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All Journal Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Maternity Care and Reproductive Health Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat Jurnal Keperawatan PPNI Jawa Barat Jurnal Abdimas Sains
Mutiar, Astri
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Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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A Qualitative Study of Information Needs about Human papillomavirus (HPV) Among Elementary School Students Syahrani, Dilla; Mutiar, Astri; Marfuah, Dewi; Purnama, Heni
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 4 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) : SPECIAL EDIT
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i4.725

Abstract

Aims: This research aims to to identify the information requirements of elementary school children toward human papillomavirus (HPV). Methods: The researcher employed a qualitative method utilizing the focus group discussion technique to gather data on several predetermined topics. A total of 20 female students who met the criteria were divided into several groups, and the discussions were recorded and documented. Result: Most of elementary school children have no background knowledge of HPV. Many of them have limited understanding of sexual health education. Although children aged 9-14 have received the HPV vaccine, most of them do not know about HPV. Further information is needed regarding the definition of HPV, the virus transmission process, potential symptoms, diseases caused by the virus, and complications arising from inadequate attention to prevention. Conclution: Providing comprehensive and child-friendly information about the HPV virus is essential to enhance the knowledge of elementary school students. It also contributes to increasing the acceptance of the HPV vaccine and maximizing preventive measures.
The Effect of Application-Based Exergames on Cognitive Function in Hemodialysis Patients Fauzi, Achmad; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): 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.v10i5.756

Abstract

Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues. Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally. Results: Inlcusion criteria was performing HD at least twice a week,  age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups.  The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size.  The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group. Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints.
The Effect of Self-Awareness and Problem-Solving Skills Training Based on Edugames on Burnout in Midwives Novita, Novita; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): 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.v10i5.757

Abstract

Aims: This study aimed to determine the effect of edugame-based self-awareness and problem-solving skill training on burnout in midwives. Methods: The study used a repeated measurement-quasi-experiment design in a hospital in Bekasi, West Java, with 120 midwives in both groups. Results: Emotional exhaustion (Eta = 0.05, p = 0.443), depersonalization, (Eta = 0.03, p = 0.718) and personal accomplishment scores (Eta = 0.08, p = 0.694) did not change significantly in the control group. At the same time, interventions reduced the total score of emotional exhaustion (Eta = 0.26, p = 0.001), depersonalization (Eta = 0.20, p = 0.010), and personal accomplishment (Eta = 0.35, p = 0.001). Conclusions: Midwives were more likely to accept their emotional exhaustion after intervention, were able handle depersonalization and performed personal accomplishment. The study underscores the significance of midwives' self-awareness and problem-solving skills in identifying burnout symptoms, advocating for change, and providing necessary support services.
The Effect of Digital Problem Solving Therapy on Quality of Life in Pregnant Women Who Are Victims of Domestic Violence Putri, Dian Priharja; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): 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.v10i5.758

Abstract

Aim: This study aims to determine the effect of digital problem-solving therapy (DPST) on the quality of life (QOL) of pregnant women who are victims of domestic violence. Methods: The research was conducted using a quasi-experimental design with two groups: an intervention group receiving digital problem-solving therapy and a control group receiving standard care. The study took place over three months at the National Commission on Violence Against Women service centers and referral hospitals in Bekasi City, West Java. The intervention involved four sessions per month focusing on psychological well-being and QOL. A total of 100 pregnant women participated, meeting the criteria of being over three months pregnant, having experienced domestic violence, owning a smartphone, and living with their husbands. Results: The results showed a statistically significant increase in QOL scores within the intervention group after the therapy, with a t-score of 13.76 and a p-value of 0.001. Additionally, the intervention group exhibited a larger improvement in QOL at post-test compared to the control group (ß = 8.20, p < 0.001). Conclusion: Digital problem-solving therapy significantly improves the quality of life of pregnant women experiencing domestic violence. Future studies should explore the effectiveness of this intervention among more diverse research groups, focusing on participants with varied mental health and psychological characteristics.
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.
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
Co-Authors Achmad Fauzi Darmawati, Irma Darmawati, Irma Dewi Marfuah Dian Anggraini Dian Priharja Putri Elfira Elfira, Elfira Farida Isroani Fitriana, Anisa Nur Hendra, Agus Herdiman, Herdiman Iyus Yosep Julianti, Pudja Antika Juniarni, Lia Lia Idealistiana Lindayani, Linlin Mariam, Nina Novita Novita Nugraha, Ananditha Zahra Nurdina, Gina Perdani, Agni Laili Pratiwi, Maulinda Rizki Purnama, Heni Putri, Anisa Dwi Rahman, Ameliya Salsabila Rahmani, Hardiyanti Sudrajat, Diwa Agus Syahrani, Dilla Taryudi, Taryudi Tuti Yanuarti Wiguna, Melda Wijaya, Silman Silman Juwana