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All Journal Jurnal NERS Jendela Nursing Journal (JNJ) Jurnal Penelitian Kesehatan Suara Forikes JURNAL CITRA KEPERAWATAN Jurnal Riset Kesehatan Poltekkes Depkes Bandung Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Journal of Community Empowerment for Health Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Alauddin Scientific Journal Of Nursing (ASJN) An Idea Health Journal Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Journal of Pubnursing Sciences Malahayati International Journal of Nursing and Health Science
Rachmawati, Utami
Fakultas Ilmu Keperawatan Universitas Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Efektivitas Intervensi Self-Management di Komunitas terhadap Manajemen Diabetes Melitus Tipe 2: a Systematic Review Tangnga, Martinus; Rekawati, Etty; Rachmawati, Utami
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.2971

Abstract

Background: Prevalensi diabetes melitus tipe 2 (T2DM) yang terus meningkat secara global menunjukkan pentingnya strategi manajemen berkelanjutan, salah satunya melalui intervensi manajemen mandiri berbasis komunitas. Tujuan: Tinjauan sistematis ini bertujuan mengevaluasi efektivitas intervensi tersebut dalam mengontrol diabetes dan meningkatkan kualitas hidup pada orang dewasa dengan T2DM. Metode: Dengan mengikuti pedoman PRISMA 2020, tujuh Randomized Controlled Trials (RCTs) yang diterbitkan antara tahun 2020-2024 dianalisis. Studi-studi ini melibatkan 1.193 partisipan dari berbagai negara, seperti Amerika Serikat, Ghana, Tiongkok, Nepal, dan Taiwan. Intervensi yang diuji meliputi edukasi digital, program yang dipimpin oleh community health workers (CHWs), dan program memasak berbasis komunitas. Hasil: Sebagian besar studi menunjukkan adanya peningkatan pada HbA1c, perilaku perawatan diri, dan kualitas hidup. Efektivitas intervensi bervariasi tergantung pada durasi intervensi, ukuran sampel, dan konteks sosial budaya. Intervensi multikomponen yang menggabungkan edukasi, dukungan sosial, dan keterlibatan kader kesehatan (CHW) menghasilkan luaran yang paling konsisten dan positif. Kesimpulan: Meskipun intervensi ini menjanjikan dalam meningkatkan kontrol glikemik, perilaku perawatan diri, dan kualitas hidup, keterbatasan jumlah studi, heterogenitas intervensi, serta bias metodologis membatasi kekuatan bukti secara keseluruhan. Oleh karena itu, diperlukan uji coba terkontrol acak (RCT) jangka panjang di berbagai setting, serta evaluasi cost-effectiveness sebelum implementasi dalam skala luas.
Psychometric Evaluation of the Stakeholder Support Questionnaire for Integrated Primary Care: Evidence of a Multidimensional and Hierarchical Construct in Indonesia Wiwin Wiarsih; Utami Rachmawati; Muhamad Jauhar; Megah Andriany; Endang Triyanto; Lita Heni Kusumawardani; Maula Mar'atus Solikhah; Umi Hani; Kinantika Nur Dewanti; M.Agung Akbar
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.638

Abstract

Background: Integrated primary care (IPC) is recognized as essential for strengthening health systems. However, Indonesia currently lacks a validated instrument to assess stakeholder support, which is a critical determinant of successful IPC implementation. This study evaluated the content validity, internal structure, and reliability of the newly developed Stakeholder Support Questionnaire for Integrated Primary Care (SSQ-IPC), grounded in Freeman’s Stakeholder Theory. Methods: A cross-sectional psychometric validation was conducted with 570 primary healthcare nurses recruited through stratified random sampling across Indonesia. The initial 18-item instrument, encompassing four constructs, underwent content validation by a panel of seven experts. Data analysis included calculating the Content Validity Index (CVI), conducting exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and second-order CFA. Model fit was assessed using multiple fit indices, while construct validity and reliability were evaluated through factor loadings, Average Variance Extracted (AVE), Cronbach’s alpha, and McDonald’s omega. Results: EFA supported a four-factor structure. First-order CFA indicated acceptable model fit (CFI = 0.933, TLI = 0.921, SRMR = 0.037), with all factor loadings statistically significant (p<.001) and strong indicator reliability. Convergent validity was established with AVE values ranging from 0.650 to 0.869, and internal consistency was high across constructs (α= 0.877–0.978; ω = 0.884–0.973). Second-order CFA supported a hierarchical model, with all four constructs significantly loading onto a higher-order factor. Conclusion: The SSQ-IPC demonstrates strong evidence of validity and reliability, supporting its multidimensional and hierarchical structure. This instrument provides a robust tool for research and practice, facilitating.
The Effectiveness of the 20-20-20 Rule in Managing Computer Vision Syndrome among Workers: A Systematic Review Retti Dwitria Wilda; Henny Permatasari; Utami Rachmawati
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 Jamilatur Rasyidah Efendi; Etty Rekawati; Henny permatasari; Utami Rachmawati
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.
Utilization of virtual and digital technologies in reducing psychological problems in the elderly with chronic illness: A systematic review Indira Mastura Pulungan; Etty Rekawati; Dikha Ayu Kurnia; Utami Rachmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1268

Abstract

Background: Globally the prevalence of chronic diseases continues to increase every year. In 2021, it is estimated that around 43 million people will die from chronic diseases, with 73% of them being prevalent in low-income or developing countries. Purpose: To conduct an analysis related to the use of virtual and digital technology in reducing psychological problems in the elderly with chronic diseases. Method: This paper is a review of the literature related to the topic of the use of virtual and digital technology in the elderly with chronic diseases on its effect on psychological problems. The analysis begins with a literature search across several databases, including PubMed, Google Scholar, Sage Journals, ProQuest, ScienceDirect, and SpringerLink. The article search was conducted using the PICO form (P = Elderly with chronic diseases; (2) Intervention = Utilization of virtual technology, utilization of digital technology; (3) Outcomes = Reducing psychological problems, elderly rehabilitation). The author identified 33 articles for analysis and filtered them, resulting in 5 articles that employed the Randomized Controlled Trial (RCT) research method. Furthermore, the author conducted an analysis using a critical appraisal form, namely the CASP (Critical Appraisal Skill Program) form. Results: The virtual technologies can minimise depression, anxiety, and increase self-efficacy in elderly people with chronic disease. The digital application technologies give a psychological impact based on the features and the basic purpose of making that application. Conclusion: Virtual and digital technologies have an impact on the psychological well-being of the elderly, based on the features that these technologies provide for them.
Co-Authors Astuti Yuni Nursasi Atuti Yuni Nursasi Choiruna, Hasby Pri Dikha Ayu Kurnia Elki Putri, Silvia Endang Triyanto Endang Triyanto Eriska, Winda Erni Setiyowati Etty Rekawati Fathurrahman, Sofyan Dwi Fitriani Fitriani Henny Permatasari Heru Supriyatno I Gusti Ayu Putu Desy Rohana Indah Permata Sari Indira Mastura Pulungan Jamilatur Rasyidah Efendi Junaiti Sahar Kasfi, Anna Kinantika Nur Dewanti kusumawardani, lita heni Lily Herlinah Lita Heni Kusumawardani Lita Heni Kusumawardani Lita Heni Kusumawardani Lita Heni Kusumawardani Lita Heni Kusumawardani Lita Heni Kusumawardani M Sagala, Adi Brando M.Agung Akbar Maula Mar'atus Solikhah Megah Andriany Muhamad Jauhar Muhammad Jauhar Muhammad Jauhar, Muhammad Natashia, Dhea Permatasari, Henny Putri, Tissa Aulia Rasdiyanah, Rasdiyanah Rekawati, Etty Retti Dwitria Wilda Rezky Mulyana Rohana, I Gusti Ayu Putu Desy Rossyda, Erna Netty Runesi, Odis Runesi, Odis Runiasiwi, Des Anggraeni Shabrina, Citra Hafilah Siahaan, Eva Winda Sarma Sigit Mulyono Sinurat, Diana Nurhayati Suhaiba, Suhaiba Sukihananto, Sukihananto Syamikar Baridwan Syamsir Tangnga, Martinus Umi Hani Wati, Dwi Nurviyandari Kusuma Widyatuti, Widyatuti Wiwin Wiarsih Yulianti, Eka Putri