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Analisis Faktor yang Mempengaruhi Interprofesional Collaboration (IPC) Program Kesehatan Jiwa Masyarakat di Kabupaten Jember I, Heriberta Reny; Suryaningsih, Ika Barokah; Suharsono, Suharsono
MAHESA : Malahayati Health Student Journal Vol 5, No 9 (2025): Volume 5 Nomor 9 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i9.19368

Abstract

ABSTRACT Interprofessional collaboration (IPC) is a strategy to answer the need for integrated community mental health services by the KMK number 220/MENKES/SK/III/2002 mandate. In community mental health services, effective interprofessional collaboration practices can increase community participation in carrying out early detection and prevention of worsening mental health problems. To create effective IPC practices, it is necessary to identify factors that hinder interprofessional collaboration in community mental health programs. This research aims to analyze the Interprofessional Collaboration (IPC) level of community mental health programs in Jember Regency. This research is quantitative and qualitative (mixed-method). The level of interprofessional collaboration was measured using the PINCOM (The Perception of Interprofessional Collaboration Model) questionnaire, which consists of 32 questions, including individual and team factors. Questionnaire scores are calculated using a 5-point Likert scale. And further descriptive analysis using chi-square. Then, individual and team factors were studied again using the in-depth interview method. Quantitative research shows that the characteristics of respondents that influence the implementation of interprofessional collaboration are age. At the same time, education, profession, employment status, and length of work do not impact the implementation of interprofessional collaboration in community mental health programs. The in-depth interviews showed that the individual factors that influenced the implementation of interprofessional collaboration were isolation variables, while the team factors that influenced them were social support variables. The conclusion from this research is that the level of interprofessional collaboration in community mental health programs is not going well; government policy is needed so that community mental health problems can be controlled Keywords: Interprofesional Collaboration, Mental Health, Sosial Support     ABSTRAK Kolaborasi interprofesional (Interprofessional Collaboration/IPC) menjadi strategi untuk menjawab kebutuhan akan pelayanan kesehatan jiwa masyarakat yang terpadu, sesuai amanat KMK nomor 220/MENKES/SK/III/2002. Dalam pelayanan kesehatan jiwa masyarakat, praktik kolaborasi interprofesional yang efektif dapat meningkatkan peran serta masyarakat dalam melaksanakan deteksi dini dan pencegahan permasalahan kesehatan jiwa semakin parah. Agar tercipta praktik IPC yang efektif, perlu dilakukan identifikasi faktor-faktor yang menghambat kolaborasi interprofesional pada program kesehatan jiwa masyarakat. Tujuan dari penelitian ini adalah menganalisis tingkat Interprofessional Collaboration (IPC) program kesehatan jiwa masyarakat di Kabupaten Jember. Penelitian ini merupakan penelitian kuantitatif dan kualitatif (mix-methode). Tingkat kolaborasi interprofesional diukur menggunakan kuesioner PINCOM (The Perception of Interprofessional Collaboration Model) yang terdiri dari 32 pertanyaan, yang meliputi faktor individu dan faktor tim. Nilai kuesioner dihitung menggunakan skala likert 5 poin. Dan dianalisis deskriptif lebih lanjut menggunakan chi-square. Kemudian faktor individu dan faktor tim dikaji lagi menggunakan metode wawancara mendalam (in-depth interview). Penelitian kuantitatif menunjukkan bahwa karakteristik responden yang mempengaruhi pelaksanaan kolaborasi interprofesional adalah usia, sedangkan pendidikan, profesi, status kepegawaian dan lama kerja tidak berdampak pada pelaksanaan kolaborasi interprofesional pada program kesehatan jiwa masyarakat. Hasil wawancara mendalam faktor individu yang mempengaruhi pelaksanaan kolaborasi interprofesional adalah variabel isolasi, sedangkan faktor tim yang mempengaruhi adalah variabel dukungan sosial. Kesimpulan dari penelitian ini tingkat kolaborasi interprofesional pada program kesehatan jiwa masyarakat belum berjalan dengan baik, dibutuhkan kebijakan pemerintah agar permasalahan kesehatan jiwa masyarakat dapat dikendalikan Kata Kunci: Interprofesional Collaboration, Kesehatan Jiwa, Dukungan Sosial
Difference in Effectiveness between Progressive Muscle Relaxation and Butterfly Hug on Anxiety in the Elderly Widyastuti, Arum; Erawati, Erna; Sugiarto, Angga; Suharsono, Suharsono
Muhammadiyah Journal of Geriatric Vol. 5 No. 2 (2024): Muhammadiyah Journal of Geriatric
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mujg.5.2.52-60

Abstract

Background: The Elderly, as a final stage in the development of human life, will face various health problems. Some physical and psychological body functions will decline. Mental health problems that are often experienced by the elderly include anxiety. Elderly people with anxiety symptoms require special attention through handling these symptoms. If not, these symptoms can harm the psychosocial condition of the elderly. Non-pharmacological treatments that are used as alternatives to overcome anxiety such as progressive muscle relaxation and the butterfly hug. Purposes: This study aims to analyze the difference in effectiveness of progressive muscle relaxation and the butterfly hug on elderly anxiety. Methods: This research design is quantitative with a quasi-experimental approach. The sampling technique was purposive sampling, and a total of 66 respondents were selected according to the predetermined restriction criteria and divided into two intervention groups. Data normality test using the Shapiro-Wilk, hypothesis testing using the Wilcoxon, and then a different test using the Mann-Whitney. Result: The results of data analysis of respondent characteristics showed the dominance of age in both intervention groups, namely, age 60-74 years. In the progressive muscle relaxation group, as many as 26 elderly people (78.8%), and in the butterfly hug group, as many as 19 elderly people (57.6%). Female gender (100%). The statement of the Wilcoxon test in each group indicated that the significance value was 0.001 (p)=0.001 0.005. Conclusion: This study shows the results that there is no significant distinction between progressive muscle relaxation and the butterfly hug on anxiety in the elderly.
Efektivitas Pelatihan Pencegahan dan Pengendalian Penyakit Tidak Menular terhadap Efikasi Diri Kader Posyandu: The Effectiveness of Training on Non-Communicable Disease Prevention and Control toward the Self-Efficacy of Posyandu Cadres Suharsono, Suharsono; Isworo, Adi; Ashar N, Novema
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.89

Abstract

Non-Communicable Diseases (NCDs) are the main causes of morbidity and death in Indonesia. Prevention and control of PTM requires the active role of Pos Pelayanan Terpadu (Posyandu) cadres. However, low self-efficacy of cadres often becomes an obstacle in carrying out these tasks. Therefore, the aim of this community service is to increase the capacity and self-efficacy of cadres in efforts to prevent and control NCDs. This community service uses a participatory training approach aimed at increasing cadres' self-efficacy. A total of 30 cadres were selected as respondents through purposive sampling techniques. Inclusion criteria include active cadres in posyandu, aged 20–60 years, and willing to take part in the entire series of training. Activities were carried out in the form of intensive training which includes material delivery, group discussions, simulations and evaluation. Self-efficacy measurements were carried out before and after the intervention using the General Self-Efficacy (GSE) questionnaire. Data analysis was applied to see changes in cadre self-efficacy categories before and after training. The results of this activity showed that at the time of the pretest, most of the cadres were in the medium category, 21 people (70%) and 4 people low (13.3%). After the training, there was a significant increase in the good self-efficacy category, namely to 20 people (66.7%) and there were no cadres in the low category with a p value = 0.001. It can be concluded from this community service activity that participatory-based training can increase the self-efficacy of Posyandu cadres in preventing and controlling NCDs.
Cold chain evaluation of the immunization program in Primary Health Centers in 2022 Isworo, Adi; Kiswoyo, Pramono Giri; Suharsono
BKM Public Health and Community Medicine Vol 40 No 01 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i01.7841

Abstract

Purpose: The major challenges of vaccination programs are associated with the vaccine cold chain management in primary health centers that must be evaluated. This paper discusses how vaccine cold chain management can address the challenges of vaccination programs in primary health centers. Specifically, it examines how the vaccine chain is managed. Methods: The design of this observational study was cross-sectional. Evaluations assessed in this study include input aspects, output aspects, process aspects, and outcome aspects of vaccine chain management. Observation methods and direct interviews with the evaluated vaccine chain staff collected primary data. Results: Management of the vaccine chain has been carried out properly with the support of human resources or immunization personnel who are in accordance with their competence, based on research results, the management staff are diploma graduates in nursing and midwifery. The defrosting process is carried out for a certain period, as well as using vaccine carriers and ice flasks, which are still good for vaccine distribution. It is very important to pay attention to the supply of the number and type of vaccines for the next month's needs at the public health center. Conclusion: The three key factors that guide the vaccine cold chain are educated vaccine control staff, vaccine storage, and delivery equipment, and efficient vaccine control procedures.
The Relationship Between Objective Family Burden And Family Ability To Care For Schizophrenia Suharsono; Irmawati, Nurisda Eva; Aprilianisari, Erita
Journal of Applied Nursing and Health Vol. 6 No. 1 (2024): 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.v6i1.199

Abstract

Background: Schizophrenia is one mental illness type. Family interactions are impacted by this disease because it leads individuals to behave erratically. Family caregivers will be less able to care for patients because of the strain this condition puts on them. The researchers at Dr. Amino Gondohutomo Hospital in Central Java Province set out to find out how family caregivers' capacity to care for their loved ones with schizophrenia correlated with their own subjective burdens. Methods: Using a cross-sectional method and a purposive sample technique, this study utilized a quantitative correlational type with a maximum of 38 respondents. A family burden questionnaire and the ability to care for one's family using the Spearman Rank test were the research instruments used. Results: The Spearman Rank test results reveal a significant value of 0.008 <0.05 between the objective load of the family and the ability to care for the family, and a unidirectional correlation coefficient value of -0.427 between the two variables. Conclusion: The conclusion of this study is that there is a significant relationship, and the higher the perceived burden, the worse the family's ability to care. It is recommended to provide support and resources to families to alleviate their perceived burden, thereby enhancing their ability to provide effective care
Social Support, Psychological Distress, and Quality of Life in Patients with Diabetes Mellitus Living in the Community Suharsono, Suharsono; sunarko, sunarko; Faidah, Noor; Nur Izzati, Aisyah; Rojabtiyah, Rojabtiyah; Sarwono, Bambang
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): 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.v7i2.356

Abstract

Background: Individuals living with diabetes mellitus (DM) often face psychological distress because of the disease's chronic progression and the complexity of its daily management. Distress has been linked to poor glycemic control and decreased quality of life. Therefore, these psychological distresses require social support. This study aimed to investigate the relationship between social support, psychological distress, and quality of life in patients with diabetes mellitus living in the community. Methods: A cross-sectional quantitative study was conducted with 250 diabetic patients recruited from five public health centers in Central Java, Indonesia using purposive sampling. Patients with severe cognitive impairment, psychiatric disorders, or comorbid conditions that could significantly affect psychological status were excluded. Data were collected through validated instruments: the Multidimensional Scale of Perceived Social Support (MSPSS), the Diabetes Distress Scale (DDS-17), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The data were analyzed using Spearman’s rank correlation, and statistical significance was determined at p < 0.05. Results: The findings revealed a significant negative correlation between social support and diabetes-related distress (r = -0.48, p < 0.001), and a significant positive correlation between social support and quality of life (r = 0.55, p < 0.001). Conclusion: There was a significant association between social support and reduced distress as well as enhanced quality of life in community-dwelling individuals with diabetes. Nursing interventions that enhance family involvement, peer support, and community engagement are essential in diabetes management. These findings highlight the importance of psychosocial components in chronic disease care.
The Effect of Android-Based Self Care Management on Self Efficacy and Control of Fasting Blood Sugar Levels of People with Type 2 Diabetes Mellitus in the Working Area of the Tempel Sleman Health Center Hapsari, Agustina Retno; Mardiyono, Mardiyono; Suharsono, Suharsono
Eduvest - Journal of Universal Studies Vol. 5 No. 4 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i4.49974

Abstract

Controlling glycemic levels can be achieved through disciplined self-care management, which significantly enhances self-efficacy in individuals managing diabetes mellitus. This study examines the impact of an Android-based health mobile application on empowering type 2 diabetes sufferers, improving nursing services, and optimizing time and cost efficiency. The quasi-experimental research employed a randomized control trial design, conducted at the Tempel II Community Health Center in Sleman, Yogyakarta, from November to December 2023. The findings reveal that Android-based self-care management serves as an effective educational tool, leading to improved self-efficacy among participants. Key components include meal planning, which emphasizes the consumption of carbohydrates, vegetables, proteins, fats, and fruits, and regular physical activity exceeding 150 minutes. Notably, no significant differences were observed in pharmacological interventions. Evaluations indicated substantial improvements in self-efficacy and fasting blood sugar control post-intervention. Overall, the integration of self-care management across five pillars—education, blood sugar monitoring, nutritional therapy, physical exercise, and pharmacological adherence—demonstrated a significant positive effect on glycemic control in type 2 diabetes patients within the Tempel Sleman Community Health Center area.
PlGF Levels and Blood Pressure in Pregnant Women with Hypertension Simanjuntak, Veronica; Runjati, Runjati; Suharsono, Suharsono; Arwani, Arwani
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 1 (2024): Volume 6 Nomor 1 April 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i1.647

Abstract

Hypertension in pregnancy is one of the causes of morbidity and mortality in mothers and babies. PlGF has been shown to be associated with the diagnosis of hypertensive disorders in pregnancy. Pregnant women with hypertension are characterized by reduced circulating PlGF levels, even before clinical signs and symptoms. A decrease in the amount of PlGF is positively correlated with the severity of disease progression This study aimed to analyze the relationship between PlGF levels and blood pressure in pregnant women with hypertension. Observational analytic with cross sectional study design.  Sampling was total sampling. The number of subject were 34 peoples. The results showed that there was no significant correlation between PlGF levels and blood pressure in pregnant women with hypertension. PlGF levels have no relationship with blood pressure.
Effectiveness of Labor Dance on Duration of the First Active Phase of Labor in Nulliparous Women Meta, Raharni Rosfiyanti; Sumarni, Sri; Suharsono, Suharsono
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 2 (2024): Volume 6 Nomor 2 Agustus 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i2.724

Abstract

Prolonged labor, also known as failure to progress, occurs when the total duration of labor is more than 24 hours and if not handled properly will cause various complications for the mother and baby and even lead to death. This study aimed to determine the effectiveness of labor dance on the duration of the first active phase of labor in nulliparous women. This study was a true experimental randomized controlled trial (single blind) with a posttest only with control group design. This research was conducted from 1 February to 31 March 2023 at the Central General Hospital Prof. dr.I.G.N.G Ngoerah Denpasar and Regional General Hospital Wangaya Denpasar. 42 primigravida mothers were randomly selected according to arrival, with 21 people in the intervention and control groups. Data were analyzed using the Mann Whitney test. The average length of the first stage of labor in the experimental group was 252,62 minutes and in the control group was 355,95 minutes (p-value=0,000); effect size of 1,61 (strong effect) with a percentage of 94,5%. There was a statistically significant difference in the duration of the active phase I stage of labor between the experimental and control groups. It is hoped that health workers, especially midwives, will
Combining infusion warmer and automatic infusion pressure bag to stabilize blood pressure and body temperature in caesarean section Raden Roro, Brilianti Chrisnajayantie; Sulistyowati, Dina Indrati Dyah; Suharsono, Suharsono; Pujiastuti, Raden Rara Sri Endang; Hartati, Lucia Endang
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1464

Abstract

Background: Patients undergoing caesarean section (CS) with spinal anaesthesia are at risk of hypotension and hypothermia due to peripheral vasodilation and decreased venous return. These conditions may be exacerbated by the administration of room-temperature intravenous fluids (21–23°C) and manual pressure infusion. Using a fluid warmer can help prevent hypothermia, while an automatic infusion pressure bag can accelerate fluid delivery, potentially maintaining blood pressure and body temperature stability. However, these interventions have not yet been studied as a combined approach. Purpose: To evaluate the effect of using a fluid warmer in combination with an automatic infusion pressure bag on blood pressure and body temperature in patients undergoing caesarean section. Method: This quasi-experimental study used a pre-test and post-test with control group design and included 64 patients undergoing CS, divided into intervention and control groups. The intervention group received warmed fluids (37–39°C) administered through an automatic infusion pressure bag from the sign-in phase until discharge from the recovery room. Measurements were taken at four time points: preoperatively during sign-in, intraoperatively at 15 and 30 minutes after anaesthesia induction, and postoperatively 15 minutes in the recovery room. Results: There was no statistically significant difference in blood pressure between groups (p > 0.05), although a small clinical effect was observed (ηp² = 0.01–0.06). Body temperature showed statistically and clinically significant differences at all measurement points (p < 0.05, ηp² > 0.14), indicating a strong effect of the intervention. Conclusion: The use of a fluid warmer combined with an automatic infusion pressure bag is clinically effective in maintaining blood pressure stability and statistically and clinically effective in stabilizing body temperature during caesarean section procedures.
Co-Authors Adi Isworo Adi Isworo, Adi Alivia Rustiani Angga Sugiarto Aprilianisari, Erita Arwani Arwani Ashar N, Novema Bambang Sarwono David Haryanto Diah Rivani Dina Indrati Dyah Sulistyowati Dwi Ari Murti W. Erawati, Erna Erika Aprilliya Erna Erawati Erri Fitriyani Fachry Abda El Rahman Hapsari, Agustina Retno Heriberta Reny Hermani Triredjeki I, Heriberta Reny Ika Barokah Suryaningsih Irmawati, Nurisda Eva Kiswoyo, Pramono Giri Komul, Marsha Krisdiana Wijayanti Linggar Rolis Lucia Endang Hartati, Lucia Endang Lulut Handayani Maulidia Selfianie Meta, Raharni Rosfiyanti Moh. Hanafi Naufal Firdaus NIKEN ANGGRAINI SRI SAPUTRI Nita Tri Septiana Noor Faidah, Noor Nor Hidayah Poltekkes Kemenkes Semarang Novema Anshar Nuning Sri Wahyuni Nur Izzati, Aisyah Prajna Muthi, Annisa Pujiastuti, Raden Rara Sri Endang Pujiastuti, Rr Sri Endang Raden Roro, Brilianti Chrisnajayantie Rantika Ririn Wahyu Widayati Rohananingsih, Rohananingsih Rojabtiyah, Rojabtiyah Rondhianto Rondhianto Rr. Sri Endang Pujiastuti Sahupala, Sapiah Saputri, Niken Anggraini Sri Simanjuntak, Veronica Siti Arifah Siti Arifah Sri Sumarni Sugiyarto, Angga Sunarko Sunarko Sunarko Susanto, Abiyyu Naufal Suyanta Suyanta Suyanta Ta'adi, Ta'adi Taadi Taadi Viantika Kusumasari Widyastuti, Arum Wiwin Reni Rachmawati Yeni Yulistanti