Ejournal Alma Ata University Yogyakarta
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Psychological intervention for depression, anxiety, and quality of life in patients undergoing hemodialysis
Full text linkBackground: Psychological issues in chronic kidney disease patients undergoing hemodialysis are three times higher compared to other patients. Depression and anxiety in chronic kidney disease patients undergoing hemodialysis are the most significant variables related to the decrease in quality of life.Objectives: This systematic review aims to determine the effectiveness of psychological interventions in reducing levels of depression and anxiety as well as improving the quality of life in patients undergoing hemodialysis.Methods: Articles were identified using online databases such as ProQuest, PubMed, and Science Direct with the keywords Psychological Intervention AND Hemodialysis AND Depression OR Anxiety OR Quality of Life, published between 2020 and 2025. The PICO framework was utilized: patients undergoing hemodialysis with psychological interventions compared to other interventions, with outcomes including levels of depression, anxiety, and quality of life. The selection process was conducted using the PRISMA method, and article evaluation was performed using the Joanna Briggs Institute (JBI) checklist.Results: A total of 16 selected scientific evidences were randomized controlled trials involving 1422 chronic kidney disease patients undergoing hemodialysis, aged 18–80 years. Fifteen types of therapies were identified as potential interventions due to their demonstrated effectiveness among participants, including: cognitive behavioral intervention, cognitive behavioral group therapy, cognitive behavioral intervention + resilience model, multifaceted education, positive thinking training, resilience training, spiritual care, mindfulness meditation + progressive muscle relaxation, recreational therapy, emotional disclosure writing, self-management program, live music, acupressure, aromatherapy massage, and virtual reality exercise.Conclusions: Various types of psychological therapies can serve as effective and efficient intervention options to reduce levels of depression and anxiety, as well as improve the quality of life for chronic kidney disease patients undergoing hemodialysis
The Relationship between exclusive breastfeeding history and nutritional status of toddlers on the incidence of stunting in toddlers
Full text linkBackground: Stunting is a chronic nutritional problem that impacts the physical growth, cognitive development, and health of children in the future. In 2023, Indonesia still had a high rate of stunting at 21.5%, which is higher than the national goal of 14%. In Bengkulu Province, the prevalence of stunting reached 20.2%, while in North Bengkulu Regency it was 8.7%. One of the areas with a high stunting rate is the Kemumu Health Center, where stunting cases were recorded in 120 toddlers (10.56%) in 2024. Factors that affect the incidence of stunting include the history of exclusive breastfeeding and the nutritional status of toddlers.    Objectives: To determine the relationship between exclusive breastfeeding history and nutritional status of toddlers with stunting incidence. Methods: This type of study is a retrospective case-control design. This research was conducted in July 2025. The population of this study is all toddlers whose data were recorded in the register of the Kemu Health Center’s integrated health post (Posyandu). The sample used was 238 toddlers (119 stunted, 119 not stunted) with a simple random sampling technique. The data were analyzed using chi-square.Results: There was a correlation between exclusive breastfeeding history (p=0,000; OR=8,066) and Nutritional Status of Toddlers (p=0,008) with the incidence of stunting. Toddlers who do not get exclusive breastfeeding are eight times more likely to experience stunting. Conclusions: There is a relationship between the history of exclusive breastfeeding and the nutritional status of toddlers with the incidence of stunting in toddlers aged 6-59 months at the Kemu Health Center. It is recommended that to solve the stunting problem, it is essential to provide nutritional information corresponding to the specific needs of toddlers
Strategi Projek P5 dalam Pendidikan Karakter Kurikulum Merdeka berdasarkan Perspektif Qur\u27an dan Hadist Provinsi NTB
No full textMeningkatnya tantangan dalam membentuk karakter peserta didik yang tidak hanya unggul secara akademis tetapi juga berakhlak mulia menuntut strategi pendidikan yang lebih holistik dan berkelanjutan. Dalam konteks Kurikulum Merdeka, pendidikan karakter berbasis nilai-nilai Islam menjadi semakin relevan untuk memastikan keseimbangan antara kecerdasan intelektual dan moral siswa. Pendidikan karakter yang kuat dapat membantu siswa menghadapi tantangan globalisasi dan kemajuan teknologi tanpa kehilangan identitas dan nilai-nilai luhur. Penelitian ini bertujuan untuk menganalisis implementasi Projek Penguatan Profil Pelajar Pancasila (P5) sebagai strategi pendidikan karakter dalam Kurikulum Merdeka serta mengeksplorasi relevansinya dengan nilai-nilai Qur\u27an dan Hadist. Metode yang digunakan adalah kualitatif dengan pendekatan deskriptif, di mana data dikumpulkan melalui studi literatur dan wawancara dengan pendidik yang menerapkan P5 di sekolah. Hasil penelitian menunjukkan bahwa P5 dengan pendekatan pembelajaran kontekstual dan kolaboratif dapat menjadi strategi efektif dalam membentuk karakter berbasis nilai-nilai Islami. Implementasi P5 yang mengintegrasikan ajaran moral dari Qur\u27an dan Hadist terbukti membantu siswa dalam menanamkan nilai-nilai seperti kejujuran, tanggung jawab, gotong royong, serta kepedulian sosial. Oleh karena itu, diperlukan dukungan lebih lanjut melalui pelatihan guru, pengembangan modul pembelajaran berbasis Islam, serta evaluasi berkala guna meningkatkan efektivitas P5 dalam pendidikan karakter di era Kurikulum Merdeka. Selain itu, kolaborasi antara sekolah, keluarga, dan masyarakat sangat penting untuk memperkuat implementasi pendidikan karakter secara menyeluruh dan berkelanjutan
Efektivitas Literacy Cloud dalam Meningkatkan Motivasi dan Pemahaman Membaca Siswa SD: Studi Kasus di SDN Percobaan 2 Malang
Full text linkPenelitian ini bertujuan untuk mengeksplorasi pemanfaatan Literacy Cloud dalam meningkatkan motivasi membaca dan pemahaman bacaan siswa kelas 3 SDN Percobaan 2 Malang. Masalah utama yang diteliti adalah rendahnya motivasi membaca siswa dan keterbatasan akses bacaan konvensional yang kurang menarik. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus, dilaksanakan selama empat minggu pada bulan Oktober hingga November 2024. Data dikumpulkan melalui observasi aktivitas membaca siswa, wawancara dengan guru dan siswa, serta analisis hasil tulisan siswa mengenai unsur intrinsik cerita. Hasil penelitian menunjukkan bahwa penerapan Literacy Cloud berhasil meningkatkan motivasi membaca siswa, yang terlihat dari peningkatan partisipasi aktif mereka dalam membaca dan diskusi cerita. Pemahaman bacaan juga meningkat, yang dibuktikan dengan kemampuan siswa menuliskan unsur cerita secara tepat. Interaktivitas dan visualisasi dalam platform Literacy Cloud menjadi faktor utama yang menarik perhatian siswa dan memfasilitasi pemahaman mereka terhadap teks bacaan. Studi ini merekomendasikan penggunaan Literacy Cloud sebagai metode pembelajaran literasi yang efektif dan menarik untuk sekolah dasar
The Influence of Accounting Understanding, Self Efficacy on the Digitalization of MSMEs, and the Quality of Financial Reports on MSMEs in Bantul Regency, Yogyakarta
Full text linkMicro, Small, and Medium Enterprises (MSMEs) play a significant role in the Indonesian economy, with a large contribution to Gross Domestic Product (GDP) and employment absorption. However, many MSMEs face challenges in preparing quality financial reports, especially related to accounting understanding, self-efficacy, and digitalization. This study aims to analyze the effect of accounting understanding, self-efficacy, and digitalization on the quality of MSME financial reports, with digitalization as a mediating variable. Through a quantitative approach, this study involved 50 MSMEs in Bantul, Yogyakarta, and used analysis with SmartPLS. The results of the study indicate that MSME digitalization and accounting understanding have a significant effect on the quality of financial reports, while self-efficacy has no direct effect. Digitalization acts as a mediator between accounting understanding and financial report quality. This study contributes to the literature on MSME financial management as well as practical recommendations for MSME actors in improving the quality of financial reports through the use of digital technology
Visualizing the Evolution of Islamic Finance Regulation: A Bibliometric Analysis with Graphical Mapping Using Scopus Data
Full text linkIntroduction: This study examines the global development of Islamic financial regulation by mapping publication trends, thematic structures, and scholarly networks from 1992 to 2025. Despite the rapid growth of the Islamic finance industry, regulatory fragmentation, diverse Shariah interpretations, and inconsistent supervisory practices remain persistent challenges. This study addresses the question: How has Islamic financial regulation evolved in academic literature, and what thematic patterns shape its development? The novelty lies in offering the first bibliometric analysis focusing specifically on Islamic financial regulation. Methodology: Data were retrieved from the Scopus database on July 12, 2025, resulting in 230 journal articles. Bibliometric analysis was performed using Biblioshiny for descriptive metrics, VOSviewer for co-authorship and keyword mapping, and Excel for data organization. The workflow consists of three stages: document identification and screening, data cleaning, and bibliometric and network analysis. Results: The findings reveal consistent publication growth and strong contributions from Malaysia, Indonesia, the United Kingdom, and the United States. Network visualization identifies four dominant clusters: Islamic financial regulation, Shariah governance and compliance, Islamic banking regulation, and Islamic fintech. Highly cited works emphasize regulatory harmonization, supervisory strength, and emerging issues such as digital finance and sustainability.Conclusion: This study concludes that Islamic financial regulation has developed into a dynamic and expanding research field shaped by governance reforms and technological innovation. The results offer valuable insights for academics, regulators, and practitioners by providing a comprehensive overview of research trajectories and future directions
Formulasi dan Evaluasi Fisik Sediaan Lipgloss Menggunakan Ekstrak Kering Buah Delima (Punica granatum)
No full textEkstrak kering buah delima berpotensi sebagai bahan aktif dalam kosmetik, khususnya lipgloss yang berfungsi mempercantik sekaligus merawat bibir. Formulasi lipgloss dengan ekstrak delima ini diharapkan memberikan manfaat ganda, yaitu estetika dan perawatan kulit bibir yang lebih sehat.  Penelitian ini bertujuan untuk merumuskan dan mengevaluasi stabilitas fisik sediaan lipgloss menggunakan ekstrak kering buah delima (Punica granatum) dengan konsentrasi 5% (F1), 10%, (F2) dan 15% (F3). Evaluasi stabilitas fisik dilakukan selama 4 minggu terhadap parameter organoleptis, homogenitas, pH, dan viskositas. Hasil menunjukkan bahwa sediaan lipgloss dengan ekstrak delima memberikan warna merah muda yang bervariasi sesuai konsentrasi. F1, F2 dan F3 memiliki sifat fisik (organoleptik, homogen, pH dan viskositas) yang memenuhi syarat. Penambahan ekstrak delima tidak menurunkan mutu fisik sediaan selama penyimpanan 4 minggu pada suhu kamar. Ekstrak delima dapat digunakan sebagai pewarna alami dalam sediaan lipgloss dan memiliki stabilitas fisik yang bai
Analisis Kejadian Medication Error Tahap Prescribing dan Transcribing pada Peresepan Antibiotik Oral Pasien Rawat Jalan Rumah Sakit Umum X Tahun 2025
No full textResep merupakan permintaan tertulis dari tenaga medis kepada apoteker untuk menyiapkan dan menyerahkan obat kepada pasien sesuai ketentuan yang berlaku. Ketidaklengkapan informasi pada resep dapat memicu medication error, yaitu kesalahan dalam proses pengobatan yang berpotensi membahayakan pasien dan menimbulkan resistensi antibiotik. Penelitian ini bertujuan mengetahui kejadian medication error tahap prescribing dan transcribing peresepan antibiotik oral pasien rawat jalan di Rumah Sakit Umum X tahun 2025, serta mengidentifikasi persentase kejadian tertinggi. Penelitian ini menggunakan jenis penelitian non eksperimental observasional dengan rancangan penelitian Cross-Sectional. Sampel adalah 96 pasien rawat jalan yang menerima resep antibiotik oral di instalasi farmasi pada periode Juni 2025 yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan kejadian medication error ditemukan pada seluruh tahap. Persentase dari kejadian medication error persepan antibiotik oral pasien rawat jalan di rumah sakit X yaitu pada tahap prescribing sebesar 50,0% dari 14 indikator, pada tahap transcribing didapatkan hasil yang terjadi sebesar 37,5% dari 8 indikator dengan persentase tertinggi pada tahap prescribing. Kesimpulan penelitian ini terdapat kejadian medication error peresepan antibiotik oral pasien rawat jalan di rumah sakit X tahun 2025 pada tahap prescribing dan transcribing dengan persentase tertinggi pada tahap prescribing yaitu 50,0% kejadia
Hubungan Kepuasan Pasien terhadap Loyalitas di Rumah Sakit Islam Ibnu Sina Payakumbuh : Studi Cross-Sectional
No full textPelayanan kesehatan berkualitas merupakan faktor penting dalam meningkatkan kepuasan pasien. Jika pasien puas maka akan loyal terhadap rumah sakit. Di Rumah Sakit Islam Ibnu Sina Payakumbuh dari survei awal menunjukkan jumlah kunjungan pasien rawat jalan mengalami trend fluktuatif, sehingga peneliti tertarik untuk mengetahui hubungan tingkat kepuasan dan loyalitas pasien tahun 2025. Penelitian dilaksanakan pada bulan Juli 2025 dengan menggunakan desain penelitian kuantitatif cross-sectional. Populasi penelitian adalah 43.345 pasien, besar sampel dihitung dengan menggunakan rumus Krejcie dan Morgan sehingga sampel penelitian menjadi 400. Pengukuran kepuasan dan loyalitas menggunakan kuesioner dengan skala likert. Analisis data dilakukan dengan uji chi-square dengan software SPSS. Hasil penelitian menunjukkan 55% pasien menyatakan puas dengan pelayanan yang diterima, sementara 54,8% menunjukkan loyalitas. Uji statistik menunjukkan adanya hubungan signifikan antara kepuasan dan loyalitas (p=0,0001) dengan nilai confidence Interval 95% (1,435–3,206). Nilai Odds Ratio (OR) = 2,145 menunjukkan bahwa responden yang puas memiliki peluang 2,145 kali lebih besar untuk menjadi pelanggan yang loyal dibandingkan responden yang tidak puas, di mana pasien puas lebih cenderung loyal (63,2%) dibandingkan yang tidak puas (44,4%). Kesimpulan penelitian menegaskan bahwa tingkat kepuasan dan loyalitas pasien secara umum cukup baik, namun masih terdapat 45% pasien yang tidak puas dan 45,2% yang tidak loyal. Oleh karena itu, diperlukan upaya peningkatan kualitas layanan, terutama pada aspek waktu tunggu dan sarana prasarana
Factors related to picky eating in toddlers: A scoping review
Full text linkBackground: Eating problems are common among children, with approximately 25%-40% of toddlers being picky eaters. During the toddler developmental stage, children experience significant growth processes, and the role of the mother is crucial in ensuring that children are not exposed to nutritional deficiencies. Children\u27s eating patterns begin to form before the age of 3 Many parents and children find this eating skill difficult. Objectives: This study aims to identify the factors associated with the prevalence of picky eating behaviours in toddlers. Methods: This study employs a systematic review approach, conducting a literature search across three databases: Google Scholar, ProQuest, and PubMed. The selection of articles is guided by the PRISMA Flowchart, followed by critical appraisal utilizing the Joanna Briggs Institute (JBI) instrument. The findings indicate that 15 articles relevant to the literature review were identified based on the established inclusion criteria.Results: Upon analyzing the literature, this study concludes that the factors influencing picky eating behaviours are attributed to external factors, specifically parental behaviours, and internal factors related to the child\u27s behaviour. Picky eating, defined as selective eating behaviour, is a prevalent issue often observed in toddlers. This phenomenon can lead to growth disorders and may adversely impact children\u27s nutritional status and overall health in the long termConclusions: Several factors influence the phenomenon of picky eating in children, the most prevalent being insufficient maternal knowledge and the demands placed on working mothers. This phenomenon can lead to growth disorders and may adversely impact children\u27s nutritional status and overall health in the long term