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All Journal Jurnal Kesehatan Masyarakat Jurnal NERS Jurnal Ilmiah Keperawatan Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Untuk Masyarakat Sehat (JUKMAS) Jurnal Pelayanan dan Pengabdian Kesehatan untuk Masyarakat Journal of Ageing And Family Jurnal Psikologi Atribusi: Jurnal Pengabdian Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nugraha, Susiana
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Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Factors Associated with Caregivers' Concern in Maintaining the Oral Function of Elderly Living in Long-Term Care Facilities Nugraha, Susiana; Rahardjo, Tri Budi Wahyuni; Higashijima, Misako; Hirano, Yuko
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

This study investigated the attentiveness of elderly caregivers in long-term care facilities in maintaining oral function. A cross-sectional approach was used to achieve the study's purpose. The sample size formula accounted for 213 caregivers randomly selected from 18 long-term care facilities in 4 provinces. A self-reported questionnaire of sociodemographic characteristics and an adapted Leopold’s oral care checklist was distributed. The average age of study participants was 35.24 (±11.2 SD; aged 18–70 years), dominated by females (62.9%), and only 39% had experienced long-term care training. Multiple linear regression analysis indicated that younger caregivers likely pay more attention in the swallowing periods (β = -.182), females pay more attention in meal preparation (β = .146), and environmental observation (β = -. 238). Caregivers working in public long-term care facilities and having longer working experience paid more attention in environmental observation (β = .172) and (β = -.161), while training experience showed a significant association with feeding and swallowing periods (β = .291) and (β = .211). This study highlights the importance of training programs for care capacity, particularly oral care.
Factors of Anxiety Symptoms Due to Large-Scale Social Restriction Policy During the COVID-19 Pandemic in Indonesia Susilowati, Indri Hapsari; Alimoeso, Sudibyo; Nugraha, Susiana; Hasiholan, Bonardo Prayogo; Simanjuntak, Magda Sabrina Theofany; Satria, Nur Rachmat
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part in the survey, 847 completed all the answers. The findings revealed that 42% of participants experienced feelings of nervousness, anxiety, or agitation, and 42.5% became easily agitated during the COVID-19 pandemic. Nonetheless, 81.7% of those surveyed reported being able to manage their concerns, and 80.7% had good time management during the COVID-19 pandemic. Descriptive analysis showed that sex, residence, marital status, number of children, occupational status, being infected by COVID-19, health concern, and time management had a relationship with anxiety symptoms.
The Change in Mental Health Status of Indonesian Health Care Migrant Worker in Japan Nugraha, Susiana; Hirano, Yuko; Sumihisha, Honda
Kesmas Vol. 12, No. 2
Publisher : UI Scholars Hub

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Under the Japan – Indonesia Economic Partnership Agreement, more than 1,000 of Indonesian health care workers have migrated to Japan. Social adjustment during the process of migration is linked to mental health changes. This study aimed to figure out the strongest predictor that influences the change in mental health status as a result of migration. Baseline data were collected in Jakarta in 2013 during pre-departure orientation. Follow-up study was conducted one year after the study participants migrated to Japan in 2014. Using longitudinal design, this study employed 92 participants consisting of nurse and certified care worker candidates. The multiple linear regression analysis was conducted to figure out the predictors that influence the change in mental health status. The prediction model expected to explain 39.9% of the change in mental health status, p value < 0.01, while sex (b = 0.201, p value < 0.05), economic conditions in pre-migration (b = -0.200, p value < 0.05), and the socio cultural adaptation competency (b = -0.238, p value < 0.05). This finding assumed that female candidates and those who have economic constraint in pre-migration stage, and those who have declining in socio-cultural adaptation competency tend to have lower mental health one year after the migration.
Hubungan Peran Tenaga Kesehatan, Orang Tua dan Teman Sebaya dengan Kejadian Kehamilan Dini pada Remaja di Wilayah Kerja Puskesmas Tanjung Puri Kalimantan Barat Tahun 2023 Harahap, Tia Septianta; Nugraha, Susiana; Agustina, Santi
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 7, No 2 (2023): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v7i2.3458

Abstract

Adolescence is a period of rapid growth and development, both physically and spiritually and intellectually. Teenage pregnancy can have an effect on women's reproductive and sexual health. The purpose of this study was to determine the relationship between the role of health workers, parents and peers with the incidence of early pregnancy in adolescents at the Tanjung Puri Health Center, West Kalimantan. The research method used a case control approach. The research site was at the Tanjung Puri Health Center in West Kalimantan and was conducted in May 2023. The independent variables are the role of health workers, the role of parents and the role of peers. The dependent variable is the incidence of early pregnancy. The sample was selected by purposive sampling with the number of respondents 1: 1, namely 65 adolescents experiencing early pregnancy and 65 adolescents not experiencing early pregnancy. The research instrument used a questionnaire, which was valid and reliable. Research analysis with univariate, chi square test and logistic regression using SPSS software. Research ethics based on certificate Number: 259/SK.KEPK/UNR/V/2023 from Respati University Indonesia.The results showed that there was an association between the role of health workers (p=0.048), parents (p=0.001) and peers (p=0.017) with the incidence of early pregnancy in adolescents. The results of the analysis showed that the most influential variable on the incidence of early pregnancy in adolescents was the role of parents (p=0,001 dan Exp (B) =5,112). The conclusion is that there is a relationship between the role of health workers, parents and peers with the incidence of early pregnancy in adolescents. Research advice is an input for the development of adolescent health quality, especially in terms of reducing the incidence of early pregnancy. Keywords : health workers, parents, peers, early pregnancy
Analisis Faktor-Faktor Penyebab Burnout Di Rumah Sakit Karya Medika Bantar Gebang Bekasi Tahun 2024 Hanum, Nida Najibah; Ulfa, Laila; Nugraha, Susiana
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.7886

Abstract

Burnout merupakan keadaan kelelahan baik secara fisik, mental serta emosional. Tuntutan terhadap pelayanan kesehatan yang berkualitas perlu disikapi dengan peningkatan dari kualitas sumber daya manusia kesehatannya. Sumber daya manusia kesehatan yang mengalami burnout akan berdampak pada kinerja sehingga menurunkan kualitas pelayanan. Tujuan penelitian ini untuk mengidentifikasi hubungan faktor-faktor berupa usia, jenis kelamin, masa kerja, lama pendidikan, jenis pekerjaan, kepuasan kerja, kepuasan gaji serta gaya kepemimpinan terhadap burnout. Metode penelitian yang digunakan adalah kuantitatif analitik dengan desain cross-sectional. Populasi sebanyak 217 responden dengan sampel yang diperoleh sebanyak 165 responden. Instrumen penelitian menggunakan Maslach Burnout Inventory (MBI), Minnesota Satisfaction Questionnaire (MSQ), Pay Satisfaction Questionnaire (PSQ) dan Multifactor Leadership Questionnaire (MLQ) dengan alih bahasa menggunakan metode back translation. Analisis data menggunakan uji regresi logistik berganda. Hasil penelitian didapatkan bahwa 48.8% pekerja mengalami burnout derajat tinggi dan 51.2% mengalami burnout derajat rendah. Adapun faktor usia kurang dari 30 Tahun (59.3%), jenis kelamin laki-laki (47.9%), masa kerja lebih besar 2 tahun (47.1%), lama pendidikan lebih besar 15 tahun (46.5%), tenaga kesehatan (57.8%), kepuasan kerja tinggi (55.8%), kepuasan gaji tinggi (58.5%) dan gaya kepemimpinan efektif (59.5%) lebih tinggi mengalami burnout. Hasil analisis multivariat menunjukkan bahwa terdapat dua variabel yang paling berpengaruh terhadap burnout, yaitu usia lebih dari 30 tahun (p sama dengan 0.011, OR sama dengan 0.406) dan gaya kepemimpinan efektif (p sama dengan 0.031, OR sama dengan 0.400). Kesimpulan dari penelitian ini menunjukan bahwa faktor usia lebih dari 30 tahun dan gaya kepemimpinan efektif menjadi faktor protektif terjadinya burnout. Rumah sakit disarankan dapat mengimplementasikan program manajemen stres dan keseimbangan kerja-hidup serta memberikan pelatihan kepemimpinan yang efektif sehingga dapat menciptakan lingkungan kerja yang lebih sehat dan mengurangi terjadinya burnout.
Urban–Rural Disparities in Metabolic Risk Factors for Hypertension Among the Elderly in Indonesia Nugraha, Susiana; Wulandari, Puri
Kesmas Vol. 21, No. 1
Publisher : UI Scholars Hub

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Abstract

Hypertension remains a major public health challenge among the elderly in low- and middle-income countries. This cross-sectional study examined demographic and metabolic factors associated with hypertension among the elderly living in urban and rural areas of West and Central Java Provinces, Indonesia. This study included 1,920 adults aged ≥60 years who had resided in the study areas for at least six months, were able to communicate effectively, and provided informed consent. Data were collected between March and August 2023 using stratified multistage random sampling, structured questionnaires, and biochemical measurements. Multivariable logistic regression revealed distinct patterns of association across settings. In urban areas, hypertension was associated with older age (AOR =1.366; 95% CI: 1.043–1.789), female sex (AOR=1.681;95% CI: 1.198–2.359), central obesity based on waist circumference (AOR=2.031; 95% CI:1.477–2.793), and abnormal blood glucose levels (AOR=2.821; 95% CI: 1.754–4.536). In rural areas, hypertension was associated with older age (AOR=1.613; 95% CI: 1.228–2.119), lower education level (AOR=0.686; 95%CI:0.507–0.928), central obesity (AOR = 1.613; 95% CI: 1.204–2.161), and blood glucose levels (AOR=1.503; 95% CI: 0.978–2.310). These findings highlighted that while metabolic markers, such as waist circumference and blood glucose, were universal predictors, demographic factors, such as sex and education level, varied by environment. Consequently, public health interventions must adopt tailored, context-specific approaches to manage hypertension in urban and rural Indonesian communities effectively.
Co-Authors Agustin, Dinni Agustina, Lisna Agustina, Santi Alimoeso, Sudibyo Aprillia, Yuna Tricusi Aprillia, Yuna Trisuci aramashi, Koici dawiyah, Asyifa Robiatul Dicky Dicky Erik Saut H Hutahaean, Erik Saut H Febrieta, Ditta Handayani, Tresna Putri Asih Hanum, Nida Najibah Harahap, Tia Septianta Hasiholan, Bonardo Prayogo Higashijima, Misako Hirano, Yuko Indri Hapsari Susilowati Isabella, Karlina Lili Indrawati Lutfi A, M. Taufan Matsuo, Moemi Merida, Sarita Candra Nurminingsih, Nurminingsih Puri Wulandari, Puri Rozalinda Rozalinda Rr Tutik Sri Hariyati Simanjuntak, Magda Sabrina Theofany Soepadji, Mariyono Sulistyowati, Yeny Sumihisha, Honda Tri Budi Wahyuni Rahardjo, Tri Budi Wahyuni Ulfa, Laila Yukari, Noda Yulia Fitriani, Yulia