Articles
<![CDATA[Implementation of E-Book Services (Adkuh Book) For The Public At Surakarta Orthopedic Hospital ]]>
<![CDATA[Prianggi, Herawati]]>;
<![CDATA[Handayani, Dola Fitritha Raras]]>;
<![CDATA[Surya, Nella Tri]]>;
<![CDATA[Rachma, Devi Elvina]]>;
<![CDATA[Rachmat, Nur]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 12 No 3 (2023): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v12i3.1150
<![CDATA[Background: It is hoped that the use of e-Government from bureaucracy can be an alternative for bureaucratic reform for the better. The concept of digital public services leads to effective principles. while efficient means doing something correctly.Objective: To increase the convenience of health services by facilitating E-Book (Adkuh Book) services to the public.Method: This research method uses Research and Development which to produce certain products and test the effectiveness of these products. Both products can produce new products or modify existing products.Results: From the results of the bivariate analysis, it was found that there was an increase in respondents' interest (the average pre-test score with high interest was 96.78 points and the average post-test score with low scores was 43.04 points). To look for disease information before seeking treatment or registering at the Surakarta orthopedic hospital and was statistically significant (p=<0.001). Most respondents know how to access the Adkuh BookConclusion: There is a positive and significant influence on the intention to use the Adkuh Book on the use of health information for orthotic prosthetic patients. There is a positive and significant influence between Perceived Ease of Use on Intention to use Adkuh Book.]]>
<![CDATA[Optimizing the Use of Websites and Social Media in Efforts to Improve Orthotic Prosthetic Services ]]>
<![CDATA[Rachmat, Nur]]>;
<![CDATA[Kristianto, Jusuf]]>
<![CDATA[ Mandalika Journal of Medical and Health Studies Vol 2 No 1 (2024): Mandalika Journal of Medical and Health Studies ]]>
Publisher : <![CDATA[Mandalika Institute ]]>
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DOI: 10.59613/mjmh.v2i1.100
<![CDATA[Prosthetic Orthotic services during the COVID 19 pandemic need to be improved by optimizing the use of websites and social media. To find out what the Prosthetic Orthotic Kuspito Clinic is doing in optimizing the use of websites and social media to improve prosthetic orthotic services during the COVID-19 pandemic. Qualitative research by describing the results of direct observations and interviews with informants. Milles and Huberman's data analysis model. Research conducted at PT. Kuspito Orthotic Prosthetics in January and February 2023. Optimization of website use in an effort to improve prosthetic orthotic services is carried out by creating a website with several additional features in the form of displaying product price information, product purchasing and payment processes that can be made directly on the comfiware.com website, discounts and discounts for customers that can be accessed On the website, product payments can be paid by GoPay, bank transfers, credit cards and consulting services regarding products, through WhatsApp social media, where the access button is on the comfiware.com website display. Optimizing the use of websites and social media to improve Orthotic Prosthetic services during a pandemic has been carried out well at PT. Prosthetic Orthotic Kuspito]]>
<![CDATA[The Impact of Patient Hygiene on Skin Issues in Lower Limb Prosthesis Users ]]>
<![CDATA[Nur Rachmat]]>;
<![CDATA[Sisybania]]>;
<![CDATA[Maharani Nadia Andarini]]>
<![CDATA[ Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Surabaya ]]>
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DOI: 10.36568/gelinkes.v23i1.213
<![CDATA[Amputees require effective support through prostheses, which help restore mobility. Maintaining cleanliness of the stump and prosthesis is essential to prevent skin problems, ensuring comfort during activities. This study aims to determine the relationship between patients' cleanliness levels and skin issues on the stumps of lower limb prosthesis users. This research was conducted in December 2023 at the Community Resource Rehabilitation Development and Training Center (PPRBM) Solo, utilizing the Self-Management Assessment for the Residuum and Prosthesis (S.M.A.R.T) in a cross-sectional observational design. A purposive sampling technique was used to select 40 lower limb prosthesis users. Data analysis involved the Shapiro Wilk normality test and hypothesis testing with Pearson Product Moment. Analysis of the 40 participants revealed a significance value of p = 0.000 (p < 0.05) and a correlation coefficient of -0.737. This indicates a significant and strong negative correlation: higher cleanliness levels correspond to fewer skin problems on the stump, while lower cleanliness levels lead to more skin issues. Maintaining a high level of cleanliness is crucial for lower limb prosthesis users to prevent skin issues on the stump.]]>
<![CDATA[The Effect of the Use of Knee Support to Knee Pain of Skateboard Players in Singaraja Bali ]]>
<![CDATA[Rachmat, Nur]]>;
<![CDATA[Putra, Aji]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 1 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Jakarta I ]]>
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DOI: 10.36082/jpost.v1i1.648
<![CDATA[Background: Skateboarding is also an extreme sport and in Indonesia it is not very popular but has the potential to be liked by young people in Singaraja Bali. Due to the nature of skateboarding, including high speeds and extreme maneuvers, such as jumping from heights and performing extreme movements that can injure the joint bearing of the knee, injuries often occur when a skateboarder collides with an inanimate object, falling off the skateboard. Knee support is made of elastic material with medial and lateral supports made of metal. Elastic material that has the ability to stretch and return to its original state quickly so that it serves as a fixation on the knee that suffers from knee pain. With the fixation on the knee as well as support and stabilizer on the knee joint will relieve pain in patients with knee pain so it is expected to reduce pain. Method: The research design of the effect of the use of knee support to knee pain of skateboard players is a type of quantitative research using a quasi-experimental design with one group pre and posttest design. Data was collected in the Singaraja Bali sports hall in September - December 2020. Skateboarders' knee pain was measured using a VAS (Visual Analogue Scale) questionnaire. The population is 14 skateboarders who play at the Singaraja Bali sports hall. All respondents were sampled using the total sampling method. Result: There were 11 males and 3 females as respondents. Pre-test Knee pain VAS score before using knee support is average of 5.93 while the post test score after using knee support for two weeks is average of 2.14. Normality data using the Shapiro Wilk result is not normally distributed. The result of Wilcoxon is p value 0.001. P value is less than 0.05. So it can be concluded that the use of knee support has a significant effect in reducing knee pain in skateboarders. Conclusion: there is an effect of the use of knee support to knee pain of skateboard players. It is advisable for skateboarders to wear knee support when feeling pain while skateboarding.]]>
<![CDATA[DERAJAT HALLUX VALGUS DAN TINGKAT NYERI GURU SMK SURAKARTA ]]>
<![CDATA[Anissa Eka Septiani]]>;
<![CDATA[Nur Rachmat]]>;
<![CDATA[Fitri Khoirun Nisa]]>
<![CDATA[ Medical Journal of Nusantara Vol. 4 No. 1 (2025): Medical Journal of Nusantara (MJN) ]]>
Publisher : <![CDATA[Tahta Media Group ]]>
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DOI: 10.55080/mjn.v4i1.1399
<![CDATA[Background: The foot plays a vital role in supporting body weight and enabling locomotion. Improper foot care and footwear can lead to musculoskeletal disorders such as pain. One common condition is hallux valgus, a lateral deviation of the big toe that causes progressive pain and impairs joint function. Teachers, particularly those in vocational high schools, are at higher risk due to prolonged standing and the use of formal footwear. Objective: This study aims to determine the relationship and strength of association between the hallux valgus angle and pain intensity among public vocational high school teachers in Surakarta. Methods: A quantitative, observational analytic study with a cross-sectional design was conducted. Participants were selected using purposive sampling. The hallux valgus angle was measured using amplification angulus, and pain intensity was assessed. Data were analyzed using Spearman’s correlation test. Results: A significant positive correlation was found between the hallux valgus angle and pain intensity. For the right foot, the p-value was 0.028 with a correlation coefficient of 0.401 (moderate). For the left foot, the p-value was 0.038 with a correlation coefficient of 0.380 (low). Conclusion: There is a significant positive relationship between the hallux valgus angle and pain intensity among teachers, with moderate correlation on the right foot and low correlation on the left foot]]>
<![CDATA[Qualitative Policy Analysis of Hypertension Disease Control at Primary Health Centers in Surakarta, Indonesia ]]>
<![CDATA[Hastuti, Rini Tri]]>;
<![CDATA[Dewi, Indri Kusuma]]>;
<![CDATA[Rachmat, Nur]]>;
<![CDATA[Setyorini, Yuyun Setyorini]]>;
<![CDATA[Mulyaningrum, Haryanti Katini]]>;
<![CDATA[Subagiyo, Didik]]>;
<![CDATA[Suryaningsih, Anthik Fajar]]>
<![CDATA[ Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health ]]>
Publisher : <![CDATA[Chakra Brahmanda Lentera Institute ]]>
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DOI: 10.55018/janh.v7i3.405
<![CDATA[Background: Hypertension is a leading global health issue and a primary risk factor for cardiovascular disease. Despite national strategies in Indonesia, evidence on hypertension control implementation at the district and community levels remains scarce. Surakarta reports hypertension as the most common non-communicable disease (NCD), yet little is known about how policies are translated into practice at primary health centers. Methods: This qualitative descriptive study applied a policy analysis approach, guided by the COREQ reporting standard. Five purposively selected participants (three health workers, one patient, and one district health officer) were interviewed between June and September 2023. Data were collected through in-depth interviews (30–60 minutes) and document reviews, and were analyzed thematically using Creswell’s framework. Results: Three themes emerged: (1) hypertension control policies operationalized at the primary healthcare level and supported by innovations such as BU DESI (Buru Diabetes dan Hipertensi); (2) health promotion through Posbindu PTM and cadre empowerment; and (3) monitoring and evaluation via regular monthly reviews, though patient adherence and multisectoral collaboration remain limited. Conclusion: While hypertension control in Surakarta aligns partially with national strategies, its novelty lies in integrating locally driven innovations such as BU DESI. The study highlights the need to strengthen community empowerment and multisectoral collaboration.]]>
<![CDATA[Exploring the Lived Spiritual Needs of Individuals with Schizophrenia: A Phenomenological Study Informing Holistic Mental Health Care ]]>
<![CDATA[Kuncoro, Bambang]]>;
<![CDATA[Rachmat, Nur]]>;
<![CDATA[Hidayati, Betty]]>
<![CDATA[ Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health ]]>
Publisher : <![CDATA[Chakra Brahmanda Lentera Institute ]]>
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DOI: 10.55018/janh.v8i1.473
<![CDATA[Background: Spirituality has increasingly been recognized as an important dimension of recovery in severe mental illness. However, qualitative understanding of the lived spiritual needs of individuals with schizophrenia remains limited, particularly in Low- and Middle-Income Countries (LMICs). This study aimed to explore the lived spiritual needs of individuals with schizophrenia and examine their significance within recovery-oriented mental health care. Methods: This qualitative study employed van Manen’s interpretive phenomenology grounded in Heideggerian philosophy. Seven participants diagnosed with schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and International Classification of Diseases, Tenth Revision (ICD-10; F20.x) were recruited using purposive sampling. Inclusion criteria included clinical stability, living with family, and the ability to communicate verbally. Exclusion criteria included acute psychotic exacerbation and severe cognitive impairment interfering with communication. Data were collected through face-to-face semi-structured interviews (40–60 minutes; mean 52 minutes), supported by field notes. Data saturation was achieved when no new codes emerged in the final interviews. Data were analyzed using an interpretive phenomenological approach guided by van Manen, supported procedurally by Miles and Huberman’s interactive model for data organization. This study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Results: Three major themes emerged: (1) Transcendence (inner peace, actualization of trust, hope, forgiveness, religious doctrine); (2) Sense of Existence (social support and usefulness); and (3) Personal Values (gratitude and search for meaning). Spirituality functioned as an existential integration mechanism facilitating emotional regulation, identity reconstruction, and recovery-oriented meaning-making. Conclusion: Spiritual needs play a central role in recovery processes among individuals with schizophrenia. Integrating culturally sensitive spiritual assessment into psychiatric services may strengthen holistic and recovery-oriented mental health care in LMIC contexts.]]>
<![CDATA[Effects of Flexible Transfemoral Prostheses on Dynamic Balance in Unilateral Amputees: A Quasi-Experimental Within-Subject Study ]]>
<![CDATA[Rachmat, Nur]]>;
<![CDATA[Kuncoro, Bambang]]>
<![CDATA[ Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health ]]>
Publisher : <![CDATA[Chakra Brahmanda Lentera Institute ]]>
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DOI: 10.55018/janh.v8i1.597
<![CDATA[Background: Dynamic balance impairment is a major functional challenge in individuals with transfemoral amputation and is closely associated with mobility limitations and increased fall risk. Flexible transfemoral prostheses are widely prescribed to improve ambulation. However, limited biomechanical evidence exists examining how flexible transfemoral prostheses influence dynamic balance performance using standardized functional clinical assessments. This study aimed to examine the effect of flexible transfemoral prosthesis use on dynamic balance in unilateral transfemoral amputees. Methods: This quasi-experimental within-subject study followed the TREND reporting guideline. Thirty unilateral transfemoral amputees were recruited using purposive sampling from the Department of Prosthetics and Orthotics at Poltekkes Kemenkes Surakarta, Indonesia. Inclusion criteria were medical stability and ability to perform multidirectional stepping; exclusion criteria included bilateral amputation and neurological disorders. The independent variable was ambulation condition (axillary crutch ambulation versus flexible transfemoral prosthesis use), and the dependent variable was FSST completion time. Dynamic balance was assessed using the Four Square Step Test (FSST). Analyses were conducted using paired t-tests with 95% confidence intervals. Results: Participants were predominantly male (76.7%) with a mean age of 33.6 ± 9.4 years and a mean post-amputation duration of 4.2 ± 2.1 years. FSST completion time significantly decreased during flexible transfemoral prosthesis use compared with axillary crutch ambulation (mean difference = 8.97 seconds; 95% CI, 7.72–10.22; p < 0.001), demonstrating a very large effect size (Cohen’s d = 2.68). Conclusion: Flexible transfemoral prosthesis use significantly enhances dynamic balance in unilateral transfemoral amputees. Flexible transfemoral prostheses should be considered an essential component of function-oriented rehabilitation strategies to optimize postural control and safe mobility. Future longitudinal and instrumented biomechanical studies are warranted to further elucidate underlying adaptation mechanisms.]]>
<![CDATA[DIFFERENCES IN WALKING BALANCE ACROSS BODY MASS INDEX ANDFALL RISK CATEGORIES AMONG OLDER ADULTS ]]>
<![CDATA[Nur Rachmat]]>;
<![CDATA[M Syafii]]>;
<![CDATA[Anissa Eka Septiani]]>;
<![CDATA[Tarezza Dewi Sekar Mayang]]>;
<![CDATA[Indra Yulianti]]>
<![CDATA[ International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 1 (2026): VOLUME 10 ISSUE 1 APRIL 2026 ]]>
Publisher : <![CDATA[Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia ]]>
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DOI: 10.29082/IJNMS/2026/Vol10/Iss1/807
<![CDATA[This study aimed to examine differences in walking balance across body mass index (BMI) categories and fall risk categories among community-dwelling older adults. Methods: A cross-sectional study was conducted involving 55 older adults aged 50–90 years in a community setting in Central Java, Indonesia. Body mass index was classified using Asia–Pacific criteria. Fall risk was assessed using the Morse Fall Scale, and walking balance was evaluated using the 8-Foot Up and Go test, categorized as balanced or impaired. Data were analyzed using descriptive statistics and Pearson’s chi-square test. Results: The mean age of participants was 63.16 ± 8.60 years, and the mean BMI was 22.02 ± 3.86 kg/m². Overall, 69.1% of participants exhibited impaired walking balance. No significant association was found between BMI category and walking balance status (χ² = 4.78, p = 0.188). In contrast, fall risk category showed a significant association with walking balance status (χ² = 11.61, p = 0.003), with higher fall risk corresponding to greater balance impairment. Conclusion: Walking balance impairment among older adults was significantly associated with fall risk category but not with BMI classification. These findings indicate that fall risk assessment provides greater clinical relevance for identifying balance impairment than anthropometric measures alone.]]>
<![CDATA[Custom-Made Foot Insoles on Dynamic Balance in Children with Flexible Flat Feet: A Community-Based Study ]]>
<![CDATA[Nur Rachmat]]>;
<![CDATA[Bambang Kuncoro]]>;
<![CDATA[Dody Suprayogi]]>;
<![CDATA[Atika Febri Anggraini]]>;
<![CDATA[Annisa Dwi Nur Kusumawardani]]>;
<![CDATA[Indra Yulianti]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026) ]]>
Publisher : <![CDATA[Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK) ]]>
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DOI: 10.15294/kemas.v21i3.39922
<![CDATA[Flexible flat feet in children are common in community and school-aged populations and may be associated with altered lower-limb biomechanics, impaired postural control, and reduced dynamic balance, potentially affecting mobility, participation, and safety in daily activities. Although custom-made foot insoles are widely prescribed, evidence regarding their functional effects on dynamic balance in community-based pediatric settings remains limited. This study aimed to evaluate the effects of custom-made foot insoles on dynamic balance among children with flexible flat feet in a community-based rehabilitation context. A pre–post intervention study was conducted involving 40 children (mean age 10.05 ± 1.04 years). Dynamic balance was assessed using the Balance Beam Test before and after the intervention. Changes in balance performance were analyzed using the Wilcoxon signed-rank test, with effect size calculated using Cohen’s d. Dynamic balance scores improved significantly after insole use (Z = −3.995, p < 0.001), with a large effect size (d = 0.81). Greater improvements were observed in children with lower baseline balance. These findings support the potential role of custom-made foot insoles within community-based rehabilitation strategies to enhance functional balance and promote safe participation among children.]]>
