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All Journal PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Indonesia Jurnal NERS Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Silampari Proceedings of the International Conference on Applied Science and Health Faletehan Health Journal Jurnal Ilmu dan Teknologi Kesehatan Jurnal Keperawatan Widya Gantari Indonesia JOURNAL EDUCATIONAL OF NURSING(JEN) Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Advance Sustainable Science, Engineering and Technology (ASSET) An Idea Health Journal Jurnal Ipteks Terapan : research of applied science and education Berita Kedokteran Masyarakat An Idea Nursing Journal Poltekita: Jurnal Ilmu Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan
Nur Agustini
Department Of Pediatric Nursing, Faculty Of Nursing, Universitas Indonesia, Depok, Indonesia
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Factors Associated with Parenting Stress in Parents of Children: A Cross-Sectional Study Yersi Ahzani; Nur Agustini; Allenidekania Allenidekania; Fajar Tri Waluyanti; Harjoedi Adji Tjahjono
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.775

Abstract

Abstrak: Background: Type 1 Diabetes requires complex lifelong care, increasing parental stress. The COVID-19 pandemic exacerbated this burden through disrupted healthcare, limited social support, and financial strain, particularly in Indonesia, where evidence on influencing factors remains limited. Methods: Cross-sectional research with consecutive sampling was conducted in the Family Association of Diabetes Sufferers in Children and Adolescents Indonesia. This study involved 136 parents who met the inclusion criteria. Multivariate linear regression analysis was performed to identify the relationship between parental characteristics and situational factors on parenting stress. A standard questionnaire and a self-administered questionnaire were used in this research. Results: The analysis demonstrated significant relationships between several variables and parenting stress. Specifically, economic status (p=0.006), marital status (p=0.031), healthcare system challenges during COVID-19 pandemic (p=0.000), social support (p=0.003), and coping mechanisms for children’s illness (p=0.047) were significantly associated with the frequency of parenting stress. Additionally, there were significant relationships between economic status (p=0.000), health care system challenges during the COVID-19 pandemic (p=0.001), and social support (p=0.015) with parenting stress based on parental difficulties. Conclusions: This study identified that parents’ coping mechanisms for managing their child’s illness and the availability of social support are critical factors influencing parenting stress. Notably, higher levels of social support were associated with lower parenting stress. These findings underscore the importance of integrating social support networks and targeted nursing interventions to alleviate parental stress and improve caregiving outcomes. Keywords: Parenting stress, Type 1 diabetes, COVID-19 pandemic, Cross-sectional study.
Educational interventions for diabetes prevention knowledge and behavior in children: a systematic review and meta-analysis Mariana Ulfa; Okki Dhona Laksmita; Nur Agustini; Happy Hayati; Imamah Indah Cahyani; Mega Hasanul Huda
Berita Kedokteran Masyarakat Vol 42 No 06 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i06.29453

Abstract

Purpose: This systematic review and meta-analysis evaluated educational interventions for improving type 2 diabetes prevention knowledge and preventive behaviors among children. Methods: A systematic search was conducted in PubMed, ScienceDirect, SAGE Journals, Scopus, ProQuest, MEDLINE, and the Cochrane Library for studies published between 2015 and 2025. Eligible studies were RCTs, cluster RCTs, and quasi-experimental studies evaluating diabetes prevention education among children aged approximately 6–18 years without diabetes and reporting knowledge or preventive behavior outcomes. Risk of bias was assessed using RoB 2 and ROBINS-I. Random-effects meta-analyses calculated standardized mean differences (SMDs) with 95% confidence intervals (CIs). Results: Thirteen studies were included; six were eligible for knowledge meta-analysis and four for preventive behavior meta-analysis, while the remaining studies were summarized narratively. Pooled analyses suggested that educational interventions were associated with improvements in diabetes prevention knowledge (SMD = 1.597; 95% CI: 0.796–2.398; p < 0.001) and preventive behaviors (SMD = 0.625; 95% CI: 0.162–1.089; p = 0.008). Interventions with more than four sessions and cluster RCTs appeared to show stronger effects. Substantial heterogeneity was observed, likely reflecting differences in study design, intervention duration, delivery methods, and outcome measures. Conclusion: Educational interventions appear to be associated with improved knowledge of type 2 diabetes prevention and may support preventive behaviors among children, but findings should be interpreted with caution given heterogeneity and methodological limitations. Multi-session school-based interventions, particularly those with more than four sessions, may be more promising. More rigorous studies with longer follow-up are needed.
Diagnostic Accuracy of Delirium Assessment Tools Among Critically Ill Infant : A Systematic Review Dewi Astika Rahmadhani; Risna Ningsih; Atik Setiawati; Siti Chodidjah; Nur Agustini; Mega Hasanul Huda
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.v7i3.6214

Abstract

Delirium is an acute change in neurologic function that can potentially lead to longterm impacts on children’s cognitive development and the quality of life. Infants under 12 months are particularly vulnerable because their cognitive and language abilities are not fully developed. Therefore, healthcare professionals need to enhance their knowledge of delirium symptoms, child development stages, and how to identify it in this age group to better detection and management. This study aims to evaluate the diagnostic accuracy of delirium assessment tools, namely the Cornell Assessment of Pediatric Delirium (CAPD), the Preschool Confusion Assessment Method for the ICU (psCAM-ICU), and the Sophia Observation Withdrawal Symptoms Pediatric Delirium (SOSPD), in detecting delirium in critically ill infants. This systematic review follows the PRISMA 2020 guidelines and includes a literature search in PubMed, Scopus, ProQuest, ScienceDirect, and Taylor & Francis from 2013 to 2023. Inclusion criteria consist of observational studies involving infants aged 0-11 months in ICU settings that utilized CAPD, psCAM-ICU, or SOSPD for delirium detection. The quality of the studies was assessed using the JBI Critical Appraisal Checklist for Studies Reporting Diagnostic Test Accuracy. Result : The analysis indicates that the SOSPD tool has a sensitivity ranging from 76.9% to 96.8% and specificity between 92% and 96.4%. The CAPD shows sensitivity from 87% to 94.1% and specificity from 88% to 98%. The psCAM exhibits sensitivity from 75% to 95% and specificity from 81% to 91%. The results demonstrate variability in accuracy depending on the age group and clinical condition of the children. Based on the research findings, psCAM is recommended as the most effective tool for detecting delirium in the infant population due to its ease of use and high accuracy. Early detection of delirium is crucial for enhancing clinical management and improving outcomes in critically ill infants.
Faktor-faktor yang Mempengaruhi Kelelahan pada Anak dengan Penyakit Jantung Bawaan: Systematic Review Imamah Indah Cahyani; Nur Agustini; Fajar Tri Waluyanti
Faletehan Health Journal Vol 13 No 02 (2026): Faletehan Health Journal, Juli 2026
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Fatigue is a multidimensional symptom commonly experienced by children with congenital heart disease (CHD) and contributes to reduce quality of life. This study aimed to identify factors influencing fatigue in children aged 2 to 18 years with CHD. A systematic review was conducted by searching eight databases: PubMed, ScienceDirect, Scopus, SAGE Journals, Wiley, Taylor and Francis, OpenAlex, and EBSCOhost. Seven observational articles to analyzed, sample sizes ranging from 30 to 931 children. The result indicated that fatigue was associated with frailty status, reduced health-related quality of life, decreased exercise capacity, greater disease severity, suboptimal family functioning, and a higher number of medical procedures. These findings highlight the importance of a comprehensive nursing approach that integrates clinical assessment and family-centered interventions to support fatigue management and improve overall well-being in children with CHD.
Automated Young Children’s Pain Detection via Facial Expressions with YOLO v11 Gusgus Ghraha Ramdhanie; Nurdina Widanti; Bambang Aditya Nurgraha; Tomy Abuzairi; Nur Agustini; Dessie Wanda
Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Vol 10 No 1 (2026): February 2026
Publisher : Ikatan Ahli Informatika Indonesia (IAII)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29207/resti.v10i1.7206

Abstract

This study demonstrates that pain detection in young children using a YOLO v11-based deep learning model can be performed effectively. By utilizing image data taken from video recordings of immunization and IV infusion procedures, then processed into photo frames and labeled using Roboflow, the model is able to provide good evaluation results. The dataset was divided into 70:20:10 for training, validation, and testing. Model performance evaluation uses accuracy, precision, recall, and F1-score metrics, and is visualized through a performance curve and confusion matrix. The results show that YOLO v11 has great potential as a pain detection method, with an mAP@0.5 achievement of 0.893, an accuracy of 78%, a precision of 89.3%, a recall of 97%, and an F1-score of 83%. The high recall value indicates the model's excellent ability to recognize pain expressions, making it relevant for use in clinical contexts to ensure pain symptoms are not overlooked. Overall, this performance demonstrates that YOLO v11 can be a more objective and accurate approach than manual instruments, and has the potential to be developed as a tool for healthcare professionals in pediatric pain assessment.
Associations of Fatigue with Quality of Life and Self-Efficacy in Adolescents with Type 1 Diabetes Mellitus: A Cross-Sectional Study Nur Agustini; Allenidekania Allenidekania; Yulia Yulia
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.761

Abstract

Background: Fatigue is a common concern among adolescents with Type 1 Diabetes Mellitus (T1DM) and may affect their quality of life and disease management. However, the relationship between fatigue, quality of life, and self-efficacy remains insufficiently understood. This study aimed to examine the relationship between fatigue and quality of life and self-efficacy among adolescents with T1DM. Methods: A cross-sectional correlational study was conducted with 110 adolescents aged 10–19 years with T1DM. Diabetes-related quality of life was assessed using the PedsQL Diabetes Module, fatigue using the Short Fatigue Scale, and self-efficacy using the Pediatric Rating of Chronic Illness Self-Efficacy (PRCISE) scale. Spearman correlations and Chi-square tests were used for analysis. Results: The results showed that 82.7% of participants experienced fatigue, with 17.3% categorized as having severe fatigue. Fatigue was moderately negatively correlated with quality of life (r = −0.547, p < 0.001) and self- efficacy (r = −0.475, p < 0.001). A significant association was also found between gender and fatigue level (p = 0.029), with severe fatigue reported more frequently among females (24.2%) than males (8.3%). Conclusion: Fatigue among adolescents with T1DM is associated with lower quality of life, lower self-efficacy, and gender differences. Self-efficacy may play an important role in reducing fatigue and supporting adolescent well-being.
Determinants of fatigue in children and adolescents with type 1 diabetes mellitus: A systematic review Risna Ningsih; Ina Islamia; Nur Agustini; Dewi Astika Ramadhani; Robiyatul Adawiyah; Mega Hasanul Huda; Dewi Hayati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.850

Abstract

Background: Fatigue is one of the most common non-specific symptoms experienced by children and adolescents with type 1 diabetes mellitus (T1DM), yet it often goes unnoticed by clinicians. It can affect quality of life, learning ability, and engagement in daily activities. Fatigue in T1DM patients is not only related to glycemic control, but is also influenced by a complex range of physical, psychological and social determinants. A comprehensive understanding of the factors that contribute to fatigue in this population is essential for the development of more effective and holistic intervention strategies. Purpose: To determine fatigue among children and adolescents with Type 1 Diabetes Mellitus. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The article search was conducted systematically using the keywords: “Child” AND “Children” AND “Adolescent” AND “Adolescence” AND “Teenagers” AND “Diabetes Mellitus Type 1” AND “Type 1 Diabetes” AND “IDDM” AND “Type 1 Diabetes Mellitus” AND “Juvenile Onset Diabetes” AND “Psychosocial Problem” AND “Psychosocial Support System” AND “Psychological Support System” AND “Social Support System”. This study is registered on PROSPERO (CRD42024618445). Results: Aside from anxiety, depression, and behavioral disorders, other psychosocial issues—specifically self-management difficulties—are also observed in children with T1DM. These challenges are often associated with fatigue, which can negatively affect a child's motivation, focus, and ability to consistently carry out essential diabetes care tasks such as taking insulin, monitoring blood sugar levels, managing diet, and engaging in physical activity. Conclusion: The findings related to fatigue as a psychosocial issue may offer evidence-based support for the early identification and intervention of psychosocial challenges in children and adolescents with T1DM.
Incidence and determinant factors of delirium in children in the PICU: A systematic review Hermin Mardiana; Mega Hasanul Huda; Nani Nurhaeni; Nur Agustini
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.1977

Abstract

Background: Delirium in children admitted to the Pediatric Intensive Care Unit (PICU) is an acute neuropsychiatric complication associated with increased morbidity, mortality, length of stay, and long-term neurocognitive impairment. Its incidence ranges from 17–65.6% and exceeds 90% in infants. Various determinant factors including young age, developmental delay, mechanical ventilation, benzodiazepine sedation, metabolic disturbances, physical restraints, and severity of illness have been identified in previous studies. Purpose: To identify the incidence and determinant factors of delirium in children hospitalized in the PICU. Method: A systematic review design with narrative synthesis following PRISMA 2020 guidelines was employed. Literature searches were conducted in PubMed, Scopus, Web of Science, and Google Scholar. Study selection followed PICOS criteria, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Due to heterogeneity in delirium assessment tools, populations, and effect sizes, analysis was conducted using a narrative synthesis approach. Results: Eight studies met the inclusion criteria. The most consistent determinant factors of delirium included developmental delay (OR 3.34–4.20), mechanical ventilation (OR 3.7–6.02), benzodiazepine use (OR 2.89–5.05), high PRISM/PIM scores, hypoxia, metabolic disturbances (OR 3.73), and the use of physical restraints (OR 4.67–5.86). PICU length of stay increased the risk of delirium by 1.1 times for each additional day. Conclusion: Delirium in children in the PICU is a multifactorial condition influenced by biological, clinical, pharmacological, and environmental factors. Prevention efforts should include early detection, routine screening using validated instruments, minimization of high-risk sedation, optimization of ventilation management, environmental modifications to support sleep patterns, and family involvement.
Co-Authors Ade Silvia Handayani Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania Anisah Fadhilah Atik Setiawati Atika Widyanti Bambang Aditya Nurgraha Budi Anna Keliat Budi Keliat Budi Keliat, Budi Dewi Astika Rahmadhani Dewi Astika Ramadhani Dewi Hayati Diah Ayu Agustin Dwi Novrianda Dwi Yuniar Ramadhani ERNA RAHMA YANI Fajar Tri Waluyanti Fajar Tri Waluyanti Gusgus Ghraha Ramdhanie Happy Hayati Harjoedi Adji Tjahjono Hazrina Adelia Hermin Mardiana Ibnu Ziad, Ibnu Ida Ruwaida, Ida Imamah Indah Cahyani Imamah Indah Cahyani Imami Nur Rachmawati Imami Rachmawati, Imami Imas Mulyani Ina Islamia Krisna Yetti La Ode Abdul Rahman Lina Budiyarti Mariana Ulfa Mega Hasanul Huda Mega Hasanul Huda Mega Hasanul Huda Meriam Efendi Meriam Efendi, Meriam Mieska Despitasari Mudzakkir, Muhammad Nani Nurhaeni Nenty Septiana Ninis Indriani Novita Dewi Rahmayanti Nurdina Widanti Nyayu Latifah Husni Okki Dhona Laksmita Putri Melisa Duha Rachmawati, Anita Rahma Fadillah Sopha Risna Ningsih Riswal Hanafi Siregar Robiyatul Adawiyah Rokhaidah, Rokhaidah Rukmini Rukmini Sanny Rachmawati Setyaningsih Setiawati, Santun Siti Chodidjah Sri Chodidjah Susanti Widiastuti Suyami - Syarifah Aini Tanjung Titin Ungsianik Tomy Abuzairi Wanda , Dessie Wardatus Sholihah Yati Afiyati Yati Afiyati, Yati Yeni Rustina Yeni Rustina Yeni Rustina Yersi Ahzani Yersi Ahzani Yudan Whulanza Yulia Yulia