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All Journal Jurnal Keperawatan Muhammadiyah Indonesian Journal of Global Health Research
Rika Damayanti
Universitas Aisyah Pringsewu
Health Professions Nursing

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Phenomenological Study of Community Experience in Obtaining Services from Aubilee Health Center Atika Zainab; Wisnu Sadhana; Rizki Yeni Wulandari; Rika Damayanti; Abdullah Abdullah
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.418

Abstract

Puskesmas Pembantu (Pustu) is the spearhead of basic health services in rural areas. However, the effectiveness of Pustu services is often affected by various factors such as the availability of staff, infrastructure, and community accessibility. This study aims to reveal in depth the community's experience in obtaining health services at Pustu. This study used a qualitative approach with a phenomenological study method. The research sample was selected by purposive sampling. Informants consisted of 11 people, namely the general public, cadres, and village officials who were selected purposively. Data collection was conducted through in-depth interviews, and data analysis followed Colaizzi's 7 steps. The study found six main themes: (1) positive and responsive staff attitudes are factors in community satisfaction, (2) limited schedules and staff attendance hamper access to services, (3) inadequate Pustu facilities reduce comfort, (4) referrals to the main Puskesmas are hampered by distance and transportation, (5) community expectations for an active and alert Pustu, and (6) the important role of village government in supporting service continuity. The existence of Pustu is very important for village communities, but service delivery still faces challenges in terms of service continuity, completeness of facilities, and accessibility.
Lived Experiences of Productive-Age Hemodialysis Patients: A Phenomenological Study of Meaning-Making, Acceptance, and Adaptation Afif Ghariza; Hardono Hardono; Wisnu Sadhana; Rika Damayanti; Feri Kameliawati
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2473

Abstract

Chronic kidney disease (CKD) requiring lifelong hemodialysis creates multidimensional challenges for productive-age patients, affecting physical, psychological, social, and spiritual aspects of life. This study aimed to explore the lived experiences of productive-age patients undergoing hemodialysis in the processes of meaning-making, acceptance, and adaptation to CKD. This qualitative phenomenological study involved eight participants aged 18-40 years undergoing hemodialysis for at least six months at the Hemodialysis Unit of Pringsewu District Hospital, Indonesia. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s phenomenological method. Four themes were identified: spiritual struggles following diagnosis, meaning-making and spiritual transformation, the process of self-acceptance toward chronic illness, and sources of strength and adaptation through family support and active coping strategies. Adaptation to CKD and lifelong hemodialysis is a gradual and dynamic process involving spiritual reconstruction, emotional adjustment, and behavioral adaptation. Contribution to science: This study enriches nursing knowledge by providing deeper insight into the experiences of productive-age hemodialysis patients and emphasizing the importance of holistic, spiritually sensitive, and family-centered nursing interventions to support successful adaptation and improve patients’ well-being.
The PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN ANSIETAS PADA PENDERITA SKIZOFRENIA DI PUSKESMAS MULYOREJO LAMPUNG UTARA: Penelitian ini meneliti tentang Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Ansietas Pada Pasien Skizofrenia Di Puskesmas Mulyorejo Lampung Utara Zakia Nur Rahmah; Rika Damayanti; Feri Agustriyani
Jurnal Keperawatan Muhammadiyah Vol 11 No 3 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

Background: Schizophrenia is a chronic mental disorder often accompanied by anxiety manifested as restlessness, muscle tension, sleep disturbances, unexplained fear, and irritability. Untreated anxiety can exacerbate psychotic symptoms, reduce self-care ability, and hinder therapeutic outcomes. Objective: to determine the effect of progressive muscle relaxation therapy on reducing anxiety levels in patients with schizophrenia. Method: This quantitative study employed a pre-experimental one-group pretest–posttest design. The population consisted of all patients with schizophrenia who were actively receiving treatment, with a sample of 16 participants selected using purposive sampling. Anxiety was measured using the Zung Self-Rating Anxiety Scale (ZSAS). The study was conducted from September to October 2025. Univariate analysis described anxiety scores before and after the intervention, while bivariate analysis was performed using a paired sample t-test, as the data were normally distributed. Results: The results showed that the mean anxiety score before progressive muscle relaxation therapy was 59.0 (SD: 7.3), which decreased to 44.0 after the intervention (SD: 4.9). The paired t-test indicated a significant effect of the therapy on reducing anxiety, with a t-value of 20.0 and p < 0.001. Conclusion: Progressive muscle relaxation therapy significantly reduces anxiety in people with schizophrenia. Patients and families are encouraged to continue practicing relaxation exercises 1–2 times daily for 10–15 minutes, provide support during practice, monitor changes in anxiety, and maintain a healthy lifestyle
Co-Authors Abdullah Abdullah Afif Ghariza Agustriyani, Feri Atika Zainab Feri Kameliawati Hardono Hardono Rizki Yeni Wulandari Wisnu Sadhana Zakia Nur Rahmah