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Formulasi Kesadaran Diri Sebagai Manajemen Asuhan Keperawatan Pada Remaja Dalam Pencegahan Risiko Stunting Dan Membuat Keputusan Untuk Mendukung Kesehatan Muara Ria, Roma Tao Toba; Sismulyanto, Sismulyanto; Perangin-angin, Relita Br
Jurnal Locus Penelitian dan Pengabdian Vol. 3 No. 12 (2024): JURNAL LOCUS: Penelitian & Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v3i12.3412

Abstract

Pencegahan risiko stunting pada remaja adalah salah satu tantangan dalam bidang kesehatan karena dampak jangka panjang yang dapat mempengaruhi kualitas hidup remaja sebagai generasi penerus bangsa. Penelitian ini bertujuan terformulasikannya intervensi kesadaran diri dalam manajemen asuhan keperawatan bagi remaja guna mencegah stunting dan membuat keputusan untuk mendukung kesehatan remaja. Desain penelitian menggunakan mixed method. Pengumpulan data dilakukan melalui survei, wawancara, dan observasi pada remaja. Hasil penelitian secara kualitatif didapatkan 5 tema faktor risiko stunting pada remaja yaitu pemahaman tentang stunting, persepsi gizi dan kesehatan, pengaruh lingkungan sosial, tantangan dalam penerapan kesadaran diri, dan  motivasi untuk berubah, hasil dari penelitian kuantitatif yaitu kesadaran diri merupakan faktor yang dominan mempengaruhi perilaku risiko stunting pada remaja. Formulasi kesadaran diri ini adalah dengan meningkatkan pengetahuan, sikap dan kesadaran diri akan perilaku sehat untuk mencegah risiko stunting. Upaya promotif yang dilakukan adalah dengan program pendidikan dan pelatihan Remaja Cerdas Sadar Diri.
Knowledge, attitudes, and practice against COVID-19 in West Nusa Tenggara, Indonesia Menap; Sismulyanto; Mursaka; Putra, Made Mahaguna
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.44580

Abstract

Introduction: COVID-19 spread rapidly, but little is known regarding knowledge, attitudes, and practices (KAP) against COVID-19 among residents from various regions in Indonesia. This study aims to determine the level of knowledge, practice and attitudes related to COVID-19 to provide a scientific basis for the prevention and control of this major outbreak in Indonesia. Methods: Online survey with convenience sampling was conducted among urban and rural residents in West Nusa Tenggara Province, and collected 523 questionnaires through online media. The instruments used in this research are demographic information, such as age, gender, educational level, marital status and area of residence (urban or rural) and knowledge, attitude and practice questionnaires. Results: The results of multiple linear regression analysis showed that education level (p=0.01), gender (p=0.00) and age (p=0.03) had a significant effect on knowledge about COVID-19. Residential area (urban) affects practices related to COVID-19 (p=0.00). Furthermore, knowledge of COVID-19 (p=0.00) and area of residence (urban) (p=0.00) are closely related to residents' attitudes toward preventive measures that can control this disease. Conclusions: Both urban and rural residents of West Nusa Tenggara Province displayed moderate levels of knowledge as well as the practice of COVID-19 and showed the disease with a positive attitude. Developing suitable education programs targeted at the general residents in West Nusa Tenggara Province is essential to increase knowledge, attitudes, as well as practices of COVID-19, especially for rustic and low-educated citizens.
External patient visits and healthcare service delivery at terara public health center: A management perspective analysis Nurhayati, Nurhayati; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto; Saimi, Saimi; Menap, Menap
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1426

Abstract

The increasing visits of patients from outside the area to Terara Public Health Center constitute a phenomenon of growing significance within the context of healthcare provision in the region. This necessitates an understanding of the impact of these external patient visits on healthcare service delivery at Terara Public Health Center, encompassing aspects such as resource availability, operational efficiency, and service management. Therefore, this research aims to analyze the management perspective regarding the influence of external patient visits on healthcare provision at Terara Public Health Center. This research employs a descriptive method with a qualitative approach. Data collection takes the form of words or images, thus not focusing on numerical data. The intention of this study is to provide an overview, elucidate, and interpret the current situation regarding the impact of external visits on healthcare services at Terara Public Health Center from a service management perspective. This research was conducted at Terara Public Health Center. The findings indicate that the high influx of patients from outside the area to Terara Public Health Center has a significant impact on service management, including increased patient queues, maintenance costs of medical equipment, availability of medications, and the need for more adequate facilities and infrastructure. Management at Terara Public Health Center has taken steps to address these impacts, such as increasing the procurement of medications and enhancing facilities and infrastructure.
Evaluation of Specific Intervention Programs on Pregnant Women with Chronic Energy Deficiency to Reduce the Incidence of Stunted Children Payanadi, Sarwan; Sastrawan; Sismulyanto
Eduvest - Journal of Universal Studies Vol. 4 No. 3 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i3.1093

Abstract

The West Lombok Regency implementation interventions and sensitive interventions to reduce stunting 3.73 percent from 2021 to 2022. The research aims to determine if there is a significant relationship between specific intervention programs for chronically energy-deficient pregnant women and the reduction of stunting incidents. The objective is to evaluate the impact of specific intervention programs on pregnant women with chronic energy deficiency. The quantitative cross-sectional method involved 294 respondents, with the research conducted from September to November 2023. Conclusions: (1) There is a significant relationship with the provision of supplementary food, with an odds ratio of 0.264 times. (2) There is a significant relationship with the provision of blood supplement tablets, with an odds ratio of 0.379 times. (3) There is no relationship with pregnancy examinations. (4) There is a significant relationship with the administration of TT/TD immunizations, with an odds ratio of 0.440 times. (5) There is no relationship with HIV/TB/Malaria/Hepatitis services. (6) There is no relationship with the mother's class program. (7) Independent variables explain the dependent variable by 17.5 percent, and 82.5 percent is explained by variables not studied. Recommendations for the West Lombok Regency government: The provision of supplementary food requires intensive monitoring of the target population. Increasing the coverage of pregnancy examination programs and blood tablet consumption requires an application system. Increasing the coverage of TT/TD immunization integrated with a health application. HIV/TB/Malaria/Hepatitis services require human resource planning, equipment and disposable material, and reporting systems. Mother's class activities require innovation and modification.
The Relationship Between Parenting Styles and Adolescent Sexual Behavior Setiani, Ermy; Sulaiman, Lalu; Sismulyanto, Sismulyanto
Bioscientist : Jurnal Ilmiah Biologi Vol. 12 No. 2 (2024): December
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v12i2.12778

Abstract

This study aims to investigates the correlation between parenting styles and adolescent sexual behavior at SMA Negeri 3 Mataram using an observational analytic design with a cross-sectional approach. Data were collected from 69 11th-grade social science students via a questionnaire assessing parenting styles and sexual behavior. Results indicated that (1) 59.4% of respondents experienced permissive parenting, while 40.6% encountered democratic parenting; (2) respondents who have permissive parenting, 5.8% demonstrated negative sexual behavior, in contrast to the uniformly positive behavior observed in adolescents with democratic parenting; (3) the results of Fisher's exact test are a significance value of 0.141, indicating no statistically significant relationship between parenting styles and adolescent sexual behavior; (4) trend suggests that democratic parenting, which balances freedom and control, is associated with positive adolescent sexual behavior. Thus, these findings highlight the importance of promoting democratic parenting and comprehensive sexual education to reduce risky behaviors. Recognizing cultural nuances and enhancing parental involvement are essential for effective adolescent sexual health prevention strategies.
Analisis Efektivitas Pelatihan Full Online dan Blended Learning di Balai Pelatihan Kesehatan Mataram Musawirin, Musawirin; Menap, Menap; Sismulyanto, Sismulyanto
Bioscientist : Jurnal Ilmiah Biologi Vol. 12 No. 2 (2024): December
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v12i2.12878

Abstract

Penelitian ini bertujuan untuk mengetahui efektivitas pelatihan full online dan blended learning di Balai Pelatihan Kesehatan Mataram. Studi ini merupakan penelitian kuantitatif untuk membandingkan peningkatan pengetahuan peserta berdasarkan hasil pre-test dan post-test dari metode pelatihan full online dan blended learning. Analisis data penelitian menggunakan statistik inferensial uji-t untuk mengetahui perbedaan hasil belajar kedua metode pelatihan. Hasil penelitian menunjukkan bahwa (1) tidak ada perbedaan signifikan antara nilai pre-test dan post-test peserta, dengan p-value lebih besar dari 0,05; (2) peserta yang mengikuti pelatihan full online menunjukkan persentase peningkatan sebesar 75,41%, lebih besar dibandingkan dengan metode blended learning sebesar 60,23%. Hal ini mengindikasikan bahwa fleksibilitas dalam metode full online dapat memberikan dampak yang lebih baik terhadap peningkatan pengetahuan peserta.
Evaluasi Program Sekolah Lansia Anggrek di Kecamatan Jonggat Kabupaten Lombok Tengah Nusa Tenggara Barat Setiani, Ermy; Sulaiman, Lalu; Sismulyanto, Sismulyanto
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19737

Abstract

ABSTRACT This study evaluates the implementation of the Anggrek Elderly School Program in Jonggat District, Central Lombok Regency, West Nusa Tenggara. The program aims to improve the quality of life of the elderly through informal education that promotes a healthy, independent, active, productive, and dignified lifestyle. The study employs a qualitative descriptive approach through interviews, observations, and documentation. The evaluation is conducted based on the dimensions of context, input, process, and output. Findings indicate that the program's conceptual foundation aligns with Indonesia’s national initiative for Elderly-Friendly Communities. However, inconsistent understanding among program managers and a lack of local commitment reduce its effectiveness. In the input aspect, management support from BKKBN is significant, but limited coordination and reliance on the provincial team hinder local capacity development. Other challenges include inadequate facilities and the limited competencies of program administrators. In the process aspect, the formation and preparation stages are not yet optimal, particularly in curriculum development and coordination with local partners. Nevertheless, the implementation stage is relatively well-executed due to participants' enthusiasm, despite challenges such as an excessive number of students and inadequate facilities. Monitoring and reporting through the Golantang application need improvement to provide concrete solutions to existing issues. In the output aspect, the program has successfully improved participants' quality of life, as reflected in enhanced health status and learning achievements. A participant attendance rate of 80% demonstrates high enthusiasm; however, the learning environment is hindered by overcrowding and limited classroom space. Not all participants can yet be categorized as resilient elderly individuals due to the limited learning duration and the absence of an advanced education level. To enhance program success, better coordination between district and sub-district administrators is necessary, along with optimizing the curriculum to meet local needs, improving human resource competencies, and providing more comfortable and adequate learning facilities. Additionally, there is a need for stronger support from local partners and more active community involvement to ensure the program’s sustainability. Keywords: Program Evaluation; Elderly School, Informal Education, Quality of Life, Resilient ElderlyABSTRAK Penelitian ini mengevaluasi pelaksanaan Program Sekolah Lansia Anggrek di Kecamatan Jonggat, Kabupaten Lombok Tengah, Nusa Tenggara Barat. Program ini bertujuan untuk meningkatkan kualitas hidup lansia melalui pendidikan informal yang mendorong gaya hidup sehat, mandiri, aktif, produktif, dan bermartabat. Penelitian menggunakan pendekatan deskriptif kualitatif melalui wawancara, observasi, dan dokumentasi. Evaluasi dilakukan berdasarkan dimensi konteks, input, proses, dan output. Menunjukkan bahwa dasar konseptual program sejalan dengan inisiatif nasional Indonesia Ramah Lansia. Namun, pemahaman yang tidak merata di kalangan pengelola dan kurangnya komitmen lokal mengurangi efektivitas program. Pada aspek input, dukungan manajemen dari BKKBN cukup signifikan, tetapi keterbatasan koordinasi dan ketergantungan pada tim provinsi membatasi pengembangan kapasitas lokal. Tantangan lain meliputi keterbatasan fasilitas dan kompetensi pengelola program. Pada aspek proses, tahap pembentukan dan persiapan belum optimal, terutama dalam pengembangan kurikulum dan koordinasi dengan mitra lokal. Meskipun demikian, tahap pelaksanaan berjalan cukup baik berkat antusiasme peserta, meskipun dihadapkan pada kendala jumlah siswa yang terlalu banyak dan fasilitas yang kurang memadai. Proses pengawasan dan pelaporan melalui aplikasi Golantang perlu ditingkatkan agar dapat memberikan solusi konkret terhadap kendala yang ada. Padaaspek output, program berhasil meningkatkan kualitas hidup peserta, dengan hasil yang menunjukkan peningkatan status kesehatan dan capaian pembelajaran. Tingkat kehadiran peserta yang mencapai 80% mencerminkan antusiasme yang tinggi, tetapi suasana belajar terhambat oleh jumlah siswa yang terlalu besar dan keterbatasan ruang belajar. Belum semua peserta dapat dikategorikan sebagai lansia tangguh, karena waktu pembelajaran yang terbatas dan belum adanya jenjang pendidikan lanjutan. Untuk meningkatkan keberhasilan program, diperlukan peningkatan koordinasi antara pengelola di tingkat kabupaten dan kecamatan, optimalisasi kurikulum yang sesuai dengan kebutuhan lokal, peningkatan kompetensi sumber daya manusia, dan penyediaan sarana pembelajaran yang lebih nyaman dan memadai. Selain itu, implikasi perlu adanya penguatan dukungan dari mitra lokal dan pelibatan komunitas secara lebih aktif untuk keberlanjutan program. Kata Kunci: Evaluasi Program, Sekolah Lansia, Pendidikan Formal, Kualitas Hidup, Lansia Tangguh. 
Analisis Perilaku Penggunaan Aplikasi Mobile Health Oleh Dewasa Awal dalam Hal Pengobatan di Kota Mataram Hazar, Maylia Sulasiyani; Sulaiman, Lalu; Sismulyanto, Sismulyanto
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19738

Abstract

ABSTRACT The use of mobile health applications (mHealth) for self-medication is increasingly common, especially among young adults. In Mataram, the demand for digital healthcare tools has surged, particularly in the wake of the COVID-19 pandemic, which has changed how healthcare is accessed and managed. This study aims to analyze the behavior of young adults in Mataram in using mobile health applications for medication in 2024. It seeks to understand the motivations, factors influencing usage, and the impact of these applications on self-medication practices. A qualitative approach using phenomenological research was employed, involving in-depth interviews with young adult users of mHealth applications. Data were collected from key informants who shared their experiences and perceptions about using these applications for health management. The results indicate that young adults in Mataram use mHealth applications primarily for convenience, cost-efficiency, and ease of access to health information. While the applications support self-medication, they also raise concerns about the accuracy of information and the need for professional healthcare guidance. The COVID-19 pandemic further accelerated the use of these applications, although some users still prefer in-person consultations for more complex health issues. mHealth applications have proven to be beneficial in enhancing access to healthcare and enabling self-medication among young adults. However, there is a need for improved regulations and supervision to ensure the safe and accurate use of these technologies, alongside greater professional involvement in health decision-making. Keywords: Mobile Health, Self-Medication, Young Adults, Mataram, Telemedicine, COVID-19, Health Behavior, Technology In Healthcare.  ABSTRAK Penggunaan aplikasi mobile health (mHealth) untuk swamedikasi semakin umum, terutama di kalangan dewasa awal. Di Mataram, permintaan terhadap alat kesehatan digital semakin meningkat, khususnya setelah pandemi COVID-19, yang telah mengubah cara akses dan pengelolaan layanan kesehatan. Penggunaan aplikasi mobile health (mHealth) untuk pengobatan semakin umum, terutama di kalangan dewasa awal. Di Mataram, permintaan terhadap alat kesehatan digital semakin meningkat, khususnya setelah pandemi COVID-19, yang telah mengubah cara akses dan pengelolaan layanan kesehatan. Pendekatan kualitatif dengan metode penelitian fenomenologi digunakan dalam penelitian ini, yang melibatkan wawancara mendalam dengan pengguna aplikasi mHealth dewasa awal. Data dikumpulkan dari informan kunci yang berbagi pengalaman dan persepsi mereka tentang penggunaan aplikasi ini untuk manajemen kesehatan. Hasil penelitian menunjukkan bahwa dewasa awal di Mataram menggunakan aplikasi mHealth terutama untuk kenyamanan, efisiensi biaya, dan kemudahan akses terhadap informasi kesehatan. Meskipun aplikasi ini mendukung swamedikasi, aplikasi ini juga menimbulkan kekhawatiran terkait keakuratan informasi dan perlunya bimbingan profesional dalam pengambilan keputusan kesehatan. Pandemi COVID-19 semakin mempercepat penggunaan aplikasi ini, meskipun sebagian pengguna masih lebih memilih konsultasi langsung untuk masalah kesehatan yang lebih kompleks. Aplikasi mHealth terbukti bermanfaat dalam meningkatkan akses layanan kesehatan dan mendukung swamedikasi di kalangan dewasa awal. Namun, dibutuhkan regulasi dan pengawasan yang lebih baik untuk memastikan penggunaan teknologi ini aman dan akurat, dengan tetap melibatkan tenaga medis dalam pengambilan keputusan kesehatan. Kata Kunci: Mobile Health, Swamedikasi, Dewasa Awal, Mataram, Telemedicine, COVID-19, Perilaku Kesehatan, Teknologi Dalam Layanan Kesehatan.
Analisis Faktor yang Mempengaruhi Implementasi Aplikasi Mobile Health Untuk Telemedicine Pada Dewasa Awal di Kota Mataram: Pendekatan Technology Acceptance Model (TAM) Hazar, Maylia Sulasiyani; Sulaiman, Lalu; Sismulyanto, Sismulyanto
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.19739

Abstract

ABSTRACT The advancement of information and communication technology has significantly impacted various sectors, particularly healthcare. Mobile health (mHealth) applications, particularly those offering telemedicine, are emerging as tools to provide accessible healthcare services remotely. This study focuses on the factors influencing the implementation of mHealth applications for telemedicine among young adults in Mataram, Indonesia. The purpose of this research is to analyze the factors that influence the adoption of mobile health applications for telemedicine among young adults in Mataram, using the Technology Acceptance Model (TAM). A quantitative research design was used, involving a survey of young adults (aged 18-40 years) in Mataram who have used telemedicine applications. The data was collected using a structured questionnaire with Likert scale items to measure perceptions of usefulness, ease of use, and other factors as per the TAM framework. The study found that perceived usefulness and ease of use were significant predictors of the intention to use telemedicine applications among young adults in Mataram. Social influence and trust also played crucial roles in enhancing the adoption of telemedicine. The findings suggest that improving the usability and highlighting the benefits of telemedicine applications, along with addressing privacy concerns, could facilitate wider adoption among young adults in Mataram. Keywords: Mobile Health, Telemedicine, Technology Acceptance Model, Young Adults, Mataram.  ABSTRAK Perkembangan teknologi informasi dan komunikasi telah membawa dampak besar dalam berbagai sektor, termasuk kesehatan. Aplikasi mobile health (mHealth), khususnya yang menawarkan telemedicine, semakin muncul sebagai solusi untuk memberikan layanan kesehatan jarak jauh yang lebih mudah diakses. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi implementasi aplikasi mobile health untuk telemedicine di kalangan dewasa awal di Kota Mataram, Indonesia. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi adopsi aplikasi mobile health untuk telemedicine di kalangan dewasa awal di Kota Mataram dengan menggunakan pendekatan Technology Acceptance Model (TAM). Penelitian ini menggunakan desain kuantitatif dengan survei pada dewasa awal (usia 18-40 tahun) yang telah menggunakan aplikasi telemedicine. Data dikumpulkan menggunakan kuesioner terstruktur dengan skala Likert untuk mengukur persepsi kegunaan, kemudahan penggunaan, dan faktor lainnya sesuai dengan kerangka teori TAM. Penelitian ini menemukan bahwa persepsi kegunaan dan kemudahan penggunaan merupakan prediktor signifikan dari niat menggunakan aplikasi telemedicine di kalangan dewasa awal di Mataram. Pengaruh sosial dan kepercayaan juga berperan penting dalam meningkatkan adopsi telemedicine. Temuan ini menunjukkan bahwa meningkatkan kemudahan penggunaan dan menyoroti manfaat aplikasi telemedicine, serta mengatasi kekhawatiran terkait privasi, dapat mempercepat adopsi di kalangan dewasa awal di Mataram. Kata Kunci: Mobile Health, Telemedicine, Technology Acceptance Model, Dewasa Awal, Mataram.
Perlindungan Hukum Perawat Dalam Pelayanan Kesehatan Berdasarkan Undang-Undang Sismulyanto; Wahyati, Endang; Ta’adi; Putra, Made Mahaguna
Journal of Health Science and Prevention Vol. 8 No. 1 (2024): JHSP Vol 8 No 1 – 2024
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v8i1.1179

Abstract

The administration of anesthesia is a medical procedure fraught with considerable risk. The prevalence of anesthesia-related mortality is often understated, reminiscent of the so-called iceberg phenomenon. On-the-ground realities reveal that due to a shortage of anesthesiologists, nurse anesthetists frequently perform anesthetic procedures under the guidance of anesthesiologists. The annulment of Minister of Health Regulation Number 32 from the year 2013 has resulted in vulnerabilities within the practice of anesthesia nursing. Given the significant consequences associated with anesthetic procedures, it is imperative to have legal safeguards in place for nurse anesthetists. This study utilizes a descriptive-analytical framework and adopts a normative juridical approach, employing deductive reasoning. The research relies on secondary data, which is qualitative and gathered through a comprehensive review of relevant literature. The study's analytical process makes use of normative qualitative methods. In the context of this study, nurse anesthetists receive their delegated authority from physicians and must operate within the constraints set forth by the Medical Practice Act, Health Personnel Law, and Health Minister Regulations related to medical practice permits. Nurse anesthetists assign their tasks based on authority that is delegated in line with legislation No. 38 from 2014 concerning nursing. The specialist anesthesiologist has both legal and moral responsibility for providing protection to nurses executing tasks under such delegated authority since their duties are performed according to physicians' orders and directives. There exists a pressing need to revisit Ministerial Regulation No. 18 from 2016, concerning the licensing and execution of anesthesia management, in order to clarify the roles and functions proprietary to anesthesiologists as determined by their expertise. It is incumbent upon the Minister of Health to promptly issue new regulations pertaining to nurse anesthesia practice, ensuring that healthcare services are provided without any legal discrepancies.