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Factors Affecting Treatment Adherence Among Patients with Tuberculosis in Indonesia: Literature Review Islam, Fahrul; Ahmad, Haeranah; Nurbaya; Ahmad , Masnaeni; Ansar; Ramadhan, Kadar; Syukri, Muhammad; Arrazy, Syafran; Aji Perdana, Agung; Siregar, Deborah; Ade Ningsih, Nining; Dwi Astuti, Ikes; Kadijah Hamid, St.; Hamonangan Pasaribu, Asrul
Journal of Public Health and Pharmacy Vol. 4 No. 1: MARCH 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i1.5022

Introduction: Tuberculosis (TB) is the leading cause of death from infectious diseases in the world and Indonesia is the second largest contributor to TB cases after India. Treatment adherence problems are a major obstacle to TB elimination. The purpose of this Literature Review is to determine the factors that affect treatment adherence among TB patients in Indonesia. Methods: Literature obtained from Science Direct, PubMed, and Google Scholar; published from 2018 – 2023, research from reputable international journals and from national journals at least with SINTA 3, located in Indonesia. Indonesian and English with full text of all types of research designs. Article selection was carried out using the method "Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) and analyzed using descriptive analysis techniques. Results: A total of 225 articels were deemed appropriate for the topic, but only 15 articles were included based on inclusion criteria. It was found that there are several factors that affect treatment adherence in tuberculosis patients in Indonesia, namely: predisposing factors as many as 11 articles (age, education, occupation, knowledge, self-efficacy, concordance, health behavior, motivation, marital status, income level, drug side effects, already feeling cured, and duration of treatment). Reinforcing factors as many as 2 articles (family support). Enabling factors as many as 5 articles (the role of officers, reminder SMS messages from officers, health counseling, and distance of residence to health services). Conclusion: The most dominant factor affecting treatment adherence among tuberculosis patients in Indonesia is the Predesposising factors, namely education and sefl-efficacy.

DESCRIPTION OF KNOWLEDGE, ATTITUDES, AND ACTIONS OF MOTHERS TOWARDS THE PREVENTION OF ISPA IN TODDLERS AT BINONG URBAN VILLAGE, TANGERANG Thassya Yolanda, Ignatia; Lydia Putri Septiandani; Maria Nespita Sirait; Deborah Siregar
International Journal Multidisciplinary (IJMI) Vol. 1 No. 1 (2024): International Journal Multidisciplinary (IJMI)
Publisher : Antis-Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61796/ijmi.v1i1.80

Upper Respiratory Tract Infections (URTIs) are diseases that affect the upper respiratory tract, causing death and decreased quality of life for children under five. The incidence of ARI is about 3-5 times / child / year. The incidence of ARI in Indonesia is still relatively high and has increased in 2015 by 63.45% and in 2017 Tangerang district obtained 48.56%. The cause is the lack of maternal knowledge about ARI, the attitude of parents who take it lightly because it is considered harmless, and the absence of ARI prevention measures in toddlers. Research Objective: To analyze the description of knowledge, attitudes, and actions of mothers towards ARI prevention in toddlers in Binong village. Research Methods: quantitative, with a cross sectional design. The sample size was 50 respondents who had toddlers with Accidental Sampling technique. The research instrument used a questionnaire in the form of google form. Data analysis using univariate analysis. Results: The study showed 74% lack of knowledge, 100% positive attitude, and 84% good action towards ARI prevention in toddlers owned by mothers aged 26-45 years and high school-Higher Education. Recommendation: For future researchers, it is advisable to look for factors that influence the incidence of ARI in toddlers.

KNOWLEDGE, ATTITUDE, AND PRACTICE OF MOTHERS ON ACUTE RESPIRATORY INFECTION IN CHILDREN UNDER FIVE YEARS Yolanda, Ignatia Thassya; Septiandani, Lydia Putri; Sirait , Maria Nespita; Siregar, Deborah
International Journal Multidisciplinary (IJMI) Vol. 1 No. 3 (2024): International Journal Multidisciplinary (IJMI)
Publisher : Antis-Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61796/ijmi.v1i3.176

Background: Acute Respiratory Infection (ARI) significantly affects the respiratory tract, contributing to high mortality rates and a decline in quality of life for children under five, with an incidence of 3-5 episodes per child annually. In Indonesia, ARI remains prevalent, with cases increasing in 2015 (63.45%) and reaching 48.56% in Tangerang Regency by 2017. Knowledge Gap: Despite these figures, there is limited research on maternal knowledge, attitudes, and practices concerning ARI prevention. Aims: This study aims to analyze maternal knowledge, attitudes, and actions in Binong Village regarding ARI prevention among toddlers. Methods: A cross-sectional quantitative design was employed, with 50 mothers of toddlers completing a Google Forms questionnaire. Accidental sampling was used, and univariate analysis was applied to assess frequency and percentage distributions of the variables. Results: The findings revealed that 74% of mothers exhibited poor knowledge, while 100% had positive attitudes and 84% engaged in good practices toward ARI prevention. Novelty: This study highlights the discrepancy between maternal knowledge and attitudes/practices, showing that even with poor understanding, mothers maintain positive attitudes and preventive actions. Implications: The results underscore the need for improved educational interventions targeting maternal knowledge on ARI, as current positive attitudes and practices could be enhanced with better information. Future research should explore factors influencing ARI incidence in infants to develop more comprehensive prevention strategies. Ethical approval for the study was granted (085 / KEP-FON / III-2020).acute respiratory infection,

RISK FACTORS OF OBESITY IN YOUNG ADULTS Mestika Natalia Lubis; Novita Stefani Debora; Windy Putriani Situmorang; Deborah Siregar; Lenny Harefa
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/598

Obesity is a developing global public health issue. Obesity is a significant risk factor for a variety of diseases, increasing morbidity and mortality from cardiovascular disease and Diabetes Mellitus. Since 1975, global obesity has nearly tripled, and Jakarta has the second-highest obesity rate in Indonesia. COVID-19 also contributed to this situation, as many young adults work from home. COVID-19 has an impact, such as an increase in the frequency of unhealthy eating and frequency of sitting, a decrease in physical activity, or irregular exercise, which can lead to obesity. This study aims to investigate the lifestyle risk factors associated with obesity in young adults in Jakarta. A cross-sectional design was conducted with convenience sampling of 384 respondents aged 26-35. Data was collected using an online questionnaire. Descriptive and statistical analysis was performed using chi-square. The finding revealed a significant relationship between physical activity, sedentary lifestyle, and genetics with obesity in young adults (p-value 0.004; 0.035; 0.001). Conclusion: Young adults can adopt a healthy lifestyle by increasing regular physical activity for at least 30 minutes daily and changing their sedentary lifestyle.

The Relationship Between Self-Concept and Social Interaction Among Nursing Students Paula, Veronica; Kasenda, Edson; Simamora, Sry Rezeky; Pasaribu, Desty Monica; Batunanggar, Vevia Revana; Siregar, Deborah
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9575

Self-concept and social interaction are important factors in the development of nursing students' professional skills. A positive self-concept can enhance students’ ability to engage in effective social interactions, which plays a vital role in building strong interpersonal relationships within academic and clinical practice environments. This study aimed to examine the relationship between self-concept and social interaction among nursing students at a private university in Tangerang. This study employed a quantitative correlational method with a cross-sectional approach. A total of,302 nursing students from a private university in Western Indonesia were selected using a quota sampling technique. The instruments included the Tennessee Self-Concept Scale (TSCS) and the Social Interaction Psychology Scale, both of which were utilized in their validated Indonesian-language versions. Data analysis using Spearman’s rank correlation was conducted to examine the relationship between self-concept and social interaction. The findings showed that most students had a moderate level of self-concept (64.9%) and social interaction (73.2%). Spearman’s rank correlation analysis revealed a significant positive correlation of moderate strength between self-concept and social interaction among nursing students. This suggests that students with a better self-concept tend to demonstrate more effective social interaction. Therefore, educational institutions are encouraged to develop programs aimed at enhancing both self-concept and social interaction to support students’ academic performance and professional development.

Factors Influencing Mosquito Nest Eradication in Dengue Hemorrhagic Fever Prevention Siregar, Deborah; Harefa, Lenny; Uma, Milka Rambu Andu
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9863

Dengue hemorrhagic fever (DHF) poses a significant public health in Indonesia. Despite government efforts to control disease vectors, the rising population density and mobility in Tangerang Regency have contributed to the rapid spread of DHF. This highlights the urgent need to eradicate mosquito nests for outbreak management and prevention. This study aims to identify risk factors associated with mosquito nest eradication in the Tangerang Regency. A cross-sectional design was used, with 400 participants selected through convenience sampling. Data were analyzed using logistic regression. The results of the multivariate analysis revealed age (p-value = 0.012), knowledge (p-value = 0.001), and support from healthcare workers (p-value = 0.003) as variables linked to mosquito nests eradication. Knowledge was the most dominant variable (OR = 5.857); individuals with low knowledge levels were 5.8 times less likely to engage in mosquito nest eradication compared to those with high knowledge after being controlled for age and support from health workers. These findings underscore the urgency of addressing these risk factors. Nurses can play a key role by providing health education to the community, emphasizing the importance of regularly draining and cleaning water containers, covering water storage, and reusing or recycling waste to reduce mosquito breeding sites.

Pelatihan Hands-Only Cpr: Meningkatkan Kesiapan Komunitas Dalam Menolong Korban Henti Jantung Manik, Marisa; Siregar, Deborah; Gultom, Eva; Sibuea, Renova; Saputra, Bima Adi; Rumambi, Magda; Lumbantoruan, Septa; Pailak, Heman; Suntoro, Suntoro
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.20100

ABSTRAKHenti jantung mendadak merupakan keadaan darurat medis yang memerlukan penanganan cepat dan tepat. Salah satu metode yang terbukti efektif adalah Resusitasi Jantung Paru (Cardiopulmonary Resuscitation, CPR), khususnya teknik hands-only CPR yang dapat dilakukan oleh masyarakat umum tanpa pelatihan formal. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat dalam melakukan hands-only CPR, guna meningkatkan peluang bertahan hidup korban henti jantung mendadak. Kegiatan dilaksanakan di Gereja Katolik Santa Helena Lippo Karawaci pada 12 Januari 2025 dengan metode ceramah, diskusi, demonstrasi, dan return demonstration. Sebanyak 57 peserta yang terdiri dari laki-laki (37%) dan perempuan (63%) mengikuti kegiatan ini. Evaluasi dilakukan menggunakan pre-test dan post-test untuk mengukur peningkatan pengetahuan. Hasil menunjukkan peningkatan skor pengetahuan rata-rata dari 6.03 pada pre-test menjadi 9,.14 pada post-test, dengan peningkatan sebesar 3.11 poin. Pelatihan ini terbukti efektif dalam meningkatkan pengetahuan peserta mengenai henti jantung mendadak dan keterampilan melakukan hands-only CPR. Kegiatan ini juga menunjukkan bahwa pendidikan kesehatan dapat meningkatkan kesadaran dan kemampuan masyarakat dalam memberikan pertolongan pertama pada korban henti jantung mendadak, yang pada akhirnya diharapkan dapat menurunkan angka kematian akibat kondisi tersebut. Kata Kunci: Henti Jantung Mendadak, Hands-Only CPR, Pendidikan Kesehatan, Pengabdian kepada Masyarakat. ABSTRACT Sudden cardiac arrest is a medical emergency that requires prompt and appropriate treatment. One of the proven effective methods is Cardiopulmonary Resuscitation (CPR), particularly the hands-only CPR technique, which can be performed by the general public without formal training. This Community Service Activity (PkM) aims to enhance the knowledge and skills of the community in performing hands-only CPR to increase the survival chances of sudden cardiac arrest victims. The activity was conducted at the Santa Helena Catholic Church in Lippo Karawaci on January 12, 2025, using methods such as lectures, discussions, demonstrations, and return demonstrations. A total of 57 participants, consisting of 37% males and 63% females, attended this event. Evaluation was conducted using pre-tests and post-tests to measure the increase in knowledge. The results showed an average increase in knowledge scores from 6.03 on the pre-test to 9.14 on the post-test, with an increase of 3.11 points. This training has proven effective in enhancing participants' knowledge about sudden cardiac arrest and their skills in performing hands-only CPR. This activity also demonstrates that health education can increase community awareness and ability to provide first aid to sudden cardiac arrest victims, ultimately aiming to reduce mortality rates due to this condition. Keywords: Community Service, Hands-Only CPR, Health Education, Sudden Cardiac Arrest

RISK FACTORS OF OBESITY IN YOUNG ADULTS Lubis, Mestika Natalia; Debora, Novita Stefani; Situmorang, Windy Putriani; Siregar, Deborah; Harefa, Lenny
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/598

Obesity is a developing global public health issue. Obesity is a significant risk factor for a variety of diseases, increasing morbidity and mortality from cardiovascular disease and Diabetes Mellitus. Since 1975, global obesity has nearly tripled, and Jakarta has the second-highest obesity rate in Indonesia. COVID-19 also contributed to this situation, as many young adults work from home. COVID-19 has an impact, such as an increase in the frequency of unhealthy eating and frequency of sitting, a decrease in physical activity, or irregular exercise, which can lead to obesity. This study aims to investigate the lifestyle risk factors associated with obesity in young adults in Jakarta. A cross-sectional design was conducted with convenience sampling of 384 respondents aged 26-35. Data was collected using an online questionnaire. Descriptive and statistical analysis was performed using chi-square. The finding revealed a significant relationship between physical activity, sedentary lifestyle, and genetics with obesity in young adults (p-value 0.004; 0.035; 0.001). Conclusion: Young adults can adopt a healthy lifestyle by increasing regular physical activity for at least 30 minutes daily and changing their sedentary lifestyle.

Pemberdayaan Masyarakat dalam Mencegah Faktor Risiko Diabetes Mellitus Manik, Marisa; Sitorus, Fiolenty; Florensa, Maria Veronika Ayu; Siregar, Deborah; Pailak, Herman; Sinaga, Chriska
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.15006

ABSTRAK Diabetes melitus adalah gangguan metabolik kronis dan saat ini menjadi beban dalam sistem layanan kesehatan. Pendekatan multifaset diperlukan dalam pencegahan dan penanganan diabetes. Pemberdayaan masyarakat merupakan proses yang memungkinkan masyarakat untuk meningkatkan kontrol atas kehidupan mereka. Adanya pemberdayaan masyarakat diharapkan mampu mengatasi faktor risiko diabetes terutama faktor yang dapat dimodifikasi seperti diet, aktivitas fisik, kebiasaan merokok, dan konsumsi alkohol. Kegiatan ini bertujuan untuk menggambarkan status kesehatan peserta didik meliputi Indeks Massa Tubuh (IMT), tekanan darah, dan kadar glukosa darah sewaktu, asam urat, dan kolesterol, serta memberdayakan komunitas dengan meningkatkan pengetahuan melalui pendidikan kesehatan mengenai faktor risiko dan pencegahan diabetes. Kegiatan Pengabdian kepada Masyarakat ini dilakukan pada 10 Maret 2024. Metode pembelajaran adalah ceramah, diskusi, demonstrasi dan return-demonstration. Media pembelajaran yang digunakan adalah PowerPoint dan alat peraga berupa kertas koran. Hasil dari kegiatan ini adalah mayoritas peserta memiliki IMT normal (41,71%) dan 35,58% mengalami overweight serta obesitas sebanyak 17,17%. Mayoritas peserta memiliki tekanan darah normal (60,73%), namun terdapat kasus pra-hipertensi dan hipertensi. Selain itu, mayoritas peserta memiliki kadar glukosa darah (52,14%) dan kadar kolesterol (69,32%) yang tidak normal. Intervensi kesehatan diperlukan untuk mengelola faktor risiko ini dengan pemberdayaan masyarakat dalam memodifikasi gaya hidup, melakukan pendidikan kesehatan secara berkelanjutan kepada masyarakat dan pemantauan rutin. Kata Kunci: Diabetes Melitus, Pendidikan Kesehatan, Pemberdayaan Masyarakat ABSTRACT Diabetes mellitus is a chronic metabolic disorder and currently imposes a burden on the healthcare system. A multifaceted approach is needed to prevent and treat diabetes. Community empowerment is a process that enables people to increase control over their lives. Empowering the community is expected to help overcome diabetes risk factors, especially modifiable factors such as diet, physical activity, smoking habits, and alcohol consumption. This activity aimed to describe the health status, including BMI, blood pressure, blood glucose levels, uric acid, and cholesterol, and empowering the community by increasing knowledge through health education regarding risk factors and prevention of diabetes. This activity was conducted on March 10, 2024. The learning methods included lectures, discussions, demonstrations, and return-demonstrations. The learning media used were PowerPoint presentations and teaching aids in the form of newspapers. The results of this activity showed that the majority had a normal BMI (41.71%), while others were overweight (35.58%) or obese (17.17%). Most had normal blood pressure (60.73%), but some cases of pre-hypertension and hypertension were observed. Most had abnormal blood glucose levels (52.14%) and cholesterol levels (69.32%). Health interventions are needed to manage these risk factors through community empowerment, ongoing health education, regular monitoring, and lifestyle modifications. Keywords: Diabetes Mellitus, Community Empowerment, Health Education

The Relationship Between Self-Concept and Social Interaction Among Nursing Students Veronica Paula; Edson Kasenda; Sry Rezeky Simamora; Desty Monica Pasaribu; Vevia Revana Batunanggar; Deborah Siregar
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9575

Self-concept and social interaction are important factors in the development of nursing students' professional skills. A positive self-concept can enhance students’ ability to engage in effective social interactions, which plays a vital role in building strong interpersonal relationships within academic and clinical practice environments. This study aimed to examine the relationship between self-concept and social interaction among nursing students at a private university in Tangerang. This study employed a quantitative correlational method with a cross-sectional approach. A total of,302 nursing students from a private university in Western Indonesia were selected using a quota sampling technique. The instruments included the Tennessee Self-Concept Scale (TSCS) and the Social Interaction Psychology Scale, both of which were utilized in their validated Indonesian-language versions. Data analysis using Spearman’s rank correlation was conducted to examine the relationship between self-concept and social interaction. The findings showed that most students had a moderate level of self-concept (64.9%) and social interaction (73.2%). Spearman’s rank correlation analysis revealed a significant positive correlation of moderate strength between self-concept and social interaction among nursing students. This suggests that students with a better self-concept tend to demonstrate more effective social interaction. Therefore, educational institutions are encouraged to develop programs aimed at enhancing both self-concept and social interaction to support students’ academic performance and professional development.

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