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Quality of Life Pasien Gagal Ginjal Kronis yang Melakukan Terapi Hemodialisis Rutin Shahylannanda Tito Yuwono; Gita Sari Aryani; Linda Setyowati; Mega Hasanul Huda; Mohammad Heri Kurniawan; Alfanira Setiawan
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Jurnal Ilmiah Keperawatan Altruistik Vol.5 No.2 (2022)
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/jikal.v5i2.91

Abstract

Chronic kidney failure is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance. Patients undergoing long-term hemodialysis must be faced with various problems such as financial problems, difficulty in maintaining a job, depression and fear of death that affect their quality of life. The purpose of this study was to describe the quality of life of patients with chronic kidney failure undergoing routine hemodialysis therapy at RSHY. The research method is descriptive with a cross sectional approach. The population is 70 patients with chronic renal failure who undergo routine hemodialysis therapy in the Hemodialysis Room RSHY according to the inclusion criteria and exclusion criteria determined by the researcher. The results showed that the quality of life was seen from 4 aspects, namely physical, psychological, social and environmental. From a physical point of view, the majority of 47 (67.1%) have a moderate quality of life. In terms of psychology, the majority there are 50 (71.4%) respondents have a moderate quality of life. From a social perspective, the majority of respondents have a moderate quality of life as many as 47 (67.1%). In terms of the environment, the majority of 36 (51.4%) respondents have a moderate quality of life. The conclusion of this study is that there is a significant difference in the quality of life of younger CKD patients undergoing hemodialysis on the physical aspect. In addition, there were also significant differences in quality of life in patients using HD Cath vascular access on psychological aspects.
Caring Perawat Mempengaruhi Kepuasan Pasien di Instalasi Rawat Inap Nursanti Christianingsih; Mohammad Heri Kurniawan; Mega Hasanul Huda; Ening Wahyuni
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Jurnal Ilmiah Keperawatan Altruistik Vol.5 No.2 (2022)
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/jikal.v5i2.92

Abstract

Nurse caring behavior is the core or focus in nursing as a form of professional nursing practice and caring behavior is an indicator of patient satisfaction. The purpose of this study was to determine the relationship of nurse caring to the level of patient satisfaction in the inpatient room at Hermina Galaxy Hospital. This study uses quantitative methods. The sampling technique used purposive sampling technique with a sample of 50 respondents who were in accordance with the inclusion and exclusion criteria. The results showed that 32 respondents said caring nurses were good, 19 respondents were satisfied and 13 respondents were dissatisfied. Of the 18 respondents who said that nurse caring was lacking, 7 respondents were satisfied and 11 respondents were dissatisfied. Correlation test results obtained an r value of 0.494 and a p value of 0.000, the conclusion of these results is that the relationship between nurse caring and patient satisfaction shows a positive relationship and has a positive pattern, meaning that the higher the nurse's caring, the higher the level of patient satisfaction. There is a relationship between nurse caring and patient satisfaction in the inpatient room at Hermina Galaxy Hospital.
THE SYNERGISTIC EFFECT OF HIGH BMI AND LOW PHYSICAL ACTIVITY ON GOUT ARTHRITIS RISK: A CASE -CONTROL STUDY IN WEST SUMATERA INDONESIA Widhiastuti, Erma; Huda, Mega Hasanul; Susanto, Herry; Kurniasari, Maria Dyah; Putra, Hasriza Eka
Menara Medika Vol 7, No 2 (2025): VOL 7 NO 2 MARET 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v7i2.6555

Abstract

Background: A body mass index (BMI) of 24.9 kg/m² is a well-established risk factor for gout arthritis. However, the combined effect of obesity and decreased physical activity on the prevalence of gout arthritis in West Sumatra, Indonesia, remains unclear. This study aimed to investigate the relationship between obesity and its synergistic effect with decreased physical activity in increasing the risk of gout arthritis. Methods: A case-control study was conducted with 105 participants recruited from a health center in West Sumatra, Indonesia. Participants were divided into two groups: healthy controls (n=57) and gout arthritis patients (n=48). Physical activity levels were assessed using the modified Physical Activity Guidelines from the Advisory Committee for Americans and quantified as metabolic equivalent of task (MET)-hours per week over a 12-month period.  BMI was measured by weight in kilograms divided by the square of their height in meters. Logistic regression analysis was used to determine the associations. Results: Participants with a BMI ≥ 24.9 kg/m² were 4.78 times more likely to develop gout arthritis compared to those with a BMI 24.9 kg/m² (Adjusted Odds Ratio [AOR] = 4.78; 95% Confidence Interval [CI] = 1.73–13.23; p 0.01). Additionally, those engaging in lower physical activity ( 7.5 MET-hr/week) were 3.35 times more likely to develop gout arthritis compared to those with higher levels (AOR = 3.35; 95% CI = 1.06–10.53; p 0.05). Conclusions: In West Sumatra, Indonesia, obesity (BMI 24.9 kg/m²) and its synergistic interaction with decreased physical activity significantly contribute to the increased risk of gout arthritis. Public health interventions addressing both weight management and promotion of physical activity are essential for reducing the disease burden.
Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review Endah Dessirya; Kusnul Hasanah; Yeni Rustina; Happy Hayati; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.869

Abstract

Background: The transition of premature infants from the intrauterine to the extrauterine environment is a complex and challenging adaptation process for infants and their mother. Empowering parents through education and support is crucial in navigating these challenges. Propose: To review parental empowerment through early kangaroo care a holistic approach to neonatal health. Method: Systematic review research according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This literature research uses seven electronic databases, namely PubMed, Proquest, Sciencedirect, Wiley Online, Emerald insight, Sage Journals, and JSTOR. The data search began on September 30, 2024, using the keywords "parent" or "mother" or "maternal" and "infant" or "preterm" and "early" or "immediately" and "skin-to-skin" or "kangaroo-mother-care". The literature criteria used were full texts that discussed prematurity (newborns with a gestational age of <37 weeks), mothers who performed early KMC, parents who performed early KMC, the outcomes measured in this study were infant outcomes (morbidity, mortality, physiological status, weight, and length of stay) and maternal outcomes (exclusive breastfeeding, maternal mental health), and this study used a randomized control design. This study is registered with PROSPERO (CRD42025633170). Results: The search process identified 318 articles. Further screening resulted in a final sample of 7 articles. The review results showed that early KMC has benefits for both mothers and infants. Benefits of early KMC for mothers include increased exclusive breastfeeding, reduced depression, and increased maternal self-satisfaction in caring for preterm infants. Furthermore, in preterm infants, early KMC has been shown to improve physiological stability, weight gain, reduce mortality, morbidity, infections, weight gain, and reduce length of hospitalization. Conclusion: Early implementation of KMC not only provides clinical benefits for preterm infants, but also contributes to improved maternal mental health. These findings support the promotion of KMC as a standard intervention in neonatal intensive care units to optimize short- and long-term outcomes for mothers and preterm infants.
Exploring practical issues in children’s anthropometric measurements: A qualitative descriptive study involving Indonesian health professionals and community health workers Wanda, Dessie; Astuti, Astuti; Adawiyah, Robiyatul; Syaiful, Afifah Ayu; Azizah, Latifah Fajri Nur; Azkiyati, Ade Maya; Huda, Mega Hasanul
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3987

Abstract

Background: Anthropometric measurements during early childhood are critical as they represent the initial stages at which nutritional status is determined. Practitioners who measure children’s growth must have similar and adequate skills in anthropometric measurement to ensure the validity of data regarding children’s nutritional status, particularly concerning stunting prevalence. Objective: This study aimed to explore the measurement practices conducted by community health workers (CHWs) in Indonesia, who are responsible for providing data related to children’s growth and, consequently, their nutritional status. Methods: A qualitative descriptive design was employed using online focus group discussions ranging from 1 to 1.5 hours. Data were collected from ten health professionals and eight CHWs, with analysis performed using thematic analysis. Results: Four themes emerged: barriers to measurement accuracy, varied skills in measurement, mothers’ behavior influenced by children’s reactions, and strategies for dealing with traumatized children. Conclusion: Practical issues that arose during routine anthropometric measurements included the reliability of measurements, the skill levels of examiners, the interplay between mothers’ and children’s reactions, and approaches to managing traumatized children during measurements. To effectively enhance integrated health posts (Posyandu) services, it is crucial to maintain calibrated, validated equipment and implement comprehensive training with periodic refreshers for CHWs. Additionally, improving facility infrastructure, fostering CHWs’ communication skills, and simplifying child-friendly measurement procedures will collectively optimize service quality, promote cooperation, and strengthen community trust.
Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients Nursasi, Astuti Yuni; Huda, Mega Hasanul; Rahmasari, Syifa Widya
Kesmas Vol. 17, No. 4
Publisher : UI Scholars Hub

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

Abstract

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.
Analysis of Stunting Incidents Based on Mother's Knowledge Marita, Zadam; Okinarum, Giyawati Yulilania; Huda, Mega Hasanul; Dwihestie, Luluk Khusnul
International Journal of Nursing Information Vol. 2 No. 2 (2023)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v2i2.54

Abstract

Every parent does not want stunting cases to occur in their children. Stunting in children can be caused by direct and indirect factors. One direct cause is a lack of nutritious food intake. The role of parents, especially mothers, as indirect causes plays a vital role in fulfilling children's nutrition. This research aims to analyze the relationship between a mother's knowledge and the incidence of stunting. The research method uses an analytical survey with a cross-sectional approach. The sampling technique used purposive sampling, totaling 68 respondents, with the criteria being mothers who had toddlers aged 1-2 years. Research location in the city of Bekasi, Indonesia. The research instrument used a questionnaire and measurements of body length compared with age. Data analysis with bivariate and univariate statistics. The research results show that the majority of mothers have good knowledge, and the majority do not experience stunting. Statistical tests using Chi-Square show that there is a significant relationship between mothers' knowledge about nutrition and the incidence of stunting in mothers of toddlers 1-2 years old. The contribution of this research is evidence that mother's knowledge is essential for children's growth. One alternative strategy to overcome the increase in stunting cases is to strengthen the understanding of mothers.
Diagnostic Accuracy of Neonatal Sepsis Scoring Systems in Preterm Infants Rudy, Rudy; Huda, Mega Hasanul; Chodidjah, Siti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170120

Abstract

Neonatal sepsis remains a major cause of morbidity and mortality among preterm infants, particularly in low- and middle-income countries. Early identification through clinical scoring systems, such as the Singh Score, Rosenberg Score, and Bekhof Score, may improve diagnostic accuracy and support timely management. This study aimed to systematically evaluate the diagnostic performance of these three clinical scoring instruments in detecting neonatal sepsis. A systematic search was conducted across seven electronic databases from inception to August 2025. Studies assessing the diagnostic accuracy of the selected scoring systems were included, critically appraised, and analyzed. Data on sensitivity, specificity, and other diagnostic accuracy measures were extracted and synthesized. Five eligible studies were identified, most of which were conducted in low- and middle-income countries, with sample sizes ranging from 80 to 658 neonates. The pooled sensitivity of the three instruments ranged from 0.56 to 0.76, with the Singh Score demonstrating the highest sensitivity (76%), followed by the Bekhof (63%) and Rosenberg (56%) scores. The pooled specificity ranged from 0.33 to 0.69, indicating low to moderate ability to exclude non-sepsis cases. Overall, these instruments demonstrate moderate sensitivity but limited specificity and are more suitable for ruling out sepsis rather than definitively confirming the diagnosis. Their use should be integrated with comprehensive clinical assessment and additional laboratory investigations. These scoring systems may aid in risk stratification and help reduce unnecessary treatment by identifying neonates at low risk of sepsis.Keywords: neonatal sepsis; preterm infants; clinical scoring system; diagnostic accuracy
Faktor-Faktor Yang Mempengaruhi Saturasi Oksigen dan Lama Hari Rawat Pada Pasien PPOK yang Mendapatkan Posisi Semifowler di RS Hermina Ciputat: Faktor-Faktor Yang Mempengaruhi Saturasi Oksigen dan Lama Hari Rawat Pada Pasien PPOK yang Mendapatkan Posisi Semifowler di RS Hermina Ciputat Desy Rasmiyani; Khodijah Alkaff; Surwaningsih; Mega Hasanul Huda; Muhammad Fauzi Rahman; Yuhendri Putra; Intan Asri Nurani
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.380

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease which has a chronic obstruction in airway that can interefere normal respiration led to death. Patients with COPD usually show symptoms such as dyspnea that are most frustrating in patients with COPD that can trigger the appearance of tightness and decreased saturation. The semi-fowler position is a position that can be chosen by patients who have difficulty breathing and in COPD patients is expected to optimize lung development so that oxygen saturation becomes increased. Given the many factors that contribute to oxygen saturation in patients, it is important to control the factors that affect oxygen saturation in patients who get a semi-fowler position. In addition, given the high prevalence of COPD, it is important for hospitals to identify factors that affect the length of day of treatment of patients with COPD. Identification of these factors can help health workers to plan treatment programs to plan the length of the day of treatment of patients who enter the hospital. The study aimed to identify factors that influence oxygen saturation and the length of days of treatment in COPD patients who get semi-fowler positions at Hermina Ciputat Hospital. Data collection was carried out from January 2020 to October 2021 using the cross-sectional method, namely by taking data at once at the same time through medical record data on 84 inpatients. The analysis test used in this study is the T-test and subsequently multivariate analysis is carried out using linear regression tests. Based on the analysis test, the factors that affect oxygen saturation are gender, smoking history, and initial saturation value. While the factors that affect the length of treatment are the history of smokers and the history of comorbid. Respondents who had a history of smoking would experience a decrease in oxygen saturation by 0.3888. Preventive interventions through smoking-related health education need to be done to reduce the severity in patients with COPD who are hospitalized.
Diagnostic accuracy of CAPD and SOS-PD in detecting delirium infants: A systematic review Alfin Nugroho; Mega Hasanul Huda; Siti Chodidjah; Lhesmi Tri Yana Putri Simanjuntak
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.1859

Abstract

Background: Delirium in infants admitted to the neonatal intensive care unit (NICU) is a critical but often underrecognized condition. The Cornell assessment of pediatric delirium (CAPD) and Sophia observation withdrawal symptoms–pediatric delirium (SOS-PD) are used for early detection, yet their diagnostic accuracy in infants remains unclear. Purpose: To evaluate the sensitivity, specificity, and validity of CAPD and SOS-PD in detecting delirium among infants. Method: A systematic review was conducted on observational diagnostic validation studies published in the last ten years involving infants. Searches were performed in PubMed, ProQuest, ScienceDirect, SAGE Journal, Taylor & Francis, Cochrane, and Clinical Key. Risk of bias was assessed using QUADAS-2, and data were synthesized narratively. Results: Seven studies met the inclusion criteria. CAPD showed sensitivity of up to 94.1% and specificity of 79.2%, while SOS-PD demonstrated sensitivity of 92.3% and specificity of 96.5%. A major challenge was distinguishing delirium from iatrogenic withdrawal syndrome (IWS). Conclusion: CAPD and SOS-PD are valid and reliable tools for delirium screening in NICU infants, supporting early detection and improving patient safety and quality of care.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfah Ratna Wati Alfanira Setiawan Alfin Nugroho Alfin Nugroho Allendekania Allendekania Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Astuti Astuti Yuni Nursasi Atik Setiawati Atik Setiawati Atun Roudatul Ma’rifah Avliya Quratul Marjan Ayu Widya Lestari Ayu Widya Lestari Ayuni Rizka Utami Azizah Nurrohmah Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Azwar Azwar Christanty Christanty Defi Efendi Dessie Wanda Desti Elza Muslimah Desy Rasmiyani Dewi Astika Rahmadhani Dewi Astika Rahmadhani Dewi Astika Ramadhani Dewi Hayati Dewi Irianti Dewi Irianti Dina Setya Rahmah Kelrey Dwi Cahya Rahmadiyah Elisa Islami Putri Endah Dessirya Endah Dessirya Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Fajar Tri Waluyanti Fajar Tri Waluyanti Ganar Rajni Fathariq Gita Sari Aryani Gustika Arnils Hafizs Nasirun Happy Hayati Happy Hayati Hermin Mardiana Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Imamah Indah Cahyani Ina Islamia Ina Islamia Intan Asri Nurani Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Kusnul Hasanah Kusnul Hasanah Lhesmi Tri Yana Putri S Lhesmi Tri Yana Putri Simanjuntak Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Abdul Hamid Zubair1 M. Zakuan Agung Maria Margarita Oratmangun Mariam Efendi Mariana Ulfa Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Novia Pratiwi Nur Agustini Nurani, Intan Asri Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Okki Dhona Laksmita Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmasari, Syifa Widya Rahmatika Alimuddin Raudha Ilmi Farid Reni Yustina Risna Ningsih Riswal Hanafi Siregar Rita Wahyuni Robiyatul Adawiyah Robiyatul Adawiyah Roselyn Chipojola Rudy, Rudy SANTOSO SANTOSO Shahylannanda Tito Yuwono Siti Chodidjah Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wanda , Dessie Widhiastuti, Erma Yeni Rustina Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra