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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 Jurnal Kesehatan Komunitas 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 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) 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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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 Lisum, Kristina; Agung Waluyo; Astuti Yuni Nursasi; Sudibyo Supardi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 9 (2023): September 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.
Efektivitas Dukungan Swabantu (Self Help Group) Dalam meningkatkan Kepatuhan dan Kualitas Hidup Pasien Tuberkulosis : Tinjauan Sistematik Puspitasari, Iis; Permatasari, Henny; Nursasi, Astuti Yuni; Widyatuti, Widyatuti
Jurnal Kesehatan Komunitas Vol 11 No 3 (2025): Jurnal Kesehatan Komunitas
Publisher : Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss3.2408

Abstract

Tuberculosis (TB) remains a major global health challenge, especially in countries with high disease burdens like Indonesia. Treatment non-adherence and reduced quality of life among TB patients continue to undermine control efforts. This systematic review seeks to explore how self-help group (SHG) interventions contribute to enhancing medication adherence and improving the quality of life (QoL) among individuals living with TB. A systematic review was followed the 2020 PRISMA guidelines. Comprehensive searches were performed across PubMed, Science Direct, ProQuest, Scopus, and Google Scholar using the PICO framework. Studies of various designs (RCTs, cohort, quasi-experimental, and cross-sectional) involving TB patients receiving SHG interventions were included. Eight eligible studies were critically appraised using the JBI checklist. Despite differences in design, participants, and SHG approaches such as patient education, motivation, emotional support, behavioral empowerment, and digital integration the studies consistently showed improvements in medication adherence and quality of life, supported by generally strong methodological quality. The findings highlight the importance of structured SHG models in nursing practice, supporting the development of community-based interventions and protocols that enhance TB treatment outcomes and patient well-being. Future studies should prioritize robust RCTs with diverse populations and long-term follow-up, including hybrid models that integrate digital technologies to ensure sustainable implementation in high-burden settings.
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.
Lifestyle interventions for blood pressure reduction and hypertension prevention in adolescents: A systematic review Siregar, Hasbunsyah; Permatasari, Henny; Nursasi, Astuti Yuni
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.
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.
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.
Co-Authors Adiatman Adiatman Agung Waluyo Agus Setiawan Agustina Rahmawati Akbar, M. Agung Amirudin, Ikhwan Andi Pranata, Andi 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 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 Henny Permatasari Herni Rejeki Ikhwan Amirudin Imami Nur Rachmawati Indah Permata Sari Junaiti Sahar Kadek Dewi Cahyani Kristianingrum, Niko Dima Kristina Lisum Lisum, Kristina Lola Illona Elfani Kausar, Lola Illona Elfani M Sagala, Adi Brando M. Agung Akbar Martiningsih Martiningsih, Martiningsih Marwah Marwah Matanari, Tety Nikasia 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 Puspitasari, Iis 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, Hasbunsyah 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 Untung Sujianto Verra Widhi Astuti Vesdiana Vesdiana Wahyudi, Chandra Tri Widyatuti Widyatuti Widyatuti Wirawati, Desmon Wiwin Wiarsih Yeni Rustina