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Effect of Digital Health Education Towards Anxiety among Pre-Operative Patients: A Systematic Review Danche, Daniel Nong; Sukartini, Tintin; Nastiti, Aria Aulia; Suarilah, Ira
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3772

Abstract

Anxiety is a major issue that worsens clinical symptoms and often arises when patients undergo surgery. However, the review of the impact of digital health education on pre-operative patients with anxiety is still limited. This study aimed to determine the effectiveness of digital health education in reducing anxiety in pre-operative patients. Methods: A systematic review of quantitative studies was conducted. Relevant full-text articles were sourced from four databases: Web of Science, Science Direct, Proquest, and PubMed, from January 1, 2019, to December 31, 2024. The quality of the included studies was assessed by the Joanna Briggs Institute (JBI). A narrative analysis was performed to present the effectiveness of digital health education on pre-operative patients with anxiety. Results: A total of 13 studies were identified, involving 1,394 pre-operative patients. The age of the participants ranged from 5 to 68 years. The effectiveness of digital health education for pre-operative patients with anxiety was seen as a mixed program combining images, audiovisual materials, and interactive features that allowed patients to communicate with each other and healthcare professionals. Conclusion: This study highlights that digital health education interventions are a promising avenue in healthcare delivery due to advancements in technology and information.
Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review Hidayati, Nurul; Widyawati, Ika Yuni; Suarilah, Ira; Astuti, Trihaningsih Puji; Tsanifiandi, Fauzi; Suraya, Andi Safutra
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4011

Abstract

Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.
Pemberdayaan Kader Posyandu dalam Pembuatan Sosis Udang Daun Kelor untuk Pencegahan Kekurangan Energi Kronis (KEK) pada Ibu Hamil di Pulau Talango Suarilah, Ira; Abidah, Aqmarina; Nirina Ilham, Riska Amelia; Paraswati, Sandrina Indah; Annisa Rahmah, Rifka; Mahmudiono, Trias; Ilham, Riska Amelia Nirina
Jurnal Pendidikan dan Pengabdian Masyarakat Vol. 9 No. 1 (2026): Februari
Publisher : FKIP Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppm.v9i1.10420

Abstract

Pernikahan dini, khususnya di wilayah pedesaan seperti Pulau Talango, Kabupaten Sumenep, masih menjadi faktor risiko signifikan bagi ibu hamil yang mengalami Kekurangan Energi Kronis (KEK). Kondisi ini meningkatkan risiko anak mengalami stunting, anemia, dan berat badan lahir rendah (BBLR). Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader Posyandu dalam pencegahan KEK melalui inovasi olahan pangan lokal bergizi berupa sosis udang daun kelor. Metode pelaksanaan menggunakan pendekatan partisipatif berbasis pemberdayaan masyarakat (Participatory Action Research) dengan melibatkan sasaran yang terdiri atas kader Posyandu, ibu hamil, dan ibu balita. Kegiatan yang dilakukan meliputi pelatihan pembuatan sosis udang daun kelor, penyuluhan gizi bagi ibu hamil, serta evaluasi keberlanjutan usaha. Evaluasi dilakukan melalui penilaian pengetahuan pre-test dan post-test serta observasi terhadap keterampilan pembuatan sosis. Hasil kegiatan menunjukkan peningkatan skor rata-rata pengetahuan peserta dari 9 menjadi 9,62 setelah diberikan edukasi. Selain itu, peserta juga mampu menghasilkan produk olahan yang memenuhi aspek organoleptik (warna, rasa, aroma, dan tekstur). Program ini tidak hanya meningkatkan pemahaman kader Posyandu terhadap gizi, tetapi juga mendorong motivasi mereka untuk mengembangkan usaha berbasis pangan lokal. Pendekatan ini direkomendasikan untuk direplikasi di wilayah lain dengan permasalahan serupa sebagai upaya berkelanjutan dalam menurunkan angka KEK pada ibu hamil dan memperkuat ketahanan pangan masyarakat.
Hubungan Edukasi Gizi berbasis Presentasi Oral dengan Peningkatan Pengetahuan Kader di Kecamatan Arjasa, Pulau Kangean: Association Between Oral Presentation-Based Nutrition Education and Knowledge Escalation among Cadres in Arjasa Subdistrict, Kangean Island Martina Puspa Wangi; Trias Mahmudiono; Soediantoro, Ira Suarilah; Mamun , Abdullah Al; Sahila, Nur; Yuniar, Cindra Tri; Nurramadhani, Wadi'ah Hasna; Suwandiman, Farah Mumtaz; Rakhmad, Amanda Fharadita Olivia; Yusryana, Eka Anisah; Ramadhan, Sasha Anggita
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 11 (2023): November 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i11.3984

Abstract

Latar belakang: Pemeriksaan antropometri merupakan pemeriksaan non-invasif kuantitatif yang menyediakan pengkajian mengenai status gizi pada anak-anak dan orang dewasa. Pemeriksaan antropometeri yang tidak tepat dan teliti, dapat menghasilkan data yang tidak valid untuk dijadikan dasar penegakan interpretasi status gizi. Kesalahan interpretasi status gizi, akan berdampak pada tidak tepatnya terapi gizi yang diberikan pada sasaran terkait. Salah satu status gizi yang dinilai berdasarkan penilaian antropometri adalah kondisi stunting. Stunting merupakan kondisi gagal tumbuh yang terjadi dikarenakan kekurangan gizi berkepanjangan, terutama pada 1000 Hari Pertama Kehidupan. Salah satu upaya yang dilakukan untuk mengejar ketertinggalan pertumbuhan, antara lain adalah dengan memberikan Pemberian Makanan Tambahan (PMT) yang disesuaikan dengan usia sasaran. Pulau Kangean, sebagai salah satu pulau terluar di Madura, memerlukan pemberdayaan kader sebagai pihak yang menyampaikan informasi esensial berkaitan dengan kesehatan dan gizi pada sasaran. Pulau Kangean memiliki bahan makanan lokal berupa anggur laut yang dapat dimanfaatkan sebagai bahan dasar dari pembuatan PMT. Pemberian materi mengenai pengukuran antropometri dan PMT dalam bentuk presentasi oral, merupakan salah satu metode yang dapat digunakan untuk meningkatkan pengetahuan audiens melalui pemaparan materi satu arah yang dilanjutkan dengan diskusi dan tanya jawab. Tujuan: Meningkatkan kapasitas kader dalam melakukan pengukuran antropometri, terutama pengukuran tinggi badan dan panjang badan sebagai upaya skrining stunting dengan validitas yang baik. Memberikan pandangan mengenai jenis makanan tambahan yang bisa dijadikan alternatif menu makanan tumbuh kejar yang bersumber dari bahan makanan lokal yang terjangkau. Peningkatan pengetahuan kader diharapkan terjadi dengan indikasi peningkatan skor prettest dan posttest sebelum dan sesudah intervensi presentasi oral dilakukan. Metode: Intervensi diberikan secara oral dengan menggunakan Power Point dengan durasi pemberian materi selama 45 menit secara sinkronus dan 15 menit secara asinkronus. Pengukuran tingkat pengetahuan pada kader diukur dengan menggunakan pretest dan posttest yang berjumlah 15 pertanyaan, dengan 10 pertanyaan mengenai skrining antropometri tinggi badan dan panjang badan serta 5 pertanyaan mengenai PMT. Hasil: Terjadi peningkatan pengetahuan kader ditandai dengan skor posttest dan pretest yang mengalami peningkatan sebesar 11 dari 100 poin yang diberikan. Sebanyak 70% kader mengalami peningkatan pengetahuan dan 30% dari kader tidak mengalami peningkatan pengetahuan. Seluruh kader yang terlibat dalam penelitian ini tidak berhasil melampaui batas nilai minimal untuk dikatakan lulus, yaitu sebesat 70 poin dari total 100 poin yang setara dengan 6-7 soal yang terjawab benar. Rata-rata soal yang berhasil terjawab benar pada pretest adalah 3-4 soal benar. Terjadi peningkatan jumlah soal benar, yaitu sebesar 5-6 soal pada posttest yang menjadi indikasi peningkatan pengetahuan mengenai skrining antropometri dan pemberian makanan tambahan pada kader. Kesimpulan: Presentasi oral yang dilakukan dengan memaparkan materi berkaitan dengan skrining stunting dan PMT tidak dapat meningkatkan pengetahuan kader secara signifikan. Salah satu penyebab inoptimalisasi paparan presentasi yang diberikan adalah durasi paparan materi yang terlalu lama dan diskusi interaktif yang tidak berjalan dengan baik. Diperlukan pengembangan metode edukasi gizi yang lebih aplikatif dan interaktif dengan melibatkan audiens, salah satunya adalah dengan menggunakan metode emo demo dan demo secara langsung yang melibatkan partisipasi aktif dari sasaran.
Remote Digital Support for Adults with Pulmonary Tuberculosis: A Systematic Review Yulmira Tisel; Ira Suarilah; Erna Dwi Wahyuni
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46969

Abstract

Remote digital health services, including Video Directly Observed Therapy (VDOT) and Wirelessly Observed Therapy (WOT), offer a promising alternative to traditional Directly Observed Therapy (DOT) for tuberculosis (TB) treatment adherence. This systematic review, following PRISMA guidelines, analyzed 10 randomized controlled trials (RCTs) involving 2,226 participants across seven countries. Results showed remote interventions improved medication adherence by 93% and increased sputum conversion rates to 73%. Most participants (84–100%) preferred digital services due to convenience, reduced travel burden, and better communication with healthcare providers. Remote digital health enables flexible, patient-centered care, particularly beneficial in areas with limited healthcare access, while addressing barriers of conventional DOT. However, successful implementation depends on robust technological infrastructure, continuous training for healthcare workers, and patient engagement strategies. Further multicenter studies are needed to validate these findings and guide policy adoption. This review highlights the efficacy and acceptability of remote digital health in TB care, advocating for its integration into treatment programs to enhance compliance and outcomes. Keywords: Remote digital health, pulmonary tuberculosis, medication adherence, health risks, health service
Music and Guided Imagery-Based Interventions for Psychological Outcomes in Breast Cancer Patients: A Systematic Review Darmawan, Luh Gede Wirani Riskayanti; Sukartini, Tintin; Suarilah, Ira
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.12745

Abstract

Psychological stress, such as anxiety and depression, is commonly experienced by women battling breast cancer, and this can significantly interfere with treatment adherence and recovery. Mind-body therapies such as music therapy and guided visualization are increasingly being used to help, although their effectiveness can vary from person to person. This systematic review aims to examine the benefits of these therapies for breast cancer patients. We searched four major databases—PubMed, Scopus, ScienceDirect, and Wiley Library—for randomized controlled trials from 2015 to 2025. We looked for studies in adult patients using these methods, with anxiety and depression as the primary outcomes measured, and things like stress, quality of life, and overall well-being as additional outcomes. We assessed bias using RoB 2.0 and mapped it with ROBVIS. The entire process followed PRISMA guidelines and was registered in PROSPERO under number CRD420251021032. Due to the high variability in study results, we opted for a narrative summary rather than detailed data analysis. Ultimately, we collected 12 studies covering breast cancer patients in stages 1 to 4. Sessions lasted between 12 and 60 minutes, spread over one to six weeks, and most included several relaxation techniques. Overall, people experienced a steady decrease in anxiety, depression, stress, and other mental pressures, along with better ways to manage emotions and an improved quality of life. It appears that music therapy and guided visualization can indeed make a difference in improving psychological well-being for women with breast cancer. However, it is important to note that these results should be considered carefully due to the uniqueness of the studies and the variation in outcomes. Therefore, moving forward, we need more robust randomized trials with clear intervention methods and standardized outcome tracking to build a stronger case.
Effectiveness of Intradialytic Stretching Exercises In Preventing Muscle Cramps in Individuals Undergoing Hemodialysis : A Systematic Review Tadi Tadi; Ika Yuni Widyawati; Ira Suarilah
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54719

Abstract

Introduction: Individuals with Chronic Kidney Disease (CKD) may experience symptoms of uremic syndrome. Intradialytic stretching exercises have been proposed as a method to increase activity levels while reducing uremic symptoms. Muscle cramps are a common complication of hemodialysis treatment and often lead to early termination of sessions, therefore, timely intervention to address muscle cramps in hemodialysis patients is a critical priority. Objective: To systematically analyse the effectiveness of intradialytic stretching exercises on muscle cramps among individuals undergoing hemodialysis Methods: A systematic review was conducted through five major databases: Scopus, PubMed, Science Direct, ProQuest, and Wiley, for the last five years publication (2020 to 2025). Eligible studies included those that implemented intradialytic stretching exercises interventions focused on muscle cramps for individuals undergoing hemodialysis. Data extracted included study characteristics, sample demographics, design, and measured outcomes. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, and findings were synthesized through narrative analysis. Result: Eleven studies (n=11) that obtained JBI quality assessment scores ranging from 77% to 92% were included in the final analysis, involving 809 participants from 7 countries, with intervention durations ranging from 4 to 24 weeks. The reviewed intradialytic stretching exercise interventions addressed aspects of muscle cramps, urea levels, and fatigue. Conclusion: Intradialytic stretching exercises demonstrate significant potential in preventing muscle cramps of individuals undergoing hemodialysis. Further research is needed to evaluate long-term outcomes and optimise intervention designs.
Peningkatan Pengetahuan dan Self-Efficacy Kader Posyandu dalam Melakukan Edukasi dan Pembuatan Media Edukasi Gizi Siti Rahayu Nadhiroh; Trias Mahmudiono; Ira Suarilah; Ernadila Diasmarani Hargiyanto; Callista Naurah Azzahra; Sasha Anggita Ramadhan; Soraya Tri Widayani; Eka Anisah Yusryana
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.816-822

Abstract

Backgroud: Kangean Island is one of the islands in Sumenep Regency, Madura, East Java. Malnutrition in under-five children is still one of the main problems in the Kangean Islands. In this regard, empowering posyandu (integrated service post) cadres to carry out nutrition education independently is one of the important factors in the success of reducing this nutritional problem. Objective: This paper analyzes the effectiveness of training activities to increase the knowledge and self-efficacy of posyandu cadres on Kangean Island, Sumenep Regency. Methods: Community service was carried out on Kangean Island on July 19 and 20, 2024 in the form of two activities, namely posyandu cadre training on how to carry out nutrition education and create good nutrition education media on the first day, and the second day was a nutrition education competition jamboree. Participants were 18 posyandu cadres from four villages on Kangean Island. The activity's success was evaluated using pre- and post-test questionnaire instruments and a paired sample t-test was carried out to see the difference in the average level of knowledge and self-efficacy before and after training. In addition, from the jamboree, it can be seen to what extent the cadres can implement the training materials. Results: The average score of knowledge and self-efficacy increased after the cadre training. There was a significant difference between the pre- and post-test for the cadres' self-efficacy level in providing education and making nutritional education media (p-value 0.024). In addition, each group from each posyandu representative succeeded in becoming educators and was able to make creative nutritional education media during the cadre jamboree. Conclusion: Community service in the form of training can increase the knowledge and self-efficacy of cadres in providing nutritional education and making nutritional education media. It is hoped that cadre training to provide nutritional education and make educational media can be carried out periodically by various related institutions. Some awards can also be held to increase the enthusiasm of cadres to carry out their duties.
Co-Authors -, Rusdianingseh Abdullah Al Mamun Abidah, Aqmarina Ah Yusuf Ah. Yusuf Amanda Fharadita Olivia Rakhmad Andi Safutra Suraya Andri Setiya Wahyudi Annisa Rahmah, Rifka Anugrah, Wimar Aria Aulia Nastiti Arifin, Hidayat Arifin, Moh Zen Astuti, Trihaningsih Puji Callista Naurah Azzahra Callista Naurah Azzahra Candra Panji Asmoro, Candra Panji Chrysoprase Thasya Abihail Danche, Daniel Nong Darmawan, Luh Gede Wirani Riskayanti Diah Indriani Efendi, Cahyaningsih Eka Anisah Yusryana Eka Anisah Yusryana Elyk Dwi Mumpuningtias Ernadila Diasmarani Hargiyanto Ernadila Diasmarani Hargiyanto Erwanda Anugrah Permatasari Farah Mumtaz Suwandiman Fitri, Nurul Fitriatul Jannah Gading Ekapuja Aurizki Harmayetty, Harmayetty Ice Septriani Saragih Ika Yuni Widyawati Ilham, Riska Amelia Nirina Ita Daryanti Saragih Joni Haryanto Kurniawati, Ninuk Dian Kusnanto Kusnanto Leni Anitasari Makhfudli Makhfudli Mamun , Abdullah Al Martina Puspa Wangi Martina Puspa Wangi Mery Fuji Astutik Moh Zen Arifin Mulyadi Mulyadi Nihayati, Hanik Endang Nining Tyas Triatmaja Nirina Ilham, Riska Amelia Nur Alifia Hera Nur Sahila Nurramadhani, Wadi'ah Hasna Nurul Hidayati Octaviani, Dinda Sesylia Pandu Rahmat Paraswati, Sandrina Indah Purwaningsih - Quintas, Ovindiana De Corona Dias Rakhmad, Amanda Fharadita Olivia Ramadhan, Sasha Anggita Ratna Puji Priyanti Rini Purwanti RR Dian Tristiana S.Pd. M Kes I Ketut Sudiana . Sahila, Nur Sasha Anggita Ramadhan Sasha Anggita Ramadhan Siti Rahayu Nadhiroh Soraya Tri Widayani Sriyono Sriyono Sriyono Sriyono Suparno Suparno Suwandiman, Farah Mumtaz Tadi Tadi Tintin Sukartini Sukartini, Tintin Sukartini Trias Mahmudiono Tsanifiandi, Fauzi Ulin Marliana Vourvachi, Christina Wadi'ah Hasna Nurramadhani Wahyuni Tri Lestari Wahyuni, Erna Dwi Yazid, Syahrul Abdul Yulis Setiya Dewi Yulmira Tisel Yuniar, Cindra Tri Yusryana, Eka Anisah