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The Effect of Physical Exercise on Quality of Life of Breast Cancer Survivors: A Systematic Review Jadmiko, Arief Wahyudi; Kristina, Tri Nur; Sujianto, Untung; Prajoko, Yan Wisnu; Dwiantoro, Luky; Widodo, Aris Puji
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.337 KB)

Abstract

Background: Exercise generally improves the quality of life (QoL) in adult populations especially for patients with chronic health problems such as breast cancer. The purpose of this study was to investigate the effect of physical exercise/activity on the quality of life of breast cancer survivors. Subjects and Method: This was a systematic review study that used articles from online data­bases, such as  PubMed, Science Direct, ProQuest dan Medline, which was published from 2000 to 2021. The author used keywords of “physical exercise”, “physical activity”, “quality of life”, “breast cancer survivor”. The dependent variable was quality of life. The independent variable was physical exercise/ activity. As many as 5 articles were selected for this study from 837 articles located in South Korea, Iran, Malaysia, and China.Results: Moderate or high levels of physical activity had positive relationship on the quality of life related to overall physical health among breast cancer survivors.Conclusion: Moderate to high physical activity improve the quality of life among breast cancer survivors.Keywords: physical exercise, physical activity, quality of life, breast cancer survivor Correspondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. Raya Limo Depok 16515 West Java, Indonesia Email: ariefw­jadmiko­@gmail.com. Mobile: 085647213628. ORCID ID https://orcid.org/0000-0002-9691-0986.Indonesian Journal of Medicine (2021), 06(04): 377-386https://doi.org/10.26911/theijmed.2021.06.04.03
Meta-Analysis Predictors of Sufficient Pain Management among Children at Pre-hospital Medical Service Jadmiko, Arief Wahyudi; Adyani, Sang Ayu Made
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.039 KB) | DOI: 10.26911/theijmed.2022.7.4.566

Abstract

Background: Safely treating pain in children is a critical but challenging task for emergency medical teams. Few studies have focused on pain management guidelines at the hospital or department level. This study aimed to examine predictors of good pain management in children in prehospital health services.Subject and Method: This research is a systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on the PICO Model eligibility criteria. P: children with pre-hospital acute Pain. I: analgesic administration and male. C: no analgesic administration, and female. O: pain reduction. The articles used were from 5 databases: EBSCO, Pubmed, ProQuest, Scopus, and Science Direct. The search keywords for articles were as follows “pain management” OR “pain reduction” AND “predictors” AND “pre-hospital care” AND “children”. The inclusion criteria in this study include full-text articles with observational study designs, full-text available articles, the relationship size used is the adjusted Odds Ratio, articles published in the 2010-2022 range, and the research outcome is sufficient pain management or efficient pain reduction. Articles were analyzed using the Review Manager 5.3 application.Results: There are 8 articles in this study, 2 from Australia, 1 from the United States, 1 from Switzerland, and 4 articles from the United Kingdom. The article was analyzed using the PRISMA flow diagram. The study results show that analgesic administration has increased the odds of 3.36 times greater for pain reduction than without analgesic administration. This result was statistically significant (aOR= 3.36; 95% CI = 1.94 to 5.82; p<0.001). However, no significant results from the gender that showed there is no different between male and female patients for pain reduction (aOR= 1.12; 95% CI= 0.98 to 1.27; p= 0.100).Conclusion: Analgesic administration is sufficient pain management for children with acute Pain in pre-hospital medical care.Keywords: children, pre-hospital care, pain management, predictorsCorrespondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. Raya Limo Depok 16515 West Java, Indonesia. Email: ariefwjadmiko@gmail.com. Mobile: 085647213628.Indonesian Journal of Medicine (2022), 07(04): 360-370https://doi.org/10.26911/theijmed.2022.07.04.01 
Factors Influencing Nursing Student's Satisfaction in the Clinical Practice Education Program: A Systematic Review Jadmiko, Arief Wahyudi; Felaza, Estivana
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.623

Abstract

Background:  Nursing education programs' major success is arguably linked to students' practical clinical practice. The practical clinical practice provides a realistic setting in which students can safely integrate theoretical nursing knowledge into practical nursing care while also developing the attitudes and abilities required for the profession. This study aimed to examine the factors influencing nursing students' satisfaction in the clinical practice education program.Subjects and Method: A systematic review were conducted by searching articles from PubMed, ResearchGate, Science Direct, Google Scholar, and EBSCO is an article published from 2012 to 2022. The keywords were “clinical practice” AND “education” AND “students, nursing” AND “satisfaction”. The inclusion criteria were cross-sectional study. The articles were selected by PRISMA flow diagram.Results: A total of 8 studies was included in this review. Individualized supervision model, the pedagogical atmosphere on the ward, the relationship with the clinical nurse supervisors, the relationship with the nurse teachers, leadership style, clinical nurse commitment, patient relationships, higher age, grade point average (GPA), completion of several clinical courses, type of service and center, the type of management, the preference in the choice of the practice center, the number of students per period per clinical educator, being a woman and being in the second-grade year group, unhealthy placement environments.Conclusion: Factors influencing the satisfaction of student nurses in the clinical practice education program are the type of management, service, and center; the premises of nursing in the ward; the pedagogical atmosphere on the ward; the Ward/ Nurse Manager’s leadership style; individualized supervision model; unhealthy placement environments, clinical tutors and nurse teacher.Keywords: clinical practice, learning, education, students, nursing, satisfaction.Correspondence: Arief Wahyudi Jadmiko. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. RS. Fatmawati Raya, Pd. Labu, Cilandak, Depok, West Java. Email: ariefwjadmiko@gmail.com. Mobile: +62 856-4721-3628.Indonesian Journal of Medicine (2023), 08(02): 225-235https://doi.org/10.26911/theijmed.2023.08.02.12
Faktor Determinan Survival to Hospital Discharge pada Pasien Henti Jantung Barbara, Laksita; Pratiwi, Nabilla Aulia; Jadmiko, Arief Wahyudi
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.6994

Abstract

Kelangsungan hidup setelah resusitasi pada pasien henti jantung di dunia masih rendah berhubungan dengan karakteristik pasien, penyakit penyerta, dan proses perawatan pasca-henti jantung. Penelitian tentang Survival to Hospital Discharge (StHD) masih terbatas terutama pada seting rumah sakit di Indonesia. Penelitian ini bertujuan utuk mengidentifikasi faktor determinan yang memprediksi StHD pada pasien henti jantung setelah resusitasi. Penelitian ini menggunakan pendekatan retrospektif observasional dengan sumber data sekunder dari rekam medis pasien yang mengalami henti jantung dan mendapatkan resusitasi jantung paru (RJP) sebanyak 52 kasus. Analisis binary logistic regression digunakan untuk mengidentifikasi hubungan prediktor secara bersamaan. Model fit dianalisis menggunakan Hosmer-Lemeshow dan Nagelkrke R2. Faktor yang dianalisis diantaranya usia, jenis kelamin, penyakit penyerta, dan durasi RJP. Analisis regresi menunjukan signifikansi model (χ²(4) = 9.60, p = 0.048), menjelaskan 22.8% varian dalam kelangsungan hidup (Nagelkerke R² = 0.228) dan menunjukan kesesuaian yang baik (Hosmer-Lemeshow p = 0.609). Penyakit penyerta merupakan prediktor signifikan (OR = 0.10, 95% CI: 0.02–0.59, p = 0.011), sedangkan usia, jenis kelamin, dan durasi RJP tidak menunjukan hubungan signifikan (p > 0.05). Faktor determinan paling signifikan dari StHD pada pasien henti jantung adalah penyakit penyerta, sedangkan faktor lain tidak menunjukan signifikansi.
Evaluasi Pelatihan Daring Training of Trainer untuk Pelatih Keperawatan Gawat Darurat Putri, Arcellia Farosyah; Pemila, Uke; Jadmiko, Arief Wahyudi; Putra, Kharisma Adytama; Kurniawan, Deny
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 1 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.87701

Abstract

Background: Training of trainer (TOT) has its own challenges due to the characteristics of the participants, who are professionals with higher experience and knowledge. This condition is even more challenging when conducting online. Thus, it is necessary to choose a andragogy learning method that can improve learning experience without reducing learning quality. Objective: To evaluate the implementation of online TOT and scrutinize an online learning method that can be applied towards experienced and knowledgeable participants.Method: This was cross sectional design research which was conducted from June to July 2023. A total of 50 people participated in this training for four days and the training was delivered through one-way lecture, problem discussion, and coaching. The training evaluation included training delivery evaluation, knowledge aspect evaluation, and practical teaching evaluation/micro teaching. Data was collected using Google Forms which consisted of closed and open questions, pre-and post-test, and teaching practice observation. Data was analyzed using univariate analysis and Wilcoxon test Results: Most of the respondents (58%) have a Bachelor's Degree in Nursing as their educational background and have work experience for more than 10 years. A total of 43 respondents (86%) work in hospitals. There were problems during online training, such as: internet instability and lack of time management. Most respondents (96%) were very satisfied and satisfied with the training. Coaching became the method chosen by most of the respondents that can facilitate constructive feedback and interaction among the trainees and facilitators. There was significant difference (p = 0,000) between pre-test and post-test score. Participant’s scores for micro teaching practical test score were 89,42 in average.Conclusion: Coaching is a recommended method that can be used as an online learning method for training with more experienced and knowledgeable participants.INTISARILatar belakang: Pelaksanaan training of trainer (TOT) memiliki tantangan tersendiri karena karakteristik peserta merupakan individu yang telah berpengalaman dan memiliki pengetahuan lebih lanjut. Tantangan tersebut bertambah ketika pelaksanaan dilakukan secara daring. Oleh karena itu, diperlukan metode pembelajaran orang dewasa yang dapat memfasilitasi pengalaman belajar secara optimal tanpa mengurangi kualitas pembelajaran.Tujuan: Mengevaluasi pelaksanaan TOT daring dan mendiskusikan metode pembelajaran daring yang memiliki potensi untuk diterapkan pada peserta pelatihan yang sudah berpengalaman dan memiliki pengetahuan lebih lanjut.Metode: Penelitian ini merupakan penelitian cross sectional yang dilaksanakan bulan Juni – Juli 2023. Kegiatan TOT diselenggarakan pada 50 orang peserta, secara daring selama 4 hari dengan metode ceramah, diskusi tanya jawab, dan coaching. Evaluasi pelaksanaan TOT meliputi: evaluasi penyelenggara pelatihan, evaluasi pengetahuan, dan evaluasi pengalaman mengajar (penilaian micro teaching) peserta. Data dikumpulkan melalui Google Form yang berisi pertanyaan terbuka dan tertutup, pretest dan posttest, serta observasi praktik mengajar. Analisis data menggunakan univariat dan uji Wilcoxon.Hasil: Sebagian besar peserta (58%) adalah sarjana keperawatan dengan pengalaman kerja lebih dari 10 tahun. Terdapat 43 peserta (86%) yang bekerja di rumah sakit. Sebanyak 48 peserta (96%) merasa puas dan sangat puas terhadap penyelenggaraan TOT. Kendala selama pelatihan daring adalah sinyal internet tidak stabil dan kelemahan manajemen waktu. Metode coaching adalah metode yang paling berkesan karena memfasilitasi proses pemberian umpan balik dan interaksi antara peserta dan peserta lainnya, serta peserta dan fasilitator. Terdapat perbedaan yang signifikan (p = 0,000) terhadap nilai pretest dan posttest pengetahuan peserta. Rata-rata skor praktik mengajar (microteaching) peserta adalah 89,42.Simpulan: Metode coaching merupakan metode yang direkomendasikan untuk digunakan pada pelatihan daring dengan peserta yang memiliki kemampuan lebih lanjut untuk meningkatkan pengetahuan dan pengalaman peserta.
Relationship between Family Support and Family Burden in Families With Cancer: Meta-Analysis Adyani, Sang Ayu Made; Jadmiko, Arief Wahyudi
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.613

Abstract

Background: Cancer is a chronic disease caused by abnormal cell growth with special care needs that cause a burden on the family. Family support can have a significant impact on family burden. Adequate support from family members can lighten the burden on individuals or families and improve their overall well-being. This study aimed to estimate the relationship between family support on family burden in families with cancer obtained from several previous similar studies.Subjects and Method: This research was conducted using a systematic review and meta-analysis with PICO namely, Population: family with cancer; Intervention: good family support; Comparison: Lack of family support; Outcome: family burden. By searching articles in 4 databases namely PubMed, Google Scholar, Science Direct, and ProQuest published from 2014 to 2022, entering the following keywords “Family support” OR “Supportive Family” AND “Family Burden” OR “Family depresssion” AND “Chronic Disease” AND “Cancer” AND “Multivariate Analysis”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application.Results: There 9 articles using the Cross-Sectional study design with a total sample of 2,832 subjects from India, Japan, USA, Swiss, Austria, Yunani, Germany, and Mexico which have been subject to systematic review and meta-analysis. The results showed that good family support are effective in decreasing family burden, and the results are statistically significant. Families with cancer who receive good family support are decrease family burden 0.57 times than families with cancer receive lack family support (aOR= 0.57; 95% CI= 0.38 to 0.85; p= 0.006).Conclusion: Good family support are effective in decreasing family burden.Keywords: family support, family burden, chronic disease, cancer.Correspondence: Sang Ayu Made Adyani. Nursing Department, Faculty of Health, Universitas Pembangunan Nasional Veteran Jakarta. Jl. RS. Fatmawati Raya, Pd. Labu, Cilandak, Depok, West Java. Email: adyani.sangayu@upnvj.ac.id. Mobile: +62 819-3206-5946.Indonesian Journal of Medicine (2023), 08(02): 169-178https://doi.org/10.26911/theijmed.2023.08.02.06
Edukasi PHBS Rumah Tangga, Pengukuran Status Gizi dan Tekanan Darah di Kampung Pemulung Pondok Kelapa Jakarta Timur Fatmawati, Iin; Marjan, Avliya Quratul; Wahyudi, Chandra Tri; Jadmiko, Arief Wahyudi; Arini, Firlia Ayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 1 (2024): Volume 7 No 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i1.12841

Abstract

ABSTRAK Kesadaran untuk menerapkan Perilaku Hidup Bersih dan Sehat (PHBS) perlu ditingkatkan karena adanya kendala di masyarakat akibat kurangnya akses dan fasilitas. Tujuan dari pengabdian masyarakat ini adalah untuk mengedukasi masyarakat di Kampung Pemulung dalam menerapkan PHBS dan memantau status gizi dan kesehatan untuk menghindari risiko penyakit di tingkat rumah tangga. Metode pengabdian kepada masyarakat ini adalah melakukan asesmen gizi dan tekanan darah yang merupakan bagian dari PHBS serta sosialisasi PHBS kepada 45 orang ibu di RT 02 Kampung Pemulung Pondok Kelapa, Jakarta Timur. Berdasarkan hasil asesmen, lebih dari separuh peserta mengalami obesitas dan hipertensi. Berdasarkan observasi selama pengabdian masyarakat, sebagian besar peserta mempunyai pola makan yang tidak seimbang. Saat kami menggalakkan PHBS, diketahui bahwa sebagian besar peserta belum pernah mendengar tentang PHBS dan tidak mengetahui cara penerapannya di tingkat rumah tangga. Pengabdian masyarakat ini berhasil dengan antusiasme peserta dan aktif bertanya seputar PHBS. Dari pengabdian masyarakat ini, kami berharap peserta dapat menambah pengetahuannya tentang PHBS dan memperbaiki pola hidup agar terhindar dari risiko penyakit baik menular maupun tidak menular. Kata Kunci: Tekanan Darah, Kampung Pemulung, Asesmen Gizi, Promosi PHBS.  ABSTRACT Awareness of implementing Perilaku Hidup Bersih dan Sehat (PHBS/ Healthy Living) needs increments because there was obstacles in community due to lack of access and facilities. The purpose of this community service was to educate community at Kampung Pemulung to implementing PHBS and monitoring nutritional and health status to avoid disease risk at household level. Method of this community service were obtaining nutritional and blood pressure assessment which are part of PHBS and promote PHBS to 45 mothers from RT 02 Kampung Pemulung Pondok Kelapa, East Jakarta. According to assessment result, more than half of participants were obese and hypertension. Due to observation during the community service, most of participants had unbalance diet pattern. As we promote PHBS, it was known that most of participants had never been heard about PHBS and they did not know how to implementing at household level. This community service were succeeded by participants enthusiasm and they were active to ask about PHBS. From this community service, we hope that participants could increase their knowledge about PHBS and improve their life pattern to avoid disease risk whether communicable nor non communicable. Keywords: Blood Pressure, Kampung Pemulung, Nutrtitional Assessment, PHBS Promotion.
Optimalisasi Peningkatan Kemampuan Remaja dalam Penatalaksanaan Henti Jantung di Komunitas melalui Metode Flipped Learning Jadmiko, Arief Wahyudi; Wahyudi, Chandra Tri; Buntara, Arga; Oematan, Grouse; Marni
Jurnal SOLMA Vol. 14 No. 3 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i3.21090

Abstract

Latar Belakang: Henti jantung merupakan salah satu penyebab utama mortalitas dengan angka kejadian yang relatif tinggi baik secara global maupun nasional. Intervensi cepat dan tepat melalui tindakan Resusitasi Jantung Paru (RJP) telah terbukti secara ilmiah dapat meningkatkan peluang kelangsungan hidup pasien. Namun demikian, tingkat pengetahuan dan keterampilan kelompok remaja, dalam melakukan pertolongan awal masih rendah.. Kegiatan ini bertujuan untuk mengevaluasi efektivitas metode flipped classroom dalam meningkatkan pengetahuan dan keterampilan remaja terkait resusitasi jantung paru (RJP). Metode: Peningkatan pengetahuan dan ketrampilan dilakukan dengan menggunakan metode pembelajaran flipped classroom (edukasi berbasis video yang dikirimkan sebelum pembelajaran tatap muka, pelatihan tatap muka yang mencakup diskusi dan praktik RJP). Untuk mengetahui efektifitas dari kegiatan dilakukan dengan membandingkan nilai pre-test, post-test, dan observasi keterampilan dalam melakukan RJP. Analisis data dilakukan dengan menggunakan uji Wilcoxon. Hasil: Sebanyak 57 siswa SMA di Kupang Barat berpartisipasi dalam penelitian ini. Hasil menunjukkan peningkatan signifikan skor pengetahuan dari 4,84 menjadi 6,67 (p < 0,001) serta peningkatan keterampilan praktik RJP. Kesimpulan: Metode flipped classroom  terbukti efektif dalam meningkatkan kapasitas remaja sebagai kader kesehatan sekolah yang mampu berperan sebagai penolong awal dalam situasi gawat darurat khususnya henti jantung.