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All Journal Nurse Media Journal of Nursing Belitung Nursing Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Psychological Perspective Jurnal Kesmas Asclepius Journal of Current Health Sciences Jurnal Gizi Aisyah Health Research Journal of Indonesia Majalah Cendekia Mengabdi Physical Therapy Journal of Indonesia
Amirudin, Ikhwan
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Humanities Dentistry Education Energy Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Pengaruh Penyuluhan Terhadap Tingkat Pengetahuan Tentang Tablet Tambah Darah dan Praktik Minum Tablet Tambah Darah Pada Remaja Putri Yahena, Yenni; Abdullah, Abdullah; Dewi, Afiska Prima; Amirudin, Ikhwan
Jurnal Gizi Aisyah Vol. 7 No. 2 (2024): Jurnal Gizi Aisyah
Publisher : Journal Aisyah University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jnf.v7i2.1869

Abstract

Prevalensi anemia pada remaja putri sebesar 29% di dunia, Remaja putri berisiko lebih tinggi terkena anemia. Remaja putri mengalami haid setiap bulan dengan kehilangan zat besi ±1,3 mg per hari. Pemerintah mempunyai program untuk remaja putri di sekolah yaitu memberikan satu butir Tablet tambah darah setiap minggu sepanjang tahun (total 52 butir). Dampak masalah gizi akibat kekurangan zat gizi yang berperan dalam pembentukan hemoglobin, dapat karena kekurangan konsumsi tablet besi atau tablet tambah darah serta gangguan absorbsi. Tujuan dalam penelitian ini mengetahui pengaruh penyuluhan terhadap tingkat pengetahuan tentang tablet tambah darah dan praktik minum tablet tambah darah pada remaja putri di SMP Negeri 1 Ketapang Lampung Selatan tahun 2022. Jenis penelitian quasy experimental design menggunakan pendekatan non equivalent control group. Populasi dalam penelitian ini adalah remaja puteri kelas IX. Sampel dalam penelitian ini sebanyak 43 responden sebagai kelompok kontrol dan 43 responden sebagai kelompok intervensi. Sehingga jumlah sampel sebanyak 86 responden. Teknik sampel menggunakan purposive sampling. Penelitian ini telah dilakukan di SMP Negeri 1 Ketapang Lampung Selatan pada tanggal 24 Oktober 2022 s/d 31 Januari 2023. Instrumen yang digunakan berupa kuesioner, lembar observasi, SAP dan Leaflet. Analisa data menggunakan uji Mann Whitney. Hasil penelitian menunjukan bahwa ada pengaruh penyuluhan terhadap tingkat pengetahuan tentang tablet tambah darah pada remaja putri didapatkan nilai p-value 0.035 (<0.05), kemudian ada pengaruh penyuluhan terhadap praktik minum tablet tambah darah pada remaja putri didapatkan nilai p-value 0.000 (<0.05). Diharapkan remaja rutin mengkonsumsi tablet Fe yang diberikan oleh tenaga kesehatan. Melakukan kerjasama lintas sekotoral guna meningkatkan pemberian penyuluhan untuk menambah pengetahuan remaja tentang tablet tambah darah dan cara konsumsi serta dampak manfaat yang diberikan dari tablet tambah darah, menyediakan waktu dan tempat untuk proses penyuluhan kepada siswa/siswi di sekolah.
Perceptions and experiences of drug-resistant tuberculosis, HIV, and AIDS patients who experience loss to follow-up based on life values and stigma: a phenomenological study Amirudin, Ikhwan; Waluyo, Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.290

Abstract

Background: Human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and tuberculosis are closely related and remain serious problems despite the implementation of various treatment strategies, but cases continue to increase. This research aimed to explore the perceptions and experiences of drug-resistant tuberculosis people with HIV/AIDS who experience loss of follow-up based on life values and stigma. Methods: This qualitative study employed a phenomenological approach and (COREQ) guidelines. Researchers purposively sampled participants with HIV/AIDS and tuberculosis in Lampung Province, Indonesia. Data were collected through interviews and analyzed using Colaizzi’s seven-step thematic analysis. Results: The results of the study described 7 themes related to the perceptions and experiences of drug-resistant tuberculosis HIV/AIDS sufferers who experience loss to follow-up based on life values and stigma, including 1) understanding of HIV/AIDS and tuberculosis; 2) causes of TB and HIV/AIDS clients experiencing loss to follow-up; 3) what happens after experiencing loss to follow-up: economic problems and drug availability; 4) adaptation after experiencing loss to follow-up: comfort; 5) use of herbal medicine as therapy; 6) barriers and support when it comes to control and treatment; 7) hope to recover and regularly taking medication and environmental dilemmas. Conclusion: HIV/AIDS and tuberculosis sufferers who experienced loss to follow-up provide an understanding of experience, including the process of disease transmission and spread as well as antiretroviral drug treatment, anti-tuberculosis drugs, and the side effects they experience. A further problem is the community’s assessment of the condition of the disease. The support and facilities provided affected the issue of needs, both material and psychological.
CHALLENGES OF USING TELEHEALTH IN TRACKING TUBERCULOSIS HIV AIDs PATIENTS: A SYSTEMATIC REVIEW Amirudin, Ikhwan; Waluyo, Agung; Nursasi, Astuti Yuni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2927

Abstract

Lost to follow-up (LTFU) in the treatment process for HIV AIDS patients suffering from Tuberculosis is a serious problem that is a challenge for health services. This condition needs to be managed well so it must be treated immediately because the problem of Tuberculosis will have an impact not only on the sufferer himself but also cause an increase in the spread and transmission to other people. Handling the problems of HIV AIDS with tuberculosis infection needs to be managed well to ensure the implementation of the treatment process, to minimize the risk of dropping out. It is hoped that the use of digital applications in the form of telehealth will be able to have an effective function in controlling and integrating the treatment process being undertaken by HIV AIDS sufferers with tuberculosis infection. This systematic review aims to identify and provide a critical assessment. It is also to find evidence based on published articles, and carry out a synthesis of the articles obtained. This method uses a search process carried out through 5 databases (Ebsco Host, Proquest, Medline, PubMed, Cochrane), articles in English, published in 2014-2024 which were assessed by using JBI (Joanna Briggs Institute) as a guide in synthesizing the results searched and reviewed using PRISMA For Systematic reviews. The results obtained were 10 studies that described the use of digital or telehealth applications to combine adherence and loss to follow-up cases in tuberculosis treatment.  The use of telehealth can contribute to overcoming the problem of patients who are lost to follow-up and increasing adherence to HIV AIDS treatment with tuberculosis infection.
Hubungan Tingkat Pengetahuan Perawat Terhadap Identifikasi Patient Safety di Ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur Mualimah, Siti; Wulandari, Rizki Yeni; Amirudin, Ikhwan; Ardinata, Ardinata
Journal of Current Health Sciences Vol. 1 No. 1: 2021
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.v1i1.6

Abstract

Keselamatan pasien merupakan prinsip dasar perawatan kesehatan di lembaga kesehatan yang terus membutuhkan peningkatan kualitas. Pengetahuan perawat tentang patient safety merupakan hal yang penting, karena jika pengetahuan perawat tentang patient safety kurang maka akan berpengaruh terhadap kinerja perawat dalam penerapan patient safety di rumah sakit. Laporan insiden keselamatan pasien di Indonesia oleh Komite Keselamatan Pasien Rumah Sakit (KKPRS) berdasarkan provinsi pada tahun 2007 sebanyak 46 % insiden terkait identifikasi pasien, dan hasil survey di RS Permata Hati dietmukan data Januari-Desember 2019 terdapat 6 laporan kasus insiden. Januari- September tahun 2020 terdapat 10 laporan kasus insiden Tujuan penelitian ini untuk Hubungan Tingkat Pengetahuan Perawat terhadap Identifikasi Patient Safety di Ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur 2021. Jenis penelitian ini adalah kuantitatif, desain penelitian analitik dengan pendekatan cross sectional. Penelitian ini telah dilaksanakan di Rumah Sakit Permata Hati Lampung Timur pada tanggal 15-20 Februari 2021.  Sampel yang diperlukan dalam penelitian ini adalah35 responden yang diambil dari total keseluruhan perawat di RS Permata Hati Lampung Timur. Uji yang digunakan chi square.Hasil penelitian didapatkan terdapat Hubungan Tingkat Pengetahuan Perawat terhadap Identifikasi  Patient Safety  di Ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur 2021 didapatkan  nilai p- value 0,01. (p kurang dari 0,05).Diharapkan Melibatkan seluruh SDM Rumah Sakit dalam menerapkan standar dan menjalankan prosedur pelaksanaan patient safety.
Factors associated with menopause complaints in the Prolanis group at Aisyah Medical Center (AMC) Lampung, Indonesia: Faktor yang berhubungan dengan keluhan menopause pada kelompok prolanis di Aisyah Medical Center (AMC) Lampung, Indonesia Fadhilla, Echa Secondella arrel; Amirudin, Ikhwan; Agustriyani, Feri
Journal of Current Health Sciences Vol. 3 No. 1: May 2023
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.202342

Abstract

Data from the Lampung Provincial Health Office (2016) the female population is 3,954,831 people, and those between the ages of 49-54 437,050 people, meaning that as many as 437,050 women experience menopause, including age, education level, socioeconomic level, lifestyle. This study aims to determine the factors associated with menopausal complaints in the prolanis group at Aisyah Medical Center. This type of quantitative research uses a cross-sectional approach to determine factors associated with menopausal complaints in the prolanis group at Aisyah Medical Center (AMC). Data collection used a questionnaire. The population to be examined in this study was based on all prolanis data at the Aisyah Medical Center, totaling 30 elderly, and utilizing total sampling. Univariate and bivariate data analysis using the chi-square test. This research was conducted in September 2022, and the research location was the Aisyah Medical Center. The analysis of the Chi-square test data obtained the results of the value of p = 0.004. There is a relationship between age at menopause and menopausal complaints, p value = 0.000. There is a relationship between education and menopausal complaints, p = 0.005. There is a relationship between work and menopausal complaints, and p = 0.035. There is a relationship between the use of hormonal contraceptives and menopausal complaints in prolanis women at Aisyah Medical Center (AMC). Hopefully, this will be useful and increase respondents' knowledge about the factors that can affect complaints during menopause. Abstrak: Data Dinkes Provinsi Lampung (2016) jumlah penduduk perempuan sebanyak 3.954.831 orang dan yang berusia antara 49-54 tahun sebanyak 437.050 orang artinya sebanyak 437.050 wanita mengalami menopause, Faktor keluhan yang dirasakan pada masa menopause sangat beragam dan bersifat individual, karena dipengaruhi beberapa faktor diantaranya adalah usia, tingkat pendidikan, tingkat sosial ekonomi, gaya hidup. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan keluhan menopause pada kelompok prolanis di Aisyah Medical Center. Jenis penelitian kuantitatif dengan menggunakan pendekatan Cross Sectional dengan tujuan penelitian untuk mengetahui faktor yang berhubungan dengan keluhan menopause pada kelompok prolanis di Aisyah Medikal Center (AMC). Pengumpulan data menggunakan kuesioner, Populasi yang akan di teliti pada penelitian ini berdasarkan seluruh data prolanis yang berada di Aisyah Medikal Center berjumlah 30 lansia dan dengan cara total sampling.  analisis data secara univariat dan bivariate degan uji chi square, penelitian ini dilakukan bulan September 2022, dan tempat penelitian di Aisyah Medikal Center. Hasil analisis uji Chi square data diperoleh hasil nilai p = 0,004 Ada hubungan umur saat menopause dengan keluhan menopause, nilai p = 0,000.   Ada hubungan pendidikan dengan keluhan menopause, nilai p = 0,005, Ada hubungan pekerjaan dengan keluahan menopause dan nilai p = 0,035. Ada hubungan penggunaan alat kontrasepsi hormonal dengan keluhan menopause pada wanita prolanis di Aisyah Medical Center (AMC), Diharapkan dapat bermanfaat dan menambah pengetahuan bagi responden mengnai faktor-faktor yang dapat berpengaruh terhadap keluhan saat menopause
Exploring antiretroviral treatment discontinuation among people living with HIV in Indonesia: A qualitative study Sujianto, Untung; Amirudin, Ikhwan; Akbar, M Agung; Waluyo, Agung; Nursasi, Astuti Yuni
Belitung Nursing Journal Vol. 11 No. 6 (2025): November - December
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4129

Abstract

Background: Discontinuation of antiretroviral therapy (ART) among people living with HIV (PLHIV) presents significant challenges for HIV care, often leading to physical deterioration, emotional distress, and social isolation. Although prior studies have addressed barriers to adherence, little is known about the experiences of PLHIV following treatment discontinuation in the Indonesian context. Objective: To explore the experiences of Indonesian PLHIV who have discontinued ART. Methods: This qualitative study employed a descriptive phenomenological approach and was conducted in three urban areas of Indonesia (Jakarta, Yogyakarta, and Bandar Lampung) between August and September 2024. Fifteen participants were purposively recruited from community-based organizations. In-depth semi-structured interviews were conducted, transcribed verbatim, and analyzed using Colaizzi’s method to identify themes and meanings in the narratives. Results: Three major themes emerged: (1) Physical and psychological consequences of ARV discontinuation, including fatigue, anxiety, and a sense of losing control; (2) Prolonged social strain and stigma, marked by loss of support and moral judgment from others; and (3) Searching for meaning and coping without treatment, including spiritual resignation and detachment from bodily control. These themes reflect the complex, multidimensional burdens PLHIV face after stopping treatment, particularly in the Indonesian context, where HIV stigma is deeply rooted in sociocultural and religious norms, and access to mental health support remains limited. Conclusion: ART discontinuation is not merely a clinical event but a deeply human experience shaped by physical decline, emotional conflict, social rejection, and existential adaptation. To improve long-term HIV care outcomes, healthcare systems must integrate psychosocial and spiritual support for individuals who disengage from treatment, encouraging re-engagement through nonjudgmental and person-centered care. For nursing practice, this study emphasizes the importance of developing empathetic communication, providing culturally sensitive counseling, and actively addressing stigma during care interactions.
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial wellbeing and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore experiences of PLHIV-TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed, with 20 PLHIV-TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.
Co-Authors - Sutrisno Abdullah Abdullah Afiska Prima Dewi Agung Waluyo Agustriyani, Feri Akbar, M. Agung Alifiyanti Muharramah Ardinata, Ardinata Asrindo, Kiky Astuti Yuni Nursasi Dewi Finasari, Ratna Dian Ayubi Dwipa, Hudhani Nora Fadhilla, Echa Secondella arrel Hardono Hardono Hardono, Hardono HERLINA, LENI Mualimah, Siti Mukhlis Mukhlis Mukti, Briyan Priyono Wisnu Nurhayati, Aftulesi Qori Saputri, Nony Rica Pratiwi, Amali Rizki Yeni Wulandari Stiexs, Anggie SUGIYANTO SUTRISNO Untung Sujianto Wahyudi, Dian Arif Wardoyo, Eko Wisnu Probo Wijayanto Yahena, Yenni Yunitasari, Eva