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GAMBARAN KEPATUHAN MINUM PADA PASIEN TB DI WILAYAH PUSKESMAS KECAMATAN CIMAUNG Herdiman, Herdiman; Rahman, Dian; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol 6, No 1 (2020): JURNAL KEPERAWATAN KOMPREHESIF
Publisher : STIKep PPNI Jawa Barat

AbstrakLatarbelakang:Tuberkulosis (TB) merupakan penyakit serius bukan hanya di Indonesia tetapi di Dunia.Kepatuhan minum obat adalah indikator keberhasilan yang sangat penting untuk kesembuhan pasien TB selama 6-9 bulan dimana pasien harus minum obat non stop, akan tetapi di Indonesia masih banyak kasus drop out dengan berbagai alasan seperti efek samping obat, kurang dukungan keluarga, sosial ekonomi dalam pengobatan pasien TB.Tujuan:ujuan dari penelitian ini adalah untuk mengidentifikasi prevalensi kepatuhan minum obat anti tuberculosis pada pasien TB di Wilayah Kerja Puskesmas Cimaung. Metode:Penelitian ini merupakan penelitian deskriptif analitik. Populasi dalam penelitian ini adalah penderita TB Paru dari April 2019 sebagai pasien di Puskesmas Cikalong dan di Puskesmas Cimaung. Untuk pemilihan sampel pada penelitian ini mengacu kepada Non Probability Samplingjenis total Sampling.kepatuhan minum obat, diukur dengan menggunakan instrument yaitu Medication Morisky Adherence Scale (MMAS-8). Hasil: didapatkan prevalensi kepatuahan minum oabat anti tuberkulosis (OAT) dengan hasil responden dengan tingkat kepatuhan sebanyak 54% patuh, 40% kurang patuh, dan 6% responden tidak patuh. Kesimpulan:puskesmas mengadakan penyuluhan secara rutin tentang penyakit TB paru terutama tentang cara penularan dan pencegahannya kepada masyarakat. Perawat dan kader kesehatan diharapkan lebih rutin melakukan kunjungan terutama kepada pasien yang tidak patuh, sehingga pasien dapat terhindar dari drop outpengobatan.

The Influence of Psychological Empowerment on Work Engagement with The Mediating Role of Organizational Commitment in Wera Community Health Center Employees Herdiman, Herdiman; Tirtoprojo, Susanto
International Journal of Management Science and Information Technology Vol. 4 No. 1 (2024): January - June 2024
Publisher : Lembaga Otonom Lembaga Informasi dan Riset Indonesia (KITA INFO dan RISET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35870/ijmsit.v4i1.2676

This research aims to analyze the effect of psychological empowerment on work engagement with organizational commitment as a mediating variable. The method used in this research is a quantitative method with a survey approach. Data was collected from 99 employees of the Wera District Health Center, Bima Regency, taken from the entire population using a saturated sampling technique. Data analysis was carried out using SmartPLS to test the relationship between the variables studied. The research results show that psychological empowerment positively and significantly affects work engagement. In addition, organizational commitment has been shown to mediate between work engagement and psychological empowerment. These findings indicate that employee psychological empowerment can increase work engagement and organizational commitment. This research shows that organizational leaders need to prioritize employee psychological empowerment as part of a strategy to increase work engagement. Training and development programs centered on psychological empowerment and organizational commitment can be effective interventions. The next research is to conduct a longitudinal study to observe how psychological empowerment impacts work engagement over time. Additionally, expanding the sample size and examining other factors that may influence work engagement could provide a more comprehensive understanding of these dynamics across various organizational contexts.

Self-Management Applications For Improving The Productivity Of Adolescence At Risk Of HIV/AIDS Herdiman, Herdiman; Lindayani, Linlin; Darmawati, Irma
Indonesian Journal of Community Development Vol 1, No 2 (2021): Indonesian Journal of Community Development
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/ijcd.v1i2.39933

HIV/AIDS is a global health problem due to difficulty in spread detection. HIV spread is not visible directly, the symptoms will arise in 10-15 years. Adolescence is the period that is predicted as the highest exposure time in HIV. Self-management based on the mobile-phone app could be used to optimize the adolescents’ protection ability in HIV/AIDS. This activity aims to improve adolescent soft skills on using cheap and effective mobile-phone apps to optimize adolescent productivity. Implementation methods are using online learning through video conference, focusing on the use of Self management applications: Smarter time on their activities and overview of HIV/AIDS. The results that they can understand the use of smarter time in time management and daily activity targets. Smarter time can be used as a reminder system. One of the recommended features is the focus mode that allows adolescents to manage the used apps in their mobile phones while being focused on activities without interruption of any other application activities especially social media. Increasing adolescent productivity also can increase positive behavior in leisure time and reduce the risk factors of HIV/AIDS.

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

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.

PENGATURAN HUKUM PENANGANAN ILLEGAL FISHING DI WILAYAH YURIDIKSI INDONESIA Herdiman, Herdiman; Sidarta, Dudi Djaja; Cornelis, Vieta Imelda; Soekorini, Noenik; Mannulusi, Andik
Bureaucracy Journal : Indonesia Journal of Law and Social-Political Governance Vol. 5 No. 1 (2025): Bureaucracy Journal : Indonesia Journal of Law and Social-Political Governance
Publisher : Gapenas Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53363/bureau.v5i1.535

This research analyzes the national legal policy in dealing with illegal fishing in Indonesian jurisdiction, particularly through the sinking of perpetrator vessels in accordance with the perspective of national and conventional law. Illegal fishing is an offense that not only harms the country's economy but also has a significant impact on the marine ecosystem. This research uses a descriptive-qualitative method with a normative legal approach to evaluate the effectiveness of the Ministry of Maritime Affairs and Fisheries' (MMAF) ship sinking policy. The results show that this policy, although controversial, has a strong legal basis, both in the Fisheries Law and the 1982 Convention on the Law of the Sea (UNCLOS). In addition, this policy is proven to reduce the number of illegal fishing cases in a certain period. This research also highlights the importance of preventive efforts and international diplomacy in reducing cross-border violations, so that this policy can run more effectively and sustainably. Strict law enforcement but still respecting the principle of justice is the main key to protecting Indonesia's marine resources. Keywords : Illegal Fishing, Ocean Sovereignty, Legal Policy, UNCLOS, Ship Sinking

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

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.

The Influence of Psychological Empowerment on Work Engagement with The Mediating Role of Organizational Commitment in Wera Community Health Center Employees Herdiman, Herdiman; Tirtoprojo, Susanto
International Journal of Management Science and Information Technology Vol. 4 No. 1 (2024): January - June 2024
Publisher : Lembaga Otonom Lembaga Informasi dan Riset Indonesia (KITA INFO dan RISET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35870/ijmsit.v4i1.2676

This research aims to analyze the effect of psychological empowerment on work engagement with organizational commitment as a mediating variable. The method used in this research is a quantitative method with a survey approach. Data was collected from 99 employees of the Wera District Health Center, Bima Regency, taken from the entire population using a saturated sampling technique. Data analysis was carried out using SmartPLS to test the relationship between the variables studied. The research results show that psychological empowerment positively and significantly affects work engagement. In addition, organizational commitment has been shown to mediate between work engagement and psychological empowerment. These findings indicate that employee psychological empowerment can increase work engagement and organizational commitment. This research shows that organizational leaders need to prioritize employee psychological empowerment as part of a strategy to increase work engagement. Training and development programs centered on psychological empowerment and organizational commitment can be effective interventions. The next research is to conduct a longitudinal study to observe how psychological empowerment impacts work engagement over time. Additionally, expanding the sample size and examining other factors that may influence work engagement could provide a more comprehensive understanding of these dynamics across various organizational contexts.

IMPLEMENTASI TEKNOLOGI INTERNET OF THINGS DI SEKTOR PELAYANAN KESEHATAN PRIMER (POSYANDU DAN POSBINDU) DI KECAMATAN BATUJAJAR, KABUPATAN BANDUNG BARAT, JAWA BARAT Rahmani, Hardiyanti; Mutiar, Astri; Purnama, Heni; Sudrajat, Diwa Agus; Herdiman, Herdiman; Hendra, Agus; Lindayani, Linlin
Jurnal Abdimas Sains Vol. 1 No. 1 (2024): JURNAL ABDIMAS SAINS
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jas.v1i1.6

Kecamatan batujajar merupakan salah satu kecamatan dengan jumlah kasus terkonfirmasi COVID-19 paling banyak di kabupaten Bandung Barat. Pelayanan kesehatan primer di Indonesia seperti Puskesmas, Poskesdes, dan Posyandu masih perlu untuk terus ditingkatkan. Permasalaan layanan di tingkat primer ini menjadi semakin memburuk dikarenakan wabah COVID-19, banyak puskesmas yang membatasi layanan dikarenakan kebijakan lockdown sehingga masyarakat yang mengalami masalah Kesehatan terdampak tidak bisa mencari pertolongan. Solusi yang berkaitan dengan pemanfaatan teknologi yaitu pelatihan tentang literasi digital untuk kader dan ibu-ibu rumah tangga, embinaan dan pendampingan dalam penggunaan IoT di posyandu dan posbindu melalui Mobile Apps akan dilakukan pendampingan dengan cara instalasi system IoT terintegrasi dengan sistem di puskesmas sehingga dapat dilakukan pemantauan dari jarak jauh melalui bantuan kader kesehatan. Metode pelaksaanaan yaitu penyuluhan, pelatihan dan pembinaan yang dilakukan melalui metode blended yaitu virtual dan tatap muka langsung. Selain itu juga dibentuknya Gerakan sehat bebas wabah penyakit Kecamatan Batujajar akan menjadi promotor untuk pencegahan dan penanngulangan wabah penyakit. Dibuatnya aplikasi posyandu dan posbindu online sehingga dapat meningaktkan pelayanan Kesehatan ditataran primer.Hasil dari kegiatan pengabdian kepada masyarakat ini adalah meningkatnya pengetahuan, sikap, dan perilaku kader dan ibu-ibu rumah tangga terhadap pecegahan dan penanggulangan COVID-19. Pengingkatan level aktifitas masyarakat serta menurunkan angka kecemasan pada kader dan ibu-ibu rumah tangga terhadap wabah penyakit.

The Effect of Progressive Muscle Relaxation on Anxiety in Covid-19 Patients in Bandung Herdiman, Herdiman; Fauzi, Deni Hamdan; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. Special Edition (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Aims: Hospitalized patients with COVID-19 have been shown to experience high levels of anxiety, according to studies of their mental health, and yet these patients' states of mind have been shown to play a significant role in boosting the immune system during COVID-19 treatment. Purpose: The purpose of this study was to determine the effect of progressive muscle relaxation on anxiety in patients with COVID-19. Methods : The research method was a Quasi Experimental pre-test and post-test design with a control group. The sampling technique was Convenience Sampling with 40 samples which were divided into 20 samples as intervention group and 20 people as control group. Progressive muscle relaxation of 20-30 minutes twice a day for 5 days was only given to the intervention group. A pre-test and post-test using the Fear of COVID-19 Scale (FCV-19S) were implemented to measure anxiety. Data was collected and analyzed using Paired Sample T-test and ANCOVA. Results: showed a statistically significant change in anxiety levels from pre- to post-test for those in the intervention group, but no such change for those in the control group. The significance level for this test is 0.05, so the square root of the mean is 123,578 (F = 115,479) and the standard deviation is 0.000 (p 0.0001). In the intervention group, there is a statistically significant change in sleep quality scores between the pre- and post-test, while in the control group, there is no such change. Its square root is 112.118, its factor is 32.315, and its sign is 0.000 (p 0.05). Conclusions: The conclusion is that anxiety in patients with COVID-19 can be significantly reduced by administering progressive muscle relaxation.

FACTORS INFLUENCING SELF-CARE AMONG PATIENTS WITH HEART FAILURE IN INDONESIA Astuti, Rika Puji; Nurdina, Gina; Herdiman, Herdiman
Medical-Surgical Journal of Nursing Research Vol. 4 No. 1 (2025): Medical-Surgical Journal of Nursing Research
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i1.47

Effective self-care is essential for individuals with heart failure to maintain physical stability, prevent symptom progression, and detect early signs of clinical deterioration. Despite its importance, many patients experience difficulties in adhering to self-care behaviors. Previous studies have indicated that various factors—including educational background, depressive symptoms, digital health literacy, knowledge of heart failure, and social support—may influence self-care capacity. This study aims to examine the factors that contribute to self-care behaviors among heart failure patients. A quantitative approach was applied using a cross-sectional design. A total of 119 participants were recruited from a cardiac outpatient clinic using convenience sampling. Data collection instruments included demographic questionnaires, the Self-Care of Heart Failure Index (SCHFI), Patient Health Questionnaire-9 (PHQ-9), eHealth Literacy Scale (eHEALS), Dutch Heart Failure Knowledge Scale (DHFKS), and the Medical Outcomes Study Social Support Survey (MOS-SSS). Pearson’s correlation was used for bivariate analysis, and linear regression was conducted for multivariate analysis. The findings indicated a significant relationship between depressive symptoms and self-care (p = 0.004, r = 0.259), and between eHealth literacy and self-care (p = 0.003, r = 0.267). No significant associations were observed between self-care and education level (p = 0.062), knowledge level (p = 0.399), or social support (p = 0.644). In summary, depressive symptoms and eHealth literacy were found to be significant predictors of self-care in individuals with heart failure. Among these, eHealth literacy had the greatest impact, highlighting the importance of digital competency in managing chronic conditions.

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