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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Padjadjaran Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Neni Fidya Santi
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The Influence of Self-Tapping on Anxiety During Primary Menstrual Cramps among Nursing Students Lismidiati, Wiwin; Fidyasanti, Neni; Nurkhasanah, Nurkhasanah
Jurnal Keperawatan Soedirman Vol 14, No 1 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.1.875

Abstract

ABSTRACTBackground: Menstruation is a sign of puberty for female adolescents. The common menstrual disorder experienced by adolescent is called painful menstruation (primary dysmenorrhea). Primary dysmenorrhea triggers both physical and psychological symptoms. One of the psychological impacts is anxiety. Self-tapping is a non-pharmacological therapy which can reduce anxiety.Aim: To figure out the effect of self tapping toward anxiety level among nursing students experiencing menstrual cramps.Methods: This study was a quasy-experimental research with non equivalent pretest-posttest with control group. The total 60 respondents were divided into intervention and control group with 30 respondents each. Self tapping was practiced in intervention group, meanwhile deep breath was performed in control group. The instruments to measure anxiety were anxiety screening questionare and Hamilton Anxiety Rating Scale (HARS). Wilcoxon statistical test was applied to compare the level of anxiety before and after the treatment in both groups. Besides, Mann Whitney satistical test was used to compare the effectiveness of both treatments in reducing the anxiety level in each group.Results: The anxiety mean score of the intervention group decreased from 24,63 to 16,03 after self tapping (?=8,6; p=0,000), while the anxiety mean score of the control group decreased from 23,5 to 17,73 after the implementation of deep breath technique (?=5,77; p=0,000). There was a significant difference between self tapping and deep breath technique in reducing anxiety level (p-value=0.006). Conclusion: Self tapping indeed has impact towards anxiety level among nursing students experiencing menstrual cramps.
Pengaruh Self Tapping terhadap Penurunan Level Dysmenorhea pada Mahasiswi Program Studi Ilmu Keperawatan Wiwin Lismidiati; Neni Fidya Santi; Hikmahtika Wulaning Akbar
Jurnal Keperawatan Padjadjaran Vol. 5 No. 1 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1193.061 KB) | DOI: 10.24198/jkp.v5i1.350

Abstract

Dysmenorrhea primer adalah nyeri pada perut bagian bawah yang dirasakan pada saat menstruasi tanpa adanyakelainan pada panggul. Banyaknya gejala yang muncul saat dysmenorrhea dapat berpengaruh pada aktivitaskerja dan aktivitas sehari-hari. Ada beberapa manajemen nyeri untuk mengatasi dysmenorrhea primer, salahsatunya adalah dengan self tapping. Tujuan penelitian untuk menganalisis efektifitas terapi self tapping dalammenurunkan level nyeri dysmenorrhea primer pada mahasiswi PSIK FK UGM. Penelitian ini adalah jenispenelitian quasi experiment non randomized pretest-postest with control. Pada kelompok intervensi diberikanperlakuan self tapping, sedangkan pada kelompok kontrol diberikan perlakuan nafas dalam. Pengukuran levelnyeri dysmenorrhea primer dilakukan menggunakan instrumen Numerical Rating Scale (NRS) dengan skala1−10. Jumlah responden sebanyak 60 orang. Untuk mengetahui perbandingan level nyeri sebelum dan sesudahterapi pada kelompok intervensi dan kelompok kontrol, dilakukan uji statistik Wilcoxon. Sedangkan untukmembandingkan perbedaan level nyeri antara kelompok intervensi dan kelompok kontrol dilakukan uji statistikMann Whitney. Hasil menunjukkan intervensi self tapping lebih efektif menurunkan level nyeri dysmenorrheaprimer pada mahasiswi PSIK FK UGM dengan nilai p = 0,007. Kesimpulannya terdapat pengaruh terapiself tapping terhadap terhadap level nyeri dysmenorrhea primer pada mahasiswi PSIK FK UGM. Terapi selftapping dapat dijadikan pilihan penanganan untuk mengurangi nyeri pada saat mengalami dysmenorrhea primer.
THE ROLE OF COMMUNITY NURSE REGARDING CASE DETECTION OF TUBERCULOSIS IN PUBLICE HEALTH CENTER IN BANJARBARU MUNICIPALITY SOUTH BORNEO Herawati Herawati; Neni Fidya Santi; Zenni Puspitarini
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 2 (2014): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.062 KB) | DOI: 10.24990/injec.v1i2.68

Abstract

Introduction. Tuberculosis is one of the primary communicable diseases in community health problem. Indonesia ranked in 5th position of WHO report in 2009 TB incidence. TB management had already been organized comprehensively regarding case finding and DOTS strategy. Community nurse worked in Public Health Center play an important role in TB management particularly case finding.The aim of this study was to identify community nurse role in case detection of TB in community setting and explore the Active Case finding (ACF) and Extensive Case Finding (ECF) perspective in TB patient detection. Methods. This research used qualitative descriptive study design with in-depth interview. Eight nurses who already worked with TB in Public Health Center in Banjarbaru Municipality South Borneo selected as sample. Study conducted in May – June 2012. Data were analyzed by Miles and Huberman model. Results. The result showed the role of community nurses in the detection passive case finding was waiting for the patient; ACF through home visits and ECF through health education. Nurses in community health centers Banjarbaru City area had been played their role in TB case detection, whether active, passive and extensive. Discussion. They need the full support or participation from government particularly Health Department of related municipality to perform active and extensive case-finding strategies. It is should be integrate with community nursing process.  Keywords: The Role Community Nurse, Case Detection, Tuberculosis
Optimizing BPJS Referral Systems: A Pathway to Equitable, Sustainable Healthcare in Indonesia Damayanti, Nabila Ardelia; Putri, Dealonika Amanda; Napitupulu, Gladys Shevani Chilau; Kholvi, Indy Zaheera; Khairunnisa, Khairunnisa; Mustama'ah, Nadiyatus Sholatil; Rachmad, Rayhan Ramadhan Daffa Attariansyah; Putri, Serli Kusuma Dewi Dwi; Turmudi, Syifa Rabitha Alizza; Santi, Neni Fidya; Evi, Nurul
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 1 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i1.166

Abstract

The BPJS referral system in Indonesia has been instrumental in expanding healthcare access, yet challenges such as unnecessary referrals, governance transparency, and cost inefficiencies persist. Strengthening primary healthcare infrastructure, enhancing quality control, and improving patient education are critical to optimizing the system's effectiveness. This study explores the impact of targeted interventions on BPJS referral accessibility. This study employed a systematic review approach guided by the PRISMA framework. Peer-reviewed studies published between 2019 and 2023 were identified through databases such as PubMed, Scopus, and Web of Science using terms like "BPJS referral system," "healthcare accessibility," and "governance transparency." Eligible studies focused on challenges and solutions within the BPJS referral process, including over-referrals, inter-facility coordination, and patient adherence. Quality assessments were conducted using the Cochrane Risk of Bias Tool and Newcastle-Ottawa Scale. Simulation outcomes revealed significant improvements: a 30% reduction in unnecessary referrals through enhanced puskesmas capacity, a 25% decrease in cost inefficiencies via standardized protocols, and a 40% increase in public trust due to transparent governance mechanisms. Patient education initiatives improved adherence to chronic disease programs by 35%. However, challenges such as limited ambulance availability, communication breakdowns, and staff unfamiliarity with BPJS procedures remain. The BPJS referral system can be optimized through integrated strategies, including primary care strengthening, digital tool integration, and community-based education. Addressing persistent challenges like governance transparency and resource allocation is essential for equitable healthcare access. Future research should focus on scaling digital solutions, enhancing inter-facility collaboration, and fostering patient empowerment to ensure sustainable and inclusive healthcare delivery.
Systematic Review of Health Emergency Policies and Their Impact on Referral Mechanisms During the COVID-19 Pandemic Naufal Ivanda, Rio Revaldi; Salma, Dewi; Joanna, Adila Helga; Sava Athadita, Anindya Fathin; Saputri, Puput; Cellia, Natasya Nawa; Syahida, Bilqis Ayu; Handartiwi, Refiana Martha; Ghozi Abdullah, Muhammad Nur Hakim; Ningrum, Titah Wahyu; Santi, Neni Fidya; Evi, Nurul
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 1 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i1.168

Abstract

The COVID-19 pandemic placed unprecedented strain on healthcare systems worldwide, necessitating rapid policy interventions to manage patient flow, resource allocation, and referral mechanisms. This study employed a systematic literature review (SLR) using the PRISMA framework to evaluate the impact of health emergency policies on referral mechanisms during the pandemic. The review focused on understanding how policies such as lockdowns, triage protocols, and telemedicine integration influenced access, equity, system efficiency, and resilience in referral networks. A comprehensive search was conducted across databases including PubMed, Scopus, Web of Science, IEEE Xplore, and Cochrane Library, with inclusion criteria encompassing peer-reviewed studies published in English between 2020 and 2023. Studies were rigorously assessed for methodological quality using tools such as the Cochrane Risk of Bias Tool and Simulation Model Quality Assessment Framework. Key themes identified included restricted access to emergency services, healthcare system reordering, operational strain on infrastructure, and coordination gaps. The findings revealed significant challenges, such as ambulance delays, emergency department closures, protocol overload, and inequities in care access, while also highlighting adaptive strategies like AI-driven referral tools, hybrid triage systems, and community health worker networks. This study underscores the need for balanced policy design, robust technological integration, and long-term systemic reforms to strengthen referral mechanisms during health emergencies. The results provide actionable insights for policymakers and healthcare administrators to optimize referral systems and ensure equitable access to care during future crises.
Co-Authors Cellia, Natasya Nawa Damayanti, Nabila Ardelia Ghozi Abdullah, Muhammad Nur Hakim Handartiwi, Refiana Martha Herawati Herawati Hikmahtika Wulaning Akbar Joanna, Adila Helga Khairunnisa Khairunnisa Kholvi, Indy Zaheera Mustama'ah, Nadiyatus Sholatil Napitupulu, Gladys Shevani Chilau Naufal Ivanda, Rio Revaldi Ningrum, Titah Wahyu Nurkhasanah Nurkhasanah Nurul Evi Putri, Dealonika Amanda Putri, Serli Kusuma Dewi Dwi Rachmad, Rayhan Ramadhan Daffa Attariansyah Salma, Dewi Saputri, Puput Sava Athadita, Anindya Fathin Syahida, Bilqis Ayu Turmudi, Syifa Rabitha Alizza Wiwin Lismidiati Zenni Puspitarini