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Penggunaan Kontrasepsi Hormonal Berisiko Kanker Payudara: A Literatur Review Norna Amalia Sholeha; Herin Mawarti; Masruroh
Indonesian Health Science Journal Vol. 5 No. 1 (2025): Maret
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v5i1.77

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Introduction: Breast cancer is one of the most common types of cancer found in women worldwide. Risk factors for breast cancer vary, including genetic, environmental, and lifestyle factors. One factor that has received attention is the use of hormonal contraception. Purpose: This literature review aims to review the Use of Hormonal Contraception Risk of Breast Cancer. Methods: Initial literature was obtained from 11 international and national articles such as Google Scholar, Science Direct, and Pubmed with the keys Hormonal contraception, Risk, Breast Cancer. The next stage is to conduct a selection by considering the year of publication (2019-2024). With full text. Furthermore, articles that are considered less relevant are removed. Data are compiled, summarized and displayed in table form based on several themes. Results: The reviewed studies were 11 that discussed the use of hormonal contraception on the occurrence of Breast Cancer.
Aplikasi Digital untuk Edukasi Mandiri Diabetes (DSME): Efektivitas terhadap Terapi dan Hrqol pada Pasien Dm Tipe 2: A Scoping Review Lailaturriza, Nur; Sutedja, Ade Armada; Mawarti, Herin
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3819

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Di Indonesia, Diabetes Mellitus menjadi salah satu penyebab kematian tertinggi, menempati posisi keempat. Hal ini menunjukkan perlunya pendekatan penatalaksanaan  yang terstruktur dan berkesinambungan. Scoping review ini bertujuan untuk mengeksplorasi penggunaan aplikasi DSME dalam mengoptimalkan manajemen diabetes mellitus tipe 2. Desain literatur review ini menggunakan kerangka kerja lima tahap dari Arksey dan O'Malley. Metode pencarian dilakukan melalui database dengan kata kunci untuk literatur yang diterbitkan antara tahun 2020 hingga 2025. Dari 31.309  artikel yang ditemukan, 7 artikel dipilih melalui pendekatan PRISMA untuk dilakukan tinjauan lebih lanjut. Data yang diperoleh disusun, diringkas, dan ditampilkan dalam bentuk tabel berdasarkan beberapa tema utama. Hasil review menunjukkan bahwa dari tujuh studi yang dianalisis, Penerapan Diabetes Self-Management Education and Support (DSME) berbasis mobile health terbukti efektif meningkatkan perilaku perawatan diri, kontrol glikemik, dan kualitas hidup pasien diabetes tipe 2.
Optimization of the Role of Kader in the Primary Care Service Integration Program Syabrullah, Andreas; Priyanto, Aris; Subani, Subani; Nasrudin, Nasrudin; Mawarti, Herin
Jurnal SOLMA Vol. 14 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i2.18283

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Background: Program Integrasi Layanan Primer (ILP) adalah sebuah langkah strategis yang dibuat untuk memperkuat pelayanan kesehatan dasar di Indonesia, di mana promosi kesehatan memiliki peran penting dalam mendukung kegiatan promotif dan preventif. Penerapan ILP di wilayah kerja Puskesmas Kabuh, Kabupaten Jombang, masih merupakan hal yang relatif baru. Kader memiliki peran krusial dalam menjalankan ILP, terutama dalam mendukung layanan kesehatan. Kegiatan ini bertujuan untuk memperluas wawasan kader dalam pelaksanaan ILP, khususnya dalam pengelolaan Posyandu sesuai dengan siklus kehidupan. Metode: Kegiatan pengabdian ini menggunakan pendekatan Participatory Action Research, yang memungkinkan civitas akademika berinteraksi langsung dengan masyarakat. Dengan cara ini, mereka dapat memahami kebutuhan masyarakat secara mendalam dan bersama-sama merancang solusi yang tepat serta berkelanjutan. Pelaksanaan kegiatan dilakukan pada tanggal 20 Januari 2025 dengan melibatkan 28 orang kader dari Desa Sumber Gondang, yang termasuk dalam wilayah kerja Puskesmas Kabuh, Kabupaten Jombang. Hasil: Evaluasi pre-test dan post-test dengan uji Wilcoxon menunjukkan peningkatan pengetahuan yang signifikan, dengan p-value sebesar 0,000. Kesimpulan: Kegiatan ini berhasil meningkatkan pengetahuan keterampilan kader secara signifikan, khususnya dalam pengelolaan Posyandu dan pelayanan kesehatan berbasis siklus kehidupan. Namun, masih ada tantangan terkait pencatatan dan pelaporan berbasis teknologi, serta perlunya penguatan keterampilan di beberapa area tertentu.
ANEMIA AMONG ADOLESCENT GIRLS: A GLOBAL REVIEW OF PREVALENCE, RISK FACTORS, AND INTERVENTIONS Fitariani, Selvia; Masruroh; Mawarti, Herin; Nasrudin
Nurse and Holistic Care Vol. 5 No. 2 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i2.7629

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Background: Anemia remains a significant public health challenge affecting adolescent girls worldwide, particularly in low- and middle-income countries (LMICs). This condition undermines growth, cognitive development, school performance, and reproductive health, with long-term intergenerational consequences. Objective: This systematic review aimed to systematically review the global prevalence, associated risk factors, and intervention strategies targeting anemia among adolescent girls, and to identify research and policy gaps that hinder effective prevention. Design: A systematic review of quantitative and mixed-methods studies conducted between January 2019 and May 2024 was undertaken by the PRISMA guidelines. Data Sources: Five electronic databases (PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar) were searched using Boolean combinations of keywords such as "anemia," "adolescent girls," "risk factors," and "intervention." Additional records were retrieved from grey literature and manual reference checks. Review Methods: Eligible studies included observational, interventional, and mixed-methods research on adolescent girls aged 10–19 years, with clear reporting of anemia prevalence or related risk factors. Quality appraisal was conducted using the Joanna Briggs Institute (JBI) tools. Thematic synthesis was applied to categorize risk factors and interventions. Results: A total of 12 studies from over 8 countries were included. Anemia prevalence ranged from 25% to 61%, with the highest rates reported in Sub-Saharan Africa and South Asia. Major risk factors included poor dietary diversity, early menarche, menstrual disorders, parasitic infections, and low socioeconomic status. School-based iron and folic acid (IFA) supplementation combined with nutrition education and community engagement showed the most promising results. However, adherence and program sustainability were frequently reported challenges. Conclusion: Anemia among adolescent girls is a multidimensional issue requiring context-specific, multisectoral approaches. Integrating education, supplementation, and culturally adapted interventions can enhance program effectiveness. Future research should focus on long-term outcomes, behavioral drivers, and scalable solutions tailored to the needs of adolescent populations.
Analisis Faktor Penyebab Kekosongan Obat dan Implementasi Strategi MMSL Berbasis Hospital Information System: : (Studi Kasus RS Gatoel Mojokerto) Adistya Nugraha F; Imam Shalihin Amin; Nur Ayu Rahmawati; Dian Tri Febriana; Faradian Fajri; Nasrudin Nasrudin; Achmad Zakaria; Herin Mawarti; Renny Padma Prihatini
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i3.6980

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Drug stock-outs are an indicator of pharmaceutical management failure that directly affects patient safety and the quality of hospital services. Gatoel Hospital Mojokerto experienced an increase in the percentage of drug debt from 3.14% in January to 6.20% in July 2025, with 1,607 patients affected. This study aims to identify the factors causing drug stock-outs and formulate preventive strategies through the optimization of the Minimum-Maximum Stock Level (MMSL) system based on the Hospital Information System. A mixed-method approach was used, combining secondary data analysis (January–July 2025) and in-depth interviews. Fishbone analysis was applied to identify root causes, USG analysis to determine priorities, and SWOT analysis to formulate intervention strategies. Priority drug classification was carried out using the ABC-VEN method. The intervention involved implementing an MMSL pilot project for 150 drug items under Pareto category A. The analysis identified six dimensions of stock-out causes: man, materials, methods, machines, measurement, and environment. The highest priority issue was drug demand forecasting based on historical data (USG score: 125). SWOT analysis placed the organization in quadrant II, recommending a Weakness-Opportunities (WO) strategy. MMSL implementation was initiated through the development of SOPs and the entry of 150 priority drug items into the system. Drug stock-outs are caused by multifactorial issues that require systemic intervention. MMSL optimization has the potential to serve as a long-term solution, provided there is expanded coverage, strengthened human resource capacity, and comprehensive system integration.
The Effected of Curcuma to Dysmenorrhea: A Systematic Review Mukhoirotin; Herin Mawarti; Siti Urifah; Hamimatus Zainiyah
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.494

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Background: Dysmenorrhea or menstrual pain is a common health problem among reproduction women. The prevalence of dysmenorrhea was high in many countries including in Indonesia. Some previous studies showed that curcumin was effective reduced menstrual pain. Purpose: The aim of this study was to determine the effected of curcumin to dysmenorrhea. Method: This study used systematic review method with Randomize Control Trial (RCT) design. The data was collected by using electronic databases such as Google Scholar, Science Direct, Pubmed, Scopus, Web of Science, SpringerLink and EBSCOhost in last 10 years, or in 2013-2023. The keywords used curcumin, turmeric, curcuma longa, dysmenorrhea, menstrual pain. Results: There were 7 selected articles in this literature study. Curcumin reduced intensity and duration of dysmenorrhea; the increasing of vitamin D; the reducing of serum IgE, serum aspartate transaminase (AST) and direct bilirubin levels among women with dysmenorrhea. Conclusion: Curcumin was affected to reducing the severity and symptoms of dysmenorrhea.
Non Adherence to Fluid Restriction among Patients who Undergoing Hemodialysis and Influencing Factors: Study at RSI Sakinah Mojokerto Muhammad Zulfikar Asumta; Herin Mawarti; Siti Urifah; Yuni Ernawati; Mukhoirotin
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.502

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Background: Nonadherence to Fluid Restriction is main problem among chronic renal failure patients who undergoing hemodialysis, it causingan undesirable effect on health and risk of death. Several factors such as sociodemographic, knowledge, susceptibility of illness, perceived treat, perceived controlare some factors influencing Nonadherence behavior. Purpose: The aim of this study was to analyze the factors influencing Non-adherence to Fluid Restriction who undergoing hemodialysis at RSI Sakinah Mojokerto. Methods: A descriptive analytic with crossectional techniques was conducted among 73 patients undergoing hemodialysis at RSI Sakinah Mojokerto by using purposive sampling technique. Data were collected through checklist and questionnaires. Descriptive statistic was used for data analysis and logistic regression test was used analysis the predictor of factors relating with Non-adherence to Fluid Restriction who undergoing hemodialysis. Results: The results of this study showed 37% patients were Non-adherence to Fluid Restriction and 63% patients were adherence. There were three risk factors for non-adherencee, namely (Health Belief Model) HBM, history of disease and length of time undergoing hemodialysis. HBM 0.132 times higher (95% CI: 0.132, 0.035), history of disease 0.072 times higher (95% CI: 0.072, 0.012), and length of time undergoing hemodialysis 0.071 times higher (95% CI: 0.071, 0.016). Conclusion: HBM, history of disease and length of time undergoing hemodialysis were risk factors for Non-adherence to Fluid Restriction. The nurse should consider the patient's adherence with fluid restrictions in providing nursing care.
Benefits of Giving Egg White Extract and Moringa Leaves to Improve The Nutritional and Immune Status of TB Patients. A Scoping Review Novi Kusrini; Herin Mawarti; Yuly Peristiowati; Achmad Zakaria
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i2.1175

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TB is still a major global health concern, especially in developing nations like Indonesia, which has the third-highest rate of TB cases globally. Mycobacterium tuberculosis infection has a negative effect on the health of the patient as well as causing low serum albumin levels, poor nutritional status, and other blood abnormalities, all of which worsen the general health of those who are infected. Nutritional supplements, particularly egg white and milk containing moringa extract, have the potential to improve nutritional status and speed up TB patients' recuperation. The protein-rich egg white may raise albumin levels, while the nutrient-dense moringa boosts immunity. Furthermore, encouraging treatment adherence and halting the disease's spread require nutritional measures and family support.
Implementation of Bloom's Theory in Quality Improvement Collaborative Strategies to Reduce Preeclampsia Cases Syabrullah, Andreas; Mawarti, Herin; Masruroh, Masruroh; Zulfikar Asumta, Muhammad
Jurnal Indonesia Sosial Sains Vol. 6 No. 11 (2025): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v6i11.2076

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The main target of the third goal of the Sustainable Development Goals (SDGs) regarding health and well-being is to reduce the Maternal Mortality Rate to below 70 per 100,000 live births by 2030. Preeclampsia is the leading cause of maternal death in 2023. Reducing the Maternal Mortality Rate will not be effective if it relies solely on government programs without support and participation from all parties. The Quality Improvement Collaborative is a form of cooperation among staff, professions, and work units focused on maximizing the use of resources to achieve the shared goal of improving patient care quality. This activity aims to deepen the understanding of the Quality Improvement Collaborative in reducing preeclampsia cases, using a socialization method involving several work units. The community service on Quality Improvement Collaborative to reduce preeclampsia cases was held on January 17, 2025, in two sessions. It used the Participatory Learning and Action (PLA) approach and included three stages: preparation, implementation, and evaluation. The evaluation results of the pre-test and post-test using the Wilcoxon test showed a significant increase in knowledge, with a p-value of 0.000. This service effectively increased knowledge, which serves as the main foundation for taking action. Similar activities can be continued by utilizing more innovative media to enhance their effectiveness.
PENGALAMAN DAN PERSEPSI TENAGA KESEHATAN DALAM PENERAPAN QUADRANT OF DIFFICULTY–USEFULNESS (QODU) PADA PERENCANAAN PROGRAM TUBERKULOSIS: STUDI KUALITATIF DI KABUPATEN JOMBANG Sukartini, Binti; Mawarti, Herin; Zakaria, Achmad
coba Vol 14 No 1 (2025): November 2025
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v14i1.921

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Latar Belakang: Tuberkulosis (TBC) masih menjadi masalah kesehatan utama di Indonesia dengan beban kasus yang tinggi. Upaya perencanaan program yang lebih efektif diperlukan untuk mendukung pencapaian target eliminasi TBC. Salah satu pendekatan alternatif yang dapat digunakan adalah Quadrant of Difficulty–Usefulness (QoDU), yang memetakan prioritas program berdasarkan tingkat kesulitan dan kebermanfaatan. Tujuan: Penelitian ini bertujuan untuk menggali pengalaman dan persepsi tenaga kesehatan mengenai penerapan metode QoDU dalam perencanaan program TBC di Puskesmas wilayah Kabupaten Jombang. Metode: Penelitian menggunakan desain kualitatif deskriptif. Informan adalah enam penanggung jawab program TBC yang dipilih secara purposif dari Puskesmas dengan capaian program berbeda. Data dikumpulkan melalui wawancara mendalam menggunakan panduan semi-terstruktur. Analisis dilakukan dengan pendekatan tematik melalui proses transkripsi, pengkodean, identifikasi tema, dan penyusunan subtema. Validitas temuan diperkuat dengan triangulasi data menggunakan dokumen perencanaan dan hasil kuantitatif sebelumnya. Hasil: Informan menyatakan QoDU membantu memvisualisasikan prioritas program secara sederhana dan praktis. Metode ini mempermudah diskusi lintas program, mengurangi subjektivitas, serta mempercepat pengambilan keputusan. Keterlibatan multipihak juga meningkatkan rasa memiliki terhadap hasil perencanaan. Kesimpulan: QoDU dinilai bermanfaat sebagai alat inovatif dalam perencanaan program TBC di Puskesmas dan berpotensi untuk diintegrasikan ke dalam sistem perencanaan kesehatan di layanan primer. Kata kunci: Tuberkulosis, Perencanaan Program, Quadrant of Difficulty–Usefulness (QoDU), Persepsi Tenaga Kesehatan, Studi Kualitatif