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Farmers’ Perceptions and Experiences on Family Nutrition Fulfillment and Mental Health Management in Rural Indonesia Ryadi, Yusuf; Dewi, Mira; Hartini, Riati Sri; Ichsan, Burhannudin; Aryoseto, Lukman
Jurnal Medis Islam Internasional Vol 7 No 2 (2025): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i2.7650

Abstract

Introduction: Farmers in rural Indonesia face challenges in maintaining nutritional adequacy and mental health due to economic instability, crop failure risks, and fluctuating commodity prices. Limited empirical evidence exists on how these factors intersect within farming communities. Objective: This study aims to explore farmers' perceptions and experiences regarding nutrition and mental health among farmer groups in three rural districts of Indonesia. Methods: A qualitative study was conducted with 36 farmers (aged 25–65 years; all  males) from Kulonprogo, Boyolali, and Bogor, selected purposively. Data were collected through focus group discussions and analyzed using inductive qualitative content analysis based on Graneheim and Lundman’s framework and processed with enVivo® software. Results: The main stressors identified were economic hardship, crop failure, debt and unstable commodity prices. Food decision-making was largely determined by wives, with children’s needs prioritized. While severe food insecurity was not reported, mild to moderate food insecurity characterized by limited dietary diversity was common. Coping strategies included additional income-generating activities, utilizing homegrown produce, and borrowing from relatives or neighbors. Conclusions: Findings indicate a strong interrelation between food insecurity and mental distress among farmers. Interventions that integrate nutrition improvement and mental health support alongside economic and agricultural policy reforms are essential to enhance farmers’ well-being.
The Impact of Marketing Mix on Patient Loyalty and Satisfaction in Inpatient Services Indah Sri Astuti; Burhannudin Ichsan; Muzakar Isa
Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE) Vol 8 No 1 (2025): Sharia Economics
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31538/iijse.v8i1.6311

Abstract

The impact of the marketing mix appeared to be one of the most important elements in influencing patient loyalty and satisfaction. The marketing mix consists of many variables, namely product, price, place, promotion, physical evidence, and process. Building on well-known frameworks such as the SERVQUAL model and the Theory of Planned Behaviour, this study suggests a mediating role of patient satisfaction between specific marketing mix elements and loyalty. A quantitative technique was used and data was collected from inpatients using structured questionnaires. The results show that physical evidence and process have a positive and significant effect on satisfaction and loyalty; however, the effect of product, price, place, and promotion on loyalty is direct and not mediated by satisfaction. These findings are consistent with previous literature emphasizing the role of service quality and customer experience in the healthcare setting. However, the study does not focus on any other specific methodology to identify other factors that can predict a patient's satisfaction in a hospital environment. It provides a theoretical and practical basis for future health service marketing movements.
DUKUNGAN DAN HAMBATAN MAHASISWA DENGAN OBESITAS DALAM UPAYA PENURUNAN BERAT BADAN Aini, Farida Nur; Ichsan, Burhannudin
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.55051

Abstract

Obesitas pada mahasiswa merupakan masalah kesehatan yang dipengaruhi oleh dukungan sosial serta berbagai hambatan dalam upaya penurunan berat badan, yang berperan penting dalam membentuk perubahan perilaku sehat. Penelitian ini bertujuan mengeksplorasi bentuk dukungan dan hambatan yang dialami mahasiswa dengan obesitas dalam menjalani proses penurunan berat badan. Penelitian menggunakan pendekatan kualitatif fenomenologis dengan melibatkan 18 mahasiswa berusia 18–25 tahun yang dipilih secara purposive sampling di Kabupaten Sukoharjo. Data dikumpulkan melalui wawancara mendalam, direkam, ditranskripsi secara verbatim, dan dianalisis menggunakan analisis tematik dengan bantuan perangkat lunak OpenCode. Hasil penelitian menunjukkan bahwa mahasiswa menerima berbagai bentuk dukungan, meliputi dukungan sosial dari keluarga, teman sebaya, dan tenaga kesehatan; dukungan personal berupa motivasi diri, komitmen, dan disiplin; dukungan informasional terkait pola makan dan aktivitas fisik; serta dukungan lingkungan berupa akses terhadap fasilitas dan lingkungan yang kondusif. Dukungan tersebut berperan dalam meningkatkan motivasi, kepercayaan diri, dan konsistensi mahasiswa dalam menjalani pola hidup sehat. Di sisi lain, mahasiswa juga menghadapi hambatan internal seperti rendahnya kontrol diri, fluktuasi emosi, rasa malas, serta kebiasaan makan tidak sehat. Hambatan eksternal meliputi beban akademik, keterbatasan waktu, dan pengaruh lingkungan sosial yang mendorong perilaku makan tidak terkontrol. Keberhasilan penurunan berat badan dipengaruhi oleh keseimbangan antara dukungan yang diterima dan kemampuan mahasiswa dalam mengelola hambatan secara adaptif.
Validitas dan Reliabilitas Kuesioner Pengetahuan, Sikap, dan Perilaku Apoteker terhadap Pharmaceutical Care Ulviani Yulia Husna; Burhannudin Ichsan
PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia) Jurnal Pharmacy, Vol. 20 No. 02 Desember 2023
Publisher : Pharmacy Faculty, Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pharmacy.v0i0.13953

Abstract

Pharmaceutical care didefinisikan sebagai pelayanan yang bertanggung jawab terhadap terapi obat dengan tujuan untuk mendapatkan hasil yang pasti serta  meningkatkan kualitas pasien. Pharmaceutical care menggambarkan tujuan dari farmasi klinik apabila dilihat dari praktek pofesional kefarmasian. Pharmaceutical care melibatkan peran Apoteker untuk mengembangkan rencana terapeutik yang akan menghasilkan hasil terapeutik yang spesifik untuk pasien. Tujuan dari penelitian ini adalah untuk membuat kuesioner standar siap pakai untuk penelitian tentang pengetahuan, sikap, dan perilaku apoteker tentang pharmaceutical care. Tiga puluh apoteker yang diberikan kuesioner untuk diisi menjadi sampel dalam penelitian ini. Sebuah teknik digunakan untuk mengevaluasi validitas kuesioner secara expert judgement sedangkan pada uji reliabilitas digunakan dengan melihat nilai korelasi item-total. Pengujian validitas instrument dengan expert judgment dihasilkan ada beberapa item pernyataan yang mengalami perbaikan kalimat. Sedangkan uji reliabilitas, item pernyataan pengetahuan ada 7 item yang memiliki nilai korelasi item-total > 0,20, pada item pernyataan sikap ada 22 item yang memiliki nilai korelasi item total > 0,20 dan pada item pernyataan perilaku ada 14 item yang memiliki nilai koralasi item total > 0,20. Hasil uji validitas dan reliabilitas instrumen dapat diterima untuk digunakan dalam menilai pengetahuan, sikap, dan perilaku apoteker terhadap pharmaceutical care.
Impact of Hormonal Therapy Regimens and Adverse Drug Reactions on Quality of Life in Breast Cancer Patients at Dr. Moewardi Regional General Hospital, Surakarta Luthfiyanti, Niken; Ichsan, Burhannudin
Sciences of Pharmacy Volume 5 Issue 2
Publisher : ETFLIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58920/sciphar0502555

Abstract

Breast cancer remains the most common malignancy among women worldwide, and hormonal therapy is a cornerstone in the management of hormone receptor-positive cases, although its impact on adverse drug reactions (ADRs) and quality of life (QoL) remains a concern. This study aimed to evaluate the association between hormonal therapy patterns, ADRs, and QoL in breast cancer patients. An observational analytic study with a crosssectional design was conducted at Dr. Moewardi Regional General Hospital, Surakarta, from January to June 2025, involving 64 patients selected through consecutive sampling. Data were collected from medical records and structured interviews. QoL was assessed using the EORTC QLQ-C30 questionnaire, and ADRs were evaluated using the FACT-ES instrument. Bivariate and multivariate logistic regression analyses were performed. Most patients were aged <50 years (60.9%) and diagnosed at an advanced stage (57.8%). No significant associations were found between sociodemographic or clinical characteristics and type of therapy, survival duration, or ADR severity (all p>0.05). The most common ADRs were fatigue (51.6%) and hot flushes (50%). QoL assessment showed good functional status (mean = 79.65) and low symptom burden (mean = 25.06), but poor global health status (mean = 26.30). Cancer stage (p = 0.010) and type of therapy (p = 0.027) were significantly associated with QoL. Multivariate analysis confirmed that advanced-stage cancer (OR = 0.31; 95% CI: 0.14-0.68; p = 0.004) and combination therapy (OR = 0.44; 95% CI: 0.21-0.92; p = 0.024) were independent predictors of poorer QoL. These findings highlight the importance of individualized treatment strategies to optimize patient quality of life.
Clinical Pathway Sebagai Solusi Keberlanjutan JKN di Indonesia: Systematic Review Septiana, Septiana; Soekiswati, Siti; Ichsan, Burhannudin
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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

Abstract

The National Health Insurance (JKN) program is threatened with a deficit and potential default in 2026 due to inefficiency and the risk of fraud in healthcare facilities. In the context of JKN, which uses a package system (INA-CBG), Clinical Pathway (CP) is a strategic instrument within the JKN system that has dual benefits for both Payers (BPJS Kesehatan) and Providers (Hospitals). For BPJS Kesehatan, CP primarily functions to ensure service quality and prevent undertreatment fraud, the practice of reducing services to benefit hospitals. This prevention ultimately achieves cost efficiency in the JKN program by avoiding payment of complication claims and readmissions arising from substandard services. On the hospital side, CP helps control real cost effectiveness (cost) to maintain efficiency. High CP compliance can reduce inefficiencies (e.g., resource overutilization), thereby reducing the gap in hospital losses under the INA-CBG package system. This indirectly reduces the incentive for hospitals to commit fraud. This study aims to synthesize comprehensive evidence regarding the impact of CP compliance on cost efficiency (Hospital Cost) from a provider perspective and its impact on the sustainability of JKN. The method used was a Systematic Review based on the PRISMA framework, analyzing 28 articles from hospitals in Indonesia (2016-2025) that discussed the impact of CP on costs and/or Length of Stay (LOS) as well as the quality of clinical services. During the snowballing and abstract screening stages, we also found that compliance was an important variable measured by the studies we reviewed. The results show that the level of CP compliance in Indonesia remains low; 80% of hospitals have compliance below 50%, which triggers service variations and the risk of fraud. CP compliance is consistently positively correlated with reduced Hospital Costs (thus increasing internal hospital efficiency) and accelerated LOS. In addition to cost efficiency, CP has also been shown to improve the quality of clinical services by reducing complications (SSI: Surgical Site Infection) and reducing the risk of readmissions. In conclusion, CP is an essential dual solution; improving CP compliance is a fundamental key to balancing hospital cost efficiency without sacrificing quality, while simultaneously safeguarding the financial sustainability of the JKN Program from the burden of unnecessary complication claims.
Hypertensive Patients’ Perceptions of Their Disease: A Phenomenological Study Dinar Herdhiyanti Siwi; Burhannudin Ichsan
Jurnal Vocational Nursing Sciences (VNUS) Vol 8 No 1 (2026): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v8i1.967

Abstract

Hypertension is a non-communicable disease with high prevalence and a substantial risk of serious complications if not properly managed. Patients’ perceptions of hypertension play a crucial role in shaping health-related behaviors, particularly medication adherence and the adoption of healthy lifestyles. This study aims to explore and analyze patients’ perceptions of hypertension, the factors influencing these perceptions, and their implications for disease management and treatment adherence. This study employed a qualitative phenomenological design. Data were collected through semi-structured in-depth interviews with 17 patients diagnosed with hypertension who attended routine follow-up visits at Nogosari Primary Health Care Center, Boyolali, Central Java, Indonesia. Participants were selected until data saturation was achieved. Data were analyzed using thematic analysis. The findings showed that all patients perceived hypertension as a dangerous disease, mainly due to the risk of complications such as stroke and heart disease. However, patients’ levels of understanding regarding the definition, disease mechanisms, and complications of hypertension varied. Hypertension management, as perceived by patients, included dietary regulation, physical activity, stress management, and regular medication use, although inconsistencies in implementation were reported. Better perceptions of hypertension tended to encourage improved medication adherence and healthier lifestyle behaviors. This study highlights the importance of continuous health education to enhance patients’ understanding and management of hypertension.
Inpatient Service Quality and Intention to Recommend: The Mediating Roles of Satisfaction and Loyalty at PKU Muhammadiyah Delanggu General Hospital Fery Ardi Kurniawan; Burhannudin Ichsan; Muzakar Isa
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.652

Abstract

Introduction: Patient-centered service quality influences patient satisfaction, loyalty, and intention to recommend. Objective: This study examined the effect of inpatient service quality on intention to recommend, with patient satisfaction and loyalty as mediators at RSU PKU Muhammadiyah Delanggu. Method: This quantitative study used an explanatory cross-sectional design conducted at RSU PKU Muhammadiyah Delanggu from March to April 2026. A total of 275 adult non-intensive inpatient respondents were selected using consecutive sampling. Data analyzed using Structural Equation Modeling-Partial Least Squares. Result and Discussion: Inpatient service quality significantly affected patient satisfaction (β = 0.798; p < 0.001) and intention to recommend (β = 0.316; p < 0.001), but not patient loyalty (β = 0.059; p = 0.392). Patient satisfaction significantly influenced patient loyalty (β = 0.687; p < 0.001), while patient loyalty significantly influenced intention to recommend (β = 0.588; p < 0.001). Service quality also had significant indirect effects on patient loyalty through satisfaction (β = 0.548; p < 0.001) and on intention to recommend through satisfaction and loyalty (β = 0.357; p < 0.001). Conclusions: Inpatient service quality significantly affects patient satisfaction and intention to recommend, while patient satisfaction and loyalty mediate the relationship between service quality and recommendation intention
Evaluation of The Chronic Disease Management Program (PROLANIS) on The Management of Diabetes Mellitus Patients Fandy Akbar Brilliantama; Burhannudin Ichsan
Jurnal Vocational Nursing Sciences (VNUS) Vol 8 No 1 (2026): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v8i1.969

Abstract

Background: The Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis/PROLANIS) is a strategic initiative implemented in primary health care center to improve the management of chronic diseases, including diabetes mellitus. This program emphasizes comprehensive, continuous, and patient-centered care. However, variations in program implementation at the primary care level may influence its effectiveness, highlighting the need for in-depth evaluation. Methods: This qualitative case study was conducted at Nogosari Primary Health Care Center, Boyolali. Informants included 15 diabetes mellitus patients participating in PROLANIS and 2 health care providers. Data were collected through observation, in-depth interviews, and document review, then analyzed using content analysis. Results: Most PROLANIS components, such as medical consultations, health education, physical activity, health monitoring, and SMS reminders, were implemented according to guidelines and showed positive contributions. Supporting factors included comprehensive medical services, effective support systems, and peer support among participants. However, barriers remained, including limited access to services and medications, suboptimal service quality, low motivation, awareness, and adherence among some participants, and underutilized home visit activities. Overall, PROLANIS encouraged healthier lifestyles, improved medication adherence, and increased patient knowledge. Conclusions: PROLANIS demonstrates significant potential in supporting diabetes mellitus management in primary health care center. However, improvements are needed in terms of service accessibility, program personalization, and patient engagement to enhance program effectiveness and sustainability
WORK–FAMILY CONFLICT, WORK–LIFE BALANCE, AND JOB SATISFACTION AS PREDICTORS OF NURSES’ INTENTION TO STAY: A LITERATURE REVIEW Aswin Wikantama; Burhannudin Ichsan; Muzakar Isa
Jurnal Medika: Medika Vol. 4 No. 2 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/djnc5e72

Abstract

The purpose of this literature review is to explore and synthesize empirical evidence regarding the influence of work–family conflict, work–life balance, and job satisfaction on nurses’ intention to stay in hospital settings. A narrative review approach was employed, gathering studies from Scopus, PubMed, and Google Scholar. From an initial pool of 267 articles, 35 met the inclusion criteria, which focused on nurses, hospital-based contexts, and methodological clarity. The findings reveal that work–family conflict negatively affects both work–life balance and job satisfaction, which in turn lowers the intention to stay. Conversely, work–life balance and job satisfaction serve as critical mediators that can buffer the negative impact of role conflict on workforce retention. The review is framed by Role Stress Theory and Social Exchange Theory to explain the dynamic relationships among variables. These findings underscore the importance of organizational support mechanisms, such as flexible work arrangements, performance recognition, and psychological well-being programs, to improve nurses’ motivation and long-term retention. In conclusion, promoting positive work–life interaction and enhancing job satisfaction are essential strategies for sustaining a stable nursing workforce in hospital environments, particularly in high-demand and resource-limited healthcare systems.
Co-Authors Achyarnis, Achyarnis Adi Fahmi Anshari Aditya Nur Rahman Aem Ismail Aflit Nuryulia Aflit Nuryulia Praswati Aini, Farida Nur Alfajri, Asri Anam, Zahra Hafizha Fitria Ananda Asriany Perdana Ananda Asriany Perdana, Ananda Asriany Anantasya, Arum Widya Anis Nur Widayati Arsita Rasmi Aryoseto, Lukman Asti Nurhayati Aswin Wikantama Athip Naufal AY Yanto Ayu Khoirotul Umaroh Ayyasi, Quanta Sansabilla Aziz, Yusuf Abdullah Bayu Hendro Wibowo Bayu Hendro Wibowo, Bayu Hendro Bhisma Murti Bhisma Murti Dahlia Winda Nurarifah Dasuki, Shoim Dedhy Sastiyono Dena Tri Solehaini Dena Tri Solehaini Desi Ekawati Dessy Wahyuni Desviana Rizki Kurniasari Devi Usdiana Rosyidah Devi, Ninda Callista Dewi Nirlawati Dewi Nirlawati, Dewi Dian Handini Dian Handini, Dian Didik Budhi Setiawan Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo, Didik Dinar Herdhiyanti Siwi Dona Dewi Nirlawati Dwi Sartini Ekki Dita Anggariksa Ekki Dita Anggariksa, Ekki Dita Erna Herawati Ersananda, Audria Estu Werdani, Kusuma Eurolia Naba Mutiara Fahrul Mahardian Amanu Faiz Maulana Fandy Akbar Brilliantama Fara Aristya Prisma Fery Ardi Kurniawan Flora Ramona Prakoeswa Flora Ramona Sigit Prakoeswa Geofany Hargi Findawan H.A.A. Soebijanto H.A.A. Soebijanto Hani Ariyanto Hanung Prasetya Hanung Prasetya Hapsari, Windi Harsono Salimo Harsono Salimo Hartini, Riati Sri Hidayat, Fany Nurul Fawzi Hutami, Norma Putri Idoviari Putriyantiwi Imronudin Imronudin Indah Sri Astuti Indra Pradani Khumala Inggrit Thalasavia Utami Ismail, Aem Iwan Setiawan Jayanti Wulansari Jayanti Wulansari, Jayanti Jemmi Sastrawijayah Jonathan Eko Jonathan Eko, Jonathan Komala, Annisa' Meyndra Kunari Mahanani Kunari Mahanani Kurniawati, Novarina Lidya Goprani Umar Luthfiyanti, Niken M. Nur Sidiq M. Nur Sidiq, M. Nur Maharani Ayu Kusumawati Mahawan, Yasmin Faradila Marchella Krismonica Ningrum Mar’ah, Siti Sitatul Muhammad Iqbal Ilyasa Muhammad Nur Sidiq Muhammad Nur Sidiq, Muhammad Nur Muhammad Shoim Dasuki Mulyanto , Agus Mushhaf, Muhammad Dhiyaul Muzakar Isa Muzakar Isa Muzakar Isa Muzakar Isa Nabila Safhira Titan Kencana Nadya Dwi Puspitasari Najlah Amalia Nendika Dyah Ayu Nendika Dyah Ayu Murika Sari Nida Faradisa Fauziyah Nining Lestari Nur Alfi Khoirul Fajriati Nuredis, Yudwari Adhicha Nurussyifa Afiana Zaen Prasetya, Hanung Pratama, Bertha Nanta Priscillah, Wildan Prisma, Fara Aristya Puspitasari, Nadya Dwi Puspitasari, Sintha Putri Rahmitasari Putri Rahmitasari, Putri Putri, Syahanita Anindira Raafika Studiviani Dwi Binuko Raden Roro Nadya Maureen Rahmawati Fajrin Ratih Pramuningtyas Ravi Assaro Al Adib Putra Restiana Nugraheni Kusumastuti Retno Wulandari Retno Wulandari Rini Kuswati Sabrina, Saskia Safitri, Feby Sahilah Ermawati Salsabila Purnamasari Salsabilla, Annisa Sari, Primadiati Nickyta Saskia Sabrina Sastrawijayah, Jemmi SEPTIANA SEPTIANA Setyo Sri Raharjo Siti Soekiswati Siti Zulfatul Afifah Sitta Rahma Sri Rahayu Rendra Amiliya Stefi Meidiana Sulistyani Sulistyani Sulistyani Sulistyani, S Syahanita Anindira Putri Tri Agustina Tri Agustina, Tri Ulviani Yulia Husna Verawati Hadi Vitri Widyaningsih Wahyudya Setya Ananta Wati, Dwi Prasetyo Widayati, Anis Nur Wildan Priscillah Windi Hapsari Wisnu Wijayanto wisnu wijayanto Yeni Indriyani Yoga Prasadja Yudwari Adhicha Nuredis Yurita, Irma Yusuf Alam Romadhon Yusuf Alam Romadhon Yusuf Ryadi Yusuf, Muchammad Zaen, Nurussyifa Afiana Zahra Hafizha Fitria Anam Zakky Cholisoh Zalfa Afifah