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The Effect of Distance to Health Care Facilities on Tuberculosis Treatment Compliance in Tuberculosis Patients: A Meta-Analysis Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.957

Patient adherence to tuberculosis (TB) treatment is an essential factor in ensuring therapeutic success, preventing relapse, and mitigating the rate of drug resistance in the community. One structural barrier frequently associated with suboptimal adherence levels is the geographical distance between the patient's residence and healthcare facilities. Given that previous literature still exhibits variations in empirical findings, this study aims to quantitatively synthesize and estimate the magnitude of the effect of healthcare facility distance on the treatment adherence of TB patients. This systematic review and meta-analysis was designed in adherence to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search strategy focused on the Google Scholar database by establishing inclusion criteria based on the PICO framework: TB patients (Population), easily accessible healthcare facilities (Exposure), inaccessible healthcare facilities (Comparator), and the level of treatment adherence (Outcome). Statistical synthesis was executed using Review Manager 5.3 software. The eligibility evaluation identified three case-control primary studies included in the analysis. The forest plot visualization confirmed that patients facing inaccessible healthcare facilities possess a significantly higher probability of non-adherence by 3.76 times compared to patients with easy access (aOR = 3.76; 95% CI = 2.11–6.70; p = 0.0001). Although the statistical test demonstrated perfect methodological homogeneity across the studies (I² = 0%), an indication of potential publication bias was detected through the funnel plot visualization. In conclusion, geographical distance barriers are proven to significantly degrade TB treatment adherence. Proactive policy interventions, such as service decentralization and community-based medical governance innovations, are highly crucial to overcome these spatial obstacles.

Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas Hendra Dwi Kurniawan; Safaruddin Safaruddin; Rizki Aqsyari
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.975

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.

PENGARUH KUALITAS UDARA TERHADAP KESEHATAN DI MASYARAKAT: SYSTEMATIC LITERATURE REVIEW Rizki Aqsyari; Yulia Lemenza; Rudi Suryo Handoyo
KOSALA : Jurnal Ilmu Kesehatan Vol 14 No 1 (2026): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v14i1.474

Kualitas udara yang buruk menjadi salah satu faktor lingkungan yang berdampak signifikan terhadap kesehatan masyarakat. Beban penyakit akibat polusi udara menunjukkan tren yang terus meningkat. Data Global Burden of Disease (GBD) menunjukkan bahwa polusi udara merupakan salah satu faktor risiko utama kematian global, dengan kontribusi jutaan kematian setiap tahunnya. Paparan polutan udara, terutama PM2.5 dan PM10, diketahui berhubungan dengan berbagai gangguan kesehatan seperti penyakit pernapasan, penyakit kardiovaskular, hipertensi, multimorbiditas, hingga mortalitas. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas udara terhadap kesehatan masyarakat melalui systematic literature review. Metode penelitian menggunakan pedoman PRISMA dengan pencarian artikel pada database Scopus dan PubMed tahun 2017-2026. Hasil identifikasi menemukan 2.463 artikel, kemudian setelah proses seleksi diperoleh 9 artikel yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa mayoritas studi berasal dari Asia dan Amerika. Temuan utama menunjukkan bahwa paparan kualitas udara yang buruk, khususnya PM2.5 dan PM10, secara konsisten meningkatkan risiko mortalitas, penyakit kardiovaskular, gangguan pernapasan, dan masalah kesehatan lainnya. Kesimpulannya, kualitas udara merupakan determinan penting kesehatan masyarakat sehingga diperlukan kebijakan pengendalian polusi udara untuk menurunkan dampak kesehatannya. Kata kunci: kesehatan masyarakat; kualitas udara; PM2.5; PM10 Poor air quality is one of the environmental factors that significantly affects public health. The burden of disease from air pollution shows a continuing upward trend. Global Burden of Disease (GBD) data shows that air pollution is a major risk factor for global mortality, contributing to millions of deaths annually. Exposure to air pollutants, particularly PM2.5 and PM10, has been associated with various health problems, including respiratory diseases, cardiovascular diseases, hypertension, multimorbidity, and mortality. This study aims to analyze the impact of air quality on public health through a systematic literature review. The study employed the PRISMA guidelines by searching articles from Scopus and PubMed databases published between 2017–2026. The initial identification process found 2,463 articles, and after the selection process, 9 articles met the inclusion criteria. The results showed that most studies originated from Asia and America. The main findings indicated that exposure to poor air quality, particularly PM2.5 and PM10, consistently increases the risk of mortality, cardiovascular diseases, respiratory disorders, and other health problems. In conclusion, air quality is an important determinant of public health; therefore, air pollution control policies are needed to reduce its negative health impacts. Keywords: air quality; PM2.5; PM10; public health

Pengaruh employee engagement terhadap kinerja perawat Laura Desinda Sutondo Putri; Risa Setia Ismandani; Warsini Warsini; Rizki Aqsyari
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3336

Background: Nurse performance is an important aspect of maintaining service quality, particularly in intensive care units with high workloads. Nurses face physical and psychological pressures that may affect their performance. In addition, disparities in nurse performance exist, as reflected by some nurses performing optimally while others demonstrate lower levels of responsibility. This condition may create a sense of unfairness and reduce employee engagement among nurses. Purpose: To determine the effect of employee engagement on nurse performance in the intensive care unit of Dr. Moewardi Hospital. Methods: This study employed an analytical quantitative design with a cross-sectional approach. The study population included all nurses working in the intensive care unit of Dr. Moewardi Regional General Hospital, with a sample of 142 respondents determined using the Krejcie and Morgan Table. Data were collected using a questionnaire and analyzed using the chi-square test Results: There was a significant association between employee engagement and nurse performance (OR = 2.205; 95% CI = 1.461–3.326; p = 0.001). Conclusions: Positive work engagement plays an important role in supporting the performance of nurses in carrying out their duties and responsibilities optimally, especially for nurses in intensive care units. Keywords: Employee engagement; Nurse performance; Nurses. Pendahuluan: Kinerja perawat merupakan aspek penting dalam menjaga mutu pelayanan, khususnya di unit perawatan intensif yang memiliki beban kerja tinggi. Perawat dihadapkan pada tekanan fisik dan psikologis yang dapat memengaruhi kinerjanya. Selain itu, terdapat ketimpangan kinerja antar perawat, yang ditunjukkan oleh sebagian perawat bekerja secara optimal, sedangkan sebagian lainnya kurang bertanggung jawab. Kondisi ini dapat memicu rasa ketidakadilan dan menurunkan tingkat engagement antar perawat. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh employee engagement terhadap kinerja perawat di unit perawatan intensif RSUD Dr. Moewardi. Metode: Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Subjek penelitian meliputi seluruh perawat di unit perawatan intensif RSUD Dr. Moewardi dengan sampel 142 responden yang ditentukan berdasarkan Table Krejcie and Morgan. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji chi-square. Hasil: Terdapat hubungan yang signifikan antara employee engagement terhadap kinerja perawat. (OR = 2.205 ; CI 95% = 1.461 – 3,326 ; p-value = 0.001). Simpulan: Keterlibatan kerja yang positif memiliki peran penting dalam mendukung kinerja perawat untuk menjalankan tugas dan tanggung jawab dengan optimal khususnya bagi perawat di unit perawatan intensif. Kata Kunci: Keterikatan karyawan; Kinerja perawat; Perawat.

Efektivitas Intervensi Nonfarmakologis Terhadap Fungsi Kognitif Pada Pasien Demensia: A Systematic Review Safaruddin; Hendra Dwi Kurniawan; Rizki Aqsyari
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.518

Introduction: Dementia is a progressive neuro degenerative disorder characterized by a decline in cognitive function that affects memory, thinking, and daily activities. The increasing prevalence of dementia worldwide highlights the importance of effective management strategies, including non-pharmacological interventions. Objective: This study aimed to review the effectiveness of non-pharmacological interventions in improving cognitive function among patients with dementia. Methods: A systematic review was conducted using the PRISMA approach. Literature searches were performed in Pub-med, EMBASE, and Scopus databases for studies published between 2020 and 2026. Of the 2,904 articles identified, 10 studies met the inclusion criteria and were analyzed. Results: The review found that non-pharmacological interventions, particularly cognitive stimulation therapy and virtual reality-based interventions, were effective in maintaining and improving cognitive function. Additional benefits included enhanced quality of life and reduced loneliness. Music therapy, dance therapy, and lifestyle-based programs also demonstrated positive effects on cognitive outcomes. Conclusion: Non-pharmacological interventions are effective in supporting cognitive function and overall well-being in patients with dementia. These findings emphasize the importance of integrating multidisciplinary and multi-modal approaches into dementia care to promote independence, improve quality of life, and slow cognitive decline.

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