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Health literacy and post-vaccination COVID-19 prevention behavior in the community: a crosssectional study in Indonesia Jon Hafan Sutawardana; Yofita Refvinda Desfiani; Nur Widayati
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.37721

Background: The government has made vaccination the primary strategy to control the COVID-19 pandemic. However, the public still needs to implement COVID-19 prevention behavior even though they have been vaccinated because COVID-19 infection with or without symptoms can still occur. Health literacy is the basis for behavior change. Purpose: This study aimed to determine the relationship between health literacy and post-vaccination COVID-19 prevention behavior of the community in the work area of "‹"‹the Patrang Public Health Center, Jember Regency. Methods: A descriptive correlation study with a cross-sectional approach was performed in May 2022. The sample in this study was 435 selected by purposive sampling with the inclusion criteria of those aged >17 years old and receiving a full primary dose of vaccination. The data were collected using the Health Literacy Survey Coronavirus Disease Questionnaire 22 (HLS-COVID-Q22) and COVID-19 prevention behavior questionnaire. The data were analyzed by Spearman with a significance level of 0.05. Results: The results showed that the majority of health literacy was inadequate health literacy (43,2%), and the post-vaccination COVID-19 prevention behavior was in the moderate category (42.7%). There was a significant moderate positive correlation between health literacy and post-vaccination COVID-19 prevention behavior (p < 0.001; r = 0.513). Conclusion: The higher the health literacy, the better the post-vaccination COVID-19 prevention behavior. The nurse was importance to provide health education by paying attention to the health literacy ability. Focusing on improving health literacy is an important strategy to enhance COVID-19 prevention behavior and reduce transmission of the coronavirus.

The Effectiveness of Massage and Virgin Coconut Oil (VCO) Combination Therapy on Reducing Itching in Diabetes Mellitus Zamroni, Amiruz; Sutawardana, Jon Hafan; Kushariyadi; Sodikin, M.
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 3: December 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v3i3.219

Diabetic pruritus is a skin complication that is often found in diabetes mellitus patients which is characterized by complaints of itching. One of the complementary therapies that can reduce itching is to do massage and VCO combination therapy. The study aim to analyze the effectiveness of combination massage therapy and VCO to reduce itching in diabetic. This research is a descriptive study using a case study approach. Participant in this study was patient with type II diabetes mellitus with complaints of itchy skin. The intervention was carried out for 3 days of treatment with a frequency of action twice a day in the morning and evening after bathing. The pre-test and post-test were assessed using two instruments including the Overall Dry Skin Score (ODSS) to assess the dryness of the patient's skin and the Itch Numeric Rating Scale (Itch NRS) to assess the patient's itch level. The results showed a decrease in the level of skin dryness from the scale 3 to scale 2 on day 3 of treatment and there was a decrease in the itching scale from scale 7 to scale 4 on day 3 of treatment. Combination therapy of massage and VCO can increase the level of skin moisture as evidenced by a decrease in the level of skin dryness so that it will also reduce the level of skin itching. With these results, it can be considered to make combination massage therapy and VCO as therapeutic modality to overcome the problem of itching in DM patients.

Effectiveness of Compression Therapy on Lower Extremity Oedema in Heart Failure Patients: A Case Study Batrisyia, Irdina; Sutawardana, Jon Hafan; A'la, Muhamad Zulfatul; Setiawan, Iwan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.339

Background: Heart Failure is a condition that the heart can not pump enough blood to meet the circulatory needs used in the body's metabolic processes. Patients with heart failure disease may experience swelling (oedema) in certain parts of the body, especially the lower extremities. Oedema that is not treated will exacerbate damage to the circulatory system. One of the treatments for lower extremity oedema in heart failure patients can be done by giving compression therapy. Purpose: The purpose of this study is to determine the effectiveness of compression therapy on lower extremity oedema in heart failure patients. Method: This research is a case study that managed one patient with heart failure disease who has lower extremity oedema. Data collection was carried out by observation, interview and provision of interventions carried out for 4 days using moderate pressure (20-30 mmHg). This research use compression stocking for 18 hours within 24 hours. Compression therapy is given once a day that the stocking is used at 14.00 WIB and removed at 08.00 WIB on the following day. The instrument used in this study was the pitting oedema observation sheet. Result: The results of this study were a decrease in the degree of pitting oedema in patients from a value of +3 with a depth of 5 mm in a return time of 65 seconds to a value of +1 with a depth of 1 mm in a return time of 2 seconds. Conclusion: Compression therapy is effective in reducing the degree of pitting oedema in patients with heart failure. Compression therapy has optimal effectiveness on the third day of intervention. Therefore, this therapy is highly recommended to be applied in the inpatient room, especially in patients with heart failure who have oedema in lower extremity.

Understanding Nurses’ Caring Behavior: The Impact of Work Environment and Individual Factors Afandi, Alfid Tri; Ardiana, Anisah; Muhammad Nur, Kholid Rosyidi; Sutawardana, Jon Hafan; Rasni, Hanny; Sulistyorini, Lantin; Kurniawati, Dini
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.13689

Nurse caring behavior is essential for the quality of healthcare services and patient well-being, yet several internal and external factors influence this behavior. This study analyzes the effects of work rewards, workload, motivation, and personality on nurses’ caring behavior. This cross-sectional study used a quantitative approach. Data were collected from 217 nurses in hospitals using structured questionnaires measuring variables of work rewards, workload, motivation, personality, and caring behavior. Data analysis was performed using descriptive statistics and multiple regression analysis. The findings show that motivation has the most significant influence on caring behavior (β = 0.45, p < 0.01), followed by work rewards (β = 0.30, p < 0.01) and personality (β = 0.20, p < 0.01). Workload has a significant negative effect (β = -0.28, p < 0.01). An R-squared value of 0.65 indicates that these four variables can explain 65% of the variability in caring behavior. These findings support Gibson’s theory that environmental factors (work rewards, workload) and individual factors (motivation, personality) affect caring behavior. Motivation and work rewards drive caring behavior, while a high workload hinders it. Policies that enhance motivation and work rewards, along with balanced workload management, are necessary to support caring behavior in nurses Keywords: Caring behavior, Work rewards, Workload, Motivation, Personality.

Application of FAST in patient with ischemic stroke and risk for ineffective cerebral perfusion: A nursing case study Chasanah, Nur Fitria Ulfa; Sutawardana, Jon Hafan; Rondhianto, Rondhianto; Mustakim, Mustakim
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.573

Background: Stroke is a neurological disorder frequently associated with reduced cerebral perfusion and impaired consciousness. While conventional interventions are widely implemented, their effectiveness may be enhanced by evidence-based approaches such as Familiar Auditory Sensory Training (FAST), a non-pharmacological intervention that utilizes meaningful auditory stimuli to activate neural pathways and support consciousness recovery. Objective: This study aims to evaluate the effectiveness of FAST in addressing the nursing problem of risk for ineffective cerebral tissue perfusion in an ischemic stroke patient. Methods: A case study was conducted involving a 73-year-old male patient in a soporous state. FAST was administered over three consecutive days, three times daily, with each session lasting 10 minutes. Data were collected through direct observation and Glasgow Coma Scale (GCS) measurements before and after each session. Patient outcomes were evaluated using the Nursing Outcomes Classification (NOC), focusing on indicators including consciousness level, blood pressure, and agitation. Results: The patient’s level of consciousness improved from sopor (6) to somnolence (9). Improvements were also noted in blood pressure, heart rate, and respiratory rate, although an increase in restlessness was observed. FAST supported cerebral responsiveness and cognitive function recovery, contributing to the resolution of the nursing problem: risk for ineffective cerebral tissue perfusion. Conclusion: FAST can be utilized as a therapeutic nursing intervention to enhance hemodynamic stability in patients with decreased consciousness

Upaya Promotif Mencegah Komplikasi Kaki Pada Pasien Diabetes Melalui Edukasi dan Latihan Kaki di Wilayah Pesisir Kecamatan Puger, Kabupaten Jember Andani, Kadek Novi; Sutawardana , Jon Hafan; Nistiandani, Ana
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2025): Desember 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v4i3.613

Diabetes melitus merupakan masalah kesehatan kronis yang berdampak besar pada masyarakat pesisir dengan literasi kesehatan rendah dan akses layanan terbatas, termasuk wilayah Puger, Kabupaten Jember. Minimnya edukasi mengenai komplikasi kaki diabetik menyebabkan rendahnya kemampuan masyarakat dalam melakukan pemeriksaan kaki mandiri dan pencegahan ulkus. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan dan keterampilan masyarakat mengenai diabetes melitus, komplikasi kaki diabetik, pemeriksaan kaki mandiri, serta latihan fisik sederhana berupa heel raise exercise. Metode pelaksanaan meliputi penyuluhan edukatif, diskusi interaktif, demonstrasi praktik, serta evaluasi pengetahuan melalui pre-test dan post-test. Kegiatan diikuti 30 peserta dengan latar belakang pekerjaan sebagai pedagang ikan dan ibu rumah tangga. Hasil menunjukkan peningkatan pengetahuan yang sangat signifikan pada seluruh aspek yang diukur. Peserta dengan kategori pengetahuan tinggi meningkat dari 26,7% menjadi 86,7% pada aspek definisi diabetes, dari 20% menjadi 83,3% pada aspek komplikasi kaki diabetik, dari 13,3% menjadi 80% pada pemeriksaan kaki mandiri, dan dari 10% menjadi 90% pada latihan kaki. Tidak ada peserta yang tersisa pada kategori rendah setelah edukasi. Peserta juga mampu mempraktikkan gerakan heel raise dengan benar dan menyatakan latihan tersebut mudah diterapkan di rumah. Kegiatan ini membuktikan bahwa edukasi terstruktur berbasis visual dan demonstrasi mampu meningkatkan literasi kesehatan serta keterampilan pencegahan komplikasi kaki diabetik secara signifikan pada masyarakat pesisir. Program seperti ini direkomendasikan untuk dilanjutkan sebagai upaya promotif-preventif berkelanjutan berbasis komunitas.

Upaya Promotif Mencegah Komplikasi Kaki Pada Pasien Diabetes Melalui Edukasi dan Latihan Kaki di Wilayah Pesisir Kecamatan Puger, Kabupaten Jember Andani, Kadek Novi; Sutawardana , Jon Hafan; Nistiandani, Ana
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2025): Desember 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v4i3.613

Diabetes melitus merupakan masalah kesehatan kronis yang berdampak besar pada masyarakat pesisir dengan literasi kesehatan rendah dan akses layanan terbatas, termasuk wilayah Puger, Kabupaten Jember. Minimnya edukasi mengenai komplikasi kaki diabetik menyebabkan rendahnya kemampuan masyarakat dalam melakukan pemeriksaan kaki mandiri dan pencegahan ulkus. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan dan keterampilan masyarakat mengenai diabetes melitus, komplikasi kaki diabetik, pemeriksaan kaki mandiri, serta latihan fisik sederhana berupa heel raise exercise. Metode pelaksanaan meliputi penyuluhan edukatif, diskusi interaktif, demonstrasi praktik, serta evaluasi pengetahuan melalui pre-test dan post-test. Kegiatan diikuti 30 peserta dengan latar belakang pekerjaan sebagai pedagang ikan dan ibu rumah tangga. Hasil menunjukkan peningkatan pengetahuan yang sangat signifikan pada seluruh aspek yang diukur. Peserta dengan kategori pengetahuan tinggi meningkat dari 26,7% menjadi 86,7% pada aspek definisi diabetes, dari 20% menjadi 83,3% pada aspek komplikasi kaki diabetik, dari 13,3% menjadi 80% pada pemeriksaan kaki mandiri, dan dari 10% menjadi 90% pada latihan kaki. Tidak ada peserta yang tersisa pada kategori rendah setelah edukasi. Peserta juga mampu mempraktikkan gerakan heel raise dengan benar dan menyatakan latihan tersebut mudah diterapkan di rumah. Kegiatan ini membuktikan bahwa edukasi terstruktur berbasis visual dan demonstrasi mampu meningkatkan literasi kesehatan serta keterampilan pencegahan komplikasi kaki diabetik secara signifikan pada masyarakat pesisir. Program seperti ini direkomendasikan untuk dilanjutkan sebagai upaya promotif-preventif berkelanjutan berbasis komunitas.

Analysis Psychosocial Factors Affecting Behaviour of Self-Monitoring Blood Glucose in People with Type 2 Diabetes Mellitus Rondhianto Rondhianto; Jon Hafan Sutawardana; Widya Maulina Cantika Putri
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.407

Introduction: Compliance with monitoring blood glucose levels is crucial to diabetes management. Self-monitoring behaviour of blood glucose levels can be influenced by psychosocial factors in people with T2DM, such as knowledge, coping, diabetes distress, family support, and nurse support. Objective: The study aimed to analyze psychosocial factors that influence the behaviour of self-monitoring of blood glucose levels in people with T2DM. Methods: The study was a descriptive-analytic study with a cross-sectional design. The sample was T2DM patients in the Jember Regency with a sample size of 138 respondents, taken using multistage random sampling. Data were collected using a questionnaire (SKILLDS, Coping Scale, DDS, HDFSS, Nurse's role perception, and the SMBG questionnaire) and analyzed using a multiple linear regression test. Results The modelling results show that psychosocial factors (knowledge, coping, diabetes distress, family support, and nurse support) have a simultaneous and significant influence on the behaviour of monitoring blood glucose levels (F = 9.292; p = 0.001 < α = 0.05) with adjusted R2 = 0.232. It showed that psychosocial factors could explain the variance of behaviour monitoring blood glucose levels by 23.2%. Partially, there are three influential variables, namely coping, perception of family support, and perception of nurse support (p= 0.039; p= 0.016; and p= 0.020 < α =0.05). Better coping, family support, and nurse support could improve blood glucose monitoring. Conclusion: Psychosocial factors can affect monitoring blood glucose levels in people with T2DM. The nurse can make efforts to improve the behaviour by monitoring blood glucose levels by considering the psychosocial aspects of people with T2DM through preventive promotion efforts to improve coping, family support, and nurse support to improve self-management and quality of life of people with T2DM.

PHENOMENOLOGY STUDY THE EXPERIENCE OF PERSONS WITH DIABETES MELLITUS WHO HAD EXPERIENCED OF HYPOGLYCEMIA EPISODES IN DEPOK CITY Jon Hafan Sutawardana; Yulia; Agung Waluyo
NurseLine Journal Vol. 1 No. 1 (2016): May 2016
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v1i1.60079

Hypoglycemia is an acute complication of diabetes mellitus which frequently occur repeatedly identified by blood glucose level less than 70 mg/dl. Diabetic patients experience dilemmatic situation where they are required to obtain diabetes drug therapy tocontrol blood sugar level remain normal, but facing another concerns about the side effects of treatment which can lead to complication of hypoglycemia. This condition will affect the psychological fearness of repeated attacks that result a traumatic feelings in diabetic patients. The study aimed to gain in depth understanding of diabetic patients experiences who had experienced of hypoglycemia episodes in Persadia Depok. This was a qualitative research which applied phenomenology method and involved six participants with diabetes mellitus experienced hypoglycemia episodes. Data were collected using in-dept hinterview and field notes. A Colaizzi's content analysis method was operated across data andrevealed 6 themes: decline in physical function while in response to hypoglycemia, traumatic feelings when experiencing hypoglycemia, participants' understanding that caused of hypoglycemia, awareness of hypoglycemia prevention, internal beliefs became the main source of coping strategy to face hypoglycemia and nursing care needs. The results of this study suggested a need of improvement innursing education for patients with hypoglycemia.

OPTIMAL CARE: Pemberdayaan Keluarga dan Kader Dukung Kepatuhan Terapi TBC di Jember Siswoyo Siswoyo; Nur Widayati; Ana Nistiandani; Zahratul Umniyyah; Esti Utarti; Rondhianto Rondhianto; Mulia Hakam; Jon Hafan Sutawardana; Kadek Novi Andani; Sinta Wijayanti; Dhimas Rizky Handoko
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 9, No 1 (2026): JANUARI 2026
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v9i1.3209

Tuberkulosis (TBC) merupakan tantangan kesehatan serius di Kabupaten Jember, yang menempati peringkat ketiga tertinggi di Jawa Timur. Keberhasilan pengobatan TBC sering terhambat oleh rendahnya kepatuhan terapi yang berakar dari minimnya pengetahuan, dukungan keluarga, dan tingginya stigma sosial. Kegiatan pengabdian melalui program "OPTIMAL CARE" ini bertujuan memberdayakan keluarga dan kader kesehatan untuk mendukung keberhasilan terapi pasien TBC. Metode yang digunakan adalah pemberdayaan komunitas melalui empat tahapan: identifikasi kebutuhan, perancangan program, implementasi, dan evaluasi. Hasil dari tahap identifikasi dan perancangan menunjukkan adanya kesenjangan pengetahuan yang signifikan, di mana 90% keluarga pasien belum memahami praktik perawatan pendukung di rumah. Selain itu, teridentifikasi pula keterbatasan peran kader yang belum optimal sebagai edukator dan motivator. Berdasarkan temuan tersebut, program ini secara spesifik dirancang untuk meningkatkan kapasitas keluarga dan kader melalui edukasi terstruktur dan pendampingan intensif. Kesimpulan dari tahap awal ini menegaskan bahwa intervensi pada keluarga dan kader merupakan langkah strategis untuk membangun ekosistem pendukung yang kuat guna meningkatkan keberhasilan pengobatan TBC.

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