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Hubungan Antara Usia dan Pengetahuan dengan Persepsi Stigma HIV/AIDS Pada Ibu Rumah Tangga di Kabupaten Garut Hartiah Haroen; Wahyuni Maria Prasetyo Hutomo; Citra Windani Mambangsari; Witdiawati Witdiawati; Hasniatisari Harun
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12991

Abstract

ABSTRACT There are approximately 5,100 new Human Immunodeficiency Virus (HIV) infections in the Housewife (IRT) group every year, and 35% of them are infected from their partners. This rate is higher than HIV cases in other groups such as the MSM (man sex with man). West Java is one of the four provinces with the highest number of HIV/AIDS cases in Indonesia. One of the districts in West Java with a high rate of HIV transmission is Garut Regency, where the estimation of 1,681 people with HIV/AIDS. To determine the relationship between age and knowledge with the perception of HIV/AIDS stigma among housewives. This research is a quantitative research with a cross sectional approach. Data collection was conducted in May 2023 and located in Village X, Garut Regency, West Java. The study population was housewives with inclusion criteria of women of childbearing age (aged 20-49 years) who resided permanently in the ciwalen sub-district area using purposive sampling technique as many as 97 housewives. Data collection was conducted door to door using a questionnaire which included demographic characteristics data, knowledge about HIV/AIDS using the HIV-KQ-18 Instrument consisting of 18 question items and perceived stigma using the stigma questionnaire from Berger's HIV Stigma Scale (HSS). Data were analyzed using SPSS software (Version 21), frequency distribution analysis and chi-square test. The research results showed that the majority of housewives (64 people, 66.0%) had poor knowledge about HIV, (32.0%) had high stigma about HIV and (34.0%) had low stigma. Meanwhile, only a few (34.0%) of the housewives had good knowledge and (25.8%) the housewives' stigma about HIV was low. Relationship between domestic workers' knowledge and stigma about HIV (P0.021). The majority of housewives in the early adulthood stage (55 people, 56.7%), had high stigma (28.9%) and low stigma (27.8%), low stigma was more often found in late adulthood housewives (53.4%). Age was related to stigma about HIV (P 0.014). To increase knowledge about HIV and reduce stigma in society, efforts are being made to increase knowledge and group discussions about HIV/AIDS. Keywords: HIV/AIDS, Housewives, Age, Knowledge, Stigma.  ABSTRAK Terdapat 5.100 infeksi Human Immunodeficiency Virus (HIV) baru  pada kelompok Ibu Rumah Tangga (IRT) setiap tahunya dan sebagian besar 35% tertular dari pasangannya, angkat tersebut lebih tinggi dibandingkan kasus HIV pada kelompok lainnya seperti kelompok MSM (man sex with man). Jawa Barat merupakan salah satu dari empat provinsi dengan jumlah kasus HIV/AIDS tertinggi di Indonesia. Salah satu kabupaten di Jawa Barat yang  angka penularan HIV-nya tinggi adalah Kabupaten Garut,  perkiraan jumlah orang yang hidup dengan HIV (ODHIV) sebanyak 1.681 orang. Diketahui hubungan usia dan pengetahuan dengan persepsi stigma  HIV/AIDS pada ibu rumah tangga. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengambilan data dilakukan pada bulan Mei 2023 dan berlokasi di Desa X, Kabupaten Garut, Jawa Barat. Populasi penelitian adalah ibu rumah tangga dengan kriteria inklusi wanita usia subur (usia 20-49 tahun) yang bertempat tinggal tetap di wilayah tersebut dengan menggunakan teknik purposive sampling sebanyak 97 ibu rumah tangga. Pengumpulan data dilakukan secara door to door dengan menggunakan kuesioner yang meliputi data karakteristik demografi, pengetahuan tentang HIV/AIDS dengan menggunakan Instrumen HIV-KQ-18 yang terdiri dari 18 item pertanyaan dan stigma yang dirasakan dengan menggunakan kuesioner stigma dari Berger's HIV Stigma Scale (HSS). Analisis data dilakukan dengan menggunakan perangkat lunak SPSS (Versi 21), analisis distribusi frekuensi dan uji chi-square. Penelitian menunjukan mayoritas IRT (64 orang, 66,0%) memiliki pengetahuan yang kurang baik tentang HIV, (32.0%) memiliki stigma tentang HIV yang tinggi dan (34,0%) yang memiliki Stigma rendah. Sementara hanya sedikit (34,0%) diantara IRT yang memiliki pengetahuan baik dan (25,8%) stigma IRT tentang HIV yang rendah. Hubungan pengetahuan dan stigma IRT tentang HIV (P0.021). Mayoritas Usia IRT pada tahap dewasa awal (55 orang, 56.7%), memiliki  stigma tinggi (28,9%) dan stigma rendah( 27,8%), stigma rendah lebih banyak dijumpai pada IRT Usia dewasa akhir (53,4%). Usia memiliki hubungan dengan stigma tentang HIV (P 0.014). Untuk meningkatkan pengetahuan tentang HIV dan mengurangi stigma di masyarakat  dilakukan upaya-upaya peningkatan pengetahuan dan  diskusi kelompok bersama tentang HIV/ AIDS. Kata Kunci: HIV/AIDS, Ibu Rumah Tangga, Usia, Pengetahuan, Stigma.
Association between educational level and diabetes knowledge among older adults with type 2 diabetes in Bandung City: a cross-sectional study Citra Windani Mambang Sari; Hartiah Haroen; Neti Juniarti; Lisda Amalia; Jerico Franciscus Pardosi
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26915

Abstract

Diabetes mellitus (DM) is a major non-communicable disease among older adults and a growing public health problem in Indonesia. Older people often have limited health literacy, which may affect their knowledge and self-management of DM. This study aimed to analyze the relationship between education level and knowledge about DM among the elderly in Bandung City, West Java. A descriptive cross-sectional study was conducted on 150 elderlies with type 2 DM using purposive sampling at primary health care facilities with high DM cases. Data were collected through structured interviews using a demographic questionnaire and a 15-item multiple-choice questionnaire on DM knowledge that had been tested for validity and reliability previously, adapted from an Indonesian diabetes self-management instrument. Knowledge scores were categorized into good and poor. Data were analyzed using the Chi-square test. Most respondents had an elementary or high-school education. The majority of the elderly with higher education levels had good knowledge about DM, while those with lower education levels tended to have poorer knowledge. There was a statistically significant association between education level and elderly knowledge about DM (p<0.001). Education level is significantly associated with DM knowledge among the elderly in Bandung. These findings highlight the need for a tailored continuity of care diabetes program, especially for the elderly with lower educational attainment, in order to improve self-management and glycemic control.
PENGARUH PELATIHAN MULTIDISIPLIN UNTUK MENINGKATKAN PENGETAHUAN TENTANG CONTINUITY OF CARE PADA LANSIA DENGAN DIABETES MELITUS DI KOTA BANDUNG Mambang Sari, Citra Windani; Ayu, Rahadiani; Khalifatunnisa, Faiza; Haroen, Hartiah; Juniarti, Neti
Media Karya Kesehatan Vol 9, No 1 (2026): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v9i1.67785

Abstract

Continuity of Care (CoC) is a healthcare approach that emphasizes continuity, coordination, and integration of care across time, providers, and levels of service. Older adults with diabetes mellitus (DM) require ongoing care because they have complex health needs, a high risk of complications, and long-term support needs for disease management. In primary healthcare settings, the implementation of CoC requires a good understanding among multidisciplinary healthcare workers. However, in Indonesia, healthcare workers’ understanding of CoC for older adults with DM remains limited. This study aimed to analyze the effect of Continuity of Care training on healthcare workers’ knowledge in caring for older adults with diabetes mellitus in Bandung City. This study used a pre-experimental one-group pretest-posttest design. The study was conducted in three community health centers in Bandung City that had nursing centers and high numbers of older adults with diabetes mellitus. The sample consisted of 33 healthcare workers, including physicians, nurses, pharmacists, and nutritionists. The training was conducted over two days in September 2025 using interactive lectures, case discussions, simulations, role-play, field practice, and evaluation. Knowledge data were collected using a questionnaire developed based on the training materials and analyzed using a paired t-test. The mean knowledge score increased from 13.82 ± 0.808 before training to 14.45 ± 0.617 after training. The paired t-test showed that the increase was statistically significant (p < 0.001). Continuity of Care training improved healthcare workers’ knowledge in caring for older adults with diabetes mellitus. Structured training may serve as an initial strategy to strengthen the capacity of healthcare workers in delivering collaborative and continuous care in primary healthcare settings. Keywords: Continuity of care, diabetes mellitus, elderly, multidisciplinary team, training.
Play Therapy as a Method of Fine Motor Stimulation for Hospitalized Children with Acute Lymphoblastic Leukemia Azahra Chairani Hamed; Hana Rizmadewi Agustina; Hartiah Haroen
Multidisciplinary Journals Vol. 3 No. 1 (2026): March
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mj.v3i1.1259

Abstract

Children with Acute Lymphoblastic Leukaemia (LLA) are at risk of developmental delays due to the effects of long-term therapy and repeated hospitalisations. This study aims to describe the application of fine motor development stimulation through play therapy, based on the family-centred care approach, for children with LLA who experience developmental delays. Methods: This study used a case study design on a 2-year-old hospitalized at RSUD Welas Asih. Denver II results indicated a delay in fine motor development because he was unable to grasp a pencil or scribble on paper. The intervention lasted 4 days and included family education, pencil-grasping exercises, scribbling activities, and the introduction of simple puzzles. The result showed an improvement in fine motor coordination, with a score increase from 7 to 8. Active family involvement during therapy enhanced the child’s motivation and supported the continuity of stimulation at home. This simple intervention proved effective in supporting the fine motor development of children with chronic diseases and aligned with principles of pediatric palliative care, which focus on improving the quality of life of children and families. Ongoing stimulation and continued use of puzzle activities at home are recommended to further strengthen hand coordination and concentration skills.
DUKUNGAN EMOSIONAL DENGAN INTERACTIVE BRIEFING PADA PASIEN DENGAN KONDISI POST PARTUM DAN SUSPEK KANKERPAYUDARA YANG MENJALANI TINDAKAN BIOPSI Yolanda Erica Nauli; Hartiah Haroen; Hana Rizmadewi Agustina
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 3 (2026): SINERGI : Jurnal Riset Ilmiah, Maret 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i3.2460

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Cancer is a chronic illness with a long and complex trajectory, beginning from the pre-diagnostic phase, followed by diagnostic procedures such as biopsy, treatment-related side effects, and ongoing uncertainty regarding treatment outcomes. This uncertainty often heightens patient anxiety, particularly during the biopsy phase, when waiting for results can generate psychological distress comparable to the stress experienced upon receiving a cancer diagnosis. Interactive briefing grounded in an Early Palliative Care (EPC) approach plays an important role in supporting patients’ coping processes, especially in preparing them to receive bad news and face future conditions. This case report describes the application of interactive briefing as an EPC approach in Mrs. E, a 40-year-old postpartum woman on her third day following delivery, who was scheduled to undergo a breast biopsy. The intervention involved therapeutic communication and psychosocial support. Findings indicate a reduction in anxiety, improved psychological readiness, and enhanced patient resilience in dealing with her condition.