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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

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

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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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'di Rasyid; Yuly Peristiowati
Journal of Innovation Research and Knowledge Vol. 5 No. 11 (2026): April 2026
Publisher : Bajang Institute

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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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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

The Effect of Teledentistry Counseling on Improving Dental Health Knowledge and Toothbrushing Habits Among the Elderly: Teledentistry and Oral Health Knowledge in the Elderly Mutiara Khasanah; Yuly Peristiowati; Agustin Widyowati
Innovative Approaches in Health Science Journal Vol. 3 No. 1 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/5dknws90

Background: The elderly are a vulnerable group to dental health problems due to physiological changes, poor toothbrushing habits, and limited access to dental health services. These conditions pose a serious challenge in maintaining their quality of life. Teledentistry has emerged as an innovative solution to provide remote dental health counseling and education. This study aimed to analyze the effect of teledentistry counseling on improving dental health knowledge and toothbrushing habits among the elderly in Benda District, Tangerang City. Methods: This study employed a quantitative design with a quasi-experimental two-group pretest–posttest approach. The sample consisted of 100 elderly participants divided into an intervention group (teledentistry counseling) and a control group (leaflet). Data were collected using a structured questionnaire assessing dental health knowledge and toothbrushing habits. Data analysis included validity and reliability tests, normality testing, Wilcoxon Signed Rank Test, paired t-test, and independent t-test. Results: The results showed a significant increase in dental health knowledge and toothbrushing habits among the elderly after receiving teledentistry counseling (p < 0.05). The average post-test score of the intervention group was higher than that of the control group, which received only leaflets without interactive counseling. Conclusion: Teledentistry-based counseling was proven effective in improving dental health knowledge and toothbrushing habits among the elderly. This strategy can serve as a practical solution to enhance the quality of dental health services, particularly in areas with limited access to health facilities.

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

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.

The influence of post-resuscitation debriefing and clinical learning environment on CPR quality and resuscitation self-efficacy among emergency department healthcare workers Marintas Marintas; Prima Dewi Dewi; Nurdina Nurdina; Nurwijayanti Nurwijayanti; Yuly Peristiowati
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.30

Background: CPR quality and resuscitation self-efficacy are critical for successful cardiac arrest management. Structured debriefing and supportive learning environments are hypothesized to enhance these outcomes. Purpose: This study aimed to evaluate the associations between post-resuscitation debriefing and the clinical learning environment with CPR quality and resuscitation self-efficacy. Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted at the Emergency Department of Undata Hospital. All eligible healthcare workers (n = 51) were recruited using total sampling. Data on post-resuscitation debriefing, clinical learning environment, CPR quality, and resuscitation self-efficacy were collected using validated questionnaires and observation sheets. Bivariate analysis was performed using Spearman's rank correlation test. Multiple linear regression analysis was conducted to identify predictors of CPR quality and resuscitation self-efficacy, controlling for age, work experience, and profession. Statistical significance was set at p < 0.05. Results: Post-resuscitation debriefing was significantly associated with CPR quality (rho = 0.412, p = 0.003) and resuscitation self-efficacy (rho = 0.523, p < 0.001). The clinical learning environment was also significantly associated with CPR quality (rho = 0.456, p = 0.001) and resuscitation self-efficacy (rho = 0.389, p = 0.005). Multiple linear regression analysis identified post-resuscitation debriefing as the strongest predictor of CPR quality (beta = 0.398, p = 0.002) and resuscitation self-efficacy (beta = 0.467, p < 0.001), after controlling for confounding variables. Conclusion: Structured post-resuscitation debriefing and a positive clinical learning environment are significantly associated with improved technical skills and professional confidence among healthcare workers. Implementing standardized debriefing may be an effective strategy for enhancing resuscitation performance in emergency settings.

The Effect of Sensory Integration and Treadmill Therapy on Sensory and Behavioral Improvement in Children with Attention Deficit and Hyperactivity Disorder Chusnul Justanti; Yuly Peristiowati; Nurwijayanti Nurwijayanti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5698

Attention-Deficit Hyperactivity Disorder (ADHD) is a common neuropsychiatric disorder in children, characterized by inattention, hyperactivity, and impulsivity, which significantly impact daily functioning. Sensory Processing Disorder (SPD) is often observed in children with ADHD, affecting their ability to process and respond to sensory stimuli appropriately. Sensory integration therapy and treadmill exercise have been suggested as potential interventions to improve sensory processing and behavioral regulation in children with ADHD. This study aims to evaluate the effect of sensory integration therapy combined with treadmill exercise on sensory processing and behavior in children with ADHD. This was an experimental study with a pre-test and post-test design was conducted with 61 children diagnosed with ADHD. Participants underwent sensory integration therapy and treadmill exercise. Sensory processing and behavioral outcomes were measured using standardized assessments before and after the intervention. Data were analyzed using the Wilcoxon test. Results: The results showed a significant improvement in sensory processing, with pre-test sensory scores averaging 97.62 and post-test scores increasing to 152.90 (p = 0.000). Behavioral outcomes also improved significantly, with pre-test behavior scores of 82.57 decreasing to 67.62 in the post-test (p = 0.000). Sensory criteria shifted from 95.1% in the "Definite Performance (severe)" category to 44.3% in the "Typical Performance (mild)" category. Behavioral criteria improved from 75.4% in the "Very High" category to 83.6% in the "High" category. Sensory integration therapy combined with treadmill exercise effectively improves sensory processing and behavioral outcomes in children with ADHD. This intervention provides a promising non-pharmacological approach to managing ADHD symptoms and enhancing children's functional abilities. Further studies with larger samples and long-term follow-ups are recommended to validate these findings

Analysis of Influence Service Quality, Facilities and Level of Satisfaction in Returning Treatment Tartilah Nur Amani; Sentot Imam Suprapto; Yuly Peristiowati
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6024

Increasing the quality of service and supporting facilities will provide patient satisfaction. If patients are satisfied with the health services received, if the patient needs health services they will tend to be interested in making repeat visits to seek treatment at the Watukenongo Health Center. This study aims to analyze the effect of service quality, facilities and satisfaction levels on repeat visit interest at the Watukenongo Community Health Center. The research method uses a cross-sectional study design. This study was conducted at the Watukenongo Health Center outpatient clinic starting from January-February 2025. The sample in the study was 165 patients, namely new patients, general patients and patients who were in the Watukenongo Health Center area and received services. The sampling technique was simple random sampling. The data analysis method used was univariate analysis, chi square and multiple logistic regression tests. The results of the chi square test were that service quality (p value 0.0371 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center, facilities (p value 0.009 <0.05) had a significant effect on interest in repeat visits, satisfaction (p value 0.005 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center. From the results of the logistic regression test, namely, satisfaction with a p-value of 0.0043 and OR/ (Exp(B))= 2.217, facilities with a p-value of 0.0015 and OR/ (Exp(B))= 3.942, quality of health services with a p-value of 0.0016 and OR/ (Exp(B))= 4.436. The conclusion is that the quality of service, facilities and level of satisfaction affect the interest in revisiting the Watukenongo Health Center. However, for patients who feel satisfied, it is 4.436 times more influential in attracting interest in revisiting the Watukenongo Health Center.

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