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Daniel Akbar Wibowo
Fakultas Ilmu Kesehatan, Universitas Galuh
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Application of benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive patients in Linggasari Village, Ciamis Regency Zen, Dini Nurbaeti; Anggraeni, Dewi; Nurhayati, Nurhayati; Anwar, Syamsul; Wibowo, Daniel Akbar
Science Midwifery Vol 12 No 2 (2024): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i2.1516

Abstract

Most elderly people with hypertension have poor sleep quality. Poor sleep quality in elderly people with hypertension can worsen their hypertension condition, causing an increased risk of heart disease, cognitive impairment, and a general reduction in quality of life. Benson relaxation therapy and progressive muscle relaxation can be an effective and safe alternative in managing sleep and activity in elderly people with hypertension. Both therapies do not involve the use of drugs and can be easily learned by seniors. This study aims to determine the effect of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This research uses a quasi-experimental method with a one group pretest posttest design. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The sample was determined using purposive sampling with a total of 35 respondents. The statistical results of the paired sample t-test showed a p value of 0.000 (p value < α 0.05) so it can be concluded that there is an influence of Benson relaxation therapy and progressive muscle relaxation on sleep quality in hypertensive elderly people. This study suggests integrating progressive muscle relaxation interventions combined with Benson therapy into community health programs by actively involving families.
Studi Kasus: Implementasi Health Education Teknik Buteyko Breathing Untuk Mencegah Kekambuhan Asma Dengan Media Video Pada Keluarga: Case Study: Health Education Implementation of Buteyko Breathing Technique To Prevent Asthma Recurrence With Media Video for the Family Andan Firmansyah; Muhamad Ramdan Nujulul Furqon; Daniel Akbar Wibowo; Tita Rohita
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.54

Abstract

Asthma is a disease caused by narrowing of the airway due to inflammation or inflammation, asthma is the top 5 causes of death per year. Buteyko breathing is a deep breathing technique that is useful for strengthening the respiratory muscles. The use of videos about buteyko breathing can clarify an abstract picture about the importance of preventing asthma relapse. This case study aims to implement the Buteyko breathing technique in families with asthma patients to prevent asthma recurrence by using video media. This research uses a descriptive case study design using a nursing care approach. Methods of collecting interview data, observation, physical examination, and documentation. With the implementation of health education Buteyko breathing technique with video media which is carried out for 3x24 hours. From the results of the study, it was found that data according to the client's confession usually relapses every 1-2 weeks because of the cold weather in the early morning. Then after being given the implementation of the Buteyko breathing technique with video media when confirmed on June 19, 2022, the client claimed that he had not relapsed. The results of the case study after being given health education on the Buteyko breathing technique for the family of Mr. M understands how to prevent asthma recurrence so that the intervention is successful. Buteyko breathing intervention using video media is effective in preventing asthma relapse based on the client's subjective acknowledgment.
The Effect of Digital Media-Based Nutrition Education on Animal-Based Food Feeding Behavior Among Parents of Toddlers: A Quasi-Experimental Study Wibowo, Daniel Akbar; Zen, Dini Nurbaeti
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.377

Abstract

Background: Low consumption of animal source foods (ASF) among children under five years children in Indonesia contributes to the high prevalence of stunting. Digital media–based nutrition education can potentially improve parental ASF feeding behavior. However, empirical evidence on its effectiveness in semi-urban and rural settings, particularly studies directly measuring parental behavioral change, remains limited. This study aimed to analyze the effect of digital media–based nutrition education on parental ASF feeding behavior among under-five children. Methods: This quasi-experimental one-group pretest–posttest study involved 150 parents of under-five children in Sukadana Village, Ciamis Regency, West Java, Indonesia, selected through stratified purposive sampling by hamlet. Inclusion criteria: parents with children <5 years old, having smartphone access, willingness to participate in the intervention, and provision of written informed consent. Exclusion criteria: incomplete pretest or posttest questionnaire data. The intervention consisted of a ±10-minute educational video on the importance of ASF, its sources, safe preparation, and tips to increase consumption, validated by nutrition experts. Feeding behavior was measured using a structured questionnaire (20 items; 3-point Likert scale; Cronbach’s alpha = 0.82). Data were analyzed using paired sample t-tests and effect size calculation (Cohen’s d) with 95% confidence intervals (CI) in SPSS v26. Results: Digital media–based nutrition education significantly improved parental ASF feeding behavior (p < 0.001), with a large effect size (Cohen’s d = 0.91; 95% CI: 0.69–1.12). The proportion of good behavior increased from 28.0% to 84.0%, while fair and poor behaviors decreased from 43.3% to 12.7% and from 28.7% to 3.3%, respectively. Conclusion: Digital media–based nutrition education is efficacious in improving parental ASF feeding behavior in semi-urban settings. This strategy has the potential to be integrated into stunting prevention programs in primary healthcare, community health posts, and community-based interventions. Recommendation: Implementation should be accompanied by healthcare worker support and continuous monitoring to ensure sustainable behavior change
Identification of gadget usage patterns and their impact on children's mental health using a local cultural approach in Ciamis Regency Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Wahyudi, Asep; Permana, Irfan; Nailla, Bunga Maratun; Firmansyah, Septian; Deswinta, Nina
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2194

Abstract

The development of digital technology has brought significant changes to children's behavior, including in Ciamis Regency. Gadgets such as smartphones and tablets are now part of children's daily lives, both for entertainment and learning. However, excessive use without parental supervision can have various negative impacts on children's mental health, such as sleep disturbances, emotional changes, and decreased social interaction. This study aims to identify gadget usage patterns and their impact on children's mental health, as well as explore the potential of local cultural values ​​as a promotive and preventive approach in maintaining children's psychosocial balance in the digital era. This study uses mixed methods with an explanatory sequential design, namely a quantitative analysis is carried out first to map the conditions of gadget use and mental health of school-aged children, then continued with a qualitative approach to explain the quantitative findings in more depth. In the quantitative stage, 60 children aged 7–12 years in Ciamis Regency were selected as respondents from the educational units that served as the research location. The instruments used were a questionnaire on gadget usage patterns and a mental health assessment instrument. Data analysis was carried out descriptively, cross-tabulation, and continued with ANOVA tests to determine the effect of gadget use on children's mental health. The results of the study showed that the majority of children were in the 9–11 year age range, a period of cognitive and psychosocial development that is highly sensitive to environmental stimulation. Gadget usage patterns showed that 50% of children were in the moderate usage category, while 36.7% were in the problematic usage category. The duration of gadget use was dominated by more than three hours per day with main activities such as watching YouTube, accessing TikTok, playing online games, and communicating via WhatsApp. Factors triggering high gadget use include busy parents, low supervision, and the use of gadgets as a tool to calm children. In terms of mental health, it was found that 43.3% of children were in the problematic category and 40% were in the borderline category, indicating a fairly concerning condition. Frequently reported symptoms included sleep disturbances, irritability, anxiety, decreased concentration, and withdrawal from social interactions. ANOVA analysis showed a p-value = 0.000, indicating a significant influence between gadget usage patterns and mental health. In other words, the more intense gadget use, the higher the risk of children experiencing mental health disorders. These findings align with previous research showing a strong link between excessive digital device use and increased symptoms of anxiety, depression, and social dysfunction in children and adolescents (Holmes et al., 2021; Odgers & Jensen, 2020).The qualitative phase was conducted through in-depth interviews with 21 informants consisting of parents and teachers. The analysis technique used was thematic analysis. The qualitative results revealed two major themes: (1) the emergence of psychological symptoms due to excessive gadget exposure and (2) changes in children's social behavior. Informants described that children became irritable when asked to stop playing with gadgets, were less interested in physical activities, and reduced interaction with peers. They preferred digital activities to traditional games or studying. Interviews also showed that local values ​​such as silih asih (compassion), silih asah (grooming), and silih asuh (caregiving) are still recognized, but have not been consistently integrated into parenting patterns and therefore have not been able to become a strong protective factor against the impact of gadget use. Overall, this study concludes that school-age children in Ciamis Regency are a group vulnerable to mental health problems related to gadget use. The mixed methods used provide a comprehensive picture that problematic gadget use patterns are directly proportional to the increased risk of mental health problems. Therefore, family-based interventions, schools, and local wisdom are important strategies in reducing the negative impacts of gadget use and supporting children's mental development.
Effectiveness of Allium cepa L. Compress in Reducing Body Temperature Among Under-Five Children with Acute Respiratory Infections: A Quasi-Experimental Study Zen, Dini Nurbaeti; Wibowo, Daniel Akbar
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.626

Abstract

Background: Acute Respiratory Infections (ARI) are among the most common illnesses affecting children under five and are often accompanied by fever. Inadequately managed fever may lead to discomfort and potential complications. One complementary therapy widely used in communities is the application of shallot (Allium cepa L.) compresses. This study aimed to analyze the effectiveness of Allium cepa L. compresses in reducing body temperature among toddlers with ARI. Methods: A quasi-experimental design with a pretest–posttest control group approach was employed. The study involved 48 toddlers, divided into 24 intervention and 24 control groups, selected using purposive sampling. Body temperature was measured using a digital thermometer. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The mean body temperature in the intervention group decreased from 38.2°C before intervention to 36.6°C after intervention, with an average reduction of 1.63°C. Statistical analysis showed a significant effect (p < 0.05). The control group experienced a smaller decrease (0.28°C). There was a significant difference between the intervention and control groups, with a large effect size (r = 0.87). Conclusion: Allium cepa L. compresses are effective in reducing body temperature among toddlers with ARI and can be considered a non-pharmacological intervention in pediatric nursing practice, particularly in primary healthcare settings.
Co-Authors Afriansyah, Bayu Agustin, Ervina Dwi Candra Mahardika Dedeng Nurkholik Deswinta, Nina Dewi ANGGRAENI Dewi Nurmalasari, Dewi Dewi, Wildan Sofia Dini Nirbaeti Zen Dini Nurbaeti Zen Durotul Aeni Zakiyah Firmansyah, Andan Firmansyah, Septian Fitriyani Fitriyani Gigin Ginanjar Heni Mulyani Hertini, Reni Hidayat, Asep Wahyudin Indra Lesmana Karina Agustin Laila Purnamasari Lasriani , Rifa muflihah muflihah Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Nadya Dewi Nailla, Bunga Maratun Nuranisa, Nisa Nurfajriah, Aini Nurhayati Nurhayati Nurul Fathia Oktavia, Suci Rahma Permana, Irfan Ramadhan, Acep Lubna Safiah, Devi Qoriatun Sahrul Salam, Pebri Dais Sapira, Nur Wifa Sasyari, Usman Sutarman Sutarman Syamsul Anwar, Syamsul Syifa Nadhilah Tiara, Tiara Tita Rohita Wahyudi, Asep Yalis Agustina Yoni Hermawan Zen, Dini Nurbaeri