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All Journal International Journal of Public Health Science (IJPHS) Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Risenologi Jurnal Ners Wellness And Healthy Magazine Jurnal Antara Abdimas Keperawatan Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Medika Respati : Jurnal Ilmiah Kesehatan Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Antara Abdimas Kebidanan Jurnal Farmasetis Innovative: Journal Of Social Science Research Journal of Innovative and Creativity Malahayati International Journal of Nursing and Health Science
Achmad Fauzi
Department Keperawatan, STIKES Abdi Nusantara, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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The Effect of Topical Vitamin D and Olive Oil on Xerosis and Pruritus in HD Patients Achmad Fauzi; Rima Yulia; Tangguh Panji Saputra; Ajeng Handaru Putri; Wahyu Agung Dwi Saputra
Jurnal Penelitian Pendidikan IPA Vol 10 No 11 (2024): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i11.8779

Abstract

The kidneys are essential organs maintaining the body's stability. Chronic Kidney Disease (CKD) causes 850,000 deaths yearly, ranking it 12th among global causes of death. This number is projected to rise, reaching 14 per 100,000 people by 2030. This study used a quantitative quasi-experimental design with a one-group pretest-posttest approach from June 13 to July 13, 2024. The study involved 42 respondents, and paired t-test analysis revealed significant effects of applying topical Vitamin D and olive oil on xerosis and pruritus in hemodialysis patients in West Java hospitals (T-Count: 23.854 > T-table: 0.462, p-value: 0.045). Most respondents were aged over 50 (66.9%) and predominantly male (61.9%). Hemodialysis duration varied, with 32.3% treated for less than 12 months and 47.7% for over 12 months. Comorbidities were present in 88% of respondents. After treatment, no patients reported severe itching from xerosis or pruritus. In conclusion, the study shows that topical Vitamin D and olive oil significantly reduce xerosis and pruritus in hemodialysis patients in West Java (p-value: 0.045).
Patients Compliance In Limiting Liquid Intake And Nutrition Can Regulate Biological And Biochemical Value Of Blood In Patients Through Hemodialysis Achmad Fauzi; Rusmai Triaswati; Jumari Jumari
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 02 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia Volume 22 June 2021: Covid-19 disease,
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.778 KB) | DOI: 10.33221/jiiki.v11i02.1124

Abstract

Background: IDWG (Intradialytic Weight Gain) is one of the indicators to evaluate the biological value of weight change between the time of dialysis whose value is influenced by patient adherence to limit the intake of fluids and foods high in sodium, while potassium, sodium, albumin, urea and creatinine is an indicator of blood biochemical values whose value is influenced by patient adherence to limit the intake of nutrients. Objectives: Hospital hemodialysis unit Bekasi Methods: The sample was selected using the technique of Non-Probability Sampling or non-random sampling with purposive sampling method, and came up with 73 respondents. Results: Data collection was done through two types of data namely primary and secondary data. Primary data obtained from the questionnaires A and B by the respondent directly and secondary data obtained from the results of direct measurements by researchers that IDWG and blood biochemistry values obtained from the patient laboratory results. The results showed a significant relationship between the level of compliance yng patients for limiting the intake of fluids and nutrients to the IDWG, potassium, sodium, albumin, urea and creatinine with P Value successively ie, p = 0.0005; p = 0.020; p = 0.008; p = 0.013; p = 0.002; p = 0.004 with a = 0.05. Conclusion: of this study can be used in planning interventions appropriate education, in order to prevent and decrease the physical deterioration of the condition of patients on dialysis due to less or no maximum to limit fluid intake and nutrition.
Longitudinal Mixed-Methods Study: Impact of Social Determinants on Maternal Health Access among Women with Disabilities (Urban vs. Rural) Elfira Elfira; Achmad Fauzi; Astri Mutiar; Linlin Lindayani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.922

Abstract

Background: Women with disabilities face persistent inequities in accessing maternal health services, despite legal guarantees of inclusive care. Evidence suggests amplified barriers in rural settings; however, longitudinal data capturing temporal changes and women’s lived experiences remain limited. This study investigated how social determinants shape maternal health access among women with disabilities in urban versus rural settings in Indonesia. Methods: A longitudinal mixed-methods design was applied across two sites in West Java: Bekasi City (urban) and Garut District (rural). A total of 300 women with physical, sensory, or mild intellectual disabilities were followed from early pregnancy to six weeks postpartum. Quantitative data were collected at three time points and analyzed using Generalized Estimating Equations and multilevel logistic regression. Concurrently, 35 participants were purposively recruited for in-depth interviews and focus group discussions, analyzed thematically with NVivo. Data were integrated through triangulation and convergence to explain disparities across the maternal healthcare continuum. Results: Significant urban–rural inequities were found. Urban participants demonstrated higher utilization of ≥4 ANC visits (from 62% to 84%), facility-based deliveries (91%), and postnatal care (77%) than rural participants (ANC from 39% to 56%; delivery 68%; postnatal 52%) (p < 0.05). Key determinants of access included maternal education (AOR = 1.46; 95% CI 1.18–1.81), health insurance (AOR = 1.50; 95% CI 1.20–1.87), family support, economic status, and transportation accessibility. Six qualitative themes revealed reinforcing relational and emotional dynamics: structural barriers, stigma and discrimination, family role, digital divide, coping strategies, and emotional experiences. Conclusion: Women with disabilities experience compounded inequities in maternal healthcare access, particularly in rural areas, driven by intersecting structural, socioeconomic, and relational determinants. Improving accessibility, enhancing disability-sensitive and stigma-free care, and strengthening digital and community support systems are essential to achieve equitable maternal services. Findings inform a new integrative framework for inclusive maternal health, guiding targeted policy and health system interventions in Indonesia and similar low-resource contexts.
SmartBreastfeed: Effectiveness of a Digital Intervention in Reducing Postpartum Fatigue and Enhancing Breastfeeding Motivation Lia Idealistiana; Achmad Fauzi; Astri Mutiar; Linlin Lindayani; Irma Darmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.923

Abstract

Background: Postpartum fatigue is a highly prevalent condition affecting up to 88% of mothers in the early postpartum period, negatively influencing maternal well-being and breastfeeding outcomes. In Indonesia, fatigue contributes to low exclusive breastfeeding rates, which remain below national and WHO targets. Digital health solutions offer promising opportunities to provide continuous breastfeeding support; however, existing applications are predominantly infant-focused and rarely address maternal psychosocial needs such as fatigue and motivation. Objective: To evaluate the effectiveness of the SmartBreastfeed mobile application in reducing postpartum fatigue and enhancing breastfeeding motivation among mothers during the first six weeks after childbirth. Methods: A quasi-experimental pretest–posttest control group design was employed among 64 postpartum mothers recruited from two urban health facilities. Participants were assigned to either the intervention group using SmartBreastfeed for four weeks or the control group receiving standard education through leaflets. Postpartum fatigue and breastfeeding motivation were assessed using validated Indonesian versions of the Postpartum Fatigue Scale (PFS) and Breastfeeding Motivation Scale (BFMS). Data were analyzed using paired t-tests and ANCOVA with significance set at p < 0.05. Results: Mothers using SmartBreastfeed experienced a significantly greater reduction in fatigue scores compared with controls (Δ = -13.5 ± 5.2 vs. -4.1 ± 3.8; p < 0.001). The intervention group also demonstrated significant improvements in breastfeeding motivation—including increased intrinsic (p < 0.001) and extrinsic motivation (p = 0.02), and reduced amotivation (p = 0.01). ANCOVA showed the intervention as the strongest predictor for improved outcomes, with medium-to-large effects (partial η² = 0.09–0.27). Conclusion: SmartBreastfeed effectively reduced postpartum fatigue and enhanced breastfeeding motivation through personalized digital support integrating self-monitoring, educational modules, reminders, and motivational messaging. This user-centered innovation shows potential to complement community maternal health programs and improve breastfeeding success in Indonesia
Co-Authors Abdul Khamid Ade Nur Setianingsih Ahmedy, Fatimah Ajeng Handaru Putri Alika Putri Arif Rahman Arifah Rakhmawati Asep Barkah Astri Mutiar Astrid Berlian Utami Aulia Adis Salsabila Chusnul Chotimah Cusmarih, Cusmarih Dede Komalasari Desy Novi Yanti Diana Irawati Elfira Elfira Eli Indawati Fatimah Ahmedy Futriani, Elfira Sri Hilmie Hilmanie Attawwabie Indria Astuti Indriana Natalia Isnaeni Isnaeni Jelita Sirait Jordan Alli Jumari Jumari Jumari Jumari Lia Idealistiana Linlin Lindayani Maharani Dyah Kusumawardani Mahyar Suara Mamlu’ Atus Zaimah Megawarni Antonia Napitupulu Mira Rusdiana Miranti Sari Wahyu Ningsih Nursa&#039;adah Nursa&#039;adah Omega DR Tahun Praditha Diana Putri Puguh E Mintarto Rika Nurhasanah Rima Yulia Rosidah Rosidah Rusmai Triaswati Tangguh Panji Saputra Tari Asmarita Boka Tatag Mulyanto Tri Mochartini Tri Mochartini Tuti Rosmiyati Wahyu Agung Dwi Saputra Winda Widianty Sodikin Windi Dwi Astuti Yunidar Yunidar Zatmiko Hery Prasetyo Zul Qaedah Atthahirah Zulan Sari