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The Impact of Using the Maternal Neonatal Emergency Application (SIGNAL) for Midwives Sumarti Endah Purnamaningsih Maria Margaretha; Berlina Putrianti; Amri Wulandari; Dhiya Urrahman; Y Yohakim Marwanta
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6185

Abstract

Maternal mortality rate (MMR) and neonatal mortality rate (NMR) in Indonesia are still a challenge in health services. Technological innovations such as the SIGNAL application (Maternal Neonatal Emergency Information System) were developed to improve early detection of high risk in pregnant women and neonates. Objective to determine the impact of using the SIGNAL application for midwives in improving the speed and accuracy of maternal neonatal emergency services in Bantul Regency. Descriptive quantitative research with a cross-sectional approach was conducted on 50 midwives using SIGNAL at the Bantul Regency Health Center. The sampling technique used purposive sampling with a total of 50 respondents who actively used the SIGNAL application. Data were collected through questionnaires and analyzed descriptively. The results showed that 82% of midwives felt helped in early identification of high risk, 76% stated that referrals were faster, and 70% felt that the application increased confidence in making clinical decisions. The main obstacles were internet network and device limitations. The use of the SIGNAL application has a positive impact on improving the quality of maternal neonatal emergency services by midwives in Bantul Regency, although improvements in supporting infrastructure are still needed.
Semi-Immersive Virtual Reality Reduces Pain, Fatiwue and Enhances Comfort and Sleep in Paediatric Oncology Sumarti Endah Purnamaningsih Maria Margaretha; Iswanti Purwaningsih; Zeni Widiastuti
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.733

Abstract

Pediatric cancer patients undergoing chemotherapy often experience a range of adverse effects, include discomfort, fatigue, pain, and poor sleep quality. These symptoms can have a detrimental effect on the patients’ physical and psychological well-being. Semi-immersive virtual reality (SVR) has emerged as a promising non-pharmacological approach to enhance comfort and reduce treatment-related distress. To examine the effectiveness of SVR in improving comfort, reducing fatigue and pain, and enhancing sleep quality among pediatrics cancer patients undergoing chemotherapy. A quasi-experimental pretest-posttest study was conducted with 52 children aged 6–14 years receiving outpatient chemotherapy. The sampling technique used is using purposive sampling.  Instruments included the Pittsburgh Sleep Quality Index (PSQI), Shortened General Comfort Questionnaire (SGCQ), Child Fatigue Scale 24 Hours (CFS-24), and Numeric Rating Scale (NRS) for pain. Data were analyzed descriptively to compare pre-intervention and post-intervention scores. The validity test used was KMO–Bartlett and Factor Loading (EFA), while the reliability test used Cronbach's Alpha. Following the SVR intervention, improvements were observed across all variables. The Pittsburgh Sleep Quality Index (PSQI) improved, with “very poor” decreasing from 31% to 0%, “poor” from 37% to 25%, “fair” increasing from 33% to 63%, and “good” from 0% to 12%. Pain intensity (NRS) decreased, with “moderate” pain dropping from 67% to 0% and “mild” pain increasing from 33% to 100%. Fatigue (CFS) improved: “very high” decreased from 25% to 0%, “high” from 48% to 6%, “moderate” from 27% to 0%, and “low” increased from 0% to 94%. Comfort (SGCQ) increased, with “low” decreasing from 31% to 0%, “medium” from 69% to 50%, and “high” increasing from 0% to 50%. Semi-immersive virtual reality effectively enhances comfort, reduces fatigue and pain, and improves sleep quality among pediatrics cancer patients undergoing chemotherapy. SVR can serve as a complementary, non-pharmacological intervention to support children’s well-being the course of cancer treatment.
Monita: Android System for Monitoring Emergency Response for Mothers and Babies Sumarti Endah Purnamaningsih Maria Margaretha; Dhiya Urrahman; Chrisnawati Chrisnawati; Yohakim Marwanta; Fahmi Baiquni
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.764

Abstract

Maternal and neonatal mortality remain significant public health challenges in Indonesia, particularly in regions with limited access to health services. This study presents the MONITA (Monitoring Ibu dan Bayi Tanggap Darurat) application, an Android-based platform designed to enhance early detection of maternal and neonatal complications and strengthen emergency response coordination. MONITA integrates a rule-based screening module following WHO standards, real-time GPS tracking, automatic emergency notifications, and a spatial dashboard for monitoring critical cases. The development process involved system architecture design, UI/UX implementation, prototype testing, and integration of local health data. Preliminary deployment demonstrated that MONITA enables faster identification of high-risk cases, improves communication between field health workers and referral facilities, and supports timely decision-making in emergency situations. The application has the potential to contribute to reducing maternal and neonatal mortality rates and optimizing emergency care in remote or resource-limited areas.
Children’s Treatment Experiences in Pediatric Cancer Care Using Semi-Immersive Virtual Reality: Integrating Children’s Experiences and Parental Narratives Margaretha, Sumarti Endah Purnamaningsih Maria; Purwaningsih, Iswanti; Widiastuti, Zeni
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.692

Abstract

Background: Childhood cancer remains a major global health challenge, with leukemia being the most common malignancy among children. Chemotherapy often causes substantial physical and psychological distress that negatively affects children's treatment experiences. Although previous studies have reported that Semi-Immersive Virtual Reality (SIVR) may reduce pain, anxiety, and procedural distress, little qualitative evidence has explored children's treatment experiences by integrating children's own perspectives with parents' narratives. Therefore, this study explored children's treatment experiences during chemotherapy using SIVR across different developmental stages. Methods: A qualitative descriptive study following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guideline employed purposive sampling. Seventy children undergoing chemotherapy participated in the SIVR intervention. Children aged >6 years participated in individual semi-structured interviews, whereas parents of children aged ≤6 years participated in semi-structured Focus Group Discussions (FGDs) as proxy informants. Interviews and FGDs were audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke's thematic analysis. Trustworthiness was established through member checking, data triangulation, and audit trails. Results: Five interconnected themes with several categories described children's emotional, physical, and behavioral treatment experiences: (1) treatment burden and emotional strain, (2) SIVR as emotional escape and comfort, (3) physical and ergonomic limitations, (4) treatment engagement and coping, and (5) acceptability and future expectations. Integrating children's interviews with parents' narratives provided complementary insights across developmental stages, with participants describing greater emotional comfort and coping despite ergonomic challenges. Conclusion: The findings suggest that SIVR may serve as a promising supportive intervention for enhancing children's treatment experiences during chemotherapy. Integrating children's interviews with parents' narratives provides comprehensive evidence to support child-centered pediatric oncology care. Future multicenter qualitative or mixed-methods studies should evaluate ergonomically optimized SIVR to strengthen evidence for broader clinical implementation.
PELATIHAN SENAM KAKI DIABETES UNTUK PENCEGAHAN KOMPLIKASI PADA LANSIA Cindy Aulia Rachelli; Sumarti Endah Purnamaningsih Maria Margaretha; Iswanti Purwaningsih; Elisabeth Iswantiningsih
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 2 Oktober (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i2 Oktober.792

Abstract

Diabetes mellitus is a non-communicable disease that often leads to chronic complications, particularly foot complications that may reduce independence and quality of life among the elderly. One preventive strategy to reduce diabetic foot complications is diabetic foot exercise, which aims to improve blood circulation, joint flexibility, and foot muscle strength. This community service activity aimed to improve the knowledge and skills of elderly people in performing diabetic foot exercises independently in Village Mangir Lor. A descriptive-participatory approach was applied through initial observation, education, demonstration, repeated practice, and evaluation. The participants consisted of six elderly individuals with diabetes mellitus. Diabetic foot exercise training was conducted three times per week for 20–30 minutes using simple media in the form of newspapers. Evaluation was carried out qualitatively by observing participants’ practical skills, participation, and enthusiasm. The results indicated an improvement in participants’ knowledge and ability to perform diabetic foot exercises independently, along with high levels of participation. This activity has the potential to serve as a preventive effort to reduce diabetic foot complications and is recommended for sustainable implementation in community settings.
EDUKASI MANAJEMEN LUKA SEDERHANA DI RUMAH UNTUK MENCEGAH INFEKSI PADA MASYARAKAT Iswanti Purwaningsih; Sumarti Endah Purnamaningsih Maria Margaretha; Laily Mualifah; Nur Cahya Rachmawati
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 6 No 2, Oktober (2024): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v6i2, Oktober.804

Abstract

Minor wounds are common health problems in daily life and may lead to infection if not managed properly. In many communities, home-based wound care practices are still influenced by traditional habits and a lack of medically validated information. This community service program aimed to improve public knowledge regarding simple wound management at home as a preventive measure against infection. The activity was conducted in Mangir Kidul Hamlet, Sendangsari Village, Pajangan Subdistrict, Bantul Regency using a pre-experimental design with a one-group pre-test and post-test approach. A total of 30 adult participants were selected through purposive sampling. Health education was delivered through interactive lectures and demonstrations of simple wound care techniques. Data were collected using a structured questionnaire that had undergone content validity and reliability testing. The results showed an increase in the mean knowledge score from 56.3 in the pre-test to 82.7 in the post-test. Wilcoxon signed-rank test analysis indicated a statistically significant difference in knowledge scores before and after the educational intervention (p < 0.05). This program demonstrates that simple wound care education is effective in improving community knowledge and has the potential to reduce the risk of wound infection at the household level.
PELATIHAN SENAM HIPERTENSI SEBAGAI UPAYA PENGENDALIAN TEKANAN DARAH LANSIA Istiqomah Istiqomah; Elisabeth Iswantiningsih; Sumarti Endah Purnamaningsih Maria Margaretha; Ismi Nur Khasanah
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 1, Maret (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i1, Maret.805

Abstract

Hypertension is one of the most common non-communicable diseases among the elderly and can reduce quality of life if not properly managed. Non-pharmacological interventions such as health education and hypertension exercise are effective strategies to control blood pressure. This community service activity aimed to improve elderly knowledge and assist blood pressure control through health education and hypertension exercise. The activity was conducted in Mangir Lor Village, Sendangsari, Pajangan, Bantul Regency, involving five elderly participants aged 64–75 years. The methods included initial observation, health education on hypertension, hypertension exercise practice, and monitoring exercise implementation three times per week. The results showed an improvement in the elderly’s understanding of hypertension and the benefits of physical activity, as well as a tendency toward decreased blood pressure after regularly participating in hypertension exercise. Participants also demonstrated good enthusiasm and were able to recall the educational material provided. This activity indicates that combining health education with hypertension exercise can serve as an effective promotive and preventive approach to hypertension control among the elderly at the community level.
EDUKASI DAN SIMULASI TANGGAP DARURAT GEMPA UNTUK MASYARAKAT Iswanti Purwaningsih; Agustina Retno Hapsari; Sumarti Endah Purnamaningsih Maria Margaretha; Siti Mahmudah
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 1, Maret (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i1, Maret.806

Abstract

Gempa bumi merupakan bencana alam yang berpotensi menimbulkan kerugian fisik, psikologis, dan material. Edukasi berbasis praktik melalui simulasi tanggap darurat dapat meningkatkan kesiapsiagaan masyarakat dalam menghadapi gempa. Kegiatan pengabdian masyarakat ini dilaksanakan di Dusun Mangir Tengah, Sendangsari, Pajangan, Kabupaten Bantul, dengan 68 peserta dari berbagai usia, mulai remaja hingga lansia. Metode yang digunakan meliputi ceramah singkat, diskusi interaktif, dan simulasi evakuasi, termasuk posisi berlindung, jalur evakuasi, titik kumpul, serta mitigasi risiko di rumah. Hasil evaluasi menunjukkan peningkatan pemahaman peserta pada pengetahuan gempa, langkah evakuasi aman, dan mitigasi risiko, dengan observasi partisipasi aktif mayoritas baik. Temuan ini menegaskan bahwa edukasi berbasis simulasi efektif membekali warga dengan keterampilan praktis dan kesiapsiagaan menghadapi gempa. Kegiatan ini juga mendorong pembentukan komunitas tangguh yang mampu menyebarkan informasi mitigasi risiko secara luas.
PELATIHAN CUCI KAKI DIABETES UNTUK PENCEGAHAN ULKUS KAKI LANSIA Iswanti Purwaningsih; Sumarti Endah Purnamaningsih Maria Margaretha; Elisabeth Iswantiningsih; Mizan Prihastuti
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 2 Oktober (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i2 Oktober.808

Abstract

Diabetes mellitus is a chronic metabolic disease that increases the risk of foot complications in the elderly. This community service activity aimed to improve the knowledge, skills, and awareness of elderly individuals in performing proper diabetic foot care through education and foot washing practice. The program was conducted in Desa Mangir Lor, Sendangsari, Pajangan, Bantul, with four elderly diabetic participants. A descriptive-participatory approach was used, including initial observation, health education, and hands-on foot care practice. Results showed improvements in foot hygiene, nail care, and awareness of foot condition monitoring. Most participants followed the procedure well, although some steps required guidance. The impact was reflected in increased knowledge, skills, and awareness, with potential reduction in the risk of foot complications. In conclusion, structured and routine diabetic foot care training effectively prevents complications and enhances the quality of life of elderly diabetic patients.
PENINGKATAN PENGETAHUAN DAN PRAKTIK PENCEGAHAN ISPA PADA BALITA MELALUI EDUKASI KESEHATAN PADA IBU BALITA Elisabeth Iswantiningsih; Sumarti Endah Purnamaningsih Maria Margaretha; Laily Mualifah; Erma Nur Fauziandari
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 8 No 1, Maret (2026): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v8i1, Maret.816

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) tetap menjadi masalah kesehatan utama di kalangan balita dan berkontribusi signifikan terhadap angka morbiditas. Upaya pencegahan membutuhkan keterlibatan aktif keluarga, khususnya ibu sebagai pengasuh utama. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan praktik ibu mengenai pencegahan ISPA pada balita melalui pendidikan kesehatan. Kegiatan ini dilaksanakan di Dusun Mangir Kidul, Desa Sendangsari, Kecamatan Pajangan, Kabupaten Bantul. Desain pra-eksperimental dengan pendekatan pre-test dan post-test satu kelompok diterapkan. Sampel terdiri dari 30 ibu balita yang dipilih menggunakan purposive sampling. Intervensi meliputi pendidikan kesehatan yang disampaikan melalui ceramah interaktif, diskusi, dan demonstrasi sederhana praktik pencegahan ISPA. Data dikumpulkan menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Hasil menunjukkan peningkatan skor pengetahuan rata-rata dari 58,4 menjadi 83,1 dan skor praktik pencegahan dari 55,6 menjadi 80,2 setelah intervensi. Analisis Uji Peringkat Bertanda Wilcoxon menunjukkan perbedaan signifikan antara skor pra-uji dan pasca-uji (p < 0,05). Pendidikan kesehatan secara efektif meningkatkan pengetahuan dan praktik pencegahan ibu terkait dengan ISK (Infeksi Saluran Pernapasan Akut). Kegiatan pengabdian masyarakat ini diharapkan dapat berkontribusi dalam mengurangi risiko ISK pada balita dengan memperkuat peran ibu dalam pencegahan di tingkat rumah tangga.