Jurnal Berita Ilmu Keperawatan 2023-08-31T14:45:22+00:00 Agus Sudaryanto Open Journal Systems <p><strong>Jurnal Berita Ilmu Keperawatan</strong> focuses on sharing data and information to support evidence-based practice. Articles with focus on evidence-based nursing will be considered, including nursing education, medical and surgical nursing, pediatric nursing, mental health nursing, management and leadership in nursing, family and community nursing, and specialist nursing topics.<br /><br />This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.</p> Front Matter 2023-08-31T14:09:12+00:00 Agus Sudaryanto <p>Cover and table of content vol 16 no 2</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Agus Sudaryanto Sleep And Hba1c In Adult Patients With Type 2 Diabetes Mellitus 2023-07-18T15:24:54+00:00 Rizki Andriani Orita Satria Nurhadia Nurhadia Crasdian Afri Yudi <p><em>Sleep is one of the essential factors in life and affects glucose metabolism, so it is crucial for diabetic patients to have good quality sleep to control their diabetes. The study aimed to analyze the relationship between sleep quality and HbA1c levels in adult patients with type 2 diabetes mellitus. This study was conducted with a cross-sectional study approach with a sample of 170 respondents with convenience sampling </em><em>from a hospital in Banda Aceh</em><em>. Sleep quality data was measured by the Pittsburgh Sleep Quality Index (PSQI), and HbA1c levels were obtained from the results of respondents' HbA1c examinations in the last three months analyzed through chi-square. The results showed a significant relationship between sleep quality and respondents' HbA1c levels (p = 0.008), where respondents (64.1%) with poor sleep quality had an eight times the risk of having uncontrolled HbA1c levels compared to respondents with good sleep quality. Education on the importance of sleep health in patients regularly should be carried out in groups by health services to motivate T2DM patients to enjoy adequate sleep and improve their glycemic control through learning media that interest patients</em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Rizki Andriani, Orita Satria, Nurhadia Nurhadia, Crasdian Afri Yudi Analysis of Factors Influencing the Incidence of Urinary Incontinence in Elderly Women in Medan 2023-08-02T02:05:51+00:00 Meena Agusma Nurmaini Nurmaini Cholina Trisa Siregar <p><em>Urinary incontinence is a serious health problem that is very vulnerable to be experienced by the elderly caused by urinary disorders, especially women who can increase the risk of postpartum infection. This study used an observational analytic study with astudy design case control with aapproach. A retrospective approach was used to see how many factors were diabetes mellitus, hypertension, parity, mode of delivery, history of hysterectomy surgery, history of gynecological surgery, menopause, body mass index (BMI) and education towards the effect of urinary incontinence in the case group and control group in elderly women in Medan. The results of the study based on the results of statistical tests obtained p value &gt; 0.05 indicating that there was no effect of increasing body weight on the incidence of urinary incontinence. In the blood sugar level variable, the p value &lt;0.05 showed that there was an effect of blood sugar levels on the incidence of urinary incontinence with an OR = 4.375 (95% Cl; 1.320-14.504). blood pressure on the incidence of urinary incontinence with a value of OR = 4.250 (95% Cl; 0.507-9.993), the variable history of delivery obtained p value &lt;0.05 there is an effect of mode of delivery on the incidence of urinary incontinence with an OR value of 4.190 (Cl 95%; 0.716-6.698), the parity variable obtained p value &gt; 0.05, there was no effect of the number of parity on the incidence of urinary incontinence, the variable length of menopause obtained p value &gt; 0.05 indicating that there was no effect of the length of menopause on the incidence of urinary incontinence, on the history of hysterectomy variable obtained p value &lt;0.05, there is an influence between the history of hysterectomy surgery on the incidence of urinary incontinence with OR = 2.740 (95% Cl; 0.252-2.175), on the variable r gynecological history Statistical test results obtained p value &gt; 0.05 indicating that there is no effect between the history of geniculate surgery on the incidence of urinary incontinence</em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Meena Agusma, Nurmaini Nurmaini, Cholina Trisa Siregar The Parenting Styles on Handwashing Behavior for Preventing Coronavirus Disease 19 Spread on Children with Mental Retardation 2023-08-03T04:32:43+00:00 Esme Anggeriyane Ruslinawati Ruslinawati Regina Wafa Azkiya <p><em>The increasing number of Coronavirus Disease 19 (Covid 19) in Indonesia has made the government implement health protocols, one of which is washing hands. Children with mental retardation who have intellectual abilities below the average and have difficulty implementing it. The parenting style applied to children will affect the child's behavior, one of which is handwashing behavior</em><em>. </em><em>This study aimed to determine the relationship of parenting on handwashing behavior for spread preventing Coronavirus Disease 19 in children with mental retardation</em><em>. This study utilized a quantitative correlation with a cross-sectional approach. A total of 33 parents who have children with mild mental retardation in Special School 2 Banjarmasin. The research instrument is the parenting style questionnaire and the handwashing behavior observation sheet. The results showed from 33 parents who applied democratic parenting were 21 people (63%), as many as 19 children (57%) with good handwashing behavior. Chi-Square test obtained p-value = 0.000 &lt; ?= 0.05. There is the relationship between parenting on handwashing behavior for Preventing Coronavirus Disease 19 Spread on Children with Mental Retardation. The right parenting pattern for children with mental retardation can help children grow and develop properly</em><em>. </em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Esme Anggeriyane, Ruslinawati Ruslinawati, Regina Wafa Azkiya Sugar Consumption of the Adult Age Group: Phenomenological Study 2023-07-20T04:10:19+00:00 Rani Nuraeni Samuel Maju Simanjuntak <p>Sugar consumption has been associated with some diseases such as diabetes mellitus in Indonesia. Qualitative informations regarding sugar consumption patterns among adult individuals is an essential approach to construct appropriate approaches to the emerging problems. The qualitative descriptive method with the phenomenological approach of this research employed a purposive sample technique with data saturation as the number determinant. The key informants who meet the requirements and are willing to participate are given an Informed Consent to be filled in before the interview. Interviews were done by semi structured guided questions. The Colaizzi 7 steps qualitative analysis technique are used to examine the data obtained 7 key informants participated voluntarily in this study. Results: There are 3 sub-themes emerged from the verbatim data: sugar sources, adjustment of the type of sugar intake, attempts to change sugar consumption patterns, and interventions related to sugar eating habits. The three sub-themes formed three major themes: the pattern of sugar intake and consumption time in daily routine, the attempt to change the habits of sugar consumption, the approach in changing the patterns of sugar consuming habits in adults through experience and knowledge, daily practice and through health education. As a health educator, it is expected to be able to modify society’s sugar consumption habits.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Rani Nuraeni, Samuel M. Simanjuntak Children Daily Eating Behavior and Sugar Consumption Pattern: A Phenomenological Study 2023-07-31T05:15:43+00:00 Grace Vita Anggi Roma Uli Simbolon Samuel Maju Simanjuntak <p>The pattern of food consumption is a picture of the type of food consumed, the amount of food consumed, and the lifestyle of the community. The pattern of eating is formed in the same way as a person's eating habits. The habit of consuming sugar among children can also be associated with the existence of several health problems such as diabetes mellitus. This study aims to explore and find consumption patterns of daily food and fluid intake in the age group of children that contain sugar in the community around Parongpong, West Bandung. and themes that will conclude the phenomenon of consumption and dependence on sugar in community groups. This research is a qualitative phenomenological study, where the aim is to reduce the individual experience of a phenomenon into a description that finds the universal essence of the phenomenon. 7 key informants were voluntarily involved in this study. The verbatim data were analyzed for their ethical and emic meanings using the Colaizzi method. The results of the analysis of the data obtained during the interviews were able to bring up 6 sub-themes. The six sub-themes raised 3 major themes, namely consumption patterns of daily sugar intake for the youth age group, understanding the need for change and approaches to reducing sugar intake, and types of approaches in changing sugar consumption patterns for adolescents.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Grace Vita Anggi Roma Uli Simbolon, Samuel M. Simanjuntak An Analysis of Community Satisfaction Index on Health Service Quality: CFA and Gap Analysis 2023-07-31T11:08:53+00:00 Lina Alfiyani Noor Alis Setiyadi Asmirati Yakob Didik Mulyono Rohmat Rohmat Mohammad Fathur Rizqi <p><em>The Community Satisfaction Index is the focus of attention because it is a reference in evaluating </em><em>health</em><em> service policies on the quality of hospital services. Service quality is a determinant factor of patient safety to reduce the incidence of mortality in hospitals. Crossectional is the research design used. The study was conducted from April to June 2023, the population is all patients in the hospital in 2023, and Simple random side as a sampling technique of 136 research subjects. The research variables are performance, expectations, and the Community Satisfaction Index which consists of nine elements, namely requirements; systems, mechanisms, and procedures; turnaround time; cost; product specification type of service; competence of the executor; executor behavior; handling of complaints, suggestions, and inputs. Data collection using questionnaires that have previously been tested for confirmatory factor analysis. Test questionnaires and analyze research results with gap analysis using Wilcoxon in the STATA program. The test results of confirmatory factor analysis showed that RMSEA values = 0.04, CFI = 0.99, χ2 / df = 1.05, and TLI = 0.99 showed that the model met goodness-of-fit. The gap analysis shows that in the 9 elements of the Community Satisfaction Index, 2 elements are not different, namely the competence of the implementer (z = -1.570, p = 0.116) and the behavior of the implementer (z = -1.414, p = 0.157). It is hoped that the results of the research can be used as material for the evaluation of hospital policies.</em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Lina Alfiyani, Noor Alis Setiyadi, Asmirati Yakob, Didik Mulyono, Rohmat Rohmat, Mohammad Fathur Rizqi The Relationship Between Stress Level and Sleep Paralysis During COVID-19 among Final-Year Nursing Students 2023-08-03T11:35:25+00:00 Widya Nurwulan Santika Utami Sukma Senjaya Hasniatisari Harun Vira Amelia <p>World Health Organization warns that stress will increase due to the COVID-19 pandemic situation. Stress can disrupt sleep quality, and the potential for experiencing sleep paralysis is most common in students, which can reduce students' academic abilities. This study aimed to identify the correlation between stress levels and sleep paralysis in final-year nursing students during COVID-19.; The research design describes the correlation with a Cross-Sectional approach with a total sampling technique of 238 final-year nursing students. Data were analyzed using a chi-square test; Results: with Asymp.Sig 0.012˂0.05, there is a correlation between stress levels and sleep paralysis. More than half of 152 students (63.9%) with moderate stress levels experienced sleep paralysis, a small portion of 41 (17.2%) students with severe stress levels experienced sleep paralysis and students with mild stress levels 15 (6.3%) experienced sleep paralysis; Conclusions: in this study indicate that the highest stress level experiences sleep paralysis at moderate stress levels. Students are expected to further optimize the counseling activities held by the institution, and the institution can provide interventions such as progressive muscle relaxation therapy to reduce stress levels and sleep disturbances.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Widya Nurwulan Santika Utami, Sukma Senjaya, Hasniatisari Harun, Vira Amelia Behavior of Indonesian Nurses Toward Non-Reported Needle Stick Injury in Saudi Arabia: A Phenomenological Study 2023-08-02T02:37:42+00:00 Akhir Fahruddin Yayi Suryo Prabandari Martinus Sutena Nurul Uswatin <p>Non-reported needle stick injury (NSI) is still a major problem faced by nurses when working in health services in Saudi Arabia viewed from the perspective of occupational health and safety (OHS). Knowing the behavior of nurses in the workplace can have implications for the OHS culture. Objective: To explore the behavior of Indonesian nurses towards non-reported NSI in health services in Saudi Arabia. This study used a qualitative method with a phenomenological approach. The research subjects used typical case sampling of 12 Indonesian nurses who had work experience regarding NSI. In-depth interviews with structured questions were conducted with respondents following guidelines for data analysis using a seven step analysis by Colaizzi and Nvivo software. There were 13 categories from 4 themes found in this research about knowledge, behavior and skills also management of exposure and post exposure. The behavior of Indonesian nurses towards non-reported needle stick injury based on experience has been carried out even though the behavior, especially knowledge, attitude and skills policy on management of needle stick injury needs improvement.<br /><strong><br /></strong></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Akhir Fahruddin, Yayi Suryo Prabandari, Martinus Sutena, Nurul Uswatin Smoking Behavioral Dependence during the COVID-19 Pandemic Among University Student 2023-07-17T13:24:42+00:00 Vania Dwi Ramadhani Laili Rahayuwati Mamat Lukman <p>Smoking, an addictive behaviour, is a health problem that is still found during the COVID-19 pandemic. There are several possibilities that have impacts on smoking behaviour during the COVID-19 pandemic. The aim of this study is to understand the description of smoking addiction during the COVID-19 pandemic towards students at the University. A descriptive quantitative research design was used. This study involved one variable which is smoking behavioral dependence during the COVID-19 pandemic in students at the University. The populations in this study are students who are active smokers (conventional, electric, or shisha) at one of the universities in Indonesia. The sampling technique uses accidental sampling, and it is obtained a sample of 378 students. The instrument in this study uses the GN-SBQ (Glover Nilsson-Smoking Behavioural Questionnaire). The results of the research data are analyzed using descriptive analysis in the percentage frequency distribution. Based on the results of the study, it is found that during the COVID-19 pandemic, most of the respondents experienced smoking dependency behavioral moderate (66.4%), strong (20.9%), and mild (12.7%). The use of cigarettes during the COVID-19 pandemic mostly uses conventional rather than electric and shisha. Based on the characteristics of the respondents, smoking behavioral dependency is dominated by male students, aged 21 years, grade 2017, and had pocket money in the middle economic category. Therefore, this study recommends health services to provide counselling and mentoring services for students, which one of them is the Cognitive Behavioral Therapy (CBT) approach to reduce the level of smoking behavior.</p> 2023-09-01T00:00:00+00:00 Copyright (c) 2023 Vania Dwi Ramadhani, Laili Rahayuwaty, Mamat Lukman Unhealthy Lifestyle Among Sufferers Of Gastritis On Young Adult Age 2023-08-02T10:25:51+00:00 Esra Desyanti Turnip Maria Yunita Indriarini Yosi Maria Wijaya <p><em>GGastritis is generally experienced by young adults caused by unhealthy lifestyle patterns, including diet, sleep patterns, physical activity, and stress. This study aims to identify the description of the lifestyle of young adults with gastritis that includes diet, sleep pattern, physical activity, and stress. This research method used was quantitative with a cross-sectional design, using a lifestyle questionnaire which was distributed using a Google form to 133 students who were selected through total sampling. The results showed that the average age of respondents was 20.9 years and the majority were women. lifestyle profile found, the total healthy lifestyle was 46.6% unhealthy. Lifestyles include diet, sleep patterns, and physical activity indicating nearly the same results by about 51-52% in unhealthy categories. For stress levels, there were 70.7% respondents in the moderate category. The number of male respondents in the category of healthy lifestyles and do not have the same results (12.8%), whereas in women, 33.8% in the unhealthy category. On the male lifestyle profile, unhealthy categories on physical activity, while in women on eating habits. The conclusion of the study for lifestyle among respondents were in the unhealthy category. Young adults with gastritis are recommended to adopt a healthy lifestyle to avoid the complication of gastritis.</em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Esra Desyanti Turnip, Maria Yunita Indriarini, Yosi Maria Wijaya The Community Preparedness Education and Training Program in Facing Earthquake Disasters: literatur review 2023-08-03T01:20:39+00:00 Pusparini Anggita Ayuningtyas Sri Setiyarini Syahirul Alim <p>Disasters due to earthquake natural events can have an impact on the community so that people who live in disaster-prone areas are the most disadvantaged parties. The community as a disadvantaged party must be equipped with disaster preparedness, one of which is a disaster risk reduction program. The purpose of this scooping review is to determine the description of the implementation of the earthquake disaster preparedness education and training program in the community. This research is a scooping review using Prisma flow chart in its implementation. The results of this study showed significant results in all articles (n=10) in improving community preparedness in earthquake disaster risk reduction. The methods used were the latest methods (virtual reality, animated videos, and games) and manual methods (lectures, discussions, and reading) with material on disaster concepts, management, and first aid. This research concludes that the role of the community and the importance of disaster preparedness education for the community is very important to be provided by conducting the latest or modern methods for more effective results.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Pusparini Anggita Ayuningtyas, Sri Setiyarini, Syahirul Alim The Issues Related to Children with Leukemia in Indonesia: An Integrative Review 2023-07-20T03:56:17+00:00 Siti Arifah Autchareeya Patoomwan <p>This integrative review, based on twenty-four studies from data resources, including Scopus, CINAHL, MEDLINE, PsycINFO, and Indonesia science and technology index (SINTA), was published from 2009 to 2019. The eligible studies were conducted in Indonesia, published in the English or Indonesian language, and reported the incident, survival rate, and physical or psychological effects of disease or chemotherapy. There were 23 quantitative studies and two qualitative studies. The theoretical or conceptual framework was not identified to guide and develop the studies. Most studies used retrospective and cross-sectional studies; the target population was acute lymphoblastic leukemia (ALL) and used small sample sizes for a cross-sectional study. The variables that were explored in the quantitative studies consisted of the incidence of leukemia, survival rate, abandonment of treatment, effects of disease or chemotherapy, quality of life (QOL), and others. The qualitative findings focused on the experience of being diagnosed with leukemia and its meaning in the adolescent context. The evidence from the studies showed that the incidence rate of all types of leukemia increases each year. The survival rate was lower than in other countries, with differences in numbers among hospitals. The effects of the disease and chemotherapy dominated the problem of children the low level of QOL. More research is necessary to explore the factors related to treatments' outcomes, particularly the aspects related to survival rate and QOL are using comprehensive data analysis, an appropriate theoretical framework to guide the study, more sample size, and involving multiple hospital settings.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Siti Arifah, Autchareeya Patoomwan The Effect of Self-Care Education on Heart Failure Patients : Literature Review 2023-07-24T10:17:35+00:00 Devie Dian Wahyuni Elly Nurachmah Prima Agustia Nova <p>Heart failure is a heart disease which has an escalating prevalence. Disease conditions that can cause a deterioration in quality of life and even death require further treatment through self-care. Knowledge about self-care can be provided by nurses while the patient is in the hospital even when going home. The purpose of this systematic review is to determine the application of self-care education in heart failure patients to improve self-care knowledge and compliance. The research method used a systematic review design using data bases from ProQuest, EBSCOhost, Scopus, and Science Direct with several keywords used. The results obtained 7 articles that were reviewed after adjusting the inclusion criteria. The results of the study found that the provision of self-care education was able to improve self-care compliance in heart failure patients. The conclusion of this study is that education that is more applicable, interactive and sustainable can improve knowledge and compliance with self-care in heart failure patients.</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Devie Dian Wahyuni, Elly Nurachmah; Prima Agustia Nova The Effect of Family Visit Management on Anxiety Levels Among Patients in the Intensive Care Unit: A Scoping Review 2023-08-03T04:33:49+00:00 Ajeng Andini Sutisnu Firman Sugiharto Henny Yulianita Theresia Eriyani <p><em>Several studies identified the effect of family visits on reducing patient and family anxiety levels. However, until now there has been no review that synthesizes the results of these studies on this population.</em> <em>This review aimed to identify the effect of family visit management on the anxiety level of patients and families in the ICU.</em> <em>This Study used a scoping review method using CINAHL, PubMed, Science Direct and search engines Google Scholar. </em><em>The keywords used in </em><em>English were</em><em> "family visitation </em><em>OR</em><em> visits" AND "anxiety disorders </em><em>OR</em><em> anxiety </em><em>OR</em><em> generalized anxiety disorder" AND "ICU </em><em>OR</em><em> intensive care unit </em><em>OR</em><em> critical care."</em> <em>The criteria for selecting the articles included full-text articles in English and published in 2013-2023. The study selection process used the PRISMA-ScR flow chart. We found 11 articles discussing the management of family visits to the anxiety of ICU patients. Based on the results of the analyzed studies, it shows that there are several types of scheduled visit management (in and out hours), flexible family visitations, limited visits, regular visits, and online methods. In general, participants in the studies analyzed showed reduced levels of anxiety, and most studies indicated that flexible visits were positively related to satisfaction with the services provided in the ICU. Furthermore, it is advised that the visiting policies in ICU be modified and that families be given the option to participate in patient care through scheduled attendance and involvement.</em></p> <p><em>&nbsp;</em></p> <p><strong>Keywords</strong>: Anxiety, Critical illness, Intensive Care Unit, Visit Management</p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Ajeng Andini Sutisnu, Firman Sugiharto, Henny Yulianita, Theresia Eriyani Non-Pharmacological Pain Management In Patient With Gouty Arthritis: A Narrative Review 2023-07-17T08:14:38+00:00 Novia Yulianti Siti Ulfah Rifa'atul Fitri Nursiswati Nursiswati <p>Gouty arthritis is a condition characterized by joint inflammation due to the accumulation of monosodium urate crystals in the joint, resulting in severe pain, reduced musculoskeletal ability, and poor QoL. Therefore, this study aims to identify non-pharmacological pain management in gouty arthritis sufferers. This study is a narrative review including three databases such as ScienceDirect, Proquest, Pubmed, and the search engine Google Scholar. It was conducted using keywords such as gouty arthritis, non-pharmacology, and pain management. The article was sorted by cyclical criteria, and assessment was performed using JBI Critical Appraisal tools. The results showed that non-pharmacological interventions such as warm compresses using moringa leaves, lemongrass decoction water, ginger, cinnamon, soursop leaves, and CQBG (compound Qingbi granules) are effective in reducing gouty arthritis pain and have no side effects. Therefore, this study is expected to provide useful information and insights regarding pain management to health workers, nurses, sufferers, and the general public.</p> <p> </p> 2023-09-04T00:00:00+00:00 Copyright (c) 2023 Novia Yulianti, Siti Ulfah Rifa'atul Fitri, Nursiswati Nursiswati Internal Protective Factors That Affect The Resilience Of Hemodialysis Patients: Scoping Review 2023-07-31T12:11:01+00:00 Swastika Sekar Utami Meira Erawati Nur Setiawati Dewi <p>Internal protective factors are factors that come from the individual to support a resilient condition due to the hemodialysis process. The hemodialysis process causes many changes to patients with chronic kidney failure, such as changes in eating, drinking and activity patterns. These factors are the main factor that arises from oneself so it will bring motivation in the process of life going forward. This research is a scoping review which aims to determine the internal protective factors which can affect the resilience of hemodialysis patients. Articles are filtered from science direct, Scopus, PubMed, and Proquest. The keywords used are “factors” AND “Resilience” AND “hemodialysis patient”. The articles used are articles published from 2019-2023. The articles included are full articles, in English, using qualitative, quantitative and mixed methods. The analysis used in this review is the analytical method of Arksey and O'Malley in 6 stages. There were 7 articles analyzed at the end of the search. The protective internal factors obtained are the ability to regulate emotions, optimism, self-esteem, strength and self-confidence as well as spiritual well being. These factors have a positive influence in realizing the resilient condition of hemodialysis patients. This research can be continued with the application of nursing interventions to improve the internal ability of hemodialysis patients to achieve a resilient condition.</p> <p> </p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Swastika Sekar Utami, Meira Erawati, Nur Setiawati Dewi Foot Reflexology and 4-7-8 Breathing Exercise as Supporting Therapy to Reduce Anxiety and Maintain Vital Signs of ICU Patients 2023-07-25T06:25:35+00:00 Riska Cahyani Zahra Enita Dewi Neny Marumpy <p><em>The noise of the Intensive Care Unit (ICU) equipment, the high mortality rate, the instability of other patients' conditions, and limited information increase ICU patient anxiety. Anxiety has an impact on declining health. Anxiety makes it difficult for patients to sleep, increases blood pressure values, and slows down the healing process. Management of patient anxiety is to avoid anxiety factors</em><em>, </em><em>use non-pharmacological and pharmacological therapies. In addition, combined pharmacological and non-pharmacological therapy is more effective in increasing patient recovery. For this reason, this study aims to evaluate the additional non-pharmacological implementation therapy of foot reflexology and 4-7-8 breathing training in patients in the ICU. The method used is a nursing practice based on evidence-based nursing implementation. The evidence-based references used are 3 international journals indexed by Scopus. The patient selection technique used purposive sampling with inclusion and exclusion criteria. Furthermore, a combination of foot reflexology intervention and 4-7-8 breathing </em><em>training</em><em> was given for 2 days to 3 patients. The results of the evaluation showed that there was a decrease in anxiety rates and an improvement in physiological values after being given non-pharmacological and pharmacological interventions. Improved physiological values are, blood pressure and respiratory rate. Additional non-pharmacological interventions foot reflexology and 4-7-8 breathing training reduce anxiety levels and improve the patient's physiological values.</em></p> 2023-08-31T00:00:00+00:00 Copyright (c) 2023 Riska Cahyani Zahra, Enita Dewi, Neny Marumpy