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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kesehatan Reproduksi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Holistic Jurnal Keperawatan Respati Yogyakarta Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Community Empowerment for Health Berita Kedokteran Masyarakat Jurnal Pengabdian Masyarakat Bhinneka Jurnal Keperawatan 'Aisyiyah Community Development in Health Journal Narra X Jurnal Keperawatan Profesional Service Quality (Jurnal Pengabdian Masyarakat)
Shinta Prawitasari
Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Other

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Effect of Pursed Lips Breathing (PLB) on Increased Oxygen Saturation in Chronic Obstructive Pulmonary Disease (COPD) Patients: Literature Review Yari, Yarwin; Rohmah, Ulfa Nur; Prawitasari, Shinta
Jurnal Kesehatan Holistic Vol. 7 No. 2 (2023): Jurnal Kesehatan Holistic Volume 7/ Nomor 2/ Juli 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v7i2.163

Abstract

Introduction: Pursed-lips breathing (PLB) is a breathing exercise performed on patients with chronic obstructive pulmonary disease (COPD) to relieve symptoms of dyspnea so that the patient's oxygen saturation value increases, and its practice is widely taught as a breathing strategy to increase tolerance in performing activities. Objective: Determine the effect of pursed lips breathing (PLB) on increasing oxygen saturation in patients with chronic obstructive pulmonary disease (COPD). Method: This study used the method of literature review study. Result: Initial search results found as many as 4011 potential articles. After discarding articles identified as duplication and relevance to the topic, there were 6 articles that met the theme of the literature study, the six journals discussed the effectiveness of PLB in COPD patients. Conclusion: PLB is able to increase the patient's oxygen saturation value, so PLB intervention is recommended for COPD patients with dyspnea symptoms.
Lansia Sehat Bugar Produktif Dan Bahagia di RW 09 Pademangan Timur Jakarta Utara DKI Jakarta Mailintina, Yurita; Harahap, Sarah Geltri; Ludovikus, Ludovikus; Prawitasari, Shinta; Rahmaningsih, Ary; Refti, Weni Guslia; Hafiizh, Muhammad; Naufal, Hanif Zain; Hafizh, Muhammad Raihan
Jurnal Pengabdian Masyarakat Bhinneka Vol. 2 No. 1 (2023): Bulan September
Publisher : Bhinneka Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58266/jpmb.v2i1.67

Abstract

28-35% lansia di atas 65 tahun setidaknya jatuh satu kali dalam satu tahun dan meningkat pada usia di atas 75 tahun sebesar 32-42%. Jadi, sangat penting bagi lansia untuk menjaga dan memelihara kekuatan otot, Secara umum kegiatan ini bertujuan untuk terbentuknya kesadaran dan pengetahuan lansia dan memiliki kapasitas fisik yang kuat, Metode pre dan post test Hasil penelitian menunjukkan skor N-Gain sebesar 58,26605 dari 23 pertanyaan dapat disimpulkan bahwa metode yang digunakan peneliti dalam penelitian ini dinilai cukup efektif. Nilai N-Gain Score sebesar 58,26605 menunjukkan adanya peningkatan pemahaman atau dua hasil inkuiri yang signifikan setelah mengikuti kegiatan belajar. Hasil analisis menunjukkan rata-rata pengetahuan lansia meningkat, variasi pengetahuan menurun, dan terdapat hubungan positif kuat antara pengetahuan sebelum dan sesudah intervensi. Oleh karena itu, penelitian ini memberikan kontribusi penting untuk memahami pentingnya meningkatkan pengetahuan khususnya di kalangan lansia.
Evaluation of cervical cancer screening program implementation in Boyolali District in 2024 Fatikha, Amira Nada; Prawitasari, Shinta; Ahmad, Riris Andono; Kuncoro, Teguh Tri
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22721

Abstract

Purpose: The Boyolali district has never reached the cervical cancer screening coverage target for women of childbearing age, aged 30-50 years. In 2023, cervical cancer screening coverage reached 1.7% of the target of 63%. So this study aims to evaluate the implementation of the cervical cancer screening program in Boyolali District in 2024. Methods: This study used a descriptive, observational, quantitative design, with analysis using a logic model that included the program implementation components of inputs, activities, and outputs. Sampling was purposive, with 28 respondents selected for their roles in the cervical cancer screening program. Primary data were collected using a questionnaire instrument. All data obtained were then processed and analyzed descriptively using Microsoft Excel. Results: The evaluation of the cervical cancer screening program in Boyolali District shows that the input components, particularly regulations and human resources, remain inadequate. In terms of activities, passive and active services, socialization, advocacy, and monitoring and evaluation are still limited. As for cervical cancer screening in Boyolali District in 2024, coverage was only 2.44% of the target, with 6.53% of tests returning positive results. Conclusion: The implementation of the cervical cancer screening program in Boyolali District in 2024 was not optimal. Improvement efforts are needed in regulations, resources, and the intensity of activities to increase screening coverage.
Hubungan Pengetahuan Tentang Kesehatan Dengan Perilaku Menggunakan Rokok Elektrik Pada Remaja di Sekolah Menengah Kejuruan x anggraini, heni_anggraini; Prawitasari, Shinta; Ramba, Hardin La
Jurnal Keperawatan 'Aisyiyah Vol. 12 No. 2 (2025): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/JKA.635

Abstract

Penggunaan rokok elektrik pada remaja terus meningkat meskipun diketahui mengandung zat berbahaya seperti nikotin yang berdampak negatif terhadap kesehatan. Penelitian ini bertujuan untuk menganalisis hubungan antara pengetahuan tentang kesehatan dengan perilaku penggunaan rokok elektrik pada remaja di SMK Kesdam Jaya. Penelitian menggunakan desain kuantitatif cross-sectional dengan sampel 88 responden yang dipilih menggunakan teknik cluster sampling. Instrumen penelitian berupa kuesioner pengetahuan (17 item) dan perilaku penggunaan rokok elektrik (32 item) yang telah diuji validitas dan reliabilitasnya. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat pengetahuan cukup (78,4%), sedangkan 21,6% memiliki pengetahuan baik. Pada kelompok pengetahuan cukup, mayoritas responden berada pada kategori perilaku sangat rendah dan rendah, sedangkan pada kelompok pengetahuan baik sebagian besar responden justru berada pada kategori perilaku sedang (12,5%). Uji Chi-square menunjukkan adanya hubungan yang signifikan antara pengetahuan tentang kesehatan dengan perilaku penggunaan rokok elektrik (p = 0,004). Kesimpulannya, terdapat hubungan yang signifikan antara pengetahuan tentang kesehatan dan perilaku penggunaan rokok elektrik. Namun, pengetahuan yang baik tidak selalu diikuti oleh perilaku penggunaan rokok elektrik yang lebih rendah. Oleh karena itu, peningkatan pengetahuan perlu disertai dengan intervensi perilaku serta penguatan lingkungan sosial guna mencegah penggunaan rokok elektrik pada remaja.
Evaluasi Disfungsi Dasar Panggul Pasca Kemoradiasi pada Pasien Kanker Serviks Stadium Lanjut Lokal Putra, Pramana Pananja; Pangastuti †, Nuring; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 11, No 3 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.81361

Abstract

Latar Belakang: Kanker serviks merupakan kanker kedua terbanyak pada perempuan dengan mortalitas 11,4%. Kemoradioterapi sebagai terapi utama stadium lanjut diketahui menyebabkan perubahan morfologi dan fungsi otot dasar panggul.Tujuan: Mengevaluasi kejadian disfungsi dasar panggul pasca kemoradiasi pada pasien kanker serviks stadium lanjut lokal.Metode: Penelitian kohort prospektif pada 50 pasien kanker serviks stadium IIB-IVB yang menjalani kemoradiasi di RSUP Dr Sardjito periode Juni 2021-Juni 2022. Evaluasi menggunakan kuesioner PFDI, MOS, dan perineometri.Hasil dan Pembahasan: Prevalensi disfungsi dasar panggul meningkat dari 32% menjadi 74% pasca kemoradiasi. Terdapat peningkatan signifikan nilai PFDI (9,16 menjadi 24,58), penurunan MOS (3,92 menjadi 2,82), dan penurunan perineometri (11,21 menjadi 8,87) (p<0,05). Relative risk kemoradiasi terhadap disfungsi dasar panggul sebesar 1,62 (p<0,05).Kesimpulan: Kemoradiasi meningkatkan prevalensi dan memperburuk gejala disfungsi dasar panggul pada pasien kanker serviks stadium lanjut lokal.
Roberts Syndrome: A Case Report Arumsari, Regina; Prawitasari, Shinta; Attamimi, Ahsanudin
JURNAL KESEHATAN REPRODUKSI Vol 12, No 1 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.98160

Abstract

Background: Roberts syndrome (RBS) is a rare autosomal recessive disorder, with no estimates of prevalence have been published. It is caused by mutation in the “Establishment of cohesion 1 homolog 2” (ESCO2) gene on the short arm of chromosome 8, and characterized by symmetrical limb reduction, craniofacial anomalies, growth retardation, mental retardation, cardiac, and renal abnormalities.Objective: The aim of this case report is to describe the findings of a suspected case of Roberts syndrome born at Dr. Sardjito General Hospital and to examine the diagnostic process in suspected cases of Roberts syndrome in low-income countries such as Indonesia.Case: A 32-year-old woman came to the hospital at 29 weeks' gestation. Antenatal sonography screening showed a singleton pregnancy with multiple congenital anomalies: labiognatopalatoschisis, short humerus with absent antebrachial structures. After counseling about the fetal condition and prognosis, the pregnancy was terminated by Misoprostol induction. Post-natal examination revealed an extremely low birth weight baby with labiopalatoschisis, ear malformation, ventricular septal defect, patent foramen ovale, diaphragmatic eventration, bilateral phocomelia, syndactyly, and a Congenital Talipes Equinovarus (CTEV) of the left foot. A Roberts syndrome was suspected, and a cytogenetic testing was initially planned, however it was not done due to the high cost of the test and its availability. The baby’s condition deteriorated and later died on the second day after birth.Discussion: A suspicion of Roberts syndrome may begin during prenatal ultrasound of a fetus with multiple congenital anomalies. Mortality rates are high in severe clinical manifestations. Follow-up management for survivors involves a multidisciplinary medical approach.Conclusion:  Prenatal findings of limb abnormalities should be evaluated carefully to detect any associated anomalies which may links to a specific syndrome, thus helping a clinician predict prognosis, and further decide the most beneficial patient management.
The Relationship of Self-Esteem to Depression Incidence in Level 1 Nursing Students Majidah, Nur Aulia; Prawitasari, Shinta; Ramba, Hardin La
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.12290

Abstract

Nursing students in their early stages often face academic pressure and psychosocial transitions that can impact their mental health. This study aims to identify the relationship between self-esteem and depression levels among first-year nursing students in Jakarta. A quantitative correlational research method with a cross-sectional approach was used, involving 106 respondents selected through purposive sampling. The instruments used include the Rosenberg Self-Esteem Scale (RSES) to measure self-esteem and the Beck Depression Inventory-II (BDI-II) to assess depression levels. Data analysis was conducted using Spearman's test and chi-square. The results showed a significant negative correlation between self-esteem and depression (ρ = -0.875; p < 0.001), indicating that lower self-esteem is associated with higher levels of depression. These findings emphasize the importance of psychosocial interventions focused on enhancing self-esteem as a preventive measure for depression among nursing students. The study contributes to the development of mental health promotion strategies in nursing higher education. The implications suggest the need to integrate promotive and preventive approaches into the curriculum and counseling services to detect early depression risks and strengthen students' self-esteem from the outset. Group-based interventions and coping skills training can enhance the psychological well-being of students.
Technology-based contraceptive decision aids and the role of healthcare providers: A scoping review Wisdayanti, Syah R.; Prawitasari, Shinta
Narra X Vol. 4 No. 1 (2026): April 2026 (In Press)
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v4i1.254

Abstract

Technology-based decision aids are increasingly integrated into contraceptive counseling to enhance informed decision-making and promote patient-centered care. However, evidence regarding their effectiveness on clinical outcomes and the evolving role of healthcare providers remains limited. The aim of this study was to map existing evidence on technology-based contraceptive decision aids and to examine the role of healthcare providers in supporting decision-making processes. The study was conducted in accordance with the PRISMA-ScR framework. A systematic search was performed across PubMed/MEDLINE, Cochrane Library, ProQuest, ScienceDirect, and Scopus for studies published between January 1, 2000, and March 1, 2025. Study selection and data extraction were performed independently by two reviewers, with discrepancies resolved through discussion. A total of five studies were included, encompassing web-based platforms, mobile applications, and tablet-based tools. The findings suggest that technology-based decision aids improve patient knowledge and satisfaction. However, the assisting technology does not improve contraceptive uptake and continuation rates. Across studies, healthcare providers remained essential in facilitating shared decision-making by contextualizing information, addressing patient concerns, and supporting individualized choices. In conclusion, current evidence suggests that the use of technology to support contraceptive decision-making improves subjective outcomes, but not clinical outcomes. Healthcare providers remain essential in complementing these tools, ensuring that decisions are informed and tailored to individual contexts. Further high-quality studies are needed to strengthen the evidence base and evaluate long-term effectiveness.
Assessing Contraceptive Service Training Using the Kirkpatrick Model to Improve Health Worker Competency Prawitasari, Shinta; Barirah, Ratih; Sangun, Diannisa Ekarumi Enisar; Wiyati, Putri Sekar
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2932

Abstract

AbstractObjective: To evaluate contraceptive service training using the Kirkpatrick evaluation model levels 1–3.Methods: This quasi-experimental study was conducted based on the Kirkpatrick evaluation model to assess contraceptive service training in West Nusa Tenggara, Indonesia. Thirty health workers participated after providing informed consent. The competency-based training employed a blended learning approach, consisting of 57 hours of online theoretical instruction followed by 50 hours of face-to-face practical training. The training was evaluated at the reaction, learning, and behavior levels of the Kirkpatrick model. Participants were representatives from districts and municipalities across West Nusa Tenggara Province.Results: Participants reported a high level of satisfaction with the training (86.89%). Knowledge levels improved significantly, with mean scores increasing from 56.33 on the pre-test to 95.73 on the post-test. During the training, participants demonstrated effective counseling skills as well as competency in IUD and implant insertion and removal. However, the mean competency scores showed a decline one year after the training.Conclusion: The improvement in pre-test and post-test scores was statistically significant (p < 0.001). At the behavior level, a slight decrease in competency was observed after one year of follow-up.Keywords: contraceptive services, contraceptive training, evaluation, health worker, kirkpatrick model.
Quality of Life in Women with Congenital Disorders of Reproductive Organs After Surgery Arfita, Ika; Pangastuti†, Nuring; Prawitasari, Shinta; Sumarni, Sumarni
JURNAL KESEHATAN REPRODUKSI Vol 13, No 1 (2026)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.88158

Abstract

Background: Female reproductive organs' congenital abnormalities consist of abnormalities in the hymen, vagina, cervix, uterus, and others1. These abnormalities can affect women's ability to menstruate, sexual relations, reproduction, and psychological conditions2. Management of this abnormality depends on the defects of the organs involved and the expected improvement in function. This research was conducted because of the limitation of these cases.Objective: This study aims to determine the quality of life after surgery in women with congenital abnormalities of the reproductive organs.Methods: This study used a prospective study with a descriptive observational cross-sectional method. The population was patients at the Obstetrics Gynecology Polyclinic of Dr. Sardjito Hospital Yogyakarta in 2022 who had congenital disorders of the reproductive organs, aged at least 17 years old, and had undergone surgery. Participants filled out the FSFI and sociodemographic questionnaire.Results: There were 15 participants with 3 types of congenital abnormalities, namely 2 hymenal disorders (microperforate hymen and cribiform hymen), 9 vaginal abnormalities (vaginal agenesis and cervicovaginal agenesis), and 4 uterine and vaginal abnormalities (HWW syndrome). After surgery, 13 people experienced an improvement in abdominal pain; 9 people with primary amenorrhoea were able to menstruate; and 8 married people were able to have sex after surgery. For sexual function, 62.5% of participants had good FSFI scores.Conclusion: Surgery can provide a good function for abdominal pain, menstruation, and sexual relations.
Co-Authors Adi Heru Sutomo Adintyo Rahman, Muhammad Nur Adolfina Nilasari Ahsanudin Attamimi Ajeng Arumsari Yayi Pramesti, Ajeng Arumsari Amiruddin Amiruddin anggraini, heni_anggraini Anisa, Tiara Aulia Ardhanu Kusumanto Arfita, Ika Ariawan Soejoenoes Ariffianto, Adi Arumsari, Regina Astuti, Dyah Puji Ayuandari, Sarrah Barirah, Ratih Berns, Annike Ida Beti Wulansari Brantas Prayoga Carla Raymondalexas Marchira Carla Raymondalexas Marchira, Carla Raymondalexas Chairunisa, Ratu Chamy Rahmatiqa Dalri Nur Fidina Diah Rumekti Hadiati Diannisa I E Sangun Efriyan Imantika Eka Mega Sari Ernawati Ernawati Eugenia Maria Alodia Hartono Evi Septiani Fatikha, Amira Nada Fauzan Achmad Maliki Fidina, Dalri Nur Hafizh, Muhammad Raihan Hanif Reza Hanifah Mirzanie Harahap, Sarah Geltri Hardiknas Steven Saneba Herlina Pradjatmo Heru Pradjatmo ika putri ika putri Indraswari, Lathifa N Irwan Taufiqur Rachman Ismail Joko Sutresno Kartika Wijayanti Kartika Wijayanti Kuncoro, Teguh Tri Lathifa N Indraswari Leo Prawirodihardjo Leo Prawirodihardjo Leo Prawirodihardjo Lisa Soldat Ludovikus, Ludovikus Madarina Julia Madarina Julia Mailintina, Yurita Majidah, Nur Aulia Maya Safitri Miftakhul Muslichah Milhan Milhan Milhan Milhan, Milhan Mirzanie, Hanifah Mohammad Hakimi Mora Claramita muhammad hafiizh, muhammad Muhammad Hakimi Muhammad Hakimi Muhammad Lutfi Muhammad Lutfi Muhammad Nurhadi Rahman Muslichah, Miftakhul Nadia Mutiara Zahra Nani Emma Nani Emma Naufal, Hanif Zain Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Ova Emilia Pangastuti †, Nuring Pangastuti†, Nuring Patricia Alika Kurniawan Pradjatmo, Herlina Pramana Pananja Putra Prima Daniyati Kusuma Prima Daniyati Kusuma Putri Sekar Wiyati Rahmaningsih, Ary Ramba, Hardin La Ridwan, Rizal Riris Andono Ahmad Risanto Siswosudarmo Rizal Ridwan Rohmah, Ulfa Nur Rukmono Siswishanto Sangun, Diannisa Ekarumi Enisar Sangun, Diannisa I E Santi Yuliani Saputra, Aldi Sari, Eka Mega Satriagraha, Oky Ardian Shofwal Widad Siswanto Agus Wilopo Soejoenoes, Ariawan Suarti, Ni Made Sumarah Sumarah Sumarah Sumarah Sumarni Sumarni Sumarni Sumarni Sutresno, Ismail Joko Tri Setyaningsih Udayani, Ni Putu Eka Chandra Vicky Admiral Aprizano Wahyudi Istiono Weni Guslia Refti Wenny Wenny Wenny, Wenny Winda Nurmayani M Wisdayanti, Syah R. Yari, Yarwin Yayuk Hartriyanti Yosi Tamara