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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 PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Kesehatan 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) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Lentera Perawat Jurnal Kesehatan Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Physical Therapy Journal of Indonesia Jurnal Kesehatan dan Kebidanan Nusantara Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Astuti Yuni Nursasi
Departemen Keperawatan Komunitas Fakultas Ilmu Keperawatan Universitas Indonesia
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Efektivitas program latihan fisik terstruktur dalam meningkatkan kualitas hidup pasien tuberkulosis: A systematic review Putri, Rini Pratiwi; Nursasi, Astuti Yuni; Sari, Indah Permata; Permatasari, Henny
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.1012

Abstract

Background: Tuberculosis (TB) remains one of the biggest health problems in society. TB is caused by bacteria (Mycobacterium tuberculosis) and most often attacks the lungs. TB is transmitted through the air, when someone with pulmonary TB coughs, sneezes, or spits. A person only needs to inhale a few germs to become infected. Each year, 10 million people are infected with TB. Although the disease is preventable and curable, 1.5 million people die from TB each year, making it the world's biggest infectious killer. Purpose: To determine the effectiveness of the structured physical exercise program in improving the quality of life of tuberculosis patients. Method: Literature search in several databases Science Direct, Proquest, Scopus, and francis & taylor. The articles used are the results of research published between 2020 - 2024 with the search technique using the PRISMA method. Results: This review highlights the importance of a planned and targeted physiotherapy protocol in supporting the recovery of tuberculosis patients. Protocols that include breathing exercises, muscle strengthening, mobility, and patient education have shown effectiveness in reducing physical symptoms, increasing functional capacity, and improving quality of life. Evidence-based physiotherapy protocols show that a structured, targeted, and patient-tailored approach is very effective in accelerating physical and psychosocial recovery in tuberculosis patients. This systematic review also underlines the need for comprehensive management to ensure long-term recovery and improved quality of life. Conclusion: Evidence-based physiotherapy protocols show that a structured, targeted, and patient-tailored approach is very effective in accelerating physical and psychosocial recovery in tuberculosis patients. Suggestion: Hospital-based or community-based pulmonary rehabilitation programs need to be improved, especially in areas with high tuberculosis prevalence, by conducting professional training for health workers, especially on specific protocols for tuberculosis patients to ensure high quality of care.   Keywords: Quality of Life; Structured Physical Exercise; Tuberculosis Patients.   Pendahuluan: Tuberculosis (TB) masih menjadi salah satu masalah kesehatan terbesar di masyarakat. TB atau TBC disebabkan oleh bakteri (Mycobacterium tuberculosis) dan paling sering menyerang paru-paru. TBC menular melalui udara, ketika penderita TBC paru-paru batuk, bersin, atau meludah. Seseorang hanya perlu menghirup sedikit kuman untuk terinfeksi. Setiap tahunnya, 10 juta orang terjangkit TB. Meskipun penyakit ini dapat dicegah dan disembuhkan, 1.5 juta orang meninggal karena TBC setiap tahunnya, menjadikannya penyakit menular pembunuh terbesar di dunia. Tujuan: Untuk mengetahui efektivitas program latihan fisik terstruktur dalam meningkatkan kualitas hidup pasien dengan tuberkulosis. Metode: Penelusuran literatur pada beberapa database Science Direct, Proquest, Scopus, dan francis & taylor. Artikel yang digunakan adalah hasil penelitian yang terbit antara tahun 2020 – 2024 dengan teknik pencarian menggunakan metode PRISMA. Hasil: Tinjauan ini menyoroti pentingnya protokol fisioterapi yang terencana dan terfokus dalam mendukung pemulihan pasien dengan tuberkulosis. Protokol yang mencakup latihan pernapasan, penguatan otot, mobilitas, dan edukasi pasien menunjukkan efektivitas dalam mengurangi gejala fisik, meningkatkan kapasitas fungsional dan meningkatkan kualitas hidup. Protokol fisioterapi berbasis bukti menunjukkan bahwa pendekatan yang terstruktur, terarah, dan disesuaikan dengan kebutuhan pasien sangat efektif dalam mempercepat pemulihan fisik dan psikososial pasien tuberkulosis. Systematic review ini juga menggaris bawahi perlunya pengelolaan yang komprehensif untuk memastikan pemulihan jangka panjang dan peningkatan kualitas hidup. Simpulan: Protokol fisioterapi berbasis bukti menunjukkan bahwa pendekatan yang terstruktur, terarah, dan disesuaikan dengan kebutuhan pasien sangat efektif dalam mempercepat pemulihan fisik dan psikososial pasien tuberkulosis. Saran: Program rehabilitasi pulmoner berbasis rumah sakit atau komunitas harus ditingkatkan, khususnya di daerah dengan prevalensi tinggi tuberculosis, melakukan pelatihan profesional kesehatan terhadap tenaga kesehatan terlebih tentang protokol khusus untuk pasien dengan tuberkulosis guna memastikan pelayanan berkualitas tinggi.   Kata Kunci: Kualitas Hidup; Latihan Fisik Terstruktur; Pasien Tuberculosis.
Effectiveness Effectiveness of Wearable Electronic Device for Fall Risk Prevention in Community Elderly: A Literature Review Cahyani, Kadek Dewi; Sukihananto; Astuti Yuni Nursasi
Lentera Perawat Vol. 5 No. 2 (2024): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v5i2.319

Abstract

The increasing incidence of falls in the elderly has become a global health issue. The development of wearable electronic device technology is able to monitor daily activities, measure step counts, physical activity levels, and even sleep patterns of the elderly, while providing early warnings when changes occur that may increase the risk of falls. The aim is to see the effectiveness of using wearable electronic devices in preventing the risk of falls in the elderly in the community. PICO in this study is Population: Community-dwelling elderly, Intervention: wearable electronic device, Comparisons: none, and Outcome: fall prevention. Researchers used 3 search data sources, namely Embase, Pubmed, and Science Direct. The inclusion and exclusion criteria of this study are literature published in electronic data sources from 2018-2023, is a type of quantitative research, the elderly population in the community, English language and available in full text. This literature review includes ten articles that discuss the utilization of wearable electronic device technology, the types of wearable devices used include Inertial Measurement Units (IMU), biosensors, and accelerometers to evaluate the mobility, gait, and balance of the elderly. This literature review shows that wearable electronic device technology can effectively detect falls and motorize the incidence of falls in the elderly
The Effect of “Caregiver Care for Tuberculosis Program” on Improving Knowledge, Attitudes, and Skills in Caring for Children with Tuberculosis Nursasi, Astuti Yuni; Sartika, Sartika
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44559

Abstract

Aims: This study aimed to evaluate the effect of the Caregiver Care for TB Program on improving the knowledge, attitudes, and caregiving skills of mothers as primary caregivers of children diagnosed with tuberculosis in Depok, Indonesia. Methods: A quasi-experimental study was conducted with 80 mothers divided equally into intervention and control groups. The program included four structured educational sessions delivered in small support groups at a health center over four consecutive weeks. Data were collected at three points: before the intervention (pre-test), immediately after the completion of the sessions (post-test 1), and 10 days after the intervention (post-test 2). Knowledge, attitudes, and skills were measured using the Knowledge, Attitude, and Practice (KAP) questionnaire for Tuberculosis care. Results: Significant improvements were observed in the intervention group compared to the control group in knowledge (p=0.000) and attitudes (p=0.000) and skills (p=0.000), as well as improvements in knowledge, attitude, and skills 10 days later (p < 0.000). Conclusion: The Caregiver Care for TB Program effectively enhanced caregivers' knowledge, attitudes, and caregiving skills in preventing TB transmission among children. This program should be implemented as part of TB control strategies in high-burden areas
Effectiveness cognitive behavioral therapy in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients: A systematic review Matanari, Tety Nikasia; Rekawati, Etty; Nursasi, Astuti Yuni; Permatasari, Henny
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.989

Abstract

Background: Tuberculosis not only affects the physical condition of sufferers but also causes psychological problems such as anxiety and depression in tuberculosis patients. These psychological disorders will have an impact on treatment that is still undergoing treatment. The efforts that can be given are non-pharmacological therapy, namely Cognitive Behavioral Therapy (CBT), this therapy is carried out by changing the wrong way of thinking about the disease experienced by the patient. Purpose: To determine the effectiveness of Cognitive Behavioral Therapy (CBT) in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients diagnosed with pulmonary tuberculosis who experience psychological stress, I: Cognitive Behavioral Therapy (CBT), C: Standard care or conventional treatment without CBT, O: Reduction in psychological stress (levels of stress, anxiety, or depression), S: Randomized Controlled Trials. The article search was conducted systematically using the keywords: "Tuberculosis" AND "Cognitive Behavioral Therapy” AND “Cognitive Therapy” AND “Medication Adherence” AND “Medication Compliance” AND “Psychological“AND “Depression” AND “Anxiety”. Results: This study shows that Cognitive Behavioral Therapy (CBT) is effective in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Conclusion: CBT is effective in increasing medication adherence in pulmonary tuberculosis patients.
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.
The Implementation of Grew-Deal Nursing Interventions to Achieve Ideal Body Weight in High School Students Pranata, Andi; Nursasi, Astuti Yuni; Rahmadiyah, Dwi Cahya
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.3788

Abstract

The number of cases of excess weight among teenagers is still high. This places teenagers in a group at high risk of experiencing long-term health problems. The aim of writing a scientific paper is to analyze the application of GREW-DEAL innovation in family and community nursing. This study is a case study. The sample used was 10 managed families and 90 private high school students in Depok City. The results of 10 families showed an increase in the average knowledge from 15.6 to 19.0, then attitudes from 13.9 to 16.8 and skills from 21.2 to 29.2, then there was a decrease in the average BMI from 21.58. to 20.28 and increased family independence (100%) between pre and post scores. The application of GREW-DEAL to adolescents at school also shows an increase in average knowledge, attitudes and skills. Apart from that, there has been an improvement in healthy eating patterns, increased activity and physical exercise. The GREW-DEAL innovation is a recommendation for community nurses in preventing and controlling excess weight in adolescents and is the basis for developing other innovations within the scope of family and community nursing care.
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 (
Co-Authors Adiatman Adiatman Agung Waluyo Agung Waluyo Agus Setiawan Agustina Rahmawati Amirudin, Ikhwan Andi Pranata, Andi Arman Harahap Arnindya Kanti Prasasti Asep Abdurrahman Hidayah Astuti, Verra Widhi Azwar Azwar Azwar Azwar Bahrul Hayat, Bahrul Cahyani, Kadek Dewi Clara Caroline Delly Arfa Syukrowardi 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 Henny Permatasari Herni Rejeki 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 Matanari, Tety Nikasia Mega Hasanul Huda Mu'in, Muhammad Muhamad Jauhar Mulyana, Rezky Nadya Tiara Sabila Ni Wayan Putriana Dewi Agustina Nita Yunita Sri Ayu Nur Akbar Pasaribu, Jesika Poppy Fitriyani Prasasti, Arnindya Kanti Putri, Rini Pratiwi Rachmawati, Utami Rahmasari, Syifa Widya Ratnawati, Diah Rita Ismail 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 Sri Yona Subekti, Kusdiah Edy Subekti, Kusdiah Edy Sudibyo Supardi Sukihananto Sukihananto Sukihananto Sukihananto Sukihananto, Sukihananto Syifa Widya Rahmasari Tressia, Tressia Febrianti Tri Budiati Tris Eryando Verra Widhi Astuti Vesdiana Vesdiana Wahyudi, Chandra Tri Widyatuti Widyatuti Widyatuti Wirawati, Desmon Wiwin Wiarsih Yeni Rustina