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All Journal Majalah Keperawatan Unpad Global Medical and Health Communication JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jendela Nursing Journal (JNJ) The Indonesian Journal of Public Health Jurnal Keperawatan Padjadjaran Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Journal of Nursing Care Media Karya Kesehatan MAHESA : Malahayati Health Student Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Jurnal Keperawatan Profesional (KEPO) Jurnal Berita Ilmu Keperawatan
Hartiah Haroen
Community Health Nursing Department, Faculty Of Nursing, Universitas Padjadjaran, Indonesia
Aerospace Engineering Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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DEVELOPING A PREDICTIVE MODEL OF SOCIAL COGNITIVE INFLUENCES ON PHYSICAL ACTIVITY IN MIDDLE-AGED AND OLDER ADULTS: A CROSS-SECTIONAL STUDY Arovah, Novita Intan; Kurniawaty, Juni; Haroen, Hartiah
The Indonesian Journal of Public Health Vol. 20 No. 1 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i1.2025.133-146

Abstract

Introduction: Increasing physical activity levels in middle-aged and older adults is a critical public health agenda, as regular physical activity reduces morbidity, healthcare costs, and chronic disease risks by up to 90%. Developing effective physical activity programs, however, requires comprehension of factors influencing physical activity behavior. Aims: This research aimed to develop a predictive model of social cognitive influences on moderate and vigorous physical activity (MVPA) in this demographic. Method: A cross-sectional study was conducted in 118 participants, 76% of whom were female. Social cognitive factors, which included self-efficacy, outcome expectations (physical, social, and self-evaluation), self-regulation (goal setting and planning), and social support (from family and friends) regarding physical activity, were assessed using validated self-reported questionnaires. A 7-day Physical Activity Recall interview was conducted to measure MVPA. Data were analyzed using bivariate correlations and stepwise multiple linear regressions, adjusted for sex and age. Results: All social cognitive measures showed moderate to strong correlations with MVPA (r = 0.43-0.79). The regression model, which included self-efficacy, physical outcome expectations, planning, and social support, explained 77% of the variance in MVPA. Conclusion: These results highlight the importance of strengthening these social cognitive factors to encourage more physically activity among middle-aged and older adults in Indonesia.
Booklet-Based Education in Diabetes Mellitus Patients: A Scoping Review Saritessa, Nining; Ibrahim, Kusman; Haroen, Hartiah
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.372

Abstract

Diabetes mellitus (DM) is a significant global health issue requiring effective patient self-management to prevent severe complications like cardiovascular disease and organ damage. Health education is crucial for empowering patients, and booklets offer a cost-effective, accessible, and structured medium for delivering essential information. This scoping review investigated the use and impact of booklet-based education for DM patients. Following the Arksey and O'Malley framework, researchers searched CINAHL, PubMed, and Scopus databases for original English-language studies published between 2015 and 2024, using keywords related to diabetes, education, and booklets. From the search, 11 relevant articles were selected for analysis. The findings consistently showed that using booklets as an educational intervention effectively improved DM patients' knowledge, self-efficacy, and self-care behaviours. Key themes identified included the direct impact of booklets on knowledge enhancement, the benefit of combining theoretical information with practical application advice within the booklets, and the important role of family support in successful diabetes management, which can be facilitated by shared educational materials. The success of booklets is attributed to their structured format, ease of understanding, and continuous accessibility for patients. Factors influencing the effectiveness of this educational approach include patient literacy levels, the degree of family involvement, and the frequency of educational reinforcement. In conclusion, booklet-based education is a proven, effective strategy for improving self-management components in DM patients. The review highlights booklets as affordable and flexible tools, while also suggesting areas for future research, particularly concerning long-term clinical outcomes and the potential for integrating booklet content with modern digital health.
Nursing Care of Patient's Family with Advance Nasopharynx Cancer: Case Report Nurilhami, Ilham Taufik; Haroen, Hartiah; Agustina, Hana Rizmadewi
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 1 (2025): Volume 6 Nomor 1 Mei 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i1.1033

Abstract

Nasopharyngeal Cancer (NPC) is a life-threatening illness. Early palliative care approach is essential to improve the quality of life of patients and families. However, in the clinical settings, health professionals often consider families as providers who provide care for patients. Whereas in palliative care the family is a unit of care that have to be seen as a patient who needs support. This article is a case report nursing care to a family of a patient with advanced nasopharyngeal cancer. It is found that family needs include physical, psychological and health information. Based on the literature, there are several assessment and intervention guidelines such as the CARES intervention framework that can be applied by nurses in providing palliative care approach to families, especially in the health care system.
Community-Based Interventions for People Affected by Leprosy: A Narrative Review Masala, Clausewitz Welmatus; Haroen, Hartiah; Pramukti, Iqbal
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.460

Abstract

This narrative review aims to explore community-based program interventions among patients with leprosy. This study employs the PCC (Population, Concept, Context) framework and collects data from six literature reviews accessed through the PubMed database. Keywords adjusted according to Medical Subject Headings (MeSH) terms ("Community-Based Program" OR "Community Intervention" OR "Community Health Program" OR "Community Engagement") AND ("Social Support" OR "Peer Support" OR "Community Support" OR "Psychosocial Support") AND ("Leprosy" OR "Hansen’s Disease"). Analysis of six articles, primarily from Asian and African contexts, reveals that community-based interventions are effective in reducing stigma, enhancing socio-economic participation, and strengthening leprosy detection and prevention strategies. These programs succeed through a multidimensional approach involving social support, education, and economic empowerment. The findings underscore that integrating psychosocial support and economic empowerment within community-led health initiatives is fundamental to achieving holistic and sustainable outcomes in leprosy care.
The Role of Family Eating and Activity Habits in the Relationship Between Parenting and Feeding Practices on Child Eating Behavior Nadirawati, Nadirawati; Chatarina Suryaningsih; Felina C. Young; Hartiah Haroen; Susilowati Susilowati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9: SEPTEMBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7900

Abstract

Introduction: Nutritional problems in children, including underweight and stunting, remain a global health challenge, particularly in Indonesia. This study examines the influence of parenting styles and feeding practices on children's eating behavior, with family eating and activity habits as a mediating variable Methods: A cross-sectional survey design was employed in this study, involving 225 mothers of stunted and underweight children aged 2–5 years in Cimahi City, Indonesia. The study investigated key variables including parenting styles, feeding practices, family eating and activity habits, and children’s eating behavior. Data were gathered using validated questionnaires and analyzed using Structural Equation Modeling (SEM) with the Partial Least Squares (PLS) approach. This analytical technique enabled the examination of complex causal relationships and latent constructs, including mediation pathways. The research complied with ethical standards and received approval from the Health Research Ethics Committee of the Faculty of Health Science and Technology, Jenderal Achmad Yani University, Cimahi, on May 31, 2024 (Certificate No. 086/KEPK/FITKes-Unjani/2024). Results: The results showed that parenting styles (? = 0.222, t = 3.630, p < 0.001) and feeding practices (? = 0.243, t = 3.640, p < 0.001) significantly influenced children's eating behavior. Family eating and activity habits significantly mediated the relationship (? = 0.448, t = 6.401, p < 0.001). Feeding practices and parenting styles also predicted family habits (f² = 0.369 and 0.462, respectively). Conclusion: These findings highlight the importance of family eating habits in shaping children's eating behavior and addressing malnutrition and stunting. Thus, family-based interventions are needed to improve healthy feeding practices and promote positive eating behavior in children at risk of malnutrition in Indonesia, aiming to achieve zero stunting and malnutrition.
Pendekatan Spiritual dengan Murottal Al-Quran pada Pasien Stroke Hemoragik Akibat Keracunan Karbon Monoksida: Laporan Kasus Ramadhan, Gilang; Agustina, Hana Rizmadewi; Haroen, Hartiah
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 2 (2024): Volume 5 Nomor 2 November 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i2.1026

Abstract

Keracunan Karbon Monoksida merupakan kondisi serius yang dapat menyebabkan berbagai komplikasi kesehatan, termasuk stroke. Selain intervensi medis yang intensif, aspek spiritualitas penting dalam proses pemulihan pasien stroke. Penelitian ini bertujuan untuk menggambarkan bagaimana dampak stimulasi murottal Al-Qur’an terhadap peningkatan kesadaran pasien stroke hemoragik. Metode penelitian ini adalah deskriptif dengan pendekatan laporan kasus (case report) yang merupakan bagian kecil dari asuhan keperawatan pasien, dilakukan dari tanggal 14 sampai 18 September 2023. Subjek dalam karya tulis ini adalah pasien yang didiagnosa medis stroke hemoragik dengan penurunan kesadaran. Respon pasien dalam laporan kasus ini diukur menggunakan skala Glasgow Coma Scale (GCS) dan Richmond Agitation Sedation Scale (RASS). Hasil penelitian adalah terdapat peningkatan kesadaran GCS 7 (E2V2M3) menjadi GCS 11 (E4V2M5) dan penurunan skor agitasi pasien dari +3 menjadi +1 dalam 4 hari. Hal ini menunjukan bahwa murottal Al-Quran dapat dijadikan terapi nonfarmakologis yang membantu meningkatkan pemulihan pasien stroke. Integrasi pendekatan spiritual dalam perawatan pasien yang mengalami stroke menjadi penting untuk mencapai perawatan yang holistik serta berpusat pada pasien dan keluarga.
KETERLIBATAN KELUARGA DALAM PEMENUHAN KEBUTUHAN ACTIVITY DAILY LIVING PASIEN STROKE PIS : STUDI KASUS Augusto, Constantius; Sari, Citra Windani Mambang; Haroen, Hartiah
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 3 (2024): SENTRI : Jurnal Riset Ilmiah, Maret 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i3.2412

Abstract

Stroke PIS merupakan perdarahan akibat kerusakan pembuluh darah intraserebral secara spontan. Karena dampak penyakit stroke yang masif dan kompleks, maka pasien memerlukan intervensi keperawatan paliatif. Salah satunya pemenuhan kebutuhan activity daily living dengan meningkatkan keterlibatan keluarga. Tujuan penelitian adalah untuk menggambarkan pentingnya pemenuhan kebutuhan activity daily living dengan meningkatkan keterlibatan keluarga pasien pada pasien stoke paliatif. Menggunakan metode studi kasus dengan pendekatan deskriptif. Intervensi dilakukan selama 8 hari yang terdiri dari pengkajian klien dan keluarga, menyusun intervensi, melaksanakan intervensi, memberi kesempatan keluarga untuk melakukan intervensi secara bertahap, konsultasi keluarga, evaluasi keluarga, dan menyusun jadwal perawatan pasien di rumah. Hasil akhir intervensi adalah kualitas hidup klien membaik, kecemasan keluarga menurun, keluarga mengetahui tingkat keparahan kondisi klien, menerima kondisi klien dan mengiklhaskan kepergian klien, serta mengutarakan kesiapan merawat pasien di rumah. Ditemukan bahwa pentingnya intervensi pemenuhan kebutuhan activity daily living dengan meningkatkan keterlibatan keluarga sehingga disimpulkan pemenuhan kebutuhan activity daily living pada pasien stroke dengan meningkatkan keterlibatan keluarga sangat penting dilakukan karena manfaat yang dirasakan oleh pasien, keluarga, dan perawat. Disarankan perlunya intervensi bantuan pemenuhan kebutuhan activity daily living pada pasien stroke dengan meningkatkan keterlibatan keluarga untuk meningkatkan kualitas hidup pasien dan kesiapan keluarga dalam merawat pasien stroke.
The Necessity of Early Palliative Care in Patients with Severe Coronary Artery Disease: A Reflective Practice Adzillah, Finka Laili Nur; Haroen, Hartiah
JENDELA NURSING JOURNAL Vol. 8 No. 1 (2024): JUNE 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v8i1.10591

Abstract

Background: Palliative care aims to improve the quality of life for patients with serious illnesses and their families. It is provided throughout the course of the disease, starting from the initial diagnosis to the grieving phase after the patient's death. Coronary artery disease has been proven to be a major cause of death, making palliative care important. Purpose: This study was to reflect the patient's case in order to gain of new insight and perspective. Methods: This article was a critical review of author experience when providing patient nursing care in a hospital. The case was reviewed using reflective practice. Results: Through reflection on the case, it was found that the initiation of palliative care was only carried out when the patient was continuously deteriorating. So that patients and their families do not receive adequate palliative care. Conclusion: Early palliative care has an impact on symptoms, quality of life, and support for patients and their families during the dying process. However, there are obstacles to early palliative care implementation, such as negative stigma, medical professionals who wish to continue giving treatment in hospitals till the end, and a lack of expertise and capability among health workers to deliver palliative care.
The Otago Exercise Training Program For Patients With Moderate Fall Risk Problems : A Case Report Mambangsari, Citra; Basiroh, Siti; Haroen, Hartiah
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 1 (2024): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i1.1942

Abstract

The elderly are a vulnerable group because they have experienced various setbacks. Degenerative disorders are physiological processes that occur in the elderly, one that often occurs is a decrease in the function of the musculoskeletal system such as complaints of joint pain, decreased muscle strength, and decreased balance which can cause the risk of falling. The management that can be done to prevent falls while minimizing side effects is by using non-pharmacological therapies, one of which is by doing the Otago Exercise. The purpose of this case study is to explain how the effect of Otago Exercise is to prevent the risk of falling in the elderly. The writing method used in this study is to use a case study conducted on the elderly Mrs. S. The results of nursing care after carrying out the Otago Exercise Program showed an increase in the risk of falling in the elderly from 32 to 39. This Otago Exercise has been proven to be effective and can be done to prevent the risk of falling in the. The elderly can implement the Otago Exercise Program on an ongoing basis accompanied by officers at the orphanage to prevent falls and maintain a balance so that joint function and posture remain good.
Balance Exercise sebagai Intervensi Efektif untuk Menurunkan Resiko Jatuh pada Lansia: A Case Report Supendi, Devi Oktaviani; Haroen, Hartiah; Sari, Citra Windani Mambang
MAHESA : Malahayati Health Student Journal Vol 3, No 8 (2023): Volume 3 Nomor 8 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.894 KB) | DOI: 10.33024/mahesa.v3i8.10762

Abstract

ABSTRACT Older adults are those aged 60 and over who experience changes and declines in physical function through aging. The physiological change that occurs is a decrease in leg muscle strength. Weakness in the lower extremities can lead to loss of balance and a tendency to fall. Efforts should make to improve and maintain the balance of older people's bodies through practical balance exercises to overcome the fall risk problem. This case report aimed to determine the effect of balance exercises on reducing the risk of falls. The descriptive method used is a case report approach with the Berg Balance Scale measuring instrument. The survey was conducted from 28th April to 11th May 2023. The results of the case report found that after carrying out a balance exercise, the client's fall risk score increased, namely a score of 28 (moderate fall risk) to a score of 41 (low fall risk). Suggests that balance exercises can reduce the risk of falls in older people. When doing balance exercises, older people should be supported by following the principles of balance exercises and performing them consistently for optimal benefit. Keywords: Balance Exercise, Elderly, Fall Risk  ABSTRAK  Lanjut usia merupakan seseorang yang berusia di atas 60 tahun yang mengalami perubahan dan penurunan fungsi tubuh sebagai akibat penuaan. Penurunan kekuatan otot dapat menimbulkan masalah keseimbangan, sehingga rentan mengalami resiko jatuh. Untuk mengatasi masalah resiko jatuh tersebut, perlu upaya dalam memperbaiki dan menjaga keseimbangan tubuh pada lansia dengan melakukan latihan keseimbangan yang efektif seperti balance exercise. Tujuan penulisan case report ini yaitu untuk mengetahui pengaruh balance exercise terhadap resiko jatuh sedang pada lansia. Metode penulisan yang digunakan pada penelitian ini yaitu case report dengan alat ukur Berg Balance Scale. Penulisan ini dilakukan pada tanggal 28 April-11 Mei 2023. Hasil case report ditemukan bahwa setelah melakukan balance exercise terdapat peningkatan skor resiko jatuh pada klien yaitu skor 28 (resiko jatuh sedang) menjadi skor 41 (resiko jatuh rendah). Berdasarkan hal tersebut dapat disimpulkan bahwa balance exercise dapat mengurangi resiko jatuh yang terjadi pada lansia. Namun, dalam melakukan balance exercise tersebut perlunya dukungan kepada lansia dengan memperhatikan prinsip dan konsistensi dalam melakukan latihan agar dapat tercapai keefektifan yang optimal. Kata Kunci : Balance Exercise, Lansia, Resiko Jatuh
Co-Authors Adzillah, Finka Laili Nur Augusto, Constantius Azrania Fatima Borne, B Van Den Cecep Eli Kosasih Cecep Eli Kosasih Chatarina Suryaningsih Citra Sari Citra Windani Mambang Sari Dadang Purnama Desy Indra Yani Dhiyaa Ulhaq Amatullah Felina C. Young Gilang Ramadhan Hana Rizmadewi Agustina Harun, Hasniatisari Hutomo, Wahyuni MP Iqbal Pramukti Iwan Purnawan Jerico Pardosi Juni Kurniawaty Muhdar Abubakar Djayanti Sari Juniarti, Neti Kusman Ibrahim Mambangsari, Citra Mambangsari, Citra Windani Masala, Clausewitz Welmatus Mulya, Adelse Prima Nadirawati Nadirawati Nina Sumarni Novita Intan Arovah Nurilhami, Ilham Taufik Nursiswati Nursiswati Puspitasari, Tita Sri Raini Diah Susanti Sari, Citra Windani Mambang Saritessa, Nining Siti Basiroh, Siti Supendi, Devi Oktaviani Susilowati Susilowati Syifa Eka Rahmawati Udin Rosidin Wahyuni Maria Prasetyo Hutomo Witdiawati Witdiawati, Witdiawati