Buku Fundamental Keperawatan Medikal Bedah
Sri Suryati, Oky Octaviani, Siti Aminah, Tri Nili Sulayfiyah, Bayu Aji Sismanto, Esi Afriyanti, Yani Nurhayani, Astrid, Sri Atun, Syafruddin Ali Salaka
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CARA PENCABUTAN SURAT IZIN PRAKTIK (SIP) PERAWAT, DOKTER, APOTEKER DAN TENAGA KESEHATAN LAINNYA UNTUK WILAYAH KERJA KOTA BEKASI oleh admin ...
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HUBUNGAN ANTARA KONSEP DIRI DENGAN KECEMASAN DALAM MENGHADAPI DUNIA KERJA PADA MAHASISWA SEMESTER AKHIR DI UNIVERSITAS ISLAM SULTAN AGUNG SE... -
Persiapan Informed consent Pasien : Anamnesis skrining: Pasien yang akan dilakukan tindak an bronkoskopi harus dtanyakan riwayat ... -
Persiapan Informed consent Pasien : Permintaan dan ijin tindakan bronkoskopi (dari penderita dan diketahui keluarga terdekat d... -
Judul : Panduan Pelaksanaan Early Warning System (EWS) di Rumah Sakit Label : Masuk dalam Akreditasi JCI Chapter Care of Pati...
Sunday, 31 August 2025
Friday, 29 August 2025
Efektifitas Edukasi Audio Visual Terhadap Kecemasan Pasien sebelum Tindakan Gastroscopy: Studi Systematic Review dan Meta-Analysis
Bayu Aji Sismanto, Nurhayati Khaier, Yeni Purnamasari, Yahya
Background
Gastroscopy is a diagnostic procedure to view organs visually using a lat connected to a monitor, the organs viewed are the esophagus, gastric and duodenum. Anxiety in patients before gastroscopy occurs due to fear by imagining. Education is carried out as a pre-action procedure to explain the actions that will be performed.
Objective
We conducted a systematic review and meta-analysis to investigate the effect of audio-visual education on patient anxiety before gastroscopy.
Results
Four articles were included in this study, audiovisual education significantly reduced patients' anxiety before gastroscopy using Visual analogue scale (VAS); one study used Anxiety and Stress Scale-42 (DASS-42) and one study used State Trait Anxiety Inventory (STAI). Based on a randomized control trial, it was found that education was effective in reducing anxiety by -4.38 (95% CI: -14.3796 to 5.6198), indicating insignificant results. And obtained I² value of 99.9607%, Q value of 1017.3516, and P value <0.0001 which means that heterogeneity is high. The range of results obtained was -26.7290 to 17.9692 with three negative results and one possible positive result (Khan, et.all, 2023) with a residual value of (± 2.4977) In the regression test results showed asymmetry in the flores plot (p < 0.0001) but did not show a rank correlation test (p = 0.7500).
Clinical Implications
Audio-visual education is a potentially promising method for controlling anxiety in patients undergoing gastroscopy; however, its effect in controlling anxiety is controversial.
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Monday, 25 August 2025
Gambaran Tingkat Kelelahan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa di Rumah Sakit
Aprianto Guntur Irawan, Bayu Aji Sismanto
Gambaran Tingkat Kelelahan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa di Rumah Sakit
Background
Chronic kidney disease (CKD) patients undergoing hemodialysis often experience fatigue as one of the most common and disruptive symptoms. Fatigue, if not properly managed, can impact quality of life and adherence to therapy.
Objective
This study aimed to determine the level of fatigue in CKD patients undergoing hemodialysis in a hospital.
Methods
This study used a quantitative descriptive design with a cross-sectional approach. Forty-seven patients undergoing regular hemodialysis were selected using a purposive sampling technique. Data were collected using a validated questionnaire and analyzed descriptively.
Results
The study showed that most patients experienced severe fatigue. Thirty respondents (63.8%) experienced severe fatigue, while 17 respondents (36.2%) experienced mild fatigue.
Conclusion
The majority of CKD patients undergoing hemodialysis in a hospital experience severe fatigue. These results highlight the need for greater attention to fatigue management, including a multidisciplinary approach to patient care and education to improve their quality of life.
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The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy
Bayu Aji Sismanto, Dhea Natashia, Dewi Gayatri, Wati Jumaiyah, Winda Yuniarsih
Sismanto, B. A., Gayatri, D., Natashia, D., Jumaiyah, W., & Yuniarsih, W. (2025). The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy. Jurnal Ners, 9(3), 3505–3512. https://doi.org/10.31004/jn.v9i3.45021
Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.
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Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Di Rumah Sakit
Ernauli Meliyana, Lisna Nuryanti, Bayu Aji Sismanto
Background
Anxiety is an excessive and unclear feeling of worry, and it is also a response to both external and internal stimuli that causes emotional, cognitive, physical, and behavioral symptoms. Anxiety is different from fear because, in fear, the object is clearly known and threatens the well-being of the person, while in anxiety, the object is unknown. Anxiety is an experience that everyone goes through (universal) throughout their life. Anxiety has a positive function because it can motivate people to take actions that can resolve their issues. Anxiety is considered normal when it is proportionate to the situation and will disappear once the situation is resolved.
Objective
To determine the effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital.
Methods
This study uses a pre-experimental design, quantitative correlation, with primary data from pre-operative patients aged 17-50 years, consisting of 126 respondents. Sampling was calculated using Slovin's formula. Data collection was done using a questionnaire and interviews with the Hamilton Anxiety Rating Scale (HARS).
Results
From the 126 respondents, 14 (11.1%) had no anxiety, 51 (40.5%) had mild anxiety, 58 (46.0%) had moderate anxiety, and 3 (2.4%) had severe anxiety. The Chi-square statistical test showed a p-value of 0.000 (p <0.05), indicating that there is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital.
Conclusion
There is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital (p=0.000).
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