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Journal : Malahayati International Journal of Nursing and Health Science

Digital health intervention for enhancing self-perceived and compliance with anti tuberculosis treatment Fenita Purnama Sari Indah; Ayatun Fil Ilmi; Tri Okta Ratnaningtyas
Malahayati International Journal of Nursing and Health Science Vol 5, No 1 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v5i1.5145

Abstract

Background: Pulmonary tuberculosis is a global health problem that has become a global concern for the last two decades. One-third of the world's population has been infected with pulmonary tuberculosis. This causes pulmonary tuberculosis to become the second leading cause of death from infectious diseases in the world after Human Immunodeficiency Virus (HIV)/AIDS.Purpose: To analyze the effectiveness of digital health intervention for enhancing self-perceived and compliance with anti-tuberculosis treatmentMethod: This study uses a quantitative approach. This research is pre-experimental research with one group pretest and posttest design. In this study, respondents were given treatment using the ‘Ayo DOTS’ (Directly Observed Treatment Short-course) application. The intervention was carried out within 4 (four) weeks. Every week the respondents were given twice interventions. Posttest 1 for knowledge, perception, and practice of adherence to TB medication was conducted after 2 weeks of intervention, while posttest 2 was conducted after 4 weeks of intervention. The sample in this study were all TB patients at Pamulang Health Center, Serpong 1 Health Center and Bambu Apus Health Center who were willing to become research respondents, as evidenced by filling out the informed consent that had been given, a sample of 33 TB patients.Results: There are differences in knowledge, self-perception and adherence to taking TB drugs between pre test and post test 1 with the application of ‘Ayo DOTS’ (Directly Observed Treatment Shortcourse) p value <0.05. Similarly, the results of post test 1 and post test 2 show differences in knowledge, self-perception and adherence to taking TB medication between post test 1 and post test 2 with the application of 'Ayo DOTS' (Directly Observed Treatment Shortcourse).Conclusion: The implementation of the application ‘Ayo DOTS’ (Directly Observed Treatment Shortcourse) intervention is effective in increasing knowledge, self-perception and adherence to taking TB drugs in TB patients. 
Effectiveness of a live-chat social media and leaflets for people living with HIV/AIDS (PLWHA) under antiretroviral therapy (ARVs) Tri Okta Ratnaningtyas; Fenita Purnama Sari Indah; Ayatun Fil Ilmi
Malahayati International Journal of Nursing and Health Science Vol 5, No 2 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v5i2.5137

Abstract

Background: Adherence to taking ARV (antiretroviral) is a term used to describe the patient's behavior in taking medication correctly regarding dose, frequency, and time. To get a response to suppress the number of viruses up to 85%, 95% compliance is required in the use of drugs. Failure to achieve adherence rates of less than 95% will reduce the suppression of HIV replication. In general, non-compliance is explained.Purpose: To analyze the effectiveness of live-chat social media and leaflets for people living with HIV/AIDS (PLWHA) under antiretroviral therapy (ARVs)Method: This study uses a quantitative approach. This research is pre-experimental research with one group pretest and posttest design. In this study, respondents were given treatment using live-chat social media and leaflets within 4 (four) weeks. Every week respondents are given 2x a live-chat social media and leaflets. Posttest 1 for knowledge, attitudes, and practice of adherence to antiretroviral therapy was conducted after 2 weeks of intervention, while posttest 2 was conducted after 4 weeks of intervention. The sample in this study were all PLWHA (People With HIV/AIDS) in PSG (Peer Support Groups) who were willing to become research respondents, as evidenced by filling out the informed consent given by 30 PLWHA.Results: There is a difference in knowledge, attitude, and adherence to ARV between pre-test and post-test 1 by live-chat social media and leaflets with a p-value < 0.05. Likewise, with the results between post-test 1 and post-test 2, there are differences in knowledge, attitudes, and adherence to taking ARV between post-test 1 and post-test 2 by live-chat social media and leaflets.Conclusion: The intervention of live-chat social media and leaflets is effective in increasing knowledge, attitude, and adherence to taking ARV in PLWHA (People Living with HIV/AIDS). 
The implementation of digital application in reducing Dengue Hemorrhagic Fever (DHF) infection rate from an economic loss perspective as an effort to achieve the Sustainable Development Goals Wahyu Gito Putro; Tri Okta Ratnaningtyas; Fenita Purnama Sari Indah; Adhy Purnawan; Zaki Maulana Riski
Malahayati International Journal of Nursing and Health Science Vol 6, No 4 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i4.12030

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus transmitted through the Aedes aegypti mosquito and is most commonly found in tropical regions. In contemporary society, there is significant emphasis on infectious diseases. DHF is a tropical disease that falls under the third indicator of the Sustainable Development Goals (SDGs). DHF poses a significant global public health problem. Currently, its prevalence is spread across more than 100 countries worldwide. Over three decades, the severity of DHF has shown a significant increase across the Southeast Asian region. In 2021, Indonesia recorded a total of 73,518 DHF cases with 705 fatalities. In 2022, there were 143,266 reported cases resulting in 1,237 deaths. As of March 2023, there have been a total of 17,434 reported cases with 141 fatalities. These DHF case incidence figures indicate a considerable increase.Purpose: To reduce DHF cases in South Tangerang City by creating an innovative digital application which is called “Pakar” from an economic loss perspective.Method: This research adopts a mixed-method approach with exploratory research. The research begins with a qualitative phase to design the application, followed by a quantitative phase to assess the effectiveness of the developed application. The study commences with a Focus Group Discussion (FGD) involving various stakeholders, including the South Tangerang City Health Office, public health centers, and community health workers. Subsequently, the application is developed and tested in selected pilot areas as an initial project. Further testing is conducted using a one-group pre-test post-test design. The experimental procedure includes a pre-test as an initial observation, followed by the intervention, and concludes with a post-test as a final observation.Results: During the pre-test, it was observed that DHF patients had a moderate level of knowledge, with a cumulative percentage of 46%. In contrast, the majority of respondents in the post-test had a high level of knowledge regarding DHF diagnosis, with a percentage of 76%. The paired t-test showed a t-value of -6.306 and the corresponding probability or significance value of 0.000 (p < 0.005).Conclusion: The expert system application, as an innovative approach for DHF mitigation and the experimental assessment of economic impact, is effective as indicated by the pre-post test. Furthermore, it is crucial to consider the economic impact of the costs incurred by DHF patients by placing greater emphasis on improving environmental cleanliness efforts.