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All Journal JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Maternity Care and Reproductive Health Jurnal PORKES Jurnal Kesehatan Tambusai Proceeding ISETH (International Summit on Science, Technology, and Humanity) Medical-Surgical Journal of Nursing Research Jurnal Keperawatan PPNI Jawa Barat Jurnal Abdimas Sains
Perdani, Agni Laili
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Computer Science & IT Dentistry Education Engineering Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Effectiveness of Ergonomic Training in Reducing Musculoskeletal Disorders Among Farmers: An Agricultural Nursing Program Wardany, Nadia Sintia; Rohaedi, Slamet; Darmawati, Irma; Wahdini, Ridha; Perdani, Agni Laili
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.v11i4.973

Abstract

Background : Musculoskeletal disorders (MSDs) represent a major occupational health concern among agricultural workers in Indonesia. These conditions commonly arise from repetitive workloads, awkward or non-ergonomic body positions, and insufficient understanding of ergonomic practices. As a result, farmers may experience ongoing discomfort, reduced work capacity, and a decline in overall well-being. Objective : The purpose of this study was to assess the effectiveness of an Ergonomics Exercise Program (EEP) in alleviating musculoskeletal complaints among farmers. Methods : This study applied a pre- and post-intervention design involving 85 farmers. Symptoms related to musculoskeletal disorders were evaluated before and after the intervention using the Visual Analog Scale (VAS) and the Nordic Body Map (NBM). The Ergonomics Exercise Program was carried out over a two-week period, with participants performing 10-minute exercise sessions each day prior to starting work. The intervention focused on flexibility training, strengthening of core muscles, and correction of working posture. Changes in MSD symptoms were analyzed statistically to determine the effect of the program. Results : Before the intervention, 54% of participants reported mild pain, while 46% experienced moderate pain levels. The most commonly affected body areas included the calves (62.3%), lower back (45.8%), arms (40%), and shoulders (28.2%). Following the implementation of the Ergonomics Exercise Program, a statistically significant reduction in musculoskeletal complaints was observed (p < 0.05), particularly in the lower back, shoulders, and calves. Conclusion : The findings indicate that the Ergonomics Exercise Program effectively reduced musculoskeletal disorder symptoms among farmers. Incorporating ergonomics-based exercise routines into agricultural nursing and occupational health initiatives may offer a practical and sustainable approach to improving worker health and preventing MSDs in rural farming populations in Indonesia.
Mothers' Sensitivity To Their Infants' Needs: An Exploration Of Influencing Factors In The First Six Months Srinatania, Dewi; Desiani, Bela; Perdani, Agni Laili; Hendra, Agus
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.58

Abstract

Background: Childhood 0-6 months is a crucial time period in human development. Data on developmental delays in West Java in 2024 show that around 30% of children in West Java experience developmental delays, with around 80% due to lack of stimulation. Stunting, which is a form of development delay, is also targeted to decrease significantly in West Java, from 21.7% to 14-15% in 2024. The relationship between mother and child is a context of maternal sensitivity. A sensitive mother will respond quickly and appropriately to the needs of the child, provide warm attention, and create a strong emotional bond between mother and child which is an important foundation for the child's future social and emotional development. Objective: to find out what factors can influence maternal sensitivity in babies aged 0-6 months. Method: this research uses quantitative research methods,With a total sample of 113 respondents, the sampling technique in this study used a non-probability sampling technique and the criteria for respondents were mothers who had babies aged 0-6 months using the NACTS (Nursing Child Assessment Teaching Scale) questionnaire. The CVI of maternal sensitivity scale ranged between 0.80 to 1.00. After reviewing the items (N = 36), the S-CVI was 0.87 for clarity and the S-CVI was 0.9 Results: The results show a p-value <0.05 for the variables number of children and family income. From this, it can be concluded that the factors that influence maternal sensitivity are these two variables. Conclusion: Of the several factors that influence maternal sensitivity, namely the number of children and family income are the most influential.
EFEKTIVITAS LATIHAN ERGONOMI TERHADAP KUALITAS TIDUR PETANI: INTERVENSI BERBASIS KOMUNITAS Wahdini, Ridha; Wardany, Nadia Sintia; Perdani, Agni Laili; Darmawati, Irma; Rohaedi , Slamet
Jurnal Porkes Vol 9 No 1 (2026): Maret: Article in Progress
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/porkes.v9i1.32698

Abstract

The problem in this study is that farmers are at high risk of musculoskeletal disorders due to non-ergonomic work postures, which have an impact on poor sleep quality. Community-based non-pharmacological interventions to address this problem in the Indonesian farming population are still very limited. This study aims to evaluate the effect of a community-based ergonomic exercise program on improving sleep quality among farmers. The method used in this study is a one-group pretest-posttest quasi-experimental design without a control group. A total of 85 farmers were selected using purposive sampling in West Bandung Regency. The intervention consisted of ergonomic exercises (stretching, core muscle strengthening, relaxation) for 10-15 minutes per session, 5 times a week, for 2 weeks. Sleep quality was measured using the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in the global PSQI score from 12.92 (SD=4.71) to 11.61 (SD=4.29) with a mean difference of -1.31 (95% CI: -1.89 to -0.73; p<0.001). The effect size was in the moderate category (r=0.359). The proportion of respondents with good sleep quality increased from 9.4% to 22.4%. The discussion in this study is that ergonomic exercises are associated with improved sleep quality through muscle tension reduction, autonomic nervous system modulation, and increased postural awareness. These findings are consistent with previous studies in working populations. However, the absence of a control group limits causal conclusions. In conclusion, community-based ergonomic exercise programs show potential as a feasible and acceptable promotive-preventive intervention to improve sleep quality among farmers. Further research with an RCT design and longer duration is needed to confirm causal effectiveness.
Hemodialysis Adherence and Quality of Life Among Patients with Chronic Kidney Disease in Indonesia: A Cross-Sectional Study Alfiani, Desi Rusiana; Agustin, Ema; Haryati, Fransiska; Permaini, Titi; Rodiyanah, Rodiyanah; Perdani, Agni Laili
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): 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.v12i1.989

Abstract

Background: Chronic kidney disease requires long-term hemodialysis, yet adherence to treatment remains a persistent challenge that may influence patient-reported outcomes. Objective: This study aimed to examine the relationship between hemodialysis adherence and quality of life among patients with chronic kidney disease in Indonesia. Methods: A cross-sectional study was conducted from January to February 2025 in a public hospital. Fifty-two patients undergoing maintenance hemodialysis were recruited using convenience sampling. Adherence was assessed through medical record review, including session attendance and completion. Quality of life was measured using the Kidney Disease Quality of Life Short Form-36 (KDQOL-SF36). Data were analyzed using Pearson’s correlation and linear regression. Results: The mean quality of life score was 67.06 ± 9.82. Hemodialysis adherence was positively correlated with overall quality of life (r = 0.36, p = 0.05). Higher adherence was particularly associated with symptom-related and disease impact domains. Regression analysis indicated that adherence significantly predicted quality of life with (β = 0.20, p < 0.05, R² = 0.04), indicating that adherence explained 4% of the variance in quality of life scores Conclusion: Adherence to hemodialysis is significantly associated with better quality of life among patients with chronic kidney disease. These findings highlight the importance of adherence monitoring and patient-centered interventions in hemodialysis care.
Socioeconomic, Spatial, and Infrastructural Determinants of Health among Single Older Women: A Descriptive Analysis Bratanegara, Alnidi Safarach; Pitoyo, Agus Joko; Widayani, Prima; Hizbaron, Dyah Rahmawati; Perdani, Agni Laili; Koa, Apryadno Jose Al Freadman
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.90434

Abstract

Introduction: The aging population presents significant global challenges, especially in developing countries such as Indonesia. In West Java Province, Tasikmalaya Regency has the highest number of single female elderly, a group more vulnerable to physical and social isolation, which affects their health status. Objective: This study aims to assess the health level of single female elderly in Tasikmalaya Regency using the Activity of Daily Living (ADL) instrument, and analyze the impact of socio-economic, spatial, and infrastructural factors on their health. Method: A mixed-method approach was applied, combining quantitative surveys using the Older Americans Resources and Services (OARS) ADL instrument with qualitative interviews. A total of 383 respondents were selected through cluster sampling across 39 subdistricts. Spatial analysis using GIS was employed to map health disparities by topography. Result: The findings show that most respondents fall within the “Good” and “Mildly Impaired” health categories, based on ADL scores. Elderly women in lowland areas have better ADL scores compared to those in hilly or mountainous regions due to better accessibility to healthcare facilities. The data also reveal that single elderly women are highly dependent in instrumental ADL activities such as medication management and financial handling, while they show higher independence in basic physical ADL tasks like eating, bathing, and dressing. Conclusion: The ADL instrument proves effective in evaluating the health status of elderly individuals and reflects their level of independence. Geographic and infrastructural factors play a critical role in shaping health outcomes, particularly in rural and topographically challenging areas. These results highlight the urgent need for inclusive health policies and long-term care strategies to address accessibility gaps for single elderly women in Indonesia.
Factors Determinants of Musculoskeletal Disorders among Nurses in Indonesia: Evidence from A Cross-Sectional Study Suryani, Lilis; Perdani, Agni Laili; Al Freadman Koa, Apryadno Jose
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.90721

Abstract

Introduction: Musculoskeletal disorders (MSDs) remain a significant occupational health issue among nurses, influenced by demographic factors, workload, stress, and ergonomic posture. Nurses are particularly vulnerable due to heavy physical demands, non-ergonomic postures, and psychosocial pressures. Objective: This study aimed to determine factors that contribute to MSDs among nurses in Indonesia. Methods: A quantitative descriptive design was employed with a convenience sampling method. Data were collected from nurses in a one-month period in September–October 2024.  Four validated instruments were used consisting of the Nordic Musculoskeletal Questionnaire (NMQ), the NASA Task Load Index (NASA-TLX), REBA (Rapid Entire Body Assessment)  and HSE (Health and Safety Executive). Health Data was analyzed using bivariate (ANOVA) with SPSS Version 25. Results: A total of 108 participants agreed to participate in this study. The majority of respondents were aged 26–45 years (67.6%), and most were female. Findings revealed a significant relationship between work burden, work stress, and work duration with MSDs. Conclusion: Factors contributing to MSDs among nurses are work burden, work stress and work duration with MSDs. Hospital management should implement workload evaluations, shift management, and ergonomic training, while the nursing profession should strengthen awareness of proper working postures, physical health maintenance, and stress management strategies.
The Effectiveness of Parent Education in Discharge-Symptom Management (PED-SM) on Parental Readiness to Care for Children with Cancer Ruriwinta, Ruriwinta; Perdani, Agni Laili; Calisanie, Nyayu Nina; P, Nyimas Heny; Apriliawati, Anita
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 1 (2024): Volume 10, Nomor 1, Juni 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i1.70310

Abstract

Introduction: Cancer in children is a life-threatening disease that has been steadily increasing over the past few decades. Parents are concerned about how to appropriately care for children due to the physical symptoms experienced by children with cancer. Objective: The purpose of this study was to determine the effect of Parent Education in Discharge Symptom Management (PED-SM) on parental readiness to care for children with cancer. Methods: This research utilized a quasi-experimental design with intervention and control groups, measured using a pre-post test design. Respondents in this study were parents of children aged 3 to 12 years newly diagnosed with cancer. A convenience sampling method was employed. The instrument used in this study was the I-PCS (Preparedness of Caregiving Scale-Indonesian) with a Cronbach's alpha of 0.73-0.78, where a Pearson's r 0.320 indicates validity. Results: A total of 58 respondents agreed to participate in this study. The mean age of parents was higher in the control group (39.48), while the mean age of children was lower (7.38). More than half of the children were boys with ALL/AML cancer types. Parents mostly worked full time, had education up to junior or senior high school, and had a monthly income of 4.9 million. There was a statistically significant difference after the intervention in both groups, with a p-value 0.005. However, the mean score after intervention (45.76 ± 5.81) was higher compared to the control group (32.34 ± 4.41). Employment showed a significant contribution of 6.52 to parental readiness among parents of children with cancer (β: 1.87, 95% CI: 1.29 – 32.97, p-value: 0.02). The intervention of PED-SM can be implemented by pediatric nurses in cancer units as one of educational tool aimed at reducing readmissions and enhancing the quality of life for children. Conclusion: The PED-SM module can serve as a reference for educating families of children newly diagnosed with cancer.
The Impact of Focus Group Discussion (FGD) And Video on Women Adult Knowledge, Attitudes, and Practices (KAP) of IVA Examination Permaini, Titi; Perdani, Agni Laili; Melisa, Septi; Muhaimin, Toha; Anwar, Syamsul; Basri, Achmad Ali
Jurnal Pendidikan Keperawatan Indonesia Vol 9, No 2 (2023): Volume 9, Nomor 2, Desember 2023
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v9i2.67687

Abstract

Introduction. The most common types of cancer among women adults are cervical cancer that can be prevented by doing IVA practice. One of the factors contributing to the low practice of women performing early detection through IVA is lack of knowledge. Action should be made to improve information through health promotion using various learning education combinations with technology and conventional methods with Focus Group Discussion (FGD) and creative videos. Objective. To explore the impact of innovative health education on women's adult knowledge, attitudes, and practice of IVA test examinations.  Method. This research uses a quantitative quasi-experimental with a group pre-test and post-test design and divided into two intervention groups.  Convenience sampling method was approached during two months of data collection from August-September 2023.  A structured instrument was used to measure knowledge, attitudes, and practice (KAP). Result. The pre-test showed average knowledge value before the intervention was 1.95 and attitude was 0.45 and after the intervention, it was 9.80 and attitude 0.95, respectively. The statistical result showed a significant difference with a value of 0.000 (0.05).  The practice of IVA test before was 5% and after the intervention was 90%.  The FGD and video educational methods influence knowledge, attitudes, and practice of IVA tests. Discussion. The FGD and video educational methods influence knowledge, attitudes, and practice of IVA tests. There is a need to develop other educational methods combination between FGD and video to increase IVA test information therefore it will influence women adult interest in carrying out IVA tests as an effort to detect cervical cancer early.
Needs Assessment for Ergonomic Patient Repositioning Device Among Bedridden Patients: A Literature Review Darmawati, Irma; Perdani, Agni Laili; Wahdini, Ridha; Wardany, Nadia Sintia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1017

Abstract

Background: Pressure ulcers remain a prevalent and preventable complication among bedridden patients, with manual repositioning every two hours established as the clinical standard of prevention. This practice places substantial physical demands on nurses and informal caregivers, contributing to high rates of work-related musculoskeletal disorders, including low back pain, among those performing repetitive turning tasks. Despite the availability of various assistive devices, most have been developed without systematic assessment of the combined needs of both patients and caregivers as dual users. Objective: This review aimed to identify clinical, ergonomic, and functional needs for a patient repositioning device among bedridden patients and their caregivers through synthesis of existing literature. Methods: A literature review was conducted using Scopus, PubMed, and EBSCO, covering publications from 2016 to 2024. Articles published in English addressing repositioning practices, assistive device design or evaluation, caregiver ergonomics, or pressure injury prevention in immobile patients were included. Studies unrelated to repositioning function or device ergonomics were excluded. Eight articles met the inclusion criteria and were included in the final synthesis. Results: Three primary need domains were consistently identified across the reviewed literature. First, bedridden patients require effective pressure redistribution to prevent tissue injury during prolonged immobility. Second, caregivers need a reduction in biomechanical workload during repositioning, particularly in lumbar and shoulder loading. Third, the device must offer usability features that enable safe, consistent positioning without requiring multiple personnel or specialized training. Current assistive devices inadequately address all three domains simultaneously, with most designs optimizing for one dimension at the expense of others. Conclusion: Bedridden patients and their caregivers present distinct yet interdependent needs that must be jointly addressed in ergonomic repositioning device development. A dual-user design framework integrating pressure redistribution, biomechanical efficiency, and practical usability represents a critical direction for future nursing research and device innovation.
Co-Authors Achmad Ali Basri Afianti Sulastri, Afianti Agus Joko Pitoyo Agustin, Ema Al Freadman Koa, Apryadno Jose Alfiani, Desi Rusiana Alnidi Safarach Bratanegara Andria Pragholapati Apriliawati, Anita Calisanie, Nyayu Nina Darmawati, Irma Darmawati, Irma Desiani, Bela Dewi Marfuah Dharmansyah, Dhika Farida Isroani Haryati, Fransiska Hendra, Agus Heriani, Winda Hizbaron, Dyah Rahmawati Intsani, Risma Tiara Koa, Apryadno Jose Al Freadman Lilis Suryani Lilis Suryani Lisna Anisa Fitriana, Lisna Anisa Masmulyadi Masmulyadi, Masmulyadi Melisa, Septi Mutiar, Astri P, Nyimas Heny Permaini, Titi Pratiwi, Maulinda Rizki Prima Widayani Rodiyanah, Rodiyanah Rohaedi , Slamet Ruriwinta, Ruriwinta Septian Andriyani, Septian Setiawan, Ivana Eugenia Slamet Rohaedi, Slamet Sri Sumartini Srinatania, Dewi Suci Tuty Putri, Suci Tuty Syamsul Anwar, Syamsul Tirta Adikusuma Suparto, Tirta Adikusuma Toha Muhaimin Upik Rahmi, Upik Wahdini, Ridha Wahyoe, Asih Purwandari Wardany, Nadia Sintia Wiguna, Melda Zahrani, Fadhila Aridinda