Efektivitas Intervensi Keperawatan dalam Mengurangi Kecemasan Pasien Praoperasi: Sebuah Systematic Literature Review
Preoperative anxiety is a common emotional response experienced by patients before undergoing surgical procedures and can have a negative impact on recovery, pain perception, and clinical outcomes. This study aims to analyze the effectiveness of nursing interventions in reducing preoperative anxiety levels through a systematic literature review approach. The search was conducted on the PubMed, Scopus, CINAHL, ScienceDirect, and Web of Science databases, using relevant keywords such as “preoperative anxiety” and “nursing intervention.” Of the 490 articles identified, only 10 articles met the inclusion criteria and were further analyzed. The review results showed that nursing interventions, such as preoperative education, nursing visits, relaxation techniques, therapeutic music, and aromatherapy, were effective in significantly reducing patient anxiety. The study also showed that non-pharmacological methods can be a safe and cost-effective alternative in managing preoperative anxiety. Additionally, personalized and patient-centered interventions were found to improve patients' self-control and accelerate postoperative recovery. These findings emphasize that the systematic integration of preoperative nursing interventions should be part of surgical care standards to enhance patients' quality of life and clinical outcomes. Therefore, nurses play a strategic role in designing interventions tailored to patients' characteristics and needs.
Copyright (c) 2026 Thahirah, Jumeiyanti Fajar Sitta Pesihatu, Hadi Nugroho https://creativecommons.org/licenses/by-nc-sa/4.0
Strategi Keperawatan dalam Pencegahan Dekubitus pada Pasien Bed Rest: Kajian Sistematis Literatur
Decubitus or pressure sores are serious complications that are often experienced by bedridden patients, with a significant impact on the quality of life and the burden of health services. This systematic review aims to analyze nursing strategies in the prevention of evidence-based decubitus. The literature was collected from PubMed, Scopus, CINAHL, and Google Scholar using keywords such as "decubitus," "bed rest," and "nursing strategy." The selection process followed the PRISMA guidelines, resulting in 10 relevant studies from 510 initial articles. The results of the study showed that changing the patient's position every hour was consistently more effective than massage in preventing pressure sores. Technological interventions, such as automatic beds and body support pillows, provide ergonomic and efficient solutions in maintaining the patient's position. Additionally, holistic strategies such as nutrition management, skin care, and the use of specialized mattresses have been shown to support prevention. Education of patients, families, and health workers increases awareness and adherence to preventive practices, although implementation gaps still occur in the field. A patient health monitoring-based approach that includes nutrition, physical activity, and sleep aspects, shows the potential to support more personalized and data-driven compression wound prevention. The integration of manual interventions, technology, education, and holistic monitoring is necessary to build a sustainable prevention system oriented towards patient safety and the well-being of medical personnel.
Copyright (c) 2026 Samsinar https://creativecommons.org/licenses/by-nc-sa/4.0
Peran Perawat dalam Manajemen Luka Kronis pada Pasien Diabetes Mellitus: Tinjauan Sistematis Literatur
Diabetes mellitus is a chronic disease that is at risk of causing various complications, one of which is diabetic foot ulcers which are complex and require multidisciplinary treatment. This study is a systematic review that aims to examine the role of nurses in chronic wound management in patients with diabetes mellitus, with an emphasis on a holistic, educational, and collaborative approach. The literature was obtained through systematic searches in the PubMed, Scopus, ScienceDirect and Web of Science databases, with a rigorous selection process using the PRISMA Flow Diagram, resulting in 10 relevant studies. The results showed that nurse intervention contributed significantly to wound healing, glycemic control, and improved patient quality of life. The role of a nurse includes wound assessment, patient education, therapy monitoring, pain management, and psychosocial support. The study also highlights the importance of diabetes specialist nurses (DSNs) in improving care efficiency, reducing hospitalizations, and strengthening standards of practice. Multidisciplinary approaches and therapeutic innovations such as debridemen, HBOT, and nanomedicine have been shown to accelerate wound healing. In addition, prevention efforts through education and early detection have proven to be effective in reducing the incidence of diabetic foot complications. In conclusion, nurses play a central role in chronic wound management in diabetic patients, which demands a collaborative, evidence-based, and oriented approach to improving clinical outcomes and patient quality of life.
Copyright (c) 2026 Sugiyono, Susilawati https://creativecommons.org/licenses/by-nc-sa/4.0
Pendekatan Holistik dalam Keperawatan Jiwa untuk Pasien Skizofrenia: Systematic Literature Review
This study aims to examine the effectiveness of a holistic approach in psychiatric nursing for patients with schizophrenia through the Systematic Literature Review method. Schizophrenia is a complex chronic mental disorder, which not only impacts the biological, but also psychological, social, and spiritual aspects of the patient. A holistic approach is seen as able to address this complexity through the incorporation of pharmacological and non-pharmacological interventions, such as cognitive behavioral therapy, family therapy, spiritual support, and environmental modification. Literature search was conducted from various leading scientific databases by sift through 570 articles to the remaining 10 high-quality studies that were analyzed in depth. The results showed that interventions involving psychosocial and spiritual aspects, as well as patient-centered care, were able to improve cognitive function, medication adherence, and quality of life of patients, while lowering the recurrence rate. The holistic-existential nursing model also makes a great contribution to fostering meaningful therapeutic relationships, facilitating emotional and spiritual recovery. In addition, in cultural and religious contexts, the integration of Islamic values has been shown to strengthen the psychological resilience of patients. This study recommends the development of collaborative, patient-oriented psychiatric nursing practices across the board, so that this approach can be applied more broadly and systematically in mental health services.
Copyright (c) 2026 Zakiyah Mujahidah, Dewa Ayu Saraswati https://creativecommons.org/licenses/by-nc-sa/4.0
Penerapan Pendidikan Kesehatan oleh Perawat dalam Meningkatkan Kepatuhan Terapi Pasien Hipertensi: Systematic Literature Review
Hypertension is a global health problem that requires comprehensive treatment, especially in developing countries with limited health services. This systematic review aims to explore the effectiveness of health education by nurses in improving therapeutic adherence for hypertension patients. The research method used the PRISMA approach by searching articles from PubMed, Scopus, ScienceDirect, and Web of Science databases. From the initial 470 articles, 10 studies were selected that met the inclusion criteria. The results of the analysis showed that educational interventions by nurses, whether through direct, indirect, or combined approaches, significantly improved patient medication adherence, blood pressure control, and quality of life. The use of interactive approaches based on adaptation models (such as the Roy Adaptation Model), digital technologies (mHealth and educational videos), and family and community engagement have been shown to strengthen the success of interventions. Nurses play a strategic role as educators, motivators, and companions in the management of hypertension, especially through a personal approach and good interpersonal relationships with patients. These findings emphasize the importance of a holistic and collaborative approach that blends education, technology, and social support in improving patient adherence to hypertension therapy. This study provides a basis for the development of evidence-based nursing practices in efforts to control hypertension in a sustainable manner.
Copyright (c) 2026 Suryadi, Martalina Rismaida https://creativecommons.org/licenses/by-nc-sa/4.0