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All Journal Nurse Media Journal of Nursing MEDISAINS Nursing News : Jurnal Ilmiah Keperawatan Belitung Nursing Journal JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI Proceedings of the International Conference on Applied Science and Health Jurnal E-Komtek Indonesian Journal of Global Health research Jurnal Ilmiah Keperawatan Altruistik Jurnal Menara Medika Advance Sustainable Science, Engineering and Technology (ASSET) Jurnal Keperawatan dan Kebidanan Nasional Jurnal Kesehatan dr. Soebandi Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Ilmiah Keperawatan Altruistik Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mega Hasanul Huda
Universitas Indonesia
Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Education Electrical & Electronics Engineering Energy Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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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.
Determinants of fatigue in children and adolescents with type 1 diabetes mellitus: A systematic review Ningsih, Risna; Islamia, Ina; Agustini, Nur; Ramadhani, Dewi Astika; Adawiyah, Robiyatul; Huda, Mega Hasanul; Hayati, Dewi
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.
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 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.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfanira Setiawan Anisah Fadhilah Argarini, Diah Astuti - Astuti Yuni Nursasi Atik Setiawati Atun Roudatul Ma’rifah Ayuni Rizka Utami Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Defi Efendi Desy Rasmiyani Dewi Astika Rahmadhani Dewi Hayati, Dewi Elisa Islami Putri Endah Dessirya Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Gita Sari Aryani Gustika Arnils Happy Hayati Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Ina Islamia Intan Asri Nurani Islamia, Ina Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Kusnul Hasanah Linda Setyowati Linda Wati M. Zakuan Agung Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Ningsih, Risna Novia Pratiwi Nur Agustini Nurani, Intan Asri Nursanti Christianingsih Nyayu Latifah Husni Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmadhani, Dewi Astika Rahmasari, Syifa Widya Ramadhani, Dewi Astika Raudha Ilmi Farid Risna Ningsih Riswal Hanafi Siregar Rita Wahyuni Robiyatul Adawiyah Robiyatul Adawiyah Roselyn Chipojola SANTOSO SANTOSO Setiawati, Atik Shahylannanda Tito Yuwono Siti Chodidjah Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wanda , Dessie Wati, Alfah Ratna Widhiastuti, Erma Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra