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Literature Review: Pengaruh Indeks Massa Tubuh dan Anemia Terhadap Kejadian Komplikasi Kehamilan Firda Fibrila; Fery Agusman Motuho Mendrofa; Gunarmi Gunarmi; Bima Suryantara; Sumarmi Sumarmi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41335

Abstract

Pemahaman yang lebih komprehensif tentang interaksi antara IMT dan anemia dalam mempengaruhi risiko komplikasi kehamilan dapat memberikan landasan yang kuat untuk pengembangan strategi pencegahan dan intervensi yang lebih efektif. Tujuan: Studi literatur ini untuk menganalisis pengaruh status IMT dan status anemia kehamian terhadap kejadian komplikasi pada kehamilan Metode: Literatur review diterapkan dalam penulisan artikel ini dengan memanfaatkan data base Medline dan Google scholar. Kata kunci yang ditetapkan yaitu “BMI AND anemia AND complication pregnancy”. Menggunakan flowchart Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) untuk eliminasi artikel. Hasil: Berdasarkan kajian literatur terhadap 10 artikel sejenis terpilih, diketahui IMT dan anemia berpengaruh terhadap kejadian komplikasi kehamilan. Selain itu faktor risiko yang menyertai ibu berkontribusi terhadap kejadian IMT dan anemia yang berdampak pada timbulnya komplikasi kehamilan Kesimpulan: IMT, anemia, dan faktor risiko yang menyertai kondisi ibu memberikan dampak yang beragam terhadap timbulnya komplikasi kehamilan baik terhadap status kesehatan ibu hamil maupun janin. Saran: Harapannya kajian ini dapat menjadi dasar bagi praktisi untuk memberikan layanan terbaik kepada ibu hamil untuk mencapai kesehatan yang optimal dan menghasilkan generasi yang berkualitas.
EDUKASI KEPATUHAN MINUM OBAT BAGI PENDERITA HIPERTENSI BERBASIS ASUHAN KEPERAWATAN KELUARGA DI WILAYAH PUSKESMAS KEDUNGMUNDU SEMARANG Julius Afta Setyonugroho; Fery Agusman Motuho Mendrofa
Jurnal Pengabdian Indonesia (JPI) Vol. 2 No. 1 (2026): Vol. 2 No. 1 Edisi Januari 2026
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/jpi.v2i1.2321

Abstract

Latar Belakang: Hipertensi merupakan penyakit tidak menular dengan prevalensi tinggi di Indonesia yang mencapai 34,1% berdasarkan Riskesdas 2018. Kepatuhan minum obat antihipertensi menjadi tantangan utama dalam pengendalian tekanan darah, yang dipengaruhi oleh kurangnya pengetahuan, kesadaran, dan dukungan keluarga. Pendidikan kesehatan dengan media pill card merupakan strategi intervensi yang dapat meningkatkan kepatuhan pasien dalam menjalani terapi hipertensi. Tujuan: Studi kasus ini bertujuan untuk mengetahui pengaruh edukasi penggunaan pill card terhadap kepatuhan minum obat bagi penderita hipertensi berbasis asuhan keperawatan keluarga di wilayah Puskesmas Kedungmundu. Metode: Penelitian ini menggunakan metode deskriptif dalam bentuk studi kasus dengan pendekatan asuhan keperawatan keluarga yang meliputi pengkajian, diagnosis keperawatan, perencanaan, pelaksanaan, dan evaluasi. Subjek studi kasus adalah keluarga Tn. S di RW 03 Kelurahan Tandang wilayah kerja Puskesmas Kedungmundu Kota Semarang. Intervensi dilakukan selama 3 hari (29 November - 1 Desember 2025) dengan pemberian edukasi kesehatan menggunakan media leaflet dan pill card. Hasil: Hasil studi kasus menunjukkan adanya penurunan tekanan darah yang signifikan setelah pemberian edukasi dengan pill card. Tekanan darah klien sebelum intervensi adalah 171/101 mmHg, menurun menjadi 140/91 mmHg pada hari kedua, dan mencapai 130/81 mmHg pada hari ketiga. Skala nyeri kepala juga mengalami penurunan dari skala 6 menjadi skala 3. Klien dan keluarga menunjukkan peningkatan pengetahuan tentang hipertensi dan kepatuhan dalam menggunakan pill card sebagai alat pengingat minum obat. Kesimpulan: Pendidikan kesehatan keluarga dengan media pill card efektif dalam meningkatkan kepatuhan minum obat antihipertensi dan menurunkan tekanan darah pada penderita hipertensi. Keterlibatan keluarga dalam proses edukasi berperan penting dalam mendukung keberhasilan intervensi. Disarankan agar tenaga kesehatan dapat menerapkan edukasi penggunaan pill card sebagai bagian dari asuhan keperawatan keluarga pada pasien hipertensi.
Transcultural Nursing Approach in Designing the Multisensory Room for Older Adults: Sensory Utilities and Activity Exploration Umi Hani; Rita Hadi Widyastuti; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.5090

Abstract

Multisensory space applies sensory stimulation that helps train cognitive and motor functions through elements that stimulate the senses in the elderly. This concept is identified for people with moderate to severe cognitive decline and neurodegenerative pathologies. Aim: This study aimed to identify sensory utilities and activities in designing a multisensory space with a transcultural nursing approach. Methods: Researchers collected data qualitatively using the Focus Group Discussion (FGD) technique to explore elements related to the function of the multisensory space. The FGD also identified transcultural nursing aspects that could be applied to the room concept. The FGD involved five participants selected according to the research objectives to explore the needs and activities of multisensory stimulation for the elderly. The FGD was conducted for two hours. Participants were the health service officer, geriatric nurses, one Alzheimer's dementia activist, one architect, and one cultural figures. The results of the FGD were analyzed using the Colaizzi method approach by transcribing data from the FGD results, reading the FGD transcripts several times, and analyzing themes using Atlas.ti. Transcripts and meaningful statements were returned to participants to form categories, subthemes, and themes. Results: The themes analyzed were related to elements in the multisensory room which included both equipment and activities that supported sensory stimulation. Discussion: The identification of spatial elements and research partners in the development of multisensory space design supports the fulfillment of the needs of applicable and innovative elderly health services, especially in applying the concept of transcultural nursing for multisensory rooms for the elderly Conclusion: Cultural considerations play a significant role in the effectiveness of sensory elements, as sensory experiences that resonate with an individual’s cultural background can evoke positive emotions and memories.
Implementation of Betty Neuman's Systems Theory in Hospital Nursing Practice: A Systematic Review Umi Laila; Fery Agusman Motuho Mendrofa; Tri Ismu Pujianto
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6777

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Betty Neuman's system theory offers a holistic nursing approach that focuses on strengthening the patient's line of defense through the identification and management of stressors at the primary, secondary, and tertiary levels. Although this model has been widely applied in clinical practice, the consistency and effectiveness of its implementation in hospitals still require thorough evaluation. This study aims to systematically review empirical evidence on the application of Betty Neuman's theory in the field of nursing in hospitals. The method used in writing this article is a literature study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Sematic Scholar, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords implementation, nursing, hospital, betty neuman system Using PRISMA, from 946 articles found, 10 journal articles were obtained for review. A total of 10 articles were synthesized based on the findings of the effectiveness of implementing Betty Neuman's theory in nursing practice in hospitals, including Environmental Factors, Client System, Stressors, Lines of Defense and Resistance, Three Levels of Prevention, and Recovery. The results of the study indicate that the implementation of this theory is effective in strengthening the patient's defense system, reducing anxiety levels, and accelerating recovery in various conditions such as stroke, cancer, heart failure, and pre-operative anxiety. This model facilitates a multidimensional approach that includes the physiological, psychological, social, and spiritual aspects of the patient, while emphasizing the role of nurses as stressor managers and holistic recovery facilitators. However, practice in the field is still often limited to physical interventions only, so that the full potential of the theory has not been optimally utilized.
Application of Jean Watson's Theory of Human Caring Towards the Independence of HIV/AIDS Patients in Hospitals: A Systematic Review Edi Susanto; Rusnoto Rusnoto; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.288

Abstract

HIV/AIDS is a global health problem that remains a major challenge, particularly regarding quality of life, stigma, and patient independence in long-term care. Jean Watson's Human Caring Theory offers a holistic approach that focuses on therapeutic relationships, respect for human dignity, and emotional and social support, potentially increasing the independence of HIV/AIDS patients in the hospital. This study aims to identify, synthesize, and analyze scientific evidence regarding the application of Jean Watson's Theory of Human Caring to increasing the independence of HIV/AIDS patients in hospitals. This study used a Systematic Review method with PRISMA guidelines. Literature sources were searched through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect for the years 2015–2025. The keywords used were human caring, Jean Watson, independence, PLWHA, HIV/AIDS, hospital. Of the 1,099 articles found, 8 articles met the inclusion criteria for further analysis. The review showed that the implementation of Human Caring improved communication, motivation, social interaction, medication adherence, and quality of life in HIV/AIDS patients. Factors such as family support, employment status, clinical condition, and psychosocial support were shown to influence patients' levels of independence. The caring approach also reduced stigma, strengthened self-confidence, and encouraged active patient involvement in care. Jean Watson's Theory of Human Caring has been shown to contribute significantly to increasing the independence of HIV/AIDS patients in hospitals through a holistic and multidimensional approach. Future research is recommended to develop a caring-based intervention model with more measurable effectiveness tests using experimental or quasi-experimental designs and incorporating independence as the primary indicator.
Diterminant Factors of Hemodialysis Compliance in CKD Patients in the Hospital: A Systematic Review Edy Wiyono; Rusnoto Rusnoto; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.290

Abstract

hronic kidney disease (CKD) is a global health problem with increasing prevalence, particularly in end-stage patients requiring renal replacement therapy in the form of hemodialysis. The success of hemodialysis is greatly influenced by patient adherence to the treatment regimen, including dialysis attendance, fluid restriction, diet, and medication use. However, patient adherence remains variable and tends to be low, particularly with regard to diet and fluid restriction. This study aims to identify and analyze the determinant factors that influence the compliance of CKD patients in undergoing hemodialysis in hospital. This study used a systematic review with PRISMA guidelines. A literature search was conducted through electronic databases covering the period 2015–2025. Literature searches were obtained from Google Scholar, Semantic Scholar Proquest, and ScienceDirect . The keywords used were CKD, hemodialysis , determinant factors, adherence, hospital . Of the 1,145 articles obtained, 10 met the inclusion criteria and were subjected to further analysis. The results of the study showed that the dominant factors influencing patient compliance were economic factors (p = 0.009) , patient knowledge and education (p = 0.001) , and family support (p = 0.000) . In addition, the factor Occupation (p = 0.026) , duration of hemodialysis (p = 0.000) , and psychological aspects such as sleep quality (OR = 3.36 ) and depression also significantly contribute to patient compliance. These factors play a multidimensional role and interact with each other in influencing patient compliance. Adherence to hemodialysis in CKD patients is influenced by a combination of economic factors, knowledge, family support, sociodemographic factors, and psychological conditions. Interventions that emphasize financial support, increased health literacy, and active family involvement are crucial for increasing adherence, improving quality of life, and producing better clinical outcomes in hospitalized CKD patients.
Factors Influencing the Use of Online Registration Applications in Hospitals: A Systematic Review Istriyah Istriyah; Fery Agusman Motuho Mendrofa; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.291

Abstract

Advances in information and communication technology have driven digital transformation in the healthcare sector, including patient registration systems in hospitals. Online registration applications have been developed to increase efficiency, reduce queues, and accelerate access to services. However, adoption remains low and is influenced by various individual, technical, and structural factors. This study aims to identify factors that influence the use of online registration applications in hospitals, so that it can provide a comprehensive picture for the development of digital-based services. The study used a systematic review method with PRISMA guidelines. Literature sources were searched through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect with related keywords. Inclusion articles were published between 2015 and 2025, were quantitative, descriptive, survey, or cross-sectional, and discussed factors influencing the use of online registration applications in hospitals. The keywords used were application, online registration, determinant factors, and hospital. Of the 1,060 articles screened, 9 articles were selected for analysis. A total of 9 articles were synthesized based on the findings of what factors influence the use of online registration applications in hospitals. The review identified five key factors influencing the use of online registration applications: perceived usefulness, perceived ease of use, patient satisfaction, social influence and trust , and facilitating conditions and regulations. These factors operate simultaneously in shaping patient intentions and behavior toward online registration applications. Online registration applications in hospitals are more accepted when they are perceived as useful, easy to use, increase patient satisfaction, and are supported by social factors, trust, and adequate regulations. These findings can inform hospital strategies and health policies to increase the use of digital applications.
The Orem Self-Care Based Protocol on Interdyalitic Weight Gain (IDWG) in Chronic Kidney Disease Hemodialysis Patients in the Hospital Ahmad Faiq; Fery Agusman Motuho Mendrofa; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.293

Abstract

Chronic Kidney Disease (CKD) is a health problem with increasing prevalence in Indonesia and globally. Patients with end-stage CKD generally undergo hemodialysis as replacement therapy, but this is often accompanied by complications such as Interdialytic Weight Gain (IDWG) due to excess fluid between dialysis sessions. Uncontrolled IDWG can lead to hypertension, pulmonary edema, and even heart failure. Therefore, effective nursing interventions are needed to help patients manage IDWG, one of which is through the application of Orem's Self-Care theory. This study aims to analyze the effectiveness of implementing the Orem Self-Care based protocol on IDWG in hemodialysis patients with chronic kidney failure at Dr. Loekmonohadi Hospital, Kudus. The study design used a quasi-experimental approach with a pre-test–post-test control group design . The sample consisted of 84 hemodialysis patients selected using a saturated sampling technique and divided into an intervention group (n=42) and a control group (n=42). Data collection was conducted by measuring the patients' Interdialytic Weight Gain (IDWG) before and after the intervention.  The intervention included fluid management education, weight monitoring, and fluid restriction strategies. Data analysis was performed using a paired t-test and a test for differences between groups with a significance level of p < 0.05. Before the intervention, the majority of patients were unable to control their IDWG (88.1 % in the intervention group; 81.0% in the control group). After the intervention, 90.5 % of the intervention group achieved IDWG control compared to only 26.2% in the control group. The mean IDWG decreased from 4.99 kg to 3.14 kg, with a significant difference of 1.85 kg (p < 0.001). The Orem Self-Care based protocol is effective in reducing IDWG in hemodialysis patients with CKD, increasing patient independence, and potentially preventing complications due to fluid overload.
The Effect of Memo Intervention (Motivation, Enrichment, Mentoring and Operant Conditioning) on Nurses Caring Behavior Memorya Yani Kharismawati; Tri Ismu Pujiyanto; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.555

Abstract

Caring is a core dimension of nursing practice, yet it varies significantly across regions and health systems. In Indonesia, approximately 35% of nurses exhibit poor caring behaviors, and Panti Wilasa dr. Cipto Hospital continues to receive complaints regarding the quality of nurse care. Objective to evaluate the effect of MEMO (Motivation, Enrichment, Mentoring, Operant Conditioning) intervention on nurses' caring behavior at Panti Wilasa dr Cipto Hospital Quasi-experimental quantitative study with One-Group Pretest-Posttest Design as many as 122 nurses with ≥ 8 years of service were selected through purposive sampling. MEMO intervention was implemented for three weeks. Caring behavior was evaluated before and after the intervention using valid observation instruments based on Swanson's Caring Theory. Data were analyzed by Wilcoxon Signed Rank Test due to non-normal distribution of data. Component effects were evaluated through ANOVA. Caring behavior scores significantly increased from a mean of 16.06 before the intervention to 18.14 after the intervention (p = 0.000). All MEMO components significantly influenced caring behavior: Motivation (F = 12.984, p = 0.000), Enrichmnet (F = 11.778, p = 0.001), Mentoring (F = 9.763, p = 0.002), and Operant Conditoning (F = 8.201, p = 0.005).MEMO intervention effectively and significantly improved nurses' caring behavior.
Implementation of Femovenart Mechanical Compression (Femopress) in Femoral Sheath Removal for Post-Cardiac Catheterization Patients Bambang Julianto; Fery Agusman Motuho Mendrofa; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.647

Abstract

Manual femoral sheath removal following percutaneous coronary intervention (PCI) remains a major challenge in interventional cardiac nursing practice. Variations in manual pressure, prolonged compression duration, and nurse fatigue can lead to inconsistent hemostasis and potential peripheral complications. To address these issues, an innovative mechanical compression device Femovenart Mechanical Compression (Femopress) was developed as a locally engineered nursing tool designed to provide consistent, ergonomic, and safe compression after cardiac catheterization. This action research study was conducted at the Cathlab Unit of Dr. Loekmono Hadi General Hospital, Kudus, Central Java, from May to June 2025. The study involved four Cathlab nurses as collaborative practitioners and twenty post-PCI patients with femoral access. Data were collected through direct observation, peripheral safety assessment using six indicators (pulse, skin color, oxygen saturation, hematoma, paresthesia, and pain), and focus group discussions (FGDs). Triangulation was performed with three experts: an academic supervisor, an interventional cardiologist, and a senior Cathlab nurse. Quantitative data were analyzed descriptively, while qualitative data were processed using thematic content analysis. Prior to the innovation, manual compression required 15–20 minutes and often caused nurse fatigue and inconsistent hemostasis. Implementation of Femopress reduced compression time to 13–18 minutes, maintained optimal hemostasis, and improved peripheral safety. Based on the Abukays Peripheral Safety Scale, 90% of patients achieved “safe” scores (9–12), with no secondary bleeding or hematoma. Six FGD themes emerged: (1) manual practice limitations, (2) unavailability of special tools, (3) inadequacy of facilities, (4) need for dedicated compression devices, (5) positive evaluation of Femopress, and (6) expectations for future development. The Femopress innovation effectively improves procedural efficiency, reduces nurse workload, and enhances patient comfort and safety in femoral sheath removal after PCI. This device demonstrates strong potential as a standard nursing technology for Cathlab practice and a model of nursing-led innovation in cardiovascular care.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Ahmad Faiq Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bambang Julianto Bima Suryantara Blacius Dedi Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Edi Susanto Edy Wiyono Eko Winarto Firda Fibrila Gloria Caesar Cabral Grasela Lelemboto Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Indah Wulaningsih Istriyah Istriyah Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda KHAIRUL HUDA, KHAIRUL Koesoemo, Rizki Fitryasari Patra Kuntoro Kuntoro Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Memorya Yani Kharismawati Muhammad Bagus Andrianto Muhammad Jamaluddin Muhammad Muin Mujahidah, Sa'adah Murniati, Restu Myla Ristiyowati Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Hadi Widyastuti Rita Oktaviani Rose Nurhudariani Rusmini Rusmini Rusnoto Rusnoto safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Satria Hendrawan, Gagah Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujianto Tri Ismu Pujiyanto Ucik Mulyanti Umi Hani Umi Hani Umi Laila Widiyaningsih Widyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat