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Pengalaman Tenaga Kesehatan dalam Melakukan Tes HIV pada Ibu Hamil di Puskesmas Rita Ismail; Nurdahlia Nurdahlia; Titi Sulastri; Santa Manurung; Syafdewiyani Syafdewiyani; Sri Yona
Jurnal Keperawatan Vol 8 No 1 (2023): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v8i1.997

Abstract

The number of new HIV cases in DKI Jakarta is increasing every year. The East Jakarta has the highest incidence of HIV cases. The increasing number of HIV cases is not followed by awareness of HIV test, especially pregnant women. The purpose of this study was to obtain an overview of the experience of health care providers in performing HIV tests on pregnant women. The research method was descriptive narrative with participants from health workers who did HIV tests on pregnant women. The research was conducted at two Community Health Center in East Jakarta. Interviews used structured questions, conducted for 30 – 55 minutes, and recorded using a digital voice recorder with 13 participants. The data were analyzed using content analysis techniques. The four themes emerged including HIV test was mandatory for pregnant women at the first visit (K1); emphasizing on explaining the benefits of HIV test for prevention of HIV transmission in children; coordinating in the implementation HIV test for pregnant women and handling of those who are HIV positive; and challenges in implementing HIV test. in pregnant women. Health education about the importance of HIV test for pregnant women should be done from an early age. Additional of reagents HIV test for mothers from other regions is needed. The results of this study are expected to be input in improving the quality of HIV test for pregnant women.
Pengaruh Pendidikan Kesehatan Tentang HIV di Sekolah dalam Eliminasi Stigma Pada Orang Dengan HIV/AIDS Rita Ismail; Syafdewiyani Syafdewiyani; Sri Yona
The Indonesian Journal of Infectious Diseases Vol. 9 No. 1 (2023): The Indonesian Journal of Infectious Disease
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v9i1.167

Abstract

dengan angka 70.509 sejak 1987 hingga Desember 2020. Kemenkes melaporkan terdapat 31% kasus AIDS usia 21-29 tahun yang mengindikasikan mereka terinfeksi sejak usia muda/remaja, 5 – 10 tahun sebelumnya. Orang hidup dengan HIV (ODHA) tidak hanya berjuang dengan masalah kesehatan tetapi juga stigma dari lingkungannya. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan mengenai HIV dalam eliminasi stigma terhadap ODHA pada siswa SMPN di Jakarta Timur. Metode: Penelitian kuasi eksperimen berupa pemutaran video, pemberian mengenai HIV dan stigma pada ODHA, pembagian booklet, dan penjelasan video serta booklet. Data dianalisis menggunakan T-test. Hasil: Terdapat 71 respoden dalam penelitian. Terjadi peningkatan pengetahuan mengenai HIV dan penurunan yang signifikan pada stigma pada ODHA setelah dilakukan intervensi (p value <0,05). Tidak terdapat hubungan yang signifikan antara stigma pada ODHA dengan jenis kelamin, kelas, pendidikan ayah, pendidikan ibu, pekerjaan ibu, dan info mengenai HIV. Hasil uji korelasi menunjukkan adanya hubungan signifikan antara stigma pada ODHA dengan pengetahuan mengenai (p value = 0,002 dengan korelasi -0,36). Kesimpulan: Semakin tinggi pengetahuan mengenai HIV maka semakin rendah stigma pada ODHA. Hasil penelitian ini diharapkan menjadi masukan dalam mengembangkan program untuk dalam upaya eliminasi stigma pada ODHA pada siswa SMP dengan menggunakan media berupa video dan booklet.  
Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study Sri Yona; Chiyar Edison; Astuti Yuni Nursasi; Rita Ismail
Belitung Nursing Journal Vol. 9 No. 2 (2023): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2480

Abstract

Background: Adherence to antiretroviral therapy (ART) continues to pose a significant challenge for people living with HIV (PLWH). Non-adherence to ART can have far-reaching implications for patient well-being, particularly in increasing the risk of opportunistic infections when medication is not taken as prescribed. Objective: This study aimed to develop a theoretical model that explains how PLWH in Indonesia adhere to their ART regimen and the strategies they follow to maintain adherence. Methods: The study used a grounded theory approach. Data were collected through face-to-face in-depth interviews with 21 PLWH who had been taking ART for six months or more at a non-governmental organization (NGO) in Jakarta, Indonesia, between July 2019 and November 2019. Theoretical sampling was used, and the data analysis method of Corbin and Strauss was utilized, including open coding, axis coding, and selective coding. Results: Three stages were identified as a process of adherence to the ART regimen: 1) initiating ART, 2) missing the connection, and 3) taking control. Self-awareness was identified as the central core theme describing the ART adherence process. Conclusion: Having adequate self-awareness to take ART regularly is crucial to improving adherence to ART. Moreover, social support from one’s spouse and family members can help patients maintain adherence. Therefore, self-awareness and support systems should be included as components in nursing interventions when starting ART therapy. In addition, nurses can help identify potential support persons and provide information related to ART therapy.
Optimizing Antenatal Care: The Effects of a Holistic Nursing Android Application for Pregnant Women Desmawati Desmawati; Rita Ismail
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024) in progress
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.61661

Abstract

Background: During the COVID-19 pandemic, face-to-face Ante Natal Care (ANC) services were limited. To address this, we developed the Android digital application “Guide Me” based on a holistic care concept to optimize ANC.Purpose: This study aimed to evaluate the effect of the Android digital application “Guide Me” on optimizing ANC.Methods: This study used an experimental research design. The participants included 302 pregnant women selected through block randomization, with 160 in the intervention group and 142 in the control group. The intervention involved providing ANC services using a digital Android application at home, with health services visited only when treatment was necessary. The intervention group received usual care along with the Android application, “Guide Me”, which included a holistic nursing concept program, while the control group received only the usual care. Data were collected three times, and the ANC scale was used to measure ANC optimization. Repeated measures ANOVA was used to analyze the data.Results: Significant differences were found in ANC optimization between the intervention and control groups ([F= 96.887, df (1, 300), p <0.001]). The intervention group showed significant improvements over three time points [F= 118.35, df (1, 308), p <0.001], with ANC optimization increasing from 45.79 to 59.16 in the intervention group compared to 44.09 to 45.77 in the control group.Conclusions: The “Guide Me” program effectively increased ANC optimization. Pregnant women reported feeling more at ease with home-based care and showed a preference for online apps and telemonitoring as alternatives to hospital visits. Healthcare providers may consider implementing this program in all antenatal clinics across Indonesia
PENDAMPINGAN IBU MENYUSUI OLEH KELOMPOK LANSIA PEDULI ASI (KLP-ASI) DALAM MENGATASI MASALAH MENYUSUI UNTUK MENCEGAH STUNTING DI KELURAHAN LUBANG BUAYA KECAMATAN CIPAYUNG Deswani, Deswani; Mulyanti, Yuli; Ismail, Rita; Nurul M, Andini; Nur M, Azzahra; Sari A. T, Amelia; Eki R, Dea
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 2 No 2 (2023): JPKM PUSTINGKIA JULI 2023
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v2i2.548

Abstract

The Exclusive Breastfeeding Program has been established by the government. However, the coverage of Exclusive Breastfeeding in 2023 in the Lubang Buaya sub-district still needs to be below the achievement of the Cipayung District, namely 51%. This community service aims to train and assist breastfeeding mothers through the Nursing Care for Breastfeeding Elderly group, formed in November 2022 in the Lubang Buaya sub-district. This activity aims to reach as many as 20 people in Lubang Buaya Village, Cipayung District, in May 2023 as many as 20 people. The method of this service activity is to assist breastfeeding mothers by KLP-ASI with as many as 15 people. Results: from the Lubang Buaya Subdistrict Office on May 20 2022. The results showed an increase in the knowledge and skills of older people in assisting mothers with breastfeeding. Conclusion: the breastfeeding mother assistance activities by the Breastfeeding Care Elderly Group / KLP-ASI were effective in helping mothers overcome the breastfeeding problems they faced that indicted by increasing the average of knowledge attainment of breastfeeding mothers, the elderly, and cadres from 84.55% to 94% (10-point increase).
Reproductive Health Information Application Using E-Mobile in Readiness to Face Menarche in Teenage Girls in East Jakarta Syafar, Syafdewiyani; Ismail, Rita; Puteri, Tiara Primanda; Deswani, Deswani
Jurnal Keperawatan Vol 9 No 2 (2024): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i2.1416

Abstract

Preparedness for menarche can be achieved by providing information and attention to young women when facing menarche so that they will be calmer and ready to welcome the arrival of menarche. The initial survey, conducted by the researchers using an interview method involving four elementary school students who had experienced menarche, revealed that they experienced panic and embarrassment when facing menarche. They did not obtain information on menarche from their parents (mothers). Several findings have shown that their readiness to face menarche is still low. Mothers' awkwardness in providing information directly to young women can be overcome by using media in the form of e-mobiles or the internet. A pre-experiment using a single-group pretest-posttest methodology without a control group is the type of study design that will be used. The study variable was teenage girls' knowledge of reproductive health in preparation for menarche. A t-test was used for data analysis. The study was conducted between March and December 2023. SD Negeri 07 Pagi in the Ciracas District of East Jakarta served as the research site. The study population consisted of female pupils in classes 3, 4, 5, and 6 who had not yet reached menarche. Adolescent reproductive health, young women's preparation for menarche, and views on the usage of menarche information were the topics covered in the questionnaire. The initial readiness variable (pre-test) of young women and the results of the readiness (post-test) of young women after obtaining reproductive health information using the women's menarche information application obtained a Sig. (2-tailed) of 0.000 < α (0.05), as did the Paired T-test of the initial understanding variable (pre-test) of teenage girls with the variable of understanding results (post-test) of teenage girls. Young women's pre- and post-test understandings and readiness differed significantly from one another. They also differed significantly from one another in terms of their initial readiness and subsequent readiness following the use of the menarche information application to obtain reproductive health information.
The Effects of Health Education on HIV through Audio Visual Media on HIV Prevention Behavior among Adolescents in a High School in Tangerang Silvia Putri Angelica; Rita Ismail; Desmawati; Lina Ayu Marcelina
NERS Jurnal Keperawatan Vol. 21 No. 1 (2025): NJK Volume 21, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i1.250

Abstract

Adolescents are a group at risk of HIV exposure. At this age, adolescents have a high curiosity, so if it is not followed by an attitude that cares about HIV prevention efforts, then the attitude will lead adolescents to behave at risk of HIV, such as premarital sex and injecting drug use. One preventive method that can be taken is to provide education through audio-visual media. This media can help improve learning outcomes and motivation. This study aims to analyze the impact of health education about HIV through audio-visual media on HIV prevention behavior among adolescents in a high school in Tangerang Regency. The study method was quantitative with a quasi-experimental design using one group pre-post design. Instrument of the study was Sexual Behavioral Abstinence and Avoidance of High-Risk Situation Questionnaire (SBAHAQ). Respondents were selected using purposive sampling. The respondents watched audio-visual media (6:50 minutes) about HIV prevention. The pre-test was conducted before the intervention and the post-test was conducted 21 days after the intervention. The total number of respondents was 59 and age ranged between 15 and 18 years. The average score of HIV prevention behavior increased from 11.03 to 13.27 after the intervention with p value 0,001. Health education delivered through audio-visual media about HIV prevention can improve prevention behavior among adolescents in a high school in Tangerang Regency. Audio-visual media can be used in school learning, to make it easier for adolescents to understand HIV prevention behavior and an audio-visual media can be used to increase adolescent behavior in prevention HIV.
RELATIONSHIP BETWEEN SLEEP QUALITY AND ACADEMIC STRESS WITH PREMENSTRUAL SYNDROME IN FINAL-YEAR NURSING STUDENTS Rangkuti, Kayla Syakira; Ismail, Rita; Marcelina, Lina Ayu; Desmawati, Desmawati
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1985

Abstract

Premenstrual Syndrome (PMS) is a common condition among menstruating women, often influenced by factors such as sleep quality and stress levels. Final-year female students are particularly vulnerable to sleep disturbances and academic stress. This study analyzes the relationship between sleep quality and academic stress with PMS among final-year nursing students at UPN “Veteran” Jakarta. A Cross-Sectional design was used, and data was collected in November 2024. The study involved 188 final-year students: Bachelor of Nursing (79 respondents), Diploma in Nursing (45 respondents), and Professional Nurse Education Program (64 respondents), selected through Stratified Convenience Sampling. Pittsburgh Sleep Quality Index (PSQI), Student-Life Stress Inventory (SLSI), and Shortened Premenstrual Assessment Form (SPAF) were used to measure sleep quality, academic stress, and PMS. Data were collected via online questionnaires and analyzed using the chi-square test. Results revealed a significant relationship between sleep quality (p = 0.000; OR = 5,989) and academic stress (p = 0.000; OR = 28,761) with PMS. Students with poor sleep quality had a 6-fold higher risk of severe PMS, while those with high academic stress had a 29-fold higher risk. This study emphasizes the importance of maintaining healthy lifestyles, such as improving time management to enhance sleep quality and adopting coping strategies to reduce academic stress, thereby minimizing PMS complaints
The role of community-based organizations in improving rural female adolescents’ knowledge, attitude, and haemoglobin level Apriningsih, Apriningsih; Ismail, Rita; Ciptaningtyas, Ratri; Sugiyatmi, Tri Astuti; Angkasa, Dudung; Nadheem, Fathimath Ana
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.24321

Abstract

Addressing the prevalence of anemia in female adolescents requires the active engagement of multiple sectors. The COVID-19 pandemic has hampered the school-based weekly iron folate supplementation (WIFAS) program which may lead to an increased anemia prevalence in female adolescents. The role of community-based organizations in assisting preexisting programs is supposed to alleviate the prevalence effectively. This study aimed to analyze the role of a community-based organization (CBO) consisting of youth organizations and integrated services post cadres in a program to improve hemoglobin level in Sirnagalih Village, Bogor, West Java, Indonesia. This pre-experimental study involved 89 female adolescents. After the intervention conducted by the CBO, significant differences were identified in the level of knowledge, attitudes, and hemoglobin (Hb) levels of female adolescents (p<0.05). The linear regression test obtained a statistical model equation related to female adolescents' Hb levels after being assisted by the CBO (R = 0.821, p = 0.000). The variable role of CBO, understanding media information, initial Hb level, adherence to consuming WIFAS, and habits to consume iron enhancer food of female adolescents can explain the Hb levels as much as 82%.