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Faktor Risiko pada Peningkatan Kasus Multidrug-Resistant Tuberculosis (MDR-TB) di Indonesia: Tinjauan Literatur Chandra, Benny; Fikriana, Riza; Nurbadriyah, Wiwit Dwi
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25482

Abstract

Objective: to analyze the risk factors that affect MDR-TB in Indonesia through a literature review. Methods: This study employed a literature review method to analyze the risk factors contributing to the increase in multidrug-resistant tuberculosis (MDR-TB) cases in Indonesia. Relevant articles published between 2020 and 2024 were selected through databases such as Google Scholar, Garuda Kemdikbud, and ResearchGate, with the final analysis focusing on 9 articles that met the inclusion criteria. Results: The results of the study showed that the incidence of MDR-TB was influenced by internal factors such as TB treatment history, drug availability, nutritional status, comorbidities (diabetes, HIV/AIDS), drug side effects, and smoking. External factors include housing density, social support, socioeconomic conditions, access to health facilities, the role of PMOs, history of contact with MDR-TB patients, and jobs that increase risk. Conclusion: The practical implications are the importance of improving the implementation of treatment through DOT and technology programs, patient education, and management of risk factors such as smoking, malnutrition, and comorbidities. Improving access to health, social support, and healthier environmental conditions can also prevent the spread and improve the success of MDR-TB treatment.
Faktor Risiko pada Peningkatan Kasus Multidrug-Resistant Tuberculosis (MDR-TB) di Indonesia: Tinjauan Literatur Chandra, Benny; Fikriana, Riza; Nurbadriyah, Wiwit Dwi
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25482

Abstract

Objective: to analyze the risk factors that affect MDR-TB in Indonesia through a literature review. Methods: This study employed a literature review method to analyze the risk factors contributing to the increase in multidrug-resistant tuberculosis (MDR-TB) cases in Indonesia. Relevant articles published between 2020 and 2024 were selected through databases such as Google Scholar, Garuda Kemdikbud, and ResearchGate, with the final analysis focusing on 9 articles that met the inclusion criteria. Results: The results of the study showed that the incidence of MDR-TB was influenced by internal factors such as TB treatment history, drug availability, nutritional status, comorbidities (diabetes, HIV/AIDS), drug side effects, and smoking. External factors include housing density, social support, socioeconomic conditions, access to health facilities, the role of PMOs, history of contact with MDR-TB patients, and jobs that increase risk. Conclusion: The practical implications are the importance of improving the implementation of treatment through DOT and technology programs, patient education, and management of risk factors such as smoking, malnutrition, and comorbidities. Improving access to health, social support, and healthier environmental conditions can also prevent the spread and improve the success of MDR-TB treatment.
Pendekatan Calgary Family Intervention Model (CFIM) sebagai Upaya Peningkatan Perilaku Keluarga dalam Penanganan Pertama Diare Anak Usia 1-5 Tahun (Calgary Family Intervention Model (CFIM) Approach for Improving Family Behavior on Diarrhea First Aid i Nurbadriyah, Wiwit Dwi
JURNAL NERS LENTERA Vol. 4 No. 1 (2016)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v4i1.870

Abstract

Pendahuluan: Diare adalah kondisi pengeluaran tinja cair, kadang bercampur darah dan lendir sehingga cairan tubuh hilang dan dapat menyebabkan dehidrasi bahkan kematian terutama pada bayi dan anak usia dibawah lima tahun. Penanganan pertama selama di rumah yang kurang tepat bisa menyebabkan anak jatuh pada kondisi yang lebih parah. Upaya peningkatan perilaku keluarga yang bisa dilakukan melalui intervensi pendekatan keluarga salah satunya menggunakan CFIM (Calgary Family Intervention Model). Metode: Rancangan penelitian design pra eksperimental dengan sampel 35 ibu dengan anak usia 1-5 tahun yang pernah menderita diare di desa Jatirejoyoso Kepanjen melalui purposive sampling. Data yang diambil yaitu demografi dan CFAM (Calgary Family Asessment Model) dan data khusus tentang perilaku (pengetahuan, sikap, tindakan) keluarga dalam penanganan pertama diare. Analisa data Wilcoxon Sign Rank Test dengan α 0.05. Hasil: uji statistic menunjukkan peningkatan pengetahuan dan sikap keluarga dengan p value=0.00, sedangkan praktik keluarga tidak mengalami perubahan setelah dilakukan intervensi (p=1). Pembahasan: CFAM pada komponen fungsional merupakan pengkajian fungsi keluarga yang merujuk pada akivitas sehari-hari didapatkan sebagian besar kurang. Hal ini berperan dalam perilaku responden yang tidak mengalami perubahan setelah dilakukan CFIM. Kesimpulan: CFIM dapat meningkatkan perilaku keluarga (pengetahuan dan sikap) dalam penanganan pertama diare anak.
Benson Relaxation Intervention to Reduce Anxiety in Chronic Kidney Disease Patients at RSUD Kanjuruhan Wiwit Dwi Nurbadriyah; Fikriana, Riza; Rika Dian Mariana; Dhita Kurnia Sari; Ardhiles Wahyu Kurniawan
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.776

Abstract

Background: Chronic kidney disease (CKD) is a significant global health issue affecting individuals across all age groups. A prevalent concern among CKD patients is anxiety, which can disrupt daily activities and overall quality of life. Methods: This study employs a qualitative case study approach to explore the nursing care process for patients with CKD experiencing anxiety. The research involved purposeful sampling and was conducted through three structured client meetings. Results: The findings demonstrate that the Benson relaxation technique significantly reduced anxiety levels in CKD patients. Observations indicated notable improvements in the client's emotional states from the beginning to the conclusion of the study. Conclusion: This research underscores the importance of implementing non-pharmacological interventions, such as Benson relaxation, alongside traditional pharmacological treatments. It is recommended that this relaxation technique be incorporated into daily routines for patients when experiencing anxiety.
Factors associated with quality of life among patients undergoing hemodialysis in Indonesia Wiwit Dwi Nurbadriyah; Nursalam; Ika Yuni Widyawati; Ardhiles Wahyu Kurniawan
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.46280

Abstract

Introduction: Chronic kidney disease patients will suffer a variety of health issues throughout their lifetimes, particularly with regard to their quality of life, whether they are receiving treatment or undergoing hemodialysis (HD). This study aimed to determine factors associated with QOL among patients undergoing HD in Indonesia. Methods: A cross-sectional study was conducted in Malang, Indonesia during August to December of 2020. The inclusion criteria were patients undergoing HD two times a week and aged over 18 years old. QOL was measured using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF). Linear regression was used to determine factors associated with QOL. Results: About 150 participants agreed to join in this study (response rate: 84.4%) with their mean age 52.76 (SD=13.45). The total mean of the QOL in patients undergoing HD was 74.4 ± 27.7 with a range from 10 to 100. The highest mean score was reported for physical health (78.3 ± 24.8) and the lowest score was reported for environmental (72.6 ± 24.3). Linear regression showed that long duration of HD, hemoglobin concentration and blood urea with R2 was 34.6%. Conclusions: Longer duration of HD, low hemoglobin concentration and high blood urea were factors associated with lower QOL in patients undergoing HD. The results of the above study recommend to nurses and health workers to improve critical thinking skills, including measuring levels of urea and hemoglobin, which have an impact on the QOL of patients undergoing HD
PENGARUH PENGETAHUAN DAN DUKUNGAN KELUARGA TERHADAP SELF CARE MANAJEMENT PADA PENDERITA HIPERTENSI DENGAN PENDEKATAN TEORI DOREOTHEA E OREM Pramadaningati, Ike; Nurbadriyah, Wiwit Dwi; Fikriana, Riza
Viva Medika Vol 15 No 01 (2021)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v15i01.668

Abstract

Self care management in patients with hypertension is an individual's ability to carry out self-activities to maintain life, improve and maintain health for individual well-being to avoid complications. The purpose of this study was to analyze the effect of knowledge and family support on Self-care Management in Hypertensive Patients with Dhorothea E Orem Theory Approach. This type of research is a quantitative study, using andesign analytical descriptive with aapproach cross-sectional. Samples were taken using a purposive sampling technique in the elderly posyandu in Pamotan Village as many as 65 respondents. Data collection was done by distributing questionnaires to respondents. The statistical test used is multiple linear regression analysis test. The results show that there is an influence on the knowledge variable with a p-value 0.004 and a regression coefficient of 1.051, and there is an influence on thesupport variable familywith a p-value of 0.007 and a regression coefficient value of 0.248. Based on these statistical results, it was concluded that the variables of knowledge and family support had an effect on self-care management in patients with hypertension.
Socioeconomic Interaction, Friends, and Health Worker in Increasing Awareness of Scabies Prevention Behavior Kurniawan, Ardhiles Wahyu; Nurbadriyah, Wiwit Dwi; Wahyusari, Shinta; Hastuti, Apriyani Puji
JI-KES (Jurnal Ilmu Kesehatan) Vol. 8 No. 2 (2025): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/jikes.v8i2.872

Abstract

Abstrak Skabies adalah masalah kesehatan masyarakat yang signifikan, terutama di lingkungan dengan kepadatan tinggi seperti pesantren. Penularan yang cepat melalui kontak langsung, stigma sosial dan rendahnya kesadaran pencegahan dapat memperburuk penyebaran. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat sosial ekonomi, dukungan teman  dan tenaga kesehatan dengan kesadaran pencegahan skabies pada pengelola pesantren di Kabupaten Malang. Penelitian menggunakan desain korelasional dengan pendekatan cross-sectional, melibatkan 140 responden yang dipilih secara proportional random sampling dari delapan pesantren. Data dikumpulkan dengan kuesioner terstruktur dan dianalisis menggunakan uji statistik Somers’d dan Gamma. Hasil penelitian menunjukkan hubungan signifikan antara tingkat sosial ekonomi dan kesadaran pencegahan skabies (ρ=0,031, r=0,351), serta antara dukungan teman dan kesadaran pencegahan skabies (ρ=0,000, r=0,542). Namun, dukungan tenaga kesehatan tidak menunjukkan hubungan signifikan (ρ=0,152, r=0,183), meskipun tetap berperan dalam edukasi dan pemberdayaan. Tingkat sosial ekonomi dan dukungan teman berperan penting dalam meningkatkan kesadaran pencegahan skabies, sedangkan dukungan tenaga kesehatan tidak memberikan pengaruh signifikan. Oleh karena itu, pendekatan yang melibatkan faktor sosial ekonomi dan dukungan sosial perlu diperkuat dalam upaya pencegahan skabies di pesantren. Kata kunci: sosial ekonomi, petugas kesehatan, kesadaran, scabies   Abstract Scabies is a significant public health issue, particularly in environments with high population density, such as pesantren (Islamic boarding schools). Its rapid transmission through direct contact, along with social stigma and low awareness of prevention, exacerbates the spread of the disease. This study aims to analyze the correlation between socioeconomic status, peer support, and healthcare worker support with awareness of scabies prevention among pesantren administrators in Malang Regency. The research employed a correlational design with a cross-sectional approach, involving 140 respondents selected through proportional random sampling from eight pesantren. Data was collected using a structured questionnaire and analyzed using Somers’ d and Gamma statistical tests. The results indicated a significant correlation between socioeconomic status and awareness of scabies prevention (ρ=0,031, r=0,351), as well as between peer support and awareness of scabies prevention (ρ=0,000, r=0,542). However, healthcare worker support did not show a significant correlation (ρ=0,152, r=0,183), although it still plays a role in education and empowerment. Socioeconomic status and peer support are crucial in enhancing awareness of scabies prevention, while healthcare worker support does not have a significant impact. Therefore, approaches that involve socioeconomic factors and social support need to be strengthened in efforts to prevent scabies in pesantren. Keywords: sosioeconomic, health worker, awareness, scabies
Calgary Family Assessment Model (CFAM) Keluarga tentang Penanganan Pertama Food Borne Disease Anak Wiwit Dwi Nurbadriyah
Journal of Ners and Midwifery Vol 2 No 3 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v2i3.ART.p255-262

Abstract

Food borne disease (FBD) is a disease through consumption of contaminated food. The problem is that, school children are vulnerable to FBD because of household food contamination. This indicates the family as a food handler hygiene mainly the mother who prepare the food needed to be improved. Most common FBD is diarrhea, one of the danger is that the child’s body fluids are expelled out through the stool this can cause dehydration or even death. Family plays very important role in the handling of FBD first before being taken to the health service. This can be known through family studies approach CFAM (Calgary Family assessment model). The design of this study was descriptive eksplorative with a sample of 35 respondents; the 4th graders and their parents (17 persons) and 5th graders and their parents (18) in Jatirejoyoso Kepanjen Elemetary School through purposive sampling technique. The data taken were demographic and CFAM consists of the structural assessment components, development as well as family function. The family in first handling of food borne disease largely was not routine (71.4%). Ways of solving the problems mostly by the head of the family (74.3%). Responsible care for sick children mostly (57.2%) by only one parent (father / mother). Follow up during sick mostly made an effort (curative) as much as 85.7%. Family belief the majority (80%) considered that the first treatment at home was not needed because it could be taken directly to the health service. Health workers are expected to provide guidance for families through health volunteers on first handling practices of FBD. While schools are expected to perform optimization of UKS (School Health Unit) program to provide health education about the prevention and first treatment of FBD toward the school community.
Improving the Lifeskills of the PROLANIS Group Through the Android-Based Application SIPEGI: Chronic Kidney Disease Information System in Kidney Disease Prevention kodriyah, lailatul; Nurbadriyah, Wiwit Dwi; Kurniawan, Ardhiles Wahyu
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

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

Abstract

Chronic Kidney Disease (CKD) increases every year, so life skills are needed in preventing kidney disease. Prevention needs to be done in risk groups who already have chronic diseases. PROLANIS is a Chronic Disease Management Program, a group of people with hypertension and diabetes mellitus. These diseases are the biggest risk factors for CKD. An educational approach requires appropriate methods and means to improve Life Skills by maximizing Android facilities through the SIPEGI application (Chronic). This study aims to improve the life skills of the PROLANIS group through the SIPEGI Android-based application: Chronic Kidney Disease Information System in preventing kidney disease. The study used a pre-experimental design. The sample was the PROLANIS group with the following criteria: PROLANIS members from Kepanjen District, Malang, cooperative, able to read and write, and own an Android. The sample size was 30 people with a purposive sampling technique. The variables studied were life skills in preventing kidney disease. The instrument used a pre- and post-test questionnaire with intervention in the form of SIPEGI education. The Wilcoxon statistical test obtained a p value of 0.001, meaning that there was an increase in the life skills of the PROLANIS (Chronic Disease Management Program) group through the SIPEGI Android-based application.