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All Journal Nurse Media Journal of Nursing Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Kesehatan Medika Saintika Jurnal Hilirisasi IPTEKS (JHI) Buletin Ilmiah Nagari Membangun Menara Ilmu Jurnal 'Aisyiyah Medika Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Indonesian Journal of Global Health research Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Asian Journal of Healthcare Analytics NERS Jurnal Keperawatan
Siti Yuli Harni
Fakultas Keperawatan Universitas Andalas
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STUDI KASUS: GAMBARAN KESIAPSIAGAAN REMAJA MENGHADAPI GEMPA BUMI DAN TSUNAMI Deswita, Deswita; Yuliharni, Siti; Efniyati, Nafhania Nur
Jurnal 'Aisyiyah Medika Vol 8, No 2: Agustus 2023 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v8i2.1112

Abstract

Latar Belakang: Kesiapsiagaan merupakan upaya yang dilakukan untuk mengantisipasi kemungkinan terjadinya bencana untuk menghindari jatuhnya korban jiwa. Seluruh masyarakat dapat dilibatkan mengenai upaya kesiapsiagaan bencana, salah satunya adalah kelompok remaja yang dapat meningkatkan upaya kesiapsiagaan dalam menghadapi ancaman kematian disaat terjadinya bencana. Upaya yang dilakukan dan sikap kesiapsiagaan harus ditanamkan untuk meminimalisirkan dampak yang ditimbulkan. Tujuan: penelitian ini adalah untuk mengeksplorasi gambaran kesiapsiagaan remaja menghadapi gempa bumi dan tsunami di wilayah rawan bencana RW 11 Kelurahan Pasie Nan Tigo. Metode: Penelitian ini dilakukan dengan metode penelitian kualitatif dengan 4 (empat) orang partisipan. Kriteria inklusi partisipan pada penelitian ini adalah remaja yang tinggal di RW 11 Kelurahan Pasie Nan Tigo. Waktu penelitian selama bulan Juni 2022. Teknik pengumpulan data menggunakan wawancara mendalam, observasi dan studi dokumentasi. Analisis data kualitatif dengan teori Streubert & Carpenter. Hasil:  penelitian didapatkan 2 tema yang menggambarkan kesiapsiagaan remaja dalam  menghadapi gempa bumi dan tsunami, yaitu pengalaman kesiapsiagaan bencana gempa bumi dan tsunami dan rencana tanggap darurat. Saran: perlu partisipasi keluarga untuk meningkatkan kesiapsiagaan rencana tanggap darurat remaja dengan membuat perencanaan dan kesepakatan untuk meningkatkan kesiapsiagaan dengan cara lebih sering mengikutsertakan remaja dalam pelatihan kesiapsiagaan di daerah tempat tinggal.Kata kunci: Kesiapsiagaan Bencana, Remaja, Gempa Bumi, Tsunami
Determinan Faktor dari Gangguan Fungsi Kognitif pada Lansia Yuliharni, Siti; Jamil, Mohd; Wenny, Bunga Permata; Fitriani, Sukmah; Berlian, Rima; Putri, Putri; Nurleny, Nurleny
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3162

Abstract

Proses menua mengakibatkan konsekuensi penurunan fungsi pada lansia, salah satunya penurunan fungsi kognitif, sehingga lansia berisiko mengalami demensia. Gangguan fungsi kognitif akan memberi dampak pada kemandirian lansia, dan penurunan kualitas hidup. Gangguan fungsi kognitif pada lansia dapat disebabkan banyak faktor. Penelitian ini bertujuan yaitu untuk melihat hubungan antara faktor-faktor dengan gangguan fungsi kognitif. Jenis penelitian menggunakan pendekatan cross sectional. Sampel penelitian ini berjumlah 101 orang lansia menggunakan teknik convenience sampling. Pengumpulan data menggunakan instrument MMSE, PASE, Tensimeter, dan kuesioner data usia dan perilaku merokok. Data dianalisis menggunakan uji Chi-Square. Terdapat hubungan yang bermakna pada usia (p value < 0,022), hipertensi (p value < 0,010), aktivitas fisik (p value < 0,000) dengan gangguan fungsi kognitif, serta tidak terdapat hubungan yang bermakna antara perilaku merokok dengan gangguan fungsi kognitif. Intervensi terkait pengontrolan tekanan darah dan aktivitas fisik perlu ditingkatkan untuk menghambat terjadinya gangguan fungsi kognitif pada lansia.
"Pengaruh Psychological Well-Being terhadap Tingkat Kesepian pada Lansia: Sebuah Studi Kuantitatif" wenny, bunga permata; Zulfiana, Lilis; Agoes, Gusti Sumarsih; Adelirandy, Okky; Mahathir, Mahathir; yuliharni, Siti
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3194

Abstract

Usia lansia banyak mengalami proses perubahan diantaranya adalah perubahan mental dan psikologis. Kesepian merupakan gangguan psikologis yang paling sering terjadi pada lansia yang dipengaruhi oleh beberapa faktor, salah satunya psychological well being. Penelitian ini bertujuan untuk menentukan hubungan psychological well being dengan kesepian pada lansia di wilayah kerja Puskesmas Lubuk Buaya Kota Padang. Desain penelitian adalah correlation dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah lansia yang berada di wilayah kerja Puskesmas Lubuk Buaya sebanyak 148 orang lansia. Pengumpulan data menggunakan kuesioner PWBS (Psychological well being scale) untuk mengukur psychological well being dan DJGLS (de Jong Giervield Loneliness Scale) untuk mengukur tingkat kesepian. Analisa data menggunakan uji Spearman rank. Hasil penelitian menunjukkan bahwa nilai tengah Psycological well being  adalah 75,50 dan Kesepian 5,00. Terdapat hubungan yang signifikan antara psychological well being dengan kesepian p-value 0,000 (α < 0,05) pada lansia dengan arah negatif (r=-763) dan kekuatan korelasi kuat. Pengaruh psychological well being terhadap kesepian sebesar 58,2%. Diharapkan bagi perawat sebaiknya mendorong lansia menjadi aktif dalam mengikuti kegiatan, sehingga dapat meningkatkan psychological well being dan mengurangi perasaan kesepian yang di alami lansia. 
The Impact of Aerobic Exercise and Cognitive Stimulation on Cognitive Function in the Elderly Reci, Aula; Sabri, Rika; Yuliharni, Siti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6924

Abstract

The world's population, including Indonesia, is currently undergoing an aging process, characterized by an increase in the number and proportion of elderly individuals. The aging process leads to changes in physical health, sleep patterns, psychosocial well-being, and cognitive function in the elderly. Cognitive impairment poses a serious problem for older adults due to its physical, psychological, social, and economic impacts. Effective interventions can provide holistic support to elderly individuals with cognitive impairment, helping them to live better and more meaningful lives. This research aims to analyze the influence of aerobic exercise and cognitive stimulation on the improvement of cognitive function in the elderly. The research method used was an experimental study with a one-group pretest-posttest design. The sample was selected using a purposive sampling technique. The study sample consisted of 34 elderly individuals who met the inclusion criteria. The research instrument used the Mini Mental State Examination (MMSE) to measure the cognitive level of the elderly participant. Data were processed using SPSS and analyzed using the Wilcoxon Signed Rank Test.The results of the Wilcoxon signed-rank test showed that the average score of cognitive function experienced a significant increase between before and after the intervention, with a p-value of 0.000. Based on the findings of this study, aerobic exercise and cognitive stimulation have a positive influence on the improvement of cognitive function in the elderly.
An Overview of Diabetes Mellitus Patients Imansyah, Rw Faiz Rifqi; Rahayuningsih, Atih; Yuliharni, Siti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.7050

Abstract

Dietary compliance among patients with type 2 diabetes mellitus (T2DM) is a crucial aspect of disease management, yet many patients in rural areas, including the Pengarayan Health Center service area in Ogan Komering Ilir Regency, still exhibit low adherence. Several factors such as knowledge, education level, family support, and healthcare worker involvement are suspected to influence this behavior. Objective to provide an overview of the levels of knowledge, family support, healthcare worker support, and dietary compliance among T2DM patients in the working area of Pengarayan Health Center, Tanjung Lubuk Subdistrict. This was a quantitative descriptive study using a cross-sectional design. Total sampling was applied to 125 T2DM patients registered in the health center area. Data were collected using validated and reliable questionnaires measuring knowledge, family support, healthcare worker support, and dietary compliance. The study found that 63.2% of patients had low knowledge, 51.2% received good family support, and 64.0% reported support from health workers. Dietary compliance was found in 50.4% of respondents. Educational attainment showed a strong relationship with compliance, where those with higher education levels were more adherent to dietary recommendations. Knowledge level and family support play a vital role in dietary compliance among T2DM patients. Strengthening education and involving family and healthcare professionals more actively could significantly improve adherence to dietary guidelines and better disease control outcomes.
Strengthening Adolescent Mental Health Through School-Based Preventive Education and Coping Strategies at SMKN 1 Lembah Gumanti Mahathir, Mahathir; Wenny, Bunga Permata; Banowo, Agus Sri; Yuliharni, Siti; Sumarsih, Gusti; Jamil, Mohd; Yeni, Fitra; Sabri, Rika; Adelirandy, Okky
Warta Pengabdian Andalas Vol 32 No 3 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.3.380-389.2025

Abstract

Adolescence is a critical developmental stage marked by physical, psychological, emotional, and social transitions that increase vulnerability to mental health challenges. Internal and external stressors such as academic pressure, peer relationships, and the school environment can heighten the risk of psychological distress. This community service program was conducted on 28 May 2025 at SMKN 1 Lembah Gumanti, Solok, West Sumatra, through collaboration between the Faculty of Nursing, Universitas Andalas, and the school community. The program aimed to increase awareness of adolescent mental health and promote preventive strategies through school-based education. The intervention was delivered in three phases: (1) screening and problem assessment using the SRQ-29, (2) educational sessions, and (3) stress management workshops. A total of 196 Grade XI students participated. Pre-test and post-test results demonstrated measurable improvements in knowledge of adolescent mental health (Mean pre-test = 7.69, SD = 1.89; Mean post-test = 8.49, SD = 1.91). Students also reported increased awareness of internal (resilience, emotional regulation, mindfulness) and external (peer support, school environment) factors influencing mental health, as well as confidence in applying stress management techniques. These findings underscore the importance of school-based interventions in raising awareness, strengthening coping skills, and preventing mental health problems among adolescents. Future programs may expand by incorporating peer-support models such as student mental health ambassadors to ensure sustainability and long-term impact.
Key Predictors of Medication Adherence Among Pulmonary Tuberculosis Patients: A Cross-Sectional Study in Palembang, Indonesia Sarfika, Rika; Martini, Endang; Yuliharni, Siti; Saifudin, I Made Moh. Yanuar
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.70345

Abstract

Background: Medication adherence remains a critical challenge in tuberculosis (TB) control, particularly in Indonesia, which ranks second globally in TB incidence. While previous studies have examined adherence factors worldwide, limited research has simultaneously evaluated the combined influence of sociodemographic, clinical, and psychosocial determinants in Indonesian settings, particularly using validated Indonesian-language instruments.Purpose: This study aimed to identify and quantify key predictors of medication adherence among pulmonary TB patients in Palembang, Indonesia, with particular emphasis on sociodemographic factors, clinical variables, and psychosocial determinants.Methods: A cross-sectional analytical study was conducted involving 150 pulmonary TB patients recruited through consecutive sampling at five public healthcare centers in Palembang. Data were collected using validated instruments, including the 8-item Morisky Medication Adherence Scale (MMAS-8) for adherence, the Knowledge About Tuberculosis Questionnaire (KATUB-Q) for TB knowledge, a structured questionnaire for side effects, the Treatment Motivation Questionnaire, the Multidimensional Scale of Perceived Social Support (MSPSS), and the TB-related Stigma Scale. Statistical analyses included descriptive statistics, Chi-square tests, and ordinal logistic regression to evaluate relationships between variables and adherence levels.Results: Only 20% of participants demonstrated high adherence, while 50.7% exhibited low adherence. Significant predictors of adherence included early adulthood (OR = 0.061, 95% CI = 0.004–0.857, p = 0.038) and middle adulthood (OR = 0.052, 95% CI = 0.005–0.565, p = 0.015), indicating lower adherence compared to late elderly. Other predictors were poor TB knowledge (OR = 0.316, 95% CI = 0.154–0.650, p = 0.002), low motivation (OR = 0.244, 95% CI = 0.108–0.553, p < 0.001), limited family support (OR = 0.470, 95% CI = 0.232–0.952, p = 0.036), insufficient healthcare worker support (OR = 0.349, 95% CI = 0.204–0.840, p = 0.015), and the presence of drug side effects (OR = 5.294, 95% CI = 2.134–13.126, p < 0.001). Younger adults showed lower adherence rates compared to older populations, while patients with better knowledge and stronger support systems demonstrated higher adherence.Conclusion: Key predictors of medication adherence were age, TB knowledge, motivation, family support, healthcare worker support, and drug side effects. Younger patients, those with poor knowledge, low motivation, weak support systems, and severe side effects demonstrated significantly lower adherence rates. These findings highlight the need for targeted, multifactorial interventions to improve TB treatment outcomes in Indonesia.
Gambaran Tingkat Kepatuhan Pengobatan Pasien TB Paru: Overview of Treatment Adherence Level of Pulmonary TB Patients Endang Martini; Rika Sarfika; Siti Yuliharni
NERS Jurnal Keperawatan Vol. 20 No. 2 (2024): NJK Volume 20, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v20i2.63

Abstract

Adherence to tuberculosis (TB) treatment is crucial for achieving cure and preventing drug resistance. Low adherence can lead to treatment failure and increase the risk of infection transmission. Therefore, assessing medication adherence in TB patients is necessary to determine the extent to which patients follow prescribed treatment regimens. This study aims to identify the level of medication adherence among pulmonary TB patients in Kota Lahat. A descriptive analytic design was used in this study. The population consisted of pulmonary TB patients undergoing treatment at five public health centers (PHC) in Lahat City between July 26 and August 5, 2024. A non-probability total sampling technique was employed. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8). Of the total respondents, 51% showed low adherence, 29% moderate adherence, and 20% high adherence. Demographic characteristics revealed that the majority of respondents were male (64.7%), with the largest age group being pre-elderly (42.7%). Most respondents had a bachelor's degree (40.7%) and were employed (70.7%). More than half of the respondents (63.3%) were smokers, with a smoking history of ≥10 years. The level of medication adherence among pulmonary TB patients remains low. Collaborative efforts are needed to enhance education and support for patients to improve adherence, thereby increasing treatment success.
Willingness To Use HIV Self-Testing and Its Association with Sexual Behavior Stigma Among Men Who Have Sex with Men In Padang, Indonesia Mahathir; Latifah, Sarah; Djamil, Mohd.; Safitri, Kiki Hardiansyah; Wenny, Bunga Permata; Yuliharni, Siti; Banowo, Agus Sri; Lenggogeni, Devia Putri; Sarfika, Rika; Randy Refnandes; Windy Freska; Fitra Yeni; Winbaktianur; Putra, Niko Destri; Ni Ketut Lestari
NERS Jurnal Keperawatan Vol. 21 No. 2 (2025): NJK Volume 21, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i2.392

Abstract

The provision of HIV prevention programs targeting key populations, particularly men who have sex with men (MSM), has been expanding rapidly. HIV self-testing (HIVST) has emerged as an accessible and convenient method for individuals to determine their HIV status independently. However, its utilization remains suboptimal, one potential barrier is the fear of stigma related to sexual behavior experienced by MSM. This study aimed to examine the association between sexual behavior stigma and willingness to undertake HIV self-testing among MSM. A quantitative study with a cross-sectional design was conducted using a non-probability (accidental) sampling technique. The study included 83 MSM participants affiliated with non-profit organization in Padang City. Data collection was carried out from February to May 2025.Two instruments were employed: The Sexual Behavior Stigma (SBS) Scale to assess sexual behavior stigma and a structured questionnaire to measure willingness to perform HIV self-testing. Data were analyzed using Spearman’s rank correlation test. The results showed that the mean score of sexual behavior stigma was 4.15, while the mean score for willingness to undertake HIV self-testing was 0.458, indicating that 45.8% of respondents expressed willingness to perform HIVST. Statistical analysis revealed a significant correlation between sexual behavior stigma and willingness to undertake HIV self-testing (p = 0.000; r = 0.486; r² = 0.236). These findings suggest that higher levels of sexual behavior stigma are associated with lower willingness to perform HIV self-testing. Sexual behavior stigma will lower the success of achieving HIV eradication. It is crucial to reactivate stigma elimination programs to create a safe and supportive environment for MSM as key populations, enabling them to protect themselves from the risk of HIV transmission.
Co-Authors Adelirandy, Okky Agoes, Gusti Sumarsih Agus Sri Banowo Atih Rahayu Ningsih Atih Rahayu Ningsih Budi Mulyadi Chatarina Umbul Wahyuni Desriza Artika Sari Deswita Deswita Dewi Eka Putri Djamil, Mohd. Dwi Novrianda Efniyati, Nafhania Nur Endang Martini Erwina, Ira Fitra Yeni Freska, Windy Herma Desmillenia Bintari Lijang Imansyah, Rw Faiz Rifqi Jamil, Mohd Kiki Hardiansyah Safitri Kintan Resqitha Ekaputri Latifah, Sarah Lenggogeni, Devia Putri Mahathir Mahathir, Mahathir Maisa, Esthika Ariany Ni Ketut Lestari Nurleny, Nurleny Okky Adelirandy Okky Adelirandy Putra, Niko Destri Putri Putri, Putri Rahayuningsih, Atih Ramaita Reci, Aula Refnandes, Randy Rice Hernanda Rika Fatmadona Rika Sabri Rika Sarfika Rima Berlian, Rima Safitri, Kiki Hardiansyah Saifudin, I Made Moh. Yanuar Serly Berlian Serly Berlian Siti Mutia Kosassy Sovia Susianty Sukmah Fitriani Sumarsih, Gusti T. Ramadhani T. Ramadhani Wenny, Bunga Permata Winbaktianur Yeni, Fitra Zulfiana, Lilis