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All Journal AcTion: Aceh Nutrition Journal Manuju : Malahayati Nursing Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Surya Muda: Ilmu Keperawatan dan Ilmu Kesehatan Jurnal Peduli Masyarakat Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Proceedings of the International Conference on Nursing and Health Sciences Jurnal Pengabdian Masyarakat Kesosi Jurnal Kesehatan Amanah Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Nursing Applied Journal The Journal General Health and Pharmaceutical Sciences Research Compromise Journal : Community Proffesional Jurnal Siti Rufaidah Essentia: Journal of Medical Practice and Research Sanitas: Journal of Health, Medical, and Psychological Studie
Rahayu Winarti
Universitas Widya Husada Semarang
Humanities Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Penerapan Terapi Pemberian Jus Nanas Untuk Menurunkan Kadar Asam Urat di Desa Genuk Ungaran Barat Zahrani Fahrisa Putri; Rahayu Winarti
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.814

Abstract

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.
Mobile health-based digital intervention to improve ARV compliance and nutritional intake in PLHIV at Bandarharjo Health Center Rahayu Winarti; Rozaq Isnaini Nugraha; Iq Balurrochman; Nanang Bagus Setiawan; Niken Sukesi
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.2658

Abstract

Low adherence to antiretroviral (ARV) therapy and inadequate nutritional intake remain persistent challenges among People Living with HIV/AIDS (PLHIV) in Indonesia, contributing to suboptimal treatment outcomes and reduced quality of life. Mobile health (mHealth), which utilizes mobile devices for health interventions, offers a promising solution by facilitating personalized, accessible, and continuous patient support. This study aimed to assess the effectiveness of an Android-based mHealth application, SEHAT+, in improving ARV adherence and nutritional intake among PLHIV at the Bandarharjo Health Center, Semarang. A total of 41 active PLHIV undergoing ARV therapy were recruited from March to May 2025. Descriptive and paired t-test analyses were conducted to compare adherence and intake before and after the intervention. The mean ARV adherence score increased from 62,3 (SD = 10,5) to 84,9 (SD = 8,1), and the nutritional intake score improved from 58,7 (SD = 11,2) to 79,2 (SD = 9,6), both showing statistically significant changes (p < 0,001). SEHAT+ features included medication reminders, dietary logs, multimedia-based nutrition education, and online consultation forums. The findings indicate that mHealth interventions can significantly enhance both medication compliance and nutritional behavior in PLHIV. Community-driven digital tools such as SEHAT+ have the potential to strengthen primary healthcare responses to HIV/AIDS in resource-constrained settings.
Efektifitas Edukasi Berbasis Audiovisual Dan Tutorial Tentang Arv Terhadap Kepatuhan Pada Pasien Odha Di Puskesmas Bandarharjo Iq Balurrochman; Rahayu Winarti; Maulidta K.W
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/4j9tvw89

Abstract

Non-adherence to antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA) remains a critical challenge that exacerbates treatment failure and viral resistance. This study aimed to compare the effectiveness of audiovisual-based and instructional-structured tutorial education on medication adherence among PLWHA at the Bandarharjo Community Health Center. A quasi-experimental study with a two-group pretest-posttest design was conducted using a purposive sample of 26 active PLWHA undergoing ART. Data analyzed using the Wilcoxon signed-rank and Mann-Whitney U tests revealed significant post-intervention improvements in both groups ($p = 0.000$). However, the comparative analysis of posttest outcomes showed no statistically significant difference between the two modalities ($p = 0.650 > 0.05$), indicating clinical equivalence. Conclusion: Both interventions exhibit equivalent efficacy in optimizing ART adherence, providing public health practitioners at primary care levels with operational flexibility based on resource availability.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat ARV di Ruang Khusus CST Puskesmas Kemayoran Jakarta Donny Prastyo; Rahayu Winarti; Menik Kustriyani
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.23012

Abstract

ABSTRACT HIV/AIDS continues to be one of the leading global health challenges. Antiretroviral therapy (ART) has proven effective in reducing viral load, yet its success largely depends on patient adherence. Knowledge is often considered an important factor influencing adherence, although previous research has shown inconsistent results. "The purpose of this study is to determine the relationship between the level of knowledge and adherence to antiretroviral (ARV) medication among patients in the CST (Care, Support and Treatment) unit at Kemayoran Public Health Center, Jakarta, in 2025. This study applied a quantitative correlational design involving 51 HIV-positive patients undergoing ART at the CST Unit of Kemayoran Public Health Center, Jakarta. Data were collected using the ART Knowledge Scale – Honghe Prefecture and the MMAS-8 questionnaire. Statistical analysis was performed using the Spearman Rank correlation test. The findings indicated that the majority of respondents demonstrated a low level of knowledge (64.7%), while adherence levels were mostly moderate (39.2%) and high (39.2%). Statistical analysis yielded a p-value of 0.723 (p 0.05) with a correlation coefficient of r = 0.051, suggesting no significant relationship between knowledge and adherence. Knowledge alone is not the main determinant of adherence to ART. Other factors, including patient motivation, family support, and psychosocial conditions, appear to play a more substantial role in influencing treatment adherence. Keywords: HIV/AIDS, Knowledge, Compliance, Antiretroviral Therapy (ART), Kemayoran Community Health Center.  ABSTRAK Latar Belakang, sampai saat ini HIV/AIDS menjadi masalah kesehatan global yang utama. Terapi antiretroviral (ARV) terbukti efektif menekan jumlah virus, namun keberhasilannya sangat dipengaruhi kepatuhan pasien. Pengetahuan dianggap sebagai faktor penting dalam kepatuhan, meskipun hasil penelitian sebelumnya tidak konsisten. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan dengan kepatuhan mengonsumsi obat antiretroviral (ARV) di ruang khusus CST (Care, Support and Treatment) Puskesmas Kemayoran Jakarta Tahun 2025.Metode penelitian ini menggunakan desain kuantitatif korelasional terhadap 51 responden pasien HIV yang menjalani ART di ruang CST Puskesmas Kemayoran Jakarta. Data dikumpulkan menggunakan kuesioner ART Knowledge Scale – Honghe Prefecture dan MMAS-8. Proses analisis statistik menggunakan uji Rank Spearman. Hasil penelitian menunjukkan bahwa sebagian responden memiliki tingkat pengetahuan rendah (64,7%) dengan tingkat kepatuhan sedang (39,2%) maupun tinggi (39,2%). Hasil uji statistik mendapatkan nilai p = 0,723 (p 0,05) dengan koefisien korelasi r = 0,051, yang menunjukkan tidak ada hubungan signifikan antara pengetahuan dan kepatuhan. Kesimpulan,pengetahuan tidak tidak menjadi penentu utama dalam kepatuhan minum obat ARV. Faktor-faktor lainnya seperti motivasi pasien, dukungan keluarga, dan kondisi psikososial dianggap lebih berpengaruh terhadapa kepatuhan pasien. Kata Kunci: HIV/AIDS, Pengetahuan, Kepatuhan, Antiretroviral Therapy (ART), Puskesmas Kemayoran.
Penerapan Pemberian Posisi dan Nesting terhadap Perubahan Suhu Tubuh, Saturasi Oksigenasi dan Frekuensi Nadi pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang Sri Rahayu; Rahayu Winarti
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/frx4m015

Abstract

Low birth weight (LBW) infants are at risk of physiological disorders such as hypothermia, unstable oxygen saturation, and hemodynamic disorders due to limited adaptation to the environment outside the womb. This study aims to determine the effect of positioning and nesting on changes in body temperature, oxygen saturation, and heart rate in LBW infants. The method used was a descriptive case study with a one-group pretest–posttest approach on five LBW infants treated in the Perinatology Unit of Batang Regional General Hospital. The nesting and positioning interventions were administered for three consecutive days, with each session lasting 30 minutes. Physiological parameters were measured before and after the intervention using a digital thermometer, neonatal pulse oximeter, and stethoscope. The results showed an increase in average body temperature from 35.8°C to 36.6°C, oxygen saturation from 94.8% to 98.2%, and heart rate from 130.8 to 136.8 beats per minute within normal limits. It was concluded that positioning and nesting are effective as non-pharmacological therapies to support the physiological stability of LBW infants.
Penerapan Edukasi Berbasis Theory of Planned Behavior Untuk Meningkatkan Kepatuhan Pengobatan, Nutrisi, dan Pencegahan Penularan pada Pasien Tuberkulosis (Tb) Di Puskesmas Batang 2 Sulistiyoningsih Sulistiyoningsih; Rahayu Winarti
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: 10.65310/2hf8yc88

Abstract

Here is the high-quality academic English version: Tuberculosis (TB) is a communicable disease that affects not only patients’ physical health but also their psychological well-being. Non-adherence to treatment, inadequate nutritional intake, and insufficient transmission-prevention behaviors remain significant challenges in TB control efforts. Education grounded in the Theory of Planned Behavior (TPB) is considered capable of influencing attitudes, subjective norms, and perceived behavioral control, thereby promoting more optimal health behavior changes. This study aimed to determine the effectiveness of TPB-based education in improving treatment adherence, nutritional fulfillment, and transmission-prevention practices among TB patients at Batang 2 Primary Health Center. A case study design was employed involving five TB patients undergoing the intensive phase of treatment. The intervention consisted of four face-to-face educational sessions over a two-week period, supplemented by twice-daily SMS/WhatsApp reminders. Data were collected using adherence observation sheets, nutritional questionnaires, and TPB observation forms, and were analyzed by comparing pre- and post-intervention scores. The results demonstrated an increase in adherence scores from 5–6 to 7–9 across all respondents. TPB-based education proved effective and is recommended as a nursing strategy to support TB control in primary healthcare settings.  
Hubungan Tingkat Pengetahuan Perawat Tentang Keselamatan Pasien Dengan Kepatuhan Terhadap Prinsip 7 Benar Dalam Pemberian Obat di Ruang Rawat Inap RS Khusus Bedah Columbia Asia Semarang Kusriyati Kusriyati; Rahayu Winarti
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/10n4gp55

Abstract

This study examines the relationship between nurses’ knowledge of patient safety and their compliance with the seven rights principle of medication administration in an inpatient setting at a specialized surgical hospital in Semarang. A quantitative empirical approach with a cross-sectional correlational design was employed, involving 54 nurses selected through total sampling. Data were collected using structured questionnaires and observational checklists, and analyzed using Spearman rank correlation. The findings indicate a statistically significant positive correlation with moderate strength, suggesting that higher levels of knowledge are associated with better compliance in medication practices. The results highlight that knowledge functions as a critical cognitive foundation influencing clinical behavior and adherence to safety protocols. However, variations in compliance suggest the involvement of additional factors such as workload, organizational support, and patient safety culture. These findings emphasize the need for integrated strategies combining continuous education, clinical supervision, and system-level interventions to enhance patient safety outcomes. Strengthening institutional policies and fostering a safety-oriented environment are essential to reduce medication errors and improve healthcare quality.
Pengaruh Diabetes Self-Management Education (DSME) Melalui E-Booklet Tehadap Efikasi Diri pada Pasien Diabetes Mellitus  di RSUD Kajen Pekalongan Lia Leonita; Emilia Puspitasari; Rahayu Winarti
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: 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/vtjrqp34

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder with a steadily increasing prevalence at both global and national levels. This condition poses a high risk of severe complications, including cardiovascular disease, renal failure, and neuropathy. Effective management of DM requires active patient participation through Diabetes Self-Management (DSM), which is strongly influenced by self-efficacy. However, many patients still exhibit low self-efficacy, highlighting the need for educational interventions such as Diabetes Self-Management Education (DSME), including those delivered through digital media like e-booklets. This study aims to examine the effect of DSME delivered via e-booklets on the self-efficacy of DM patients at RSUD Kajen Pekalongan. The study employed a quantitative approach with a quasi-experimental one-group pretest–posttest design without a control group. The population consisted of hospitalized DM patients, with an average of 92 patients per month, and a sample of 92 respondents selected using purposive sampling. Data were collected using the Diabetes Management Self-Efficacy Scale questionnaire and analyzed through frequency distribution and the Wilcoxon test. The results indicate that 90% of respondents had low self-efficacy prior to the intervention, which increased to 66.9% in the moderate category following the intervention. Statistical analysis revealed a significant effect (p = 0.000), confirming that e-booklet-based DSME effectively enhances self-efficacy among patients with DM.
Hubungan Beban Kerja dengan Tingkat Stres Perawat di RSUD Kraton Kabupaten Pekalongan Khusaeri Nanda Rosandi; Rahayu Winarti; Endang Supriyanti
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: 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/qq6mcw35

Abstract

Workload refers to a series of tasks that must be completed within a specific timeframe, involving both physical and mental abilities. An imbalance between job demands and an individual’s capacity can trigger work-related stress, particularly among nurses. This study aims to analyze the relationship between workload and stress levels among nurses at Kraton Regional General Hospital in Pekalongan Regency. The study employed a quantitative correlational design with a cross-sectional approach. The sample consisted of 58 inpatient nurses selected using total sampling according to inclusion criteria. The instruments used were the Nurse Workload Questionnaire and the Extended Nursing Stress Scale (ENSS). Data analysis was conducted using univariate and bivariate methods with the Spearman Rank test. The results showed that the majority of respondents had a moderate workload (50%) and moderate stress levels (48.3%). Bivariate analysis revealed a positive and significant relationship between workload and nurses’ stress levels (r = 0.529; p < 0.05). These findings indicate that an increase in workload contributes to higher stress levels among nurses.
Penerapan Aromaterapi Lemon terhadap Intensitas Mual Muntah Pasien Pasca Kemoterapi RSD K.R.M.T Wongsonegoro Kota Semarang Oninda Apriliya Hidayah; Dyah Restuning Prihati; Rahayu Winarti
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.361

Abstract

Chemotherapy is one of the main therapies for cancer patients. However, chemotherapy often causes side effects, particularly chemotherapy-induced nausea and vomiting (CINV), which can reduce patient comfort and quality of life. Complementary therapies, such as lemon aromatherapy, have been used to alleviate these symptoms. To describe the implementation of lemon aromatherapy in reducing the intensity of nausea and vomiting among post-chemotherapy patients. This study employed a descriptive case study involving five post-chemotherapy cancer patients at RSD K.R.M.T. Wongsonegoro Semarang. The intensity of nausea and vomiting was measured using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) before and after the administration of lemon aromatherapy through inhalation according to the standard operating procedure. Data were analyzed descriptively by comparing pre- and post-intervention scores. All participants experienced a reduction in nausea and vomiting intensity following the intervention. The mean RINVR score decreased after lemon aromatherapy, indicating an improvement in patients’ conditions. Lemon aromatherapy may be considered an effective complementary nursing intervention to reduce nausea and vomiting in post-chemotherapy patients.
Co-Authors Briant Nugraha Ade Thama Donny Prastyo Dwi Puji Astuti Dwi Retnaningsih Emilia Puspitasari Endang Supriyanti Endang Supriyati Ericca Ferari Fitrianingsih Fitrianingsih Harjito Harjito Indah Permata Sari Iq Balurrochman Ivik Malichaturofi’ah Khusaeri Nanda Rosandi Kusriyati Kusriyati Lia Leonita Machfud Saifudin Mariyati Mariyati Maulidta K.W Mei Nopitasari Meirita Pranawati Menik Kustriyani Muhammad Iqbal Nanang Bagus Setiawan Nika Nika Niken Sukesi Niken Sukesi Nonik Aprilliya Nur Azizah Magfiroh Oninda Apriliya Hidayah Priharyanti Wulandari Prihati, Dyah Restuning Raidha Febria Handayani Risjcha bunga winata Riska Riska Rozaq Isnaini Nugraha Septa Dwi Ariyanti Shisca Octavia Maharani Siti Kurniatun Siti Robiyah Sri Rahayu Sulistiyoningsih Sulistiyoningsih Tamrin Tamrin Tri Dian Herlambang Sakti Wahyu Griyaningsih Wahyuningsih Wahyuningsih Zahrani Fahrisa Putri