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All Journal Journal of Innovation Research and Knowledge Health and Technology Journal (HTECHJ) Malahayati International Journal of Nursing and Health Science
Yuly Peristiowati
Universitas STRADA Indonesia
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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The impact of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients Rustam Ali; Novita Ana Anggraini; Yuly Peristiowati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.725

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) represents a significant global health burden, contributing substantially to long-term morbidity and mortality rates worldwide. Purpose: To evaluate the effectiveness of diaphragmatic breathing exercises combined with facial cold stimulation on dyspnea perception, respiratory rate, and peak expiratory flow in COPD patients. Method: A quasi-experimental study was conducted using a pre-test and post-test control group design, involving 46 participants divided into intervention and control groups. Data collection tools included questionnaires, respiratory rate observations, and a peak flow meter. For data analysis, inferential statistics were applied: the Independent t-test and Paired t-test were used for normally distributed ratio data, while the Wilcoxon Signed Ranks Test and Mann-Whitney U Test were employed for ordinal data. Results: The combination of diaphragm breathing exercises and cold facial stimulation significantly reduces dyspnea perception in COPD patients. This intervention was also found to be effective in lowering the respiratory rate of COPD patients. Additionally, the results revealed a significant improvement in Peak Expiratory Flow Rate (PEFR) in the intervention group compared to the control group. Conclusion: Peak Expiratory Flow Rate (PEFR) significantly improved in the intervention group compared to the control group, indicating the combined intervention's efficacy in enhancing respiratory function in COPD patients.
Efforts to Implement a Reward System (Incentives, Promotions, and Career Development) to Improve the Performance of Nurses Darmawati Abdul Rachman; Yuly Peristiowati; Rahmania Ambarika
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.552

Abstract

The working conditions of healthcare workers in Indonesia, especially in state hospitals, remain unsatisfactory. One factor that influences this is the low reward system in state hospitals compared to private hospitals. The purpose of this research is to determine the effect of the reward system (incentives, promotions, and career development) on improving the performance of nurses. The design of this research is quantitative, employing a cross-sectional approach, with the population in this study comprising all 150 nurses at UPTD RSUD Bobong. The sample consisted of a portion of the population that met the inclusion criteria, comprising 112 people selected using a simple random sampling technique. The collected data were analyzed using Spearman's rho statistical test and ordinal logistic regression analysis with an α error rate of 0.05. The results of the analysis using the ordinal regression test yielded a significant result. (2-tailed) values ​​for the incentive factor (p-value = 0.012 < 0.05), promotion factor (p-value = 0.023 < 0.05) and career development factor (p-value = 0.019 < 0.05). The research shows that incentive, promotion, and career resulted in harm er development factors in implementing the reward system influence the performance of nurses at Bobong Hospital, Taliabu Island Regency. The incentives factor is the most dominant in the reward system, which influences nurse performance.
EPIDEMIOLOGI DIGITAL DAN DETERMINAN SOSIAL PADA LAYANAN PRIMER: TINJAUAN LITERATUR DAMPAK KOMPETENSI NAKES DAN SISTEM INFORMASI TERHADAP KETERLIBATAN PASIEN MELALUI MEDIASI PENGALAMAN PASIEN DI PUSKESMAS KABUPATEN LOMBOK TENGAH NTB Darma Karno; Yuly Peristiowati
Journal of Innovation Research and Knowledge Vol. 5 No. 11 (2026): April 2026
Publisher : Bajang Institute

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Abstract

Background: Digital health transformation in primary care requires the integration of technology and human resource competence. In Central Lombok Regency, the effectiveness of digital epidemiology is heavily influenced by social determinants and the capacity of health workers to manage information systems. Objective: This study aims to analyze the impact of health worker competence and information system quality on patient engagement, positioning patient experience as a mediating variable through a systematic literature review. Methods: This research employs the Systematic Literature Review (SLR) method. Literature searches were conducted on Scopus and Google Scholar databases within the 2014-2024 timeframe. Inclusion criteria focused on studies discussing primary health information systems, health workers' digital competence, and patient behavior. Results: Synthesis of selected literature indicates that health workers' digital competence and information system quality significantly enhance the quality of interaction in community health centers (Puskesmas). Patient experience is proven to be a crucial mediating variable; efficient digital services create positive perceptions that encourage patients to become more actively involved in their health management. However, social determinants such as community digital literacy remain a challenge in optimizing patient engagement. Conclusion: Strengthening health worker competence and information system reliability are key prerequisites for creating a superior patient experience, which ultimately increases active community participation in the digital epidemiology ecosystem at primary care levels.
EPIDEMIOLOGI PSIKOSOSIAL DAN DETERMINAN SOSIAL DI RUMAH SAKIT RUJUKAN: TINJAUAN LITERATUR DAMPAK WORK-LIFE BALANCE DAN STRES KERJA TERHADAP KINERJA MELALUI MEDIASI BURNOUT PADA PERAWAT RSUD PROVINSI NTB Muh. Emilia Sa&#039;di Rasyid; Yuly Peristiowati
Journal of Innovation Research and Knowledge Vol. 5 No. 11 (2026): April 2026
Publisher : Bajang Institute

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Abstract

Latar Belakang: Perawat di rumah sakit rujukan seperti RSUD Provinsi NTB menghadapi tuntutan kerja yang tinggi, yang berpotensi mengganggu stabilitas psikososial dan kinerja klinis mereka. Memahami peran work-life balance dan stres kerja sebagai determinan sosial sangat penting untuk menjaga kualitas pelayanan kesehatan. Tujuan: Penelitian ini bertujuan untuk menganalisis secara sistematis literatur terkait dampak work-life balance dan stres kerja terhadap kinerja perawat, dengan memfokuskan pada peran burnout sebagai variabel mediasi dalam konteks epidemiologi psikososial. Metode: Penelitian ini menggunakan metode Systematic Literature Review (SLR) dengan mengikuti pedoman PRISMA. Pencarian literatur dilakukan melalui database Scopus dan Google Scholar pada rentang tahun 2014-2024. Kriteria inklusi mencakup artikel jurnal asli yang membahas interaksi variabel psikososial pada tenaga kesehatan di lingkungan rumah sakit. Hasil: Temuan utama menunjukkan bahwa stres kerja memiliki korelasi negatif yang signifikan terhadap kinerja, sementara work-life balance yang terjaga dengan baik berperan sebagai prediktor positif bagi produktivitas perawat. Burnout teridentifikasi sebagai variabel mediasi yang sangat penting; stres kronis dan ketidakseimbangan peran mengakibatkan kelelahan emosional yang secara sistemik menurunkan standar asuhan keperawatan. Kesimpulan: Kinerja perawat sangat bergantung pada manajemen kesehatan mental dan keseimbangan kehidupan-kerja. Manajemen RSUD Provinsi NTB disarankan untuk mengintegrasikan strategi pencegahan burnout dalam kebijakan operasional guna memastikan keberlanjutan kualitas pelayanan publik.
DETERMINAN SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI BURNOUT: TINJAUAN LITERATUR DAMPAK WORK-LIFE BALANCE DAN DUKUNGAN ORGANISASI TERHADAP KINERJA BIDAN PUSKESMAS DI LOMBOK TENGAH NTB Baiq Reni Pratiwi; Yuly Peristiowati
Journal of Innovation Research and Knowledge Vol. 5 No. 11 (2026): April 2026
Publisher : Bajang Institute

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Abstract

Background: Midwives at Community Health Centers (Puskesmas) are the spearhead of maternal and child health services, yet they are vulnerable to burnout due to high workloads. In Central Lombok, West Nusa Tenggara (WNT), work environment dynamics and lack of organizational support often trigger burnout phenomena. Objective: This study aims to analyze the social determinants of the work environment, specifically the impact of work-life balance (WLB) and organizational support on the epidemiology of burnout and midwife performance. Methods: This study employed a Systematic Literature Review (SLR) method. Literature search was conducted through Scopus, Google Scholar, and Portal Garuda databases within the 2016-2026 timeframe. Ten relevant articles were selected based on inclusion and exclusion criteria for synthesis. Results: Findings indicate that burnout is significantly negatively correlated with midwife performance. Conversely, strong work-life balance and organizational support act as protective factors that mitigate job stress and enhance service productivity. A supportive work environment in Puskesmas is proven to increase midwives' resilience in facing job demands in rural areas. Conclusion: Improving midwife performance in Central Lombok requires a managerial approach focused on psychological well-being and work-life harmonization to reduce burnout rates
Co-Authors Baiq Reni Pratiwi Darma Karno Darmawati Abdul Rachman Muh. Emilia Sa&#039;di Rasyid Novita Ana Anggraini Rahmania Ambarika Rustam Ali