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Effect of Telehealth Implementation on Outpatient Anxiety Level Eni Nuraeni
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 3 No. 2 (2026): April, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v3i2.540

Abstract

Anxiety in outpatients is a psychological problem that often arises due to long lines, limited consultation time, and concerns about diagnosis and therapy. The use of telehealth as a technology-based health service innovation has the potential to improve patient access, efficiency, and comfort so that it can reduce anxiety levels. However, the scientific evidence regarding the effectiveness of telehealth on outpatient anxiety in Indonesia is still limited. This study aims to analyze the effect of the application of telehealth on the level of anxiety of outpatients in Dr. Hasan Sadikin Bandung. This study used a quasi-experimental design with one group pretest-posttest approach without a control group. A sample of 80 outpatients were selected using acidental sampling technique according to inclusion and exclusion criteria. Interventions in the form of telehealth services are provided during scheduled consultation periods. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) instrument before and after the intervention. Data analysis was conducted using paired t-test to determine the difference in the average anxiety score before and after the application of telehealth with a significance level of p<0.05. The results showed that the average anxiety score before the intervention was 25.1 ± 5.4 and decreased to 16.2 ° 4.9 after the implementation of telehealth. The paired t-test results showed a statistically significant difference (p=0.000), with an average decrease of 8.9 points. It was concluded that the application of telehealth has a significant effect in reducing the level of outpatient anxiety. Operational implications of this study is the need for optimization of telehealth services as part of outpatient service standards to support the comfort and psychological stability of patients.
ANALISIS IMPLEMENTASI PENDIDIKAN UNTUK PEMBANGUNAN BERKELANJUTAN DAN CAPAIAN KEY COMPETENCES ESD SERTA KEDADARAN BERKELANJUTAN Syahirah, St.; Diana Rochintaniawati; Eni Nuraeni; Mimin Nurjhani Kusumawati
Jurnal Tunas Pendidikan Vol. 8 No. 1 (2025): JURNAL TUNAS PENDIDIKAN
Publisher : LPPM Universitas Muhammadiyah Muara Bungo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52060/pgsd.v8i1.3319

Abstract

Education plays a strategic role in shaping cultural behavior and developing human resources. Integrating Education for Sustainable Development (ESD) into biology learning offers a promising strategy to enhance students’ sustainability awareness. This study aims to examine the achievement of key ESD competencies and identify students’ levels of sustainability awareness in the context of ESD-based biology instruction. A qualitative descriptive approach was employed in a public senior high school in Bandung during the second semester of the 2023/2024 academic year. Research participants included a biology teacher and eleventh-grade students. Data were collected through in-depth interviews, questionnaires, and document analysis of teaching modules and student worksheets. Thematic analysis was used to identify ESD-related competencies and expressions of sustainability awareness. The results indicate that integrating Problem-Based Learning (PBL) into biology lessons supports the development of ESD competencies, particularly systems thinking and self-reflection. However, the assessments embedded in the worksheets remain limited to lower-order cognitive levels and do not adequately stimulate higher-order thinking skills (HOTS). Students’ sustainability awareness was most prominent in environmental aspects, followed by social dimensions, while economic awareness remained underdeveloped. These findings highlight the need to strengthen ESD-based content and assessment strategies that encourage students’ active engagement with real-world sustainability issues.