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The Effect of Non-Pharmacological Intervention on Self-Efficacy in Stroke Patients Ikha Nurjihan; Fitria Handayani; Meira Erawati
Media Keperawatan Indonesia Vol 5, No 2 (2022)
Publisher : Universitas Muhammadiyah Semarang

Stroke sufferers are faced with limitations both in terms of physical, psychological, and social aspects which cause sufferers to experience difficulties in carrying out activities. The cause of these difficulties is low self-efficacy which will have a negative impact on the health conditions and behavior of stroke sufferers. The purpose of the review is to describe how interventions related to self-efficacy and their effect on self-efficacy in stroke patients. The method used is scoping review by looking for relevant articles using keywords. The inclusion criteria in this review were participants with a diagnosis of stroke, the results of the study measured self-efficacy, the study was a randomized controlled trial, the year of publication was in the 2011-2021 period, and the study was in English. The results in the review are five articles that have significant results on self-efficacy and six articles have insignificant results. Articles that have significant results apply interventions with several strategies including education, training, motivation, and self-management. The conclusion of this review is an article that has significant results in implementing a complex intervention (SESSMP intervention, MSE training intervention, and self-management empowerment intervention) and a single intervention (Health Empowerment Intervention for Stroke Self-management and SFBT).

Design of a Web-Based Health Information System to Support a Teaching Factory in Health Information Management of PSDKU Ngawi Wicaksono, Kurniawan Erman; Nurmawati, Ida; Supriyanto, Budi Fajar; Hanifa, Salihati; Nurjihan, Ikha
International Journal of Health and Information System Vol. 2 No. 3 (2025): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v2i3.54

Health services are among the most needed services by the community. In Ngawi Regency, Indonesia, residents often struggle to access vital health service information. With the advancement of technology, such as web-based health service information systems, it becomes easier for the community to access information about health services. The design of a web-based health service information system aims to support the establishment of a pioneering teaching factory for the Health Information Management study program. This research employs the SDLC (System Development Life Cycle) software development method using the prototype model. The stages of the system design and development include quick plan, modelling, quick design, construction of prototype, deployment, delivery and feedback, and communication. The research results indicate that the web-based health service information system can facilitate the Ngawi community and its surroundings in accessing health service information, registering online, conducting self-health checks, consulting with health personnel via a WhatsApp link available on the web, serving as a health promotion media, and enabling users or health personnel to utilize patient data stored in the system database as a learning support tool. Based on the research findings, the system significantly enhances community access to health services and streamlines health management processes for users.

Inaccuracy Analysis of Diagnosis Code of Disease in Medical Records with SIMPUS at Purwoharjo Public Health Center Ida Nurmawati; Sulandari Sulandari; Ervina Rachmawati; Dony Setiawan; Kurniawan Erman Wicaksono; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.73

The inaccuracy of the disease diagnosis code is one of the problem affecting the quality of health services. Based on the preliminary result, 89 outpatient diagnosis codes in a medical record found 30 inaccuracies data from SIMPUS result of general poly at Purwoharjo Health Center. The impact of this inaccuracy has been influenced by the accuracy of disease data that resulted from making report data. The purpose of this study was to analyze the inaccuracy of disease diagnosis codes for outpatient medical records with SIMPUS at Purwoharjo Public Health Center. It was a descriptive study with observation, interviews, and documentation data collection. The object of this study was 95 outpatient medical records with simple random sampling. The result of this research was found 42% inaccuracy code of outpatient medical records with SIMPUS. The cause of these problems was the coder less careful in enforcing the disease diagnosis code because of the high workload of the coder and there’s no job description in SOP, so the advice that can be given to Purwoharo Health Center is to hold a division of tasks evenly and can be written in the SOP job description.

The Use of Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application as an Educational Media on Maternal Knowledge and Attitudes in Preventing Stunting in Geneng District Ngawi Regency Kurniawan Erman Wicaksono; Sena Wahyu Purwanza; Ika Arum Dewi Satiti; Ida Nurmawati; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.87

Stunting indicates a high prevalence of nutritional deficiencies that have not yet reached reduction targets, as seen in Geneng District, Ngawi Regency. Maternal knowledge and attitudes are crucial factors in preventing stunting and can influence mothers' behaviors in ensuring nutrition for toddlers. Manajemen Nutrisi Balita Stunting (MNBS) is an innovative intervention designed to address specific nutritional needs. It was developed into a smartphone application that serves as an educational tool to prevent stunting issues. This study aims to analyze the impact of MNBS on maternal knowledge and attitudes towards stunting prevention. This study used a one-group pretest-post-test design approach. Sampling was conducted using simple random sampling involving 30 respondents. Inclusion criteria for this research included mothers with toddlers experiencing malnutrition, owning a smartphone, and being willing to participate in the study until completion. The research results indicate that maternal knowledge and attitudes towards preventing stunting improved after receiving education through Manajemen Nutrisi Balita Stunting (MNBS) smartphone application. Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application has an impact as an educational medium on maternal knowledge and attitudes toward preventing stunting.

Inaccuracy Analysis of Diagnosis Code of Disease in Medical Records with SIMPUS at Purwoharjo Public Health Center Ida Nurmawati; Sulandari Sulandari; Ervina Rachmawati; Dony Setiawan; Kurniawan Erman Wicaksono; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.73

The inaccuracy of the disease diagnosis code is one of the problem affecting the quality of health services. Based on the preliminary result, 89 outpatient diagnosis codes in a medical record found 30 inaccuracies data from SIMPUS result of general poly at Purwoharjo Health Center. The impact of this inaccuracy has been influenced by the accuracy of disease data that resulted from making report data. The purpose of this study was to analyze the inaccuracy of disease diagnosis codes for outpatient medical records with SIMPUS at Purwoharjo Public Health Center. It was a descriptive study with observation, interviews, and documentation data collection. The object of this study was 95 outpatient medical records with simple random sampling. The result of this research was found 42% inaccuracy code of outpatient medical records with SIMPUS. The cause of these problems was the coder less careful in enforcing the disease diagnosis code because of the high workload of the coder and there’s no job description in SOP, so the advice that can be given to Purwoharo Health Center is to hold a division of tasks evenly and can be written in the SOP job description.

The Use of Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application as an Educational Media on Maternal Knowledge and Attitudes in Preventing Stunting in Geneng District Ngawi Regency Kurniawan Erman Wicaksono; Sena Wahyu Purwanza; Ika Arum Dewi Satiti; Ida Nurmawati; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.87

Stunting indicates a high prevalence of nutritional deficiencies that have not yet reached reduction targets, as seen in Geneng District, Ngawi Regency. Maternal knowledge and attitudes are crucial factors in preventing stunting and can influence mothers' behaviors in ensuring nutrition for toddlers. Manajemen Nutrisi Balita Stunting (MNBS) is an innovative intervention designed to address specific nutritional needs. It was developed into a smartphone application that serves as an educational tool to prevent stunting issues. This study aims to analyze the impact of MNBS on maternal knowledge and attitudes towards stunting prevention. This study used a one-group pretest-post-test design approach. Sampling was conducted using simple random sampling involving 30 respondents. Inclusion criteria for this research included mothers with toddlers experiencing malnutrition, owning a smartphone, and being willing to participate in the study until completion. The research results indicate that maternal knowledge and attitudes towards preventing stunting improved after receiving education through Manajemen Nutrisi Balita Stunting (MNBS) smartphone application. Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application has an impact as an educational medium on maternal knowledge and attitudes toward preventing stunting.

Upaya PSDKU MIK Ngawi Dalam Pendirian Pusat Layanan Kesehatan Kampus 5 Polije Sebagai Rintisan Teaching Factory (Tefa) Ida Nurmawati; Kurniawan Erman Wicaksono; Budi Fajar Supriyanto; Salihati Hanifa; Ikha Nurjihan
Journal of Community Development Vol. 6 No. 1 (2025): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v6i1.1480

PSDKU MIK Ngawi Regency was established since the enactment of Decree of the Minister of Education, Culture, Research and Technology of the Republic of Indonesia No. 161/D/OT/2023 dated 10 July 2023. Industry-based vocational education. Competency-based vocational education must be equipped with a teaching factory. Efforts are being made to support the achievement of PSDKU competency. MIK Ngawi plans to establish a teaching factory in the form of a health service facility/health clinic which is expected to become a practicum facility for MIK students. Community service activities will be carried out in 4 stages, namely identification of needs, preparation stage, implementation of activities, monitoring and evaluation stages. Problem solutions offered to partners include socializing the requirements for establishing a clinic, preparing a management structure for clinical services, fulfilling basic clinical health service facilities, and preparing SOPs for using equipment. Socialization of the requirements for establishing a clinic was carried out through FGD with the Head of Health Services, Ngawi Health Office. The results of the FGD include legal health services for an agency, at least in the form of a clinic, provided that the person in charge is a doctor who has a practice license and is supported by other health workers (nurses and midwives). The availability of health human resources at PSDKU MIK Ngawi includes nursing, midwifery and public health personnel, so there is a need for doctors to meet the requirements for establishing a clinic. After the clinic's organizational structure is formed, the next step is to register with DPMPTSP (Department of Investment and One-Stop Integrated Services) via online single submission (OSS). Suggestions for the need for medical personnel (doctors) to fulfill the requirements for establishing a clinic and fulfilling the clinic requirements documents refer to Minister of Health Regulation No. 14 of 2021 concerning Standards for Business Activities and Products in the Implementation of Risk-Based Business Licensing in the Health Sector.

Maternal Factors Influencing Low Birth Weight in Newborns: A Retrospective Study Ida Nurmawati; Puspito Arum; Niyalatul Muna; R Alamsyah Sutantio; Ikha Nurjihan; Zaifatul Anelia; Tasya Nadia Hanin
Jurnal Promosi Kesehatan Indonesia Vol 20 No 3: July 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.3.209-215

Background: Birth weight is a critical indicator of an infant's health. Research conducted in Indonesia has identified low birth weight (LBW) as a leading cause of neonatal mortality, accounting for approximately 35% of all cases. This study aims to determine the factors influencing the incidence of LBW.Method: The study used a retrospective design and included 83 respondents selected through quota sampling. Data were collected from the Maternal and Child Health (MCH) handbooks at Manggis Integrated Service Post (posyandu). Univariate analysis was performed to calculate frequency and percentage values. Bivariate analysis was carried out using the chi-squared test to examine relationships between variables. Multivariate analysis was conducted using the logistic regression test to assess the influence of multiple variables.Result: Maternal age at pregnancy (p=0.037) and maternal mid-upper arm circumference (MUAC) (p=0.034) were significantly associated with the occurrence of LBW in newborns. The odds ratio (OR) analysis revealed MUAC as the primary factor influencing LBW (OR=4.278), followed by maternal age during pregnancy (OR = 3.750). In comparison, haemoglobin levels (p = 0.500), maternal height (p = 0.408), and gestational age (p=0.118) were not significantly associated with the occurrence of LBW. MUAC was found to influence the occurrence of LBW in Kemuning Lor Village (p = 0.027). The MUAC variable accounted for 16.9% of the variance in LBW cases (R2 = 0.169). Improving the nutritional status of adolescent girls is imperative to ensure optimal health outcomes in future pregnancies.

Knowledge, Attitudes, and Clinical Implementation of Pressure Injury Prevention among Intensive Care Nurses Akmala Dewi, Nur; Kholid Rosyidi Muhammad Nur; Ikha Nurjihan; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.626

Pressure ulcers represent a significant patient safety concern in intensive care units, primarily due to prolonged immobilization, impaired tissue perfusion, and the use of invasive medical devices. Nurses play a pivotal role in prevention through adequate knowledge and positive attitudes toward evidence-based interventions. This study described nurses' knowledge and attitudes regarding pressure ulcer prevention in the Melati Intensive Care Unit at Bangil Regional General Hospital. A descriptive design with purposive sampling was employed, involving three intensive care nurses as respondents. Data collection utilized validated instruments: the Pressure Ulcer Knowledge Assessment Tool (PUKAT) and the Attitude Towards Pressure Ulcer Prevention Instrument (APuP). Descriptive statistical analysis presented findings through frequency and percentage distributions. Results indicated that 66.7% of nurses demonstrated adequate knowledge, 33.3% demonstrated good knowledge, and no respondents exhibited poor knowledge. All respondents (100%) displayed positive attitudes toward pressure ulcer prevention and consistently implemented preventive measures in accordance with standard operating procedures. These findings suggest that nurses possess sufficient cognitive and affective competencies to support effective pressure ulcer prevention practices, including regular repositioning, maintenance of skin integrity, moisture management, and comprehensive risk assessment. The alignment between adequate knowledge, positive attitudes, and optimal implementation reflects a strong patient safety culture within the intensive care unit. However, the lack of formal specialized training among most respondents underscores the need for structured continuing education programs. Institutional support for regular training is essential to maintain evidence-based practice standards and ensure sustainable quality improvement in pressure ulcer prevention, ultimately enhancing patient safety outcomes in critical care environments.

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