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Systematic Review: The Effect of Neiguan Acupressure Technique on Nausea and Vomiting in Postoperative Sectio Caesarea Patients with Spinal Anesthesia Maghfiroh, Halima Aulia Ita; Ismail, Aem
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.287

Abstract

Nausea and vomiting after cesarean section with spinal anesthesia is a common problem that can interfere with patient recovery. The use of the Antigua acupressure technique (P6) as a non-pharmacological therapy shows the potential to reduce these symptoms. This study aims to analyze the effect of the neiguan acupressure technique on nausea and vomiting in postoperative sectio caesarea patients with spinal anesthesia. The method used was a systematic review by analyzing three relevant primary studies from PubMed and Google Scholar databases during the period 2019-2024. Data were collected and evaluated to assess the effectiveness of acupressure in relieving nausea and vomiting. The results showed that the neiguan acupressure technique significantly reduced nausea and vomiting, with measurements taken at hour 6 postoperatively showing p=0.003 and hour 12 p=0.005. All studies analyzed showed positive results regarding the effect of acupressure. The Neiguan acupressure technique is effective in overcoming nausea and vomiting in postoperative cesarean section patients with spinal anesthesia. However, other factors also contribute to changes in nausea and vomiting response, so this technique should be considered as part of a comprehensive therapeutic approach.
Pengaruh Asuransi Kesehatan dan Empati terhadap Kepuasan Pasien Rawat Jalan di Rumah Sakit: Meta-Analisis Ismail, Aem; Maghfiroh, Halimah Aulia Ita
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 9 (2025): SENTRI : Jurnal Riset Ilmiah, September 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i9.4562

Abstract

Hospitals are health service institutions that have a central role in providing medical services to the community. The quality of service provided by hospitals greatly determines the level of patient satisfaction. Patient satisfaction is not only influenced by the results of treatment, but also by various other aspects such as the friendliness of medical personnel, speed of service, comfort of facilities, a sense of empathy by medical personnel, the use of health insurance and ease of administration. The purpose of this study is to find out how much health insurance and empathy affect outpatient satisfaction in hospitals. This study is a meta-analysis research with article search conducted based on the feasibility criteria of the PICO model, including: P = Outpatient; I= Health and empathy insurance; C= No health insurance and no empathy; O= Patient satisfaction. Articles were collected from Google Scholar, PubMed and Science Direct. Keywords use "Health insurance" AND "empathy" AND "patient satisfaction" AND "outpatient" AND "Cross-sectional" AND "Multivariate" OR "Adjusted Odds Ratio". The study used 7 selected cross-sectional studies for meta-analysis, with 4,517 respondents indicating that patients with health insurance were 2.27 times more likely to feel satisfied than patients without health insurance. (aOR= 2.27; CI 95%= 1.24 to 4.14; p< 0.02), and patients who had a sense of empathy were 3.41 times more likely to feel satisfaction than patients who did not have a sense of empathy (aOR= 3.41; CI 95%= 2.33 to 4.98; p< 0.52). The conclusion is that health insurance and Empathy can improve outpatient satisfaction in Hospitals. The keywords used were Health Insurance, Empathy, Patient Satisfaction, Outpatients, and Hospitals.
METAANALISIS COST-EFFECTIVE TELEMEDICINE DALAM MENANGANI MASALAH KESEHATAN JIWA: MEMENUHI TEKNOLOGI YANG BELUM TERCAPAI SETELAH PANDEMI COVID-19 Tri Atmojo, Joko; Pradana, Anggie; Kuntari, Saras; Noerlita Ningrum, Andriani; Tri Handayani, Rina; Widiyanto, Aris; Rejo, Rejo; Setyorini, Catur; Rahma Widyaningrum, Nova; Zamani, Ahmad; Nurhayati, Isnani; Dewi Lieskusumastuti, Anita; Puspitasary, Kiki; Nur Fauziah, Ani; Yuniarti, Tri; Sayekti Heni Sunaryanti, Sri; Iswahyuni, Sri; Ihdina Fityatal Hasanah, Yesi; Sabngatun, Sabngatun; Nurrochim, Nurrochim; Daryanto, Daryanto; Hanifah, Lilik; Maesaroh, Siti; Novitasari, Meliana; Indarto, Indarto; Karmadi, Karmadi; Nur Rokhmatun, Puji; Syauqi Mubarok, Ahmad; Anasulfalah, Hakim; Suparti, Sri; Rohmi, Rohmi; Febri Susanti, Rinandita; Hidayati, Anisa; Joko Yulianto, Dwi; Verasita, Prissy; Azmiardi, Akhmad; Rasyid Ridha, Achmad; Irawati, Dina; Triwibowo, Joko; Sindi Wardani, Galuh; Aditya, Mifta; Reza Kurnia, Febria; Eri Pramuja, Wanda; Ardia Pramesti, Risa; Setiawan Manurung, Budi; Puji Lestari, Apriliani; Auraldi Nansurya, Alga; Ernawati, Heni; Tri Darmayanti, Aquartuti; Ismail, Aem; Hanif, Ihsan; Maratul Munawar, Siti; Aqsyari, Rizki; Yuli Ayuningrum, Ika; Mirsanti, Faradilla
Avicenna : Journal of Health Research Vol 6, No 2 (2023): OKTOBER
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v6i2.949

Abstract

Meta-Analysis: Drug Side Effect, Smoking, Alcohol Consumptions and Their Relationships with Drug Taking Adherence in Tuberkulosis Patients Ismail, Aem; Prasetya, Hanung; Ichsan, Burhannudin
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.09

Abstract

Background: Inappropriate tuberculosis treatment is a major determinant of multidrug-resistant tuberculosis (MDR) TB, which is related to patient adherence to treatment. There are several factors that affect MDR-TB such as drug side effects, smoking and alcohol consumption. The aim is to estimate the magnitude of the effect of drug side effects on tuberculosis treatment adherence, based on the results of a number of similar primary studies.Subjects and Method: This study is a systematic review and meta-analysis research. Article search was carried out based on the eligibility criteria of the PICO model including: P= Tuberculosis patient; I= drug side effects, smoking and alcohol consumption; C= no drug side effects, no smoking and no alcohol consumption; O= Tuberculosis treatment adherence. Articles were collected from Google scholar, PubMed, Science Direct, and Springerlink. Keywords using “drug side effects” OR “tobacco smoking” OR “alcohol consumption” OR “tuberculosis” AND “medication adherence” AND “cross sectional” AND “adjusted odds ratio”. Inclusion criteria in this study included articles with a cross-sectional study design, the relationship size used was the adjusted Odds Ratio (aOR), articles published in the 2009 to 2022 range. Selected articles were tested for eligibility using CEBM and analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: 14 Cross-sectional studies were selected for the meta-analysis of 8 studies with 2,045 TB patients showed that drug side effects reduced TB treatment adherence by 0.26 times than no drug side effects (aOR= 0.26; 95% CI= 0.14 to 0.49; p< 0.001). 7 studies with 2,966 TB patients showed that alcohol consumption decreased TB treatment adherence by 0.61 times than not consuming alcohol (aOR= 0.61; 95% CI= 0.32 to 1.16; p= 0.130). Study 6 with 1,748 TB patients showed that smoking decreased TB treatment adherence by 0.86 times than non-smokers (aOR= 0.86; 95% CI= 0.17 to 4.37; p= 0.850).Conclusion: Side effects of drugs, alcohol, and smoking reduce treatment adherence in tuberculosis patients. Keywords: drug side effects, alcohol consumption, smoking, treatment adherence Correspondence: Aem Ismail. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: aem.ismail80@gmail.com. Mobile: +6282133114822.
Meta-Analysis: Effects of Smoking, Alcohol Consumption, and Low Physical Activity on Osteoporosis in Adults Ghifari, Muhammad Fahrezi Al; Himawati, Yulia; Ismail, Aem; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.03

Abstract

Background: Osteoporosis is a systemic skeletal disease characterized by low mineral bone mass and microarchitectural deterioration of bone tissue. This study aims to analyze the effect of smoking, alcohol consumption, and low physical activity on osteoporosis in adults.Subjects and Method: This was a meta-analysis study using the PICO format. Population: Adults, Intervention: Smoking, Alcohol Consumption, Low Physical Activity, Comparison: No Smoking, No Alcohol Consumption, High Physical Activity, Outcome: Osteoporosis. Articles were searched using online databases such as PubMed, Google Scholar, Science Direct. The search for articles using the keywords "Smoking" OR "Tobacco" AND "Alcohol consumption" OR "Drinking" AND "Physical activity" OR "Exercise" AND "Osteoporosis" OR "Bone mineral density" AND "Cross-sectional". The inclusion criteria for articles used were articles published in 2013-2023. Articles were filtered using PRISMA flow diagrams and analysis was conducted using RevMan 5.4.Results: The meta-analysis used 15 articles with cross-sectional studies from Ireland, Nepal, Taiwan, South Korea, China, Iran, America, Brazil, India, Congo, and Thailand with a total sample of 111,478 samples. The risk of osteoporosis increased with smoking (aOR= 1.49; CI 95%= 1.04 to 2.16; p= 0.030), alcohol consumption (aOR= 1.04; CI 95%= 0.84 to 1.30; p = 0.690), and low physical activity (aOR= 1.17; CI 95%= 0.92 to 1.48; p= 0.210).Conclusion: Smoking, alcohol consumption, and low physical activity increase the risk of osteoporosis in adults. Keywords: smoking, alcohol consumption, physical inactivity, osteoporosis.
Meta-Analysis: Factors Related with Premarital Sexual Behavior in Adolescents Tyas, Aktif Cahyaning; Zahro, Hallisa'tu; Salsabila, Putri Fortuna; Ismail, Aem; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.03

Abstract

Background: Premarital sexual behavior is a sexual activity carried out before marriage. Pre­marital sexual behavior is a health priority in adolescents because it causes unwanted pregnancies, abortions, STIs, HIV/AIDS and even death. Parents, peers, community environment, economic and cultural conditions influence premarital sexual behavior. This study aims to analyze the effect of peers, smoking behavior, alcohol consumption, exposure to pornography and rural areas on premarital sexual behavior in adolescents. Subjects and Method: This was a systematic review and meta-analysis of study articles. Data obtained from databases including Google Schoolar, Pubmed and Science Direct. Article search was carried out by considering eligibility criteria with the PICO model. Population: adolescents. Intervention: high peer pressure, smoking behavior, alcohol consumption, exposure to porno­graphy, and rural areas. Comparation: low peer pressure, non-smoking, no alcohol consumption, no exposure to pornography, and urban areas. Outcome: premarital sexual behavior. The articles were collected with keywords including "Peer Pressure" AND "Smoking" AND "Alcohol Compsumtion" AND "Pornography Exposure" AND "Rural" OR "Premarital Sexual Behavior" AND "Cross Sectional Study". Study articles were collected with PRISMA flow diagrams and analyzed using Review Manager 5.3 application. Results: The results of the meta-analysis indicated that adolescents were influenced by premarital sexual behavior in the presence of high peer pressure (aOR= 3.57; CI95%= 1.38 to 9.26; p<0.001), smoking behavior (aOR= 1.17; CI95%= 0.63 to 2.16; p<0.001), alcohol consumption (aOR=2.11; CI95%=1.34 to 3.33; p<0.001), and exposure to pornography (aOR= 2.43; CI95%= 1.44 to 4.09; p<0.001). Conclusion: Adolescent premarital sexual behavior increases with high peer pressure, smoking, alcohol consumption, and exposure to pornography.
Psychological Factors and Social Support in Adolescents with Suicidal Ideation: A Meta-Analysis Nisriina, Zain Nadaa; Pakanna, Epin; Murti, Bhisma; Ismail, Aem
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.03

Abstract

Background: According to World Health Organization (WHO) data, as of August 28, 2023, there are more than 700,000 deaths due to suicide every year and the fourth highest cause of death in 18-29 years old is suicide. Studies report that psychological conditions and social support are risk factors for the emergence of suicidal ideation in adolescents. This study aimed to analyze and estimate the effect of psychological determinants (anxiety, loneliness, and depression), gender, and social support on suicidal ideation in adolescents. Subjects and Method: This was a meta-analysis with PICO model. Population: adolescents. Intervention: women, psychological determinants (anxiety, loneliness, and depression), and social support. Comparison: men, no anxiety, no loneliness, no depression, no social support. Outcome: suicidal ideation. The basic data used involves Google Scholar, PubMed, BMC, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with cross-sectional studies, published from 2018-2023, reported aOR. Data analysis using the Review Manager 5.3. Results: Meta-analysis was carried out on 16 primary studies from various countries, namely Ethiopia, Nepal, the United States, India, Slovenia, South Korea, Nigeria, Jamaica, China, the Netherlands, and Greece. Suicidal ideation decreased in male adolescents (aOR= 0.95; 95% CI= 0.73 to 1.24; p= 0.700) and strong social support (aOR= 0.84; 95% CI = 0.76 to 0.93; p <0.001). Loneliness (aOR= 2.86; 95% CI= 1.38 to 5.96; p= 0.005), anxiety (aOR= 2.46; 95% CI= 1.58 to 3.84; p<0.001), and depression (aOR= 5.46; 95% CI= 3.43 to 8.70; p<0.001) increased the risk of suicidal ideation. Conclusion: Suicidal ideation decreases in male adolescents and strong social support. It increases with loneliness, anxiety, and depression increase the risk of suicidal ideation.
The Associations between Attitude and Quitting Smoking in Adult Smokers: A Meta-Analysis Firdaus, Anisah; Indah, Lestari; Murti, Bhisma; Ismail, Aem
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.05

Abstract

Background: According to the World Health Organization (WHO), by 2025, tobacco control initiatives are expected to reduce the prevalence rate of tobacco throughout the WHO region. Recent assessments of smoking epidemics over the past half-century show a decrease in overall smoking prevalence among adult males (32.2% to 33.1%) and females (6.3% to 6.7%). The effectiveness of all these smoking cessation programs depends on knowing the factors that affect smokers. Factors such as sociodemographic factors, attitudes, and environment play an important role in the desire to quit smoking This study aimed to determine the influence of attitudes on the likelihood of quitting smoking in adults. Subjects and Method: Systematic review and meta-analysis using prism flow diagrams and PICO format. Population: Adult smokers. Intervention: attitudes of likelihood of quitting smoking, smoking Outcome: Smoking cessation behavior in adults. The online databases used are Google Scholar, BMC, ScienceDirect, and Springer Link with the words smoking cessation, attitude to quit smoking, cross sectional and aOR. There were 9 cross sectional studies published in 2019-2023. The analysis was performed with RevMan 5.3. Results: This meta-analysis included 9 cross-sectional studies from the Hadiyah Zone, Southern Ethiopia, Bhubaneswar, India, Hanoi, Vietnam, United States, Saudi Arabia, England, Taiwan, Beirut, Lebanon and Qatar. The number of samples is 12,526. Smokers with positive attitudes were 1.28 times more likely to quit smoking than negative attitudes, and the effect was statistically significant (aOR= 1.28; CI 95%= 0.84 to 1.95; p= 0.260). Conclusion: Positive attitudes increase the likelihood of smokers quitting smoking. Keywords: quit smoking, attitudes, smokers, cross sectional, aOR.
Meta-Analysis: The Effect of Social Capital on Depression in Elderly Widyarahma, Amanda; Mufidah, Naili Zahroton; Afandi, Agil Rafi’ah; Murti, Bhisma; Ismail, Aem
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.10

Abstract

Background: According to WHO (2022), 14% of adults >60 years live with depression which accounts for 10.6% of total disability in the elderly. Depression is associated with an increased risk of premature death, with a potential reduction in life expectancy of around 10 years. Studies report that strengthening social capital can be an effective strategy in preventing and managing depression in the elderly. This study aims to analyze the influence of social capital on depression in the elderly. Subjects and Method: This research is a meta-analysis of the PICO model. Population: elderly. Intervention: high social participation, high social cohesion, high reciprocity, high social trust and high social network. Comparison: low social participation, low social cohesion, low reciprocity, low social trust and low social network. Outcome: depression. The data used involves Google Scholar, PubMed, BMC, Elsevier, ScienceDirect, and Springer Link. Inclusion criteria were full-text articles with a cross-sectional study design using multivariate analysis that included OR values and were published from 2014-2023. Data analysis using the Review Manager 5.3 application. Results: The meta-analysis included 17 cross-sectional studies from Korea, Spain, Japan, Taiwan, the Netherlands, China, and Myanmar. The results showed that the incidence of depression decreased with high social participation (aOR= 0.78; 95% CI= 0.61–1.00; p= 0.050), high social cohesion (aOR= 0.84; 95% CI= 0.72 – 0.99; p= 0.030), high reciprocity (aOR= 0.75; 95% CI= 0.63 – 0.90; p= 0.020), and high social trust (aOR= 0.52; 95% CI= 0.41 – 0.66; p<0.001). Social networks reduce the risk of depression but were not statistically significant a(OR= 0.71; CI 95%= 0.31 – 1.59; p= 0.400). Conclusion: Social participation, social cohesion, reciprocity, and social trust have an effect on reducing the risk of depression in the elderly.