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Holistic Care for Sleep Quality and Mental Health of Postnatal Mothers Fitriana Yuni Permana Sari; Marni Marni; Rovica Probowati; Titin Syahwarani; Putri Kusuma Romadhani
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7300

Abstract

The postpartum period is an important and vulnerable time for the health of mothers after childbirth. Data shows that the prevalence of sleep disorders and the risk of postpartum depression globally is 14%, in Asia 26-85%, and in Indonesia 50-70%. At the Gatak Community Health Center, integrated holistic interventions for sleep quality and mental health are limited. This study aims to examine the effect of holistic care on PSQI and EPDS in postpartum mothers through interventions consisting of relaxation techniques, education, and psychosocial support. Methods: A quasi-experimental one-group pretest-posttest design and purposive sampling were used on 15 postpartum mothers with the criteria of age 18-40 years, 1-6 weeks postpartum, good communication skills, and signing an informed consent form. Results: Paired t-test analysis (p<0.05) showed a significant effect of holistic care on the sleep quality and mental health of postpartum mothers through a comparison of pretest-posttest means. Conclusion: Holistic care is effective in reducing cortisol, improving sleep hygiene and social support, and can be implemented in primary care settings in Indonesia. Recommendations: Integrate PSQI/EPDS into maternal and child health guidelines, conduct training for midwives, and conduct further research using RCTs.
IMPLEMENTATION OF WEB-BASED AND MACHINE LEARNING DECISION SUPPORT SYSTEM "BUNDA DINI" FOR MATERNAL HEALTH RISK DETECTION Pramono; Rovica Probowati; Arif Setiawan
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2026: Proceeding of the 7th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/jd3szx05

Abstract

Maternal Mortality Ratio (MMR) remains a strategic issue in Indonesia's national health system. Efforts to reduce MMR are often hindered by the slow early detection of high-risk pregnant women at primary healthcare facilities. To bridge this gap, this study developed "Bunda Dini", a web-based Decision Support System (DSS) integrating a predictive machine learning model. The application was built using the framework Laravel and MySQL database management system. The system architecture was designed with a multi-tenant approach, enabling secure data isolation between various clinics or hospitals, as well as structured access permissions for Midwives, Obstetricians, Clinic Admins, and Super Admins (Developers). The system's inference engine is powered by an optimized Extreme Gradient Boosting (XGBoost) algorithm, which has been proven capable of classifying pregnancy risk levels based on six vital parameters with an accuracy rate of 84.24% and a high-risk class Recall reaching 96.36%. Key features of the application include an intelligent anamnesis form, risk level visualization real-time, as well as a comprehensive reporting module supporting patient data recapitulation in both PDF and Excel formats. Test results show that the system interface is highly responsive, easy for medical staff to use, and guarantees the confidentiality of medical records across clinics. The implementation of the "Bunda Dini" web platform has high potential to become a reliable medical triage instrument, accelerating emergency obstetric care responses, and directly contributing to efforts to reduce maternal mortality.
Pengaruh Pemberian Art Therapy Dalam Meningkatkan Suasana Hati (Mood) dan Menurunkan Kecemasan pada Remaja di SMP Negeri 1 Mojolaban Della Andri Andiana; Andriani Mei Astuti; Rovica Probowati
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.2062

Abstract

Remaja rentan mengalami perubahan suasana hati dan kecemasan akibat perubahan fisik, psikologis, dan sosial yang dapat memengaruhi kesehatan mental, prestasi akademik, dan interaksi sosial. Art therapy merupakan salah satu intervensi nonfarmakologis yang dapat diterapkan untuk membantu meningkatkan suasana hati dan menurunkan kecemasan. Penelitian ini bertujuan untuk mengetahui pengaruh art therapy dalam meningkatkan suasana hati dan menurunkan kecemasan pada remaja sebelum dan sesudah intervensi. Penelitian kuantitatif dengan desain pre-eksperimental one group pretest-posttest pada 54 responden yang dipilih dengan purposive sampling. Kecemasan diukur dengan Zung Self-Rating Anxiety Scale (Z-SAS) dan suasana hati diukur dengan Mood and Feelings Questionnaire-Self Report (MFQ-Self). Analisis data menggunakan Wilcoxon Signed Rank Test. Setelah intervensi terjadi peningkatan suasana hati dan penurunan kecemasan yang signifikan (p = 0,000 untuk kedua variabel). Nilai effect size menunjukkan pengaruh besar terhadap kecemasan (r = 0,66) dan suasana hati (r = 0,71). Art therapy berpengaruh signifikan dalam meningkatkan suasana hati dan menurunkan kecemasan pada remaja di SMP Negeri 1 Mojolaban dan dapat dijadikan salah satu terapi nonfarmakologis pendukung kesehatan mental remaja di lingkungan sekolah.
The Influence of Self-Efficacy in VR Feedback on Nursing Students' Psychomotor Skills and Self-Confidence Probowati, Rovica; Yuni Permana, Fitriana; Pramono, Pramono; Yudha Putra Arya Pratama, Baruna
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2026: Proceeding of the 7th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/eztgk492

Abstract

Mastery of psychomotor skills is a core competency that nursing students must demonstrate before entering clinical practice; however, many students report low confidence when performing nursing procedures independently. Self-efficacy—an individual's belief in their own ability to successfully perform a task—has been identified as a key psychological factor influencing skill acquisition and clinical performance. Objective: This study aimed to analyze the influence of self-efficacy on the improvement of psychomotor skills among nursing students. Methods: A quantitative research design with purposive sampling was employed, involving 20 nursing students as respondents. Self-efficacy was measured using the General Self-Efficacy (GSE) instrument, while psychomotor skills were assessed using clinical practice skill checklists or OSCE standards. Results: The findings showed an improvement in students' knowledge and skills following the intervention. Mean knowledge scores increased by 24.33 points (from 59.60 to 83.93), while skill scores increased by 22.66 points (from 62.03 to 84.69). Descriptively, the greatest improvement occurred in the knowledge (cognitive) variable. Increases in both minimum and maximum scores for both variables indicate positive changes across the entire spectrum of student abilities following the intervention. Conclusion: Self-efficacy has a significant positive influence on the improvement of psychomotor skills among nursing students, suggesting that strategies to strengthen student confidence should be integrated into skills laboratory instruction.
IMPLEMENTASI BUNDA-DINI TERINTEGRASI FETAL DOPPLER UNTUK MEMPERKUAT KESIAPSIAGAAN KADER POSYANDU DALAM SKRINING RISIKO KEHAMILAN Pramono Pramono; Rovica Probowati; Marta Ardiyanto
Jurnal Gembira: Pengabdian Kepada Masyarakat Vol 4 No 05 (2026): OKTOBER 2026
Publisher : Media Inovasi Pendidikan dan Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Skrining risiko kehamilan oleh kader Posyandu di Desa Karangturi masih terkendala format yang belum seragam, pencatatan kertas yang tersebar, dokumentasi rujukan yang tidak lengkap, dan literasi digital yang bervariasi. Program pengabdian ini menerapkan BUNDA-DINI, aplikasi Android yang diintegrasikan dengan pemantauan Fetal Doppler, untuk memperkuat kesiapsiagaan kader tanpa memindahkan kewenangan diagnosis klinis. Pendekatan partisipatif-kolaboratif mencakup asesmen kebutuhan, penyusunan SOP bersama, kelas singkat, demonstrasi, simulasi kasus, praktik terbimbing, penerapan teknologi, pendampingan, dan perencanaan keberlanjutan. Implementasi awal bersama Kader Posyandu Sabar Subur menghasilkan SOP skrining dan rujukan, checklist Doppler, akun pengguna aktif, pencatatan digital terstruktur, materi edukasi, serta alur eskalasi kader-bidan. Kader mempraktikkan pencatatan faktor risiko, tanda bahaya, riwayat kunjungan, edukasi, dan tindak lanjut; Fetal Doppler ditempatkan hanya sebagai alat bantu pemantauan tersupervisi. Keluaran awal menunjukkan standardisasi proses dan ketertelusuran data yang lebih baik, tetapi efektivitas endline masih perlu diverifikasi pada siklus Posyandu berikutnya