Garuda - Garba Rujukan Digital

The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.

Enhancing Wound Repair With Carica Papaya -Based Formulation: A Pretest-Posttest Control Group Trial Mokh. Sujarwadi; Mukhammad Toha; Ida Zuhroidah; Rondhianto Rondhianto; Dimas Hadi Prayoga; Fatimah Zahra; Nadia Rohmatul Laili
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.652

Background: Natural products are increasingly favored in wound care due to concerns about antibiotic resistance and side effects of synthetic drugs. Carica papaya L., a tropical plant native to Central America and widely grown in Indonesia, contains bioactive compounds with properties essential for tissue repair. This study tests whether a topical Carica papaya formulation speeds up wound healing by measuring granulation and epithelialization. Methods: Using a quasi-experimental design. A total of 50 participants were divided into a control (standard wound care) and a treatment group (standard care + C. papaya extract). Analysis used the Paired T test. Result: Paired t-tests indicated no significant changes in the control group (p = 1.00). In contrast, the treatment group demonstrated statistically significant improvements in granulation (pre: 0.44 ± 0.51; post: 1.56 ± 0.51; t = -9.35, p < 0.001) and epithelialization (pre: 0.68 ± 0.47; post: 1.72 ± 0.46; t = -10.25, p < 0.001). Independent-samples t-tests confirmed significant differences between groups after the intervention (granulation: t = -9.35, p < 0.001; epithelialization: t = -10.25, p < 0.001). These results support the incorporation of C. papaya extract into evidence-based complementary wound management protocols. Conclusion: Carica papaya extract significantly enhances wound healing, promoting granulation and epithelialization. Thus, it may serve as an effective adjunctive therapy in clinical wound management.

Effect of a nurse-led four-pillar diabetes management program on HbA1c in adults with type 2 diabetes Ida Zuhroidah; Mokh. Sujarwadi; Mukhammad Toha; Nurfika Asmaningrum; Dimas Hadi Prayoga; Nadia Rohmatul Laili; Fatimah Zahra
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.668

The relative contributions of individual components of multimodal diabetes management to glycemic control remain unclear in real-world primary care settings. This observational pre–post study enrolled 100 adults with type 2 diabetes in a 12-week, nurse-led four-pillar program integrating patient education, physical activity guidance, dietary counseling, and medication adherence monitoring. Multiple linear regression examined the simultaneous associations between behavioral predictors and changes in HbA1c (ΔHbA1c). Mean HbA1c reduction was 2.72 ± 1.25% (95% CI: 2.48–2.96), exceeding the clinically meaningful threshold (>0.5%). The regression model was statistically significant (F(4,95) = 5.16; p = 0.0008; R² = 0.178). Medication adherence independently predicted ΔHbA1c (unstandardized B = 0.327; standardized β = 0.216; p = 0.023), whereas diabetes knowledge, physical activity, and dietary adherence were non-significant (p > 0.05). A structured, nurse-coordinated four-pillar program achieved substantial short-term glycemic improvement among adults with type 2 diabetes, with medication adherence emerging as the strongest behavioral predictor. While comprehensive, multidimensional care remains essential for sustainable self-management, systematic adherence monitoring may optimize metabolic outcomes in routine clinical practice. Causal inference is limited by the observational pre–post design and potential residual confounding; future randomized controlled trials with extended follow-up and objective adherence measures are warranted to clarify component-specific effects and long-term sustainability

The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.

Spiritual Mindfulness Effect on Anxiety, Respiratory Rate and Oxygen Saturation in Pneumonia Patients Diah Priyantini; Daviq Ayatulloh; Dimas Hadi Prayoga
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4551

Pneumonia in addition to causing problems in the respiratory system, also causes psychological disorders, manifesting as anxiety, causing worry, instilling feelings of restlessness, and triggering constant fear that has implications for daily functioning. Supportive therapy is needed to provide a good impact on the respiratory system and patient anxiety. The purpose of this study was to analyze the effect of spiritual mindfulness on anxiety, respiratory rate and oxygen saturation of pneumonia patients. Quantitative research with a quasi-experimental approach (pre-post test with control group design) in one of the hospitals in Gresik Regency. The sample in the study consisted of 64 divided into intervention groups and control groups recruited using purposive sampling. The independent variable is spiritual mindfulness with a frequency of 3 days and an intensity of 15 minutes. The research instrument to measure anxiety used a questionnaire from Zung SARS, respiratory rate was measured using direct observation for 1 minute and oxygen saturation was measured by observation through pulse oximetry. The analysis used in the study used the paired T-Test and the Wilcoxon signed rank test with a significance level of α ≤ 0.05. Spiritual mindfulness intervention showed a significant effect on respiratory rate (p=0.000), oxygen saturation (p=0.000) and anxiety (p=0.000) in the intervention group, but in the control group all showed no significant effect. The results of the calculation of the effect size of respiratory rate showed a value of d = 1.059, oxygen saturation showed a value of d = 0.735 and anxiety showed a value of d = 1.436. Spiritual mindfulness showed effectiveness in reducing anxiety levels, reducing respiratory rate and increasing oxygen saturation in pneumonia patients.

FROM PREPAREDNESS TO ACTION: STRENGTHENING EMPLOYEE EMERGENCY RESPONSE TROUGH FIRST AID TRAINING Mokh Sujarwadi; Agustini Fitriyah; Gawan Srengenge; Mukhammad Toha; Ida Zuhroidah; Dimas Hadi Prayoga; Nadia Rohmatul Laili; Fatimah Zahra
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 8 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v8i1.78441

Introduction: Workplace accidents are a serious problem in industrial settings, particularly in high-risk production sectors such as pharmaceutical manufacturing. This community service activity aims to improve employee knowledge and skills in providing First Aid through theory-based and practical training. Methods: The training was conducted at a pharmaceutical company in East Java on August 28, 2025, and lasted 6 hours. Participants consisted of 25 employees purposively selected by company management to represent various divisions. The method used was a one-group pre-test and post-test design, utilizing a closed-ended questionnaire containing 15 multiple-choice questions to assess first aid knowledge, as well as a practical assessment to evaluate participants’ skills. The training covered basic first aid principles and focused on three core skills: basic life support, bandaging, and casualty transportation, delivered through interactive lectures and hands-on simulations using standard first aid equipment. Results: A significant improvement in both participants’ knowledge and practical skills after the training. The mean knowledge score increased from 12.36 (pre-test) to 14.27 (post-test), representing an increase of 1.95 points. Conclusion: First aid training was effective in improving both the knowledge and practical skills of employees. A notable increase in knowledge scores, along with enhanced competencies in basic life support, bandaging, and casualty transportation, indicates that the training successfully strengthened participants’ preparedness and ability to respond to emergency situations. These findings highlight the importance of integrating structured first aid training programs in the workplace to improve emergency response capacity. KEYWORDS employees; first aid; occupational safety; training; work accidents

PENINGKATAN KESIAPSIAGAAN KELUARGA PASIEN STROKE MELALUI APLIKASI SIGAP BERBASIS FAST Dimas Hadi Prayoga; Mokh. Sujarwadi; Ida Zuhroidah
Jurnal Pemberdayaan Masyarakat Nusantara Vol 4 No 1 (2026): Jurnal Pemberdayaan Masyarakat Nusantara | Maret - Mei 2026
Publisher : PT. NAFATIMAH GRESIK PUSTAKA

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

Stroke merupakan kondisi kegawatdaruratan neurologis yang membutuhkan penanganan cepat karena keterlambatan deteksi dapat meningkatkan risiko kecacatan dan kematian. Rendahnya kesiapsiagaan keluarga pasien dalam mengenali gejala awal stroke menjadi salah satu penyebab keterlambatan pengambilan keputusan untuk memperoleh pertolongan medis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kesiapsiagaan keluarga pasien stroke melalui aplikasi SIGAP berbasis metode FAST (Face drooping, Arm weakness, Speech difficulties, Time to call emergency) di RSUD dr. R. Soedarsono Kota Pasuruan. Metode yang digunakan berupa pendekatan edukatif-partisipatif melalui penyuluhan kesehatan, pelatihan deteksi dini stroke menggunakan metode FAST, simulasi kegawatdaruratan, pendampingan penggunaan aplikasi SIGAP, serta evaluasi melalui pre-test dan post-test. Program ini ditujukan kepada keluarga pasien stroke sebagai pengambil keputusan utama dalam kondisi kegawatdaruratan. Pelaksanaan kegiatan menunjukkan peningkatan pemahaman keluarga mengenai tanda dan gejala stroke, konsep time is brain, kemampuan melakukan deteksi dini, serta kesiapan mengambil keputusan cepat untuk mencari pertolongan medis. Pemanfaatan aplikasi SIGAP berbasis FAST menjadi media edukasi digital yang mendukung peningkatan literasi kesehatan keluarga secara berkelanjutan sehingga berpotensi menurunkan keterlambatan penanganan stroke.

Implementation Of The Tell-Show-Do Method In The Development Of Holistic Learning: Optimizing The Achievements Of 3 Learning Domains (Cognitive, Affective, Psychomotor) Ida zuhroidah; Mokh. Sujarwadi; Mukhammad Toha; Dimas Hadi Prayoga
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.1460

Introduction: Comprehensive competency, the integration of three learning domains (cognitive, affective, and psychomotor), is the primary target for graduates in nursing education. In reality, these three learning domains are often not achieved through conventional learning methods. The Tell-Show-Do method is expected to provide an effective solution for achieving holistic learning simultaneously. The purpose of this study is to analyze the effectiveness of the Tell-Show-Do method in optimizing holistic learning outcomes (cognitive, affective, and psychomotor). Methods: This quasi-experimental study, with a pre-test, post-test, and control group design, involved 122 D3 Nursing students from the Pasuruan City Campus, divided into two groups: treatment (n=61) and control (n=61). Data were analyzed using the Paired Sample T-Test, Independent Sample T-Test, and Mann-Whitney U test, with a significance level of α=0.05. Results: The TSD method showed convincing significance in all three domains: Cognitive (Δ=+7.77, p<0.001, d=2.76), Affective (Δ=+9.72, p<0.001, d=3.47), and Psychomotor (Δ=+10.26, p<0.001, d=3.80). The control group did not show any significant improvement (p>0.05). Conclusions: The Tell-Show-Do method has a significant impact on all three domains of learning outcomes, particularly psychomotor skills. Recommendation: Integrate TSD into the nursing education curriculum.

Program DESA FAST: Pemberdayaan Kader Posyandu dan PKK sebagai Edukator Kesehatan Keluarga dalam Deteksi Dini Stroke Ida Zuhroidah; Mokh Sujarwadi; Mukhammad Toha; Nadia Rohmatul Laili; Dimas Hadi Prayoga; Fatimah Zahra; Nurfika Asmaningrum
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Agustus 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v5i2.931

Stroke masih menjadi salah satu penyebab utama kematian dan kecacatan di Indonesia. Keterlambatan mengenali tanda awal stroke menyebabkan banyak penderita tidak memperoleh penanganan pada masa emas sehingga meningkatkan risiko kecacatan maupun kematian. Keluarga merupakan pihak pertama yang menyaksikan munculnya gejala stroke, namun pengetahuan yang masih terbatas sering kali menyebabkan keterlambatan dalam mencari pertolongan medis. Kader Posyandu dan anggota PKK memiliki posisi strategis sebagai penggerak kesehatan masyarakat karena berinteraksi langsung dengan keluarga. Program pengabdian kepada masyarakat ini bertujuan meningkatkan kapasitas kader Posyandu dan PKK sebagai health educator keluarga melalui Program DESA FAST. Kegiatan dilaksanakan di Desa Mojoparon dengan melibatkan 50 peserta yang terdiri atas kader Posyandu dan anggota PKK. Metode kegiatan meliputi identifikasi kebutuhan, pretest, penyuluhan interaktif, demonstrasi, simulasi metode FAST (Face drooping, Arm weakness, Speech difficulty, Time to call emergency services), pendampingan praktik edukasi keluarga, serta evaluasi melalui posttest. Peserta juga dilatih menggunakan media edukasi sebagai sarana untuk menyampaikan informasi kepada masyarakat. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan peserta dalam mengenali gejala stroke, memberikan respons awal yang tepat, serta menyampaikan edukasi kepada keluarga dengan lebih percaya diri. Skor pengetahuan peserta meningkat dari 63,20 menjadi 89,40, atau meningkat sebesar 41,46%, dan hasil uji Wilcoxon Signed-Rank Test menunjukkan perbedaan yang signifikan (p=0,001). Program DESA FAST menjadi salah satu strategi pemberdayaan masyarakat dalam memperkuat deteksi dini stroke melalui peningkatan kapasitas kader kesehatan sehingga diharapkan mampu mempercepat pengambilan keputusan keluarga untuk segera membawa pasien ke fasilitas pelayanan kesehatan.

Program DESA FAST: Pemberdayaan Kader Posyandu dan PKK sebagai Edukator Kesehatan Keluarga dalam Deteksi Dini Stroke Ida Zuhroidah; Mokh Sujarwadi; Mukhammad Toha; Nadia Rohmatul Laili; Dimas Hadi Prayoga; Fatimah Zahra; Nurfika Asmaningrum
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Agustus 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v5i2.931

Stroke masih menjadi salah satu penyebab utama kematian dan kecacatan di Indonesia. Keterlambatan mengenali tanda awal stroke menyebabkan banyak penderita tidak memperoleh penanganan pada masa emas sehingga meningkatkan risiko kecacatan maupun kematian. Keluarga merupakan pihak pertama yang menyaksikan munculnya gejala stroke, namun pengetahuan yang masih terbatas sering kali menyebabkan keterlambatan dalam mencari pertolongan medis. Kader Posyandu dan anggota PKK memiliki posisi strategis sebagai penggerak kesehatan masyarakat karena berinteraksi langsung dengan keluarga. Program pengabdian kepada masyarakat ini bertujuan meningkatkan kapasitas kader Posyandu dan PKK sebagai health educator keluarga melalui Program DESA FAST. Kegiatan dilaksanakan di Desa Mojoparon dengan melibatkan 50 peserta yang terdiri atas kader Posyandu dan anggota PKK. Metode kegiatan meliputi identifikasi kebutuhan, pretest, penyuluhan interaktif, demonstrasi, simulasi metode FAST (Face drooping, Arm weakness, Speech difficulty, Time to call emergency services), pendampingan praktik edukasi keluarga, serta evaluasi melalui posttest. Peserta juga dilatih menggunakan media edukasi sebagai sarana untuk menyampaikan informasi kepada masyarakat. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan peserta dalam mengenali gejala stroke, memberikan respons awal yang tepat, serta menyampaikan edukasi kepada keluarga dengan lebih percaya diri. Skor pengetahuan peserta meningkat dari 63,20 menjadi 89,40, atau meningkat sebesar 41,46%, dan hasil uji Wilcoxon Signed-Rank Test menunjukkan perbedaan yang signifikan (p=0,001). Program DESA FAST menjadi salah satu strategi pemberdayaan masyarakat dalam memperkuat deteksi dini stroke melalui peningkatan kapasitas kader kesehatan sehingga diharapkan mampu mempercepat pengambilan keputusan keluarga untuk segera membawa pasien ke fasilitas pelayanan kesehatan.

Title

Found 40 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 40 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 40 Documents
Search