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Bedjo Santoso
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Journal of Applied Health Management and Technology
Published by Poltekkes Kemenkes Semarang
ISSN : 27153061     EISSN : 2715307X     DOI : -
Core Subject : Health,
Health Professions
Journal of Applied Health Management and Technology is a national journal which publishes about health management and health technology.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 239 Documents
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THE APPLICATION OF A COMBINATION OF WARM COMPRESSES AND SLOW STROKE BACK MASSAGE WITH OLIVE OIL IN REDUCING THE HEADACHE SCALE OF HYPERTENSIVE PATIENTS AT DR. GONDO SUWARNO HOSPITAL Setiawan, Iwan Sulis; Rizal Ginanjar; Umi Margi Rahayu; Alvina Listiyani
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

Background: The 2023 Indonesian Health Survey found that the prevalence of hypertension in the population aged >18 years was 30.8%. Hypertension is the leading cause of death worldwide. The initial symptoms of hypertension are asymptomatic, characterized only by an increase in blood pressure. Most people with hypertension complain of tight necks to headaches that create discomfort in the head area. Objective: To explain nursing care in hypertensive patients with warm compresses and slows stroke back massage in lowering the scale of headaches. Methods: This case study uses a descriptive method by applying an evidence-based practice that focuses on one of the nursing problems. Results: In a case study conducted on 3 respondents who experienced headaches due to hypertension by being given a combination of warm compresses and slow stroke back massage for 6 meetings, there was a decrease in pain scale. In Mrs. W, the initial pain scale was 4 after the intervention to a pain scale of 1. In Mr. K, the initial pain scale of 5 after the intervention became 1. In Mr. M, the initial pain scale was 4 after the intervention, the pain scale became 1. Conclusion: The application of a combination therapy of warm compresses and slow stroke back massage with olive oil is effective in reducing pain.Keywords: Warm Compress; Slow Stroke Back Massage; olive oil; headache; Hypertension.
DEPRESSION IN DIABETIC FOOT ULCERATION: THE ROLES OF HEALTH LITERACY, PERCEIVED WOUND SEVERITY, AND RESILIENCE Adiyanto, Lelik
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

Depression is a prevalent psychological comorbidity among patients with Diabetic Foot Ulcers (DFUs), significantly hindering wound healing and diminishing quality of life. This study aimed to analyze the influence of health literacy and patient perception of wound stage on depression, with resilience acting as a mediating variable. Employing a quantitative approach, the research utilized Partial Least Squares Structural Equation Modeling (PLS-SEM) for analysis. A sample of 102 DFU patients was recruited from wound care networks in the Central Java region. The findings revealed that health literacy significantly impacted resilience (F² = 0.238) and directly contributed to reduced depression levels (F² = 0.205). Patient perception of wound stage also demonstrated a moderate influence on resilience (F² = 0.203) and a strong influence on depression (F² = 0.500). Resilience itself exhibited a moderate effect on depression (F² = 0.213). Mediation analysis indicated that both health literacy and perception of wound stage indirectly affected depression through resilience, with a p-value < 0.05 for both mediation pathways. In conclusion, this study demonstrates that health literacy and the perception of wound condition significantly influence the level of depression in DFU patients, both directly and indirectly through the mediation of resilience. Enhancing health literacy and fostering a positive perception of the wound through psychosocial approaches can be crucial strategies in mitigating the risk of depression. Furthermore, interventions aimed at strengthening resilience should be integrated into DFU care programs to improve the mental well-being and overall quality of life of these patients.
RELATIONSHIP BETWEEN FLUORINE CONTENT OF DRINKING WATER AND DENTAL CARIES IN COASTAL COMMUNITIES OF TELAGA BIRU VILLAGE, SOROPIA DISTRICT nuraisya, nuraisya; Afdilla, Nia; Ainul, Nurul
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

latarbelakang: flour merupakan unsur kimia yang paling mempengaruhi presentase karie gigi. flour bekerja untuk menghentikan metabolisme bakteri plak,  yang memiliki kemampuan untuk memfermentasikan karbohidrat melalui konservasi hidroksiapatid pada email menjadi flourapatit. Flour apatit menghasilkan email yang tahan terhadap pelatutan asam, yang menghambat demineralisasi dan mendorong remineralisasi yang merangsang perbaikan dan penghentian karies. Karies gigi merupakan penyakit pada jaringan karies gigi yaitu email, dentin dan cement yang disebabkan oleh aktivitas karbohidtar yang dapat beragi. Karies gigi merupakan infeksi rongga mulut yang paling banyak ditemukan pada anak usia dini hingga usia lanjut. Tujuan penelitian : ini adalah uneuk mengetahui hubungan kandungan kadar fluor air minum dengan karies gigi pada masyarakat pesisir di desa telaga biru kecamatan soropia. Jenis penelitian Obsevasional Analitik menggunakan pendekatan cross sectional. Sampel pada penelitian ini adalah 79 orang yang termasuk kriteria insklusif dengan teknik pengambilan sampel adalah teknik porposiv sampling. Hasil penelitian menunjukkan bahwa ada hubungan kadar flour air minum dengan karies gigi pada masyarakat pesisir di desa telaga biru kecamatan soropia. Kesimpulan kadar fluor air minum masyarakat pesisir desa telaga biri kecamatan soropia termasuk dengan kriteria rendah dengan jumlah 52 orang (66%) dan karies gigi gigi masyarakat pesisir desa telaga biri kecamatan soropia termasuk dengan kriteria sangat tinggi dengan jumlah 32 orang( 41%).
Implementation of Monitored Anaesthesia Care (MAC) in MRI Pediatric Examinations: A Review of Procedures and Side Effects HIDAYAT, FATHUR RACHMAN; PRANANDYA, BRIAN ILHAM
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

Magnetic Resonance Imaging (MRI) in pediatric patients presents significant challenges due to the difficulty children often experience in remaining still and cooperative during the procedure. Monitored Anesthesia Care (MAC) is frequently employed to address these challenges, ensuring both patient comfort and optimal imaging quality.This study aims to provide a detailed overview of the procedural protocol and potential adverse effects associated with the use of MAC in pediatric MRI examinations. A qualitative descriptive analysis was conducted based on a clinical case from the radiology department of a tertiary care hospital in Indonesia, supported by relevant literature review. Key procedural steps include pre-procedure assessment, laboratory testing, intravenous line placement, sedation administered and monitored by an anesthesiologist, continuous vital signs monitoring, airway management, and post-anesthesia recovery. Potential complications identified include allergic reactions to gadolinium-based contrast agents, local injection site bruising, hypothermia, airway obstruction, laryngospasm, post-sedation agitation, confusion, respiratory depression, and heightened anxiety due to the confined MRI environment. The report highlights the necessity of strict adherence to safety protocols, comprehensive patient preparation, and the availability of emergency equipment and trained personnel to mitigate risks. In conclusion, the use of MAC in pediatric MRI is a safe and effective strategy when performed with proper planning and multidisciplinary collaboration, enhancing diagnostic accuracy and patient safety.
PATIENT DETERMINATION FOR ODONTOECTOMY: ANALYSIS MINOR SURGERY CLINIC OF THE DENTAL AND ORAL HOSPITAL PADJADJARAN UNIVERSITY Handayani, Ratna Dwi; Rodian, Disti Rahayu; Utami, Ulfah; Praptiwi, Yanni Hendriani; Nurjanah, Neneng
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

Odontectomy is a curative procedure in the field of dental and oral surgery aimed at extracting impacted teeth. Patients’ decisions to undergo odontectomy are influenced by several factors, including knowledge, education, and economic status. The Dental and Oral Hospital of Universitas Padjadjaran (RSGM Unpad) is a specialized hospital that offers various dental services, including oral and maxillofacial surgery. This study aims to identify the factors influencing patients' decisions to undergo odontectomy at RSGM Unpad. This research is an analytical study with a cross-sectional design. A total of 30 respondents were selected using accidental sampling. The instruments used were questionnaires assessing knowledge level, educational level, economic status, and motivation for decision-making regarding odontectomy. Data analysis was conducted using Kendall's tau correlation test. The analysis of the relationship between knowledge and the decision to undergo odontectomy showed a significance value of 0.119 and a correlation coefficient of -0.269. The analysis of the relationship between educational level and the decision to undergo odontectomy resulted in a significance value of 0.541 and a correlation coefficient of -0.118. Similarly, the analysis of the relationship between economic status and the decision to undergo odontectomy yielded a p-value > 0.05, indicating no significant correlation. The p-value > 0.05 indicates that there is no significant relationship between knowledge level, educational level, and economic status and patients' decisions to undergo odontectomy in the Minor Surgery Clinic at dental and oral hospital Padjadjaran University.
OPTIMIZING WINDOW WIDTH AND WINDOW LEVEL VARIATIONS IN HEAD CT SCANS IN HEMORRHAGIC STROKE CASES Puspita, Mega Indah; Aini, Veny Nur; Isnoviasih, Susi Tri; Darmawan, Erwin
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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Abstract

CT scanning is a medical imaging technique that allows detailed visualization of structures within the body using X-ray radiation. The pixel intensity in the image is interpreted in Hounsfield Units (HU), which measure the relative density of tissue compared to water. WW and WL are two important parameters in adjusting the visualization of CT scan images, allowing radiologists to optimize the display of various tissue structures. WW is the middle value of the selected HU range. This value determines the grayscale intensity that is the center of the image contrast range. WL in tissue with a certain density, such as distinguishing between brain tissue and lesions or edema. The purpose of this study is to optimize the use of parameters to improve image quality and diagnostic accuracy and determine the optimal WW and WL. This research supports secondary transformation in the health care system, in improving the quality of clinical services through innovation in diagnostic technology.This research is an experimental study. Direct measurements were made of variations in 10 window width values and 3 window level values. After data collection, three radiologists assessed the data using a questionnaire. A kappa test was performed to assess the agreement or similarity of observer perceptions in assessing the questionnaire. Data analysis was performed using the Kolmogorov-Sprinov test to determine the appropriate test. The normality test yielded a p-value > 0.05, indicating that the data were normally distributed.The Kappa test results of 0.82 with p <0.001 indicate that there is a very good level of agreement or agreement between observers in assessing the quality of CT Scan images. The Kolmogorov-Smirnov results show that the data distribution is normal with a p value = 0.120 (p > 0.05), thus fulfilling the requirements for parametric testing. The results of the Paired T-Test show differences in image quality between WW and WL. Window Width at 95 with Window Level 35 is proven to provide the most optimal image quality and produces the highest score (mean = 4.5). And shows better contrast between the area ofbleeding and normal brain tissue, so that bleeding can be clearly identified. The clarity of brain anatomy is also better seen compared to wider or narrower WW variations. In addition, the noise level is relatively low, so it does not interfere with the radiologist's interpretation in assessing the image.
Digital Maternal Health Education: Exploring the Potential of Mobile Applications for Anemia Prevention Widiastuti, Dhias; Dhita Aulia Octaviani; Rafika Fajrin
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v7i2.14027

Abstract

Anemia during pregnancy remains a major public health concern in Indonesia, with a prevalence of 37.1% reported in 2020. Despite ongoing iron supplementation programs, mild anemia continues to occur, potentially leading to maternal and neonatal complications. Mobile health applications offer innovative opportunities to enhance maternal knowledge and self-monitoring practices. This study aimed to develop and evaluate a prototype of a mobile-based anemia education application for pregnant women. A pre-experimental study involving 30 pregnant women aged 31–43 years at Puskesmas Ngesrep, Semarang, was conducted. Hemoglobin (Hb) levels were measured and participants were guided to use the application, which included features such as anemia information, Hb input, automatic anemia classification, and prevention tips. Results showed that 90% of respondents had normal Hb levels, while 10% experienced mild anemia. Feedback on the application was overwhelmingly positive: 100% of respondents agreed the application was easy to use, informative, visually appealing, and helpful in understanding anemia, with willingness to use it again. These findings align with previous studies emphasizing the role of mobile health tools in maternal education. The study concludes that the application has strong potential for further development, particularly in content enhancement and interactive features. The prototype reached Technology Readiness Level (TRL) 4–5, validating the system in a limited setting. This work contributes to advancing digital maternal health solutions in Indonesia. Keywords: pregnant women; anemia; mobile application; health education; maternal literacy
Reconceptualizing Gratitude in the Digital Age: An Integrative Review of Subjective Well-Being and Online Interventions Ilham La Jamri,; Haerani Nur
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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This integrative review aims to synthesize the literature from 2015–2025 to analyze changes in practice and the effectiveness of digitally mediated gratitude interventions. This study uses an integrative review approach by synthesizing 21 selected studies that align with the PRISMA guidelines. The analysis focuses on digital gratitude expressions, evidence of effectiveness, and factors influencing online interventions. The review identifies three main findings: (1) The emergence of various digital gratitude expressions (e.g., personal journaling apps to social media posts). (2) Strong randomized controlled trial evidence indicates that digital gratitude interventions significantly improve subjective well-being, often through reducing negative thoughts. (3) Intervention effectiveness is influenced by design features such as guidance, task variation, and the integration of Artificial Intelligence (AI). This study proposes a reconceptualization of gratitude in the digital age as a multifaceted phenomenon, encompassing new dimensions such as performative, archived, and mediated gratitude. This conceptualization has important implications for positive psychology theory and the design of future digital interventions. Keywords: Gratitude, Digital, Online Interventions, Subjective Well-Being, Reconceptualization
DETERMINANTS OF ANEMIA AMONG ADOLESCENT GIRLS: IMPLICATIONS FOR STUNTING PREVENTION Amartha, Tecky Afifah Santy; Vina Aditya Astuti; Dewi Andang Prastika
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v7i2.14050

Abstract

Anemia in adolescent girls is a global public health issue that affects nutritional status and future reproductive outcomes. Adolescents with anemia are at higher risk of delivering stunted offspring, making anemia prevention essential in breaking the intergenerational cycle of malnutrition. This study aimed to analyze factors associated with anemia among adolescent girls as an effort to prevent stunting. This cross-sectional study was conducted at SMPTQ Pangeran Diponegoro, Semarang, from August to December 2023. A total of 92 female students aged 10–15 years who met the inclusion criteria were selected using total sampling. Data were collected using questionnaires and physical measurements, including hemoglobin levels, BMI, MUAC, and dietary intake. Data were analyzed using chi-square tests (α = 0.05). The prevalence of anemia was 25%. Menstrual duration was significantly related to anemia (p = 0.041; RR = 2.188). Other factors (BMI, MUAC, breakfast habits) were not significant. Menstrual duration was significantly associated with anemia among adolescent girls. School-based anemia screening and nutrition education are recommended to prevent anemia and future stunting.

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