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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.