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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
Astuti Yuni Nursasi
Departemen Keperawatan Komunitas Fakultas Ilmu Keperawatan Universitas Indonesia
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Exploration of lived experiences among LGBT individuals living with HIV/AIDS: A phenomenological study Ikhwan Amirudin; Nor Aziyan; M. Agung Akbar; Agung Waluyo; Astuti Yuni Nursasi
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2402

Abstract

Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals remain a key population with high vulnerability to HIV/AIDS. Although antiretroviral therapy has significantly reduced morbidity and mortality, LGBT people living with HIV/AIDS continue to face layered stigma stemming from both HIV status and sexual or gender identity. However, in-depth understanding of the lived experiences of this population, particularly within Indonesia's sociocultural context, remains limited. Objective: This study aimed to explore and understand the lived experiences of LGBT individuals living with HIV/AIDS in Lampung Province through a phenomenological approach. Methods: A qualitative phenomenological study was conducted with 15 LGBT participants living with HIV/AIDS. Data collection was performed through in-depth interviews during September–October 2025 in Lampung Province. Data analysis employed in vivo coding to preserve the original meaning of participants' expressions. Research reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results: Analysis yielded three major themes: (1) living in the shadow of layered stigma, (2) negotiating identity and self-acceptance following HIV diagnosis, and (3) building meaning in life and resilience. These themes emerged from interrelated subthemes and categories, all grounded in participants' narratives. Conclusion: The lived experience of LGBT individuals with HIV/AIDS constitutes a complex and multidimensional phenomenon encompassing social, psychological, and existential dimensions. These findings underscore the critical importance of inclusive HIV services that are sensitive to stigma and oriented toward psychosocial needs.
Health Education and the Increase in TB Patient Medication Compliance Gunawan, Fahri; Nursasi, Astuti Yuni
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i2.973

Abstract

Background: Tuberculosis (TBC) is an infectious disease that worsens individual health and is the leading cause of death in the world. Long TBC treatment requires interaction from TBC sufferers who require intervention in medication adherence. Compliance is an important factor in TBC treatment, therefore WHO made DOT to monitor TBC treatment. One method that has been proven to have a positive effect is health education interventions to increase adherence to anti-tuberculosis treatment in TBC patients. Educational interventions are aimed at providing patient knowledge and understanding of the disease process and the risks and benefits associated with medication adherencePurose: To get an overview of how the health education model is used to improve adherence to taking anti-tuberculosis drugs in TBC patientsMethod: writing using a Systematic Review with a literature search carried out in accordance with the preparation of research questions using the PICO formula. The data base used is Proques, Scoopus, Embase, Clinicalkey with articles used in full text with a publication period from 2018-2023Results: There were 7 articles related to health education interventions on adherence to taking OAT in Tuberculosis patients.Conclusion: Increasing the knowledge of TBC patients about TBC disease with health education can change the beliefs and perspectives of TBC sufferers towards the disease so that it can show increased adherence to taking antituberculosis drugs in TBC patients
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial wellbeing and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore experiences of PLHIV-TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed, with 20 PLHIV-TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.
Edukasi Perilaku Pencegahan Hipertensi Melalui Proses Kelompok pada Siswa-Siswi SMK Bina Taqwa Cisalak I Gede Restawan; Astuti Yuni Nursasi; Andi Nur Aina Sudirman; Denny Susanto
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 2 (2026): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i2.1131

Abstract

Hypertension is a growing health problem in adolescents and is closely related to unhealthy lifestyle changes, such as lack of physical activity, high-salt food consumption, stress, and irregular sleep patterns. The low knowledge of adolescents about hypertension prevention is one factor that worsens this condition. This community service activity aims to improve adolescents’ knowledge about hypertension prevention from an early age. Health education with a group-based life skills improvement approach, implemented on 19 students of SMK Bina Taqwa Cisalak, Depok City. The evaluation was conducted using a pretest and posttest to measure the level of knowledge of the respondents. Most respondents had sufficient (42.1%) and poor (26.3%) knowledge before the intervention. After the intervention, knowledge increased to 89.5% in the good category, and no longer were any respondents in the poor category. Health education through group processes is effective in improving adolescents’ knowledge about hypertensive prevention. This method can be recommended as a health promotion strategy to prevent hypertension in school environments from an early age
The Implementation of Grew-Deal Nursing Interventions to Achieve Ideal Body Weight in High School Students Andi Pranata; Astuti Yuni Nursasi; Dwi Cahya Rahmadiyah
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 Pengetahuan, Sikap, Tindakan Pengobatan dan Perawatan Klien Tuberkulosis Menggunakan Model Penguatan Kapasitas Pemuda: Increasing Knowledge, Attitudes, Actions on Treatment and Care of Tuberculosis Clients Using Youth Capacity Strengthening Models Kristina Lisum; Agung Waluyo; Astuti Yuni Nursasi; Sudibyo Supardi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 9 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i9.3608

Abstract

Latar belakang: Indonesia menduduki peringkat kedua kasus Tuberkulosis tertinggi di dunia, untuk itu dibutuhkan pelibatan peran serta anggota masyarakat, termasuk pemuda. Pemuda sering kali diabaikan untuk menjadi agen pembaharu dalam keluarga, karena dianggap memiliki gaya hidup berisiko terhadap masalah kesehatannya. Tujuan: Penelitian ini bertujuan untuk menguji model penguatan kapasitas pemuda terhadap pengetahuan, sikap, tindakan pengobatan dan perawatan klien Tuberkulosis. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain kuasi eksperimental. 104 responden penelitian adalah klien tuberculosis yang memiliki pemuda kontak serumah berusia 15 – 24 tahun. Penelitian dilakukan pada Februari - September 2022. Analisis dilakukan menggunakan uji regresi logistic Hasil: Pengaruh model penguatan kapasitas pemuda terhadap peningkatan pengetahuan yang dikontrol dengan variabel sumber informasi sebesar 2.83 kali; terhadap peningkatan sikap sebesar 71,4 kali setelah dikontrol oleh variabel sumber informasi, lama pengobatan dan skor pengetahuan klien. Walaupun pengaruh model penguatan kapasitas pemuda tidak signifikan terhadap perubahan tindakan secara langsung, namun perubahan tindakan pengobatan dan perawatan klien TBC paru setelah tiga bulan intervensi terjadi 3.13 kali lebih besar dibanding kelompok kontrol Kesimpulan: Model penguatan kapasitas pemuda secara efektif dapat meningkatkan pengetahuan, sikap klien TBC paru; termasuk dalam tindakan pengobatan dan perawatan TBC paru. Perubahan tersebut membutuhkan waktu untuk beradaptasi dari pelaku model.
Effectiveness cognitive behavioral therapy in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients: A systematic review Tety Nikasia Matanari; Etty Rekawati; Astuti Yuni Nursasi; Henny Permatasari
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.
Lifestyle interventions for blood pressure reduction and hypertension prevention in adolescents: A systematic review Hasbunsyah Siregar; Henny Permatasari; Astuti Yuni Nursasi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1686

Abstract

Background: Hypertension in adolescents is an emerging public health concern, often linked to poor lifestyle habits formed early in life. Lifestyle interventions have been recommended as first-line, non-pharmacological strategies for blood pressure control and hypertension prevention. Purpose: To evaluate the effectiveness of lifestyle interventions in reducing blood pressure and preventing hypertension among adolescents. Method: A systematic literature review was conducted on June 30, 2025, using the PICO framework. Databases searched included PubMed, Sage Journals, ScienceDirect, and Google Scholar. Keywords included Lifestyle Interventions, Hypertension, and Adolescents. Inclusion criteria were original studies (RCTs, cohort, quasi-experimental) focusing on adolescents with lifestyle-based interventions. Articles in English or Indonesian were included if full-text was available and outcomes reported changes in blood pressure, BMI, or lifestyle practices. Results: The reviewed studies consistently demonstrated that lifestyle interventions such as increased physical activity, dietary modification, and health education effectively reduced both systolic and diastolic blood pressure. Several interventions also resulted in improved BMI, physical fitness, and healthier lifestyle practices.  Multicomponent and early interventions, particularly those implemented in schools and supported by family or community involvement, showed the most promising results. However, some adolescents with severe obesity or resistant hypertension may require complementary medical treatment. Conclusion: Lifestyle interventions are effective, scalable, and evidence-based strategies for lowering blood pressure and preventing hypertension in adolescents. These findings support their integration into public health initiatives aimed at reducing long-term cardiovascular risk from an early age.
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