Rissaadah, Siti
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Levels of hope among children under 18 years old with acute lymphoblastic leukemia undergoing chemotherapy: A descriptive study Alya, Fania Putri; Ulfah, Diana; Lusiani, Eli; Deniati, Kiki; Febriyona, Rona; Sugiharto, Firman; Rissaadah, Siti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1812

Abstract

Background: Hope is an essential psychological resource that enables children with cancer to cope with the stress and uncertainty of long-term treatment. However, research focusing on the level of hope among children with Acute Lymphoblastic Leukemia (ALL) in Indonesia or Southeast Asia remains limited, as most studies have centered on adults or on depression and anxiety rather than hope. Understanding hope among pediatric cancer patients is crucial for developing psychosocial interventions that enhance emotional resilience and treatment adherence. Purpose: to describe the levels of hope among children under 18 years old with ALL who were undergoing chemotherapy. Method: This was a quantitative descriptive study involving 66 respondents selected through convenience sampling. Data were collected using the Children’s Hope Scale (CHS), consisting of six items that assess agency and pathway thinking. Ethical approval and parental consent were obtained prior to data collection. Descriptive statistics were applied to analyze respondents’ demographic characteristics and hope scores. Result: The findings showed that most respondents were aged 8–12 years (56.1%), male (59.1%), and diagnosed with high-risk ALL (89.4%). More than half (54.5%) demonstrated a high level of hope, while 45.5% had a low level of hope. Younger children exhibited higher hope levels compared to adolescents. The mean hope score was 22.9 ± 3.95, with a median of 23 and a score range of 16–32, indicating a moderate to high overall level of hope. Conclusion: Most children with ALL in this study maintained a moderate to high level of hope during chemotherapy. These results emphasize the importance of assessing hope as part of psychosocial care. Strengthening hope through supportive communication and family-centered interventions can enhance children’s PWB and promote better adherence throughout the treatment process.
Kualitas hidup pasien diabetes melitus dengan tuberkulosis: Literatur review Rissaadah, Siti; Sulastini, Sulastini; Widadi, Sri Yekti; Setiowati, Rahayu; Sriwahyuni, Sriwahyuni; Sugiharto, Firman; Alia, Fania Putri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1936

Abstract

Abstract   Background: Diabetes mellitus (DM) is a chronic disease with a steadily increasing prevalence globally. DM is often associated with a decreased quality of life, especially if comorbidities such as tuberculosis (TB) occur. Uncontrolled hyperglycemia in diabetes can suppress the immune system, increasing the risk of TB infection. Purpose: To evaluate the quality of life of DM patients with TB based on physical, psychological, and social domains through a narrative review approach. Method: Articles used in this study were identified through the PubMed, Scopus, and EBSCHO databases. The literature search used the keywords "Diabetes Mellitus," "Type 2 Diabetes Mellitus," "Tuberculosis," and "Quality of Life." A total of 367 articles were found, of which 7 met the inclusion criteria and eligibility criteria using the Joanna Briggs Institute (JBI). Data analysis was conducted thematically based on quality of life domains. Results: Patients with DM with TB (DM-TB) have a poorer quality of life, with significant declines in the physical domain due to poor diabetes management. Depression is a major factor in the decline in psychological quality of life. While social aspects tend not to be directly affected but can be influenced by socioeconomic status. Conclusion: A holistic and multidisciplinary approach in the management of DM-TB patients is crucial for improving their quality of life.   Keywords: Diabetes Mellitus; Quality of Life; Tuberculosis.   Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis dengan angka prevalensinya terus meningkat secara global. DM seringkali dikaitkan dengan penurunan kualitas hidup, terutama jika terjadi komorbiditas seperti tuberkulosis (TB). Hiperglikemia yang tidak terkontrol pada penderita diabetes dapat menekan imunitas tubuh, sehingga meningkatkan resiko infeksi TB. Tujuan: Untuk mengevaluasi kualitas hidup pasien DM dengan TB berdasarkan domain fisik, psikologis, dan sosial melalui pendekatan narrative review. Metode: Artikel yang digunakan dalam penelitian ini diidentifikasi melalui database PubMed, Scopus, dan EBSCHO. Pencarian literatur menggunakan kata kunci “Diabetes Mellitus”, “Type 2 Diabetes Mellitus”, “Tuberculosis”, dan “Quality of Life”. Sebanyak 367 artikel yang ditemukan, 7 artikel diantaranya memenuhi kriteria inklusi dan memenuhi kriteria eligibility menggunakan Joanna Briggs Institute (JBI). Analisis data dilakukan secara tematik berdasarkan domain kualitas hidup. Hasil: Pasien DM dengan TB (DM-TB) memiliki kualitas hidup yang lebih buruk dengan penurunan yang signifikan pada domain fisik yang diakibatkan pengelolaan diabetes yang buruk serta depresi yang menjadi faktor utama dalam penurunan kualitas hidup pada domain psikologis, sementara aspek sosial cenderung tidak terpengaruh secara langsung tetapi dapat dipengaruhi oleh status sosial sosial. Simpulan: Pentingnya pendekatan holistik dan multidisipliner dalam pengelolaan pasien DM-TB untuk meningkatkan kualitas hidup pasien.   Kata Kunci: Diabetes Melitus; Kualitas Hidup; Tuberkulosis.
Edukasi interaktif dalam penerapan cuci tangan pakai sabun pada anak usia dini Widadi, Sri Yekti; Rissaadah, Siti; Pebriani, Aulia
JOURNAL of Public Health Concerns Vol. 5 No. 11 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i11.2359

Abstract

Background: Early childhood is at high risk of infectious diseases due to an immature immune system and inadequate hand hygiene habits. Handwashing with soap is a simple yet effective disease prevention practice that needs to be instilled early. Purpose: To improve early childhood knowledge and skills in implementing clean and healthy handwashing behaviors. Method: This community service activity was conducted at PGTK Pelita Hati in December 2025, targeting early childhood children (4-7 years old) currently studying at PGTK Pelita Hati. Eighty-one PGTK Pelita Hati students participated in the activity. The intervention included health education about handwashing with soap through demonstrations and educational games tailored to the developmental stages of early childhood. To increase children's understanding and enthusiasm, the activity also combined singing and interactive question-and-answer sessions. An observational assessment questionnaire was used to measure participants' knowledge and understanding throughout the activity. Observations were conducted before and after the educational activity (pre-test) and after the educational activity (post-test). As an evaluation of activities by comparing the assessment results before educational activities (pre-test) with after educational activities (post-test). Results: showed an increase in children's knowledge, skills, and participation in the good category after the educational intervention. Before the activity, only 24 children (29.6%) understood the meaning of handwashing with soap and 21 children (25.9%) knew the benefits of handwashing with soap. After the activity, this number increased to 70 children (86.4%) who understood the meaning of handwashing with soap and 68 children (84.0%) who knew the benefits of handwashing with soap. Children's knowledge about important times to wash their hands also increased, from 19 children (23.5%) before the activity to 66 children (81.5%) after the activity. In terms of skills, before the activity, only 17 children (21.0%) were able to practice the six steps of handwashing with soap correctly. After education through demonstrations and direct practice, the number of children who were able to practice the six steps of handwashing with soap increased to 65 children (80.2%). In addition, children's activeness and participation during the activity also showed an increase, from 34 children (42.0%) before the activity to 74 children (91.4%) after the activity. Conclusion: Community service activities in the form of health education on handwashing with soap for early childhood, using a demonstrative, participatory educational approach, combined with play and singing, were highly effective in improving children's understanding of the meaning and benefits of handwashing with soap, recognizing important handwashing times, and correctly practicing the six steps of handwashing with soap. Furthermore, the involvement of teachers and facilitators provided crucial support in reinforcing health messages and sustaining handwashing with soap behavior in the school environment. Suggestion: School-based handwashing with soap health education is expected to continue to be developed, as it has significant potential as a promotional and preventive measure in preventing infectious diseases and fostering clean and healthy living habits from an early age. Keywords: Community service; Early childhood; Health education; Handwashing with soap Pendahuluan: Anak usia dini memiliki risiko tinggi terhadap penyakit infeksi akibat sistem imun yang belum matang dan kebiasaan kebersihan tangan yang belum terbentuk secara optimal. Cuci Tangan Pakai Sabun (CTPS) merupakan perilaku sederhana namun efektif dalam pencegahan penyakit yang perlu ditanamkan sejak dini. Tujuan: Untuk meningkatkan pengetahuan dan keterampilan anak usia dini dalam menerapkan perilaku bersih dan sehat dengan cuci tangan pakai sabun. Metode: Kegiatan pengabdian masyarakat ini dilaksanakan di PGTK Pelita Hati pada bulan Desember 2025 dengan sasaran anak usia dini (4-7 tahun) yang sedang menempuh pendidikan di PGTK Pelita Hati. Kegiatan ini melibatkan 81 siswa/siswi PGTK Pelita Hati untuk menjadi partisipan. Intervensi berupa pendidikan kesehatan tentang cuci tangan pakai sabun (CTPS) melalui pendekatan demonstrasi dan permainan edukatif yang disesuaikan dengan tahap perkembangan anak usia dini. Untuk meningkatkan pemahaman dan antusiasme anak, kegiatan juga dikombinasikan dengan metode bernyanyi dan tanya-jawab interaktif. Menggunakan kuesioner penilaian observasi untuk mengukur tingkat pengetahuan dan pemahaman partisipan selama proses kegiatan. Observasi dilakukan sebelum kegiatan edukasi (pre-test) dan setelah kegiatan edukasi (post-test). Sebagai evaluasi kegiatan dengan membandingkan hasil penilaian sebelum kegiatan edukasi (pre-test) dengan sesudah kegiatan edukasi (post-test). Hasil: menunjukkan terdapat peningkatan pengetahuan, keterampilan, dan partisipasi anak yang dalam kategori baik setelah dilakukan intervensi edukasi. Sebelum kegiatan, hanya 24 anak (29.6%) yang memahami pengertian CTPS dan 21 anak (25.9%) yang mengetahui manfaat CTPS. Setelah kegiatan, jumlah tersebut meningkat menjadi 70 anak (86.4%) yang memahami pengertian CTPS dan 68 anak (84.0%) yang mengetahui manfaat CTPS. Pengetahuan anak mengenai waktu-waktu penting mencuci tangan juga mengalami peningkatan, dari 19 anak (23.5%) sebelum kegiatan menjadi 66 anak (81.5%) setelah kegiatan. Pada aspek keterampilan, sebelum kegiatan hanya 17 anak (21.0%) yang mampu mempraktikkan enam langkah CTPS dengan benar. Setelah dilakukan edukasi melalui demonstrasi dan praktik langsung, jumlah anak yang mampu mempraktikkan enam langkah CTPS meningkat menjadi 65 anak (80.2%). Selain itu, keaktifan dan partisipasi anak selama kegiatan juga menunjukkan peningkatan, dari 34 anak (42.0%) sebelum kegiatan menjadi 74 anak (91.4%) setelah kegiatan. Simpulan: Kegiatan pengabdian masyarakat berupa pendidikan kesehatan tentang cuci tangan pakai sabun (CTPS) pada anak usia dini melalui pendekatan edukasi yang bersifat demonstratif, partisipatif, serta dikombinasikan dengan metode bermain dan bernyanyi sangat efektif meningkatkan kemampuan anak dalam memahami pengertian dan manfaat CTPS, mengenali waktu-waktu penting mencuci tangan, serta mempraktikkan enam langkah CTPS dengan benar. Selain itu, keterlibatan guru dan fasilitator memberikan dukungan penting dalam memperkuat pesan kesehatan dan keberlanjutan perilaku CTPS di lingkungan sekolah. Saran: Diharapkan, pendidikan kesehatan CTPS berbasis sekolah untuk terus dikembangkan karena memiliki potensi besar sebagai upaya promotif dan preventif dalam mencegah penyakit infeksi serta membentuk kebiasaan hidup bersih dan sehat sejak usia dini.