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Qualitative Policy Analysis of Hypertension Disease Control at Primary Health Centers in Surakarta, Indonesia Hastuti, Rini Tri; Dewi, Indri Kusuma; Rachmat, Nur; Setyorini, Yuyun Setyorini; Mulyaningrum, Haryanti Katini; Subagiyo, Didik; Suryaningsih, Anthik Fajar
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.405

Abstract

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.
Opini Public Terhadap Liga Korupsi Indonesia Pada Platform Youtube menggunakan Naive Bayes dan SMOTE Ardiansyah, Aldi; Bella Permata Sihombing Permata , Mecha; Rachmat, Nur
Applied Information Technology and Computer Science (AICOMS) Vol 4 No 2 (2025)
Publisher : Pengelola Jurnal Politeknik Negeri Ketapang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58466/aicoms.v4i2.1810

Abstract

This study analyzes public opinion regarding the Corruption League in Indonesia by utilizing the Naïve Bayes method combined with the Synthetic Minority Oversampling Technique (SMOTE). The Corruption League is a compilation of corruption cases involving public officials, politicians, and other parties in Indonesia. In this research, Naïve Bayes is employed for sentiment classification, while SMOTE is used to address class imbalance within the dataset, which was collected from YouTube comments. The methodology consists of several stages, including data collection, labeling, preprocessing, classification, and model evaluation. The results reveal that Naïve Bayes without SMOTE achieves high performance in identifying the negative class but struggles significantly in recognizing the positive class, leading to an imbalanced classification outcome. Conversely, when Naïve Bayes is combined with SMOTE, the model’s performance becomes more balanced, showing a notable improvement in detecting the positive class. Additionally, accuracy increases from 79.7% to 84.3%. This study provides valuable insights into public perceptions and demonstrates the effectiveness of classification methods in the context of corruption issues in Indonesia.
Exploring the Lived Spiritual Needs of Individuals with Schizophrenia: A Phenomenological Study Informing Holistic Mental Health Care Kuncoro, Bambang; Rachmat, Nur; Hidayati, Betty
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.473

Abstract

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.
Effects of Flexible Transfemoral Prostheses on Dynamic Balance in Unilateral Amputees: A Quasi-Experimental Within-Subject Study Rachmat, Nur; Kuncoro, Bambang
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.597

Abstract

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.
Co-Authors Agus Seto Nugroho Ahmad Hisyam Aji Janmo Minulyo Aji, Sherly Ratih Frichesyarius Santi Alfan Zubaidi Alfan Zubaidi ANDYARINI, ESTI NOVI Anik Indah Yani Anik Indah Yani Anissa Eka Septiani Annisa Eka Septiani Ardi al Ghifari Ardiansyah, Aldi Atika Febri Anggriani Ayuningtyas, Roro Aji Bambang Kuncoro Bambang Kuncoro Bambang Kuncoro Bambang Kuncoro Bee, Vanness Bella Permata Sihombing Permata , Mecha Devi Elvina Rachma Doddy Suprayogi Dodiet Aditya Setyawan Dola Fitritha Raras Handayani Dwi Nurul Izzhati Dwi Setyawan Dwi Setyawan E. Saputra Saputra Esa Ridho Sambada Eviana S. Tambunan Fadhila Firmanurulita Fajar Susanti Faried Effendi Surono Fitri Khoirun Nisa haidar abdurrahman prawira Handayani, Dola Fitritha Raras Hanifah Hanifah Hanna Lestari Herawati Prianggi Herawati Priangi Hidayati, Betty Indri Kusuma Dewi, Indri Kusuma Ismi Dwi Syafitri Izha Mahendra Jusuf Kristianto M Syafii M.Kurniawan Maharani Nadia Andarini Mardiani Mardiani Masdeniati, Masdeniati Muhammad Syafii Muhammad Syaifudin Mulyaningrum, Haryanti Katini Nella Tri Surya Ni Made Riasmini Noorma, Nilam Pibriana, Desi Prasetya, Hanung Prasetyo Catur Utomo Prasetyo Catur Utomo Prasetyo Catur Utomo Prianggi, Herawati Putra, Aji Putri Utami Sulistyawati R. Ismail Ismail Rachma, Devi Elvina REZA FAHLEVI Rini Tri Hastuti Rizi, Muhammad Alfa Rustam Aji, Rustam Setyorini, Yuyun Setyorini Siska Meiwijayasmi Sisybania Sri Djuwitaningsih Subagiyo, Didik SULISTIYANI SULISTIYANI Surya, Nella Tri Suryaningsih, Anthik Fajar Tri Handayani Wibowo, Suluh Arif Zenitha Bela Pratiwi Kusumawati