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Laila Ulfiyana
Universitas Muhammadiyah Surakarta, Sukoharjo
Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Coping Mechanisms in Dealing with Dual Role Stress among Health Cadres Who Have Many Jobs Laila Ulfiyana; Arum Pratiwi
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.15337

Abstract

Indonesian women who carry out dual roles as housewives and posyandu cadres have the potential to experience stress due to domestic, social, and economic demands. As health volunteers, Posyandu cadres are required to carry out various service tasks with limited resources and compensation, so it has the potential to increase stress. This condition reflects the complexity of the responsibilities faced by Posyandu cadres in balancing the demands of family and community services. This study aims to explore the experiences and coping strategies used by posyandu cadres when facing role stress. This type of research is qualitative with a phenomenological approach Five participants were selected through purposive sampling. Researchers collected data through in-depth interviews, field notes, and documentation. The researcher analyzed the data using the Colaizzi method thematically. The results of the study identified four main themes, namely stress-triggering factors which include domestic workload, dual roles as cadres, economic pressure, and lack of family support; stress reactions that include emotional, physical, social, and spiritual responses; coping strategies that include religious coping mechanisms, social support, emotion regulation, and rearrangement of activities; and the meaning of stress as a test, moral responsibility, and the process of self-maturation. This study concludes that stress in posyandu cadres is multidimensional and requires psychosocial support and stress management training to strengthen adaptive coping skills.
Application Of Hand Massage Using Olive Oil And Jasmine To Reduce Anxiety Levels In Families Of Critical Patients Laila Ulfiyana; Laili Ulfiyani; Putri Nurlia Anggraini; Sri Rahayu
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.15335

Abstract

The care of critically ill patients in the ICU not only affects the patients’ condition but also places significant psychological strain on their families, particularly in the form of anxiety. Unmanaged anxiety can affect families’ ability to make decisions and participate in the care process. Non-pharmacological interventions such as hand massage and aromatherapy are potential approaches for reducing anxiety. This study aims to analyse the effectiveness of hand massage using olive and jasmine oils in reducing anxiety levels among the families of critically ill patients. The study employed a case study design with a pre-test and post-test approach involving 12 family members of patients in the ICU. The intervention was administered daily for three consecutive days, with each session lasting 15–30 minutes. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). The results showed that prior to the intervention, the majority of respondents experienced severe anxiety (50%) and moderate anxiety (25%). Following the intervention, there was a reduction in anxiety, characterised by an increase in the ‘not anxious’ category (33.3%) and the ‘mild’ category (41.7%), as well as a decrease in severe anxiety to 8.3%, with no cases of panic observed. The mean anxiety score decreased from 2.58 ± 0.99 to 1.00 ± 1.04. It was concluded that hand massage with olive and jasmine oil is effective in reducing anxiety among the families of critically ill patients. This intervention may serve as an alternative non-pharmacological therapy in family-centred care nursing practice.
Co-Authors Arum Pratiwi Laili Ulfiyani Putri Nurlia Anggraini Sri Rahayu