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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Academic Hospital Journal
Hariyanto, Suci Wahyu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Tuberculosis Screening in Patients with Diabetes Mellitus at the Internal Medicine Clinic of UGM Academic Hospital: Descriptive Study Hariyanto, Suci Wahyu; Avidati, Herfis; Ulfah, Undatun; Nurlaily, Arinda Nia; Tejaningrum, Krista Dyah
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.102890

Abstract

Background: In 2021, the International Diabetes Federation stated that there were around 536.6 million people suffering from DM worldwide, 90.2 million of whom were in Southeast Asia. Indonesia ranks 5th in terms of population with the highest DM in the world. The number of people with DM in Indonesia is around 19.5 million and is projected to increase to 28.6 million in 2045. The prevalence of Diabetes Mellitus in Yogyakarta is 2.4%. Diabetes Mellitus and TB are included in the top 10 diseases in Yogyakarta in 2023. Sleman is the second largest district after Bantul for the number of DM sufferers. Tuberculosis is a public health problem that is a global challenge and is the third highest cause of death in Indonesia and the first leading cause of death due to infectious diseases. TB management in Yogyakarta is not optimal when seen from Treatment Coverage and Treatment Success Rate data. Diabetes Mellitus is an important risk factor for the development of Active TB. TB screening in DM patients is necessary to prevent the development of active TB. This study aims to determine the percentage of TB patients from all DM patients treated at UGM Academic Hospital.Materials and methods: This research is descriptive quantitative research using primary and secondary data. Data analysis uses univariate analysis. The sample in this study was taken using a simple random sampling technique. There were 109 respondents who met the inclusion and exclusion criteria.Results: The results of the study showed that there was 1 (0.92%) DM patient who was positive for TB, 22 (20.18%) DM patients who were suspected of TB through the Perjaka 2M screening and 3 (2.75%) DM patients who were suspected of TB from thorax x-ray results.Conclusion: Screening is one of the efforts in finding TB cases that can be done actively or passively.
Pendekatan Komplementer dalam Mengelola Mual dan Muntah pada Pasien Kanker Pascakemoterapi: Scoping Review Nuzulullail, Agung Subakti; Fakhriyah, Anya Bunga; Wensi, Avantika Puspa Imelda; Lidiyana, Ika Arif; Chandra, Ilany Nandia; Rindawati, Magdalena; Rusdiansyah, Mohamad; Azizah, Prisa Tifa; Annelydia, Putri; Christaputri, Silvia Tri Wahyu; Hariyanto, Suci Wahyu; Pangastuti, Heny Susaeni
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.106649

Abstract

Background: Chemotherapy is an effective cancer therapy, but has side effects such as nausea and vomiting. These effects need to be addressed through various method, one of which is complementary approaches. There only few articles related to complementary therapies for reducing nausea and vomiting.Objective: To determine the types of complementary therapies that effectively reduced nausea and vomiting in cancer patients after receiving chemotherapy.Method: Scoping review was conducted using four databases: Science Direct, PubMed, Scopus, and Wiley. Studies were selected based on the following criteria, P: Cancer patients undergoing chemotherapy; I: Complementary Alternative Medicine; C: Conventional approach or no complementary intervention; O: Reduction in the incidence of nausea and vomiting. The inclusion criteria for this study were articles published between 2020 and 2024, written in English, original articles, open access, and discussing complementary interventions for nausea and vomiting after chemotherapy. Exclusion criteria included review articles, protocol studies, and pilot studies. Article screening followed the PRISMA 2020 guidelines. All articles synthesized in this study underwent eligibility assessment by three researchers using the JBI Critical Appraisal Checklist 2020.Outcomes: Ten articles were identified in this study, which reported that there were complementary therapies for post-chemotherapy patients with cancer such as aromatherapy, massage, acupuncture and acupressure, yoga tawa, and herbs. All therapies effectively improved quality of life and nutritional status, reduced the frequency, symptoms, severity, and intensity of nausea and vomiting.Conclusion: Complementary interventions can significantly reduce the incidence of nausea and vomiting in cancer patients after receiving chemotherapy.INTISARILatar belakang: Kemoterapi merupakan terapi kanker yang efektif, tetapi memiliki efek samping seperti mual dan muntah. Efek tersebut perlu segera ditangani melalui berbagai pendekatan, salah satunya pendekatan komplementer. Review terkait ragam terapi komplementer yang efektif dalam menurunkan mual muntah belum banyak dilakukan.Tujuan: Mengetahui macam terapi komplementer yang efektif dalam menurunkan mual muntah pada pasien kanker pascakemoterapi.Metode: Penelitian scoping review dilakukan dari empat database, yaitu Science Direct, Pubmed, Scopus, dan Willey. Pemilihan studi berdasarkan, P: Pasien kanker yang menjalani kemoterapi, I: Complementary Alternative Medicine, C: Pendekatan konvensional atau tanpa intervensi komplementer, O: Penurunan kejadian mual muntah. Kriteria inklusi pada penelitian ini adalah artikel yang terbit pada tahun 2020-2024, berbahasa Inggris, artikel orisinal, open access, serta artikel yang membahas intervensi komplementer pada mual dan muntah pascakemoterapi. Kriteria eksklusi di antaranya artikel review, study protocol, dan pilot study. Artikel diskrining mengikuti pedoman PRISMA 2020. Seluruh artikel yang disintesis dalam studi ini melalui penilaian kelayakan oleh tiga peneliti menggunakan JBI Critical Appraisal Checklist tahun 2020.Hasil: Sepuluh artikel diidentifikasi pada penelitian ini, dengan temuan terapi komplementer pada pasien kanker pascakemoterapi, yaitu aromaterapi, pijat, akupunktur dan akupresur, yoga tawa, dan herbal. Seluruh terapi dapat efektif meningkatkan kualitas hidup dan status nutrisi, penurunan frekuensi, gejala, keparahan, intensitas mual dan muntah.Simpulan: Intervensi komplementer secara signifikan menurunkan mual dan muntah pasien kanker pascakemoterapi.
The Role of Health Workers in Interprofessional Collaboration for Cancer Patient Navigators: A Scoping Review Nuzulullail, Agung Subakti; Rahayu, Aulia Diah; Taluphyta, Rurry Nindya; Lidiyana, Ika Arif; Rusdiansyah, Mohamad; Rumsori, Petrus Paris; Riyati, Riyati; Hariyanto, Suci Wahyu; Kalsum, Wa Ode Umi; Hartini, Sri
Jurnal Keperawatan Indonesia Vol 29 No 1 (2026): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v29i1.1587

Abstract

Cancer remains a leading cause of death worldwide. The complexity of cancer care demands strong interprofessional collaboration (IPC), particularly within cancer patient navigator (CPN) programmes. However, research examining IPC in the context of CPN implementation is still limited. This scoping review aims to explore the various roles of healthcare workers in the IPC process within cancer navigator programme interventions. The review was conducted using four databases: PubMed, Clinical Key, EBSCOhost, and ScienceDirect. The Arksey and O'Malley framework was used to address the research question: “What is the role of health workers in interprofessional collaboration within cancer patient navigation?” Study selection followed the PRISMA-ScR 2020 guidelines, using the following criteria: Population (P): health workers; Concept (C): interprofessional collaboration; and Context (C): hospital and community settings. The inclusion criteria consisted of original articles published between 2019 and 2024, written in English, and discussing interprofessional collaboration in cancer navigation. Review articles, protocols, pilot studies, editorials, and books were excluded from the study. Quality assessment was conducted using the JBI Critical Appraisal tool. Out of 1,150 articles, 13 met the inclusion criteria. The identified roles of health workers included communicator, care provider, care coordinator, service provider, educator, documenter, emotional support provider, and facilitator. These roles appear across the early detection, diagnosis, treatment, and survivorship phases. IPC also has a distinct function within CPN and plays a critical role throughout all phases of cancer care. Future researchers are encouraged to identify barriers to IPC within CPN to support more effective implementation.
Studi Waktu Tunggu Pasien di Instalasi Rawat Jalan di RS Akademik UGM Ulfah, Undatun; Hariyanto, Suci Wahyu; Avidati, Herfis; Nurlaily, Arinda Nia; Tejaningrum, Krista Dyah
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 10, No 1 (2026)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.115169

Abstract

Background: The Outpatient Department (IRJ) is the initial point of contact for patients receiving hospital services. One important factor influencing patient satisfaction is waiting time. Long wait times can negatively impact perceptions of service quality and the continued use of healthcare facilities. In the IRJ, patient waiting time is often a major complaint regarding service delivery, and no study related to waiting time has been conducted at the Academic Hospital Universitas Gadjah Mada. Objective: This study aims to analyze waiting times for services at various stages in the Outpatient Department of Academic Hospital Universitas Gadjah Mada.Methods: This study used a descriptive quantitative design with a sample size of 394 respondents using simple random sampling. Data were analyzed descriptively, and a Spearman's rho test was used to determine the length of service waits at each stage and the total wait time.Results: The study showed that the patient registration wait time was 1 minute, the doctor wait time was 61 minutes, and the pharmacy wait time was 39 minutes, for a total patient wait time of 113 minutes. Statistical analysis using Spearman's rho showed that age was not significantly related to total waiting time (p=0,909), and gender was also not significantly related to total waiting time after statistical analysis using the Mann-Whitney (p=0,209). Meanwhile, waiting times for registration, doctor's examinations, and pharmacy are significantly related to the total length of patient waiting time (p<0,001).Conclusion: Total patient waiting time at the IRJ RSA UGM remains above the national standard, with the doctor's examination being the largest contributor. Efforts to improve efficiency, focused on managing doctor schedules and strengthening the electronic queuing system, are needed to improve the quality of patient care.INTISARILatar belakang: Instalasi Rawat Jalan (IRJ) merupakan titik kontak awal pasien dalam memperoleh pelayanan di rumah sakit. Salah satu faktor penting yang memengaruhi kepuasan pasien adalah waktu tunggu. Waktu tunggu yang lama dapat berdampak negatif terhadap persepsi mutu layanan serta keberlanjutan penggunaan fasilitas kesehatan. Di IRJ waktu tunggu pasien sering kali menjadi keluhan utama dalam pelayanan dan studi terkait waktu tunggu pelayanan belum pernah dilakukan di RS Akademik UGM. Tujuan: Penelitian ini bertujuan untuk menganalisis lama waktu tunggu pelayanan di berbagai tahap di Instalasi Rawat Jalan RS Akademik Universitas Gadjah Mada (RSA UGM). Metode: Penelitian ini menggunakan desain kuantitatif deskriptif dengan jumlah sampel sebanyak 394 responden yang dilakukan secara simple random sampling. Data dianalisis secara deskriptif dan dilakukan uji hubungan dengan Spearmans rho untuk melihat lama waktu tunggu pelayanan di tiap tahapan dengan total lama waktu tunggu. Hasil: Hasil penelitian menunjukkan bahwa lama waktu tunggu pendaftaran pasien adalah 1 menit, lama waktu tunggu dokter 61 menit, dan waktu tunggu farmasi 39 menit, dengan total lama waktu tunggu pasien sebesar 113 menit. Hasil analisis statistik menunjukkan bahwa faktor usia tidak berhubungan signifikan terhadap total waktu tunggu (p=0,909), begitu juga dengan perbedaan jenis kelamin juga tidak berhubungan signifikan terhadap total waktu tunggu (p=0,209), sedangkan waktu tunggu pendaftaran, pemeriksaan dokter dan farmasi berhubungan dengan lamanya total waktu tunggu pasien (p< 0,001). Simpulan: Total waktu tunggu pasien di IRJ RSA UGM masih berada di atas standar nasional, dengan tahap pemeriksaan dokter sebagai kontributor terbesar. Dibutuhkan upaya peningkatan efisiensi yang difokuskan pada manajemen jadwal dokter dan penguatan sistem antrean elektronik untuk meningkatkan mutu layanan pasien. 
Co-Authors Annelydia, Putri Avidati, Herfis Azizah, Prisa Tifa Chandra, Ilany Nandia Christaputri, Silvia Tri Wahyu Fakhriyah, Anya Bunga Kalsum, Wa Ode Umi Lidiyana, Ika Arif Nurlaily, Arinda Nia Nuzulullail, Agung Subakti Pangastuti, Heny Susaeni Rahayu, Aulia Diah Rindawati, Magdalena Riyati, Riyati Rumsori, Petrus Paris Rusdiansyah, Mohamad Sri Hartini Taluphyta, Rurry Nindya Tejaningrum, Krista Dyah Ulfah, Undatun Wensi, Avantika Puspa Imelda