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All Journal International Journal of Public Health Science (IJPHS) Jurnal NERS Journal of Educational Science and Technology JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Journal Of Nursing Practice Window of Health : Jurnal Kesehatan MATRIK : Jurnal Manajemen, Teknik Informatika, dan Rekayasa Komputer International Journal of Community Service Learning Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Nursing Sciences Journal KESANS : International Journal of Health and Science Journal of Public Health Sciences International Journal of Disaster Management DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Indonesian Journal of Community Development Medical-Surgical Journal of Nursing Research Jurnal Keperawatan PPNI Jawa Barat Jurnal Abdimas Sains
Lindayani, Linlin
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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.
Situational Leadership as View by Nurses in Government and Private Hospitals Agus Sudrajat, Diwa; Zulfikar, Fikri; Lindayani, Linlin
Journal Of Nursing Practice Vol. 3 No. 2 (2020): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v3i2.77

Abstract

Background:Leadership as an indicator of the quality of human resources is a very determining factor in the success of an organization such as a hospital. Leadership style depends also on the maturity of individuals or groups as followers. Purpose:The purpose of this study was to exploresituational leadership of head nurse as viewed by nursesin government and private hospitals.this study uses descriptive research method with cross-sectional approach. The time of the study will begin in May 2019 until June 2019. The instrument used in this study was the leadership style questionnaire model of Harsey and Blanchard.Results:The leadership style of head nurse in the majority government hospitals is delegate (38.5%) and followed by the leadership style of consultation (38.5%), participation (18.5%) and at least instruction (13.8%). The leadership style of head nurses in private hospitals is also almost the same as government hospitals where the majority of implementing nurses rate the room head in the delegate style (48%), which is followed by the leadership style of consultation (23%), participation (20%) and most the least is the leadership style of instruction (9%).Conclusion:The leadership style of head nurse both government and private hospitals iwas dominated by delegation and consultation.
Effectiveness Of Mindfulness Based Stress Reduction On Depression In Elderly: A Systematic Review Lindayani, Linlin; Hendra, Agus; Juniarni, Lia; Nurdina, Gina
Journal Of Nursing Practice Vol. 4 No. 1 (2020): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i1.101

Abstract

Background: The elderly are individuals who have entered the age of 60 years (Hurlock, 2004). One of the most common elderly problems that is more commonly found is depression. Currently increasing research and reviews support the efficiency of psychotherapy treatments for depression. Based on traditional interventions Mindfulness Based Stress Reduction (MBSR) therapy is recommended for geriatric depression. MBSR therapy focuses on is one type of mindfulness-based therapy that focuses on training awareness through meditation techniques. By practicing observing body sensations (body scan meditation), individuals can achieve a mindful condition in their daily lives, including when carrying out routine activities such as walking, eating, standing. MBSR aims to change individual relationships with stressful situations and thoughts. This is achieved by decreasing emotional reactions and increasing. Purpose: This study aimed to determine the effectiveness of MBSR therapy on the level of depression in the elderly. Methods: Literature searches conducted through Google Scholar and PubMed studies published in English, there were 778 articles obtained but only 5 journals met the search criteria.Results: The results of this review show that MBSR therapy has an influence to reduce the level of depression in the elderly and MBSR therapy has no side effects compared to pharmacological therapy.Conclusion: It is hoped that health workers can implement MBSR therapy to reduce the level of depression in the elderly
Change in cardiovascular risk profile in people with human immunodeficiency virus infection: a-12 months follow up Lindayani, Linlin; Lai, Yiin; Ko, Wen Chien; Wang, Jung-Der; Ko, Nai Ying
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.72933

Abstract

Introduction: This study aimed to evaluate longitudinal changes in CVD risk and identify the contributing factors among HIV-positive individuals. Methods: A 12-month prospective study was conducted at an AIDS treatment center in southern Taiwan. A total of 411 adults living with HIV, aged 18 years or older, with no history of CVD treatment, were enrolled. CVD risk was assessed at baseline and 6 and 12 months using the D:A:D risk prediction model. Mixed-effects models were used to examine associated factors. Results: participants ranged in age from 19 to 77 years, with 95.9% being male. At baseline, 47% of the patients were low-risk, 37.7% were moderate-risk, 10.9% were high-risk, and 4.4% were very high-risk. After 12 months, 19% of participants showed a reduction in CVD risk. Increased risk was significantly associated with hepatitis C co-infection, use of lopinavir- or abacavir-based ART, and a longer duration of lopinavir exposure. Conversely, reductions in CVD risk were linked to higher educational attainment, use of antihypertensive or lipid-lowering therapy, and adherence to a Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI)-based antiretroviral therapy regimen. Conclusions: CVD risk in PLHIV is dynamic and modifiable. The use of NNRTI-based regimens and lipid-lowering therapies contributed to a significant risk reduction. Comprehensive integrated management strategies addressing both HIV infection and cardiovascular health are essential. Further research is needed on the cardiovascular effects of integrase inhibitors (INSTIs), particularly their long-term effects on lipid profiles and endothelial function.
Usability Of “DFU Application” For Diabetic Foot Ulcer Prevention Purnama, Bedy; Lindayani, Linlin; Mutiar, Astri; Erfianto, Bayu; Darmawati, Irma
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 1 (2025): Volume 11, Nomor 1, Juni 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i1.81809

Abstract

Introduction: The development of smart detection software may help reduce the number of decubitus ulcer infections by enabling early identification and management. Ensuring the usability and effectiveness of such technology is essential before widespread adoption. Objective: This study aimed to explore prospective users’ perceptions of the mobile app for detecting diabetic foot ulcer (DFU) infection, focusing on its usefulness, ease of use, and overall user satisfaction. Methods: The usability of the DFU app was assessed by experienced users. The evaluation included perceived usefulness, ease of use, and overall satisfaction. Standardized tools such as the System Usability Scale (SUS) and a specific app rating scale were used to collect user feedback. Results: The DFU app received usability ratings ranging from 0.50 to 0.88. The lowest rating was for performance quality (Mean = 0.50, SD = 0.12), while the highest was for integrity (Mean = 0.88, SD = 0.07). The overall usability score, as measured by SUS, was considered acceptable (Mean = 78.4, SD = 6.83). Most users reported no significant issues with using the app, except for difficulty understanding the language used in the interface, which was rated as a serious usability issue with a severity score of 3. Conclusions: Users perceived the DFU app as useful and efficient, particularly in detecting the risk of infection. Despite a noted language comprehension issue, the app demonstrated good overall usability and has the potential to support early intervention for decubitus ulcer prevention.
Co-Authors Achmad Fauzi Adawiyah, Dita Rabiatul Adinda, Kharisma Agus Sudrajat, Diwa Agustin, Arwinda Al Freadman Koa, Apriyadno Jose Al Freadman Koa, Apryadno Jose Amelia, Cici Antika, Tri Aulia, Anida Bayu Erfianto Bedy Purnama Calisane, Nyanyu Nina Putri Calisanie, Nyayu Nina Putri Chou, Cheng-Chen Darmawati, Irma Darmawati, Irma Dharmansyah, Dhika Dian Anggraini Dian Angraenin Dian Priharja Putri Dina Amalia Dioso, Regidor III Diwa Agus Sudrajat Djatmiko, Wisnu Elfira Elfira, Elfira Eva Supriatin, Eva Fauzi, Deni Hamdan Gilang Dwi Pratiwi Hadiyani, Wini Hadiyani, Wini Hendra, Agus Hendra, Agus Heni Purnama Herdiman, Herdiman Iyus Yosep Juliasry, Dheani Juniarni, Lia Ko, Nai Ying Ko, Wen Chien Koa, Apriyadno Jose Al Freadman Koa, Apryadno Jose Al Freadman Krisna Yetti Kusuma, Murti Lai, Yiin Lia Idealistiana Lilis Suryani Lilis Suryani Linda, Silvana Evi Lucya, Vita Mutiar, Astri Novita Novita Noviyanti, Winia Nugraha, Ananditha Zahra Nunung Nurhayati Nuramalia, Risna Nurdina, Gina Octaviani, Putri Hilda Permana, Bhakti Purnama, Heni Putri, Anisa Dwi Rahma, Ashila RAHMAN, DIAN Rahmani, Hardiyanti Rahmawati, Mega Nur Retno Lestari Rif'an, Muhammad Rosita, Eda Roswendi, Achmad Setya Salsabila, Alfina Sanria, Ariel Sansuwito, Tukimin bin Srinatania, Dewi Sudrajat, Diwa Agus Sukarya, Doni Susri Utami, Susri Taryudi, Taryudi Triantika, Triantika Tuti Yanuarti Vita Lucya Wang, Chi-Jane Wang, Jung-Der Wijaya, Silman Silman Juwana Zulfikar, Fikri