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Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java Lindayani, Linlin; Nurdina, Gina; Anggraini, Dian; Herdiman, Herdiman; Darmawati, Irma; Mutiar, Astri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.808

Abstract

Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia. Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests. Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001). Conclusion: This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.
Effect of Progressive Muscle Relaxation Therapy on Stress and Blood Pressure in the Pre-Hypertensive Group Herdiman, Herdiman; Adawiyah, Dita Rabiatul; Triantika, Triantika; Lindayani, Linlin
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.477

Abstract

Introduction: Prehypertension is a condition that precedes the onset of hypertension and typically presents without noticeable symptoms in affected individuals. One of the major contributing risk factors for hypertension among young adults is an unhealthy lifestyle, including elevated stress levels. Objective: This study aims to determine the effect of Progressive Muscle Relaxation (PMR) Therapy on stress and blood pressure among individuals with prehypertension. Method: A quantitative approach was used with a quasi-experimental two-group pre–posttest design involving 40 participants selected through purposive sampling, divided into intervention and control groups. Result and Discussion: The intervention consisted of PMR therapy administered for two consecutive weeks, with each session lasting 20 minutes. Statistical analysis using paired sample t-test showed that, prior to the intervention, 55% of participants in the intervention group experienced moderate stress, with an average blood pressure of 130.80 mmHg systolic and 85.15 mmHg diastolic. After the intervention, 60% fell into the mild stress category, and the average blood pressure decreased to 117.20 mmHg systolic and 76.15 mmHg diastolic. The significance value of 0.000 < 0.05 indicates a meaningful effect of PMR therapy on reducing stress and blood pressure in prehypertensive individuals. Conclusion: This therapy effectively enhances relaxation, reduces muscle tension, and serves as a beneficial nonpharmacological intervention for community use.
Early Identification of HIV Infection Among Adolescents in Primary Care Center: A Case Study Lindayani, Linlin; Octaviani, Putri Hilda; Al Freadman Koa, Apryadno Jose; Dian Angraenin
Window of Health : Jurnal Kesehatan Vol 8 No 2 (April 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i2.1483

Abstract

Adolescents are at high risk for HIV transmission due to exploratory behaviors and risky activities. Early identification of HIV infection is crucial to prevent transmission, as it interrupts the transmission chain through awareness of one's HIV status. This study aimed to explore the implementation of adolescent-centered HIV early detection services in primary care. A qualitative case study design was employed, involving in-depth interviews and document analysis at a public health center in Central Bandung. A purposively selected nurse, with 15 years of experience managing the HIV program, served as the key informant. Data were collected through semi-structured interviews and analyzed using content analysis techniques to identify key themes, categories, and codes. Six themes emerged: (1) VCT service procedures; (2) community health initiatives; (3) collaboration with external institutions; (4) adolescent engagement strategies; (5) barriers to adolescent testing; and (6) factors facilitating testing. Although the VCT protocol was comprehensive and included pre- and post-counseling, fear of a positive diagnosis. While the VCT model at the primary care level is aligned with national HIV prevention strategies, its effectiveness for adolescents is limited by low participation and social resistance. Integrating case-based learning in nursing education, enhancing peer-based outreach, and strengthening adolescent-friendly health services are recommended to improve early HIV detection and care linkage for youth.
Longitudinal Mixed-Methods Study: Impact of Social Determinants on Maternal Health Access among Women with Disabilities (Urban vs. Rural) Elfira, Elfira; Fauzi, Achmad; Mutiar, Astri; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.922

Abstract

Background: Women with disabilities face persistent inequities in accessing maternal health services, despite legal guarantees of inclusive care. Evidence suggests amplified barriers in rural settings; however, longitudinal data capturing temporal changes and women’s lived experiences remain limited. This study investigated how social determinants shape maternal health access among women with disabilities in urban versus rural settings in Indonesia. Methods: A longitudinal mixed-methods design was applied across two sites in West Java: Bekasi City (urban) and Garut District (rural). A total of 300 women with physical, sensory, or mild intellectual disabilities were followed from early pregnancy to six weeks postpartum. Quantitative data were collected at three time points and analyzed using Generalized Estimating Equations and multilevel logistic regression. Concurrently, 35 participants were purposively recruited for in-depth interviews and focus group discussions, analyzed thematically with NVivo. Data were integrated through triangulation and convergence to explain disparities across the maternal healthcare continuum. Results: Significant urban–rural inequities were found. Urban participants demonstrated higher utilization of ≥4 ANC visits (from 62% to 84%), facility-based deliveries (91%), and postnatal care (77%) than rural participants (ANC from 39% to 56%; delivery 68%; postnatal 52%) (p < 0.05). Key determinants of access included maternal education (AOR = 1.46; 95% CI 1.18–1.81), health insurance (AOR = 1.50; 95% CI 1.20–1.87), family support, economic status, and transportation accessibility. Six qualitative themes revealed reinforcing relational and emotional dynamics: structural barriers, stigma and discrimination, family role, digital divide, coping strategies, and emotional experiences. Conclusion: Women with disabilities experience compounded inequities in maternal healthcare access, particularly in rural areas, driven by intersecting structural, socioeconomic, and relational determinants. Improving accessibility, enhancing disability-sensitive and stigma-free care, and strengthening digital and community support systems are essential to achieve equitable maternal services. Findings inform a new integrative framework for inclusive maternal health, guiding targeted policy and health system interventions in Indonesia and similar low-resource contexts.
SmartBreastfeed: Effectiveness of a Digital Intervention in Reducing Postpartum Fatigue and Enhancing Breastfeeding Motivation Idealistiana, Lia; Fauzi, Achmad; Mutiar, Astri; Lindayani, Linlin; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.923

Abstract

Background: Postpartum fatigue is a highly prevalent condition affecting up to 88% of mothers in the early postpartum period, negatively influencing maternal well-being and breastfeeding outcomes. In Indonesia, fatigue contributes to low exclusive breastfeeding rates, which remain below national and WHO targets. Digital health solutions offer promising opportunities to provide continuous breastfeeding support; however, existing applications are predominantly infant-focused and rarely address maternal psychosocial needs such as fatigue and motivation. Objective: To evaluate the effectiveness of the SmartBreastfeed mobile application in reducing postpartum fatigue and enhancing breastfeeding motivation among mothers during the first six weeks after childbirth. Methods: A quasi-experimental pretest–posttest control group design was employed among 64 postpartum mothers recruited from two urban health facilities. Participants were assigned to either the intervention group using SmartBreastfeed for four weeks or the control group receiving standard education through leaflets. Postpartum fatigue and breastfeeding motivation were assessed using validated Indonesian versions of the Postpartum Fatigue Scale (PFS) and Breastfeeding Motivation Scale (BFMS). Data were analyzed using paired t-tests and ANCOVA with significance set at p < 0.05. Results: Mothers using SmartBreastfeed experienced a significantly greater reduction in fatigue scores compared with controls (Δ = -13.5 ± 5.2 vs. -4.1 ± 3.8; p < 0.001). The intervention group also demonstrated significant improvements in breastfeeding motivation—including increased intrinsic (p < 0.001) and extrinsic motivation (p = 0.02), and reduced amotivation (p = 0.01). ANCOVA showed the intervention as the strongest predictor for improved outcomes, with medium-to-large effects (partial η² = 0.09–0.27). Conclusion: SmartBreastfeed effectively reduced postpartum fatigue and enhanced breastfeeding motivation through personalized digital support integrating self-monitoring, educational modules, reminders, and motivational messaging. This user-centered innovation shows potential to complement community maternal health programs and improve breastfeeding success in Indonesia
Cross-Cultural Adaptation and Psychometric Validation of H-PEPSS in Indonesian Diploma-III Nursing Students Linda, Silvana Evi; Lindayani, Linlin
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001032

Abstract

In Indonesia, there is currently no standardized tool to evaluate patient safety competence among nursing students. This study aimed to culturally adapt and test the H-PEPSS for use with Indonesian nursing students. The participants were final-year diploma nursing students from Jakarta and West Java. The process included translation, expert validation, pilot testing, and cultural adaptation using cognitive interviews and student feedback. Items were developed through domain analysis and reviewed by experts to ensure relevance and clarity. The validity of the measurement model was examined using RMSEA, SRMR, and CFI indices, while internal consistency was tested to assess reliability. A total of 344 students from eight institutions in Jakarta and Bandung took part in the psychometric testing. The Content Validity Index (CVI) ranged from 0.73 to 1.00 across items. Pearson correlation coefficients varied by domain. The three-factor structure showed a good model fit, with standardized factor loadings above 0.4. All indicator variables exceeded the 0.30 significance threshold. The Indonesian version of H-PEPSS demonstrated a Cronbach’s alpha of 0.795, indicating acceptable reliability. The results suggest that H-PEPSS is a suitable instrument for assessing patient safety competencies among Indonesian nursing students and can be successfully adapted for use in different cultural settings.