http://localhost:8080/xmlui/handle/123456789/100 2026-04-25T09:40:20Z http://localhost:8080/xmlui/handle/123456789/12329 Title: Development and Preliminary Validation of NIHSS-SDKI and CNS-SDKI Tools for Nursing Diagnosis in Stroke Care Authors: Eka Fitriana, Erlis; Haryanto, Haryanto; Supriadi, Supriadi; Hastuti, Lidia; Surtikanti, Surtikanti Abstract: Introduction: Accurate assessment of stroke severity is a critical component of nursing care. The NIHSS and CNS are standardized neurological instruments commonly used to evaluate stroke severity. Integrating NIHSS and CNS with the Indonesian nursing diagnosis standard (SDKI) offers practical benefits for nurses, as SDKI is tailored to the conditions of patients in Indonesia. Objective : The objective of this study is to evaluate the effectiveness of combining NIHSS and CNS severity assessments with SDKI in improving the accuracy of nursing diagnoses and determining stroke severity in patients. Methods: The research design used was Randomized Controlled Trial (RCT), single blind. The sample consisted of 55 stroke patients admitted to the neurological care unit using probability sampling technique with a simple random sampling approach, where sampling was carried out in accordance with predetermined inclusion criteria: non hemorrhagic stroke patients, respondents' age > 18 years, and willing to become research subjects. Assessment of severity was carried out using the NIHSS and CNS instruments, which were combined with the SDKI to determine nursing diagnoses. Assessment was carried out for 5 days of patient care. Results: Mann-Whitney test analysis in the NIHSS group and CNS group showed a p-value> (0.05), meaning that there was no difference between the application of NIHSS and CNS assessment on determining the degree of severity and the number of nursing diagnoses in stroke patients. Conclusions: This study shows that both NIHSS-SDKI and CNS-SDKI are effective in detecting changes in the clinical condition of stroke patients from day one to day five 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12327 Title: A survey of suicide risk among university students across three regions in Java, Indonesia Authors: Yunitri, Ninik; Rochmawati, Erna; Dwi Susanti, Henny; Nuraenah, Nuraenah; Rayasari, Fitrian; Chairunnisa, Dea; Salsabila, Sephia; Septiawantari, Rani; Slametiningsih, Slametiningsih Abstract: Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college students. Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island, recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide risk. The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes. Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal ideation, suicide planning, and self-control in relation to age, sex, and year of study. Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems. Gender was found to be significant predictor of overall suicide risk, ideation and self-control. Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent suicide and promote mental well-being. 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12326 Title: Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s COVID-19 response Authors: Ardian Cahya Laksana, Muhammad; Anita Damayanti, Nyoman; Hanindito Habibie, Pandu; Hud Suhargono, Mochammad; Rosita Dewi, Erni; Santoso, Budi; Sukarjiyah, Waritsyah; Izza, Alifina; Zulfa Zakiya, Nurani Abstract: Introduction: Despite the World Health Organization (WHO) declaring the end of the Coronavirus Disease (COVID-19) Public Health Emergency of International Concern (PHEIC) in May 2023, the pandemic highlighted critical gaps in hospital emergency preparedness, particularly in maternal healthcare. East Java, Indonesia, was among the most severely affected provinces, reporting an 11.02% increase in maternal deaths. This study assesses hospital readiness in maternal referral hospitals six months after the onset of the pandemic, aiming to inform future public health emergency responses. Methods: A descriptive and exploratory mixed-methods design was employed. Surveys and focus group discussions were conducted with 127 hospitals in the COVID-19 maternal referral hospitals by the East Java Provincial Government using the modified WHO hospital readiness checklist for COVID-19 2020. Quantitative data were analyzed descriptively, and qualitative data from focus group discussions were thematically analyzed to get deeper insights into the challenges faced by hospitals. Results: A total of 105 hospitals (83%) responded to the survey. While PPE supplies were largely adequate, gaps in infrastructure, including negative-pressure rooms, isolation areas, and diagnostic capacity, persisted. Financial constraints, particularly delays in the National Health Insurance Scheme (BPJS Kesehatan) claims, further strained hospital operations. FGDs revealed that PCR delays, staffing shortages, and underdeveloped referral coordination systems hindered the delivery of maternal services. Conclusions: Strengthening maternal referral systems requires improving diagnostic capabilities, investing in essential infrastructure, and ensuring timely financial reimbursement. Collaborative efforts among the Ministry of Health, BPJS Kesehatan, and healthcare facilities are crucial to enhancing maternal healthcare resilience during future public health emergencies. 2025-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12325 Title: Digital innovations for adolescent mental health: evaluating the impact of genziheal web-based education model Authors: Indra Wiguna, Reza; Yoga Pudya Ardhana, Valian; Pratiwi Safitri, Rias; Fitria Frisma lita, Baiq; Qamal Pa’ni, D Mustamu; Arian Apriani, Lia Abstract: Introduction: Mental health problems among adolescents remain a global public health concern, highlighting the need for accessible and innovative educational interventions. This study evaluated the effectiveness of a web-based mental health education model through the Genziheal platform in improving knowledge levels and reducing symptoms of mental health disorders among adolescent students. Methods: A quasi-experimental, pretest-posttest control group design was employed involving 130 senior high school students (intervention group: n=80; control group: n=50). Data were collected using the Self-Reporting Questionnaire-29 (SRQ-29) and a validated mental health knowledge questionnaire. Paired t-test and Mann-Whitney tests were used for analysis. Results: The intervention group demonstrated a significant increase in mental health knowledge (mean score improved from 11.0 ± 2.8 to 12.2 ± 3.2; p = 0.008), while no significant change was observed in the control group. However, no significant differences were found in mental health symptoms between pre- and post-test stages in both groups (p > 0.05). Conclusions: The Genziheal platform effectively enhanced students’ mental health literacy but did not significantly reduce symptoms of mental health disorders. These findings suggest that web-based educational tools can support mental health awareness among adolescents but should be complemented with parental involvement and professional support to address psychological symptoms. This study also highlights the potential integration of digital mental health interventions into school-based health promotion programs. The findings contribute to the development of scalable, culturally contextualized digital health promotion tools, particularly in resource-constrained settings such as Indonesia 2025-01-01T00:00:00Z