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All Journal International Journal of Nursing and Health Services (IJNHS) PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Surya MAHESA : Malahayati Health Student Journal Journal of Applied Nursing and Health East Asian Journal of Multidisciplinary Research (EAJMR) Penamas: Journal of Community Service International Journal of Scientific and Professional Asian Journal of Healthcare Analytics Jurnal Keperawatan Merdeka
Wibowo, Wahyu Dwi Ari
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Effect of Low-Cost CPR Pillow Training on Adolescents’ Willingness to Perform Bystander CPR: A Quasi-Experimental Study Lukman, Lukman; Wijaya, Sapondra; Susmini, Susmini; Wibowo, Wahyu Dwi Ari; Ningsih, Nurna; Soewito, Bambang
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.677

Abstract

Background: Despite increasing CPR education initiatives, evidence regarding the effectiveness of low-cost CPR Pillow simulation in improving adolescents' willingness to perform bystander CPR remains limited. This study aimed to evaluate the effect of CPR Pillow training on scout members' willingness to perform CPR in Lubuklinggau City, South Sumatera, Indonesia. Methods: This quantitative quasi-experimental study followed a non-equivalent control group pretest-posttest design in line with TREND principles. Seventy-two scout members aged 15–17 years who had never received CPR training were selected by random sampling and allocated to intervention and control groups. The intervention group received three sessions of classical teaching combined with CPR Pillow simulation over two months, while the control group received classical CPR training using leaflets only. Willingness to perform CPR was measured using a 30-item questionnaire with Cronbach's alpha of 0.85 and analyzed using paired and independent t-tests. Results: The intervention group demonstrated a greater increase in willingness scores than the control group, with mean scores improving from 42.50 ± 7.00 to 86.90 ± 5.60. The control group also improved, from 42.30 ± 6.90 to 84.20 ± 5.90. The between-group difference in score change was statistically significant (t = 2.398, p < 0.001). Conclusion: Low-cost CPR Pillow training significantly improved adolescents’ willingness to perform bystander CPR compared with leaflet-based training. This approach may be a practical and scalable strategy for school and scout CPR education in low-resource settings.
Independent Determinants of Stunting Among Children Under Five Years: A Case-Control Study Using Multivariable Analysis Islamiyati, Islamiyati; Sadiman, Sadiman; Khasanah, Sapta Aprilia; Wibowo, Wahyu Dwi Ari
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.681

Abstract

Background: Stunting is a chronic growth disorder caused by long-term nutritional deficiencies and repeated infections during the first 1,000 days of life. This study aimed to identify independent determinants of stunting among children under five years in the Yosomulyo Community Health Center, Metro City, Lampung, Indonesia. Methods: An analytical observational study with an unmatched retrospective case-control design was conducted from May 6 to May 30, 2025. A total of 76 children (38 cases and 38 controls) were selected using purposive sampling. Data were collected through structured interviews and verified using Maternal and Child Health (MCH) handbooks and health records to minimize recall bias. Statistical analysis was performed using IBM SPSS Statistics version 26. Bivariate analysis was conducted using the Chi-square test, and multivariate analysis was performed using multiple logistic regression with the backward likelihood ratio method. Results: Showed that maternal anemia during pregnancy, exclusive breastfeeding, history of diarrhea, and low birth weight (LBW) were independent determinants of stunting. Maternal anemia during pregnancy was associated with stunting (AOR = 2.76; 95% CI: 1.25–6.10; p = 0.001), exclusive breastfeeding (AOR = 4.86; 95% CI: 1.80–13.10; p = 0.001), history of diarrhea (AOR = 3.42; 95% CI: 1.54–7.61; p = 0.003), and low birth weight (AOR = 2.01; 95% CI: 1.10–3.67; p = 0.010). Conclusion: stunting is influenced by both prenatal and postnatal factors, particularly maternal nutrition during pregnancy, infant feeding practices, and early-life health conditions. Strengthening maternal nutrition programs, promoting exclusive breastfeeding, preventing low birth weight, and controlling childhood infections are essential strategies for stunting prevention. Future research using larger multi-center prospective designs is recommended to confirm these findings and strengthen causal inference.
Routine Hematologic and Biochemical Profiles in Term Premature Rupture of Membranes: A Retrospective Case-Control Study Widiyanti, Septi; Fairus, Martini; Yuliawati, Yuliawati; Wibowo, Wahyu Dwi Ari
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.684

Abstract

Background: Term premature rupture of membranes (PROM) is a common obstetric complication associated with increased risk of maternal and neonatal morbidity, primarily driven by inflammatory and infectious mechanisms. Although inflammatory pathways have been extensively studied, most evidence focuses on specific biomarkers such as C-reactive protein and cytokines. In contrast, routine hematologic and biochemical parameters—despite being widely available, inexpensive, and part of standard clinical practice—have not been consistently evaluated using PROM, particularly in low-resource settings such as Indonesia. Methods: This retrospective case-control study, reported according to STROBE guidelines, included 90 women (30 term PROM cases and 60 normal delivery controls) selected using systematic random sampling from medical records at Ahmad Yani Regional General Hospital, Indonesia. Inclusion and exclusion criteria were applied to minimize confounding. Eleven complete blood count (CBC) parameters were analyzed, including leukocytes, erythrocytes, hemoglobin, hematocrit, MCV, MCH, MCHC, platelets, RDW, MPV, and blood glucose. Laboratory measurements were performed using the Sysmex XN-550 hematology analyzer and the Pentra C400 automated chemistry analyzer. Data were analyzed using SPSS version 25. Group comparisons were conducted using the Mann–Whitney U test, and effect sizes were calculated using rank-biserial correlation. Results: Significant differences were observed in leukocyte count (p = 0.042), MCV (p = 0.016), MCH (p = 0.009), RDW (p = 0.023), and MPV (p = 0.036). Effect sizes ranged from small to moderate (r = 0.23–0.34), indicating limited clinical magnitude. Other parameters, including erythrocytes, hemoglobin, hematocrit, MCHC, platelets, and blood glucose, showed no significant differences (p > 0.05). Overall, the term PROM was associated with selective and subtle hematologic alterations. Conclusion: Term PROM is associated with mild and selective changes in routine hematologic parameters, particularly those related to inflammatory and erythropoietic activity. Blood glucose, the only biochemical parameter evaluated, remained comparable between groups. These findings suggest limited standalone diagnostic value, and complete blood count (CBC) parameters should be interpreted as supportive indicators within comprehensive obstetric assessment rather than independent diagnostic tools.
Co-Authors Abdul Gani Abdul Somad, Abdul Agustina, Desi Aprilyadi, Nadi Dahliana Dahliana Detiana, Detiana Dodi Aflika Farama Eko Supriyanto Fadillah, Anzelli Fairus, Martini Fauzia, Eri Haryanti, Eka ISLAMIYATI jamila Jamila Khasanah, Sapta Aprilia Lukman Lukman Lusiana Lusiana Martalina, Wulan Meilina Nurna Ningsih Oktapiani, Putri Ayu Oktaviani, Eva Pastari, Marta Patrisia, Eriza Eka Putri, Cindy Arina Putri, Hadeci Lovenda Ridawati, Indah Dewi Rohana, I Gusti Ayu Putu Desy Roni, Roni Sadiman Sadiman Salsabilla, Naura Yuri Sapondra Wijaya, Sapondra Setiawati Setiawati Soewito, Bambang Sri Hartati Sri Martini Susmini, Susmini Syifa, Faidana Yaumil Trisna, Efa Ulfa, Msy Hartina Widiyanti, Septi Yadi, Nadi April Yuliawati ZURAIDAH ZURAIDAH