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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Bina Sehat Journal Of Nursing Practice Jurnal Ilmu Kesehatan Jurnal Kreativitas PKM Jurnal Ilmiah Keperawatan The Indonesian Journal of Health Science Open Access Health Scientific Journal Journal of Language and Health Journal of Applied Nursing and Health LEBAH Jurnal Lentera Journal of Scientific Research, Education, and Technology Health and Technology Journal (HTECHJ) Indonesian Health Literacy Journal (IHLJ) Holistik Jurnal Kesehatan Jurnal Ragam Pengabdian Journal Of Health Science Community Journal of Hospital Management and Services Strada Jurnal Ilmiah Kesehatan (SJIK) Journal for Research in Public Health Journal for Quality in Women's Health International Journal of Health Concord KREATIF: Jurnal Pengabdian Masyarakat Nusantara
Atik Setiawan Wahyuningsih
Universitas STRADA Indonesia
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Determinants of Oral Complications Among Diabetes Mellitus Patients at Industri Health Center Puspani, Desak Ketut Mahayati Tri; Wahyuningsih, Atik Setiawan; Astutik, Reni Yuli
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.635

Abstract

Diabetes mellitus (DM) increases patients’ susceptibility to various oral complications, including dental caries, periodontal disease, xerostomia, and oral candidiasis. This study aimed to examine the influence of demographic, clinical, behavioral, and oral health knowledge factors on the occurrence of oral complications among patients with DM, and to assess the potential mediating role of the Oral Hygiene Index-Simplified (OHI-S). An analytical observational study with a cross-sectional design was conducted involving 90 patients with DM selected through purposive sampling. Data analysis included Chi-square tests to assess bivariate associations (X→Y), Ordinary Least Squares (OLS) regression to evaluate the effects of independent variables on OHI-S scores (X→M), multivariate logistic regression to examine the association between OHI-S and oral complications (M→Y), and mediation analysis using OLS regression pathways. Most participants presented with moderate oral complications (54.44%), followed by mild (26.67%) and severe (18.89%) categories. Bivariate analysis revealed significant associations between oral health knowledge (χ² = 43.445; p < 0.001) and type of DM (χ² = 7.282; p = 0.026) with oral complications. OLS regression demonstrated that only oral health knowledge significantly influenced OHI-S scores (β = −0.392; p < 0.001). However, multivariate logistic regression indicated that OHI-S was not a significant predictor of oral complications (β = 0.0139; p = 0.957; OR = 1.014; 95% CI: 0.61–1.68). Furthermore, mediation analysis showed no significant indirect effects (all p > 0.95), indicating that OHI-S did not mediate the relationship between the studied determinants and oral complications. Oral complications among patients with DM in primary healthcare settings are multifactorial. While oral health knowledge and DM type were significant determinants at the bivariate level, OHI-S did not function as a significant predictor or mediator in the multivariate model.
Effectiveness of WhatsApp-Based Digital Health Education on Self-Care in Diabetes Mellitus Patients: A Quasi-Experimental Study Wahyuningsih, Atik Setiawan; Ulya, Siti Imroah Layinata
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.652

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic disorder requiring ongoing self-care behavior to prevent complications and improve quality of life. Patient compliance with self-care behavior is still suboptimal. A few facts about the effectiveness of digital health education on self-care behavior and the factors that influence it in primary health care. This study aims to determine the effectiveness of digital health education on Diabetes Mellitus self-care behavior and analyze the dominant factors in improving self-care behavior. Methods: Stage 1 with pre-experimental quantitative pretest-posttest on 106 respondents with informed consent and a simple random sampling technique from 150 Diabetes Mellitus patients. Structured digital health education for one month via WhatsApp. Self-care behavior with 13 items of the Summary of Diabetes Self-care behavior Activities (SDSCA) questionnaire was analyzed using a t-test. Stage 2, with associative quantitative methods, analyzing the effect of disease duration, gender, educational status, and previous educational exposure on self-care behavior; data were analyzed using multiple linear regression, starting with multicollinearity and heteroscedasticity tests. Results: Among the 106 participants, most had lived with diabetes mellitus for ≥5 years (88.7%), were female (71.7%), had completed primary to senior high school education (92.5%), and had never received previous diabetes health education (74.5%). The mean self-care behavior score increased significantly from 39.02 ± 7.96 before the intervention to 46.66 ± 7.60 after the intervention (mean difference = 7.64; t = 11.36; p < 0.001). Multiple linear regression demonstrated that the overall model was significant (F = 5.240, p = 0.001), explaining 17.2% of the variance in self-care behavior improvement. Previous diabetes health education (β = 0.412, p < 0.001) and educational status (β = −0.313, p = 0.002) were significant predictors, whereas duration of illness and gender were not significantly associated with the outcome. Conclusion: WhatsApp-based digital health education effectively improved self-care behavior among patients with diabetes mellitus. Previous diabetes health education and educational status were significant factors associated with greater improvements in self-care behavior. Integrating this digital education approach into routine diabetes management programs at community health centers may enhance patient engagement and support long-term self-care
Rewards, Workload, Work Stress, and Hospital Employee Performance: A Systematic Review Fitriawati, Julin Dwi; Wardani, Ratna; Prasetyo, Joko; Indasah, Indasah; Wahyuningsih, Atik Setiawan
International Journal of Health Concord Vol. 2 No. 1 (2026): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v21.31

Abstract

Background: Hospital employees operate in complex work environments where organizational rewards, workload, and work stress may influence job performance and ultimately affect healthcare quality and patient safety. Although these factors have been widely investigated, the evidence remains fragmented and context-specific. This systematic review synthesizes current evidence on the relationships between rewards, workload, work stress, and hospital employee performance. Methods: A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were performed in PubMed, Scopus, and Google Scholar using predefined keywords related to rewards, workload, work stress, employee performance, and hospitals. Quantitative studies involving hospital employees that examined at least one of the three organizational factors and reported employee performance outcomes were included. Twenty-six studies met the eligibility criteria and were narratively synthesized. Result: All included studies employed cross-sectional designs and were conducted in Indonesia, with nurses representing the predominant study population. The evidence consistently indicated that higher workload and work stress were associated with poorer employee performance. Most studies also reported that rewards, particularly financial compensation and incentive systems, were positively associated with employee performance through enhanced motivation and job satisfaction. However, one study found no significant association. Variability in reward-related findings appeared to reflect differences in organizational context and reward system implementation. Conclusion: Rewards, workload, and work stress are key organizational factors associated with hospital employee performance in Indonesia. Optimizing workload distribution, implementing fair and transparent reward systems, and strengthening workplace stress management may contribute to improved workforce performance and service quality. Given that all included studies were conducted in Indonesia and used cross-sectional designs, further longitudinal and multinational research is needed to strengthen the evidence base and improve the generalizability of these findings.
Characteristics of Primary Health Care Facilities (FKTP) That Influence the Adoption of Online Appointment Scheduling via the National Health Insurance Mobile App (MJKN) in Blitar and Nganjuk Regencies Salsabiila Tita Fauziyah; Yuly Peristiowati; Ratna Wardani; Atik Setiawan; Novita Ana Anggraini
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/15bjnw54

Abstract

The National Health Insurance (Jaminan Kesehatan Nasional/JKN) program administered by BPJS Kesehatan has covered 278.1 million participants, representing 98.45% of Indonesia’s population. The increasing number of participants has consequently led to longer waiting times at primary healthcare facilities (Fasilitas Kesehatan Tingkat Pertama/FKTP). To address this issue, BPJS Kesehatan introduced the online queue feature through the Mobile JKN (MJKN) application in 2018. However, the utilization rate of the online queue system in Blitar Regency (10.65%) and Nganjuk Regency (12.28%) remains below the national target of 18%. This study aimed to analyze the influence of FKTP facility characteristics, including ownership status, facility type, and service type, on the adoption of the MJKN online queue system in Blitar and Nganjuk Regencies. This study employed a quantitative approach with a cross-sectional design. The population consisted of 133 FKTP, of which 103 facilities were selected using proportional random sampling. Secondary data were obtained from the Health Facilities Information System (HFIS) and the BPJS Kesehatan Business Intelligence Dashboard. Data were analyzed using binary logistic regression. The results showed that the type of FKTP significantly influenced the utilization of the MJKN online queue system (p=0.044; OR=14.786). In contrast, FKTP ownership (p=0.396; OR=3.702) and service type (p=0.550; OR=1.966) did not significantly affect online queue utilization. In conclusion, the type of FKTP plays a significant role in determining the achievement of MJKN online queue utilization, whereas ownership and service type do not. Therefore, FKTP and BPJS Kesehatan should formulate targeted strategies and prioritize optimization efforts based on FKTP characteristics to improve the adoption of the MJKN online queue system. Further studies are also recommended to examine individual-level determinants among MJKN application users.
Pengaruh Pelaksanaan Kegiatan TPK (Tim Pendamping Keluarga) Terhadap Sikap dan Perilaku Pencegahan Stunting pada Keluarga Balita Berisiko Stunting di Kecamatan Dungkek Kabupaten Sumenep Fendi, Yuskinau; Wahyuningsih, Atik Setiawan; Kusumawati, Prima Dewi
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/5g6gcs31

Abstract

Stunting remains a major public health problem in Indonesia affecting the quality of human resources. Although the Family Assistance Team (TPK) has actively implemented assistance programs in Dungkek District, stunting cases continue to fluctuate. This study examined the effect of TPK implementation on attitudes and stunting prevention behaviors among families with under five children at risk of stunting. This quantitative cross-sectional study included 148 families with under-five children at risk of stunting selected by proportional random sampling. Data were collected using a structured questionnaire and analyzed with Partial Least Squares–Structural Equation Modeling (PLS-SEM) using SmartPLS 4. TPK implementation had a positive and significant effect on stunting prevention behavior (β = 0.139; t = 2.171; p = 0.030) and stunting prevention attitude (β = 0.629; t = 12.944; p < 0.001). Attitude also positively affected stunting prevention behavior (β = 0.720; t = 10.603; p < 0.001) and significantly mediated the relationship between TPK implementation and behavior (β = 0.453; t = 8.374; p < 0.001). TPK implementation improved family attitudes, which subsequently promoted better stunting prevention behaviors. The indirect effect through attitude exceeded the direct effect, indicating that attitude is a key mediating variable. Strengthening TPK through health education, nutrition counseling, growth monitoring, and continuous family assistance is expected to promote sustainable stunting prevention behaviors and accelerate stunting reduction in Dungkek District.
Co-Authors Agusta Dian Ellina Agustin Widyowati Agustinus Bali Matkusa Alfian Fawzi Alfian Fawzi Amin Zakaria Anik Nuridayanti Astri Yunita Astutik, Ina Byba Melda Suhita Candra Wahyuni Cindy Linggar Fitrianingrum Dedi Saifulah Detri Yulianty Tobe Dwi Rahayu Erni Rahmawati Erva Elli Kristanti Esmenia Maria Rodrigues Soares Eva Agustina Fendi, Yuskinau Fita Fitarusdian Fitra Okta Damayanti Fitria Nusantara, Ana Fitriawati, Julin Dwi Heri Saputro Ina Astutik Indasah Indasah Joel Rey Ugsang ACOB Joko Prasetyo Kase, Siti Meltiana Kristoforus Tnomel Lastareta, Rinay Linda Sukoco Mafalda Guterres De Carvalho Mafalda Guterres De Carvalho Mardova, Adelia Maria Putri Sari Utami Matkusa, Agustinus Bali NENY TRIANA Novita Ana Anggraini Novita Kurnia Sari Nurdina Nurdina Nuridayanti, Anik Nurmayunita, Heny Nuryeny H Oktaviana, Santi Prayoga Kurniawan Prima Dewi Kusumawati Puspani, Desak Ketut Mahayati Tri Rahmawati, Septi Dwi Rahmawati, Septi Dwi Ratna Wardani Renaldy Anggi Agastya Reni Nurhidayah Reni Yuli Astutik Reni Yuli Astutik Restiya Agustin, Erda Rinay Lastareta Salmia Salsabiila Tita Fauziyah Sandu Siyoto Sandu Siyoto, Sandu Santi Oktaviana Santi Oktaviana Santika, I Made Sari, Novita Kurnia Siti Meltiana Kase Siti Rofiatun Sugiharto, Mochamad Toto Sukoco, Linda Sutik Sutrisno Sutrisno Tamimi, Toriq Titih Huriah Titih Huriah Tobe, Detri Yulianty Ulya, Siti Imroah Layinata Utami, Maria Putri Sari Vitaria Wahyu Astuti Yalestyarini, Eva Agustina Yuan Mandira Wicaksana Yuli Peristiowati, Yuli Yulianti, Desak Made Yuly Peristiowati Yuni Asri Yuwono, Trisno