Khudazi Aulawi
Department Of Medical Surgical Nursing, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Telehealth for Ophthalmic Nursing Care (Teleopthamology) Patient Due to Covid-19 Wibawa, Shinta; Aulawi, Khudazi
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 4 (2022): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i4.601

Abstract

Background: A large number of users of Telehealth by health workers for eye care of patients to minimize contact with patients during the Covid-19 pandemic. Objective: This scoping review discussed the application of teleophthalmology in the care of eye patients during the Covid-19 pandemic. Methods: This study followed the acronym PCC (P = population; C = concept; C = context). Journals were obtained through the Pubmed, Science Direct, Clinical Key, and Medline databases. Result: A total of 220 findings appeared, then narrowed by the limitation of the last 10 years in the year of publication, full-text article / open access, using English, type of article was a research article, related to Telehealth for eye care patients due to covid-19. After investigating the same paper, it was checked based on inclusion criteria, and finally, six journals were synthesized. Discussion: The method used in Teleopthalmlogy was A distinction between asynchronous and synchronous, for example, video visits and smartphones. Conclusion: Teleophthalmology was effective and efficient when used during the Covid 19 pandemic. Recommendation: It can be used for the initial assessment of patients to reduce the number of patient visits to health facilities, for example, hospitals
Modification of Gloves for Water Cushion As An Injury Prevention During Tumor Removal Procedure in Prone Position: Case Report Lestari, Listya Puji; Aulawi, Khudazi; Subekti, Tri
Academic Hospital Journal Vol 6, No 2 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i2.100102

Abstract

Background: Surgery in the prone position has been associated with various complications such as facial edema, pressure ulcers, and eye problems.  It is important to prevent complications during prone position with head support. Modification of water cushions made from gloves to protect the facial area is often done, but needs to be considered between the benefits and risks to patient safety.Case: A 29 year old woman with a tumor of the occipital region. The patient underwent tumor removal surgery in a prone position for +/- 9 hours. During the operation, the patient uses water cushions from the glove that are placed on the forehead and two sides of the eye. The cushion burst during positioning and in the middle of the operation a water cushion fell. After surgery, the patient complained of blurred vision and facial swelling for 2-3 days.Conclusion: The cushion modification of gloves has the benefit of protecting the bony prominences of the face. Apart from that, the risks of using this modification need to be taken into account, such as the risk of contamination, risk of injury if the placement is uncorrect, and injury also can arise if the cushions shifts or falls due to poor fixation. The modifications can be improved by replacing the gloves used, the water used, and the level of elasticity of the cushion. They can also use head supports that have been proven effective and improve intraoperative monitoring.
Effectiveness of mHealth on self-care profile and blood pressure among patients with hypertension in Indonesia: A single-blind randomized controlled trial Widyastuti, Chatarina Setya; Dinarti, Lucia Kris; Aulawi, Khudazi; Lazuardi, Lutfan
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3760

Abstract

Background: Self-management is essential for controlling blood pressure and requires consistent effort. Mobile health (mHealth) applications can support patients in independently managing hypertension and maintaining better control over their blood pressure. Objective: This study aimed to evaluate the effectiveness of MaRiTensi mobile application in improving knowledge, motivation, self-efficacy, and self-care among patients with hypertension, as well as in lowering blood pressure. Methods: A two-arm randomized controlled trial with a single-blind evaluator was conducted among 108 patients with hypertension, recruited from a private hospital and two health centers in Yogyakarta, Indonesia. The 12-week study was implemented from October 2023 to April 2024. Participants were randomly assigned to the intervention group, which used the MaRiTensi app, or the control group, which received usual care. Primary outcomes—knowledge, self-care, self-efficacy, and motivation—were measured using a validated questionnaire, while the secondary outcome—blood pressure—was assessed through clinical measurement. Ninety-nine participants completed the study and were included in the analysis. Repeated measures ANOVA was used to evaluate within-group changes over time. Intergroup comparisons were analyzed using the chi-square test, independent t-test, or Mann–Whitney U test. Results: No significant baseline differences were found between the two groups (p >0.05). Significant improvements were observed in knowledge, self-care, and systolic and diastolic blood pressure in both groups (p <0.01). Self-efficacy significantly improved only in the intervention group (p <0.01). No significant changes in motivation were observed over time in either group (p >0.05). Significant between-group differences were found at the first evaluation for self-care (p = 0.005; d = 0.58), self-efficacy (p = 0.011; d = 0.52), motivation (p = 0.026; d = 0.44), systolic pressure (p = 0.039; d = 0.42), and diastolic pressure (p = 0.009; d = 0.54), and at the second evaluation for self-care (p = 0.024; d = 0.46). Conclusions: MaRiTensi may effectively improve self-care, self-efficacy, and blood pressure control among patients with hypertension, although it showed limited impact on knowledge and motivation. The application shows promise as a nursing intervention, but further research is needed to assess its long-term effectiveness and sustainability. Trial Registry Number: NCT06049862 [ClinicalTrials.gov]
A Scoping Review of Patient Readiness for Health-Illness Transition and Its Affect on Cancer Treatment Success Nuzulullail, Agung Subakti; Aulawi, Khudazi; Hartini, Sri; Puspitasari, Halfie Zaqiyah Gusti; Irawan, Dana Prayoga
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.456

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Cancer survivors undergo a health-illness transition (HITs) from diagnosis to survivorship phase, which affects their quality of life and treatment. This study aims to determine the extent of readiness for the HITs transition among cancer survivors through a scoping review method based on the Arksey and O'Malley framework. We searched the ScienceDirect, PubMed, SpringerLink, and Wiley databases for studies addressing cancer patients and transition readiness in oncology care settings. The inclusion criteria were the ones that met the original English-language articles published between 2020 and 2024. Review articles, study protocols, and books were excluded. The screening procedure adhered to PRISMA 2020 guidelines, and article eligibility was assessed by three researchers using the JBI Critical Appraisal Checklist (2020). Ten articles were acquired, indicating that the majority of survivors had low to medium levels of transition readiness, particularly throughout the treatment and survivorship phases. This readiness is affected by support from family, peers, and healthcare professionals, along with several individual factors, including age, length of diagnosis, insurance status, patient competence, physical and emotional condition, cancer stage, treatment status, and access to health services and information. These results affirm that readiness for the HITs requires attention by providing appropriate support and strengthening individual factors. Future studies are expected to evaluate transition readiness from the diagnosis phase to enhance the integration and optimization of the care process, hence improving the overall quality of life for cancer survivors.
Awareness of breast cancer in high-risk women in Yogyakarta Caroline, Cindy; Haryani, Haryani; Aulawi, Khudazi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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

Abstract

Background: Breast cancer is the leading cause of death and the most frequently diagnosed in women worldwide. A person who has a mother, sister, or daughter with breast cancer has a twofold risk of developing breast cancer. Public and individual awareness play an essential role in health promotion, early diagnosis, and treatment of breast cancer. Objective: To describe breast cancer awareness among high-risk women in Yogyakarta. Methods: This survey asked 100 breast cancer high-risk women to answer 36-item Breast Cancer Awareness Scale in Indonesian (BCAS-I) questionnaire, from November 2019 to January 2020. Results: The average age of the respondents in this study was 31.38 years (SD = 13.016). Most respondents are high school graduates, are married, do not work, have no income, and have health insurance. Only 56% of respondents have a high level of breast cancer awareness. 62% of respondents in this study know risk factors, and 53% of respondents have high signs of symptoms. And 52% of respondents have low barriers to breast cancer screening. However, respondents who have attitudes towards breast cancer prevention and health behaviors related to breast cancer awareness are still low, 62% and 54%, respectively. Most high-risk women who experience low breast cancer awareness are in the elderly age group (65 years and over), have higher education (high school and college), have no income, and do not work but have health insurance. Conclusion: Most respondents have a high knowledge of risk factors and signs and symptoms and low barriers to breast cancer screening. However, breast cancer prevention attitudes and health behaviors related to breast cancer awareness are still low.
Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): a community resilience program for COVID-19 at Griya Lare Utami Bantul Fithriyyah, Yayu Nidaul; Saifudin, I Made Moh. Yanuar; Martani, Hersinta Retno; Arumningtyas, Fajar; Khalish, Gaviota; Ermamilia, Aviria; Wanti, Ipang Fitria; Aulawi, Khudazi; Haryani, Haryani; Kustanti, Anita
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.82755

Abstract

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.
Comparison of anesthesia onset and duration between needle and needle-free methods in pediatric circumcision Kumara, Y. Sigit; Aulawi, Khudazi; Pertiwi, Ariani Arista Putri
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.69292

Abstract

Introduction: Various anesthesia methods are utilized during circumcision, including needle anesthesia (NA) and needle-free anesthesia (NFA). However, research on differences in the total duration of anesthetic action between these methods remains limited. Therefore, this study aimed to evaluate the effectiveness of NA and NFA techniques in circumcision. Methods: This observational study employed a prospective cohort design and an independent t-test. A total of 56 participants were included, with 28 patients assigned to each technique. Data collection was conducted using an observation sheet. Consecutive sampling was applied, and the primary variables measured were the onset of anesthetic drug, duration of anesthetic effect, and total duration of anesthetic action. Results: The onset of anesthetic drug, measured as the time from administration to numbness, averaged 4.53 minutes and 3.14 minutes using the NA and NFA methods, respectively (p<0.001). The average duration of anesthetic effect, measured as the time from the onset of numbness to anesthesia dissipation, was 95.39 minutes and 79.00 minutes in the NA and NFA methods, respectively (p<0.001). Finally, the total duration of anesthetic action was 100.46 minutes and 82.54 minutes using the NA and NFA methods, respectively (p<0.001). Conclusions: The NFA method facilitates a faster onset, while the NA method provides a longer duration of anesthetic effect. These findings may assist clinicians in selecting anesthesia techniques based on procedural duration and patient comfort in pediatric circumcision. Further studies are suggested to explore other influencing factors.