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All Journal Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Ners Indonesia Jurnal Keperawatan Komunitas Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal JURNAL CITRA KEPERAWATAN Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Media Ilmu Kesehatan Journal of Islamic Nursing Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu dan Teknologi Kesehatan Seminar Nasional Keperawatan Unnes Journal of Public Health Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal The Indonesian Journal of Health Science Indonesian Journal of Global Health research JIKO(Jurnal Ilmiah Keperawatan Orthopedi) Jurnal Mitra Kesehatan An Idea Health Journal Makara Journal of Health Research Journal of Nursing Science Update Jurnal Keperawatan Journal of Nursing Science Research Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Wiwin Wiarsih
Departemen Keperawatan Komunitas, Fakultas Ilmu Keperawatan, Universitas Indonesia
Chemistry Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Systematic Review: Pengaruh Program Pendampingan Self Help Group Terhadap Tingkat Viral Load Dan Kepatuhan Minum ARV Pada ODHA Suan, Carolina Fina; Wiarsih, Wiwin; Widyatuti, Widyatuti
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 2 (2025): JMK Yayasan RS.Dr.Soetomo, Oktober 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i2.2368

Abstract

Program pendampingan Self Help Group (SHG) telah digunakan sebagai intervensi psiko-sosial untuk meningkatkan kepatuhan pengobatan dan menurunkan viral load pada Orang dengan HIV/AIDS (ODHA). Namun, efektivitas SHG dalam meningkatkan kepatuhan minum antiretroviral (ARV) dan menurunkan tingkat viral load masih menunjukkan variasi hasil antar studi. Oleh karena itu, dilakukan systematic review untuk menganalisis pengaruh program SHG terhadap tingkat viral load dan kepatuhan minum ARV pada ODHA.Kajian ini menggunakan desain systematic review dengan panduan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Literatur dicari melalui empat basis data: Scopus (n=34), ScienceDirect (n=3.945), ProQuest (n=5), dan Sage Journal (n=5), dengan total hasil pencarian awal sebanyak 12.365 artikel. Kata kunci yang digunakan: ("Self Help Group" OR "Support Group") AND ("Viral Load" OR "HIV Suppression") AND ("ARV Adherence" OR "Medication Compliance") AND ("PLHIV" OR "HIV Patients"). Seleksi dilakukan berdasarkan inklusi studi intervensi terhadap ODHA yang menilai dampak SHG terhadap kepatuhan dan viral load. Dari hasil penyaringan, diperoleh sejumlah artikel yang memenuhi kriteria dan menunjukkan bahwa keterlibatan dalam SHG secara konsisten berkorelasi positif dengan peningkatan kepatuhan minum ARV serta penurunan viral load. Beberapa studi juga menunjukkan peningkatan dukungan sosial, pemahaman penyakit, dan pemberdayaan individu sebagai mediator utama. Program SHG terbukti berpengaruh positif terhadap peningkatan hasil klinis ODHA, khususnya dalam aspek kepatuhan pengobatan dan kontrol virologis. SHG direkomendasikan sebagai intervensi tambahan dalam layanan HIV terintegrasi di berbagai setting layanan kesehatan. Penerapan SHG juga mendukung manajemen rumah sakit dalam meningkatkan kualitas pelayanan komprehensif serta memperkuat sistem dukungan pasien dalam continuum of care
The influence of body mass index (BMI) and physical activity changes on the effectiveness of e-health in obesity among adults: A systematic review Mahmuddin, Mahmuddin; Mulyono, Sigit; Rekawati, Etty; Wiarsih, Wiwin
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

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

Abstract

Background: The use of e-health is now widely used as a new intervention e-health can be applications in smart phones, smart watches, or wearables, as well as telemedicine, interactive video and web-based interventions. Purpose: Submitting the results of exploration related to the impact of e-health use in increasing physical activity and changes in BMI in adults with obesity. Method: Literature reviews on several databases such as clinical key nursing, sage journal, and Pubmed using PRISMA methods. Results: This systematic review study proves that eHealth has an influence on physical activity and BMI in adults with obesity. From the 7 articles that used e-health as an intervention in changing physical activity and BMI showed significant results against changes in physical activity, BMI despite using different types of eHealth, such as virtual reality, smartphone applications/wearable devices and telehealth. Conclusion: The use of e-health can be recommended as part of a body weight management strategy as it has a good impact over time and needs to be integrated with nursing interventions so that nurses can monitor patient progress and adjust recommendations based on the data collected.
Psychometric Evaluation of the Stakeholder Support Questionnaire for Integrated Primary Care: Evidence of a Multidimensional and Hierarchical Construct in Indonesia Wiwin Wiarsih; Utami Rachmawati; Muhamad Jauhar; Megah Andriany; Endang Triyanto; Lita Heni Kusumawardani; Maula Mar'atus Solikhah; Umi Hani; Kinantika Nur Dewanti; M.Agung Akbar
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.638

Abstract

Background: Integrated primary care (IPC) is recognized as essential for strengthening health systems. However, Indonesia currently lacks a validated instrument to assess stakeholder support, which is a critical determinant of successful IPC implementation. This study evaluated the content validity, internal structure, and reliability of the newly developed Stakeholder Support Questionnaire for Integrated Primary Care (SSQ-IPC), grounded in Freeman’s Stakeholder Theory. Methods: A cross-sectional psychometric validation was conducted with 570 primary healthcare nurses recruited through stratified random sampling across Indonesia. The initial 18-item instrument, encompassing four constructs, underwent content validation by a panel of seven experts. Data analysis included calculating the Content Validity Index (CVI), conducting exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and second-order CFA. Model fit was assessed using multiple fit indices, while construct validity and reliability were evaluated through factor loadings, Average Variance Extracted (AVE), Cronbach’s alpha, and McDonald’s omega. Results: EFA supported a four-factor structure. First-order CFA indicated acceptable model fit (CFI = 0.933, TLI = 0.921, SRMR = 0.037), with all factor loadings statistically significant (p<.001) and strong indicator reliability. Convergent validity was established with AVE values ranging from 0.650 to 0.869, and internal consistency was high across constructs (α= 0.877–0.978; ω = 0.884–0.973). Second-order CFA supported a hierarchical model, with all four constructs significantly loading onto a higher-order factor. Conclusion: The SSQ-IPC demonstrates strong evidence of validity and reliability, supporting its multidimensional and hierarchical structure. This instrument provides a robust tool for research and practice, facilitating.
The Effectiveness of Community-Based Nutrition Education in Reducing Stunting in Remote Areas: A Systematic Review Nasirun, Hafizs; Rekawati, Etty; Rahmadiyah, Dwi Cahya; Wiarsih, Wiwin
Journal of Islamic Nursing Vol 11 No 1 (2026): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v11i1.63930

Abstract

Abstract Community-based nutrition education is a key strategy for addressing stunting in geographically isolated regions, yet synthesized evidence on its effectiveness in these specific high-constraint environments remains limited. This systematic review evaluates the impact of community-based nutrition education on stunting and child nutrition outcomes in remote and rural areas. We searched six major databases (ProQuest, ScienceDirect, Scopus, SAGE, SpringerLink, Taylor & Francis) for randomized controlled trials and quasi-experimental studies published between 2014 and 2024. Following PRISMA guidelines, twelve studies (N=53,570) from Asia, Africa, and Latin America were included for qualitative synthesis. Interventions combining nutrition counseling, cooking demonstrations, and home visits significantly improved complementary feeding practices, dietary diversity, and hygiene behaviors. While all studies reported improvements in caregiving, significant reductions in stunting prevalence (ranging from 4.9% to 35%) were primarily observed in multi-year programs that integrated educational components with targeted nutritional supplementation and growth monitoring. In isolation, education improved dietary diversity but had modest, statistically insignificant effects on linear growth. Community-based nutrition education is most effective in reducing stunting when implemented as a multifaceted, long-term intervention linked to social support and supplementation. Policy design for remote areas must prioritize culturally adapted, resource-integrated models to achieve measurable anthropometric gains. Keywords: adolescents, assertive training, boarding school, Islamic values, interpersonal communication.
Peran ayah dalam penanganan stunting: A systematic review Filipus Yakobus Boibalan; Dwi Cahya Rahmadiyah; Heny Permatasari; Wiwin Wiarsih
Hik Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.650

Abstract

Background: Stunting is a significant malnutrition phenomenon faced by the world, including Indonesia. Various family factors, such as inadequate access to nutritious food, low exclusive breastfeeding practices, and exposure to diseases, contribute to the occurrence of stunting. Additionally, social factors such as political and economic conditions, healthcare providers, and socio-cultural norms also influence the prevalence of stunting. Purpose: To evaluate fathers' involvement in handling stunting in children. Methods: Systematic review research from various relevant international journals by searching through databases, including PubMed, Proquest, science direct, Ebsco host and Scopus. Of the 3,427 journals identified, there are 8 journals that meet the inclusion and exclusion criteria from 2019-2024. Results: The results show that father involvement in parenting contributes positively to the quality of children's diet and reduces the prevalence of stunting. The role of fathers in child care can increase family awareness regarding the importance of balanced nutrition and good eating patterns for children. This role has the potential to reduce the incidence of stunting among children. Conclusion: Father's involvement is very important in increasing family awareness about good nutrition and eating patterns as well as emotional and financial support, all of which play a role in preventing stunting.  A family approach that involves fathers is the key to supporting children's optimal growth and development   Keywords: Father; Role; Stunting.                                                                                                                                                                               Pendahuluan: Stunting merupakan fenomena gizi buruk yang signifikan yang dihadapi oleh dunia, termasuk Indonesia. Berbagai faktor keluarga, seperti akses yang tidak memadai terhadap makanan bergizi, praktik pemberian ASI eksklusif yang rendah, dan paparan penyakit, berkontribusi terhadap kejadian stunting. Selain itu, faktor sosial seperti kondisi politik dan ekonomi, penyedia layanan kesehatan, serta norma sosial budaya juga memengaruhi prevalensi stunting. Tujuan: Untuk mengevaluasi keterlibatan ayah dalam penanganan stunting pada anak. Metode: Penelitian sistematik review  dari berbagai jurnal internasional yang relevan dengan pencarian melalui database, antara lain PubMed, Proquest, science direct, Ebscohost, dan  Scopus. Dari 3.427 jurnal yang diidentifikasi terdapat 8 jurnal yang memenuhi kriteria inklusi dan eksklusi dari tahun 2019-2024. Hasil: Keterlibatan ayah dalam pengasuhan berkontribusi positif terhadap kualitas diet anak-anak dan mengurangi prevalensi stunting. Peran ayah dalam pengasuhan anak dapat meningkatkan kesadaran keluarga mengenai pentingnya gizi seimbang dan pola makan yang baik bagi anak. Peran ini  berpotensi mengurangi kejadian stunting di kalangan anak-anak. Simpulan: Keterlibatan ayah sangat penting dalam meningkatkan kesadaran keluarga tentang gizi dan pola makan yang baik serta dukungan emosional dan finansial yang semuanya berperan dalam pencegahan stunting.  Pendekatan keluarga yang melibatkan ayah adalah kunci untuk mendukung tumbuh kembang anak secara optimal.   Kata Kunci: Ayah; Peran; Stunting.
Kearifan lokal dalam upaya pencegahan kejadian stunting: Telaah sistematis Wildia Wildia; Dwi Cahya Rahmadiyah; Wiwin Wiarsih; Henny Permatasari
Hik Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.763

Abstract

Background: Improving nutrition in communities with diverse cultures can be done in various ways, namely understanding the community's cultural beliefs regarding food and health, recognizing food consumption practices that contribute to cultural identity, recognizing the nutritional types of certain ethnic foods and strengthening positive ethnic nutrition. Purpose: To determine the influence of the application of local wisdom in efforts to prevent stunting. Method: This study is a systematic review with a literature search using 4 databases, namely Pubmed, Proquest, ScienceDirect and Scopus. Based on systematic identification and review, 8 research articles were obtained, including 3 Randomized Controlled Trials (RCT) articles, 2 Quasi-experimental articles, 1 case control article, 1 cohort prospective study article and 1 cross sectional article. The studies were reviewed and assessed for risk of bias using the Joanna Briggs Institute (JBI) form. Results: Interventions based on local wisdom can improve nutrition in children and prevent stunting. The approach used using local wisdom increases access to protein sources for families, empowering women in making decisions regarding child nutrition. In many cultures, women are the main decision makers regarding family food and health, so empowering women can change food consumption patterns in the household. Providing nutrition promotions and providing interventions through short messages using local languages ​​can also provide positive results in the problem of stunting. Conclusion: Local wisdom has great potential in handling stunting through nutritional knowledge, sustainable agricultural practices, women's empowerment and providing health promotion based on local languages. Suggestion: Stunting prevention through local wisdom approach can be done by empowering women, both through training and decision making. Prevention of stunting problems should be done with culture-based interventions to change the stigma of society.   Keywords: Local Wisdom; Nutrition; Stunting; Toddlers.   Pendahuluan: Peningkatan gizi pada komunitas dengan budaya yang beragam dapat dilakukan dengan berbagai cara yaitu memahami keyakinan budaya komunitas tersebut terkait makanan dan kesehatan, mengenali praktik konsumsi makanan yang berkontribusi terhadap identitas budaya, mengenali jenis gizi makanan etnis tertentu serta memperkuat nutrisi etnis yang positif. Tujuan: Untuk mengetahui pengaruh penerapan kearifan lokal dalam upaya pencegahan kejadian stunting. Metode: Penelitian telaah sistematis dengan pencarian literatur menggunakan 4 database, yaitu Pubmed, Proquest, ScienceDirect, dan Scopus. Berdasarkan identifikasi dan penelaahan sistematis didapatkan 8 artikel yang meliputi: 3 artikel Randomized Controlled Trials (RCT), 2 artikel Quasi-eksperimental, 1 artikel case control, 1 artikel cohort prospektif study, dan 1 artikel cross sectional. Studi ditelaah dan dinilai risiko biasnya menggunakan formulir Joanna Briggs Institute (JBI). Hasil: Intervensi berbasis kearifan lokal dapat meningkatkan nutrisi pada anak dan mencegah kejadian stunting. Selain itu, meningkatkan akses terhadap sumber protein bagi keluarga dan memberdayakan perempuan dalam pengambilan keputusan terkait gizi anak. Dalam banyak budaya, perempuan adalah pengambilan keputusan utama terkait makanan dan kesehatan keluarga, maka dengan pemberdayaan perempuan dapat mengubah pola konsumsi makanan di rumah tangga. Pemberian promosi nutrisi dan pemberian intervensi melalui pesan singkat dengan menggunakan bahasa lokal juga dapat memberikan hasil yang positif dalam menurunkan permasalahan stunting. Simpulan: Kearifan lokal memiliki potensi besar dalam penanganan stunting melalui pengetahuan gizi, praktik pertanian berkelanjutan, pemberdayaan perempuan serta pemberian promosi kesehatan berdasarkan bahasa lokal. Saran: Pencegahan stunting melalui pendekatan kearifan lokal dapat dilakukan dengan pemberdayaan perempuan, baik melalui pelatihan maupun pengambilan keputusan. Sebaiknya pencegahan masalah stunting dilakukan dengan intervensi yang berbasis budaya untuk mengubah stigma masyarakat.   Kata Kunci: Balita; Kearifan Lokal; Nutrisi; Stunting.
Co-Authors 1, Rohayati Achir Yani S. Hamid Achmad Fariz AGUS SETIAWAN Agus Setiawan Akbar, M. Agung Aldri Frinaldi Andi Pranata Annisa Wuri Kartika Asih, Imalia Dewi Asniar Asniar Astuti Yuni Nursasi Bahtiar Bahtiar Budi Santoso Dwi Cahya Rahmadiyah Elfi Syahreni Endang Triyanto Enie Novieastari Erlisa Candrawati Etty Rekawati Fathurrahman, Sofyan Dwi Filipus Yakobus Boibalan Gustina, Nurma Zela Henny Permatasari Heny Permatasari Herni Susanti Ice Yulia Wardani Istifada, Rizkiyani Joko Wiyono Junaiti Sahar Kartika, Annisa Wuri Kinantika Nur Dewanti Kristianingrum, Niko Dima Kumboyono Kumboyono Lily Herlinah Lita Heni Kusumawardani Mahathir, Mahathir Mahmuddin Mahmuddin Maula Mar'atus Solikhah Megah Andriany Mu'in, Muhammad Muhamad Jauhar Murtiwi Murtiwi Nasirun, Hafizs Nur Akbar Nurasasi, Astuti Yuni Nurul Miftahul Jannah Nuurhidayat Jafar Poppy Fitriyani Prastyanto, FX Bobby Tyas Priyo - Rachmawati, Utami Rasdiyanah, Rasdiyanah Ratna Lestari Ratna Lestari Rita Melianna Rita Melianna Ritanti, Rohayati, Rohayati Safitri, Aisyah Safitri, Aisyah Sigit Mulyono Siti Badriah Suan, Carolina Fina Sukihananto, Sukihananto Tri Mariha Umi Hani Widyatuti Wildia Wildia Yati, Yati Yeni Rustina Yossie Susanti Eka Putri Yulia Susanti Yulia Susanti, Yulia