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Risk and Protective Factors of Self-Harm and Suicide in Adolescents in The Era of Society 5.0: A Systematic Review Astuti, Trihaningsih Puji; Hidayati, Nurul; Tsanifiandi, Fauzi; Tristiana, Rr Dian
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): VOLUME 7 ISSUE 2 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.55677

Abstract

Introduction: Suicide and self-harm have been ranked as the fourth leading causes of mortality among adolescent population. Preventive interventions are necessary due to the rising prevalence. The aimed of this study was to identify the risk and protective factors of self-harm and suicidal behavior among adolescents in the era of society 5.0. Methods: This study was a literature review. Published, English articled were retrieved from Scopus, Web of Science, PubMed, and CINAHL databases, limited to the last five years from 2018 to 2023. The specific keywords used to search for articles were ("Self-harm" OR "Self-injurious behavior" OR "Self-destructive behavior") AND suicid* AND (adolescent OR youth OR teenager). Results: Eleven (n=11) articles were synthesized and resulted based on thematic analysis of eleven articles, five risk factors and three protective factors for self-harm and suicidal behavior in adolescents were found. Five risk factors consist of family dysfunction, experience of being a victim of bullying, history of self-harm, maladaptive coping and having a history of mental disorders. Meanwhile, three protective factors for prevention are family support and attachment, school support and positive activities. Conclusions: The rapid influence of technology in the era of society 5.0 which was triggering self-harm and suicide behaviors can be suppressed with a strong support system in adolescents. Family, education, and peers play crucial roles in fostering adolescents' emotional well-being. Considering both risk and protective factors, Further examination to deeply understand adolescents engage in self-harm and suicide is warranty.
Pengaruh Dukungan Keluarga Terhadap QOL Pasien Skizofrenia: Systematic Review Tsanifiandi, Fauzi; Fitryasari, Rizki; Iskandar, Iskandar; Astuti, Trihaningsih Puji; Hidayati, Nurul
Jurnal Kesehatan Terpadu (Integrated Health Journal) Vol 15 No 2 (2024): Jurnal Kesehatan Terpadu (Integrated Health Journal)
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkt.v15i2.578

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ABSTRACT Introduction: Patients with schizophrenia experience symptoms that affect their quality of life such as working, socializing, and other daily activities. Families have the main task of caring for patients when they are sick. This systematic review aims to investigate QoL in schizophrenia patients who receive family support during the treatment process. Methods: Springer Link, Pubmed, Sage Journal, and Science Direct databases were used for literature search. The literature used was published within the last 5 years that examined family support on QoL of patients with schizophrenia. Articles were read and analyzed using the PRISMA procedure to guide this review. Results: The literature search yielded 375 research articles, 11 of which were included after multiple selections in the systematic review. Overall, patients with schizophrenia when supported by their families had significantly higher QoL. Family support influenced QoL on the constructs of social interaction, psychological status and functional ability in patients with schizophrenia. Conclusion: Further research is needed on the development of interventions that utilize family support through family empowerment in its implementation.application of this therapy. Future CBT programs can focus on developing the content of CBT by utilizing the internal and external factors of adolescents based on the findings of this study. Key words: family support, quality of life, schizophrenia
DOKTER KECIL: STUDENT EMPOWERMENT THROUGH LEARNING FIRST AID SKILL AND KNOWLEDGE Indarwati, Retno; Astuti, Trihaningsih Puji; Basri; Lutfiandini, Cherlys Tin; Choiriyah, Lilik; Nurmalaningsih, Ucik; Sa'diyah, Halimatus; Resubun, Clara Cassandra; Amelia, Vira; Nugrahanto, Muhamad Rafly Bagus; Handayani, Nurul Fauziah; Kurniawati, Tya Wahyun
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 6 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v6i2.54576

Abstract

Introduction: Knowledge and skills of simple first aid are packaged by the UKS program through the role of Dokter Kecil. Interactive learning using video, demonstration and simulation activities has increased first aid knowledge and skills in primary school students. The aim of this community service program was to increase first aid knowledge and skills of wound care, nosebleed and syncope in school age children. Methods: The community service was conducted at SDN Komplek Kenjeran II in Surabaya, Indonesia, involving 40 students from grades 3 to 5. The intervention was provided in a 4-hour session, using video demonstrations and hands-on simulation. Pre-test and post-test questionnaires measured students' knowledge and attitudes before and after the training. Data were analyzed using descriptive statistics. Results: The demographic characteristics of participants were dominated by the age 10 years (37.5%), in fourth grade (42.5%) and female (62.5%). The average pre-test knowledge score was 65 and pre-test attitude score was 76.4. After doing interactive learning, demonstrations and simulations, the average student post-test score experienced a significant increase, namely 84.5 in the knowledge and 89.7 in the attitude. Conclusion: The Dokter Kecil program significantly improved students’ skills and knowledge in managing wound care, nosebleeds, and syncope. This empowerment program demonstrates the effectiveness of interactive learning in fostering critical first aid skills in school-aged children. Regular updates to the training content are recommended to ensure ongoing relevance and efficacy.
The Impact of Virtual-Based Reminiscence Therapy in Older Adults’ Cognitive Function: A Systematic Review Astuti, Trihaningsih Puji; Indarwati, Retno; Fauziningtyas, Rista
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54419

Abstract

Introduction: Cognitive decline in older adults is a common challenge that affects their independence and well-being. Virtual-based reminiscence therapy (VBR) is a versatile approach that may enhance memory and cognitive function by revisiting past experiences through digital platforms. This method has the potential to yield better outcomes compared to conventional methods. The objective of this study is to investigate the influence of virtual reality (VR) in reminiscence therapy for improving cognitive function among older adults. Method: A systematic literature review was conducted across five journal databases: Cochrane, ProQuest, PubMed, Scopus, and Web of Science. The screening and selection process adhered to PRISMA 2020 guidelines, and article bias was assessed using the Joanna Briggs Institute (JBI) screening instrument. A narrative analysis was presented to examine the impact of VBR on cognitive function in older adults. Results: This review identified five articles that met the predefined inclusion criteria. The total number of respondents was 250, with an age range from 65.54 to 86.05 years. The cognitive function measurement tools used in the five articles included the Saint Louis University Mental Status (SLUMS) ratings, the Mini-Mental State Examination (MMSE), the Cognitive Assessment Screening Instrument (CASI), and the Addenbrooke's Cognitive Examination III (ACE-III). Conclusion: VR-based reminiscence therapy shows promising potential for enhancing cognitive function among older adults. However, further adaptations are required to accommodate the physical capabilities of older adults in integrating technology into therapeutic practices.
Edukasi Nutrisi “SDGiS” sebagai Optimalisasi Pengelolaan Penyakit Tidak Menular Amelia, Vira; Astuti, Trihaningsih Puji; Kurniawati, Tya Wahyun; Handayani, Nurul Fauziah; Nugrahanto, Muhamad Rafly Bagus; Indarwati, Retno
Jurnal Pengabdian Pada Masyarakat Vol 10 No 2 (2025): Jurnal Pengabdian Pada Masyarakat
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/jppm.v10i2.1159

Abstract

Penyakit tidak menular (PTM) merupakan salah satu penyebab kematian di Indonesia maupun di dunia. Pengabdian ini bertujuan untuk meningkatkan pengetahuan masyarakat melalui edukasi gizi seimbang untuk PTM dengan program SDGiS. Program ini menggunakan pendekatan edukasi melalui program SDGis (Sehat Gizi Seimbang). Program ini melibatkan 10 orang pengasuh pasien PTM dan 7 orang Kader Surabaya Hebat RW 03 Kelurahan Klampis Ngasem. Program ini dilaksanakan pada tanggal 22 April sampai dengan 7 Juni 2024 di RW 03 Kelurahan Klampis Ngasem, Surabaya. Luaran dari program ini adalah terbentuknya Bu SaSi (Buku Saku Nutrisi) yang disusun berdasarkan evidence-based practice. Sebagian besar responden berusia 43 tahun (23,5%), sebagian besar jenis kelamin responden berjenis kelamin perempuan (94,1%). Sebagian besar responden berpendidikan SMA/sederajat (47,1%). Rata-rata skor pengetahuan pre-test sebesar 79,41 dan skor rerata post-test sebesar 93,53. Nilai p uji Wilcoxon sebesar 0,002. Hal ini menunjukkan bahwa terdapat perbedaan yang signifikan secara statistik antara tingkat pengetahuan sebelum dan sesudah intervensi. Setelah program dilaksanakan, pengetahuan, sikap, dan keterampilan masyarakat meningkat secara signifikan. Buku saku gizi dapat digunakan sebagai pedoman oleh penderita penyakit tidak menular, keluarga, dan tenaga kesehatan dalam menyusun menu makanan sehari-hari, khususnya bagi penderita hipertensi, stroke, dan diabetes melitus. Non-communicable diseases (NCDs) are one of the causes of death in Indonesia and in the world. This research aimed to increase public knowledge through balanced nutrition education for NCDs with the SDGiS program. The program used an educational approach through the SDGis (Healthy with Balanced Nutrition) program. This program involved 10 caregivers of patients with NCDs and 7 Kader Surabaya Hebat RW 03 Klampis Ngasem Village. This program was implemented from April 22 to June 7 2024 in RW 03, Klampis Ngasem Village, Surabaya. The output of this program was the formation of Bu SaSi (Buku Saku Nutrisi), which is prepared based on evidence-based practice. Most respondents were 43 years old (23.5%), the majority of respondents' gender was female (94.1)). Most of the respondents had high school/equivalent education (47.1%). The average pre-test knowledge score was 79.41 and the post-test mean score was 93.53. The p-value of the Wilcoxon test was 0.002. This shows that there is a statistically significant difference between the level of knowledge before and after the intervention. After the program was implemented, the community's knowledge, attitudes, and skills increased significantly. The nutrition pocketbook can be used as a guideline by sufferers of non-communicable diseases, families, and health workers in preparing daily food menus, especially for sufferers of hypertension, stroke and diabetes mellitus.
Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review Hidayati, Nurul; Widyawati, Ika Yuni; Suarilah, Ira; Astuti, Trihaningsih Puji; Tsanifiandi, Fauzi; Suraya, Andi Safutra
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.v7i1.4011

Abstract

Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.
Positive Aspects of Dementia Caregiving: Caregivers' Lived Experiences Indarwati, Retno; Aditama, Eka Putri; Dewi, Lingga Curnia; Haryanto, Joni; Amelia, Vira; Astuti, Trihaningsih Puji
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44214

Abstract

Aims: This study aims to qualitatively explore the positive experiences of caregivers for people with dementia (PwD. Methods: A descriptive phenomenological design was employed with purposive sampling. This study was conducted in Indonesia by the Alzheimer’s Indonesia organization. Participants were selected using purposive sampling methods. The study involved 11 caregivers, including paid caregivers and family members, including children, grandchildren, spouses, siblings, and other close relatives, who had provided care for at least one year. Data were collected through in-depth interviews conducted face-to-face or via Zoom in 2022. Colaizzi’s method guided the data analysis to extract significant statements, formulate their meanings, and identify emerging themes. Rigor was ensured through data triangulation, peer checking, and participant validation. Results: The study identified four main themes reflecting the positive experiences of caregivers of persons with dementia: (1) Personal Growth and Development, including increased patience, empathy, and caregiving competence; (2) improved relationships and connections, characterized by stronger emotional bonds and supportive family dynamics; (3) Search for Meaning and Role Satisfaction, where caregiving was seen as a purposeful, spiritually meaningful role; and (4) Positive Psychological Outcomes, such as reduced stress, greater emotional resilience, and enhanced well-being. Conclusion: Despite the challenges, caregiving for individuals with dementia can lead to personal growth, stronger relationships, a sense of meaning, and emotional resilience. These positive experiences highlight the importance of supporting caregivers and recognizing their strengths.
Program ASIK sebagai Upaya Promotif dan Preventif Sindrom Metabolik di Masyarakat Desa Canggu Astuti, Trihaningsih Puji; Amelia, Vira; Pamela, Cyrilla Ayu; Hikmat, Rohman
DEDIKASI: Jurnal Pengabdian Masyarakat Vol 8 No 1 (2026): Dedikasi: Jurnal Pengabdian Masyarakat, Januari-Juni 2026
Publisher : Pusat Pengabdian Masyarakat LPPM IAIN Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32332/dedikasi.v8i1.12807

Abstract

Sindrom metabolik merupakan masalah kesehatan masyarakat yang semakin meningkat, baik di wilayah perkotaan maupun pedesaan, seiring perubahan gaya hidup dan rendahnya aktivitas fisik. Rendahnya pengetahuan dan sikap masyarakat terhadap pencegahan sindrom metabolik menjadi tantangan utama dalam upaya promotif dan preventif berbasis komunitas. Program ASIK (Aman dari Sindrom Metabolik) dilaksanakan sebagai bentuk pengabdian kepada masyarakat di Desa Canggu dengan tujuan meningkatkan pengetahuan dan sikap masyarakat dalam pencegahan sindrom metabolik melalui edukasi kesehatan, pemeriksaan kesehatan dasar, dan aktivitas fisik terstruktur. Kegiatan ini menggunakan pendekatan partisipatif berbasis komunitas dengan sasaran masyarakat dewasa dan lansia. Evaluasi program dilakukan menggunakan desain pre-test dan post-test untuk mengukur perubahan pengetahuan dan sikap peserta. Program ASIK diikuti oleh 21 peserta masyarakat dewasa dan lansia di Desa Canggu. Hasil evaluasi menunjukkan bahwa skor pengetahuan meningkat secara signifikan dari 6,81 ± 1,17 menjadi 8,14 ± 1,42 (peningkatan 19,5%, p < 0,001), sedangkan skor sikap meningkat dari 27,67 ± 3,07 menjadi 32,10 ± 4,11 (peningkatan 16,0%, p < 0,001). Temuan ini menunjukkan bahwa Program ASIK efektif dalam meningkatkan pengetahuan dan membentuk sikap positif masyarakat terhadap pencegahan sindrom metabolik. Program ini berpotensi menjadi model intervensi promotif dan preventif yang aplikatif dan berkelanjutan di wilayah pedesaan. Kata kunci: aktivitas fisik; edukasi kesehatan; pengabdian masyarakat; sindrom metabolik
Faktor Determinan Maternal Terhadap Kejadian Stunting Pada Balita Usia 2–5 Tahun Di Kabupaten Kediri Nurcahyanti, Febrina Dwi; Astuti, Trihaningsih Puji
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2168

Abstract

This study aimed to identify maternal factors associated with stunting among children aged 2 to 5 years in Kediri Regency. The study used an analytical observational design with a case–control approach involving a population of 145 children and a sample of 106 respondents selected through purposive sampling. The research variables included maternal education, family income, childcare practices, maternal nutritional status during pregnancy, and low birth weight (LBW). Data were collected using questionnaires and medical record review, and analyzed through univariate analysis, Chi-square tests for bivariate analysis, and logistic regression for multivariate modelling. The results showed that childcare practices, maternal education, LBW, and maternal nutritional status during pregnancy were significantly associated with stunting in the bivariate analysis. However, only LBW remained a significant determinant in the multivariate model, with children who had a history of LBW being 8.56 times more likely to experience stunting than those with normal birth weight. This study concludes that LBW is the dominant maternal-related factor influencing stunting among children in Kediri Regency. Strengthening maternal nutrition, improving the quality of antenatal care, and ensuring optimal management of LBW infants are essential strategies to reduce the risk of stunting. Keywords: Child, Low Birth Weight, Maternal Factors, Stunting