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All Journal Jurnal Kedokteran Diponegoro Jurnal Kesehatan Islam : Islamic Health Journal Medical and Health Science Journal Science Midwifery Abdimasku : Jurnal Pengabdian Masyarakat Unram Journal of Community Service (UJCS) Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal Prosiding Seminar Nasional COSMIC Kedokteran Journal of Diverse Medical Research: Medicosphere
Hilmia Fahma
Universitas Pembangunan Nasional Veteran Jawa Timur
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary

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PERAN AI DALAM PEMAHAMAN DAN OPTIMALISASI KESEHATAN MENTAL PADA MASYARAKAT Zahira, Alya Shofiyah; Agustina, Putri Noviana; Satyafebrianti, Kendra Callista; Arbani, Rafi Auliya; Fahma, Hilmia
Prosiding Seminar Nasional COSMIC Kedokteran Vol 3 (2025): Edisi 2025
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat Universitas Wijaya Kusuma Surabaya

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

Abstract

Latar belakang: kesehatan mental menjadi isu global yang signifikan, terutama di era digital yang penuh kompleksitas sosial. Jumlah kasus gangguan mental meningkat secara global, dan Indonesia mencatat lebih dari 10.000 kasus bunuh diri. Pemberian perawatan yang efektif penting untuk mengatasi masalah ini. Artificial Intelligence (AI) muncul sebagai solusi inovatif yang menawarkan kemampuan menganalisis data besar dan memberikan intervensi personal dalam mendukung kesehatan mental. Tujuan: kajian literarur ini bertujuan untuk mengeksplorasi peran AI dalam meningkatkan pemahaman dan optimalisasi kesehatan mental, serta mengidentifikasi manfaat dan tantangan penerapannya. Metode: penelitian ini menggunakan pencarian literatur dari database seperti Google Scholar, ScienceDirect, dan PubMed. Didapatkan 7 artikel Bahasa Inggris dan 1 artikel Bahasa Indonesia. Hasil: penelitian ini menunjukkan bahwa AI mendukung kesehatan mental salah satunya melalui aplikasi seperti Therapily, yang membantu individu mengelola kondisi mental dengan lebih baik. Namun, isu terkait privasi data dan bias model masih menjadi tantangan yang perlu diatasi. Kesimpulan: AI memiliki potensi besar meningkatkan kesejahteraan individu melalui deteksi dini, perencanaan terapi personal, dan intervensi yang efektif. Dengan regulasi yang jelas dan pengembangan model AI yang inklusif, teknologi ini dapat menjadi alat penting dalam meningkatkan aksesibilitas dan kualitas layanan kesehatan mental secara efektif.
Implementing a Dual Screening Protocol for Diabetes and Frailty in a Community-Dwelling Older Adults Ardian, Laurentius Johan; Santoso, Aktaruddin Arief; Fahma, Hilmia; Gusyono, Anoraga Mona Cinta Gadis Cantika; Verbimanto, Satria Fudi
Unram Journal of Community Service Vol. 6 No. 3 (2025): September
Publisher : Pascasarjana Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ujcs.v6i3.1157

Abstract

Frailty, a significant geriatric syndrome, is a major complication of diabetes and is associated with adverse health outcomes. Indonesia, with its rapidly aging population, faces a substantial burden from these conditions. Community-based screening is essential for early detection and intervention. A community engagement program was conducted in Gunung Anyar District, Surabaya, involving 189 elderly participants. Simultaneous screenings for diabetes (via random blood glucose test) and frailty (using the validated FRAIL questionnaire) were performed. The study revealed a high dual burden of disease: 42.0% of participants had blood glucose levels indicative of diabetes, while 11.6% were classified as frail and 39.7% as pre-frail. About 30% of them were both unfit and poor glycemic control. This program demonstrates a high prevalence of diabetes and frailty among community-dwelling older adults in Surabaya, underscoring the urgent need for integrated geriatric care. The successful implementation of dual screening highlights the feasibility of incorporating these measures into primary care and the critical role of training community health workers to enable sustainable, early detection and management strategies.
Efektivitas Self-hypnosis terhadap Depresi dan Kecemasan Pasien Pasca Seksio Sesarea: Randomized Controlled Trial Fahma, Hilmia; Arfani Prawiragara, Fachrizal
Jurnal Kesehatan Islam : Islamic Health Journal Vol. 14 No. 1 (2025): Jurnal Kesehatan Islam : Islamic Health Journal
Publisher : Publikasi oleh Fakultas Kedokteran Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jki.v14i1.24134

Abstract

Background: Depression and anxiety are common psychological problems experienced by post-cesarean section mothers, affecting maternal well-being and infant development. Non-pharmacological interventions such as self-hypnosis may serve as safe and effective therapeutic methods. Objective: To evaluate the effectiveness of self-hypnosis in reducing depression and anxiety in post-cesarean section patients. Methods: This double-blind randomized controlled trial used a pretest–posttest control group design with 32 respondents randomly assigned to an intervention group (self-hypnosis, 15 minutes, twice daily, for 14 days) or a control group (cesarean section educational recording). Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and anxiety using the Postpartum Specific Anxiety Scale (PSAS). Within-group analysis used paired t-test or Wilcoxon, and between-group analysis used independent t-test or Mann–Whitney. Results: The intervention group’s EPDS score significantly decreased from 12.25 ± 1.29 to 7.94 ± 1.39 (p=0.000), while the control group showed no significant change (12.00 ± 1.21 to 11.50 ± 1.41; p=0.083). PSAS scores in the intervention group significantly decreased from 91.50 ± 3.82 to 74.13 ± 3.52 (p=0.000), whereas the control group did not (90.88 ± 3.09 to 89.69 ± 3.22; p=0.083). Between-group differences in score reduction were significant (p=0.000). Conclusion: Self-hypnosis is effective in reducing depression and anxiety in post-cesarean section patients and can be considered a supportive non-pharmacological intervention. Keywords: self-hypnosis, postpartum depression, postpartum anxiety, cesarean section
Improving Diabetic Neuropathy Knowledge in an Urban Elderly Population: A Community-Based Intervention Study Ardian, Laurentius Johan; Santoso, Aktaruddin Arief; Fahma, Hilmia; Gusyono, Anoraga Mona Cinta Gadis Cantika; Verbimanto, Satria Fudi
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 2 (2025): October
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i2.308

Abstract

Background. As the global population ages quickly, older individuals are facing a rising burden of chronic diseases, particularly diabetes mellitus. In Indonesia, diabetes among the elderly poses a significant public health concern, often complicated by under-recognized conditions like diabetic neuropathy. Aim. This study aimed to assess the effectiveness of a community-based intervention focused on targeted health education on diabetic neuropathy among elderly residents in urban area. Methods. A pre- and post-test design was used to assess the intervention's effectiveness. In collaboration with local health cadres and facilities, participants completed identical questionnaires on diabetic neuropathy before and after the health education session to measure improvements in knowledge. Results. A total of 143 elderly participants (median age: 65 years) were enrolled, with 73.4% being female. Post-education test scores showed a statistically significant improvement compared to pre-test scores (p < 0.001, Wilcoxon test). Of the participants, 22.4% were newly identified as having diabetes, and another 22% fell into the prediabetes range. Despite some variations in learning outcomes, 84.6% showed improved scores, indicating high effectiveness of the health education session. Conclusion. This study demonstrates that a community-based approach combining early diabetes screening and health education significantly improves elderly participants' knowledge about diabetes and diabetic neuropathy.
Risk factors for postpartum psychiatric disorders: A systematic review Sitawati, Andini Dyah; Fahma, Hilmia; La Tabari, Muhammad Fadhlan; Ratnaningsih, Tri; Antariksa, Putri Mayang Sari; Agustiawan, Agustiawan
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2123

Abstract

Introduction: Postpartum psychiatric disorders, particularly postpartum depression, are one of the most common psychological complications affecting maternal and neonatal well-being. These conditions are often underdiagnosed and undertreated, particularly in developing countries. Identifying risk factors is crucial for prevention and early detection. Objective: This systematic review aims to identify and analyze risk factors contributing to postpartum psychiatric disorders based on scientific evidence from 2015 to 2025. Methods: A literature search was conducted through PubMed, Scopus, ScienceDirect, and Web of Science databases using the keywords “postpartum depression,” “psychiatric disorder,” and “risk factors.” Included articles were observational human studies, written in English or Indonesian, reporting risk factors and postpartum psychiatric outcomes. Of the 1,026 articles screened, nine studies met the inclusion criteria. Results: The most consistent risk factors found included a history of previous psychiatric disorders, low social support, perinatal stress, low economic status, obstetric complications, and postpartum immunological dysregulation. Eight of the nine studies showed a significant association (p < 0.05). Conclusion: Postpartum psychiatric disorders are multifactorial, influenced by biological, psychological, and social factors. Preventive efforts should focus on antenatal screening, strengthening social support, and monitoring the mother's mental state after delivery.
Edukasi Kesehatan Mental dan Pengurangan Stigma pada Kader Kesehatan di Wilayah Kerja Puskesmas Porong Hilmia Fahma
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 9, No 1 (2026): JANUARI 2026
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v9i1.3145

Abstract

Kesehatan mental masih menjadi isu yang sering distigmatisasi di masyarakat, menyebabkan penderita enggan mencari pertolongan. Data Riskesdas 2018 menunjukkan prevalensi gangguan mental emosional sebesar 9,8% pada penduduk di atas 15 tahun. Sebagai ujung tombak pelayanan primer, kader kesehatan memerlukan pemahaman dan sikap yang tepat untuk menjadi agen perubahan. Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan memperbaiki sikap kader kesehatan serta mengurangi stigma terhadap Orang Dengan Gangguan Jiwa (ODGJ) di wilayah kerja Puskesmas Porong. Metode yang digunakan adalah Focus Group Discussion (FGD) meliputi edukasi oleh tenaga profesional, sesi tanya jawab, dan konsultasi ringan yang melibatkan 50 kader. Evaluasi melalui pre-test dan post-test menunjukkan hasil yang signifikan: seluruh kader (100%) menjawab semua pertanyaan post-test dengan benar, dan skor sikap positif pada semua indikator meningkat menjadi 100% dari sebelumnya 50-96%. Simpulan menunjukkan bahwa edukasi kesehatan mental melalui FGD efektif meningkatkan pengetahuan dan memperbaiki sikap kader secara dramatis, menciptakan duta kesehatan mental yang dapat mendukung pengurangan stigma dan penanganan dini masalah kesehatan mental di masyarakat.Kata kunci: Kesehatan Mental, Stigma, Kader Kesehatan, Edukasi, ODGJ
The Impact of Endurance and Strength Training on Quality of Life in Patients with Heart Failure: A Scoping Review Sugianto Mukmin; Novia Nurinta Jayanti Saragih; Hilmia Fahma; Jihan Zatalini Nurhadi; M Soleh Rodian; Agustiawan Agustiawan
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ydyjar44

Abstract

Background: Heart failure (HF) is a progressive condition associated with impaired functional capacity and reduced quality of life (QoL). In addition to pharmacological therapy, exercise-based interventions, including endurance and strength training, have been proposed as effective non-pharmacological strategies to improve outcomes. Objectives: This scoping review aimed to map the existing evidence on the impact of endurance and strength training on QoL in patients with HF, identify intervention characteristics, and highlight gaps for future research. Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane, and supplementary sources for studies published between January 2015 and September 2025. Eligible studies included randomized controlled trials, secondary analyses, and intervention reviews reporting QoL outcomes. Screening followed PRISMA-ScR guidelines, and data were extracted on study design, sample size, intervention type, and QoL measures. Results: Out of 1,060 identified records, six studies met inclusion criteria. Interventions included aerobic, resistance, and functional training programs. Most studies reported improvements in QoL, although results varied by exercise modality, patient characteristics, and measurement tools. Conclusions: Endurance and strength training appear to be safe and beneficial strategies to enhance QoL in HF patients. Standardization of protocols and long-term studies are needed to optimize clinical application.
COMPARISON OF QUALITY OF LIFE (QOL) IN PATIENTS WITH METASTATIC BONE DISEASE (MBD) BEFORE AND AFTER BISPHOSPHONATE THERAPY BASED ON CALCIUM LEVELS Fachrizal Arfani Prawiragara; Hilmia Fahma; Debrina Kusuma Devi; Leonardo Tedjaprasadja
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 4 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i4.54076

Abstract

Background: Metastatic bone disease (MBD) is a frequent complication in advanced cancer, often resulting in pain, limited mobility, and reduced QoL. Bisphosphonates are effective in minimizing skeletal-related events by suppressing osteoclast activity. Objective: To assess the impact of bisphosphonate therapy on serum calcium levels and QoL in patients with metastatic bone disease. Methods: A retrospective cohort study was conducted involving 228 MBD patients treated at Dr. Soetomo General Hospital from 2015 to 2020. Surgical eligibility was determined using the Abdurrahman Score. Pre- and post-treatment data on serum calcium levels and Karnofsky Scores were collected and analyzed using paired t-tests. Results: In the surgical group, the mean Karnofsky Score improved from 46.67 ± 12.69 to 77.67 ± 9.35 (p < 0.001), while serum calcium levels decreased from 10.1 ± 1.20 to 7.3 ± 1.01 (p < 0.001). In the non-surgical group, Karnofsky Scores increased from 36.67 ± 12.22 to 49.35 ± 13.15, and calcium levels declined from 10.2 ± 1.18 to 7.6 ± 1.33 (both p < 0.001). Conclusion: Bisphosphonate therapy significantly enhances QoL and reduces serum calcium levels in patients with metastatic bone disease. The combination of surgical management and bisphosphonate therapy yields superior functional outcomes compared to non-surgical treatment.
Improving Diabetic Neuropathy Knowledge in an Urban Elderly Population: A Community-Based Intervention Study Laurentius Johan Ardian; Aktaruddin Arief Santoso; Hilmia Fahma; Anoraga Mona Cinta Gadis Cantika Gusyono; Satria Fudi Verbimanto
Jurnal Ilmu Kesehatan dan Kesehatan Vol 9 No 2 (2025): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v9i2.7974

Abstract

Background: The global population is aging rapidly, with older adults increasingly affected by chronic conditions such as diabetes mellitus. In Indonesia, diabetes among the elderly poses a significant public health concern, often complicated by under-recognized conditions like diabetic neuropathy. Aim: This study aimed to assess the effectiveness of a community-based intervention focused on targeted health education on diabetic neuropathy among elderly residents in urban area. Methods: A pre- and post-test design was used to assess the intervention's effectiveness. In collaboration with local health cadres and facilities, participants completed identical questionnaires on diabetic neuropathy before and after the health education session to measure improvements in knowledge. Results: A total of 143 elderly participants (median age: 65 years) were enrolled, with 73.4% being female. Post-education test scores showed a statistically significant improvement compared to pre-test scores (p<0.001p<0.001, Wilcoxon test). Of the participants, 22.4% were newly identified as having diabetes, and another 22% fell into the prediabetes range. Despite some variations in learning outcomes, 84.6% showed improved scores, indicating high effectiveness of the health education session. Conclusion: This study demonstrates that a community-based approach combining early diabetes screening and health education significantly improves elderly participants' knowledge about diabetes and diabetic neuropathy.
Analysis of Tuberculosis Diagnosis Methods in Children: A Literature Review Qonita Abdillah Rosyida; Hilmia Fahma
Journal of Diverse Medical Research : Medicosphere Vol. 1 No. 1 (2024): J Divers Med Res 2024
Publisher : Faculty of Medicine - Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i1.41

Abstract

Abstract Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis. According to the World Health Organization (Global TB Report, 2023), TB is still a health problem in the world today. The number of people newly diagnosed with TB globally will be 7.5 million in 2022, with 12% being children (aged 0–14 years). One of the main focuses in treating TB is knowing the correct diagnosis method. TB examination in children is usually carried out by taking a Rapid Molecular Test (TCM) sputum specimen. However, sometimes this method is less effective because the child has difficulty expelling phlegm spontaneously. To overcome this problem, various countries have implemented other TB diagnosis methods such as Stool Culture, Xpert, and Xpert Ultra diagnosis. The Xpert diagnosis method increases the sensitivity of Mycobacterium tuberculosis detection so that TB detection in children can be more accurate. In the future, the Xpert Ultra diagnostic method has begun to be developed, whose sensitivity is more accurate than the Xpert method. With the correct diagnostic method, it is hoped that the treatment process for children with TB can be more effective.
Co-Authors Agustiawan Agustiawan Agustiawan Agustina, Putri Noviana Aisyah Nur Shafira Shafira Aktaruddin Arief Santoso Alya Raguan Al Habsyi Andini Dyah Sitawati Anoraga Mona Cinta Gadis Cantika Gusyono Antariksa, Putri Mayang Sari Arbani, Rafi Auliya Debrina Kusuma Devi Fachrizal Arfani Prawiragara Fachrizal Arfani Prawiragara Gusyono, Anoraga Mona Cinta Gadis Cantika Jihan Zatalini Nurhadi Jordan Melias Kembaren kysara matualage La Tabari, Muhammad Fadhlan Laurentius Johan Ardian Leonardo Tedjaprasadja M Soleh Rodian Novia Nurinta Jayanti Saragih Qonita Abdillah Rosyida Santoso, Aktaruddin Arief Satria Fudi Verbimanto Satyafebrianti, Kendra Callista Sugianto Mukmin Tri Ratnaningsih Verbimanto, Satria Fudi Zahira, Alya Shofiyah