Indonesian Journal of Health Services
The Indonesian Journal of Health Services (IJHS) is committed to advancing research that supports the Sustainable Development Goals (SDGs), particularly SDG 3: "Good Health and Well-being." The journal focuses on a broad range of topics within health services and public health that address critical healthcare needs in Indonesia, Asia and also worldwide to contributing to global health improvement. The following are the primary areas of focus and scope for IJHS: Health Policy and Governance Research on policy development, healthcare regulation, and the impact of governance on health service quality, access, and equity. Healthcare Management and Quality Improvement Studies on healthcare organization, management practices, and strategies for quality improvement in health facilities and health systems. Primary Healthcare and Community Health Services Focus on strengthening primary healthcare and community-based health services, including maternal and child health, elderly care, and disease prevention. Public Health and Epidemiology Research on public health issues, epidemiological studies, and surveillance of infectious and noncommunicable diseases relevant to the region. Health Economics and Financing Economic analyses of healthcare costs, financing models, resource allocation, and economic impact of health policies. Environmental Health and Occupational Health Studies on the health impact of environmental factors, occupational hazards, climate change, and sustainable practices in healthcare. Healthcare Equity and Social Determinants of Health Research that addresses health disparities, social determinants of health, and initiatives to improve healthcare equity and access for vulnerable populations. Digital Health and Health Informatics Exploration of digital innovations in healthcare, such as telemedicine, electronic health records, and the application of artificial intelligence in healthcare delivery. Mental Health and Psychosocial Support Studies on mental health services, access to psychosocial support, and the integration of mental health into primary healthcare systems. Health Education and Health Promotion Research on effective health education, community health promotion programs, and interventions that encourage healthy behaviors and lifestyle changes.
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The Relationship between Self-Efficacy and Self-Care Management of Type II Diabetes Mellitus Patients
Umar Hasan Martadinata
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group
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DOI: 10.63202/ijhs.v1i1.1
Type 2 Diabetes Mellitus is a chronic disease whose prevalence is increasing globally. Self-efficacy, or belief in one's ability to manage self-care, plays an important role in controlling this disease. This study aimed to explore the relationship between self-efficacy and self-care management in T2DM patients. The design of this study was a cross-sectional study with 93 respondents selected using the Slovin formula. Inclusion criteria included patients aged ≥19 years, diagnosed with diabetes without acute complications, and willing to become respondents. Self-efficacy was measured using the Diabetes Management Self-Efficacy Scale (DMSES), while self-care management was measured using the Diabetes Self-Management Instrument (DSMI). Data analysis was performed by univariate and bivariate analysis using the chi-square method. Of the total 93 patients, 60 patients (64.5%) had good self-efficacy. A total of 56 patients (60.2%) had sufficient self-care management. Bivariate analysis showed that patients with good self-efficacy were more likely to have good self-care management (p-value = 0.017). The results of this study are consistent with Bandura's theory that self-efficacy plays an important role in the implementation of effective self-care. High self-efficacy contributes significantly to better self-care management in T2DM patients. Therefore, interventions that improve self-efficacy should be an integral part of diabetes care programs to improve health outcomes and quality of life of patients. It is recommended to conduct diabetes management skills training and provision of adequate social support to improve patients' self-efficacy
Strategies to Address Stigma and Discrimination of People with HIV/AIDS through Community System Strengthening
M Agung Akbar
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group
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DOI: 10.63202/ijhs.v1i1.2
The COVID-19 pandemic has diverted attention from the HIV/AIDS epidemic, despite the ongoing need for substantial attention. In Indonesia, HIV/AIDS cases continue to fluctuate, with a significant cumulative number, highlighting the importance of community involvement in prevention and treatment efforts. The main barrier to addressing HIV/AIDS is the stigma and discrimination faced by People Living with HIV/AIDS (PLWHA), which hinders their access to healthcare services and social support. This article examines the approach of Community System Strengthening as a strategy to reduce stigma and discrimination against PLWHA. Through education, community involvement, and continuous counseling, it is hoped that society can become more supportive and reduce the social stigma PLWHA face. This study also provides community-based intervention guidelines as a solution to enhance the health and well-being of PLWHA in Indonesia.
The Relationship between Knowledge and Adherence of Type II Diabetes Mellitus Patients in Treatment
M Agung Akbar;
Toto Harto;
Abdul Rahman Al Hakim
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group
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DOI: 10.63202/ijhs.v1i1.3
Diabetes Mellitus is a chronic disease that affects millions of people worldwide. Diabetes Mellitus is a group of metabolic diseases characterized by an increase in blood glucose levels (hyperglycemia), which occurs as a result of abnormalities in insulin secretion, insulin activity and both. In general, the aim of the study was to find out the relationship between knowledge and patient adherence with type II diabetes mellitus in treatment in the working area of Tanjung Baru Health Center in 2022. This research includes research using quantitative correlation methods with a cross sectional approach and a sample size of 30 people. The variables studied were presented in the form of a frequency distribution table and tested with univariate and bivariate analysis, namely by using demographic data questionnaires, knowledge level questionnaires and patient compliance. The results of the chi square test obtained a p value of 0.011, meaning that there is a relationship between knowledge and medication adherence in the Tanjung Baru Health Center UPTD Work Area in 2022 The conclusion in this study is that there is a relationship between knowledge and patient compliance with type II diabetes mellitus in treatment.
The Relationship between Knowledge Level and Smoking Habit Behavior with the Incidence of Pulmonary Tuberculosis Patients
Nurhayati;
Febrianti
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group
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DOI: 10.63202/ijhs.v1i1.4
Pulmonary Tuberculosis (TB) remains a significant public health issue worldwide, particularly in developing countries such as Indonesia. This disease is influenced by various factors, including knowledge level and smoking behavior. This study aims to analyze the relationship between knowledge level and smoking behavior with the incidence of Pulmonary TB in patients. A quantitative correlation approach with a cross-sectional design was used, involving 32 respondents selected by accidental sampling. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed a significant relationship between knowledge level and TB incidence (p = 0.020), and between smoking behavior and TB incidence (p = 0.022). These findings suggest that low knowledge and smoking behavior contribute to an increased risk of TB. Public health programs should focus on enhancing knowledge and reducing smoking habits to mitigate the risk of TB.
Effect of Diaphragmatic Breathing Exercise on Respiratory Rate and Oxygen Saturation in patients with Bronchial Asthma
Indra Frana Jaya KK
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group
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DOI: 10.63202/ijhs.v1i1.5
Asthma sufferers experience narrowing of the airways and cause increased tension in the airways so that recurrent episodic symptoms such as shortness of breath, wheezing, chest tightness, and coughing arise. Nursing management for asthma sufferers is to identify the triggers of asthma attacks. One of the nursing interventions to improve breathing and oxygen saturation in asthma patients is by doing Diaphragmatic Breathing Exercise Method: This study used a quasi-experimental approach with a one group pre-post test design. The number of respondents was 37 patients with bronchial asthma who were then given Diaphragmatic Breathing Exercise therapy. Sampling using purposive sampling data was collected by assessing the Respiratory rate and Oxygen saturation in the pre-test and post-test. Analysis in this study used the Wilcoxon test. Results: This study showed that the Respiratory rate showed an average pretest of 24.95 (SD = 1.649), posttest of 17.54 (SD = 1.789), and there was a significant difference in the Respiratory rate after being given Diaphragmatic Breathing Exercise therapy intervention (p = 0.000). Oxygen saturation showed an average pretest of 98.62 (SD = 0.681), posttest of 96.16 (SD = 1.068), and there was a significant difference in Oxygen saturation after being given Diaphragmatic Breathing Exercise therapy intervention (p = 0.000). Conclusion: The application of Diaphragmatic Breathing Exercise therapy can significantly reduce the Respiratory rate and increase oxygen saturation and can increase the efficiency of internal oxygen ventilation in post-patients with bronchial asthma. Suggestions for nurses in providing care to patients with bronchial asthma by educating Diaphragmatic Breathing Exercise therapy to reduce the Respiratory rate and increase oxygen saturation and also as a holistic approach in meeting basic needs for patients