motion in elbow flexion-extension, forearm pronation-supination, and wrist dorsiflexion-palmarflexion. Muscle strength, particularly in the extensors, pronators, supinators, and wrist dorsiflexors, also improved. Functional activity, measured using the PRTEE scale, demonstrated notable enhancement from mild disability to better functional independence. The combination of ultrasound, passive stretching, and eccentric exercise is effective in reducing pain, enhancing range of motion, strengthening muscles, and improving functional ability in patients with left-sided tennis elbow.

Nesya Noer Kemalasari; Endang Ruswanti; Kemala Rita Wahidi

International Journal of Entrepreneurship and Management 2025 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Introduction: Repurchase intention is one of the important indicators in the world of health services, especially in hospitals. XYZ General Hospital must evaluate the services provided to patients by understanding patient perceptions, particularly through patient experience, as 50% of respondents expressed unwillingness to recommend or reuse the hospital’s services. This highlights a potential gap between service delivery and patient expectations. Method The purpose of this study was to analyze the influence of patient experience, brand image, and trust on repurchase intention at XYZ Hospital, with attitude as an intervening variable. This study employed a quantitative explanatory research design, involving 182 patients from outpatient and inpatient units who had visited more than once. Data were collected through structured questionnaires and analyzed using the Structural Equation Model (SEM) with the Partial Least Square (PLS) method, supported by the SmartPLS software. Results: The results revealed that patient experience, brand image, and trust significantly affect patient attitudes, which in turn directly influence repurchase intention. Attitude serves as a mediating variable between patient experiences, brand image, trust, and repurchase intention. Simultaneous testing confirmed that all independent variables have a joint effect on repurchase intention. Among the variables tested, attitude showed the strongest direct influence on repurchase intention, while patient experience had the highest indirect effect through attitude. Conclusion: These findings underscore the critical role of patient experience in shaping positive perceptions of service quality, which contribute to strengthening brand image, increasing trust, and fostering patient attitudes that support future service utilization. Therefore, healthcare providers must prioritize improving communication, staff responsiveness, and patient-centered care to enhance overall experience, build loyalty, and ensure long-term sustainability of healthcare services.

Aida Fitria; Devi Nallappan; Nuraini Nuraini; Khairatunnisa Khairatunnisa; Sumardin Moho

Journal of Health Sciences, Public Health and Pharmacy 2025 International Forum of Researchers and Lecturers

Based on data from the South Nias District Health Office, the number of hypertension cases at Bawomataluo Public Health Center increased steadily from 2022 to 2024. This condition posed a high risk of leading to severe complications such as heart disease, stroke, kidney failure, and damage to other organs. This study aimed to examine the factors influencing compliance with blood pressure control among hypertensive patients within the working area of Bawomataluo Public Health Center in the year 2025. This research employed a quantitative method using an analytic survey design with a cross-sectional approach. The population consisted of 185 individuals who had been diagnosed with hypertension over the past six months (from July to December 2024). A purposive sampling technique was used to select 127 participants. Data analysis included univariate, bivariate, and multivariate analyses. Using logistic regression with the forward method, the results showed that knowledge had a significance value of 0.002 with an Exp(B) of 5.680; family support had a significance value of 0.000 with an Exp(B) of 6.740; motivation had a significance value of 0.000 with an Exp(B) of 6.947; and self-confidence had a significance value of 0.001 with an Exp(B) of 5.706. Among these, motivation was identified as the most dominant factor due to having the highest odds ratio (Exp(B)). The findings indicated that knowledge, family support, motivation, and self-confidence significantly affected compliance with blood pressure control among hypertensive patients at Bawomataluo Public Health Center. Motivation emerged as the most influential factor. It was recommended that the health center actively provide support and encouragement to patients suffering from hypertension.

Ikhwanudin Bahtiar, Ikhwanudin Bahtiar; Kurnia Wijayanti; Indra Tri Astuti

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Patients undergoing hemodialysis require effective and adaptive coping mechanisms to manage both the physical and psychological stress experienced during treatment. Inadequate or maladaptive coping strategies may result in physiological disturbances and heightened emotional distress, ultimately reducing the quality of life of patients with chronic kidney disease (CKD). This study aims to analyze the relationship between coping mechanisms and anxiety levels among patients undergoing hemodialysis. The research employed a quantitative approach with a cross-sectional correlational design. A total of 35 respondents were recruited using purposive sampling based on specific inclusion criteria, including diagnosis of CKD and ongoing hemodialysis treatment. The study was conducted in the hemodialysis unit of RSUI Harapan Anda, Tegal, in 2025. Data collection was carried out through structured questionnaires, while statistical analysis utilized the Pearson Chi-Square test. Results indicated a p-value of 0.001 (p < 0.05), confirming a statistically significant association between coping mechanisms and anxiety levels. Patients who employed adaptive coping strategies demonstrated lower levels of anxiety, whereas those relying on maladaptive strategies experienced heightened anxiety. These findings highlight the importance of targeted nursing interventions that focus on strengthening adaptive coping skills to reduce psychological burden. Furthermore, the study emphasizes the need for comprehensive patient education and structured psychosocial support programs to promote resilience, improve coping capacity, and enhance overall psychological well-being in patients undergoing long-term hemodialysis.

Imam Irvani, Imam Irvani; Erna Melastuti

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Elevated blood pressure can increase intraglomerular pressure in the kidneys, potentially causing nephron damage and leading to proteinuria. In patients with chronic kidney disease (CKD), the use of supra-physiological dialysate temperatures, such as 37ºC, can elevate core body temperature (CBT), trigger vasodilation, and subsequently result in decreased blood pressure during hemodialysis. This study aimed to examine the effect of increased dialysate temperature on intradialytic blood pressure in CKD patients at the Dialysis Unit of RSI Sultan Agung. This research employed a quantitative approach with a pre-experimental one-group pre-test post-test design. The population consisted of 116 CKD patients undergoing hemodialysis. The results indicated that the average systolic blood pressure before the increase in dialysate temperature was 150.87 mmHg, with an average diastolic pressure of 85.37 mmHg. After the temperature increase, the average systolic pressure decreased to 144.00 mmHg, and the diastolic pressure dropped to 77.50 mmHg. Statistical analysis revealed a significant effect of increased dialysate temperature on intradialytic blood pressure, with a p-value of 0.000 (<0.05). These findings highlight the importance of careful regulation of dialysate temperature to enhance both the safety and effectiveness of hemodialysis therapy.

Fiddinillah Fiddinillah; Edy Susanto; Dwi Rochmayanti

International Journal of Public Health 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Air gaps between the probe and the skin surface can produce shadowing artifacts in the presented image. With the help of gel pad Artefact Shadowing can be minimized. However, in ultrasound examination Shoulder ultrasound examination performed with the patient sitting, it is possible that the gel pad is not stay consistently on the examined area. This is due to the pull of the earth's gravity, so the gel pad sheet model is still less supportive for this examination. support for this examination. The aim of this study was to develop a product design in the form of a Gel-based auxiliary applicator to optimize the examination of the Shoulder ultrasound examination, which has been tested for function based on the aspects of comfort and quality of quality of the resulting image. The Research and Development study was conducted with a multidimentional approach, resulting in a product that was tested for comfort by sonographers and tested for comfort by sonographers and image quality by radiologists. interpretation of radiologists. Data processing was done by conducting comparison of ultrasound examination of Supraspinatus Tendon in patients with body weight below 18.5 based on BMI calculation by using standard gel and by using the product, 30 samples each. The product design consists of gel pad and silicon rubber RTV-48. With the composition of the gel pad is gel wax and paraffin (5% of gel wax). Where silicon is designed with a thickness of 2 mm resembling the thickness of human skin. Product test results obtained that the comfort aspect is more optimal with the product than without using the product.

Asih Ruhmiati, Asih Ruhmiati; Hernandia Distinarista; Tutik Rahayu

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Hypertension is one of the most common non-communicable diseases, posing serious health risks such as heart disease, stroke, and kidney failure. The increasing prevalence of hypertension is mainly due to limited public knowledge about the risks associated with the condition and the importance of consistent, long-term medication adherence to prevent complications. This study aims to examine the relationship between the level of knowledge about hypertension and medication adherence among hypertensive patients. A quantitative research method with a descriptive correlational design was employed. Purposive sampling was used to select respondents, and the data were analyzed using the Chi-Square test. The results showed that the majority of respondents were female (53%), aged between 46 and 64 years (74%), had an elementary school education level (42%), worked as housewives (51%), and had been diagnosed with hypertension for an average of 7 to 10 years (46%). Statistical analysis revealed a p-value of 0.000 (α < 0.05), indicating a significant relationship between the patients’ knowledge level and their adherence to antihypertensive medication. This finding emphasizes the need for continuous health education and counseling to enhance patients’ understanding of hypertension and its management. Effective communication and support strategies are essential in improving medication adherence, which is crucial for preventing hypertension-related complications and improving the quality of life for patients. These results provide valuable insights for healthcare providers to develop targeted interventions.

Muhammad Azinuddin Rahman; Nutrisia Nu’im Haiya; Aspihan Aspihan

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

The Emergency Department (ER) serves as a critical unit in hospitals with the primary objective of providing fast, precise, and integrated health services aimed at preventing disability and death. According to national standards, the maximum response time for ER services is 5 minutes. However, increasing patient volume combined with limited capacity and resources often hinders compliance with this standard, potentially affecting the quality of service and patient satisfaction. This study aimed to determine the relationship between response time and patient satisfaction in the ER of QIM Batang Hospital. The research employed an observational method with a correlational design and a cross-sectional approach. Data were collected using a stopwatch to measure response time and a structured questionnaire to assess satisfaction. A total of 100 patients who visited the ER were included as respondents through accidental sampling. Data analysis using the Chi-Square test revealed a significance value of ρ = 0.000, while the correlation test showed a coefficient value of 0.639, indicating a statistically significant relationship with a strong correlation between response time and patient satisfaction. These findings suggest that shorter and timely response times are closely associated with higher levels of patient satisfaction. In conclusion, adherence to response time standards and continuous improvement in the five key satisfaction indicators are crucial strategies to enhance the quality of ER services.

Khomsatun Khasanah; Muh. Abdurrouf; Retno Issroviatiningrum

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Nosocomial infections continue to be a critical challenge in healthcare settings, often emerging within two to four days after patients begin receiving treatment. Such infections not only prolong hospital stays but also increase morbidity, mortality, and healthcare costs. One of the most effective strategies for preventing nosocomial infections is ensuring strict adherence to handwashing procedures by nurses, who play a central role in direct patient care. This study aimed to evaluate nurses' adherence to handwashing procedures and to examine the relationship between the presence of role models and this adherence. A quantitative research method with a cross-sectional design was employed, involving 103 purposively selected respondents. Data collection was carried out using a structured questionnaire, and analysis was performed using the Spearman correlation test. The results indicated that the majority of respondents were between 26 and 45 years old and predominantly female. Findings revealed that most nurses rated role models as good (80.6%), which was consistent with their high level of handwashing compliance (80.6%). Statistical analysis demonstrated a significant relationship between the presence of role models and adherence to handwashing procedures (p = 0.000; r = 0.235), although the correlation was categorized as weak. These results highlight the importance of role modeling in promoting good clinical practices. Strengthening positive role models in clinical environments can serve as an effective strategy to improve hand hygiene adherence among nurses, thereby reducing the risk of nosocomial infections and enhancing patient safety.

Elisa Artiyaningsih; Sri Wahyuni; Apriliyani Yulianti

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Hypertension, often referred to as high blood pressure, is a major global health problem that significantly increases the risk of atherosclerotic cardiovascular disease, heart failure, stroke, and kidney failure. Various complementary and alternative therapies have been explored to support conventional treatments in reducing blood pressure, one of which is smile therapy. This study aimed to analyze the effect of smile therapy on blood pressure among hypertensive patients at RSUI Harapan Anda Tegal. The research employed a quantitative approach with a quasi-experimental design using a one-group pretest-posttest method. A total of sixty hypertensive patients were selected through exhaustive sampling. Data were collected before and after the intervention and analyzed using the Wilcoxon test to determine the statistical significance of changes in blood pressure. The demographic characteristics of participants showed that most were in their early to mid-forties (36 individuals, 60%), predominantly female (38 individuals, 63.3%), with a junior high school education or below (25 individuals, 41.7%), and unemployed (41 individuals, 71.7%). The findings indicated that prior to the intervention, 41 participants (68.3%) had uncontrolled blood pressure. After undergoing smile therapy, 48 participants (80%) demonstrated improvement with more stable blood pressure levels. Statistical analysis revealed a significant effect of smile therapy on reducing blood pressure with a p-value of 0.000. These results suggest that smile therapy can serve as an effective, simple, and low-cost complementary intervention to help hypertensive patients manage their condition and improve overall health outcomes

Nur Anisah; Dwi Retno Sulistyaningsih; Erna Melastuti

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

The Intensive Care Unit (ICU) is a specialized unit in a hospital that provides intensive care and close monitoring for critically ill patients. This unit is equipped with advanced medical equipment such as ventilators and hemodynamic monitors, and has a high staffing ratio to ensure optimal care (Smith & Jones, 2020; Brown et al., 2019; Williams & Green, 2021).  The multidisciplinary team in the ICU, including specialist physicians and trained nurses, works together to meet the medical and psychological needs of patients (Taylor, 2022; Miller & Adams, 2018). According to the WHO (2023), 10–20% of hospital patients require ICU care. In Indonesia, ICU patients account for approximately 15% of total hospital patients (Kusuma, 2021). Data from Dr. Moewardi Regional Hospital (RSUD) shows an increasing trend in ICU patients, primarily due to infectious diseases (Ministry of Health, 2021). Meanwhile, in the ICU of Sultan Agung Islamic Hospital (RSI Sultan Agung Semarang), 1,278 patients were admitted between January and October 2024, with the most cases being respiratory failure (143 patients). This study used a quantitative design with a cross-sectional approach. The sample consisted of conscious patients treated in the ICU and met the inclusion criteria, with 71 respondents.  The research instrument used a validated questionnaire to measure family support, therapeutic communication, and anxiety levels. Data analysis was performed using the Spearman test. Based on the Spearman test, the 71 respondents were found to have the following characteristics: the highest age group was early elderly (36.6%), the highest gender was male (64.8%), the highest education level was high school (45.1%), the highest occupation was 80.3%, high family support (74.6%), good therapeutic communication (90.1%), and mild anxiety (59.2%). There is a significant relationship between family support and patient anxiety levels. Furthermore, therapeutic communication also significantly reduced patient anxiety levels in the ICU at Sultan Agung Islamic Hospital, Semarang.

Nur Laila; Indah Sri Wahyuningsih; Mohammad Arifin Noor

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Cancer is one of the leading causes of morbidity and mortality in Indonesia. Chemotherapy treatment often causes both physical and psychological side effects, which can reduce the patient's quality of life. Various factors, such as family support, economic status, education level, and knowledge, are suspected to influence the quality of life of cancer patients undergoing chemotherapy. This study aims to analyze the factors associated with the quality of life of cancer patients undergoing chemotherapy at Sultan Agung Islamic Hospital Semarang. This study used a non-experimental quantitative design with a correlational approach. Data were collected using questionnaires distributed to 84 respondents undergoing chemotherapy at the hospital. Bivariate analysis was performed using the Chi-Square test to examine the relationship between factors that are suspected to affect the quality of life of patients. The results showed that family support, economic status, education level, and knowledge level were significantly related to the quality of life of cancer patients. Specifically, the p-values obtained were 0.035 for family support, 0.000 for economic status, 0.036 for education level, and 0.049 for knowledge level. These findings indicate that social, economic, and educational factors play a crucial role in improving the quality of life of cancer patients undergoing chemotherapy. Therefore, special attention should be given to family support, knowledge enhancement, and better access to economic resources for cancer patients. As a result, their quality of life, especially during chemotherapy, can be improved. Keywords: quality of life, family support, economic status, education level, knowledge level.

Arum Puspa Suryani Putri; Ahmad Ikhlasul Amal

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Stroke patients often experience mobility impairments, which increase the risk of developing pressure ulcers (decubitus). Pressure ulcers are a common complication for patients with limited mobility, especially in the ICU. One intervention that can be used to reduce the risk of pressure ulcers is back massage using olive oil. This study aims to analyze the effect of back massage using olive oil on reducing the risk of pressure ulcers in stroke patients in the ICU at Sultan Agung Hospital. This study used a pre-experimental design with a one-group pretest-posttest approach, involving 17 respondents who received back massage using olive oil. The results showed that most respondents were aged 56-65 years (35.3%), the majority were male (70.6%), with comorbidities such as diabetes mellitus (52.9%), and the length of hospitalization was 3-5 days. Before the intervention, most respondents were categorized as being at moderate risk based on the Braden scale; however, after the intervention, the majority were no longer at risk of pressure ulcers. The Wilcoxon test showed a p-value of 0.001, indicating that back massage using olive oil had a significant effect on reducing the risk of pressure ulcers. In conclusion, back massage using olive oil is effective in reducing the risk of pressure ulcers in stroke patients in the ICU. Therefore, this technique can be used as an alternative intervention to prevent the occurrence of pressure ulcers in stroke patients.

Nurul Muzamil; Dwi Retno Sulistyaningsih; Erna Melastuti

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Nurses’ response time is a crucial indicator of service quality in the Emergency Department (ED). A prompt response not only plays a vital role in ensuring patient safety but also significantly affects patient satisfaction with the care received. Patient satisfaction in the ED is often considered a benchmark of hospital quality, as the ED operates 24/7 and frequently deals with critical conditions. This study aimed to determine the relationship between nurses’ response time and patient satisfaction in the ED of Harapan Anda Islamic General Hospital, Tegal. This study employed an observational analytic design with a cross-sectional approach. A total of 92 ED patients were included as samples based on inclusion criteria. Nurses’ response time was measured using a stopwatch, starting from the completion of triage until the first contact with the nurse. Patient satisfaction was assessed using the standardized Brief Emergency Department Patient Satisfaction Scale (BEPSS) questionnaire. Data analysis was conducted using Pearson’s Chi-Square test to examine the relationship between the two variables. The results showed that 75 patients (81.5%) experienced a fast response time, while 72 patients (78.3%) reported being satisfied with the care provided. Statistical analysis yielded a Pearson’s Chi-Square value of 11.933, with an odds ratio of 6.545 and a significance level of 0.001 (p < 0.05). These findings indicate a significant association between nurses’ response time and patient satisfaction. In conclusion, nurses’ response time is strongly related to patient satisfaction in the ED of Harapan Anda Islamic General Hospital. Other factors such as effective communication, clinical competence, ED environment, and triage system may also influence satisfaction and should be considered in future studies.

Windi Septianingrum; Muh Abdurrouf; Retno Issroviatiningrum

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

This research is a quantitative study with a descriptive correlational design using a cross-sectional approach. The purpose of this study was to determine the relationship between depression level and self-efficacy among patients with kidney failure treated in the internal medicine ward of RS QIM Batang. The sample consisted of 40 respondents selected using purposive sampling from the population of chronic kidney failure patients undergoing hemodialysis. The instruments used were the Hamilton Depression Rating Scale (HDRS) to measure depression and a 25-item self-efficacy questionnaire to assess patients’ confidence. Data analysis was performed using the Spearman Rank test. The results showed that most respondents were in the normal depression category (31.4%), while 24.8% experienced severe depression. Regarding self-efficacy, the majority of respondents were in the high category (43.8%). The Spearman Rank test revealed a correlation coefficient (rho) of -0.881 with a p-value of 0.000 (p < 0.05), indicating a very strong and statistically significant negative relationship between depression and self-efficacy. This means that the higher the patients’ self-efficacy, the lower their level of depression. The conclusion of this study is that there is a very strong and significant relationship between depression level and self-efficacy among patients with kidney failure treated in the internal medicine ward of RS QIM Batang.

Fitri Cahyaningrum; Ahmad Ikhlasul Amal; Dwi Retno Sulistyaningsih

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Craniotomy is a medical procedure to open the skull in order to repair and assess damage to the brain, which can cause fever due to thermoregulatory disturbances in the central nervous system. Monitoring the body temperature of post-craniotomy patients is crucial, as hyperthermia can increase the risk of complications. One non-pharmacological therapy to reduce fever is the use of ice gel compresses. This study aims to compare the effect of ice gel compress placement between the chest and armpit on body temperature changes in post-craniotomy patients in the ICU of RSI Sultan Agung Semarang. This research uses a pre-experimental design with a two-group pretest-posttest design, involving 22 respondents selected through total sampling technique. Data were collected using observation sheets, and statistical analysis was performed using the Paired Samples Test. The analysis results showed that the p-value for the chest was 0.867 (p > 0.05) and for the armpit was 0.199 (p > 0.05), indicating no significant difference in body temperature before and after the ice gel compress at both locations in relation to the body temperature changes of post-craniotomy patients. In conclusion, the application of ice gel compresses to the chest and armpit locations did not show a significant effect on reducing body temperature in post-craniotomy patients.

Ika Mufarrikhah; Suyanto, Suyanto; Retno Setyawati

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Anxiety and sleep quality are two closely related aspects in patients undergoing surgical procedures. High levels of anxiety in the preoperative phase often result in decreased sleep quality, while poor sleep can exacerbate anxiety, thus affecting the postoperative recovery process. This study aims to compare anxiety levels and sleep quality in patients before and after surgery. The research design used was a quasi-experimental with a pre-post test approach. The study sample consisted of 119 respondents selected through a purposive sampling technique in the Kenanga Ward of Dr. H. Soewondo Kendal Regional Hospital. The instruments used included the Zung Self-Rating Anxiety Scale (SAS) questionnaire to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Data were analyzed using the Chi-Square test with the help of SPSS version 25 software. The results showed a significant relationship between anxiety levels and sleep quality in both the pre- and postoperative phases (p = 0.000; p < 0.05). A total of 54.4% of patients with poor sleep quality before surgery showed improvement after surgery. Furthermore, in the group with moderate anxiety, 54.8% experienced a reduction to mild anxiety. In conclusion, reducing anxiety levels has been shown to positively impact patients' sleep quality after surgery.

Kukuh Feri Setyawan; Mohammad Arifin Noor; Indah Sri Wahyuningsih

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Families of terminal patients often experience anxiety triggered by the deterioration of the patient’s condition, limited information received, and feelings of loss due to facing separation from their loved ones in a critical situation. This anxiety may occur at varying levels, ranging from mild to panic, and if not properly managed, it can affect the psychological well-being of family members as well as their ability to support the patient. Therefore, appropriate interventions are needed to help reduce the psychological burden of families. One approach that can be applied is mindfulness combined with dhikr, which integrates full awareness with spiritual practice to calm thoughts and emotions. This study employed a quasi-experimental design with a one-group pretest–posttest approach without a control group, involving 20 respondents who were family members accompanying terminal patients in the ICU. Respondents were selected using total sampling according to the inclusion criteria. The research instrument consisted of an anxiety observation questionnaire, and data were analyzed using the Wilcoxon test. The results showed that before the intervention, all respondents experienced anxiety at different levels. After the intervention, there was a significant reduction, with 14 respondents (70%) in the mild anxiety category and 6 respondents (30%) reporting no anxiety. The Wilcoxon test yielded a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention. In conclusion, mindfulness and dhikr interventions were effective in reducing anxiety among family members accompanying terminal patients in the ICU. This method can be recommended as a spiritually based psychological support strategy to help families cope with critical situations more calmly and adaptively.

Siti Hajar; Suyanto; Retno Setyawati

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Postoperative consciousness recovery in patients who have received general anesthesia sometimes experiences delays, which can lead to postponing the transfer of patients to the recovery room. One approach that nurses can use to accelerate consciousness recovery after general anesthesia is by adjusting the patient’s sleeping position. This study aims to determine the effect of the semi-Fowler position on the length of consciousness recovery in postoperative patients with general anesthesia. The research method is quasi-experimental with a posttest-only control group design. The sample consisted of 42 postoperative patients with general anesthesia at RSUD dr. H. Soewondo Kendal, divided into two groups: the intervention group and the control group, selected using consecutive sampling technique. Data analysis was performed using the independent sample t-test. The results showed that most patients were aged 36-45 years, male, with the most commonly used anesthetic being Laryngeal Mask Airway (LMA) and the duration of surgery was less than 1 hour. The average consciousness recovery time for patients in the semi-Fowler position was 11.19 minutes, categorized as quick recovery. Meanwhile, the average consciousness recovery time for patients in the supine position was 15.0 minutes, also categorized as quick recovery. The analysis showed a significant effect of the semi-Fowler position on the consciousness recovery time (p-value = 0.048). In conclusion, the semi-Fowler position can accelerate consciousness recovery time by 3.81 minutes compared to the supine position in postoperative patients with general anesthesia.