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All Journal Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL PENELITIAN PERAWAT PROFESIONAL Formosa Journal of Sustainable Research (FJSR) Journal of Public Health Concerns Jurnal Inovasi Pengabdian dan Pemberdayaan Masyarakat Jurnal Pengmas Kestra (JPK) JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns Karya Kesehatan Siwalima
Diana Ulfah
Fakultas Kehutanan Unlam
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Levels of hope among children under 18 years old with acute lymphoblastic leukemia undergoing chemotherapy: A descriptive study Alya, Fania Putri; Ulfah, Diana; Lusiani, Eli; Deniati, Kiki; Febriyona, Rona; Sugiharto, Firman; Rissaadah, Siti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1812

Abstract

Background: Hope is an essential psychological resource that enables children with cancer to cope with the stress and uncertainty of long-term treatment. However, research focusing on the level of hope among children with Acute Lymphoblastic Leukemia (ALL) in Indonesia or Southeast Asia remains limited, as most studies have centered on adults or on depression and anxiety rather than hope. Understanding hope among pediatric cancer patients is crucial for developing psychosocial interventions that enhance emotional resilience and treatment adherence. Purpose: to describe the levels of hope among children under 18 years old with ALL who were undergoing chemotherapy. Method: This was a quantitative descriptive study involving 66 respondents selected through convenience sampling. Data were collected using the Children’s Hope Scale (CHS), consisting of six items that assess agency and pathway thinking. Ethical approval and parental consent were obtained prior to data collection. Descriptive statistics were applied to analyze respondents’ demographic characteristics and hope scores. Result: The findings showed that most respondents were aged 8–12 years (56.1%), male (59.1%), and diagnosed with high-risk ALL (89.4%). More than half (54.5%) demonstrated a high level of hope, while 45.5% had a low level of hope. Younger children exhibited higher hope levels compared to adolescents. The mean hope score was 22.9 ± 3.95, with a median of 23 and a score range of 16–32, indicating a moderate to high overall level of hope. Conclusion: Most children with ALL in this study maintained a moderate to high level of hope during chemotherapy. These results emphasize the importance of assessing hope as part of psychosocial care. Strengthening hope through supportive communication and family-centered interventions can enhance children’s PWB and promote better adherence throughout the treatment process.
Family support in postpartum perineal wound care from a cultural perspective: A qualitative study Ulfah, Diana; Marlina, Yani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2237

Abstract

Background: Postpartum mothers undergoing vaginal delivery face a significant risk of perineal trauma, a condition with a high global prevalence (2.7 million cases in 2020, with 75% of the incidence in Indonesia) that, if not managed properly, can lead to serious complications such as infection, prolonged pain, and sexual dysfunction, exacerbated by the anatomical reality of persistent exposure to lochia moisture. Effective recovery fundamentally relies on crucial factors including hygiene, nutrition, and early mobilization, yet the role of family support a key determinant in decision-making and practical care remains underexplored, particularly in the highly multicultural context of Indonesia. This cultural perspective is crucial because local traditions and beliefs often introduce dietary or activity taboos that directly impact healing. Therefore, to address the common morbidity associated with perineal wounds and the recorded perineal rupture rate of 54% in regions such as West Java, this qualitative study is urgently needed to address the knowledge gap by in-depth exploring: "How does family support influence perineal wound healing from a cultural perspective?" Purpose: To deeply explore and describe the various forms of family support provided to postpartum mothers for perineal wound care, specifically examining the influence of diverse cultural aspects (cultural variables) within the Indonesian context. This focus on the cultural dimension represents the novelty of this research. Results: From analysis of interview transcripts with participants revealed two main themes describing the dimensions of family support: emotional, instrumental, and informational. Each theme consists of several. Emotional: Providing a sense of security and peace, as well as mental strength within the nuclear family. Instrumental: Providing nutritious food and drinks, managing the household, and caring for the baby. Informational: Information from health workers conveyed by the family, and selectively adapted traditional information.. Conclusion: Family support for perineal care in postpartum mothers, viewed from a cultural perspective, is comprehensive and can be categorized into four distinct themes. These themes highlight how culturally embedded practices and family dynamics significantly influence and enhance mothers' ability to perform appropriate perineal wound care, ultimately promising improved maternal health outcomes.
Promosi kesehatan holistik ibu hamil dan postpartum melalui penguatan kader Posyandu Ulfah, Diana; Pratidina, Eki; Indarna, Asep Aep; Novianti, Wini Resna
JOURNAL of Public Health Concerns Vol. 5 No. 11 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i11.2106

Abstract

Background: Maternal and postpartum health is a crucial indicator of health development, yet the prevalence of postpartum mental disorders in Indonesia remains high, reaching 20–40%. In Cileunyi Kulon Village, efforts to reduce the Maternal Mortality Rate (MMR) are hampered by limited family understanding and the strong influence of traditional practices on medical and psychological care. Although the family plays a crucial role in successful recovery, the competence of the 27 Posyandu (Integrated Service Post) cadres, the frontline health education providers in this area, is not yet optimal in providing evidence-based health promotion. Therefore, this community service program focuses on strengthening the capacity of cadres through comprehensive family mentoring and education. This strategy aims to improve health literacy and family involvement in maintaining maternal physical and mental well-being, while simultaneously supporting the achievement of SDG point three, related to a healthy and prosperous life. Purpose: To provide technical knowledge regarding perineal wound care and breast care to cadres in an effort to optimize their capacity to become effective facilitators in maintaining maternal physical and mental well-being. Method: Community service was conducted from November 25–28, 2025, in Cileunyi Kulon Village, Cileunyi District, Bandung Regency, involving 42 cadres from 27 Integrated Health Posts (Posyandu) as respondents. Information provided covered perineal wound care, breast care, stress management, and family support. Data were presented descriptively. This community service activity was implemented using a community education and mentoring approach. Results: Based on the results before the educational activity (pre-test), the majority of cadres had poor knowledge, namely 24 people (57.1%), while after the educational activity (post-test), results showed that the knowledge category increased to 15 people (35.7%), and the knowledge category became dominant with 19 people (45.2%). Conclusion: The Posyandu cadre capacity building program in Cileunyi Village significantly improved their understanding of physical and mental health care for pregnant and postpartum women. The increased number of cadres with knowledge after the intervention demonstrates that family health promotion methods effectively equip cadres to be at the forefront of improving maternal well-being in the community. Suggestion: Posyandu cadres are expected to apply the knowledge they have gained in routine service activities, particularly in educating families of pregnant women to create a strong support system at the household level. Keywords: Cadres; Family support; Health promotion; Physical and mental health Pendahuluan: Kesehatan ibu hamil dan pasca persalinan merupakan indikator krusial pembangunan kesehatan, namun prevalensi gangguan mental postpartum di Indonesia masih tinggi mencapai 20–40%. Di Desa Cileunyi Kulon, upaya penurunan Angka Kematian Ibu (AKI) masih terkendala oleh terbatasnya pemahaman keluarga serta kuatnya pengaruh adat dalam perawatan medis dan psikologis. Meskipun peran keluarga sangat menentukan keberhasilan pemulihan, kompetensi 27 unit kader Posyandu sebagai garda terdepan edukasi kesehatan di wilayah ini belum optimal dalam memberikan promosi kesehatan berbasis bukti. Oleh karena itu, program pengabdian masyarakat ini berfokus pada penguatan kapasitas kader melalui pendampingan dan edukasi keluarga yang komprehensif. Strategi ini bertujuan untuk meningkatkan literasi kesehatan serta keterlibatan keluarga dalam menjaga kesejahteraan fisik dan mental ibu, sekaligus mendukung pencapaian SDGs poin ketiga terkait kehidupan sehat dan sejahtera. Tujuan: Memberikan pengetahuan teknis mengenai perawatan luka perineum dan perawatan payudara pada kader sebagai upaya mengoptimalkan kapasitas kader menjadi fasilitator yang efektif dalam menjaga kesejahteraan fisik dan mental ibu. Metode: Pengabdian masyarakat dilaksanakan pada tanggal 25–28 November 2025 di di desa Cileunyi Kulon Kecamatan Cileunyi Kabupaten Bandung dengan melibatkan 42 kader dari 27 Posyandu untuk menjadi responden. Informasi yang diberikan adalah perawatan luka perineum, perawatan payudara, manajemen stres dan dukungan keluarga. Akumulasi data disampaikan secara deskriptif. Kegiatan pengabdian ini dilaksanakan dengan pendekatan pendidikan masyarakat (community education) dan pendampingan. Hasil: Berdasarkan hasil sebelum kegiatan edukasi (pre-test), mayoritas kader memiliki pengetahuan dalam kategori kurang, yaitu sebanyak 24 orang (57.1%), sedangkan setelah kegiatan edukasi (post-test) mendapatkan hasil dengan kategori pengetahuan baik meningkat menjadi 15 orang (35.7%) dan kategori cukup menjadi dominan dengan 19 orang (45.2%). Simpulan: Program penguatan kapasitas kader Posyandu di Desa Cileunyi secara signifikan meningkatkan pemahaman kader mengenai perawatan fisik dan kesehatan mental ibu hamil serta postpartum. Meningkatnya jumlah kader yang memiliki pengetahuan sesudah intervensi membuktikan bahwa metode promosi kesehatan keluarga efektif membekali kader sebagai garda terdepan dalam meningkatkan kesejahteraan ibu di masyarakat. Saran: Para kader Posyandu diharapkan dapat menerapkan pengetahuan yang telah mereka peroleh pada kegiatan pelayanan rutin, khususnya dalam mendidik keluarga ibu hamil untuk menciptakan sistem dukungan yang kuat di tingkat rumah tangga.
Co-Authors - Supiani Agustin Agustin Alya, Fania Putri Amini, Nadia Ushfuri Arifani, Nisa Bernadus, Janno Berty Bradly Budiana, Wempi Cecep Eli Kosasih Deniati, Kiki dirgahayu, inggrid Eki Pratidina Fauzi, Muhamad Ihsan Harismayanti, Harismayanti Husein, Herlina INDARNA, ASEP AEP Jamil, Maria Ulfah Jayanti, Tri Nur Khoerunisa, Alfi Lastari, Vina Fuji Lucarda Adi Karsa Lusiani, Eli Mahardika, Abdi Manaf, Manaf Marlina, Yani Marlinda, Yani Mujahidah, Gita Mulyati, Leli Muslim, Dede Nur Aziz Mutiudin, Ade Iwan Novianti, Wini Resna Nugraha, Dedep Nurazizah, Siti Oktaviani, Rani Ismi Prasetya, Fika Indah Rahayu, Sri Mulyati Rahmawati, Syoifa Rissaadah, Siti Rudy Fitrajaya Sasmito, Priyo Silpiani, Silpiani Situmorang, Roganda Solihah, Amalia Rizqi Sri Sumartini Sugiharto, Firman Sutrisno, Entris Tafwidhah, Yuyun Tambunan, Irisanna Tetti Solehati