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Efektivitas mHealth untuk Meningkatkan Kontrol Glikemik dan Kepatuhan Diabetes Melitus Tipe 2 pada Pasien Dewasa Hani Andriyana; Meira Erawati; Untung Sujianto
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5693

Abstract

This study aims to determine the effectiveness of Mobile Health (mHealth) in improving glycemic control and adherence in patients with type 2 diabetes mellitus. The method used is a systematic review. The results of this study are mHealth-based health interventions including blood sugar monitoring services with applications, short messages (SMS), voice calls via cell phones, video conferencing, and central call services conducted by health workers in 2-13 month intervals have benefits in increasing glycemic control and adherence in patients with type 2 diabetes mellitus. Services provided by health workers include health education, self-monitoring of blood sugar, diet counseling, healthy lifestyle tips, exercise, face-to-face counseling with health workers, stress management, and foot care. The conclusion of this study is that the mHealth program is effective in improving glycemic control and adherence in type 2 diabetes mellitus patients in addition to diabetes care in general
Gambaran Aspek Psikososial dalam Quality of Life Pasien dengan Hemodialisa: Scoping Review Siti Qomaria Usu; Nur Setiawati Dewi; Meira Erawati
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1225

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Penelitian tentang masalah psikososial pasien hemodialisa telah banyak dilakukan, namun penelitian terkait dengan Quality Of Life belum banyak dilakukan review. Tujuan penelitian untuk mengetahui gambaran aspek psikologis dan sosial dalam Quality of life pada pasien gagal ginjal kronik dengan hemodialisa melalui kajian literatur. Penelitian ini menggunakan metode scoping review, pencarian artikel menggunakan data based Pubmed, Sciencedirect dan Scopus, dengan kata kunci “Psychological AND social AND quality of life AND hemodialysis AND patients AND kidney failure”. Hasil penelitian sebanyak 31 artikel yang dilakukan analisis. Hasil penelitian merangkum temuan dengan tema diantaranya gangguan Quality of life, gangguan psikologi, masalah sosial dan strategi koping yang digunakan. Untuk penelitian selanjuutnya diharapkan dapat menganalisis intervensi keperawatan yang dapat membantu dalam meningkatkan psikososial pasien hemodialisa sehingga biopsikososial pasien dapat terpenuhi dengan baik.
Internal Protective Factors That Affect The Resilience Of Hemodialysis Patients: Scoping Review Swastika Sekar Utami; Meira Erawati; Nur Setiawati Dewi
Jurnal Berita Ilmu Keperawatan Vol. 16 No. 2 (2023): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v16i2.1738

Abstract

Internal protective factors are factors that come from the individual to support a resilient condition due to the hemodialysis process. The hemodialysis process causes many changes to patients with chronic kidney failure, such as changes in eating, drinking and activity patterns. These factors are the main factor that arises from oneself so it will bring motivation in the process of life going forward. This research is a scoping review which aims to determine the internal protective factors which can affect the resilience of hemodialysis patients. Articles are filtered from science direct, Scopus, PubMed, and Proquest. The keywords used are “factors” AND “Resilience” AND “hemodialysis patient”. The articles used are articles published from 2019-2023. The articles included are full articles, in English, using qualitative, quantitative and mixed methods. The analysis used in this review is the analytical method of Arksey and O'Malley in 6 stages. There were 7 articles analyzed at the end of the search. The protective internal factors obtained are the ability to regulate emotions, optimism, self-esteem, strength and self-confidence as well as spiritual well being. These factors have a positive influence in realizing the resilient condition of hemodialysis patients. This research can be continued with the application of nursing interventions to improve the internal ability of hemodialysis patients to achieve a resilient condition.  
Faktor Keberhasilan Penanggulangan Tuberculosis Dengan Strategi Dots (Directly Observed Treatment Shortcourse) Ayu Wulansari, Destia; Erawati, Meira; Handayani, Fitria
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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

Abstract

Artikel penelitian ini membahas faktor-faktor yang berkontribusi terhadap keberhasilan pengendalian tuberkulosis (TB) menggunakan strategi DOTS (Directly Observed Treatment Shortcourse). Penulis menyoroti pentingnya kepatuhan, motivasi, ketersediaan obat anti-TB, dan keberadaan pengawasan obat dalam mencapai keberhasilan pengobatan TB. Studi ini menyimpulkan bahwa strategi DOTS efektif dalam pengendalian TB, dan faktor-faktor seperti kepatuhan pasien, motivasi, ketersediaan obat, dan pengawasan obat memainkan peran penting dalam keberhasilan pengobatan. Selain itu, artikel ini juga membahas hasil pengobatan pasien tuberkulosis di Jeddah, Arab Saudi, dengan membandingkan pendekatan pengawasan langsung melalui layanan komunitas mobile dengan pendekatan standar berbasis fasilitas. Artikel ini juga mencakup referensi terhadap penelitian lain tentang hasil pengobatan tuberkulosis di berbagai wilayah.Dalam penelitian ini, ditemukan bahwa strategi DOTS yang melibatkan pengawasan langsung terhadap pasien memiliki dampak positif dalam meningkatkan kepatuhan pasien dan hasil pengobatan TB. Pendekatan melalui layanan komunitas mobile juga terbukti efektif dalam mencapai pasien yang sulit dijangkau dan meningkatkan tingkat keberhasilan pengobatan. Hasil penelitian ini memberikan wawasan penting bagi para praktisi kesehatan dalam merancang strategi pengendalian TB yang efektif. Faktor-faktor seperti kepatuhan pasien, motivasi, ketersediaan obat, dan pengawasan obat harus diperhatikan dalam upaya meningkatkan hasil pengobatan TB. Selain itu, pendekatan melalui layanan komunitas mobile dapat menjadi alternatif yang efektif dalam mencapai populasi yang sulit dijangkau dan meningkatkan keberhasilan pengobatan TB di berbagai wilayah.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN ORANG TUA DALAM PEMBERIAN IMUNISASI DASAR LENGKAP Rahmatina, Layalia Azka; Erawati, Meira
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 5, No 1 (2020)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v5i1.204

Abstract

Imunisasi merupakan upaya mengurangi morbiditas dan mortalitas anak, namun masih banyak anak yang belum menerima imunisasi. Angka kematian balita di dunia yang disebabkan oleh penyakit yang bisa dicegah dengan imunisasi (PD3I) mencapai 1,4 juta orang per tahun. Dikhawatirkan PD3I ini dapat menyebar dengan mudah dari anak yang terinfeksi ke anak yang tidak diimunisasi atau tidak memiliki kekebalan terhadap penyakit tersebut. Hal ini berisiko meningkatkan angka mortalitas anak Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui faktor[1]faktor yang berhubungan dengan kepatuhan orang tua, terutama ibu, dalam memberikan imunisasi dasar lengkap kepada bayi. Metode: Penelitian ini merupakan penelitian kuantitatif non eksperimental dengan desain cross sectional. Responden sebanyak 100 orang ibu yang diambil menggunakan teknik purposive sampling. Pengambilan data dilakukan di Kelurahan Meteseh menggunakan kuesioner yang sudah valid dan reliabel. Analisis data dilakukan dengan menggunakan uji Chi-Square. Hasil: Analisis bivariat menunjukkan bahwa usia, pekerjaan, jumlah paritas, agama , dan pengetahuan ibu tentang Kejadian Ikutan Pasca Imunisasi (KIPI) tidak berhubungan dengan kepatuhan orang tua dalam memberikan imunisasi dasar lengkap pada bayi (p>0,05). Diskusi: Penelitian ini membuktikan bahwa kematangan usia ibu tidak selalu berhubungan dengan kepatuhannya dalam memberikan imunisasi dasar. Kepatuhan ini juga tidak berhubungan dengan oleh kesibukan ibu dalam bekerja maupun mengurus anak serta pengalamannya menjadi seorang ibu. Adanya keyakinan pada agama tertentu mengenai imunisasi, serta pengetahuan yang dimiliki ibu mengenai KIPI juga terbukti tidak berhubungan dengan kepatuhan ibu dalam memberikan imunisasi. Kesimpulan: Faktor demografi ibu tidak senantiasa berhubungan dengan kepatuhannya dalam memberikan imunisasi dasar lengkap pada bayi, namun imunisasi ini tetap perlu diberikan sebagai upaya mengurangi risiko bayi tertular PD3I.Kata Kunci: ibu, imunisasi, kepatuhanFactors Correlated with Parental Adherence in Providing Complete Basic ImmunizationABSTRACTImmunization is an eff ort to reduce child morbidity and mortality, but many children still have not received immunizations. The mortality rate for children under fi ve in the world caused by immunization-preventable diseases reaches 1.4 million people per year. It is feared that the immunization-preventable diseases can spread easily from infected children to non-immunized children or have no immunity to the disease. This has the risk of increasing child mortality. Objective: This research aims to reveal the factors related to parents’ adherence, especially mothers, in providing complete basic immunization to infants. Methods: This research is a non-experimental quantitative study with a cross-sectional design. Respondents were 100 mothers who were taken using the purposive sampling technique. Data were collected in Meteseh Village using a valid and reliable questionnaire. Data were analyzed using the Chi[1]Square test. Results: Bivariate analysis indicated that mother’s age, occupation, parity, religion, and knowledge of Adverse event following immunization (AEFI) were not correlated with parental compliance in providing complete basic immunization to infants (p>0.05). Discussion: This research proves that mother’s age is not always correlated with adherence to basic immunization. This adherence is also not correlated with the mother’s activities in working or taking care of children and her experience of being a mother. Certain religious beliefs regarding immunization and mother’s knowledge about AEFI are also proven not to be correlated with maternal adherence to giving immunizations. Conclusion: Maternal demographic factors are not always correlated with adherence to providing complete basic immunization to infants, but the immunization still needs to be given to reduce the risk of infants contracting immunization-preventable diseases.Keywords: mother, immunization, adherence
THE EFFECT OF MINDFULNESS ON DIABETES MELLITUS: A SCOPING REVIEW Aminah, Eneng; Erawati, Meira; Dwidiyanti, Meidiana
Nurse and Health: Jurnal Keperawatan Vol 13 No 1 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i1.638

Abstract

Background: This research provides a long-term effect to find out from mindfulness intervention for conditions that require, one of which is chronic illness, in accepting the condition experienced. The prevalence of chronic diseases in the world reaches 70% of cases resulting in death. World health. The aim of this research is to determine the effect of mindfulness on diabetes. Objective: This study was conducted a scoping review Data source: in searches using databases, Science Direct, PubMed, Scopus, and Wiley. When searching, use the keywords '' mindfulness'' and ''diabetes''. Where in screening or filtering articles, namely marking or filtering with ''2019-2023'', ''free full text'', ''medicine'', and ''nursing''. From several databases used in this research, 11 articles were analyzed as a result of the search and analysis. Review Methods: The method used is Scoping Review, and it is guided by the PRISMA flowchart, and synthesis is carried out from the extraction. Results: Mindfulness can improve glycemic control, reduce stress levels, improve quality of life, reduce HbA1c scores , and reduce the hormone cortisol. Conclusion: The results of the review show that the effect of mindfulness on diabetes mellitus can reduce psychological stress such as stress, depression, and reduce the hormone cortisol, and increase feelings of happiness and reduce blood glucose levels in patients with type 1 diabetes and type 2 diabetes.
Determinant Multidrug-Resisteant Tuberculosis: A Scoping Review Chincinati, Chantika; Erawati, Meira; Andriany, Megah
Jurnal Keperawatan Vol 17 No 1 (2025): Jurnal Keperawatan: Maret 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v17i1.1059

Abstract

Tuberkulosis yang resistan terhadap obat mengalami peningkatan dari tahun 2020 dan 2021. Beberapa faktor dapat mempengaruhi determinan Multidrug-Resistant Tuberculosis, yaitu pengobatan yang tidak adekuat, kurangnya pemantauan pasien, kepatuhan pasien yang buruk dalam mengonsumsi obat-obatan, dan penyebaran Multidrug-Resistant Tuberculosis di antara populasi yang rentan seperti orang dengan HIV. Tujuan penelitian ini melihat gambaran determinan Multidrug-Resistant Tuberculosis.  Metode scoping review melalui tinjuan artikel yang relevan dari database Sciencedirect, Pubmed, scopus, spinger link. Kriteria 5 tahun terakhir publikasi 2018-2023. Kata kunci “determinant” and “mdr tb” and “rifampicin isoniazid”. Pencarian dilakukan pada referensi full text dan full akses, artikel bahasa inggris, jumlah artikel yang digunakan 5 artikel. Hasil Studi tentang determinan Multidrug-Resistant Tuberculosis mencakup beberapa faktor yang dapat mempengaruhi risiko seseorang terkena Multidrug-Resistant Tuberculosis. Faktor-faktor ini dapat dibagi menjadi beberapa kategori, termasuk demografi (usia, pekerjaan, dan pendapatan) lingkungan (tinggal dipedesaan, rumah yang mempunyai kamar kurang dari 3, dan stigma sosial) riwayat penyakit sebelumnya (pengobatan sebelumnya, kontak dengan pendeita TB, pengobatan yang tidak sesuai, HIV, TB) prilaku (meminum alkohol, merokok, konsultasi ke dukun) dan faktor bioloogis melihat indeks massa tubuh. Kesimpulan Dalam rangka mengatasi MDR-TB, diperlukan upaya untuk memperkuat sistem kesehatan, meningkatkan pemantauan dan pengawasan pengobatan TB, serta meningkatkan pemahaman dan kesadaran tentang TB dan cara menghindari penyebarannya.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN BEROBAT PADA PASIEN TUBERCULOSIS BERDASARKAN THEORY OF PLANNED BEHAVIOR laksono, eko budi; Erawati, Meira; Johan, Andrew
Jurnal Borneo Cendekia Vol 8 No 1 (2024): Jurnal Borneo Cendekia
Publisher : STIKES Borneo Cendekia Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54411/jbc.v8i1.511

Abstract

Compliance with treatment is a term that refers to the extent to which a patient follows instructions and carries out treatment recommended by medical personnel. Compliance includes attitudes, subjective norms and perceived behavioral control as well as intentions that can increase compliance based on the theory of planned behavior. The aim of the research is to analyze the factors that influence treatment compliance behavior in tuberculosis patients based on the theory of planned behavior. This type of research is quantitative research with a cross sectional approach. The population in this study were TB patients in general polyclinics spread across the Genuk District and Pedurungan District Work Areas. The sampling technique was purposive sampling with a total of 108. The results of the study found that statistical tests of the variables attitude, subjective norms, perceived behavior control and intention found a significant relationship with adherence to taking medication in tuberculosis patients. Multivariate test results show that the subjective norm variable is the main predictor of medication adherence in tuberculosis patients. Pulmonary Tuberculosis sufferers can recover if the sufferer takes medication regularly so it is recommended that sufferers adhere to taking medication regularly and obey the supervisor by listening to advice for recovery. Keywords: Medication Adherence; Attitude; Subjective norms; Perceived behavior control; Intentions
Validity and Reliability of Holistic Nursing Competencies and The Patients’s Holistic Needs: A Pilot Study Sohilait, Hana Priscilla Frudence; Ismail, Suhartini; Erawati, Meira
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 9 No. 1 (2024): Volume 9 Nomor 1 Agustus 2024
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v9i1.34288

Abstract

Aims: This study aimed to identify the validity and reliability of the core competencies of The Holistic Nursing Competency Questionnaire and The Holistic Needs of Patients. Methods: A pilot study with a correlational descriptive design was conducted to measure holistic nursing competency and the fulfillment of holistic patient needs in the ICU room of Dr. H. Soewondo Kendal Hospital. The study included 25 nurses and 30 patients. Holistic nursing competency was measured using a questionnaire, while the fulfillment of holistic patient needs was assessed using an observation sheet. Results: The Holistic Nursing Competency Questionnaire is valid, reliable, and psychometrically robust, but the holistic needs of patients were reduced from 33 items to 29 valid and reliable items. Conclusion: The validity test showed that the questionnaire and observation sheet were valid and reliable for measuring holistic nursing competency and the fulfillment of holistic patient needs. The study highlights the need to improve nurses' holistic competencies and address the challenges in fulfilling the holistic needs of patients, especially in critical care areas.
Effects of Acupressure on Pain in Chronic Diseases: A Scoping Review Hatta, Candra; Handayani, Fitria; Erawati, Meira
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3635

Abstract

Pain is one of them sign the main thing felt by sufferers disease chronic , study handler non- pharmacological pain especially acupressure has Lots carried out, however, review studies are possible used as base thinking intervention This Still limited. Objective from this review is For see effect of acupressure against pain in disease chronic. This review use approach scoping review, with using Pubmed, ScienDirect, Proquest databases with using the keywords “ Acupressure” AND “Pain” AND “Cronic” OR “Cronic diases”. On search the done filtering data with initial filters checklist "free full text", "Publication from 2019-2024", "Randomized Controlled Trial". A review analysis was performed with use approach Arksey and O'Malley theory. The review results show that acupressure has effect positive in reduce and overcome pain in disease chronic, among others reduce painful post operation thoracoscopy and post procedure extracorporeal shock wave lithotripsy (ESWL), then reduce pain in patients cancer , lowering pain in patients coronary angiography , reducing pain in patients hemodialysis , as well reduce pain in patients elderly with osteoarthritis. Study furthermore can do an article review associated with acupressure other methods in overcome symptoms of disease chronic.