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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan PROSIDING SEMINAR NASIONAL Nurse Media Journal of Nursing Jurnal Keperawatan Komunitas Jurnal NERS Jurnal Keperawatan BSI Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Journal of Nursing Care Jurnal Perawat Indonesia Jurnal Kesehatan Indonesian Journal of Community Services Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Anakes: Jurnal Ilmiah Analis Kesehatan Journal of Advanced Multidisciplinary Research Lentera Perawat Jurnal Indonesia Sosial Sains Health Research Journal of Indonesia Jurnal Ilmiah Sultan Agung Jurnal Ilmu Kesehatan dan Gizi Journal of Educational Innovation and Public Health Detector: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan JOURNAL OF Mental Health Concerns Jurnal Kesehatan Kartika Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Prosiding Seminar Nasional Unimus Vitamin: Jurnal Ilmu Kesehatan Umum Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Keperawatan Medika Jurnal Siti Rufaidah Holistik Jurnal Kesehatan MEDICA (International Medical Scientific Journal) Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Iskim Luthfa
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Studi Eksplorasi Stres Pada Mahasiswa Di Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung Semarang Girang Tri Lumintu; Moch Aspihan; Iskim Luthfa
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/xtp50y92

Abstract

Nursing students constitute a population that is particularly vulnerable to stress due to academic demands, clinical practice requirements, and complex psychosocial pressures. Poorly managed stress may adversely affect mental health, learning motivation, and academic performance. This study aimed to explore the levels of stress among students of the Faculty of Nursing at Sultan Agung Islamic University, Semarang. A descriptive study design with an exploratory quantitative approach was employed. The sample consisted of active students selected using purposive sampling techniques. Data were collected using a stress-level questionnaire that had been tested for validity and reliability. Univariate analysis was conducted to describe the frequency distribution of respondents’ stress levels. The findings revealed that the majority of students experienced moderate stress, followed by mild and severe stress. Academic factors, workload, clinical practice demands, and time pressure were identified as the main contributors to stress. These results highlight the crucial role of educational institutions in providing psychological support programs and promoting adaptive coping strategies to enhance student well-being and support academic success.
Pengaruh Pemberian Edukasi Personal Hygiene Terhadap  Gejala Scabies Pada Santri Di Pondok Pesantren Miftahul Huda Kendal Ahmad Ghozali; Moch Aspihan; Iskim Luthfa
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/meegsy05

Abstract

Scabies is a contagious skin disease caused by infestation of the mite Sarcoptes scabiei and commonly occurs in densely populated environments such as Islamic boarding schools. Poor personal hygiene behavior is a major risk factor that facilitates the transmission of scabies. Miftahul Huda Islamic Boarding School in Kendal reported a high number of skin disease complaints over the past three months, indicating the need for health interventions in the form of personal hygiene education to prevent and reduce scabies symptoms among students. To determine the effect of personal hygiene education on scabies symptoms among students at Miftahul Huda Islamic Boarding School, Kendal. This study employed a quasi-experimental design with a one-group pre-test post-test approach. A total of 27 students were selected using simple random sampling. Data were collected using an 8-item scabies symptom questionnaire. Data analysis included descriptive analysis, Kolmogorov–Smirnov and Shapiro–Wilk normality tests, and the Wilcoxon Signed Rank Test due to non-normal data distribution. The mean scabies symptom score before the intervention was 7.85 and decreased to 0.00 after the personal hygiene education. The Wilcoxon test showed a Z value of −4.916 with a p-value of 0.000 (p < 0.05). Personal hygiene education has a significant effect on reducing scabies symptoms among students.  
Faktor-Faktor yang Berhubungan dengan Tingkat Depresi pada Lansia yang Tinggal di Rumah Pelayanan Sosial Maya Audita Nurhayati; Iskim Luthfa; Moch. Aspihan
Journal of Health, Medical, and Psychological Studies Vol 1 No 3 (2026): April: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/b8yxp165

Abstract

Depression is a common mental health issue among older adults, particularly those living in social care facilities due to limited social support, declining physical function, and reduced independence. These factors can adversely affect quality of life and increase the risk of physical and psychological complications. This study employed a cross-sectional design with 135 elderly respondents residing in Pucang Gading Social Care Home and Wening Wardoyo Home. A total sampling technique was used. Data were collected using demographic questionnaires, the Multidimensional Scale of Perceived Social Support (MSPSS), a chronic disease questionnaire, the Barthel Index, and the Geriatric Depression Scale (GDS-15). Data analysis included univariate, bivariate using Spearman’s test, and multivariate analysis using logistic regression. Most respondents were aged 60–74 years (63.0%) and female (63.0%). Spearman’s test indicated significant correlations between social support (p=0.000) and independence (p=0.000) with depression levels. Chronic diseases showed a significant but very weak relationship (p=0.034). Multivariate analysis identified social support as the most dominant factor associated with depression (p=0.002). Conclusion social support and independence are significantly associated with depression levels among older adults living in social care homes, with social support emerging as the most influential factor
Hubungan Pola Komunikasi Orang Tua dengan Pengetahuan dan Sikap Remaja Tentang Kesehatan Resproduksi di SMPN 02 Moga Warungpring, Kabupaten Pemalang Ziadatul Mukaromah; Iskim Luthfa; Abrori, Abrori
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/mvbz5z66

Abstract

Adolescence is a phase where children experience significant physiological and psychological changes during the transition from childhood to adulthood. Limited access to information about reproductive health impacts adolescents' knowledge and sexual behavior. Good communication between families and teenagers concerning reproductive health is very important to Mitigate hazardous sexual conduct. This research aims to analyze the The correlation between parental communication styles and teenagers' understanding and perspectives on reproductive health. at SMPN 02 Moga, Warungpring, Pemalang Regency. The research used a quantitative design with a cross-sectional methodology. The sample used in this research was 161 students. Obtained through the method. The tools a questionnaire about parenting communication patterns, a questionnaire on adolescents' knowledge about reproductive health, and a questionnaire on adolescents' attitudes about reproductive health. Data were analyzed using the Somers' D examination. The outcomes of the static test from the Somers' D test analysis, patterns of communication with teenagers' understanding of reproductive health was declared significant with a p-value (Approximate Significance) of 0.000, which is less than α = 0.05. The correlation between communication patterns and teenage views on reproductive health was shown to be significant, with a p-value of 0.033 (<0.05).
Gambaran Tingkat Depresi Kecemasan dan Stress pada Penderita Diabetes Mellitus Tipe 2 di Puskesmas I Pucakwangi Kabupaten Pati Izabela Ayu Pasya; Moch. Aspihan; Iskim Luthfa
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/x3se3x89

Abstract

Type 2 diabetes mellitus is a chronic disease that not only affects physical condition but also affects the psychological health of sufferers, including depression, anxiety, and stress. This study aims to describe the levels of depression, anxiety, and stress in people with type 2 diabetes mellitus at the Pucakwangi Community Health Center in Pati Regency. This study used a descriptive observational design with a cross-sectional approach involving 117 respondents through total sampling. Data collection was conducted using the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire. The results showed that most respondents experienced anxiety (82 patients, 70.0%), the majority did not experience stress (97 patients, 83.0%), and some respondents experienced varying levels of depression. The psychological conditions experienced by patients have the potential to affect blood glucose control and adherence to treatment and therapy. This picture shows that the management of Type 2 Diabetes Mellitus needs to consider psychological aspects as part of efforts to improve the quality of life of patients. A comprehensive approach between physical and psychological aspects is expected to support the success of therapy and prevent long-term complications
The Role of Posyandu Cadres in the Management of Hypertension in Pudakpayung and Gedawang Hardiansyah, Teddy; Abrori; Luthfa, Iskim
Jurnal Indonesia Sosial Sains Vol. 7 No. 3 (2026): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v7i3.2255

Abstract

The incidence of hypertension in the community has increased every year. The management of hypertension requires the optimization of the role of Posyandu cadres. This study aimed to describe the role of Posyandu cadres in the working area of the UPTD Puskesmas Pudakpayung in managing hypertension cases in the community. The regeneration of Posyanducadres has become one of the challenges addressed in this study. This study employed a descriptive quantitative design. The research was intended to provide an overview of the role of Posyandu cadres in hypertension management at a specific point in time without intervention. Data were collected using a questionnaire, with validity and reliability test results showing an r-value of 0.411 with a p-value of 0.05 and a Cronbach’s alpha of 0.965. Sampling was conducted using a total sampling technique. Data analysis was performed using univariate analysis. Based on statistical analysis, the roles of Posyandu cadres in the primary and secondary categories were more dominant than those in the tertiary category and were influenced by length of service and prior hypertension training history. Continuous empowerment is necessary to balance and strengthen the roles of Posyandu cadres in the primary, secondary, and tertiary categories.
Factors associated with family adherence to tuberculosis preventive therapy based on the health belief model: A systematic review Gutteres, Domingos; Luthfa, Iskim; Setyowati, Wahyu Endang
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.709

Abstract

Background: Family adherence to tuberculosis preventive therapy (TPT) plays an important role in preventing tuberculosis transmission and progression among household contacts. The Health Belief Model (HBM) provides a useful framework for explaining how families perceive risk, severity, benefits, and barriers related to preventive therapy. However, evidence on factors associated with family adherence to TPT based on the HBM remains scattered across studies and has not been synthesized comprehensively. Objective: This systematic review aimed to identify and synthesize factors associated with family adherence to tuberculosis preventive therapy based on the constructs of the Health Belief Model. Methods: This study used a systematic review design. Literature searches were conducted in Google Scholar, PubMed, ProQuest, and ScienceDirect for articles published between 2019 and 2025 in English or Indonesian. The review included empirical studies that examined family-related adherence to tuberculosis treatment or preventive therapy and studies that used or reflected HBM constructs. Data were extracted using a structured form and synthesized narratively according to HBM domains and family-related adherence factors. Results: Eight studies were included in the final synthesis. The findings showed that family support consistently influenced adherence behavior in tuberculosis treatment and preventive therapy. Perceived benefits emerged as the strongest predictor of TPT acceptance, while perceived susceptibility, perceived severity, perceived barriers, and self-efficacy were also significantly associated with adherence-related behavior. Knowledge and attitudes contributed to treatment adherence, and HBM-based educational interventions improved medication adherence, nutritional practices, and transmission prevention behavior. Conclusion: Family adherence to tuberculosis preventive therapy is a multidimensional behavioral outcome influenced by family support, HBM-related perceptions, knowledge, attitudes, and contextual barriers. The Health Belief Model provides a relevant theoretical basis for understanding and strengthening adherence in family and household contexts.
Investigating the Correlation among Variables in the Islamic Spirituality Model for Comfort in Patients with Coronary Heart Disease Wahyuningsih, Indah Sri; Sukartini, Tintin; Dewi, Yulis Setiya Dewi; Luthfa, Iskim
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.898

Abstract

Comfort in patients with coronary heart disease (CHD) is crucial to accelerate the healing process during their stay in intensive care units (ICUs). Factors contributing to patient comfort are essential in providing comprehensive nursing care. This study aims to investigate the relationship among variables, including patient characteristics, emotional response, healthcare service, Islamic spirituality, spiritual meaning, and comfort in patients with CHD. A cross-sectional study was conducted, involving 110 respondents in the ICUs of hospitals across Central Java Province, Indonesia, from January to May 2023. The sample was taken using purposive sampling. The data were collected using questionnaires that had been modified under a permission from the authors. SmartPLS 3 with partial least square structural equation modelling (PLS-SEM) was employed to analyze the correlation among the variables. The result showed that patient characteristics showed significant correlations with emotional response (t=2.082, p=0.038) and spiritual meaning (t=3.142, p=0.002). Similarly, support significantly correlated with emotional response (t=4.032, p<0.001) and spiritual meaning (t=2.448, p=0.015). Healthcare service exhibited significant correlations with emotional response (t=9.485, p<0.001) and spiritual meaning (t=5.249, p<0.001). Emotional response was found to correlate with Islamic spirituality and spiritual meaning (t>1.96, p<0.05), while Islamic spirituality showed a significant correlation with spiritual meaning (t=2.727, p=0.007). Finally, spiritual meaning significantly correlated with comfort (t=6.119, p<0.001). In conclusion, this study demonstrated significant correlations among variables such as patient characteristics, support, healthcare service, emotional response, Islamic spirituality and spiritual meaning to enhance patient comfort in ICUs. Policymakers should pay attention to factors affecting patient comfort during their stay in ICUs, including physical, psychospiritual, sociocultural, and environmental comfort based on self-regulation.  
The mediating role of sleep quality in the relationship between workload and employees’ job stress: A systematic review Mona, Liwingston Filemon; Luthfa, Iskim; Abdurrouf, Muh; Rochmawati, Dwi Heppy
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.727

Abstract

Background: Workload is a major occupational factor that contributes to employees’ job stress and may also impair sleep quality. Increasing evidence suggests that sleep quality is not merely an outcome of work strain, but may function as an important mechanism through which workload influences psychological well-being. However, the mediating role of sleep quality in the relationship between workload and employees’ job stress has not been systematically synthesized across occupational settings. Objective: This systematic review aimed to examine the mediating role of sleep quality in the relationship between workload and employees’ job stress and to synthesize current evidence on how sleep quality explains or modifies this association across employee populations. Methods: This study employed a systematic review design. Literature searches were conducted in Scopus, PubMed, ScienceDirect, ProQuest, and ClinicalKey for Nursing for articles published between 2015 and 2025. Studies were included if they involved employees or workers, examined workload or work-related stress, assessed sleep quality, and reported job stress-related outcomes. Study selection, data extraction, and quality appraisal were conducted systematically, and the findings were synthesized narratively because of heterogeneity in study designs, measures, and analytical approaches. Results: The search identified 2,264 records, and 12 studies were included in the final synthesis. The included studies consistently showed that higher workload or work-related stress was associated with poorer sleep quality across diverse occupational groups. Sleep quality emerged as a recurrent mediating factor linking occupational burden with adverse outcomes, including burnout, depressive symptoms, daytime dysfunction, and reduced well-being. Additional psychological mechanisms, such as rumination, anxiety, and depression, frequently strengthened this pathway, whereas physical activity, resilience, and social support appeared to buffer the negative effects. Conclusion: Sleep quality plays a significant mediating role in the relationship between workload and employees’ job stress. Interventions to reduce job stress should therefore address not only workload management, but also sleep health and related psychological factors in the workplace.  
Co-Authors Abdurrouf, Muh Abrori, Abrori Afnan Septiana Putri Ahmad Ghozali Alghozali, Rasyid Ardan Alif Ansyari Anzar Anas, Vina Helmaliya Apriliani Yulianti Wuriningsih Apriliani Yulianti Wuriningsih Aspihan, Moch. Aspihan, Mochammad Bella Aldanisa Afanda Cadela Gaby Metalia Putri Widodo Daniel Happy Putra Deviana Nokia Rosza Dewi, Yulis Setiya Dewi Dhianisa, Sofy Mila Distinarista, Hernandia Dwi Aprianti Dwi Heppy Rochmawati Dyah Wiji Puspita Sari Dyah Wiji Puspitasari Eriyanto Eriyanto Eriyanto Eriyanto Fitriani Sholekah Furaida Khasanah Girang Tri Lumintu Gutteres, Domingos Hardiansyah, Teddy Harno, Harno Helvian Rimba Pratama Putri Herry Susanto Indah Sri Wahyuningsih Ismaya Wulandari Iwan Ardian Iwan Ardian, Iwan Izabela Ayu Pasya Jesica Sari Dea Saputri Kartika Fitri Diahastuti Khasanah, Nopi Kurnia Wijayanti Lisa Septi Meilinda Putri Lisa Tri Eriana Dewi Marcella Mahattan Nimas Marga Putri Ayu Lestari Ningsih Maya Audita Nurhayati Moch.Aspihan Mohammad Aspihan Mona, Liwingston Filemon Muflihah, Kurnia Ni’matul Muhammad Aspihan Muhammad Rifqi Lathif Mutia Shofa Nabilatun Khasanah Nadia Eka Pramesti Nafiatun Khasanah Niken Averenka Nikmah, Siti Anisatun Ni’mah, Nuris Sahilatun Nopi Nur Khasanah Nur Mufid Nurul Fadhilah Nutrisia Nu’im Haiya Rahmaningtia, Nabilla Rakhma Mayangsari Rikza Azri Musyfiq Risa Kisnawati Septiana Dwi Riskayanti Setiyowati, Fenny Setyowati, Wahyu Endang Siti Anisatun Nikmah Sri Rejeki Sri Wahyuni Tintin Sukartini Sukartini, Tintin Sukartini Tutik Rahayu Wildan Imaduddin Windani, M.S., Citra Ziadatul Mukaromah Zulva Aulia Faradil