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All Journal Jurnal Kesehatan Masyarakat Jurnal Ilmiah Mahasiswa Paediatrica Indonesiana International Journal of Nursing and Health Services (IJNHS) International Journal of Nasopharyngeal Carcinoma The Journal of Hospital Accreditation (JHA) Journal SAGO Gizi dan Kesehatan Jurnal Kesehatan Tambusai Indonesian Journal on Medical Science (IJMS) Indonesian Journal of Cancer
Fifi Dwijayanti
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Efektivitas Edukasi Health Belief Model dalam Perubahan Pengetahuan dan Perilaku Pasien Tuberkulosis Fitriyani, Lia; Dwijayanti, Fifi; Ruswandi, Umar; Afriansyah, Eddy; Purwadi, Hendro
Indonesian Journal on Medical Science Vol 11 No 2 (2024): IJMS 2024
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70050/ijms.v11i2.486

Abstract

Indonesia ranks second in the incidence of tuberculosis after India with 1.06 million cases and 134,000 deaths. About 15 people die from TB every hour.  The number of tuberculosis cases in Depok City in 2019 was 4,695 cases, in 2020 there were 3,311 cases, in 2021 there were 3,974 cases and in 2022 there were 6,549 cases.The aim of this research is to determine the effectiveness of health belief model (HBM) education in changing tuberculosis knowledge and behavior. This research uses a quasi-experimental design. The quasi-experimental approach used was a one group pretest–posttest design. This research was conducted in Depok City for 2 months in January-February 2024. The sample in this study was 60 patients. Data collection uses a questionnaire. Data analysis was carried out using the Wilcoxom test. The results of this research are that the application of the Health Belief Model is effective in increasing knowledge (p value = 0.000) and behavior (p value = 0.000) of tuberculosis patients in Depok City. The conclusion of this research is that providing education using the health belief model influences knowledge and behavior. The suggestion in this research is to carry out regular evaluations to measure the effectiveness of the intervention and make adjustments if necessary.
Burnout Prevention Efforts for Healthcare Professionals in Hospital that Server COVID-19 Patients During Pandemic Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini; Lestari, Dewi
International Journal of Nursing and Health Services (IJNHS) Vol. 7 No. 6 (2024): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v7i6.830

Abstract

Background: COVID-19 pandemic has become main workload issue for health workers in hospitals. Pandemic period requires health workers to endure working under stressful conditions and exposure infection risks. Continuous and uncontrolled stress causes burnout. Objective: It aims to determine prevention efforts in workplace that influence on burnout. Methods: It was cross-sectional study in six hospitals. Population are HCPs consisting of doctors, nurses, pharmacists, nutritionists, medical laboratory personnel, and radiographers. It used primary data based on Copenhagen Burnout Inventory (CBI) questionnaire combined with questionnaire refers to Health Minister No.HK.01.07/MENKES/1591/2020 regarding burnout prevention efforts. Analysis with univariate and bivariate with chi-square test to determine relationship between characteristics and prevention efforts to burnout incidence. Research has passed ethical review from Lavalette Hospital. Results: The result was obtained from 318 respondents from six hospitals. Most respondents were women (76.4%), married (77.7%), had worked ?6 years (56.0%) and nurses (63.5%). Individual prevention has relationship with personal, work-related, and patient-related burnout. Group prevention has a relationship with work-related and patient-related burnout. Organizational prevention has relationship with personal, work-related, and patient-related burnout (p<0.05). Conclusion: Prevention efforts for individuals, groups, and organizations are related to burnout. Individual prevention influences work-related burnout, and professions influence personal and work-related burnout. The results can be used as a reference for providing appropriate and effective burnout prevention interventions through individual, group, or organizational prevention
PENERAPAN HEALTH BELIEF MODEL TERHADAP KEPATUHAN PROTOKOL KESEHATAN MAHASISWA MASA ENDEMIK COVID-19 Dwijayanti, Fifi; Fitri, Asti Elysia Rahmatul; Rahmayanti, Verina Lutfiah; Komalasari, Yosahera
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.39324

Abstract

COVID-19 sebagai isu kesehatan global telah membawa dampak besar terhadap berbagai aspek kehidupan, termasuk dalam hal penerapan protokol kesehatan di kalangan mahasiswa di Indonesia. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kepatuhan mahasiswa Indonesia terhadap protokol kesehatan selama periode endemi COVID-19. Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi cross-sectional dan melibatkan 218 mahasiswa yang dipilih melalui teknik purposive sampling. Kuesioner yang digunakan dalam penelitian telah diuji validitas dan reliabilitasnya dengan nilai Cronbach’s Alpha sebesar 0,878, yang menunjukkan bahwa instrumen penelitian memiliki tingkat keandalan yang baik. Analisis data dilakukan hingga multivariat dengan regresi logistik. Hasil penelitian menunjukkan bahwa tiga faktor dari Health Belief Model (HBM), yaitu cues to action, perceived benefit, dan perceived barrier, memiliki pengaruh yang signifikan terhadap kepatuhan mahasiswa. Selain itu, tingkat pendidikan ayah dan ibu juga ditemukan berkontribusi terhadap kepatuhan mahasiswa dalam menerapkan protokol kesehatan. Dari hasil analisis, cues to action menjadi faktor dominan dengan nilai Adjusted Odds Ratio (AOR) sebesar 2,401 (95% CI 1,268-4,546), yang menunjukkan bahwa semakin banyak isyarat atau dorongan eksternal yang diberikan, semakin tinggi kemungkinan mahasiswa untuk mematuhi protokol kesehatan.Temuan ini memberikan wawasan yang dapat digunakan sebagai dasar dalam menyusun strategi intervensi untuk meningkatkan kepatuhan terhadap protokol kesehatan, baik melalui kampanye edukasi, kebijakan berbasis keluarga, maupun pendekatan berbasis Health Belief Model (HBM) di masa pandemi mendatang.
Unveiling the Survival Gap: Addressing the Challenges of Acute Lymphoblastic Leukemia in Adolescents Aisyi, Mururul; Kosasih, Agus Susanto; Utomo, Ahmad Rusdan Handoyo; Saputra, Fahreza; Sari, Teny Tjitra; Sjakti, Hikari Ambara; Dwijayanti, Fifi; Harimurti, Kuntjoro; Andriastuti, Murti
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1396

Abstract

Background: Acute Lymphoblastic Leukemia (ALL) remains the most common pediatric cancer, yet survival outcomes vary widely across age groups. In Indonesia, comprehensive data on ALL survival rates are sparse, particularly for adolescents who often fare worse than younger children. The underlying factors contributing to the difference in adolescent survival rates still need to be fully understood. This study aimed to evaluate and compare the survival rates of children and adolescents with ALL treated at Dharmais Cancer Hospital.Method: We conducted a retrospective cohort analysis of 94 ALL patients, including 37 adolescent patients and 71 patients with B-lineage ALL. All patients with ALL from 2021 to 2023 were identified. Children aged 1–18 years, diagnosed with ALL based on bone marrow results and not yet treated, are included in the study. Patients were stratified by risk stratification (Standard Risk [SR] vs. High Risk [HR]), lineage (B-lineage vs. T-lineage), and age group (children under 10 vs. adolescents 10 years and above). The survival curve was analyzed using the KaplanMeier method, and the log-rank test was used to assess and compare survival across groups.Results: The overall survival (OS) rate for ALL patients was 49.5%. Adolescents had a significantly lower OS rate of 23.2% compared to children. SR patients exhibited an OS rate of 95.7%, while HR patients had a 33.3%. B-cell lineage had a higher OS rate (59.8%) than T-cell lineage (15.9%). In B-cell ALL, OS was 61.4% in children but only 28.1% in adolescents. Conclusion: The survival rate for adolescents with acute lymphoblastic leukemia (ALL) is significantly lower than that of children, influenced by risk stratification, lineage, and age. Further research is needed to identify these risk factors through genetic and molecular analyses.Conclusion: The survival rate for adolescents with acute lymphoblastic leukemia (ALL) is significantly lower than that of children, influenced by risk stratification, cell type, and age. Unexplained factors, including lineage differences, remain a challenge in adolescents. Further research into genetic and molecular factors is essential to enhance treatment precision and improve survival rates for ALL patients in Indonesia, especially adolescents.Keywords: Overall Survival, Leukemia, Adolescent ALL, Stratification
Associations between genomic copy number alterations and clinical and laboratory results in pediatric B-cell acute lymphoblastic leukemia Aisyi, Mururul; Andriastuti, Murti; Kosasih, Agus Susanto; Utomo, Ahmad Rusdan Handoyo; Saputra, Fahreza; Sari, Teny Tjitra; Sjakti, Hikari Ambara; Dwijayanti, Fifi; Harimurti, Kuntjoro
Paediatrica Indonesiana Vol. 65 No. 2 (2025): March 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.2.2025.89-95

Abstract

Background Copy Number Alterations (CNAs) are changes in DNA structure that lead to gain or loss of copies of DNA sections in the genome. They correlate with unfavorable prognostic outcomes in pediatric leukemia, influencing treatment resistance, relapse rates, and overall survival. Identifying high-risk patients with a likelihood of CNA positivity is essential for understanding its association with clinical characteristics and laboratory findings. Since routine CNA testing is costly, recognizing simple clinical and laboratory markers that predict CNA presence can help focus screening efforts, enabling more efficient risk stratification and prognosis assessment in acute leukemia Objective To describe the characteristics and analyze for associations between CNA, clinical characteristics, and laboratory findings in pediatric ALL patients. Methods This cross-sectional observational study included B-cell acute lymphoblastic leukemia (ALL) patients from three hospitals, excluding those above 18 years. Data collected encompassed demographics, clinical features, and laboratory results. We performed multiplex ligation-dependent probe amplification (MLPA) testing to identify CNA positivity. Results From January to December 2019, there were 74 pediatric ALL patients incuded in our study; 26 of them had positive results and the remaining 48 had negative results. CNA-positive status was commonly found in subjects aged ? 5 years (38.6%), while CNA-negative status was highest in patients aged ? 10 years (72.7%). CNA-positive status was significantly higher in patients with lymphadenopathy, lower hemoglobin level (7.73 g/dL), and lower platelet level (52,019/µL) (P<0.05). Conclusion Patients with lymphadenopathy, lower hemoglobin, and lower platelet levels are more likely to test positive for CNA. However, more research is needed to fully understand the implications of this finding and its potential impact on patient care.
Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2767

Abstract

Background: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment.
Co-Authors Afriansyah, Eddy Agus Susanto Kosasih, Agus Susanto Alfi Faridatus, Alfi Bagoes Widjanarko Chainurridha Chainurridha Cita Herawati Dewi Lestari Dewi Lestari Duta Liana Duta Liana Evika Prilian, Evika Fitri, Asti Elysia Rahmatul Fitriyani, Lia Gesti Megalaksari, Gesti Haridini Intan Mahdi Hendi Setiadi Hikari Ambara Sjakti, Hikari Ambara Komalasari, Yosahera Kuntjoro Harimurti Laswita Yunus Makful, Martya Rahmaniati Muh Fauzi, Muh Murti Andriastuti, Murti Mururul Aisyi Mururul Aisyi Mutiara Adelina Nuraini Fauziah Nuraini Fauziah Nurasih Yuwita S., Nurasih Nuryanti Samosir Purwadi, Hendro Putri Asmita Wigati Rahmayanti, Verina Lutfiah Reni Wigati Rita Lidiyawati, Rita Ruswandi, Umar Saputra, Fahreza Siti Fatimah Pradigdo Teny Tjitra Sari, Teny Tjitra Tri Aprilliana Wulandari Utomo, Ahmad Rusdan Handoyo Yudhy Dharmawan Yunisa Ratna R., Yunisa