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Optimization Of Early Breastfeeding Initiation Education As An Initial Effort To Provide Exclusive Breastfeeding Based On Digital Media At Ngasem Health Center, Kediri Regency Widyowati, Agustin; Melinda Hidayati, Ariza
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.668

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Early Initiation of breastfeeding is one of the main factors influencing the success of exclusive breastfeeding. The problem found at Ngasem Health Care was a decreased of early breastfeeding initiation’s achievement which is under the target of 66%. The aim of this community service is to analyze and optimize strategies at the residency locus. A mixed approach was used in this study, including interviews with public health care management and staff, analysis of documents, and review of relevant literature The analysis uses fishbone diagrams, the USG (Urgency, Seriousness, Growth) and SWOT analysis (Strength, Weakness, Opportunity, Threat). Based on the analysis results, the priority problem is the obstacles in providing health promotion activities, the health promotion targets who are workers with high mobility, as well as limited availability of health education media (digital and nondigital). The implementation strategy that can be implemented is digital and network development that is integrated with digital promotional media owned by Ngasem Public Health Center, through social and digital media as well as community service activities on October 17, 2024 in the form of a Mini Workshop “SALAM EDU-KASIH” with innovation outcome Tele-Lactation, Instagram Media, Website Media. The health education based on digital media needs to be implemented sustainably and continuously to increase the effectiveness of health promotion program and contribute to better health outcomes for the community it serves.
Spill The Tea, Not The Smoke: A Critical Review of Innovative Interventions For The Dual Tobacco And Environmental Crisis in Indonesia Widyowati, Agustin; Desy Puspita Ayu, Serlyna; Ardilla Sari, Novianti; Aurellia Aurelly, Mayranda; Eurike Mawi; Esdayani Emba Pudang; Shofiyatuzainab
Indonesian Journal of Nutritional Epidemiology and Reproductive Vol. 8 No. 3 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/ijner.v8i3.340

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The high prevalence of tobacco causes a dual crisis (health and environment) in Indonesia. Currently, tobacco control interventions are only echoed focusing on the dangers of cigarette smoke to health, not touching on the issue of sustainability to environmental impacts. The purpose of the research is to find out the challenges, innovations and strategies in dealing with the tobacco crisis. A systematic literature review using Google Scholar, PubMed, Scopus, and Garuda Portal databases which is limited to published articles from January 2015 – June 2025. The search strategy uses a combination of keywords with Boolean (AND/OR) operators. The search selection uses inclusion and exclusion criteria. The selection process uses the PRISMA guide. A trend of programs that combine digital technology and ecological awareness has been found, but its scalability is still limited. A paradigm shift towards relevant integrated programs for young people is needed to effectively address this crisis.
The Effect Of Night Exercise In Reducing The Stress Level Of Housewives In Nganjuk District Agustin Widyowati; Eko Purwanto; Cucun Setya Ferdina
Journal for Quality in Public Health Vol. 6 No. 2 (2023): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v6i2.462

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Monotonous routines for housewives can cause boredom and stress, resulting in negative emotional feelings and impact on disharmony in the household. One way to reduce stress is by exercising. The purpose of this study was to analyze the effect of night sports on reducing stress levels in housewives. The study used a one group pre-post test design experimental design. The population is all housewives in Sumberkepuh Village, Tanjunganom District, Nganjuk Regency with a sample of 22 respondents, using a purposive sampling technique. The independent variable is night sports (aerobics) and the dependent variable is the level of stress. The data analysis used the Wilcoxon statistical test. The results showed significant results (p = 0.001 and mean rank 11.50), which means that there was a decrease in the stress level of housewives after exercising. It is hoped that housewives will have free time to exercise to avoid stress due to prolonged and monotonous household chores.
Pendekatan Holistik Untuk Meningkatkan Kualitas Hidup Penderita Diabetes Tipe 2 Di Kabupaten Kutai Timur Triana Nur; Agustin Widyowati
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 7 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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

Abstract

Diabetes melitus adalah kelainan metabolisme kronis yang ditandai dengan hiperglikemia persisten akibat gangguan sekresi insulin atau resistensi insulin. Penelitian ini bertujuan untuk menganalisis pengaruh dukungan sosial dan self-efficacy terhadap kualitas hidup penderita diabetes tipe 2 di Kabupaten Kutai Timur, dengan mempertimbangkan peran Self Care Agency sebagai variabel mediasi. Penelitian ini menggunakan pendekatan kuantitatif dengan metode survei dan kuesioner yang disebarkan kepada 210 responden. Analisis data dilakukan menggunakan model Partial Least Square (PLS). Hasil penelitian menunjukkan bahwa dukungan sosial dan self-efficacy berpengaruh signifikan terhadap Self Care Agency, dan dukungan sosial berpengaruh signifikan terhadap kualitas hidup. Self Care Agency juga terbukti memiliki pengaruh signifikan terhadap kualitas hidup. Selain itu, dukungan sosial dan self-efficacy memiliki pengaruh tidak langsung terhadap kualitas hidup melalui Self Care Agency. Temuan ini menegaskan pentingnya dukungan sosial dan self-efficacy dalam pengelolaan diabetes, serta mengusulkan perlunya program intervensi yang berfokus pada peningkatan dukungan sosial dan self-efficacy untuk meningkatkan kualitas hidup penderita diabetes tipe 2.
Application the Cognitive-Behavioral Model of Relapse in Preventing Bipolar Relapse at RSI. Madinah Tulungagung Agustin Widyowati; Katmini; Predito Prihantoro
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.392

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Background: Mental health has a low early mortality rate, but contributes the most to disability and recurrence is an indicator of successful treatment of mental disorders, including bipolar. Bipolar relapse is caused by many factors or high-risk situations. Purpose: The purpose of this study was to analyze the determinants of bipolar relapse from a cognitive-behavioral model of relapse. Method: This research was conducted at Islamic Hospital of Madinah Tulungagung used a correlational design with a cross sectional approach to 108 respondents who were taken using a simple random sampling technique. The exogenous variables were genetics, age of onset, gender, occupation, marriage, family support, social capital, stigma, self-efficacy, motivation, medication adherence and the endogenous variable was bipolar relapse, using a questionnaire and analyzed path analysis. Results: Genetics, occupation, social capital, self-efficacy, motivation, medication adherence, community stigma and family support have a direct effect on bipolar relapse with a p-value <0.05. Community stigma has an indirect effect on bipolar relapse through medication adherence with a path coefficient (b) of 11.35. Family support has an indirect effect on bipolar relapse through medication adherence (b = 8.9), motivation (b = 11.89) and self-efficacy (b = 18.26). The most effective way to prevent bipolar relapse is family support which has an indirect effect on bipolar relapse through self-efficacy. Conclusion: Family support is expected to increase self-efficacy so that it is effective in preventing bipolar relapse.
Affective, Psychomotoric, and Cognitive Changes in Young Women at Wachid Hasyim Tebuireng High School are BSE with Blended Learning by Health Education Nurullita Widyazizah; Yenny Puspitasari; Agustin Widyowati
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.441

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Background: Breast cancer is a significant health concern among Indonesian women, emphasizing the need for effective prevention strategies. Purpose: This study investigates the effects of health education utilizing the Breast Self-Examination (BSE) method, augmented with blended learning, on the affective, psychomotor, and cognitive aspects of young women attending Wachid Hasyim Tebuireng High School. Method: Employing a Pre-Test Post-Test Control Group design, participants were divided into control and intervention groups. The intervention group received health education utilizing the BSE technique combined with blended learning, while the control group did not undergo this intervention. Results: Results indicated substantial improvements in the affective, psychomotor, and cognitive domains among young women who received health education with blended learning. Positive attitudes towards BSE increased significantly, with average scores rising from 75.1 to 85.3 post-intervention. Similarly, psychomotor skills improved, evidenced by scores escalating from 72.4 to 84.5 after receiving education. Moreover, cognitive understanding saw a remarkable enhancement, with average scores soaring from 67.3 to 87.6 following the intervention. Conclusion: The study concludes that integrating blended learning with health education significantly enhances young women's psychomotor, affective, and cognitive responses to BSE. These findings underscore the efficacy of blended learning in augmenting the impact of health education, particularly in empowering young women with essential knowledge and skills for breast cancer prevention and early detection.
Knowledge and Awareness Impact on Adherence to Iron Supplementation: Study in Baron sub-district, Nganjuk Regency Yuliawati, Riza; Ardi Bastian; Agustin Widyowati
Journal Of Nursing Practice Vol. 7 No. 1 (2023): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i1.489

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Background: The initial report by the Baron Public Health Centre shows low adherence to iron supplementation among schoolgirls. Therefore, there is a need to identify the causing factors of low adherence. Purpose: Identify and analyse knowledge and awareness of iron deficiency and its impacts on adherence to iron supplements. Methods: A Cross-sectional study on 376 female students in the Baron subdistrict. Data were collected using a questionnaire instrument, and data were analysed using binary regression logistics. Results: A Cross-sectional study with stratified random sampling on 376 female students in the Baron subdistrict. Data were collected using a questionnaire instrument, and data were analysed using binary regression logistics. The majority of respondents have sufficient knowledge of iron deficiency. However, they have low awareness and adherence to iron supplementation. Knowledge has no impact on adherence (p-value 0.823), whereas awareness (p-value 0.000) has a significant impact on adherence to iron supplementation. Conclusion: Knowledge has no impact on iron deficiency adherence, while awareness of iron deficiency prevention influences has a strong impact on adherence to iron supplementation adherence. Innovative programs are needed to increase not only knowledge but also awareness and adherence to iron supplements.
Health Education about Malaria for the Nabire Community Talakua, Paulus; Widyowati, Agustin
Journal of Community Engagement in Health Vol. 7 No. 1 (2024): March
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i1.541

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Nabire Regency with a total of 1,082 cases. In 2021, there was an increase in malaria cases, reaching 2,456 positive cases of malaria, of which the largest number of cases were in Nabire District with a total of 1,248 positive cases. To reduce the high number of malaria cases, the Nabire Regency Government issued Regent Regulation number 48 of 2019 concerning the Malaria Control Center, but in its implementation there are obstacles faced by the Health Service, namely the lack of community support and the lack of supporting infrastructure in implementing malaria control policies. The aim of community service activities carried out in Nabire Regency is to increase public knowledge and awareness in eradicating malaria. The population of this community service is the Nabire community using counseling methods through community leaders such as village elders, RT, RW and health cadres. The method for solving problems uses several methods and fishbone diagrams. The implementation that has been carried out in this community service is conducting a Forum Group Discussion (FGD) with community leaders consisting of health problems, namely malaria related to community compliance with healthy behavior such as using mosquito nets or installing coarse wire, using mosquito poison, keeping the house clean. After conducting the FGD, we first conducted education regarding malaria prevention through leaflets to community leaders. Health education to the community regarding malaria was assisted by community leaders who participated in the FGD. Community figures who assist in delivering health education are village elders, RT, RW and health cadres. As a result, 85% of community service activities aimed at increasing community knowledge were successful, the community became more knowledgeable about preventing malaria and improving their health. The Conclusion of this research is this community service program was implemented, and resulted in a change in accordance with the output target, namely knowledge about eradicating malaria, especially how to prevent it. It is hoped that the counseling provided can be carried out regularly and applied in people's lives so that the incidence of malaria can decrease.
Optimizing Drug Adherence and QoL of Pulmonary Tuberculosis Patients through Structured Health Education Based on Peer Group Support Mantouw, Frely; Indasah; Widyowati, Agustin
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.239

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Background: Patients with pulmonary tuberculosis frequently experience issues like non-compliance with treatment, boredom from prolonged therapy, and stopping treatment due to lack of recovery. This non-compliance can lead to drug resistance, therapy failure, reduced quality of life, and a higher risk of death. This study aimed to investigate the effects of Structured Health Education combined with Peer Group Support on medication adherence and quality of life among pulmonary tuberculosis patients. Methods: This quantitative study employed an actual experimental research design with a pretest-posttest control group approach. The research included 38 respondents as the sample. The independent variable was Structured Health Education with Peer Group Support, while the dependent variables were Medication Compliance and Quality of Life. The research instruments used included the Morisky Medication Adherence Scale-8 (MMAS-8) to measure medication compliance and the WHOQOL-BREF to assess quality of life. The Mann-Whitney Test was applied to test the study's hypotheses. Results: Structured Health Education based on peer group support is efficacious in improving patients' medication adherence and quality of life with pulmonary tuberculosis. Conclusion: Nurses in the outpatient room of the health centre can apply the results of this study in providing nursing interventions and structured health education based on peer group support to improve medication adherence and the quality of life of patients with pulmonary tuberculosis.
Analysis Of Acceptance Model Technology Theory On Satisfaction And Loyalty In Online Registration Of Outpatient Patients Ningsih, Putu Oka Prasetia; Suprapto, Sentot Imam; Widyowati, Agustin
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.251

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Background: The on-site registration system often causes various problems, such as long queues and long waiting times in the queue room, the possibility of data input errors due to being done manually, patient discomfort, and access difficulties for long-distance patients. If these aspects of TAM meet patient expectations, it will create patient satisfaction, ultimately resulting in loyal patients. This research aims to determine the influence of perceived ease of use and perceived usefulness on online registration and its impact on patient satisfaction and loyalty Methods: This study employed an explanatory research design with a quantitative approach. The population consisted of all outpatients at Mataram City Regional Hospital, and the sample included 188 respondents. Data were collected using a closed-ended questionnaire with a Likert scale. For data analysis, the study applied covariance-based Structural Equation Modeling (SEM), specifically Partial Least Squares (PLS), using SmartPLS version 3.0. Results: The research findings revealed that perceived ease of use significantly and positively influences the use of the online registration system (t-stat: 4.603 > 1.96); perceived usefulness significantly and positively affects the use of the online registration system (t-stat: 3.697 > 1.96); user attitude significantly and positively impacts the use of the online registration system (t-stat: 4.952 > 1.96); the use of the online registration system significantly and positively affects patient satisfaction (t-stat: 6.503 > 1.96); the use of the online registration system significantly and positively influences patient loyalty (t-stat: 3.730 > 1.96); and satisfaction significantly and positively impacts patient loyalty (t-stat: 4.840 > 1.96) Conclusion: The online registration system, influenced by perceived ease of use, usefulness, and user attitude, significantly enhances patient satisfaction and loyalty. Mataram City Regional Hospital should continue improving the online registration system and evaluating patient satisfaction to boost loyalty.
Co-Authors Agusta Dian Ellina Amarin Yudhana Aminatus Sadiyah, Siti Andy Oky Setiawan Apir Ardi Bastian Ardilla Sari, Novianti Ariansyah MS Aris Sudiyanto Aris Sudiyanto Aris Sudiyanto Aspiansyah, Aspiansyah Atik Setiawan Wahyuningsih Aurellia Aurelly, Mayranda Banunaek, Deblora F Bastian, Ardi Bhisma Murti Byba Melda Suhita Desy Puspita Ayu, Serlyna DEWI NOVITA SARI Ekasari, Fahma Yulinda Eko Purwanto Eli Rahmawati, Eli Elina, Agusta Dian Endra Widiyanto Erik Prastyanto Ernawati, Kristin Esdayani Emba Pudang Eurike Mawi Ferdina, Cucun Setya Fitria Rahmawati Gusmadewi, Gusmadewi Hafizh Auliyan Sodali Hapsari, Ika Ratna Herlinda Sri Puryani Hidayati, Ariza Melinda Indasah Indasah Indasah , Indasah Isabelita Madeira Soares Joko Prasetyo Kartika, Hesti R. Katmini Kusnadi Lastari, Heni Layla, Siti Farida Noor Lidia Gomes Linda Kristian Ningtiyas Lino, Marianus Mantouw, Frely Melinda Hidayati, Ariza Mustikawati, Dian Ni Luh Putu Ayu Wardhani Niken Giri Wardani Ningsih, Putu Oka Prasetia Ningtiyas, Linda Kristian Noer Soelistijaningsih Novita Ana Anggraini Novita Anna Nurdina Nurdina Nuridayanti, Anik Nurullita Widyazizah Nurwijayanti Oktafianus Radja Tuka Panca Radono Predito Prihantoro Prihantoro, Predito Prima Dewi Kusumawati Ratna Wardani Ria Anka Sari Rofik Damayanti Sahat Tua Naibaho, Beres Saragih, Hartaulina Sentot Imam Suprapto Setyo Budi Susanto Shofiyatuzainab Sriadnyani, Ni Wayan Sugiarto, Idwan Tunggal Sulaiman Sulaiman Suminah Suminah Suminah Suminah Suprapto, Sentot Imam Takariningsi Takariningsih Takariningsih, Takariningsih Talakua, Paulus Tedjowati, Tedjowati Triana Nur Umami, Syaiful Vidyanti Evabrina Simarmata Wahyu Purnomo Jati Wening Palupi Dewi Yayuk Utami Yenny Puspitasari Yuliawati, Riza Yuly Peristiowati Yusiana Vidhiastutik Yuwono, Trisno