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p-Index From 2021 - 2026
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This Author published in this journals
All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Terpadu (Integrated Nursing Journal)
Aprina Aprina
Poltekkes Kemenkes Tanjungkarang
Health Professions Medicine & Pharmacology Nursing Public Health

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Suprapubic Hot Pack For Recovery of Urinary Vesical Reflexes on Post Spinal Anaesthesia Patients Aprina Aprina; Nadiyah Suwoyo
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 6, No 1 (2024): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v6i1.528

Abstract

Urinary retention after spinal anaesthesia and surgery ranges from 5%-70%, with men and the elderly at higher risk. This occurs because the urethral sphincter muscle does not respond to the urge to urinate and the patient is unable to feel the need to urinate. One treatment for this problem is providing hot pack media as a warm therapy in the suprapubic area. The purpose of this study was to determine the effect of suprapubic hot pack therapy on the recovery of post spinal anaesthesia vesical urinary reflex. This quantitative study uses a quasy experiment design with a static group comparison approach. The population of this study was postoperative patients with spinal anaesthesia. The sample size was 60 respondents with accidental sampling. The research design has treatment and control groups, then measuring the results with observation sheets. Using the independent t-test for the analisys. The result showed the average recovery time of vesica urine was 225.5 minutes for intervention group and 295 minutes for control group with a p-value (0.000) < α (0.05), which means that there is an effect of suprapubic hot pack therapy on the recovery of vesica urine reflexes after spinal anaesthesia. Based on the results of this research, this procedure is an effective nursing intervention that can be applied in surgical inpatient rooms for the care of post-operative patients, especially in patients with spinal anaesthesia to speed up the recovery of the patient's bladder reflex.
Effectiveness and acceptability of a digital early warning system for gestational diabetes management: a quasi-experimental study in Lampung Province Aprina Aprina; Anita Anita; Titi Astuti
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27139

Abstract

Despite growing evidence supporting digital health interventions for gestational diabetes mellitus (GDM), no study has evaluated the acceptability and effectiveness of such interventions across geographically heterogeneous healthcare settings in low-resource contexts, where disparities in infrastructure and connectivity may critically influence outcomes. This study addresses this gap by introducing and evaluating the Early Warning System for Gestational Diabetes Mellitus (EWSDMG), a novel digital application uniquely designed to function across diverse geographical conditions. A quasi-experimental one-group pre-test post-test design was employed with 200 GDM-diagnosed pregnant women across four sites in Lampung, Indonesia, representing urban, remote, coastal, and rural settings. Technology acceptability was measured using the System Usability Scale (SUS), while knowledge, adherence, and glycemic profiles were assessed before and after 8 weeks of intervention. The overall SUS score was 77.9 ± 6.4 (Good/Acceptable), with urban settings scoring highest (82.4 ± 5.2). Knowledge and adherence scores increased significantly by 26.27 and 24.35 points, respectively (p < 0.001). Fasting and 2-hour post-prandial glucose decreased by 13.3 mg/dL (p = 0.002) and 22.2 mg/dL (p = 0.001), respectively. SUS scores strongly correlated with glycemic improvement (r = 0.642, p < 0.001). This study provides the first evidence that a single digital GDM intervention can achieve consistent acceptability and clinical effectiveness across heterogeneous geographical settings, offering a scalable model for equitable GDM management in resource-limited regions.
Co-Authors Anita Anita Nadiyah Suwoyo Titi Astuti