Publication Search

This study offers a comprehensive analysis of the integrated technology construct connecting physical and mental health services in conflict-affected Middle Eastern regions by employing confirmatory factor analysis within a Structural Equation Modelling approach. The research is based on 1,124 documents on digital health technology implementation published between 2017 and 2024 across fourteen countries. The measurement model demonstrates strong goodness-of-fit, evidenced by chi-square/df = 1.847, CFI = 0.971, TLI = 0.965, RMSEA = 0.041, and SRMR = 0.034, thereby confirming the structural soundness of the proposed framework. The analysis identifies four core dimensions—Digital Innovation (lambda = 0.893, CR = 13.672), Infrastructure Readiness (lambda = 0.847, CR = 12.184), User Competency (lambda = 0.819, CR = 11.453), and Sustainability (lambda = 0.865, CR = 12.738)—all significant at p < 0.001. Reliability indices are robust, with Cronbach's Alpha between 0.876 and 0.934, Composite Reliability ranging from 0.891 to 0.947, and Average Variance Extracted between 0.661 and 0.798, indicating strong internal consistency. The findings expand earlier digital health frameworks proposed by Mechael (2009) and Labrique et al. (2013) by emphasizing sustainability as a key component in conflict settings marked by limited resources. In contrast to Aranda-Jan et al. (2014), which addresses general technology adoption, this study underscores specific challenges in integrating both mental and physical health services in humanitarian contexts, thereby responding to the gap highlighted by Naslund et al. (2017) regarding fragmented digital mental health initiatives in crisis environments.

Supervision should be scheduled and programmed, and if conducted continuously, it can ensure that nursing care is delivered in accordance with nursing practice standards. According to data in Indonesia, the average supervision by ward heads is categorized as less than satisfactory at 49.3%, while only 50.7% is considered good. This indicates that ward heads in various hospital departments are perceived as less effective by nurses in implementing their leadership, particularly regarding supervision. A pre-survey revealed the absence of a scheduled supervision timetable, guidelines/SOPs for supervision, and documentation of supervision results. This study aims to evaluate the implementation of supervision at the surgical ward of Pringsewu Regional Public Hospital. Data collection methods, conducted on November 9, 2024, included interviews, questionnaires, and observations. The findings identified a nursing management issue: the suboptimal implementation of supervision at the surgical ward of Pringsewu Regional Public Hospital. The planned activities included socialization on the application of supervision, supervision flow, and optimal supervision techniques. The implementation of these activities took place on December 20, 2024, through the socialization of supervision practices. The evaluation results after the socialization in the surgical ward showed that supervision was being carried out effectively. The ward head, team leader, and five nurses recognized the critical importance of supervision in improving the quality of care in the surgical ward. It is expected that the ward head (supervisor) will conduct supervision according to the established schedule, guidelines, and job descriptions, thereby enhancing the quality of nursing care in the surgical ward to achieve optimal outcomes.

The sub-optimal execution of discharge planning often leads to an increase in readmission rates, ultimately resulting in patients bearing the costs of extended hospital stays. Data regarding the implementation of discharge planning in Indonesia reveals that 61% of nurses in Yogyakarta and 54% of nurses in Bandung do not conduct discharge planning Observational data indicated that nurses were not implementing discharge planning in accordance with the established Standard Operating Procedures (SOP) in the ward. The objective of this study is to evaluate the level of optimization in discharge planning practices at General Hospital of Pringsewu. Data collection methods conducted on November 9th 2024, involved interviews, questionnaires, and observations. The findings highlighted a nursing management issue that the sub-optimal implementation of discharge planning in the Surgical Ward at The General Hospital of Pringsewu. The planned intervention is to provide education on the importance of optimal discharge planning. The intervention was carried out on December 20th 2024, through educational sessions that emphasized the significance of discharge planning. Following the educational activity, there was a measurable improvement in the nurses' knowledge regarding discharge planning. Pre-test results ranged from 50% to 70%, while post-test results ranged from 80% to 95%. It is anticipated that the enhancement of nurses' knowledge will lead to the optimization of discharge planning practices in the surgical ward, thereby improving the overall quality of patient care provided by nurses.

d

Acute Respiratory Infection (ARI) is one of the major health issues contributing to high mortality rates among toddlers, both globally and in developing countries. This study aims to identify the effectiveness of eucalyptus oil steam inhalation therapy in regulating the respiratory rate of toddlers suffering from ARI in the working area of Meskom Public Health Center.This research employs a case study method with a descriptive design. The study population consists of 147 toddlers, with a sample of 16 toddlers diagnosed with ARI in the Meskom Public Health Center's working area. The research was conducted in December. The study results indicate that before administering eucalyptus oil steam inhalation therapy, toddlers' respiratory rates ranged from 30 to 47 breaths per minute, with a median of 41.94 breaths per minute. After the therapy, the respiratory rate changed, ranging from 28 to 46 breaths per minute, while the median remained at 41.94 breaths per minute. Based on these findings, it is recommended that the Meskom Public Health Center consider utilizing eucalyptus oil steam inhalation as an additional method in managing ARI in toddlers.

Palliative care for HIV patients aims to improve the quality of life and manage the symptoms experienced. Sufficient knowledge of nurses regarding this care is essential for providing optimal care. The purpose of this study was to describe the level of knowledge of nurses about palliative care in HIV patients. This descriptive quantitative study involved nurses working in hospitals treating HIV patients. Data were obtained through a questionnaire that measured nurses' knowledge of the principles of palliative care. Data analysis was done descriptively. The results showed that out of 60 respondents, 54 people (90.0%) had good knowledge, 5 people (8.3%) had sufficient knowledge, and 1 person (1.7%) had poor knowledge.

Background: One of the psychological problems often faced by the elderly, especially those living in nursing homes, is anxiety. Physical activity is one of the factors that plays a role in reducing anxiety. Compared to elderly people who are less active, those who are physically active usually experience lower levels of anxiety Method: This study used cross-sectional methodology and observational analytical design. Using the Slovin technique, 95 elderly residents of Panti Wening Wardoyo Ungaran and Panti Pucang Gading Semarang became the research sample. The Physical Activity Scale for the Elderly (PASE) questionnaire was used to measure physical activity, and the Beck Anxiety Inventory (BAI) was used to examine anxiety levels. The Gamma correlation test was used to analyze the data. Result: The research findings show that the majority of elderly people in this study do physical exercise regularly (48.4%) and experience mild anxiety (51.6%). With a p value of 0.027 (p< 0.05), the results of the correlation test indicate a strong relationship between anxiety levels and physical activity.Conclusion: There is a relationship between anxiety in elderly people and physical exercise.

Self-confidence and anxiety are the main factors that affect an athlete's performance during a match. High self-confidence has a positive impact on an athlete's ability to focus, control themselves, and perform optimally, while high anxiety tends to decrease an athlete's concentration, stamina, and performance. Data shows that many athletes in Indonesia experience anxiety before a match, which significantly affects their performance. Therefore, efforts to increase self-confidence and reduce anxiety levels are very important to help athletes perform optimally, achieve achievements, and bring pride to the nation. Quantitative research type with cross sectional approach. The sample used was 17-year-old athletes who participated in the 2024 Bahurekso Cup. The technique used in sampling was total sampling of 109 respondents. The correlation test used in this study was uci chi square. The results of the study using the Chi Square test obtained a p value = 0.000 (p <0.05) which means that there is a relationship between self-confidence and anxiety levels in athletes when facing matches. There is a close relationship between self-confidence and anxiety levels in facing athletic matches in Central Java.  

Congestive Heart Failure (CHF) is a chronic condition that causes impaired heart function in pumping blood, which can reduce oxygen levels in the body. The increasing incidence of CHF in Indonesia requires appropriate treatment to improve patient health status. One of the evidence-based practice (EBP) interventions that can be applied is the provision of a semi-Fowler position to increase oxygen saturation in CHF patients. This study aims to determine the effectiveness of providing a semi-Fowler position in increasing oxygen saturation in CHF patients undergoing treatment in the inpatient room of Siti Fatimah Hospital, South Sumatra Province. This study uses a qualitative approach with a descriptive case study method on three CHF patients who meet the inclusion and exclusion criteria. Data were collected through interviews, observations, and oxygen saturation measurements using an oximeter before and after the semi-Fowler position intervention for three days. The results showed an increase in oxygen saturation after the application of the semi-Fowler position in all respondents. In Mr. M, there was an increase in average oxygen saturation of 6%, in Mr. N by 3.3%, and in Mrs. N by 4.7%.

Complication rates among patients with Type 2 DM are increasing and worsening due to their inability to implement self-care management. However, this cause can be minimized if patients have good knowledge, self-efficacy, and family support. The study used a quantitative approach with a cross-sectional design. The sample consisted of 147 respondents with type 2 diabetes in Bandarharjo Community Health Center Semarang, who were selected using purposive sampling technique. The test used was chi square test. The study showed that most respondents had low knowledge (47.6%), poor self efficacy (44.2%), adequate family support (49.7%) and good self care management (46.3%). The results showed a relationship between knowledge, self efficacy and family support on self care management in Type 2 DM patients at Bandarharjo Semarang Health Center (p<?). The results showed that there is a relationship between knowledge, self efficacy and family support on self care management in patients with Type 2 DM at Bandarharjo Community Health Center Semarang.

Type 2 Diabetes Mellitus which is increasingly common is often accompanied by complications and psychological problems such as stress. The level of stress in diabetes patients can be influenced by family support which plays a crucial role in improving their quality of life. This study aims to examine the relationship between the level of family support and stress levels in patients with type 2 diabetes mellitus. The method used in this study is a quantitative approach with a cross-sectional research design. A total of 132 type 2 DM patients registered at the Genuk Health Center, Semarang, were randomly selected as samples. Data were analyzed using the Chi-Square test, and the results showed a significant relationship between family support and patient stress levels (p-value = 0.047). This indicates that adequate family support plays an important role in reducing stress in type 2 diabetes patients.

Chronic kidney failure is a terminal illness that requires hemodialysis therapy to sustain life. However, this therapy often impacts patients' quality of life, including physical, mental, social, and spiritual aspects. Low spiritual well-being can significantly affect the quality of life, causing stress, anxiety, and a decline in emotional balance. This research aims to analyze the relationship between spiritual well-being and the quality of life of hemodialysis patients, providing insights to support the improvement of their quality of life. This study is a type of Quantitative research with an Observational Analytic research design with a correlational study. Data collection was carried out using the KDQOL-SF and SWBS questionnaires. The number of respondents was 61 people with a total sampling technique. The obtained data were statistically processed using the Chi-square test. The result of this study shows that there is a relationship between spiritual well-being and the quality of life of hemodialysis patients with a P value = 0.000 (P value < 0.05). This study concludes that there is a significant relationship between spiritual well-being and the quality of life of hemodialysis patients. Improving spiritual well-being can enhance patients' quality of life; therefore, it is important to provide spiritual support in therapy to help patients overcome their health challenges.

Chemotherapy is an effective treatment for the destruction of cancer cells, but often causes side effects that affect the quality of life of patients, such as nausea, vomiting, hair loss, and fatigue. Chemotherapy patients need physical and psychological motivation to overcome these side effects. In these side effects, self-equipment is the key to treating and improving symptoms properly. The purpose of this study aims to determine how to manage self-care in patients undergoing chemotherapy. Quantitative research with a descriptive design Data were collected through purposive sampling techniques on 230 respondents. And statistical tests were used to process the data. Of the 230 respondents, most were women (53 percent), with an average age of 56-63 years (54.8%), the most recent education was PT/Academic (46.5%), most of the jobs were civil servants (32.2%), had undergone chemotherapy for <1 year (56.1%), the most cancer stage was stage IV (30%) and for the most side effects experienced hair loss/weight loss (42.2%). In this study, self-care management in the adaptive category was (66.5%) and in the maladaptive category (33.5%). It can be concluded that self-care management is very effective in reducing the side effects of chemotherapy.

Menopause was a phase of a woman’s life that occurred at the end of the menstrual cycle. In this phase, women needed to prepare physically and psychologically to face menopause. One of the factors that affected this preparation was family support. This study aimed to determine the relationship between family support and women’s readiness to face menopause. This study was a type of quantitative research with a cross-sectional research design. Sampling by purposive sampling technique with a sample of 77 respondents was statistically processed using the Gamma Test. The results of this study showed that there was a relationship between family support and women’s readiness to face menopause with P value < 0.05 and a correlation value of 1.000, which meant that the correlation between the two variables was very strong. There was a relationship between family support and women’s readiness to face menopause, a very strong correlation that meant that women with high support had readiness to face menopause, and women with low support did not have readiness to face menopause.

Chronic kidney failure or chronic kidney disease (CKD) is a non-communicable disease that has increased the prevalence of mortality and morbidity in the last 20 years. The prevalence according to RISKESDAS in 2013 showed CKD was 2% and increased to 3.8% (739,208) in 2018. Dialysis is a kidney replacement therapy (TPG) which is used to prevent kidney deterioration. TPG carried out throughout life will change the patient's life physically, cognitively, psychologically, socially, and spiritually. When undergoing dialysis, patients experience ambivalent feelings towards the hemodialysis process that they are currently undergoing, namely positive feelings in the form of happiness when washing freely and negative feelings including feelings of anxiety and worry about the disease they are experiencing. This study aims to determine the existence of family relationships and the length of undergoing hemodialysis on the level of anxiety in patients with chronic kidney failure at Hospital X Jakarta. The method used is quantitative analysis with a cross-sectional research design on 45 respondents with the Spearman Rank correlation test. The results show a significant relationship between family support and the length of time undergoing hemodialysis with the level of anxiety in chronic kidney failure patients with values of ? = 0.001 < ? and ? = 0.007 < ?, correlation coefficient (rs) = 0.472 and (rs) = -0.397, so H0 is rejected and H1 is accepted with a moderate level of significance. In conclusion, family support and the length of time undergoing hemodialysis have a moderate relationship to anxiety levels in chronic kidney failure patients.

Globally, cervical cancer was the fourth most common cancer among women, with low screening coverage contributing to the high number of cases diagnosed at an advanced stage. This study aimed to identify the factors influencing women's compliance with cervical cancer screening through IVA or Pap smear examinations. The research employed a quantitative method with a cross-sectional design. The study sample consisted of 112 respondents, selected using a simple random sampling technique. Data were analyzed using descriptive frequency tests, chi-square tests, and multiple logistic regression analysis.The results showed a significant relationship between several factors and women's compliance with early cervical cancer detection, including age (p=0.000), occupation (p=0.002), the number of children born (parity) (p=0.000), general health condition (p=0.018), distance to healthcare facilities (p=0.006), level of knowledge (p=0.021), family support (p=0.011), and the role of healthcare workers (p=0.000). However, education (p=0.104) did not show a significant relationship. Based on the multiple logistic regression analysis, the most influential factor affecting women's compliance with early cervical cancer detection was age (p=0.045).

Husband support and spiritual values are very useful to accelerate recovery and can reduce the risk of complications during pregnancy or other postpartum problems such as postpartum depression in the mother. The purpose of this study is to find out the influence of husband support and spirituality values on postpartum maternal depression. This research is a type of quantitative research with a cross-sectional approach. The sample used was postpartum mothers on the 3rd - 2nd day postpartum in the work area of the Rembang Health Center. The number of respondents in this study amounted to 85 people with the technique used being total sampling. The data obtained were processed statistically using the sommers'd correlation test. The results of this study show that the majority of respondents at the age of risk are 67.1%, the majority of mothers' education is at the high school/vocational education level as much as 48.2%, the majority of mothers' employment as IRT is 71.8%, the majority of children owned by mothers are 1 child as much as 50.6%, mothers who get the support of supportive husbands as much as 91.8%, mothers who have high spiritual value as many as 95.3%,  and mothers who do not experience depression (normal) as many as 38.8%. the results of the test of the relationship between husband support and postpartum maternal depression using the Somers'd test obtained a value of p = 0.003 (p < 0.05) and a value of r = 0.795 (0.60 – 0.799), the results of the test of the relationship of spiritual value to postpartum maternal depression using the Somers'd test obtained a value of p = 0.032 (p < 0.05) and a value of r = 0.827 (0.80 – 1.00), The results of the multivariate test of husband support and spiritual value on maternal depression using a multiple linear regression test on husband support obtained a value of p = 0.007 (p < 0.05) so that it can be concluded that husband support is the dominant factor influencing maternal depression. In conclusion , there is an influence of meaningful relationships with husband support and spiritual values on postpartum maternal depression.  

Background: Dengue fever is an endemic diseases caused by the dengue virus which is transmitted by the Aedes aegypti mosquito. Knowledge have a crucial role in preventing and controlling dengue fever. The purpose of this study is to examine the effectiveness of health education using the buzz group discussion method in increasing community understanding of dengue Methods: Quantitative research with quasi experimental design pre-test and post-test with Non-equivalent control group pretest-posttest. This study was conducted in Sidomulyo Timur with a total sample of 32 respondents chosen based on inclusion criteria using purposive sampling technique. Data analysis used is Wilcoxon test and Man-Whitney test. Results: There was an increase knowledge in the experimental group by 26.56%, with a good level of knowledge of 81.3% after being given health education by the buzz group method. Statistical tests obtained the results of the p value (0.000) < ? (0.05). Which means there is an increase in knowledge after the intervention. Conclusion: Health education using the buzz group method about dengue fever is effective in increasing community knowledge.

Most of the hypertension sufferers in RW 006 Sukmajaya Village, Bogor Regency are >60 years old (elderly). One treatment option for hypertension sufferers is non-pharmacological therapy or herbal treatment. The research aims to determine the effect of giving bay leaf boiled water on reducing blood pressure in elderly people with hypertension. This type of research is quantitative with a Quasi-Experimental research design with a Two Group Pretest and Posttest Design. The sample in this study was 20 elderly people suffering from hypertension in RW 002 Sukmajaya Village, Bogor Regency, including 10 respondents as the Intervention group and 10 respondents as the Control group. Determining the number of samples using Purposive Sampling. This research data was processed using the Independent Sample T-test statistical test. Based on the statistical test results, the systolic blood pressure in the intervention group showed a p-value of 0.000 < 0.05 from the paired samples test, and the diastolic blood pressure showed a p-value of 0.005 < 0.05. Meanwhile, in the control group, the systolic blood pressure showed a p-value of 0.087 > 0.05 from the paired samples test, and the diastolic blood pressure showed a p-value of 0.093 > 0.05. It can be concluded that in the intervention group, the administration of boiled bay leaf water had an effect on reducing blood pressure in elderly individuals with hypertension. Meanwhile, in the control group, there was no change in blood pressure among elderly individuals with hypertension in RW 006, Sukmajaya Village, Bogor Regency, in 2025.

Kava (Piper Methysticum) is a plant traditionally used in the South Pacific for its sedative and anxiolytic effects. Its active compounds, kavalactones, are known to have potential as natural anesthetics, with a mechanism of action similar to benzodiazepines and general anesthetics. This study aims to evaluate the effectiveness of Kava as an anesthetic through a systematic literature review and meta-analysis. Literature searches were conducted in PubMed, Scopus, and Cochrane Library using relevant keywords. Meta-analysis results indicate that Kava significantly enhances anesthetic effects compared to placebo, primarily through modulation of GABA-A receptors. However, further research is needed to determine the optimal dosage and long-term safety.