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Rahmat Pannyiwi
Republic of Indonesia Defense University, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Relationship Between Nurse’s Knowledge about Ventilators and Compliance in Preventing Ventilator - Associated Pneumonia (VAP) in the ICU Tri Wahyuni; Viyan Septiyana Achmad; Rahmat Pannyiwi; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.892

Abstract

Ventilator Associated Pneumonia (VAP) is one of the most common nosocomial infections in ICU patients and has the potential to increase morbidity, mortality, and cost of care. Nurses' compliance with VAP prevention protocols is greatly influenced by their knowledge of ventilators and related nursing practices. This study aims to analyze the relationship between nurses' knowledge of ventilators and their compliance in VAP prevention in the ICU. This study was an observational study with a cross-sectional design. The sample consisted of 60 ICU nurses selected purposively in three hospitals in city X. Data were collected using a ventilator knowledge questionnaire and VAP prevention compliance observation. Data analysis used the Pearson correlation test to determine the relationship between knowledge and compliance. The results showed a significant positive relationship between nurses' knowledge level about ventilators and compliance in VAP prevention (r = 0.58; p < 0.01). In conclusion, increasing nurses' knowledge regarding ventilators has an effect on improving VAP prevention compliance. It is recommended that hospitals regularly conduct training and education for ICU nurses to improve nosocomial infection prevention practices.
The Role Of Local Wisdom In Efforts To Prevent Stunting In Toddlers In Coastal Areas Amelia Darwis; Rumiris Simatupang; Rahmat Pannyiwi; Edi Pramono
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.893

Abstract

Stunting is a chronic nutritional problem that remains a serious concern in Indonesia, particularly in coastal areas, which generally suffer from low levels of well-being, limited food access, and vulnerable environmental conditions. Stunting impacts not only a child's physical growth but also their cognitive development and future productivity. Furthermore, coastal communities possess a rich culture and local wisdom that can play a crucial role in maintaining food security and family nutritional status. This study aims to analyze in depth the role of local wisdom in preventing stunting in toddlers in coastal areas. This study used a qualitative approach with descriptive methods, through in-depth interviews with community leaders, mothers of toddlers, and health workers in coastal villages. Participatory observation and documentation studies were also conducted to obtain comprehensive data regarding local wisdom practices still practiced by the community. The results showed that forms of local wisdom such as the tradition of consuming fresh fish, the use of local plants (moringa leaves, sweet potatoes, bananas), and social values such as mutual cooperation and food arisan (social gatherings) have a significant contribution to preventing stunting . This local wisdom supports the fulfillment of balanced nutrition, strengthens social solidarity, and raises awareness of the importance of a healthy diet for toddlers. Modernization, changing consumption patterns, and coastal environmental degradation threaten the sustainability of these practices. Therefore, integrating local wisdom into government programs such as Posyandu (Integrated Health Posts), PKK (Family Welfare Movement), and nutrition education is necessary to strengthen culturally based stunting prevention strategies. Therefore, preserving and revitalizing local wisdom can be a sustainable solution to reducing stunting prevalence in Indonesia's coastal areas.
The Effect Of Traditional Jamu Consumption On Liver Function In Pregnant Women In Rural Areas Dwi Pratiwi Kasmara; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.946

Abstract

The use of traditional herbal medicine remains common practice in various rural areas of Indonesia, including among pregnant women. Jamu is considered an easily accessible, culturally based alternative healthcare treatment and is believed to provide benefits such as increasing stamina, reducing nausea, and alleviating pregnancy symptoms. However, some active herbal ingredients are known to be metabolized in the liver and have the potential to increase hepatocellular function, especially in specific physiological conditions such as pregnancy. This study aims to analyze the effect of traditional herbal medicine consumption on liver function in pregnant women in rural areas. The study used a cross-sectional design with a sample of 60 pregnant women in their second and third trimesters selected through a purposive sampling technique. Data were collected using a structured questionnaire regarding herbal medicine consumption patterns (type of herbal medicine, frequency, duration of consumption), then laboratory tests were conducted on liver enzyme levels SGOT and SGPT as indicators of hepatic function. As many as 40% of respondents were recorded as consuming herbal medicine regularly (≥3 times per week), with the most common types of herbal medicine being turmeric and tamarind, beras kencur, and temulawak. On average, respondents had had a habit of consuming herbal medicine long before pregnancy. Analysis using the Mann -Whitney test showed a significant difference in SGOT (p = 0.031) and SGPT (p = 0.038) levels between pregnant women who regularly consumed herbal medicine and those who did not. However, the median SGOT and SGPT values in the herbal medicine group remained within normal limits, thus not indicating clinical liver damage. However, this statistically significant increase indicates an additional metabolic burden on the liver due to exposure to the active ingredients of the herbal plant. This study concludes that consumption of traditional herbal medicine has the potential to affect liver function in pregnant women, although the effects have not yet reached pathological levels. Therefore, herbal medicine use during pregnancy should be done wisely, in a controlled manner, and in consultation with a healthcare professional. Further research with a longitudinal design, larger sample sizes, and laboratory analysis of herbal medicine ingredients is recommended to obtain a more comprehensive picture.
Effectiveness Of The Accreditation Program On Improving The Quality Of Services At Community Health Center X Rini Herdiani; Rahmat Pannyiwi; Rachmat Ramli
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.950

Abstract

The community health center accreditation program is a government effort to continuously improve the quality of primary health care services. Accreditation emphasizes quality improvement, patient safety, and service performance. This study aims to determine the effectiveness of the accreditation program in improving service quality at Community Health Center X. This study used a quantitative design with a cross-sectional approach. The research sample consisted of 50 respondents consisting of community health center patients, selected using accidental sampling techniques. Data were collected using a service quality questionnaire based on SERVQUAL dimensions. Data analysis used the Chi- Square test. The results of the study showed that there was a significant relationship between the implementation of the accreditation program and the improvement of service quality at Community Health Center X with a p value <0.05. The conclusion of this study is that the accreditation program is effective in improving the quality of health services at Community Health Center X.
The Relationship Between Rehabilitation Exercise Compliance And Mobility Recovery In Post-Orthopedic Surgery Patients Sultan Akbar Ibrahim; Rezqiqah Aulia Rahmat; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1471

Abstract

Background : Orthopedic surgery May cause mobility limitations due to muscle pain​ weakness , restricted range of motion , and tissue healing . Rehabilitation exercises are an important component of recovery , but their effectiveness is strongly influenced by patient adherence to the prescribed exercise program. Objective : To analyze the relationship between adherence to rehabilitation exercises and improvement in mobility scores among patients after orthopedic surgery. Methods : This study used a quasi-experimental one-group pretest-posttest design . The sample consisted of 60 postoperative orthopedic patients selected using consecutive sampling. Participants received a structured rehabilitation exercise program for 14 days . Exercise adherence was assessed based on the percentage of prescribed exercises completed , while mobility was assessed using mobility scores before and after the rehabilitation program. Pearson correlation and paired t- test were used for data analysis with a significance level of α=0.05. Results : The mean mobility score increased from 48.37 ± 9.14 before the rehabilitation program to 70.82 ± 8.76 after the program. The mean improvement was 22.45 points . Thirty-eight patients (63.3%) had high Adherence , 16 patients (26.7%) had moderate adherence , and 6 patients (10.0%) had low adherence . A significant positive correlation was found between rehabilitation exercise adherence and improvement in mobility scores (r=0.612; p<0.001). Conclusion : Higher adherence to rehabilitation exercises was associated with greater improvement in mobility scores among postoperative orthopedic patients . Structured rehabilitation exercises and adherence monitoring should be incorporated into postoperative orthopedic care.
The Negative Impact Of Consuming Traditional Medicine Made From Natural Herbs (Jamu) On The Knowledge Of Pregnant Women Rahmat Pannyiwi; Rezqiqah Aulia Rahmat; Rifqi Ferry Balfas
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1517

Abstract

Background: Traditional herbal medicines, including herbal remedies, are widely used in the community and can also be consumed by pregnant women. Limited knowledge regarding these aspects may increase the risk of inappropriate herbal use during pregnancy. Objective: This study aims to determine the impact of traditional herbal medicine consumption on pregnant women's knowledge regarding the safety and potential negative effects of herbal medicine use during pregnancy. Method: This study used a quantitative descriptive analytical design with a cross-sectional approach. This study involved 80 pregnant women selected using purposive sampling. Data were collected using a structured questionnaire that assessed knowledge about herbal medicine safety, consumption behavior, reasons for consumption, and potential risks during pregnancy. Data were analyzed using frequency distribution and cross-tabulation, with the Chi-Square test used to examine the relationship between knowledge level and herbal medicine consumption. Results: The results showed that 46 respondents (57.5%) had good knowledge and 34 respondents (42.5%) had poor knowledge. A total of 31 respondents (38.8%) reported consuming traditional herbal medicine during pregnancy. Among respondents with poor knowledge, 20 (58.8%) consumed herbal medicines, compared to 11 (23.9%) among respondents with good knowledge. Statistical analysis showed a significant association between knowledge level and herbal medicine consumption (p=0.003). Conclusion: Herbal medicine consumption during pregnancy was more common among respondents with inadequate knowledge. Improving the knowledge of pregnant women through appropriate health education and consultation with health professionals is important to minimize the inappropriate use of traditional herbal medicines during pregnancy.
The Effect Of Self-Management Education On The Quality Of Life Of Patients With Type 2 Diabetes Mellitus Rahmat Pannyiwi; Azmi Wijayati; Enka Nur Ishmatica; Dwi Ardyna Octa Sari; Suwardha Yunus
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1519

Abstract

Background : Type 2 diabetes mellitus is a chronic disease that requires continuous Inadequate self- management self-management May affect disease control and reduce patients ' quality of life . Self-management education is an important approach to improve patients ' knowledge , skills , and ability to manage diabetes daily life. Objective : This study aimed to determine the effect of self-management education on the quality of life of patients with type 2 diabetes mellitus. Methods : This study used a quantitative quasi-experimental design with a pretest-posttest control group approach . The respondents consisted of 80 patients with type 2 diabetes mellitus , divided into an intervention group (n=40) and a control group (n=40). The intervention group received structured self-management education covering dietary management , physical activity , medication adherence , blood glucose monitoring , foot care , prevention of complications , stress management , and healthy lifestyle . Quality of life was measured before and after the intervention. Results : The mean quality of life score in the intervention group increased from 61.45 before the intervention to 73.20 after the intervention , with an increase of 11.75 points . In the control group , the mean score increased from 60.90 to 63.10, with an increase of 2.20 points . Statistical analysis showed a significant difference in quality of life changes between the intervention and control groups ( p < 0.001 ). Conclusion : Self-management education had a significant positive effect on improving the quality of life of patients with type 2 diabetes mellitus .
The Effect Of Nurses' Therapeutic Approach On Reducing The Anxiety Level Of Families Of Critically ILL Patients In The ICU Rahmat Pannyiwi; Muh. Faizal Mardi Saleh
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1620

Abstract

Background : Admission of critically ill patients to the Intensive Care Unit (ICU) can cause anxiety among family members . Uncertainty about the patient's condition , unfamiliarity with the ICU environment , and limited communication May increase psychological stress . Therapeutic approaches by nurses can provide emotional support , information , and a sense of security to families. Objective : This study aimed to determine the effect of a nurse therapeutic approach on reducing anxiety levels among family members of critically ill patients in the ICU. Methods : This study used a quantitative quasi-experimental design with a one-group pretest-posttest approach . The respondents consisted of 40 families members of critically ill patients treated in the ICU. The nurse therapeutic approach included therapeutic communication , provision of information , active listening , emotional support , and opportunities for family members to express concerns . Anxiety was measured before and after the intervention using an anxiety questionnaire . Data were analyzed using the Wilcoxon Signed Rank Test. Results : Before the intervention , 27 respondents (67.5%) experienced moderate-to-severe anxiety . After the nurse therapeutic approach , only 10 respondents (25.0%) remained in the moderate-to-severe anxiety category . Statistical analysis showed a significant difference in anxiety levels before and after the intervention (p<0.001). Conclusion : The nurse therapeutic approach significantly reduced anxiety among family members of critically ill patients in the ICU. Therapeutic communication and emotional support should be integrated into holistic nursing critical care​ care settings .
Promotive And Preventive Methods In Combating The Spread And Abuse Of Drugs In A Repressive And Human Manner Mukriani Mukriani; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1651

Abstract

Background: Drug abuse remains a major public health issue affecting physical, psychological, social, economic, and security aspects of society. The increasing prevalence of illicit drug use, particularly among young adults and productive-age populations, requires comprehensive prevention and control strategies. Drug control should not rely solely on law enforcement but should also integrate health promotion, prevention, rehabilitation, and human-centered approaches. Objective: This review aims to analyze promotive and preventive strategies in combating drug abuse while examining the effectiveness of repressive and humane approaches based on current scientific evidence. Methods: A narrative literature review was conducted using publications retrieved from PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda. Articles published between 2020 and 2025 in Indonesian and English discussing health promotion, prevention, rehabilitation, harm reduction, and law enforcement related to drug abuse were included. Results: Health promotion through education, public awareness campaigns, community empowerment, and family resilience improves knowledge and regarding attitudes towards drug abuse. Preventive strategies including early detection, school-based interventions, environmental monitoring, and multisector collaboration effectively reduce risk factors. Repressive approaches remain essential for combating illicit drug trafficking, whereas rehabilitation and harm reduction provide significant benefits for individuals experiencing substance dependence. Conclusion: Effective drug control requires integrated promotive, preventive, repressive, and rehabilitative strategies. Public health and human rights-based approaches offer more sustainable outcomes in reducing drug abuse and improving the quality of life of affected individuals.
Co-Authors Achmad Hilal Amelia Darwis Andi Ernawati Manuntungi Anggeraeni Anggeraeni Ayu Sunarti. S Azmi Wijayati Baiq Nurainun Apriani Idris Dwi Ardyna Octa Sari Dwi Pratiwi Kasmara Edi Pramono Elvira Safidni Enka Nur Ishmatica Glory Gelarich Simanjuntak Glory Gelarich Simanjuntak Harnia Harnia Indrayadi Indrayadi Lorensius Lonik Lumastari Ajeng Wijayanti Madepan Mulia Meillisa C. Mainassy Muh. Faizal Mardi Saleh Mukriani Mukriani Rachmat Ramli Rezqiqah Aulia Rahmat Rezqiqah Aulia Rahmat Rifqi Ferry Balfas Rini Herdiani Rosmiati Rosmiati Rumiris Simatupang Sultan Akbar Ibrahim Sunanto Sunanto Suwardha Yunus Syaiful Bachri Tri Wahyuni Viyan Septiyana Achmad Yona Sahalessy Yudi Muammar