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All Journal International Journal of Public Health Science (IJPHS) PROSIDING SEMINAR NASIONAL Nurse Media Journal of Nursing Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia ProNers LINK Jurnal NERS Health Notions Journal Of Nursing Practice Jurnal Kebidanan Jurnal Ilmu Keperawatan Jiwa Jurnal Smart Keperawatan Jurnal Ners Pediomaternal Nursing Journal Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) MAHESA : Malahayati Health Student Journal Prosiding University Research Colloquium Jurnal Keperawatan Physical Therapy Journal of Indonesia Journal of Health Science Journal of Nursing Jurnal Masyarakat Jurnal Info Kesehatan Journal of Midwivery JURNAL BIOSAINSTEK
Dwi Indah Iswanti
Universitas Karya Husada Semarang
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Efektivitas Intervensi Lenina (Lung Function Evaluation and Nursing Intervention for Non-Pharmacological Asthma Management) terhadap Kemampuan Pengendalian Asma Pada Balita Lenina Nurani; Fery Agusman Motuho Mendrofa; Dwi Indah Iswanti
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20438

Abstract

ABSTRACT Asthma is a chronic inflammatory disease of the respiratory tract with increasing prevalence in toddlers. Inadequate asthma control can lead to decreased quality of life, activity limitations, and increased risk of hospitalization. The LENINA (Lung function Evaluation and Nursing Intervention for Non-pharmacological Asthma management) intervention was designed as a comprehensive non-pharmacological approach to improve asthma control abilities. To analyze the effectiveness of LENINA intervention on asthma control abilities in toddlers, including lung function, frequency of asthma attacks, and family asthma management abilities. A quasi-experimental study with pretest-posttest with control group design was conducted on 42 toddlers with asthma in the working area of Nagrak Health Center, Cianjur Regency. The sample was divided into an intervention group (n=21) receiving LENINA intervention and a control group (n=21) receiving standard care. Lung function was measured using Peak Expiratory Flow Rate (PEFR), frequency of asthma attacks using observation sheets, and family asthma management abilities using questionnaires. Data were analyzed using paired t-test and independent t-test. LENINA intervention significantly improved PEFR values (p=0.000), decreased the frequency of asthma attacks (p=0.000), and increased family asthma management abilities (p=0.000) in the intervention group compared to the control group. The difference in PEFR value improvement in the intervention group (13.38) was greater than the control group (2.76). The decrease in asthma attack frequency in the intervention group (2.53 times/month) was more significant than the control group (0.38 times/month). The increase in family asthma management ability scores in the intervention group (20.67) was much greater than the control group (2.14). LENINA intervention proved effective in improving asthma control abilities in toddlers through improved lung function, decreased frequency of asthma attacks, and increased family asthma management abilities. The results recommend implementing LENINA intervention in asthma control programs for toddlers in primary healthcare facilities. Keywords: Toddler Asthma, Non-Pharmacological Intervention, LENINA, Asthma Control, Family Role.   ABSTRAK Asma merupakan penyakit inflamasi kronis pada saluran pernapasan yang prevalensinya terus meningkat pada balita. Pengendalian asma yang tidak adekuat dapat menyebabkan penurunan kualitas hidup, keterbatasan aktivitas, dan peningkatan risiko rawat inap. Intervensi LENINA (Lung function Evaluation and Nursing Intervention for Non-pharmacological Asthma management) dirancang sebagai pendekatan non-farmakologis komprehensif untuk meningkatkan kemampuan pengendalian asma. Menganalisis efektivitas intervensi LENINA terhadap kemampuan pengendalian asma pada balita yang meliputi fungsi paru, frekuensi serangan asma, dan kemampuan manajemen asma keluarga. Penelitian quasi-eksperimental dengan desain pretest-posttest with control group dilakukan pada 42 balita dengan asma di wilayah kerja Puskesmas Nagrak, Kabupaten Cianjur. Sampel dibagi menjadi kelompok intervensi (n=21) yang menerima intervensi LENINA dan kelompok kontrol (n=21) yang menerima perawatan standar. Pengukuran fungsi paru menggunakan Peak Expiratory Flow Rate (PEFR), frekuensi serangan asma menggunakan lembar observasi, dan kemampuan manajemen asma keluarga menggunakan kuesioner. Data dianalisis menggunakan uji paired t-test dan independent t-test. Intervensi LENINA secara signifikan meningkatkan nilai PEFR (p=0,000), menurunkan frekuensi serangan asma (p=0,000), dan meningkatkan kemampuan manajemen asma keluarga (p=0,000) pada kelompok intervensi dibandingkan kelompok kontrol. Selisih peningkatan nilai PEFR pada kelompok intervensi (13,38) lebih besar dibandingkan kelompok kontrol (2,76). Penurunan frekuensi serangan asma pada kelompok intervensi (2,53 kali/bulan) lebih signifikan dibandingkan kelompok kontrol (0,38 kali/bulan). Peningkatan skor kemampuan manajemen asma keluarga pada kelompok intervensi (20,67) jauh lebih besar dibandingkan kelompok kontrol (2,14). Intervensi LENINA terbukti efektif meningkatkan kemampuan pengendalian asma pada balita melalui peningkatan fungsi paru, penurunan frekuensi serangan asma, dan peningkatan kemampuan manajemen asma keluarga. Hasil penelitian ini merekomendasikan implementasi intervensi LENINA dalam program pengendalian asma pada balita di fasilitas kesehatan primer. Kata Kunci: Asma Balita, Intervensi Non-Farmakologis, LENINA, Pengendalian Asma, Peran Keluarga.
The development of a harmony multisensory space based on reminiscence therapy to improve quality of life for older adults with dementia: A qualitative study Fery Agusman Motuho Mendrofa; Dwi Indah Iswanti; Indah Wulaningsih; Hery Ernawati; Kristiana Susilowati
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.316

Abstract

Introduction: Dementia significantly impacts elderly quality of life, necessitating innovative non-pharmacological approaches. This study aimed to identify key design elements for multisensory environments integrated with reminiscence therapy in Indonesian contexts. Methods: This qualitative study used an exploratory descriptive design through focus group discussions with 10 elderly participants, 2 family caregivers, and 5 healthcare professionals. Participants were selected through purposive sampling based on inclusion criteria established for this research protocol. Data were analyzed using Braun and Clarke's six-phase thematic analysis framework to identify key patterns related to the development of multisensory environments. Results: This study revealed five main themes from a comprehensive data analysis of therapeutic environments for the Indonesian population. These themes are: 1) the importance of positive reminiscence triggers to effectively stimulate memory, 2) the personal space requirements for comfort and safety as essential environmental design considerations, 3) the need for multisensory integration as a critical component of therapeutic environmental interventions, 4) the vital role of family support and communication strategies in a comprehensive care approach, and 5) the relevance of cultural and spiritual considerations in design to provide contextual meaning. Conclusion: The development of Harmony multisensory spaces should integrate reminiscence therapy principles with personalized design elements, emphasizing safety parameters, comfort metrics, and cultural sensitivity to effectively improve the quality of life for elderly individuals with dementia. Implementation requires multidisciplinary collaboration between healthcare professionals, designers, and family caregivers to ensure optimal therapeutic outcomes.
Psychosocial, demographic, and clinical predictors of postpartum depression among mothers: a cross-sectional study Niken Sukesi; Oktavia Ramadhani Saputri; Dwi Indah Iswanti; Nordianna Seman; Dwi Retnaningsih; Rozaq I Nugraha
Pediomaternal Nursing Journal Vol. 12 No. 1 (2026): VOLUME 12 NO 1 MARCH 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v12i1.77160

Abstract

Introduction: Postpartum depression (PPD) is a major public health issue with lasting effects on maternal well-being and child development. However, limited empirical evidence exists on the psychosocial, demographic, and clinical determinants of PPD among urban populations in Southeast Asia. This study aimed to identify psychosocial, demographic, and clinical predictors of postpartum depression among mothers residing in Semarang, Indonesia.Methods: A cross-sectional study was conducted among 168 postpartum women aged ≥17 years who had delivered a live infant and provided informed consent. Data were collected using validated tools, including the Edinburgh Postnatal Depression Scale (EPDS) to assess depressive symptoms. Independent variables included maternal age, education, employment, parity, mode and place of delivery, medical history, obstetric complications, socioeconomic status, anxiety level, and perceived spousal and family support. Chi-square tests and binary logistic regression were used to determine significant predictors.Results: The prevalence of mothers at risk of PPD was 50%. Logistic regression analysis showed that low education (OR = 7.18; 95% CI: 1.05–48.96; P-value = .044), moderate anxiety (OR = 5.52; 95% CI: 1.14–26.74; P-value = .034), limited spousal support (OR = .34; 95% CI: 0.15–0.80; P-value = .013), and lack of family support (OR = 6.15; 95% CI: 1.93–19.62; P-value = .002) were significant predictors of PPD.Conclusion: Psychosocial factors, particularly anxiety and insufficient social support, are key predictors of postpartum depression. Routine psychosocial screening and strengthened family-centered interventions are essential to reduce the risk and long-term impact of PPD.Keywords: depression postpartum; edinburgh postpartum depression scale; risk factors
Effect of Mindfulness-Based Stress Reduction with 40 Hz Music on Anxiety and Quality of Life in Prolanis Patients with Diabetes Mellitus Muhammad Akbar Sobarna; Fery Agusman Motuho Mendrofa; Dwi Indah Iswanti
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1089

Abstract

Background: Anxiety is a common psychological problem experienced by patients with Diabetes Mellitus and can negatively affect disease management and quality of life. Mindfulness-Based Stress Reduction (MBSR) combined with 40 Hz music frequency is that may help reduce anxiety and improve quality of life in patients with chronic diseases. Purpose: This study aimed to analyze the effectiveness of MBSR with 40 Hz music frequency on anxiety and quality of life among Prolanis patients with Diabetes Mellitus. Methods: Study design used a quasi-experimental pretest–posttest control group. The sample consisted of 60 respondents, divided into intervention and control groups. The intervention group received an 8-week MBSR program combined with 40 Hz music frequency, while the control group received standard Prolanis care. Anxiety levels using the DASS-21 questionnaire, and quality of life was assessed using WHOQOL-BREF. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The anxiety levels significantly decreased in the intervention group (mean difference = −10.15; p < 0.001), while no significant change was observed in the control group (p > 0.05). In addition, quality of life significantly improved in the intervention group (median increase = +16; p < 0.001), whereas the control group showed only a slight and non-significant improvement (p > 0.05). Conclusion: Mindfulness-Based Stress Reduction combined with 40 Hz music frequency is effective in reducing anxiety and improving quality of life among Prolanis patients with Diabetes Mellitus. This intervention can be integrated into primary healthcare services as a complementary nursing intervention to support holistic diabetes management.
Determinants of Nursing Service Quality: The Influence of Community Health Center Management Functions Sri Wahyuni; Dwi Indah Iswanti; Tri Ismu Pujiyanto; I Made Moh. Yanuar Saifudin; Helena Alalag
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1178

Abstract

Background: The managerial capacity of community health center leaders in Indonesia remains limited, while the quality of nursing services depends heavily on how well core management functions are carried out. Purpose: This study aimed to determine the influence of community health center management functions, namely planning, mobilization and implementation, and supervision, on the quality of nursing services, and to identify the most dominant function. Methods: A quantitative observational study with a cross-sectional design was conducted at the Malinau Seberang Community Health Center, North Kalimantan, Indonesia, in 2025. A total sampling of 87 health workers completed Likert-scale questionnaires measuring the three management functions and service quality. Results: Chi-square tests showed significant associations between planning (p=0.007), mobilization and implementation (p=0.007), and supervision (p=0.006) and the quality of nursing services. Multiple logistic regression confirmed that all three functions significantly influenced service quality (p<0.001), with planning showing the largest Exp(B) value (0.0135) and identified as the most dominant determinant. These estimates should be interpreted with caution, however, since the outcome was highly skewed toward the good category and the resulting odds ratios were very small. Conclusion: These findings strengthen the evidence that integrated community health center management is key to improving nursing service quality. Health center leaders should prioritize structured, data-driven planning, supported by coordinated implementation and routine supervision, particularly in remote and border areas.
Aplikasi Integrative Empowerment Keluarga Berbasis E-Monitoring Roled Based Expert System Dalam Pencegahan Relapse Pada Skizofrenia Dwi Indah Iswanti; Fery Agusman Motuho Mendrofa; Khairul Huda; Sa'adah Mujahidah; Sawab Sawab
Jurnal LINK Vol 20 No 2 (2024): NOVEMBER 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i2.11851

Abstract

E-monitoring integrative empowerment berbasis roled based expert system yang dapat diakses kapan saja dan dimanapun berada menghadirkan Perawat jiwa belum terbentuk untuk membantu keluarga merawat dan mencegah relapse skizofrenia ketika dirumah. Pemberdayaan kemitraan masyarakat ini bertujuan untuk membentuk dan melihat efektifitas dari e-monitoring integrative empowerment berbasis roled based expert system. Evaluasi pemberdayaan kemitraan masyarakat dilakukan dengan desain pra-experimental pada 30 keluarga yang merawat skizofrenia. Kuesioner digunakan untuk mengukur kemampuan keluarga merawat dan mencegah relapse. Analisis data dengan uji Wilcoxon. Hasil: Ada efektifitas e-monitoring integrative empowerment berbasis roled based expert system terhadap kemampuan keluarga merawat dan mencegah relapse (p-value=0,000<0,05). Perawat jiwa dan kader dilatih untuk dapat mensosialiasasikan dan memantau dari program aplikasi system ini sehingga dapat digunakan oleh keluarga yang merawat skizofrenia.
Co-Authors Abu Bakar Ah Yusuf Ah Yusuf, Ah Ahsan Ahsan Ahsan Antono Surjoputro Ariskha, Feti Arista Adityasari Putri Balalembang, Febriani Zusje C. Lenny Priharsanti Cahyaningrum, Dessy Dwi Dessy Dwi Cahyaningrum Devilya Pasimanyeku Dewi Mayangsari Dewi, Rian Kusuma Dianis Wulan Sari Diyanto Diyanto Dwi Retnaningsih Elis Susilawati Eni Kusyati Erwansyah, Rio Ady Faizatur Rohmi Feki Karu Fery Agusman Fery Agusman MM Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Feti Ariskha Gero, Sabina Gloria Caesar Cabral Hani, Umi Helena Alalag Hery Ernawati I Made Moh. Yanuar Saifudin Indah Wulaningsih Julian Debora Talasi Kandar Kandar Kandar Kandar Kandar Kandar Kandar, Kandar Kanthi Suratih Kanthi Suratih Khairul Huda Khairul Huda Khairul Huda Koesoemo, Rizki Fitryasari Patra Kristiana Susilowati Lai, Lee-Lee Lela Nurlela Lenina Nurani M. Marthoenis Martha Irene Kartasurya Metik Prihandini Muhammad Akbar Sobarna Muhammad Rivai Mujahidah, Sa'adah Mulud, Zamzaliza Abdul Nia Agustiningsih Nia Agustiningsih Nia Agustiningsih Nia Agustiningsih, Nia Nike Silprihatin Romauli Niken Sukesi Nordianna Seman Nursahid Nursahid Nursalam Nursalam Nursalam Nursalam, Nursalam Oktavia Ramadhani Saputri Ovtalia Andriyani Permana, Bhakti Puji Lestari, Sri Raras Arifa Kinanti Putri Rilla Fiftina Rita Sariani Saragih Rohmi, Rohmi Rompas, Meigi Rozaq I Nugraha Sa'adah Mujahidah Saifudin, I Made Moh. Yanuar Sawab Sawab Sawab Sawab Sa’adah Mujahidah Sa’adah Mujahidah Siti Nur Umariyah F. STIKES Karya Husada Semarang Son Haji Son Haji Son Haji Son haji, Son Sri Puji Lestari Sri Puji Lestari Sri Puji Lestari Sri Wahyuni Sri Warsini Suhartini Suhartini Supriyadi Supriyadi Takumasang, Reza Resaldi Theresia Asri Luberingsih Tri Ismu Pujiyanto Tri Ismu Pujiyanto Udur Hotmaira Sirait Umi Hani Umi Hani Utama, Julvainda Eka Priya Wenni Winasti Widiyaningsih Widiyaningsih, Widiyaningsih Winasti, Wenni Yulina Mahaling