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All Journal Manuju : Malahayati Nursing Journal Edu Masda Journal Journal Of World Science INDOGENIUS Cerdika: Jurnal Ilmiah Indonesia Al Makki Health Informatics Journal Blantika : Multidisciplinary Journal Jurnal Kesehatan Mahardika Indonesian Journal of Learning and Educational Studies Jurnal Global Ilmiah Jurnal Keperawatan Profesional Poltekita: Jurnal Ilmu Kesehatan
Muadi, Muadi
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Implementation of Pre and Post Conference in the Delivery Room of Wisma Tulip 1, Prof. Soerojo Hospital Magelang Muadi, Muadi; Anggriawan, Moch Iqbal
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.723

Abstract

Background & Objective:   Hospitals are defined by Law No. 44 of 2009 as health service institutions that provide comprehensive health services to individuals, including inpatient, outpatient, and emergency care. Hospitals are also part of the health service system that provides services to the community, including medical, medical support, medical rehabilitation, and nursing care. Method: This study used a qualitative case study method with direct observation for 10 days in the Delivery Room of Wisma Tulip 1, Prof. Soerojo Hospital Magelang, to evaluate the implementation of Pre and Post Conference and the factors influencing it. Result: Based on assessments in Wisma Tulip 1, it was concluded that problems remain in the implementation of pre and post conference during patient handovers, where execution has not been optimal. The main problems identified were the suboptimal application of pre and post conference, influenced by limited human resources and available time. As an improvement step, actions were planned in the form of education for nurses and midwives regarding SOP for pre and post conference, although implementation still faced these challenges. Conclusion: It is recommended that this report be used by the management of Prof. Dr. Soerojo Mental Hospital as an evaluation material to enhance the management function in the implementation of the Professional Nursing Practice Model (MPKP).
Determinant of Depression in Multi - Drug Resistant Tuberculosis (MDR) at Waled Cirebon Regional General Hospital Purbaningsih, Endah Sari; Muadi, Muadi; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili; Nurhaeni, Ani; Marisa, Dewi Erna
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4225

Abstract

Depression is a common psychological complication among patients with multidrug-resistant tuberculosis (MDR-TB), affecting treatment adherence and recovery outcomes. Identifying the determinants of depression in this population is essential for developing comprehensive care strategies. This cross-sectional study was conducted among 28 MDR-TB patients at RSUD Waled. Data on demographic, clinical, and psychosocial variables were collected through structured questionnaires. Depression was assessed using a standardized screening tool. Bivariate analysis was performed using chi-square tests, followed by multivariate logistic regression to identify independent predictors of depression. The bivariate analysis showed no significant association between age (p=0.063), gender (p=0.07), income (p=0.065), or educational attainment (p=0.63) with depression, indicating that these demographic and socioeconomic factors did not influence depressive outcomes. In contrast, comorbidities (p<0.001), duration of illness (p=0.011), and community stigma (p<0.001) were significantly associated with depression. Respondents with comorbidities, longer illness duration, and negative community stigma were markedly more likely to experience depression, suggesting that clinical and psychosocial factors are stronger determinants than demographic variables. Comorbidities, longer illness duration, and community stigma were significantly related to depressive outcomes. Future research with larger and more diverse populations is needed to validate these findings and explore contextual factors influencing depression in MDR-TB patients.
Social Support and The Risk of Aggressive Behavior among Adolescents in Cirebon City Purbaningsih, Endah Sari; Muadi, Muadi; Kamila, Sri
Journal of World Science Vol. 3 No. 12 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i12.1249

Abstract

Aggressive behavior among adolescents, such as brawls, has become increasingly prevalent, particularly in school environments. This study investigates the relationship between social support and the risk of aggressive behavior among adolescents at SMK Muhammadiyah Cirebon City. Utilizing a descriptive correlation design with a cross-sectional approach, the study involved 152 students, with 60 respondents selected through proportional random sampling. Data collection utilized a reliable social support questionnaire and a risk of aggressive behavior questionnaire. The analysis revealed that 65.0% of respondents received moderate social support, while 61.7% were at risk of aggressive behavior. Notably, a significant and very strong negative correlation was found between social support and the risk of aggressive behavior (p = 0.000, ? = 0.05, r = -0.886). This indicates that higher levels of social support are associated with a substantially lower risk of aggressive behavior. The study recommends implementing counseling programs to enhance social support for students at risk of aggression.
Hubungan Dukungan Keluarga dalam Memberdayakan Penderita Skizofrenia dengan Frekuensi Kekambuhan Penderita Skizofrenia Di Wilayah Kerja Puskesmas Sitopeng Kota Cirebon Sari Purbaningsi, Endah; Muadi, Muadi
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 12 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i12.487

Abstract

Skizofrenia merupakan salah satu penyakit gangguan jiwa yang menjadi masalah kesehatan bagi masyarakat di Indonesia dari berbagai kasus gangguan jiwa termasuk skizofrenia pasien dinyatakan sembuh secara medis dan biasanya dikembalikan ke keluarganya. Kekambuhan skizofrenia biasanya terjadi karena diasingkan oleh keluarganya sendiri. Peran keluarga sangatlah penting dalam membantu proses penyembuhan gangguan jiwa skizofrenia semakin banyak dukungan semakin kecil juga kemungkinan pasien skizofrenia untuk kambuh. Tujuan penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dalam memberdayakan penderita skizofrenia dengan frekuensi kekambuhan penderita skizofrenia di Wilayah Kerja Puskesmas Sitopeng Kota Cirebon. Jenis penelitian ini adalah kuantitatif dengan desain penelitian deskriptif korelasional dan menggunakan pendekatan cross-sectional. Pengambilan sampel menggunakan teknik total sampling berjumlah 30 responden. Instrumen pada penelitian ini menggunakan kuesioner. Uji statistik menggunakan uji Chi-Square dan dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa dukungan keluarga pada penderita skizofrenia di wilayah kerja Puskesmas Sitopeng Kota Cirebon dari 30 responden mayoritas mendapatkan dukungan keluarga cukup 18 orang (94.7%). Dan frekuensi kekambuhan pada penderita skizofrenia mayoritas mengalami kekambuhan sebanyak 22 orang (73.3%) dengan frekuensi kekambuhan tertinggi yaitu sebanyak 3 kali dalam satu tahun terakhir yang dialami oleh 7 orang (16,7%). Bagi keluarga penderita skizofrenia agar dapat menyediakan waktu untuk berkumpul bersama dan bercerita dengan pasien untuk saling bertukar pikiran dengan pasien. Dan keluarga dapat memberikan dukungan keluarga yang optimal secara keseluruhan kepada penderita skizofrenia yaitu dukungan emosional, dukungan informasional, dukungan instrumental dan dukungan atau penghargaan evaluasi. Dan senantiasa mengontrol pengobatannya atau mengkonsumsi obat – obatan yang telah diresepkan
Self-Efficacy dan Stres Psikologis Pada Penderita Kanker Payudara: Studi Analitik di RSUD Waled Kabupaten Cirebon P, Endah Sari; Muadi, Muadi; Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20479

Abstract

ABSTRACT Self efficacy is a person’s belief in his ability to regulate himself, and take action to achieve certain skills. Stress is the body’s response caused by demands from outside the individual that exceed the ability to solve problems. This study aims to determine the relationship between self efficacy and stress levels in breast cancer patients at Waled Hospital, Cirebon Regency.  This type of research is quantitative with cross-sectional approach. Sampling using purposive sampling technique amounted to 31 respondents. The instrument used were standard self efficacay questionnaires and DASS 42 (Depression, Anxiety and Stres). Data analysis using chi-square. The research location was at Waled Hospital, Cirebon Regency. The results of the study found that most of the respondents experienced less self efficacy with moderate stress levels dominating. 31 respondents experienced less self efficacy (35,5%) and some respondents with moderate stress levels (41,9%). The results of the chi-square test obtained a p-value of 0.000 a=<0.05, so H0=rejected, which means that there is a relationship between self efficacy and the stress levels of breast cancer patients at Waled General Hospital.  For breast cancer patients who have low self efficacy, it is recommended to add more insight and knowledge so that their self efficacy increases so that stress levels are also reduced in patients at Waled Hospital, Cirebon Regency.  Keywords: Breast Cancer, Self Efficacy, Stress Levels  ABSTRAK Self Efficacy merupakan keyakinan sesorang terhadap kemampuannya untuk mengatur diri sendiri,dan mengambil tindakan untuk mencapai keterampilan tertentu. Stress adalah respon tubuh yang diakibatkan karena adanya tuntutan dari luar diri individu yang melebihi kemampuan dalam menyelesaikan masalah. Penelitian ini bertujuan untuk mengetahui hubungan self efficacy dengan tingkat stress pada pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Jenis penelitian ini adalah kuantitatif dengan pendekatan cros sectional. Pengambilan sampel menggunakan Teknik purposive sampling berjumlah 31 responden. Instrumen yang digunakan berupa kuesioner baku Self-Efficcay dan DASS 42 (Depression, Anxiety and Stres). Analisa data menggunakan Chi-Square. Tempat penelitian di RSUD Waled Kabupaten Cirebon. Hasil penelitian didapatkan Sebagian besar responden mengalami Self Efficcay kurang dengan di dominasi tingkat stress sedang. 31 responden mengalami self efficacy kurang sebanyak (35,5%) dan Sebagian responden dengan tingkat stress sedang sebanyak (41,9%). Hasil uji chi-square didapatkan p-value 0,000 a=<0,05 maka H0=ditolak yang artinya ada hubungan antara self efficacy dengan tingkat stress pasien kanker payudara di RSUD Waled Kabupaten Cirebon. Bagi pasien kanker payudara yang memiliki Self Efficcay rendah disarankan agar menambah wawasan dan ilmu yang lebih banyak agar self efficacy nya meningkat sehingga tingkat stress juga berkurang pada pasien di RSUD Waled Kabupaten Cirebon. Kata Kunci: Efikasi Diri, Tingkat Stres, Kanker Payudara.
Ketergantungan Smartphone dan Konsekuensinya Terhadap Kualitas Tidur Remaja P, Endah Sari; Muadi, Muadi; Nurhaeni, Ani; Marisa, Dewi Erna; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili
Malahayati Nursing Journal Vol 7, No 6 (2025): Volume 7 Nomor 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i6.20480

Abstract

ABSTRACT Indonesian adolescents are increasingly dependent on smartphones, often using them during bedtime, which may affect sleep quality. To examine the relationship between smartphone usage intensity and sleep quality among adolescents at SMP Negeri 1 Susukan Lebak, Cirebon Regency. A cross-sectional correlational study involving 220 students selected through stratified random sampling. Data were collected using the Smartphone Usage Intensity Questionnaire and the Adolescent Sleep-Wake Scale, and analyzed using Spearman’s rank correlation. The majority of respondents had moderate smartphone usage (53.2%) and poor sleep quality (50.9%). There was a strong negative correlation between smartphone usage intensity and sleep quality (p = 0.000; r = -0.645). Higher smartphone usage intensity is associated with poorer sleep quality. Health promotion efforts targeting adolescents and parents are needed to address this issue. Keywords: Adolescent, Sleep Quality, Smartphone Usage Intensity.  ABSTRAK Remaja di Indonesia semakin bergantung pada smartphone, sering menggunakannya saat waktu tidur, yang dapat mempengaruhi kualitas tidur mereka. Meneliti hubungan antara intensitas penggunaan smartphone dengan kualitas tidur pada remaja di SMP Negeri 1 Susukan Lebak, Kabupaten Cirebon. Penelitian korelasional dengan desain potong lintang yang melibatkan 220 siswa yang dipilih melalui stratified random sampling. Data dikumpulkan menggunakan Smartphone Usage Intensity Questionnaire dan Adolescent Sleep-Wake Scale, lalu dianalisis menggunakan uji korelasi Spearman’s rank. Mayoritas responden memiliki intensitas penggunaan smartphone dalam kategori sedang (53,2%) dan kualitas tidur yang buruk (50,9%). Terdapat korelasi negatif yang kuat antara intensitas penggunaan smartphone dengan kualitas tidur (p = 0,000; r = -0,645).Semakin tinggi intensitas penggunaan smartphone, semakin buruk kualitas tidur remaja. Upaya promosi kesehatan yang menargetkan remaja dan orang tua diperlukan untuk mengatasi masalah ini. Kata Kunci: Remaja, Kualitas Tidur, Intensitas Penggunaan Smartphone.
Oxytocin Massage, Breast Milk Production, and Comfort in Post Partum P0A1 Mothers with Spontaneous Delivery: A Case Study in the Delima Room of RSUD Waled Zakiyah, Vivy; Azriliyani, Raeisya; Afriani, Julia; Rahmawati, Yulia; Muadi, Muadi
Al Makki Health Informatics Journal Vol. 2 No. 4 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i4.28

Abstract

All pregnant women have the potential to experience complications during pregnancy and the postpartum period. To prevent complications such as bleeding and infection in the postpartum period, comprehensive nursing care is essential, including counseling on postpartum care. This counseling aims to meet the mother's need for knowledge and skills related to self-care, newborn care, family adaptation, and health recovery.  This study aims to describe the implementation of nursing care in postpartum mothers through the nursing process approach. A case study design was used on primiparous postpartum mothers with spontaneous delivery in the Delima room, Waled Hospital, Cirebon Regency. The research was conducted on February 12, 2024.  The results showed that breast milk production can be accelerated by nonpharmacological measures such as oxytocin massage, which involves massaging the area around the back (vertebrae pars thoracica) to stimulate the release of breast milk. The mother reported feeling satisfied, happy, and confident in her ability to provide breast milk to her baby. Although the problem of ineffective breastfeeding related to inadequate milk supply was not fully resolved, patients reported feeling comfortable after oxytocin massage. The implication of the study suggests that oxytocin massage can be an effective intervention in accelerating milk release and improving the well-being of postpartum mothers. Appropriate counseling and nursing care are crucial in helping postpartum mothers overcome challenges and improve the quality of self-care and newborn care.
Co-Authors Afriani, Julia Aini, Cica Fikrotuan Al Akbar, Amin Al Farez, M.Fahad Anggriawan, Moch Iqbal Atika, Iva Nandya Azriliyani, Raeisya Cholimah, Vina Nur Citra Setyo Dwi Andhini Ika Kartika Inesta, Indi Kamila, Sri Karlina, Nonok Lia Amelia Lili Wahyuni Maghfiroh, Adinda Haniatul Marisa, Dewi Erna Muna, Nailul Nurhaeni, Ani Oktiany, Thia P, Endah Sari Purbaningsih, Endah Sari Rahayu, Rosalia RR. Ella Evrita Hestiandari Sari Purbaningsi, Endah Sulistya, Ghifa Triassukma Syuwari, Hanifah Ridho Yulia Rahmawati, Yulia Yulianingsih, Devi Zakiyah, Vivy