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The effect of cognitive behavioral therapy in managing blood-injury-injection phobia (BIIP) in a biomedical laboratory setting Putri Djamilah Wahidah; Tika Dwi Tama; Dea Aflah Samah; Dewa Bagus Prasetayo; Nailyaa Faza Hendrawan
Edulab : Majalah Ilmiah Laboratorium Pendidikan Vol. 10 No. 2 (2025)
Publisher : Laboratorium Pendidikan Fakultas Ilmu Tarbiyah dan Keguruan Colaboration with Persatuan Pranata Laboratorium Pendidikan Indonesia Tingkat Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/edulab.2025.102.02

Abstract

Purpose – This study aimed to examine the effect of Cognitive Behavioral Therapy (CBT) in reducing vasovagal responses among individuals with BIIP, as measured by indicators of fear severity, perception, heart rate, and oxygen saturation. Design/methods/approach – This study employed a pre-experimental design using a one-group pretest–posttest approach with purposive sampling. The sample consisted of 24 undergraduate students enrolled in a public health program. Four variables were examined: fear severity, perception, heart rate, and oxygen saturation. Data were analyzed using univariate analysis through frequency distribution and tabulation. Bivariate analysis was conducted using the Wilcoxon Signed Rank Test to determine the significance of therapeutic outcomes by comparing pretest and posttest results. The Kruskal–Wallis test with post hoc analysis was also applied to identify which CBT sessions were most effective in reducing BIIP-related anxiety symptoms. Findings – Of the four variables examined, fear severity and perception showed p-values greater than 0.05, indicating non-significant changes following the intervention, although percentage improvements were observed. Heart rate demonstrated a statistically significant effect, with a p-value of 0.028 (< 0.05), indicating a significant improvement, particularly during sessions four and five. In contrast, oxygen saturation yielded a p-value of 0.485, suggesting no statistically significant improvement across sessions one through five. Research implications/limitations – These findings suggest that CBT may be particularly effective in modulating physiological responses associated with BIIP in educational laboratory settings. However, the absence of a control group, the relatively small sample size, and variability in session attendance limit the generalizability of the results. Future studies employing controlled experimental designs and larger samples are recommended to strengthen causal inferences. Originality/value – This study contributes original empirical evidence by integrating psychological and physiological indicators to evaluate the effectiveness of CBT for BIIP within a biomedical laboratory context. The findings offer practical insights for implementing CBT-based interventions to enhance student safety and preparedness during laboratory-based blood-related procedures.
Survival Analysis of Brain Tumor Patients: One Year after Surgery Tika Dwi Tama; Nada Syifa; Erni Astutik
Preventia : The Indonesian Journal of Public Health Vol 10, No 1 (2025)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v10i12025p7-15

Abstract

Surgery is the most performed procedure to treat brain tumors. However, information about the survival of brain tumor patients after undergoing surgery is still limited in Indonesia. This study aimed to determine 1 year survival in brain tumor patients after undergoing surgical procedures and factors associated with patient survival. A retrospective cohort study was conducted in March until April 2023 with subjects of 46 brain tumor patients who were registered at the Gatot Soebroto Army Hospital and underwent surgical procedures in 2018 until 2022. Data on respondent characteristics (gender and age), clinical conditions (tumor location, stage, and tumor classification), date of surgery, and date of death were obtained from medical records. Kaplan Meier was used to determine the 1 year survival of brain tumor patients after surgery, while Cox Proportional Hazard Regression was used to determine factors associated with its survival. Kaplan Meier analysis showed that 1 year survival in post-operative brain tumor patients reached 80.5 percent. Secondary tumor was known to increase the risk of death in post-operative brain tumor patients (aHR 11.432; 95 percent CI 1.394 until 93.767). There was no significant relationship found between sex, age, tumor location, and tumor stage with brain tumor patients’s survival (p-value more than 0.05). Identification of tumor classification needs to be done correctly and as early as possible so that the patient's prognosis becomes better. The therapeutic approach needs to pay attention to the condition of each patient, especially in cases of secondary brain tumors.
Exploring Job Preferences among Final-Year Undergraduate Public Health Students in Indonesia Dian Mawarni; Nurhasmadiar Nandini; Anindya Hapsari; Tika Dwi Tama; Mika Vernicia Humairo
Preventia : The Indonesian Journal of Public Health Vol 10, No 1 (2025)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v10i12025p79-88

Abstract

Although the number of public health graduates has rapidly increased, public health workforce scarcity remains challenging in Indonesia. Understanding job preferences among students majoring in health is essential for health workers in the future. The purpose of this study is to investigate undergraduate public health students’ stated preferences when choosing a workplace and occupations after graduation and to explore factors that are related to choices of employment. An online survey was carried out in June 2023. Respondents were asked questions that collected sociodemographic and academic characteristics and information related to their preferred workplace and occupation. Descriptive statistics were measured using frequencies and proportions, and analytic statistics were performed using the Chi-Square test. An alpha level of 0.05 was employed to determine significance. A total of 275 undergraduate public health students completed the questionnaire. Over fifty percent preferred government health agency as workplaces and public health professionals as occupations. Significant factors related to job preferences were categorized into individual characteristics and academic background. These findings predict the public health workforce shortages due to public health graduates experiencing difficulties finding jobs and entering work in government settings, so some decide to work outside the government.
Analisis Ergonomi Desain Meja Belajar Mengaji Dan Keluhan Muskuloskeletal Disorders Pada Santri Pondok Pesantren Anwarul Huda Kota Malang Tahun 2019 Ramadhan, Adnan; Solichin, Solichin; Tama, Tika Dwi; Puspitasari, Sendhi Tristanti
Preventia: The Indonesian Journal of Public Health Vol. 7, No. 1
Publisher : citeus

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Abstract

The position of sitting not ergonomically forced like sitting cross-looking and sitting bent is one of the common causes of musculoskeletal disorders. This research was conducted to describe the ergonomic level design of studying learning tables used by the last step student of Anwarul Huda Islamic boarding school and the perceived complaint by showing which side of the table affects musculoskeletal disorders. The research method is descriptive with cross sectional design against 20 students of Islamic boarding school. The results obtained by the current diniyah table design are made by manufacturers who do not use anthropometric data in determining its size. Also found the most complaints for three consecutive days of data collection with the Nordic Body Map questionnaire which is on the skeletal part of the back, neck and buttocks. It was also found that none of the Islamic boarding school students were in the right sitting position, 30 percent of the sitting position was incorrect, 60 percent of the santri were in the wrong sitting position, and 10 percent of the santri in the sitting position were fatal. This can happen because in an ergonomic analysis using the mix match method the Islamic boarding school table design is all incompatible with the santri anthropometry, the Islamic boarding school table design is not ergonomic has a cause of the appearance of musculoskeletal disorders complaints by student Islamic boarding school.
Survival Analysis of Brain Tumor Patients: One Year after Surgery Tama, Tika Dwi; Syifa, Nada; Astutik, Erni
Preventia: The Indonesian Journal of Public Health Vol. 10, No. 1
Publisher : citeus

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

Abstract

Surgery is the most performed procedure to treat brain tumors. However, information about the survival of brain tumor patients after undergoing surgery is still limited in Indonesia. This study aimed to determine 1 year survival in brain tumor patients after undergoing surgical procedures and factors associated with patient survival. A retrospective cohort study was conducted in March until April 2023 with subjects of 46 brain tumor patients who were registered at the Gatot Soebroto Army Hospital and underwent surgical procedures in 2018 until 2022. Data on respondent characteristics (gender and age), clinical conditions (tumor location, stage, and tumor classification), date of surgery, and date of death were obtained from medical records. Kaplan Meier was used to determine the 1 year survival of brain tumor patients after surgery, while Cox Proportional Hazard Regression was used to determine factors associated with its survival. Kaplan Meier analysis showed that 1 year survival in post-operative brain tumor patients reached 80.5 percent. Secondary tumor was known to increase the risk of death in post-operative brain tumor patients (aHR 11.432; 95 percent CI 1.394 until 93.767). There was no significant relationship found between sex, age, tumor location, and tumor stage with brain tumor patients’s survival (p-value more than 0.05). Identification of tumor classification needs to be done correctly and as early as possible so that the patient's prognosis becomes better. The therapeutic approach needs to pay attention to the condition of each patient, especially in cases of secondary brain tumors.
Exploring Job Preferences among Final-Year Undergraduate Public Health Students in Indonesia Mawarni, Dian; Nandini, Nurhasmadiar; Hapsari, Anindya; Tama, Tika Dwi
Preventia: The Indonesian Journal of Public Health Vol. 10, No. 1
Publisher : citeus

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

Abstract

Although the number of public health graduates has rapidly increased, public health workforce scarcity remains challenging in Indonesia. Understanding job preferences among students majoring in health is essential for health workers in the future. The purpose of this study is to investigate undergraduate public health students’ stated preferences when choosing a workplace and occupations after graduation and to explore factors that are related to choices of employment. An online survey was carried out in June 2023. Respondents were asked questions that collected sociodemographic and academic characteristics and information related to their preferred workplace and occupation. Descriptive statistics were measured using frequencies and proportions, and analytic statistics were performed using the Chi-Square test. An alpha level of 0.05 was employed to determine significance. A total of 275 undergraduate public health students completed the questionnaire. Over fifty percent preferred government health agency as workplaces and public health professionals as occupations. Significant factors related to job preferences were categorized into individual characteristics and academic background. These findings predict the public health workforce shortages due to public health graduates experiencing difficulties finding jobs and entering work in government settings, so some decide to work outside the government.
Gambaran Aktivitas Sedenter, Tingkat Stress, dan Tingkat Depresi pada Siswi Sekolah Menengah Atas Negeri 4 Malang Hapsari, Anindya; Tama, Tika Dwi; Andiana, Olivia
Preventia: The Indonesian Journal of Public Health Vol. 6, No. 1
Publisher : citeus

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Abstract

Masa remaja merupakan masa peralihan dari anak-anak menjadi dewasa dimana pada masa ini terjadi perubahan fisik, psikologis, dan sosial, yang berpotensi menimbulkan masalah atau gangguan jangka panjang jika tidak ditangani secara tepat. Diantara masalah yang dapat dihadapi remaja adalah kurangnya aktivitas fisik, yang mengacu pada peningkatan aktivitas sedenter, yang telah diketahui berhubungan erat dengan peningkatan prevalensi penyakit tidak menular (PTM) sejak usia muda. Selain itu, permasalahan kesehatan remaja yang lain dari dimensi kesehatan jiwa adalah peningkatan prevalensi depresi, terutama pada remaja putri. Depresi ini dapat disebabkan karena ketidakmampuan remaja memanajemen stress dan memilih mekanisme koping stress yang salah. Penelitian ini bertujuan mengetahui gambaran aktivitas sedenter, stress, dan depresi pada siswi Sekolah Menengah Umum di Kota Malang. Jenis penelitian adalah deskriptif menggunakan rancangan potong lintang dengan pendekatan kuantitatif. Populasi penelitian adalah siswi kelas X SMUN 4 Malang dengan teknik total sampling sehingga didapatkan 116 responden. Instrumen yang digunakan adalah kuesioner yang telah tervalidasi. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki aktivitas sedenter tinggi (85,34 persen), tingkat stress sedang (76,72 persen), dan tingkat depresi minimal (81,89 persen). Kesimpulan dari penelitian ini adalah sebagian besar siswi kelas X SMUN 4 Malang memiliki aktivitas sedenter yang tinggi, tingkat stress sedang, dan tingkat depresi minimal. Untuk meningkatkan derajat kesehatan masyarakat utamanya remaja di SMUN 4 Malang, disarankan kepada pihak terkait untuk menyusun kebijakan tentang kewajiban aktivitas fisik di lingkungan institusi pendidikan serta meningkatkan peran bimbingan dan konseling remaja baik di institusi pendidikan maupun di institusi kesehatan.
Kenali dan cegah penyakit paru obstruktif kronik: Edukasi pada pekerja industri dupa Tika Dwi Tama; Mika Vernicia Humairo; Dian Puspitaningtyas Laksana; Hanif Ahmad Musyaffa; Sevia Agustina; Zirroh Alin Zariroh
PROMOTIF: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 2 (2025): PROMOTIF: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um075v5i22025p201-209

Abstract

Penyakit paru obstruktif kronik (PPOK) merupakan salah satu masalah kesehatan yang berkontribusi terhadap kematian pekerja. Pekerja pengrajin dupa berisiko menghirup debu dan terpapar berbagai bahan kimia beracun di lingkungan kerjanya. Paparan ini dapat meningkatkan peluang pekerja untuk mengalami PPOK. Kegiatan pengabdian kepada masyarakat ini ditujukan untuk meningkatkan pengetahuan pekerja pengrajin dupa tentang PPOK dan cara pencegahannya. Kegiatan dilakukan pada bulan Juli-Oktober tahun 2024, di UMKM dupa, Desa Dalisodo, Kecamatan Wagir, Kabupaten Malang. Kegiatan promosi kesehatan disampaikan dalam bentuk sosialisasi tentang PPOK, pengenalan Alat Pelindung Diri (APD) dan praktik pemakaiannya. Pelaksanaan kegiatan pengabdian masyarakat dibagi menjadi tiga tahap yaitu tahap persiapan, pelaksanaan, dan monitoring evaluasi. Pengetahuan pekerja diukur dengan kuesioner sebelum kegiatan sosialisasi dimulai (pre-test) dan setelah kegiatan sosialisasi dimulai (post-test). Data pre-test dan post-test dianalisis menggunakan uji Paired-Samples T-test. Hasil analisis menunjukkan bahwa rata-rata skor pengetahuan pekerja mengalami peningkatan setelah mendapatkan paparan materi sosialisasi (nilai p<0.05). Adanya peningkatan pengetahuan diharapkan dapat diikuti juga dengan peningkatan praktik upaya pencegahan PPOK oleh para pekerja.
Co-Authors Adnan Ramadhan Akhmad Fauzi Akhyudi, Dewi Muthia Charissa Al-Irsyad , Muhammad Alya Nurhanifah Ramadhanti Amelia, Dessy Andini Melati Sukma Andini Melati Sukma Anggaunitakiranantika Anindya Hapsari Anindya Hapsari Anis Yunita Anita Sulistyorini Ardhiyanti Puspita Ratna Artanti, Amelia Reza Aryana Satrya Asri C. Adisasmita Astutik, Erni Aulia Pramesti Avida Shafa Tiffani Bambang Juanda Bernadus Gunawan Sudarsono Cindy Puspita Sari Dea Aflah Samah Dedi Budiman Hakim Desinta Dwi Rapita Dewa Bagus Prasetayo Diah Ayu Kamila Dian Mawarni Dian Puspitaningtyas Laksana Ema Novita Deniati Eny Qurniyawati Erlina Burhan Fanani, Erianto Fatimatuzzahro, Fatimatuzzahro Fatma Lidya Zulfa Fauzi, Moh. Fery Hanif Ahmad Musyaffa Hartati Eko Wadhani Hartati Eko Wardani Kartika Alifia Kurnia, Nurmila M. E. Winarno Marji Marji Mazidah Imanuna Meidi Saputra Mika Vernicia Humairo Muhafilah, Nurul Nada Syifa Nailyaa Faza Hendrawan Neo Adhi Kurniawan Ningtyas, Fadhilah Rizky Nohan Arum Romadlona Nurhasmadiar Nandini Nurnaningsih Herya Ulfa, Nurnaningsih Herya Nurnaningsih Herya Ulfah, Nurnaningsih Herya Olivia Andiana Panggayuh, Pascahana Lintang Permatasari, Meilawati Diyah Pratama, Aditya Yudha Puspitasari, Sendhi Tristanti Putri Djamilah Wahidah Putri Djamilah Wahidah Putri Nurika Dewi Putri Regita Kusuma Dewi Rachmawati, Windi Chusniah Ramadhan, Adnan Ramadhani, Evada Mutiara Rara Warih Gayatri Ratih, Suci Puspita Renny Nurhasana Rosalinda, Nadia Rossa Amalia Salsabilla, Rania Balqis Sari, Faradilla Indah Oktavia Septa Katmawanti, Septa Sevia Agustina Sharyanto Sharyanto Shellasih, Ni Made Sherly Dia Lumitasari Sidyawati, Lisa Singgih Saptadi Solichin Solichin Solichin Solichin Supriyadi Supriyadi Susanti, Meirina Nur Asih Syifa, Nada Syifa, Tsabitah Aulawiyatus Ulandari, Sukma Wahdah, Zahra Nabilah Wati, Ratu Suci Sholikhah Wildatun Nabilah Wulandari, Lisa Purbawaning Zahro, Nimas Dewi Aninatus Zirroh Alin Zariroh