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Factors associated with the incidence of ARI disease in children under five Rasi Rahagia; Glendy Ariando; Zusana A.Sasarari; Ari Setiawati; Indrawati Aris Tyarini
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 2 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i2.1108

Abstract

Acute Respiratory Infections are a major health problem in children under five worldwide and the incidence of Acute Respiratory Infections in children under five can cause significant morbidity and mortality, especially in countries with limited health resources. This study aims to determine the relationship between smoking in the house and ventilation with the occurrence of ARI disease in children under five. The type of research used in research is this type of research analytical survey method with Cross cross-sectional approach. The analysis used in the p chi-square statistical test with a P value value of >0.05 The statistical test obtained smoking variables with a value of p = 0.010 and ventilation P = 0.000. It can be concluded that there is a relationship between the presence of family members who smoke and ventilation in the house with the incidence of ARI disease in children under five. To protect children under five from the risk of ARI caused by secondhand smoke in the home, necessary measures include stopping smoking, smoking outdoors, and ensuring good ventilation inside the home
Effect of Therapeutic Communication on Anxiety Levels in Preoperative Patients Gustini Gustini; Isymiarni Syarif; Zusana A Sasarari; Ummul Khair; Anggeraeni Anggeraeni
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 2 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i2.1112

Abstract

Therapeutic communication towards decreasing anxiety levels in preoperative patients. Through a deeper understanding of the role of therapeutic communication in caring for preoperative patients, we can improve the quality of health care and patient well-being. The purpose of the study was to determine the effect of therapeutic communication on anxiety levels in preoperative patients. This research design uses quasi-experiments with the Non-Equivalent Control Group research design which in this design consists of a control group and an experimental groupThe Wilcoxon test shows that the p-value obtained is 0.001, and the Z value is -3.256. A P-value of 0.317, Mann Whitney U-Test statistical test with computerized assistance and obtained a Z value of -3.867 with Asymp Sig of 0.000It can be concluded that the provision of therapeutic communication has an effect on reducing anxiety levels in preoperative patients. Providing therapeutic communication in preoperative patients with an empathetic, informative, and supportive communication approach can have a positive effect on reducing anxiety levels in patients. By listening, providing clear information, providing emotional support, providing questioning opportunities, and teaching relaxation techniques, medical personnel can help patients feel calmer, overcome uncertainty, and feel better prepared for surgical procedures. This can contribute to patient comfort and minimize the negative impact of anxiety on the surgical process and postoperative recovery
Blood Glucose Levels on Sleep Quality in Patients with Diabetes Mellitus: A Cross-Sectional Study Dewi Nurhanifah; Zusana A Sasarari; Awatiful Azza; Syaharuddin Syaharuddin; Muh Yunus
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 2 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i2.1130

Abstract

Diabetes mellitus patients' blood glucose levels have a significant influence on their sleep quality. When blood glucose levels increase or decrease suddenly, people with diabetes may feel uncomfortable and experience sleep disturbances. This study aims to determine the relationship of blood glucose levels to the quality of sleep of patients with Diabetes Mellitus. Quantitative research with correlational research design cross-sectional study approach. The number of samples used amounted to 40 people with a total sampling technique. The data results from statistical tests were not normally distributed due to the value of 0.001 in blood sugar levels and 0.000 in sleep quality. Bivariate test with parametric test with Spearman's rho because this data is not normally distributed. The results between blood sugar levels and sleep quality have a value of 0.693. It can be concluded that there is no unidirectional relationship between blood sugar levels and sleep quality. It is important to understand how they influence each other in managing diabetes and overall health. The management of diabetes and sleep quality involves a holistic and individualized approach that includes lifestyle changes, dietary adjustments, and appropriate medication measures.
Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes Azza, Awatiful; Sasarari, Zusana A; Nurafriani, Nurafriani; S, Irmawati; Yunus, Muh
Jurnal Ilmiah Kesehatan Sandi Husada Vol 14 No 1 (2025): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v14i1.1245

Abstract

Introduction: Childbirth preparation classes play a crucial role in equipping pregnant women with the knowledge and skills necessary to face labor with confidence. Low maternal self-efficacy is often associated with increased anxiety, longer labor duration, and negative birth experiences. This study examines how implementing childbirth preparation classes affects women’s self-efficacy and pregnancy outcomes. Research Methodology: This quasi-experimental study used a pre-test and post-test control group design. 60 pregnant women in their third trimester were recruited and randomly assigned to either the intervention group (n=30), who received childbirth preparation classes, or the control group (n=30), who received standard antenatal care. The classes were conducted over four sessions, covering the labor process, pain management, relaxation techniques, and postpartum care. Self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI), while pregnancy outcomes were assessed through medical records and post-delivery interviews. Result: The results showed a statistically significant increase in self-efficacy scores in the intervention group compared to the control group (p < 0.01). Additionally, women in the intervention group experienced shorter labor durations, lower cesarean section rates, and higher satisfaction with their birth experience. There were no significant differences in neonatal outcomes between the two groups. Conclusion: Implementing childbirth preparation classes positively influences maternal self-efficacy and improves several pregnancy outcomes. Integrating such programs into routine antenatal care can enhance maternal confidence and promote safer, more positive birth experiences
Self-care management education for diabetes mellitus patients based on disease perception and length of suffering Sasarari, Zusana A.; Rahagia, Rasi; Suprapto, Suprapto; Fredy Saputra, M. Khalid
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 2 No. 3 (2025): Jurnal Pengabdian Masyarakat Edukasi Indonesia
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v2i3.125

Abstract

Diabetes mellitus is a chronic disease that requires comprehensive management and active participation from patients to prevent complications and improve quality of life. One of the most critical aspects of diabetes management is self-care, which encompasses diet regulation, regular physical activity, medication adherence, blood glucose monitoring, and stress management. However, patients’ perception of the disease and the length of time they have been suffering from it often influence their ability to implement effective self-care practices. This community service program aimed to provide self-care management education for patients with diabetes mellitus, tailored to their perception of the disease and the duration of their illness. The method used involved structured educational sessions, interactive discussions, and practical demonstrations tailored to patients’ levels of understanding and experiences in managing diabetes. Pre- and post-intervention assessments were conducted to evaluate changes in knowledge, attitudes, and perceived self-efficacy. The results indicated that patients with longer disease duration generally demonstrated higher awareness but also faced challenges in maintaining long-term self-care consistency. Meanwhile, newly diagnosed patients often underestimate the seriousness of diabetes, which affects their adherence to lifestyle modifications. The program successfully enhanced patients’ knowledge and motivated them to engage in sustainable self-care practices. Community-based education that considers disease perception and the length of suffering is therefore an effective strategy for empowering patients with diabetes mellitus to manage their health. This approach is expected to reduce complications, enhance overall well-being, and support public health initiatives in the management of chronic diseases
Impact of nursing interventions on the implementation of primary health care policies: A Systematic Review Azza, Awatiful; A. Sasarari, Zusana; Komariah Sambas, Etty; Muzfah, A. Wardah
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 3 (2025): Jurnal Edukasi Ilmiah Kesehatan
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i3.144

Abstract

Introduction: Primary health care (PHC) is recognized as the foundation of equitable and sustainable health systems. Nursing interventions are essential in translating PHC principles into effective practice. However, limited synthesized evidence exists on the effectiveness of nursing-led initiatives within PHC policy frameworks. This review aimed to evaluate the impact of nursing interventions on the implementation of PHC policies, with the hypothesis that structured nursing interventions enhance health outcomes, policy adherence, and community engagement. Methods: Following the PRISMA guidelines, a systematic search was conducted across PubMed, CINAHL, Scopus, and Cochrane Library for studies published between 2010 and 2025. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs assessing nursing-led interventions in PHC settings. Two reviewers independently performed data extraction and quality appraisal. Due to methodological heterogeneity, a narrative synthesis was employed. Results: A total of studies demonstrated that nursing interventions such as health education, chronic disease management, maternal-child health support, and community empowerment significantly improved service accessibility, patient satisfaction, and adherence to PHC policy objectives. Moreover, community-based nursing initiatives strengthened preventive care delivery and promoted equity in service utilization. Conclusion: The findings confirm that nurses are pivotal in operationalizing PHC policies. Strengthening nursing capacity through training, policy integration, and resource allocation can accelerate progress toward universal health coverage. Further research is needed to establish standardized evaluation frameworks and measure long-term policy impacts of nursing interventions in PHC systems.
Optimalisasi Pelaksanaan Pre dan Post Conference Keperawatan dalam Upaya Penerapan Model Praktik Keperawatan Profesional di Ruang Rawat Inap Hendry Kiswanto Mendrofa; Dwi Astuti; Elisabeth Bre Boli; Zusana A. Sasarari; Oktliana Pasangka
I-Com: Indonesian Community Journal Vol 5 No 1 (2025): I-Com: Indonesian Community Journal (Maret 2025)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70609/icom.v5i1.6652

Abstract

Structured nursing conferences, both pre and post, can contribute to improving patient outcomes. Conferences have been shown to enhance patient safety in care units compared to teams that do not conduct similar conferences. This activity was carried out from April to August 2024. The partners in this activity were nurses in the inpatient ward. The results of this activity included the achievement of several outcomes, such as the appointment of responsible individuals for conferences in each room, the development of shared conference techniques, and the implementation of pre and post-conferences led by the team leader/primary nurse. The socialization results also demonstrated that the conference optimization program in the Inpatient Ward of Bhayangkara Level II Hospital Jayapura successfully improved nurses' understanding and skills. Pre-conference activities allowed nurses to better plan care and align perceptions within the team, while post-conference provided space for evaluation and reflection, which are essential for continuous improvement.
Penyuluhan PHBS Dalam Pencegahan Skabies Di Panti Asuhan Holei Roo Kabupaten Jayapura, Papua Wattimena, Christy; Sasarari, Zusana A; Herman, Theresie Chindyana; Kristina, Yunita
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 7 No 2 (2025): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/abdikemas.v7i2.2982

Abstract

Scabies is an infectious skin disease caused by the Sarcoptes scabiei mite. Scabies disease mostly affects children and the transmission can occur directly or indirectly. This community service aims to provide understanding about scabies disease in Holei Roo Orphanage. The results of the counseling activity on Clean and Healthy Living Behavior (PHBS) in the prevention of scabies at Holei Roo Orphanage gave a significant positive impact on increasing the knowledge and awareness of the residents of the orphanage about the importance of maintaining personal and environmental hygiene. Through interactive and practical education, the residents of the orphanage understand the ways to prevent scabies, such as washing hands with soap, keeping the bed clean, not sharing clothes or towels, and immediately reporting if they experience symptoms. The results of the activity show that this counseling is effective in shaping preventive behavior that can minimize the spread of scabies and support the creation of a healthy and comfortable living environment in orphanages
Long-Term Suffering from Respiratory Tract Infections and Its Impact on Quality of Life: A Cross-Sectional Study Wattimena, Christy; Sasarari, Zusana A.; Herman, Theresie Chindyana; Kristina, Yunita
Jurnal Keperawatan Florence Nightingale Vol 8 No 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v8i2.244

Abstract

Acute Respiratory Infections (ARI) are infectious diseases that attack the acute respiratory tract, including the nose, throat, and lungs. The purpose of the research to determine the relationship between the duration of ARI and the quality of life. The study was conducted at the Waibhu Community Health Centre using non-probability sampling with purposive sampling techniques. The sample size was 80 with inclusion criteria of ARI patients aged 19-60 years; duration of ARI are 5-30 days; fully conscious; able to read and write; and willing to be respondents. Respondents who experienced disorientation in time, place, and person were excluded. The instrument used the WHOQOL-BREFF questionnaire to measure quality of life. Data analysis used univariate analysis (gender, age, occupation, marital status, religion, duration of ARI, number of ARI episodes in the last 6 months, and quality of life) and bivariate analysis (the relationship between the duration of ARI and the quality of life) used the Kruskal-Wallis test. The  results showed that there was a significant relationship between the duration of ARI and the quality of life of ARI patients (p=0.001), H=16.336. It is necessary to pay attention to the patient's quality of life to preventing the severity of infection.
Edukasi Masyarakat Kenali, Cegah dan Atasi Malaria Asimptomatik di GMAHK Jemaat Kolayinuk Koya Koso Kristina, Yunita; Suweni, Korinus; Sasarari, Zusana A.
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 4 (2026): Volume 9 Nomor 4 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i4.24847

Abstract

ABSTRAK Malaria asimptomatik adalah orang yang terkena malaria tapi tidak menunjukkan gejala demam atau gejala akut lainnya dan belum menerima perawatan antimalaria. Malaria asimptomatik terdapat didaerah endemisitas rendah atau tinggi. Peran Pengidap malaria asimptomatik sebagai Sillent reservoir, yang terus berperan mempertahankan penularan malaria karena mereka bertahan lama pada tubuh dalam bentuk gametosit terpendam dan berpotensi menular kenyamuk Anopheles. Menambah pengetahuan tentang cara mengenali, mencegah dan menangani malaria Asimtomatik. Eksperimen, pendekatan Pre- experimental design dengan Onegroup pretest-posttest design. Peneliti menggunakan desain untuk mengetahui pengaruh. Analisa uji pengaruh menggunakan Paired samples T Test. Pretest masyarakat Sebagian besar pengetahuan kurang sebanyak 76%. Posttest masyarakat memiliki pengetahuan baik 100%, Table paired samples T test nilai signifikansi 2 tail = 0.000, kurang dari 0.05, menunjukkan ada perbedaan signifikan variabel awal dan akhir, artinya pretest dan posttest menunjukkan pengaruh bermakna terhadap perlakukan yang diberikan. Peningkatan pengetahuan tentang Kenali, Cegah Dan Atasi malaria Asimtomatik Di Warga Binaan GMAHK Daerah Misi Papua Jemaat Kolayinuk Koya Kosso. Edukasi Masyarakat dalam Upaya Bersama Kenali, Cegah Dan Atasi malaria Asimtomatik Di Warga Binaan GMAHK uh Daerah Misi Papua Jemaat Kolayinuk Koya Koso sangat dibutuhkan masyarakat untuk membantu mereka agar dapat mengenali, mencegah Dan mengatasi malaria Asimtomatik. Kata Kunci: Pengetahuan, Pendidikan Kesehatan, Malaria Asimtomatik, Koya Kosso.  ABSTRACT Asymptomatic malaria is a person who has malaria but does not show fever or other acute symptoms and has not received antimalarial treatment. Asymptomatic malaria occurs in areas of low or high endemicity. The role of asymptomatic malaria sufferers as silent reservoirs, which continue to play a role in maintaining malaria transmission because they survive for a long time in the body in the form of latent gametocytes and have the potential to be transmitted by Anopheles mosquitoes. Increase knowledge about how to recognize, prevent and treat asymptomatic malaria. Method: Experiment, Pre-experimental design approach with One group pretest-posttest design. Researchers use design to determine influence. Analysis of the influence test using Paired samples T Test. Community pretest Most of the knowledge was lacking at 76%. Posttest the community had 100% good knowledge, Table paired samples T test significance value 2 tail = 0.000, less than 0.05, indicating there was a significant difference in the initial and final variables, meaning that the pretest and posttest showed a significant influence on the treatment given. Increased knowledge about Recognizing, Preventing and Treating Asymptomatic Malaria in Residents Assisted by GMAHK Papua Mission Area Kolayinuk Koya Kosso Congregation. Community Education in Joint Efforts to Recognize, Prevent and Overcome Asymptomatic Malaria in Residents Assisted by GMAHK uh Papua Mission Area Kolayinuk Koya Koso Congregation is really needed by the community to help them to recognize, prevent and overcome Asymptomatic Malaria. Keywords: Knowledge, Health Education, Asymptomatic Malaria, Koya Kosso