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All Journal International Journal of Public Health Science (IJPHS) Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Jurnal Kesehatan Masyarakat Erudio: Journal of Educational Innovation Jurnal Teknik Pengairan: Journal of Water Resources Engineering Global Medical and Health Communication Public Health of Indonesia Majalah Kesehatan FKUB Medical Laboratory Technology Journal Belitung Nursing Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan International Journal of Educational Management and Innovation (IJEMI) Devotion: Journal of Research and Community Service Narra J International Journal of Science and Society (IJSOC) Jurnal Kesehatan dan Pengelolaan Lingkungan Berita Kedokteran Masyarakat Journal of Nursing Science Update Journal of Community Health and Preventive Medicine (JOCHAPM) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

Lilik Zuhriyah

Department Of Public Health Science, Faculty Of Medicine, University Brawijaya, Indonesia

Author-ID : 428835

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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A SEM-PLS Model Analysis: The Relationship of Health Promotion Model Components and Personal Hygiene Behavior to Prevent Scabies in Prisoners Dinar Yuni Awalia Anilam Cahyani; Lilik Zuhriyah; Yati Sri Hayati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

The full condition of prisons and the lack of health service facilities can affect prisoners' health conditions. In order to maintain their health condition, it is necessary to take preventive measures, one of which is the application of good personal hygiene. In improving the compliance of prisoners in improving their health status, it is vital to perform health promotion following the theory of the Health Promotion Model (HPM). The study aimed to identify and determine the relationship between components in the Health Promotion Model and Personal Hygiene behavior in preventing scabies in prisoners. The study utilized a cross-sectional design. The study samples were all prisoners in the Penitentiary Class IIB Mojokerto, amounting to 284 respondents, and data were collected by purposive sampling technique. Data analysis in this study used the SEM-PLS technique, with three stages of analysis: 1.) outer model test, in the form of reflective and formative models, to determine the relationship between indicators and latent variables; 2.) inner model test, consisting of R-squared test (R2), effect size (f2), predictive prevalence (Q2), and Goodness of Fit test. The inner model test aims to determine the relationship between latent variables; and 3.) hypothesis testing to observe the significance value of the effect of exogenous variables on endogenous variables through the T-statistical value (more than 1.96) and p-value (less than 0.05). A total of 284 respondents met the criteria for conducting data analysis.Abstrak: enuhnya kondisi Lembaga Pemasyarakatan dan minimnya sarana-prasarana layanan kesehatan dapat mempengaruhi kondisi kesehatan Narapidana. Agar tetap terjaga kondisi kesehatannya maka perlu adanya tindakan preventif, salah satunya dengan penerapan personal hygiene yang baik. Untuk meningkatkan kepatuhan Narapidana dalam meningkatkan derajat kesehatan mereka perlu dilakukan promosi kesehatan, sesuai dengan teori Health Promotion Model (HPM). Tujuan penelitian untuk mengidentifikasi dan menentukan hubungan antar komponen dalam Health Promotion Model dengan perilaku Personal Hygiene dalam pencegahan skabies pada Narapidana. Desain penelitian menggunakan desain cross sectional. Sampel pada penelitian ini adalah seluruh narapidana di Lembaga Pemasyarakatan Kelas IIB Mojokerto sebanyak 284 responden, pengambilan data dengan teknik Purposive Sampling. Analisis data pada penelitian ini menggunakan teknik SEM-PLS, dimana terdapat tiga tahapan analisa yaitu: 1.) uji outer model, berupa model reflektif dan formatif, untuk mengetahui hubungan indikator dengan variabel latennya; 2.) uji inner model, yang terdiri dari uji R-squared (R2), effect size (f2), predictive prevalence (Q2), dan uji Goodness of Fit. Uji inner model bertujuan untuk mengetahui hubungan antar variabel laten; dan 3.) uji hipotesis, bertujuan untuk melihat nilai signifikansi pengaruh variabel eksogen pada variabel endogen yang dilihat melalui nilai T-statisic (lebih dari 1,96), dan p-value (kurang dari 0,05). Sebanyak 284 responden memenuhi kriteria untuk dilakukan analisa data.

ASSOCIATION OF KNOWLEDGE WITH EATING HABITS AND BODY MASS INDEX AS THE RISK FACTORS OF DIABETES MELLITUS IN MALANG Natasha Halim, Angie; Zuhriyah, Lilik; Setijowati, Nanik
Journal of Community Health and Preventive Medicine Vol. 3 No. 2 (2023): JOCHAPM Vol. 3 No. 2 2023
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.003.02.5

Diabetes mellitus in Indonesia, especially in Malang, is still common. Diabetes mellitus is characterized by an increased blood glucose levels and can cause complications in various organs. Risk factors for diabetes mellitus consist of modifiable and non-modifiable factors. The level of knowledge related to diabetes mellitus played a role in the prevention of disease complications. Poor eating habits and lack of physical activity can increase BMI and blood sugar levels. This study aimed to find a relationship between knowledge with eating habits and body mass index as risk factors for diabetes mellitus in Malang. This analytical observational study used a cross sectional study design. The sample in the study amounted to 212 individuals consisting of health cadres, village officials, internal staff of Brawijaya University, and the community who were in the environmental network of village officials and health cadres of Malang City. The research instruments used were DKQ-24 and the 2018 riskesdas eating habits modification questionnaire. The results showed that of the 212 respondents, most had moderate knowledge levels (n=156), moderate eating habits (n=124), and abnormal BMI (n=143). Data analysis showed that there was no relationship between knowledge about diabetes mellitus and eating habits (p=0.629), knowledge about diabetes mellitus and body mass index (p=0.709), eating habits and body mass index (p=0.401). The conclusion of this study is that there was no relationship between knowledge and eating habits and body mass index in Malang.

THE RELATIONSHIP BETWEEN HYPERTENSION KNOWLEDGE WITH EATING HABITS AND BODY MASS INDEX (BMI) IN MALANG Panjaitan, Damaris Gabrielle Valentine; Zuhriyah, Lilik; Setijowati, Nanik
Journal of Community Health and Preventive Medicine Vol. 4 No. 1 (2024): JOCHAPM Vol. 4 No. 1 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.004.01.1

Hypertension or high blood pressure is a commonly found cardiovascular disease and also the highest cause of death in society. Hypertensive patients who have good knowledge regarding their disease are known to have great treatment adherence and in their salt reduction habits. Hence, having better knowledge is expected to form healthier habits and reduce the risk of developing hypertension. This study aims to determine the relationship between hypertension knowledge, eating habits, and body mass index (BMI) in Malang. The research was conducted by distributing an online questionnaire in form of Google Forms in October 2021 and January 2022 to people who reside in Malang. This research used an observational analytic approach and cross-sectional design. Data needed in this study was taken using a demographic questionnaire, Hypertension Knowledge-level Scale that was translated to Indonesian, and modified questions from Consumptions of High-Risk Diet from the Basic Health Research 2016 conducted by the Ministry of Health of Indonesia. 212 respondents submitted the questionnaire. Based on the result, most respondents have a high knowledge level (75,9%), normal eating habits (85,8%), and abnormal body mass index (67,5%). Chi-Square test results indicated a significant relationship between knowledge and eating habits (p=0,017), no significant relationship between knowledge and body mass index (0,369), and no significant relationship between eating habits and body mass index (p=0,524).

Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services Prahadiani, Saesar Revita; Kuncoro, Wahyudi; Hariyanti, Tita; Zuhriyah, Lilik; Sarwiyata, Tri Wahyu; Pradina, Fifin
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.6s

Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.

Optimization of Online Pharmacy System to Lower the Late Billing for Chronic Disease Drugs Herwendanasari, Deltania; Andarini, Sri; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.13s

One of the biggest cost control problems among hospitals in the National Health Insurance is chronic disease drug services. Billing fee delays or unpaid billing fees often occur due to patient failure to revisit the doctor according to the requirement of 30 (thirty) days from the last visit. It resulted in the hospital's inability to collect the financing for chronic disease drugs from Social Security Administrative Agency (BPJS). This study aimed to discover the root cause of the pending billing of chronic disease drug costs and executable solutions in hospitals. This research was conducted at X Hospital Malang. This research used mix-method of qualitative and quantitative. The qualitative method were observations of the service flow for chronic disease patients, interviews with all unit coordinators, and focus group discussion with the Pharmacy Unit and Casemix Unit coordinators. The quantitative method was done using CARL scoring to determine the priority of the problem solution. The root of the problem was the lack of adequate systems and resources in chronic disease drug services. The possible solution is to modify the flow in the outpatient pharmacy. It is necessary to apply patient screening through the Online Pharmacy Application at the outpatient pharmacy to prevent patients who visit for less than 30 days. The results of the solution implementation are expected to reduce the amount of money from pending billing for chronic disease drug costs, thereby minimizing hospital financial losses.

Emergency Room Medical Record Modification to Optimize Patient Education at X Hospital Hariyanto, Engelbert; Prastowo, Wening; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.6s

Regularly delivering information to patients and their families becomes a challenge for medical personnel in the Emergency Room (ER). Patients, or their families, often do not remember that education about their illness has been delivered. It can also happen because family members who took the patients into the emergency room differed from those who received the education. This situation can lead to misunderstandings, especially if there are legal problems in the future. This study aimed to find the priority problem in the hospital, the root of the problem, and solutions to optimize patient education in the ER. The methods used in the problem-finding were interviews, Focus Group Discussions (FGD), and USG (Urgency, Seriousness, and Growth) scoring. The solution selection method used FGD, fishbone analysis, 5-whys table, and CARL (Capability, Accessible, Readiness, and Leverage) scoring. The problem found was the lack of optimal patient education in the ER. The priority of the root of the problem found was no written documentation in the patient's medical record regarding providing education to patients or families. The chosen solution was to modify the ER medical record by including a checklist of educational points and a column for patients or families to sign. Further research is needed to prove the effectiveness of this medical record modification in optimizing education in the ER.

ANALISIS KESEIMBANGAN KEHIDUPAN KERJA PADA KELELAHAN KERJA PERAWAT DI RUANG ISOLASI COVID-19 (STUDI KASUS RSI UNIVERSITAS ISLAM MALANG) Kuncoro, Wahyudi; Zuhriyah, Lilik; Putra, Kuswantoro Rusca; Lenggono, Kumoro Asto
Majalah Kesehatan Vol. 11 No. 2 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.02.3

Keseimbangan kehidupan kerja perawat perlu diperhatikan oleh manajer rumah sakit karena dapat menimbulkan kelelahan kerja yang mengganggu proses pelayanan, pembiayaan, dan keselamatan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh keseimbangan kehidupan kerja pada kelelahan kerja perawat di ruang isolasi COVID–19. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Responden penelitian berjumlah 73 orang perawat yang bekerja pada Ruang Isolasi COVID-19 Rumah Sakit Islam Malang. Pengumpulan data menggunakan instrumen kuesioner keseimbangan kehidupan kerja (Greenhauss-Collin) dan Maslach Burnout Inventory (MBI). Data dianalisis menggunakan regresi logistik. Hasil penelitian menunjukkan variabel work life balance memiliki pengaruh yang signifikan terhadap kelelahan kerja (p < 0.028). Selain itu juga ditemukan bahwa variabel umur, pendidikan, kerja shift memiliki pengaruh signifikan secara statistik terhadap kelelahan kerja. Sebagian besar perawat yang mengalami kelelahan memiliki proporsi keseimbangan kehidupan kerja tidak seimbang yang lebih tinggi. Sedangkan pada perawat yang tidak mengalami kelelahan memiliki proporsi keseimbangan kehidupan kerja yang seimbang. menunjukkan risiko untuk mengalami burnout pada orang dengan Work Life Balance yang tidak seimbang adalah 3,8 kali lebih besar daripada orang dengan Work Life Balance yang seimbang setelah variabel confounding umur, pendidikan, jenis kelamin, kerja shift, dan waktu bekerja dikontrol. Perawat yang memiliki keseimbangan kehidupan kerja tidak seimbang memiliki risiko 3,8 kali lebih besar mengalami kelelahan daripada perawat yang memiliki keseimbangan kehidupan kerja yang seimbang. Kesimpulan penelitian ini adalah keseimbangan kehidupan kerja memberikan pengaruh pada kelalahan kerja.

Personal Character and Stigma in the Acceptance Process of Families Caring for Individuals with Mental Disorders Priasmoro, Dian Pitaloka; Dradjat, Respati S.; Zuhriyah, Lilik; Asri, Yuni
Journal of Nursing Science Update (JNSU) Vol. 12 No. 1 (2024): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2024.012.01.08

Mental illness necessitates long-term care, impacting both sufferers and their families due to societal stigma. This study examined the correlation between personal character and self-acceptance, stigma, and self-acceptance, and the sociodemographic factors influencing acceptance. The study used a quantitative descriptive design to analyze data from 130 individuals who were purposefully selected from a total population of 175 families with members experiencing mental disorders. The research instruments included standard questionnaires to measure personal character, extraversion, perceived stigmatization, stigma, and family adaptation acceptance. Results indicated that personal character and stigma were significantly associated with acceptance (p-value <0.05). At the same time, the distance to the health center was the most influential demographic factor (p-value <0.005, Chi-Square 170.071). In conclusion, strengthening the personal character of families is crucial to mitigate the negative impact of societal stigma. Furthermore, enhancing services provided through health centers is essential.

Behavior Mapping Study of The Layout of Drug Service Room in Outpatient Pharmacy of X Hospital Yulianto, Wahyu; Zuhriyah, Lilik; Haripradiantoi, Tito
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.145

The quality of pharmaceutical services is related to patient satisfaction and the short waiting times for their accomplished drug in pharmacy installation. This research was conducted to describe the prescription service process in the outpatient pharmacy at X Hospital by observing the flow of drug dispensing and officer movement along with the time required for the process, with the environment behavior study and value stream mapping as the observation method. This action research was conducted by collecting qualitative and quantitative data. Data collection was carried out by observation (time allocation, time for drug service activities), interviews, focus group discussion (FGD), and Behavior Mapping. The results of value stream mapping showed that non-value added was greater than value-added, 78.5% versus 21.5%. Behavior mapping showed a physical trace in a stack of prescription files in all POSs during the service process. The longest process time occurred at post 4, which is during drug preparation, while the longest interval time was interval time 4, which is waiting for the re-check process. Other factors cause the waiting time for drug services to be lengthened. The spatial structure of pharmacy depot block A was less effective. The waiting time was still long. The researchers suggest that the space be regulated again and continued to the next action research cycle, up to the effective drug services, so that the waiting times can be short.

Effective probiotic regimens for bacterial vaginosis treatment and recurrence prevention: A systematic review Udjianto, Udjianto; Sirat, Noorhamdani A.; Rahardjo, Bambang; Zuhriyah, Lilik
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1671

Probiotics represent a promising alternative therapy for bacterial vaginosis; however, consensus on the most effective species, strains, and doses remains lacking, and long-term safety data are limited. The aim of this study was to evaluate the effectiveness of probiotics in managing bacterial vaginosis, considering species, strain, clinical outcomes, optimal dosage, duration, and side effects. This study included randomized-controlled trials (RCTs) published in English (2014–2024) on probiotic treatment for bacterial vaginosis, assessing species, strain, dose, duration, and efficacy. A systematic search was conducted on December 20, 2024, in Scopus, Web of Science, and PubMed using the keywords "vaginosis," "bacterial vaginosis," and "probiotic." Data were extracted and synthesized, and study quality was assessed using the Risk of Bias 2 tool, while NVivo 14 software facilitated thematic analysis. The systematic search yielded 1,560 initial records, of which 16 RCTs were included. The findings revealed that Lactobacillus rhamnosus TOM 22.8 (10×10⁹ CFU/day for 10 days) was the most effective strain and dose, significantly improving Nugent scores, vaginal pH, and microbiota composition and reducing bacterial vaginosis recurrence rate. Alternative strains, including L. crispatus, L. plantarum, and L. acidophilus, showed therapeutic potential at doses of 1×10⁸ to 5.4×10⁹ CFU/day for treatment durations ranging from 6 days to 4 months. The reported side effects were mild and self-limiting. This study supports the use of probiotics as an adjunctive or alternative bacterial vaginosis treatment, emphasizing the need for a personalized approach based on patient characteristics. However, limitations such as small sample sizes and heterogeneous outcome measures necessitate further research. Larger, well-designed trials with standardized methodologies are required to refine probiotic recommendations.

Co-Authors AA Sudharmawan, AA Adeliza Firzarosany Afiatur Rohimah Agung Indrawan, I Wayan Agung Prasetia Ahmad Ikbal P Ahmad Yunus Ainun Ganisia Aldila Putri Rahayu Alfryan Janardhana Aliesya Patricia Wulandari Andi Arahmadani Arasy Anggun Setyaningrum Arasy, Andi Arahmadani Ardy mahendra Arum Sulistyarini Asrini Kaninta Asti Melani Astari Aswin Djoko Baskoro Bambang Rahardjo Candra Novi Dermawan Cicin Ulfinah Cornelia Fransiska Sandehang Denny Ahmad Fauzi DEWI ARIANI Dewi Santosaningsih Dian Handayani Dian Pitaloka Priasmoro, Dian Pitaloka Dina Dewi Sartika Lestari Ismail Dinar Yuni Awalia Anilam Cahyani Dradjat, Respati S. Dwi Wahyudi Ekkel Aisyiyah Eleonora Sucahyo Fariza Kusuma W Fiella Rachmatika Flavianus Riantiarno Frasia, Yhummei Veronia Frits Hendrik Kaiya Hari Kusnanto Haripradiantoi, Tito Hariyanto, Engelbert Harun Al Rasyid Harun Al Rasyid Harun Al Rasyid Helen Lioni Herwendanasari, Deltania I Wayan Agung Indrawan Ifit Bagus Apriantono Indriani Ningrum Ineke Permatasari Iris Juita Kastianti Isnadiyah Juhdi Jihan Arabikum Juhdi, Isnadiyah Kartika, Annisa Wuri Ken Diah Mangar Nastiti Kristianingrum, Niko Dima Kristina Haloho, Sri Dewi Kumboyono Kumboyono Kumoro Asto Lenggono Kuncoro, Wahyudi Kuswantoro Rusca Putra Lilik Supriati Loeki Enggar Fitri Marji Marji Martha Nurani P Mira Fatmawati Mujahidin Mujahidin Mukhamad Fathoni Nadya Karlina Megananda Nafisa Naaz Nanik Setijowati Nastiti, Ken Diah Mangar Natalia Damaiyanti Putri Raden Natasha Halim, Angie Ni Made Sintha Pratiwi Nikma Fitriasari Ninik Djajati Nugroho Nurponco Priyanto Nur Hidayati Azhar, Nur Hidayati Panjaitan, Damaris Gabrielle Valentine Pedro gonzales Pradina, Fifin Prahadiani, Saesar Revita Proscilla Maiselina Putri Fitri Alfiantya Rahayu, Aldila Putri Rahmad Rahmad Rahmah Dara Lufira Rahmawati Aminingrum Rakhmani, Alidha Nur Respati Suryanto Dradjat Rifqi Rinanto Rinik Eko Kapti, Rinik Eko Rivo Yudhinata Brian Nugraha Rochelle siem Safrina Dewi Ratnaningrum, Safrina Dewi Sakinah Annura Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih, Satwika Desantina Sirat, Noorhamdani A. Siti Dwi Astuti Sri Andarini Sri Andarini Sri Andarini Sutrisno . Thalia Suharli Tita Hariyanti Tri Baskoro Tunggul Satoto Tri Wahyu Sarwiyata Udjianto, Udjianto Ulina Sagala, Hotma Wandira Lalitya Wening Prastowo Windarwati, Heni Dwi Wurjatmiko, Adi Try Yahya Irwanto Yati Sri Hayati Yulia Dwi Setia Yulianto, Wahyu YUNI ASRI, YUNI Zahra Zahra Zainal Arifin Zainal Ulu Zaroan Supriadi

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