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FAMILY PERCEPTION OF NURSES' CARING BEHAVIOR AND INDEPENDENCE IN CARE FOR PULMONARY TUBERCULOSIS M Sagala, Adi Brando; Nursasi, Astuti Yuni; Rachmawati, Utami
Alauddin Scientific Journal of Nursing Vol 6 No 1 (2025): MEI
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/asjn.v6i1.56482

Abstract

Pulmonary Tuberculosis cases are estimated at 969,000 people and an incidence of 354 per 100,000 population in Indonesia in 2022. The estimated TB caseload is 2,386 out of 635,129 population in North Lampung District. TB control is implemented with the integration of the Healthy Indonesia Program and Public Health Care to achieve health through family independence in treating TB. This cross-sectional study aims to determine the relationship between family perceptions of nurses' caring behavior and family independence in caring for TB in the work area of the North Lampung District Health Center. A total of 90 family samples were selected through two stage cluster randomization. The instrument was a questionnaire developed based on Swanson's Caring theory and indicators of family independence according to Kepmenkes 279 of 2006. The results showed that the perception of caring behavior was good (51.1%); families were less independent (66.7%); there was a significant relationship between family perceptions of nurses' caring behavior and family independence with a value of p=0.006 (95% CI; OR; 1.579-10.773). The majority of families with good perceptions of nurses' caring behavior had a 4.1 times greater chance of becoming independent. It is hoped that the results of this study will serve as a basis for strengthening the caring behavior of nurses through TB program training and instilling the value of caring nurses from an early age.
Community-Based Stunting Intervention Strategies: Literature Review Kusumawardani, Lita Heni; Rasdiyanah; Rachmawati, Utami; Jauhar, Muhammad; Rohana, I Gusti Ayu Putu Desy
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.753 KB)

Abstract

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's conditionbecomes shorter than normal children his age and has a delay in thinking. The incidence of stunting inIndonesia is quite high sostunting is becoming a priority health problem now. An effective strategy isneeded to control stunting in Indonesia. The aim of this review was to explore the stunting managementstrategies to potentially implement in Indonesia. A literature review design was used to explore the stuntingmanagement strategies. Literature study of 15 articles retrieved from the journal database of ScienceDirect, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, ruralareas, and community based. Data were analyzed in tables consist of title, author, year, sample,methodology, and result. Control and preventionstunting could done through integrated nutritioninterventions. Strategy Specific nutritional interventions such as providing supplementation andsupplementary food plus nutritional interventions including non-health interventions, improving thefamily's economy, access and utilization of clean water, sanitation (especially latrines and safe septictanks), which are urgently needed to support personal hygiene behavior and the environment .Interventions can use mother's counseling and support methods regularly by health workers by involvinghealth cadres. Specific and sensitive intervention strategies are effective strategies within stunting controland prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled withan assessment of the nutritional status and morbidity of mothers and children is also very necessary incontrolling and preventing stunting in Indonesia.
Terapi Kombinasi Non-Farmakologi untuk Menurunkan Tekanan Darah pada Lansia dengan Hipertensi Rossyda, Erna Netty; Rekawati, Etty; Rachmawati, Utami
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16249

Abstract

Hypertension is a significant problem among the elderly, with a global prevalence of 26.4%. This situation highlights the need for nurses to manage hypertension through non-pharmacological interventions to reduce polypharmacy in the elderly. The risk of polypharmacy emphasizes the need to adopt strategies that improve vascular health and enhance quality of life. Modification of dietary habits and increased physical activity have been shown to effectively contribute to lowering blood pressure. The purpose of this study was to evaluate and synthesize evidence on the effectiveness of combined non-pharmacological interventions to lower blood pressure in the elderly with hypertension. This study used a systematic review method following the PRISMA guidelines. The literature was searched in Scopus, ProQuest, Cochrane, PubMed, Google Scholar, and Perpusnas RI; using predetermined keywords related to hypertension, the elderly, and non-pharmacological interventions. The results of the study showed that there were 6 articles reporting that non-pharmacological interventions were effective in lowering blood pressure, namely walking and strength training, Saffron consumption combined with resistance training, Benson relaxation accompanied by lavender aromatherapy, consumption of Ambon banana juice and sweet starfruit juice, breathing relaxation with consumption of roasted garlic, and soaking feet in warm water and doing progressive muscle relaxation. Based on the results of the study, it was concluded that non-pharmacological interventions are an effective approach to managing hypertension in the elderly, reducing blood pressure, increasing physical capacity, and improving quality of life. Given the risk of polypharmacy, integrating this strategy into nursing practice on an ongoing basis is very important.Keywords: hypertension; non-pharmacological interventions; combination of modality therapies; lowering blood pressure ABSTRAK Hipertensi merupakan masalah signifikan di kalangan lansia, dengan prevalensi global sebesar 26,4%. Situasi ini menyoroti perlunya perawat untuk mengelola hipertensi melalui intervensi non-farmakologis guna mengurangi polifarmasi pada lansia. Risiko polifarmasi menekankan perlunya mengadopsi strategi yang meningkatkan kesehatan vaskular dan meningkatkan kualitas hidup. Modifikasi kebiasaan diet dan peningkatan aktivitas fisik telah terbukti secara efektif berkontribusi pada penurunan tekanan darah. Tujuan dari studi ini adalah mengevaluasi dan menyintesis bukti mengenai efektivitas intervensi non-farmakologis kombinasi untuk menurunkan tekanan darah pada lansia dengan hipertensi. Studi ini menggunakan metode systematic review dengan mengikuti pedoman PRISMA. Literatur dicari di Scopus, ProQuest, Cochrane, PubMed, Google Scholar, dan Perpusnas RI; menggunakan kata kunci yang telah ditentukan terkait hipertensi, lansia, dan intervensi non-farmakologis. Hasil studi menunjukkan adanya 6 artikel yang melaporkan bahwa intervensi non-farmakologis efektif untuk menurunkan tekanan darah yaitu berjalan dan latihan kekuatan, konsumsi Saffron yang dikombinasi dengan latihan ketahanan, relaksasi Benson disertai aroma terapi lavender, konsumsi jus pisang ambon dan jus belimbing manis, relaksasi pernapasan dengan konsumsi bawang putih panggang, serta merendam kaki dalam air hangat dan melakukan relaksasi otot progresif. Berdasarkan hasil studi disimpulkan bahwa intervensi non-farmakologis merupakan pendekatan yang efektif untuk mengelola hipertensi pada lansia, mengurangi tekanan darah, meningkatkan kapasitas fisik, dan memperbaiki kualitas hidup. Mengingat risiko polifarmasi, mengintegrasikan strategi ini ke dalam praktik keperawatan secara berkelanjutan adalah sangat penting.Kata kunci: hipertensi; intervensi non-farmakologis; kombinasi terapi modalitas; penurunan tekanan darah
Prevalence and Factors Related to Functional Status of Older Adult Patients in Primary Health Care Eriska, Winda; Wati, Dwi Nurviyandari Kusuma; Rachmawati, Utami; Rekawati, Etty
JURNAL CITRA KEPERAWATAN Vol 11 No 1 (2023): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v11i1.310

Abstract

Functional status means the ability to perform self-care, self-maintenance, and daily activity. Older adults are at risk of experiencing a decline in functional status regarding their condition and other factors. The study literature found no clear evidence of the factors related functional status of older adults, especially those who have comorbid and regularly come to the geriatric clinic in the Primary Health Care Center. This study aimed to identify the prevalence and factors related to the functional status of older people who visit geriatric out-patient in the primary health care center. A cross-sectional design was utilized to assess 100 samples of older adult patients in one Primary Health Care Center, in Indonesia. The functional status of the respondent was good where the mean score was 7.45 (SD = 1.07) with a minimum score was 2, and a maximum score was 8. The mean age of the sample was 66 years old, the gender was primarily women (59%), the education level of the respondents was more likely only reach elementary school (45%), and primarily they consume drugs (71%) and also more than a half of respondent have multimorbidity (60%). The model fit of multivariate analysis resulted in 44% of all the variables giving effect to the functional status where the most influential factor was balance and health status of the older adults. Discussion: More than half of the older people who regularly visit the Primary Health Care Center have an excellent functional status. This condition is in accordance with the experience of older people itself who most of them could come to the clinic independently by public or private transportation. Older people who have good health or balance status and less morbidity also show a good performance in functional status, though, their age was older. All the variables give 44% effects of older people’s functional status where the most influential factor for functional status of the older adults was balance status. Therefore, the accessibility of health services for the older adult in the community can be improved by providing more elderly-friendly health facilities.
Investigating Related Risk Factors of Low-Back Pain Incidents Amongst Home-Tailors Sari, Indah Permata; Runiasiwi, Des Anggraeni; Rachmawati, Utami
JURNAL CITRA KEPERAWATAN Vol 11 No 2 (2023): JURNAL CITRA KEPERAWATAN Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v11i2.338

Abstract

With 3.3 billion population worldwide is employed, several occupational disease (OD) and injuries ensued. Musculoskeletal Disorders (MSDs) is one among many ODs that hold high percentages among workers, and low back pain (LBP) raises as the main type of commonly found MSDs. This study aimed to investigates the relationship between the ergonomic risk factors and LBP complaints among home tailors at Desa Tembok Kidul Kecamatan Adiwerna Kabupaten Tegal, one of the host of home-tailors basis in Central Java. This descriptive correlative study using a cross sectional approach employed 139 home tailors as sample, selected with simple random sampling technique. A set of questionnaire was used and grouped into 3 part mainly measured the participants’ characteristics, ergonomic risk factors, and lastly LBP complaints. Validity and Reliability procedures proved the main two questionnaires were valid and reliable to use. With the main participants being a female (64,7%), most of them were coming from the young adults (64%), elementary school graduates (35,5%), the results of this study showed that there is no significant association between ergonomic risk factors and LBP complaints (p=1,000; α =0,05). However, this study emphasized that tailors with low ergonomic risk factors were less likely to have complaints of LBP than tailors with high ergonomic risk factors. Some possible ergonomic factors that goes along the growing number of LBP complaints are age, gender, and working duration. This study suggests to focus on one specific type of ergonomic risk factors to work with, while preventive measure on ergonomic-friendly working environment is advocated to alleviate the risk of OD.
Digital Health Literacy amongst Hypertensive Clients in Depok City Fathurrahman, Sofyan Dwi; Rachmawati, Utami; Sukihananto, Sukihananto; Wiarsih, Wiwin
JURNAL CITRA KEPERAWATAN Vol 12 No 1 (2024): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v12i1.357

Abstract

The still-growing of e-health integration in Depok City's hypertension prevention and control initiatives is at odds with the city's development goal for 2021–2026, which calls for the creation of contemporary public services and the development of technology–based infrastructure. This study aims to identify the digital health literacy in hypertensive clients in Depok City. With the greatest estimated population of hypertensive clients in Depok City, the research approach is a descriptive study using the I-eHEALS questionnaire with cluster sampling technique on hypertensive clients in five urban villages, with up to 100 samples. The findings revealed that most Depok City's hypertensive clients were young adults (64%), female (72%), with a secondary education level of 59% (junior high school, high school, or equivalent), and 25% of them used YouTube as a source of digital health information. Furthermore, it is also reported that hypertensive clients in Depok City have a digital health literacy level of 26. The study's findings indicate that hypertensive clients in Depok City tend to be more digitally literate when they are young adults, female, have higher levels of education, and use online health applications as a source of information about digital health. However, these clients still struggle to assess, evaluate, and feel confident when using digital health information. The researcher suggests fostering digital health literacy and creating digital health resources with an emphasis on hypertension patients' self-care management.
Improving or worsening? : the development and evaluation of a VR-based psychotherapy to bullying victims and perpetrators in school adolescents Mulyono, Sigit; Setiawan, Agus; Sari, Indah Permata; Rachmawati, Utami; Yulianti, Eka Putri; Putri, Tissa Aulia; Siahaan, Eva Winda Sarma; Shabrina, Citra Hafilah; Runesi, Odis; Suhaiba, Suhaiba
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.71145

Abstract

Introduction: This study evaluated the effectiveness of a Virtual Reality (VR)-based emotional regulation intervention in addressing bullying among school adolescents, focusing on changes in self-perceived roles as victims or bullies and associated difficulties. Methods: This study used a quasi-experimental design, with 98 junior high school students assigned to either a four-session VR intervention (n=33) or a no-treatment control group (n=65). The intervention consisted of four 15-minute psychotherapy sessions using the PeriXa Batin VR module. Data were collected using the Strengths and Difficulties Questionnaire and System Usability Scale (SUS). Statistical analyses included the Mann-Whitney U test, a General Linear Model (GLM), and thematic analysis. Results: The intervention was associated with a significant reduction in self-perceived bullying behaviors (p < 0.001), particularly among males. However, it also led to an increase in self-reported difficulty scores (p < 0.005). The VR module was received positively, with high usability ratings, although some participants reported minor technical issues and temporary discomfort, such as dizziness. The VR intervention effectively fostered self-awareness, which may explain both the reduction in bullying and the concurrent increase in emotional distress as victims confronted their experiences. The limitations include short intervention duration, small sample size, and reliance on self-reported data. Conclusions: While VR is a promising tool, schools should implement it alongside support systems, such as counseling, to help students manage the challenges of increased self-awareness. Future research should focus on the long-term effects and integration of such technologies into comprehensive school wellness programs.
The Effect of Midfulness Meditation in Maintaining Blood Pressure in Elderly People with Hypertension: Systematic Review Sinurat, Diana Nurhayati; Sahar, Junaiti; Rekawati, Etty; Rachmawati, Utami
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3472

Abstract

Elderly with hypertension is group necessary vulnerability​ handling in giving care nursing in a way comprehensive . The purpose of review from systematic This is explore about influence deep mindfulness meditation maintain pressure blood in the elderly with hypertension . Data obtained from Embase, Pubmed, Proquest and Ebscohost databases start from 2019-2023 . Collected articles in review systematic using the keywords "Older people" AND mindfulness meditation AND "Blood Pressure", and "elderly with Hypertension OR transcendental meditation AND Blood pressure ". Selected articles with screening using the PRISMA flowchart in quote from literature This . Review results show that influence mindfulness meditation on pressure blood in patients hypertension give enhancement quality self, reduction in levels of anxiet, stress, as well beneficial For various condition health, influence function and structure brain with fast.
The Effectiveness of the 20-20-20 Rule in Managing Computer Vision Syndrome among Workers: A Systematic Review Wilda, Retti Dwitria; Permatasari, Henny; Rachmawati, Utami
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5964

Abstract

Computer Vision Syndrome (CVS) is a condition that often occurs in individuals who spend long periods of time in front of a computer screen or other digital devices. Common symptoms include eye strain, visual fatigue, blurred vision, and headaches. The increasing use of digital devices among workers can cause computer vision syndrome (CVS) and lead to decreased work productivity. The 20-20-20 Rule is a non-pharmacological intervention that is believed to be effective in treating computer vision syndrome (CVS). This study examines research findings on the effectiveness of the 20-20-20 Rule in treating computer vision syndrome (CVS) among workers. This study used a Systematic Review method. The articles used were sourced from PubMed, ProQuest, ScienceDirect, Scopus, Cochrane, published between 2018-2024. The search technique followed the PRISMA method. The search identified five articles that met the inclusion and exclusion criteria. Based on these findings, Rule 20-20-20 is effective in overcoming computer vision syndrome (CVS) in workers. Rule 20-20-20 can be used as a nursing intervention to overcome computer vision syndrome (CVS) in workers.
Factors Associated with Frailty Syndrome in the Elderly: A Systematic Review Efendi, Jamilatur Rasyidah; Rekawati, Etty; permatasari, Henny; Rachmawati, Utami
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6254

Abstract

Frailty syndrome is a common condition among the elderly. Frailty has become a major health issue in the 21st century, affecting older adults and being associated with various negative outcomes such as decreased quality of life, increased mortality, hospital admissions, risk of falls, depression, and dementia. Objective: This study aims to identify and summarize the factors associated with frailty syndrome in the elderly through a systematic literature review. The findings are expected to serve as a basis for early prevention and management efforts of frailty in older adults. This study employs a systematic literature review method by analyzing 7 relevant journal articles published between 2020 and 2025. Articles were sourced from databases such as ProQuest, SpringerLink, and ClinicalKey for Nursing, selected based on topic relevance and publication quality to provide a comprehensive overview of the factors influencing frailty syndrome in the elderly. Based on the review of 7 journal articles, several factors influencing frailty syndrome were identified, including: age over 80 years, polypharmacy (use of multiple medications), gender, low body mass index (BMI), history of hospitalization, previous alcohol use, history of falls, living alone, presence of comorbidities, and impaired cognitive function. Frailty syndrome in the elderly is influenced by various risk factors spanning physical, psychological, and social aspects. Identifying these factors is crucial to support early interventions and preventive efforts, thereby improving the quality of life of older adults and reducing the risk of further complications. This systematic review can serve as a reference in developing strategies for the prevention and management of frailty among the elderly population.