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English English Bakhtiar, Erwin; Rochmawati, Dwi Heppy; Susanto, Wigyo; Hendrawan, Gagah Satria
Jurnal Surya Vol 17 No 01 (2025): Volume 17 Issue 01 2025
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v17i01.1153

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ABSTRACT   Introduction: Pulmonary tuberculosis (TB) patients need to have strong effort, desire, and belief in themselves to complete anti-tuberculosis drug (ATD) therapy. A preliminary study conducted on 30 patients observed that there were 12 patients (40%) with a history of incomplete ATD therapy due to non-adherence. This study aims to determine the relationship between self-efficacy and medication adherence in pulmonary TB patients. Methods: This quantitative study used a correlational analysis method with a cross-sectional approach. The collected sample of 60 TB patients used a total sampling technique. Self-efficacy was measured using The General Self-Efficacy Scale (GSE) and adherence to taking ATD was measured using the Morisky Medication Adherence Scales-8 (MMAS-8). The analysis was performed using the Spearman Rank test. Results: A total of 40 patients (66.7%) had moderate level of self-efficacy, and 27 patients (45%) had high level of medication adherence. There was a significant relationship between self-efficacy and adherence to taking ATD with a significance value of <0.001 and a level of closeness of 0.695. Conclusion: The relationship between self-efficacy and adherence to taking ATD is a strong and unidirectional relationship. Families are expected to provide support to improve the self-efficacy of pulmonary TB patients, such as giving confidence to patients to be able to complete TB treatment. Keywords: Adherence, Medication, Self-Efficacy, Tuberculosis
The Relationship between Lifestyle and Stress Levels with the Incidence of Diabetes Mellitus: Literature Study Istiadah, Ika Lilis; Rochmawati, Dwi Heppy; Melastuti, Erna; Amal, Ahmad Ikhlasul
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5912

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Diabetes Mellitus (DM) is a chronic disease marked by high blood glucose due to insulin dysfunction. Its prevalence is rising, with Indonesia ranking seventh globally. Unhealthy lifestyles and stress exacerbate the issue, highlighting the need for improved prevention and management strategies. This study examines how lifestyle and stress influence DM incidence in Indonesian patients, identifying risk factors to enhance healthcare strategies. A systematic review using PRISMA guidelines analyzed studies from various databases (2019-2024), selecting relevant articles based on inclusion criteria and extracting key research data. From 10 reviewed journals, 4 linked lifestyle to DM, 1 identified sedentary behavior as a prediabetes risk, and 5 highlighted stress as a major factor. Preventing and managing DM requires a healthy lifestyle, stress management, and healthcare interventions to enhance patient well-being while reducing economic and health burdens.
A Literature Review of Factors Contributing to Asthma Relapse Septiani, Amalia; Suyanto, Suyanto; Rochmawati, Dwi Heppy; Melastuti, Erna
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6228

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Asthma is a chronic respiratory condition characterized by airway narrowing, inflammation, and excessive mucus production. Relapse refers to the recurrence of symptoms, which can be severe and disrupt daily activities, often necessitating additional care, either outpatient or inpatient, sometimes with a longer duration than previous episodes. The objective of this literature review is to examine the factors influencing asthma relapse. This study employed a literature review design. Articles were identified through online databases, specifically Google Scholar and PubMed, using keywords and Boolean operators such as AND, OR, NOT. The search terms included “Factors Associated with Asthma” AND “Relapse Asthma.” The literature search was conducted in November 2024, focusing on articles published between 2020 and November 2024. A total of 683 articles were retrieved from Google Scholar and PubMed. Based on the review of 10 selected studies, it was concluded that asthma triggers may result from biological, environmental, or chemical factors. Factors associated with asthma exacerbations include a history of smoking, gastroesophageal reflux disease (GERD), obesity, nasal polyps, depression, and anxiety. Factors linked to severe asthma exacerbations include atopic conditions and passive smoking as primary indicators.
Analysis of Factors Affecting Handover Quality in Nurses Honan, Honan; Abdurrouf, Muh.; Rochmawati, Dwi Heppy; Sari, Dyah Wiji Puspita
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6239

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As many as 50% of adverse events in hospitals occur during the handover of patient information. There are several things that can affect handover quality, including knowledge, motivation, resources, peer support and supervision from the head of the room. The purpose of this study was to determine the factors of knowledge, motivation and supervision that affect the quality of handover in nurses at Sari Asih Serang Hospital. This research is quantitative, the type of survey research approach used is cross sectional. The sample in this study was collected from a population of 135 inpatient nurses at Sari Asih Serang Hospital. The number of samples was determined using the Slovin formula, obtained a sample of 101 nurses selected using purposive sampling technique, deliberate selection of samples based on criteria relevant to the research objectives. inclusion criteria include nurses who are willing to become respondents, aged 21-55 years, and work in the inpatient room. While the exclusion criteria were nurses who resigned, were absent due to illness, leave, or other reasons during the study. The multivariate analysis test used is multiple logistic regression. It is known that the supervision variable is confounding. There is a significant relationship between motivation and handover quality in nurses at Sari Asih Serang Hospital with a p value of 0.015 (p <  0.05) and there is a significant relationship between supervision and handover quality in nurses at Sari Asih Serang Hospital with a p value of 0.016 (p <  0.05). The most dominant variable affecting handover quality is knowledge with an OR of 3.993 after being controlled by supervision of the head of the room.
Hubungan Antara Tingkat Harga Diri Mahasiswa dengan Keikutsertaan Organisasi Kampus Laili Sukmawati; Wigyo Susanto; Dwi Heppy Rochmawati
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 1 (2025): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i1.4887

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Every campus must have an organization within it. Many students join organizations on campus and have no relationship with their self-esteem. Every campus surely has organizations within it. The research results show a relationship between self-esteem levels and campus organization participation among students of the Faculty of Economics at Universitas Islam Sultan Agung Semarang, with a p-value of 0.000 and a moderate correlation indicated by an r-value of 0.450. The research results indicate a relationship between self-esteem levels and campus organization participation among students of the Faculty of Economics at Universitas Islam Sultan Agung Semarang, with a p-value of 0.000 and a moderate correlation shown by an r-value of 0.450.
Hubungan antara Tingkat Kecemasan dengan Kepatuhan Minum Obat pada Pasien Kemoterapi Ca Mamae di Rumah Sakit Semarang Masrokan; Dwi Heppy Rochmawati; Wigyo Susanto
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1756

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Breast cancer is the leading cause of death globally, following heart disease and stroke. One of the most commonly used treatments is chemotherapy, which offers various benefits but also causes physical and mental side effects. One of the psychological side effects often experienced is anxiety. Extreme fear and the threat of death from cancer can affect adherence to treatment. This study aims to assess the relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients at RSUD Semarang. This research used a quantitative approach with a descriptive correlational method, involving 110 participant samples. The questionnaires used for data collection were DASS-42 to measure anxiety levels and MMAS-8 to assess medication adherence. The study was conducted from June 30 to July 31, 2025, in the Oncology Center room of RSUD Sultan Agung Semarang. Bivariate analysis using Pearson's correlation test showed a p-value of 0.001 < 0.05, indicating a significant relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients. The measured correlation coefficient of -0.325** shows a moderately strong negative relationship, meaning that the higher the anxiety level, the lower the patient's adherence to medication. Based on these findings, it is recommended that nurses in the oncology unit provide additional education and support to patients regarding their anxiety. Effective psychological support can help patients reduce anxiety and increase adherence to treatment, which in turn can improve the outcomes of chemotherapy treatment.
Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Composmentis di ruang Icu Indah Puji Lestari, Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1758

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Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.
Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Compos Mentis di Ruang ICU Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1763

Abstract

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.
Pengaruh Spiritual Support (Dzikir) terhadap Tingkat Kecemasan Pasien Penyakit Jantung Koroner di ICU RSI Sultan Agung Semarang Fajrin Ziad Syahputra; Dwi Heppy Rochmawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1765

Abstract

Coronary heart disease is one of the major health problems that not only affects the physical condition of patients but also impacts their psychological state, particularly anxiety. Anxiety levels in patients with coronary heart disease usually increase when they are about to undergo invasive medical procedures such as Percutaneous Coronary Intervention (PCI). Anxiety can be influenced by several factors, including age, gender, educational level, and occupation. High levels of anxiety may worsen the patient’s clinical condition, making appropriate non-pharmacological interventions highly necessary to help reduce anxiety. This study aims to determine the effect of spiritual support in the form of dzikir on the anxiety levels of patients with coronary heart disease. The research design used was a true experimental design with a pretest-posttest control group design. The sample consisted of 30 respondents who were evenly divided into two groups: 15 respondents in the intervention group and 15 respondents in the control group. The sampling technique used was total sampling. The instrument for measuring anxiety was the Hamilton Anxiety Rating Scale (HARS). The results showed that providing spiritual support in the form of dzikir was effective in reducing patient anxiety, with a p-value of 0.001. In addition, there was a significant difference in post-therapy anxiety levels between the control and intervention groups, with a p-value of 0.019 (p < 0.05). These findings demonstrate that dzikir, as a form of spiritual support, can be used as a non-pharmacological intervention to reduce anxiety in patients with coronary heart disease. Thus, spiritual support can be an important component of nursing care for patients in the ICU.
Co-Authors ., Ellisa Abdurrouf, Muh. Abdussamad, Nawangsari Wahyuningtyas Achir Yani S. Hamid Achmad Noerkhaerin Putra Adhitya Indra Maulana Agus Budi Raharjo Ahmad Ikhlasul Amal Ahya Sari Dian Nitami Alghozali, Rasyid Ardan Armelia Tri Pangestika Aslam, Putri Latifa Astry Ratna Afriyanti Bakhtiar, Erwin benita irma widyastini Betie Febriana Budi Anna Keliat Cita Setya Utami Citra Permani Putri Dea Yuhanda W, Dea Desy Nur Laili, Desy Dewi, Perwita Rameka Dyah Wiji Puspita Sari, Dyah Wiji Puspita Erna Melastuti, Erna Ersa Putri Andini Fajrin Ziad Syahputra Fandi Muhbar Febriana, Betty Haq, Baihaqi Izzul Hendrawan, Gagah Satria Hetty Catur Ellyawati, Hetty Catur Honan, Honan Ice Yulia Wardani Ika Chandra Putri Indah Puji Lestari Indah Puji Lestari, Indah Puji Lestari Indah Tri Ayu Iskim Luthfa Isni Rahim Paramaasri Istiadah, Ika Lilis Janitra, Fitria Endah Laela Elisia, Laela Laili Sukmawati Laily Nafisah Lia Khainun Nisa’ Lidya Fitrianingrum Lindawati Lindawati Lolla Loviana Subakir Masrokan Mochamad Abdoel Gofoer Muhbar, Fandi Nawangsari Wahyuningtyas Abdussamad Nofiansyah - Noviana, Aini Niswatun Novy Helena Chatarina Daulima Nur Hidayah, Nur Hidayah Pangestika, Armelia Tri Pratama, Raditiya Beni Purnomo - Putri, Mayshella Reghita Putri, Sinta Asaliyah Annisa Roseka Yuliyanti Roseka Yuliyanti, Roseka S. Eko Purnomo, S. Eko Senti Sene Septiani, Amalia Setyowati, Wahyu Endang Sholekhah, Sholekhah SITI FATIMAH Siti Nur Rochmayanti Susanto, Wigyo Suyanto Suyanto Syahrani, Nabilah Targunawan -, Targunawan Titik Suerni Tyas, Lutvi Mahendra Ning Ulumuddin, Muhammad Ikmal Umi Aghni Umi Nuraini, Umi Nuraini Wahyu Endang Setyowati Waluyo Sejati Wibawa, Yan Adi