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All Journal International Journal of Public Health Science (IJPHS) PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal Indonesian Contemporary Nursing Journal (ICON Journal) JMM (Jurnal Masyarakat Mandiri) Jurnal Keperawatan Silampari Jurnal Kesehatan Prima Faletehan Health Journal Unnes Journal of Public Health Jurnal Keperawatan Respati Yogyakarta Jurnal Riset Kesehatan Poltekkes Depkes Bandung JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Medikes (Media Informasi Kesehatan) Jurnal Keperawatan Widya Gantari Indonesia Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Mitra Kesehatan MAHESA : Malahayati Health Student Journal Bima Abdi: Jurnal Pengabdian Masyarakat Alauddin Scientific Journal Of Nursing (ASJN) PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS (COMORBID) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Lentera Perawat Jurnal Kesehatan Journal of Nursing Science Update Gaster DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Kesehatan dan Kebidanan Nusantara Jurnal Abdimas Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan
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Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients Nursasi, Astuti Yuni; Huda, Mega Hasanul; Rahmasari, Syifa Widya
Kesmas Vol. 17, No. 4
Publisher : UI Scholars Hub

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

Abstract

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.
CHALLENGES OF USING TELEHEALTH IN TRACKING TUBERCULOSIS HIV AIDs PATIENTS: A SYSTEMATIC REVIEW Amirudin, Ikhwan; Waluyo, Agung; Nursasi, Astuti Yuni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2927

Abstract

Lost to follow-up (LTFU) in the treatment process for HIV AIDS patients suffering from Tuberculosis is a serious problem that is a challenge for health services. This condition needs to be managed well so it must be treated immediately because the problem of Tuberculosis will have an impact not only on the sufferer himself but also cause an increase in the spread and transmission to other people. Handling the problems of HIV AIDS with tuberculosis infection needs to be managed well to ensure the implementation of the treatment process, to minimize the risk of dropping out. It is hoped that the use of digital applications in the form of telehealth will be able to have an effective function in controlling and integrating the treatment process being undertaken by HIV AIDS sufferers with tuberculosis infection. This systematic review aims to identify and provide a critical assessment. It is also to find evidence based on published articles, and carry out a synthesis of the articles obtained. This method uses a search process carried out through 5 databases (Ebsco Host, Proquest, Medline, PubMed, Cochrane), articles in English, published in 2014-2024 which were assessed by using JBI (Joanna Briggs Institute) as a guide in synthesizing the results searched and reviewed using PRISMA For Systematic reviews. The results obtained were 10 studies that described the use of digital or telehealth applications to combine adherence and loss to follow-up cases in tuberculosis treatment.  The use of telehealth can contribute to overcoming the problem of patients who are lost to follow-up and increasing adherence to HIV AIDS treatment with tuberculosis infection.
The Effect of Nutritional Management in the Nutritional Status of Patients with Pulmonary Tuberculosis: A Systematic Review Literature Sagala, Adi Brando M; Rekawati, Etty; Nursasi, Astuti Yuni
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3085

Abstract

Pulmonary Tuberculosis (TB) incidence and mortality rates in 2021 are higher than in 2020. The main risk factor for TB is malnutrition. Conversely, TB patients with malnutrition will experience obstacles in the healing process. The aim of this study was to review the results of research on the effect of nutritional management on the nutritional status of clients. The study design was a systematic literature review with PRISMA protocol. The literature search was limited to the last 10 years (2013-2023) in six databases, namely: Pubmed, Proquest, Science Direct, Scopus, Sage Journal, Wiley, and supplemented with hand searched in Google Scholar. All literature obtained has been reviewed for quality by each researcher using the Joanna Bridge Institute checklist for critical appraisal, then summarizing evidence, and interpreting the results. The initial search obtained 2688 literatures. The final result was seven literatures in this study. The results of these studies show that nutritional management has a positive effect on the nutritional status of TB patients. The types of nutrition management activities are individual diet, provision of high-calorie and high-protein supplementary foods, nutrition counseling, and supplementation. It was concluded that the intervention of individualized diet preparation had a statistically significant effect on improving nutritional status.
Peningkatan Kemampuan Duta Remaja Anti Anemia melalui Pemanfaatan Media Ular Tangga dan Tumpeng Nutrisi Azwar, Azwar; Rahmadiyah, Dwi Cahya; Nursasi, Astuti Yuni; Fitri, Fitri
Bima Abdi: Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2025): Bima Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/bajpm.v5i3.2413

Abstract

Anemia merupakan gangguan yang dapat mengancam perempuan khususnya remaja putri di masa yang akan datang. Salah satu kelompok yang berpotensi terdampak adalah remaja putri pada jenjang pendidikan menengah. Pengabdian ini bertujuan untuk membentuk dan meningkatkan pengetahuan, sikap dan keterampilan duta anti anemia pada remaja putri di SMP Yappa Kota Depok. Kegiatan dilaksanakan pada 15 Oktober 2024 hingga 21 Mei 2024. Jumlah peserta dalam kegiatan ini adalah 20 orang. Pengabdian dilakukan mulai dari pengkajian analisis masalah, pemberian penyuluhan kesehatan, pelatihan mengenai peran dan tugas dari duta anti anemia, pemberian games edakatif ular tangga dan tumpeng nutrsi serta evaluasi. Hasil evaluasi menunjukkan bahwa rerata pengetahuan anak-anak terkait anemia pada remaja putri meningkat, yang menandakan efektivitas promosi kesehatan berbasis permainan dalam meningkatkan pemahaman mereka. Selain itu, terjadi peningkatan rerata sikap anak-anak terhadap anemia, menunjukkan bahwa metode intervensi ini berhasil membentuk pola pikir yang lebih positif dalam pencegahan anemia.
Lifestyle Risk Factors and Hypertension on Students: a Cross Sectional Study Martiningsih, Martiningsih; Novieastari, Enie; Gayatri, Dewi; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1692

Abstract

The incidence of hypertension is likely to occur at an increasingly younger age. The incidence is mainly due to risk factors for unhealthy behavior and lifestyle in adolescents. The purpose of this study was to analyze behavioral and lifestyle risk factors that affect the incidence of hypertension in adolescents. This research design is a descriptive-analytic with the cross-sectional study. The subjects in this study were 407 respondents from 10 junior and senior high schools in Bima City. Independent variables were gender, age, some behaviors like smoking, alcoholic, drug abuse, exercise, and healthy diet, abdominal circumference, and body mass index. Whereas, the dependent variable covers the incidence of hypertension. Results: In this study, behavioral risk factors in adolescents that correlate with hypertension are body mass index, age, and smoking behavior. The omnibus test results p value = 0.018 (
Resiliensi dan Perilaku Merokok pada Remaja: Tinjauan Sistematis Delly Arfa Syukrowardi; Junaiti Sahar; Astuti Yuni Nursasi; Imami Nur Rachmawati; Bahrul Hayat
Faletehan Health Journal Vol 12 No 03 (2025): Faletehan Health Journal, November 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i03.891

Abstract

The high prevalence of smoking among adolescents poses a significant global health challenge. While resilience has been identified as a protective factor against risky behaviors, the underlying mechanisms and influencing factors have not been comprehensively synthesized. This study aimed to examine the relationship between resilience and smoking behavior among adolescents and to identify the mediating factors of this relationship through a systematic review. A systematic review design was employed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A comprehensive literature search was conducted across ScienceDirect, PubMed, ProQuest, and Scopus databases without publication year restrictions. The methodological quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Of the 326 articles identified, 10 studies met the inclusion criteria. The results indicated that high levels of resilience were significantly associated with lower rates of smoking behavior among adolescents. Resilience functions as a protective factor through the interaction between internal assets and external resources. Family support, school connectedness, positive peer support, and mental well-being were identified as key mediating factors that strengthen resilience in preventing smoking initiation. This study concludes that health promotion strategies and nursing interventions should not only focus on the dangers of smoking but also integrate resilience-building through a holistic approach involving family and school environments.
The Effectiveness of Using Health Education Video on Increasing Knowledge of Household Contacts of Pulmonary Tuberculosis Patients Nataladi, Evani; Permatasari, Henny; Nursasi, Astuti Yuni; Mulyono, Sigit
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 5 No. 1 (2026): JANUARY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/comorbid.v5i1.1987

Abstract

Despite extensive health education efforts, pulmonary tuberculosis (TB) incidence remains high, particularly among household contacts. Audiovisual media (video) is emerging as a potential alternative to optimize educational outcomes where traditional methods have underperformed. This systematic review evaluates the effectiveness of video-based health education in increasing knowledge and preventive behaviors among household contacts of pulmonary TB patients. A systematic search was conducted (February-March 2025) across five databases: ProQuest, ScienceDirect, Scopus, Sage Journals, and Google Scholar. Using PRISMA guidelines and JBI critical appraisal tools, six high-quality articles were synthesized from an initial 19,481 records (filtered for Open Access, 2016-2025, and relevant study designs). Synthesis of the included studies demonstrates that health education significantly enhances knowledge, attitudes, and participation in early TB detection. Specifically, audiovisual tools were found to improve information retention and understanding of TB prevention more effectively than standard verbal counseling, although its success is often contingent. Audiovisual-based health education is a superior intervention for increasing the knowledge and preventive attitudes of TB household contacts. The integration of video media significantly enhances information uptake compared to traditional methods, suggesting that TB control programs should prioritize digital audiovisual tools to optimize early case detection and community-based prevention.
Barriers to Tuberculosis Case Detection in Private Clinics in Indonesia : A Thematic Analysis Ritonga, Imelda Liana; Handiyani, Hanny; Nursasi, Astuti Yuni; Eryando, Tris
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.02

Abstract

In Indonesia, private clinics have emerged as an alternative healthcare option, even for individuals enrolled in the National Health Insurance program. According to the National Tuberculosis Program, these clinics are also responsible for detecting tuberculosis (TB). However, the ability of these clinics to manage TB patients has not been extensively studied. This study explores the factors that facilitate or hinder healthcare workers (HCWs) at these clinics from detecting TB early on. A qualitative descriptive-interpretative approach was employed. Thirteen HCWs from three clinics, one HCW from a district public healthcare center, and a local TB program supervisor (Wasor TB—deputy supervisor of the Tuberculosis Program) were selected via purposive sampling, resulting in a total of 15 participants. Data were collected through in-depth interviews conducted from April to July 2023 and analyzed using thematic analysis. Three main themes with eight sub-themes emerged: (1) inadequate support from clinic managers for TB services, (2) substandard early TB detection competency among clinical staff, and (3) insufficient support from the external TB network for clinics’ early detection efforts. Improving TB services in private clinics, especially early detection, is essential to achieving the Indonesian government’s goal of eliminating TB by 2030. This can be achieved by reassessing roles and establishing effective collaborative partnerships between clinic leaders and staff and the external TB network.
Bimanese Traditional Healing Practices in Patients with Hypertension in West Nusa Tenggara, Indonesia Martiningsih, Martiningsih; Enie Novieastari; Astuti Yuni Nursasi; Ella Nurlaella Hadi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.18-28

Abstract

Background: Incorporating cultural factors into nursing care can support the achievement of therapeutic goals. The use of traditional medicine alongside conventional treatment has gained attention in managing hypertension, especially in culturally diverse settings. Purpose: This study aims to explore the medication practices of patients with hypertension from a nursing perspective, emphasizing cultural influences and traditional medicine use. Methods: Employing a qualitative ethnographic design, the research was conducted at three public health centers in rural and urban Bima, Sumbawa Island, West Nusa Tenggara, from February to August 2024. Sixteen patients with hypertension, purposively selected via snowball sampling, participated through in-depth interviews and participant observation. Data analysis involved thematic analysis and triangulation, with validation from informants and experts. Results: Findings reveal that patients often combine prescribed antihypertensive medications with traditional remedies. Three main themes emerged. The first, cultural care practices in medication, includes six subthemes: oral traditional medicine, traditional body scrubs for warming, Bimanese munching-spraying medicine, and treatments applied to the head. The second theme highlights the combination of Bimanese traditional treatments with hypertension medication, divided into two subthemes. The third emphasizes belief in the effectiveness of Bimanese treatments. These practices are deeply rooted in local cultural beliefs and traditions. Conclusions: Recognizing and integrating traditional treatments into nursing care can improve medication adherence among hypertensive patients. Respecting cultural practices and fostering trust in traditional medicine are essential for culturally competent care. Healthcare providers should consider these factors to enhance treatment outcomes and patient satisfaction.
Exploring antiretroviral treatment discontinuation among people living with HIV in Indonesia: A qualitative study Sujianto, Untung; Amirudin, Ikhwan; Akbar, M Agung; Waluyo, Agung; Nursasi, Astuti Yuni
Belitung Nursing Journal Vol. 11 No. 6 (2025): November - December
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4129

Abstract

Background: Discontinuation of antiretroviral therapy (ART) among people living with HIV (PLHIV) presents significant challenges for HIV care, often leading to physical deterioration, emotional distress, and social isolation. Although prior studies have addressed barriers to adherence, little is known about the experiences of PLHIV following treatment discontinuation in the Indonesian context. Objective: To explore the experiences of Indonesian PLHIV who have discontinued ART. Methods: This qualitative study employed a descriptive phenomenological approach and was conducted in three urban areas of Indonesia (Jakarta, Yogyakarta, and Bandar Lampung) between August and September 2024. Fifteen participants were purposively recruited from community-based organizations. In-depth semi-structured interviews were conducted, transcribed verbatim, and analyzed using Colaizzi’s method to identify themes and meanings in the narratives. Results: Three major themes emerged: (1) Physical and psychological consequences of ARV discontinuation, including fatigue, anxiety, and a sense of losing control; (2) Prolonged social strain and stigma, marked by loss of support and moral judgment from others; and (3) Searching for meaning and coping without treatment, including spiritual resignation and detachment from bodily control. These themes reflect the complex, multidimensional burdens PLHIV face after stopping treatment, particularly in the Indonesian context, where HIV stigma is deeply rooted in sociocultural and religious norms, and access to mental health support remains limited. Conclusion: ART discontinuation is not merely a clinical event but a deeply human experience shaped by physical decline, emotional conflict, social rejection, and existential adaptation. To improve long-term HIV care outcomes, healthcare systems must integrate psychosocial and spiritual support for individuals who disengage from treatment, encouraging re-engagement through nonjudgmental and person-centered care. For nursing practice, this study emphasizes the importance of developing empathetic communication, providing culturally sensitive counseling, and actively addressing stigma during care interactions.
Co-Authors Adiatman Adiatman Agung Waluyo Agus Setiawan Agustina Rahmawati Akbar, M. Agung Amirudin, Ikhwan Andi Nur Aina Sudirman Andi Pranata Arman Harahap Arnindya Kanti Prasasti Asep Abdurrahman Hidayah Astuti, Verra Widhi Azwar Azwar Azwar Azwar Bahrul Hayat Cahyani, Kadek Dewi Clara Caroline Delly Arfa Syukrowardi Denny Susanto Dewi Gayatri Diah Ratnawati Dian Ayubi Dwi Budi Prastiani Dwi Cahya Rahmadiyah Elfi Syahreni Ella Nurlaella Hadi Elly Nurachmah Enie Novieastari Etty Rekawati Etty Rekawaty, Etty Fahri Gunawan Fitri Fitri Fonny Veronika Runtulalo Gunawan, Fahri Hanny Handiyani Hasbunsyah Siregar Henny Permatasari Herni Rejeki I Gede Restawan Ikhwan Amirudin Imami Nur Rachmawati Indah Permata Sari Junaiti Sahar Kadek Dewi Cahyani Kristianingrum, Niko Dima Kristina Lisum Kristina Lisum Lola Illona Elfani Kausar, Lola Illona Elfani M Sagala, Adi Brando Martiningsih Martiningsih, Martiningsih Marwah Marwah Mega Hasanul Huda Mu'in, Muhammad Muhamad Jauhar Mulyana, Rezky Nadya Tiara Sabila Nataladi, Evani Ni Wayan Putriana Dewi Agustina Nita Yunita Sri Ayu Nor Aziyan Nur Akbar Pasaribu, Jesika Poppy Fitriyani Prasasti, Arnindya Kanti Putri, Rini Pratiwi Rachmawati, Utami Rahmasari, Syifa Widya Ratnawati, Diah Rita Ismail Ritonga, Imelda Liana Rohayati, Rohayati Roma Tao Toba MR S., Chiyar Edison Sagala, Adi Brando M Saras Anindya Nurhafid Sartika Sartika Sigit Mulyono Siregar, Tatiana Sri Ayu Rahayu S. Paneo Sri Yona Subekti, Kusdiah Edy Subekti, Kusdiah Edy Sudibyo Supardi Sukihananto, Sukihananto Syifa Widya Rahmasari Tety Nikasia Matanari Tressia, Tressia Febrianti Tri Budiati Tris Eryando Untung Sujianto Verra Widhi Astuti Vesdiana Vesdiana Wahyudi, Chandra Tri Widyatuti Widyatuti Widyatuti Wirawati, Desmon Wiwin Wiarsih Yeni Rustina