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All Journal Jurnal Keperawatan Padjadjaran TRIMAS: Jurnal Inovasi dan Pengabdian Kepada Masyarakat
Kuswida Bhakti, Wida
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Health Professions Neuroscience Nursing Public Health Social Sciences

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Personal Hygiene Education Sebagai Persiapan Menghadapi Menstruasi Di Wilayah Punggur Kecil Kecamatan Sungai Kakap Kabupaten Kubu Raya Surtikanti; Ariyanti, Sri; Kardiatun, Tutur; Wahyuni, Tri; Makmuriana, Lestari; Kuswida Bhakti, Wida
TRIMAS: Jurnal Inovasi dan Pengabdian Kepada Masyarakat Vol. 3 No. 1 (2023): Trimas: Jurnal Inovasi dan Pengabdian Kepada Masyarakat
Publisher : Indra Institute Research & Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.841 KB) | DOI: 10.58707/trimas.v3i1.264

Abstract

Menstrual Hygiene Management (MHM) is an important issue related to the education, health, and dignity of young women and adult women in Indonesia (Unicef, 2017). UNICEF research in Indonesia (2015) found that 1 in 6 girls experience problems during menstruation, one of which is the absence of proper latrines in schools, the unavailability of water for self-cleaning and blood-stained skirts, the unavailability of spare pads when needed, and  unavailability of trash cans and wrappers to dispose of used sanitary napkins. Data shows that 1 in 4 girls never discuss with friends or parents about menstruation before getting their first menstruation, Taboos and stigma also make limited the activities of female students during menstruation (Women and Child Protection, 2021). The purpose of this community service program is to provide counseling to school-age children about reproductive organ hygiene, provide education on how to clean the reproductive organs during menstruation and change adolescent behavior towards clean and healthy living behaviors. The method of implementing this Community service program is by providing education to adolescents. This activity was carried out from January to March 2022 in Punggur Kecil Village, Sungai Kakap District, Kubu Raya Regency.
Comparison of the accuracy of two wound classification systems for diabetic foot ulcer healing Pratama, Kharisma; Suyanto, Suyanto; Kuswida Bhakti, Wida; Jais, Suriadi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2447

Abstract

Background: Diabetic foot ulcers (DFUs) remain a significant clinical challenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation. Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes. Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index. Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID's superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs.
Co-Authors Kardiatun, Tutur Lestari Makmuriana Pratama, Kharisma Sri Ariyanti Suriadi Jais Surtikanti Suyanto Suyanto tri wahyuni