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GAMBARAN MASALAH PSIKOSOSIAL LANJUT USIA SAAT PANDEMI COVID-19 Widiani, Esti; Hidayah, Nurul; Hanan, Abdul
Jurnal Keperawatan Widya Gantari Indonesia Vol 6 No 2 (2022)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v6i2.4120

Abstract

Wabah COVID-19 dapat menyebabkan kematian pada lansia. Ketidaksiapan lansia dalam menghadapi akhir kehidupan termasuk kematian memunculkan masalah psikososial seperti depresi, kesepian, dan kecemasan . Lansia memerlukan spiritualitas dan dukungan sosial yang baik dalam menghadapinya. Penelitian ini bertujuan untuk mengetahui spiritualitas, dukungan sosial, depresi, kecemasan, dan kesepian pada lansia. Desain penelitian ini adalah cross-sectional yang dilakukan pada lanjut usia. Sebanyak 142 lansia dipilih menjadi responden dengan metode purposive sampling. Pengumpulan data menggunakan kuisioner Daily Spiritual Experience Scale (DSES), Multidimensional Scale of Perceived Social Support (MSPSS), Geriatric Depression Scale (GDS) short form, Geriatric Anxiety Scale (GAS), The Revised UCLA Loneliness Scale untuk kesepian. Sebagian besar lansia memiliki spiritualitas yang tinggi (71,8%). Dukungan sosial sebagian besar pada posisi sedang (57%). Sebagian besar lansia mengalami depresi ringan (78,2 %). Sebagaian besar lansia mengalami kesepian ringan (48,6%). Sebagian besar lansia tidak mengalami kecemasan (52,1%). Lansia yang mengalami kecemasan ringan sebesar 46,5%. Peran keluarga dan pemerintah sangat diperlukan untuk memberikan dukungan pada lansia agar terhindar dari masalah psikososial terutama saat wabah COVID-19. 
RESPON KECEMASAN PADA LANSIA YANG DIBERIKAN TERAPI RELAKSASI NAFAS DALAM Widiani, Esti; Khorida Alvima Maul Jannah; Dyah Widodo
Jurnal Keperawatan Widya Gantari Indonesia Vol 8 No 1 (2024): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA (JKWGI)
Publisher : Nursing Department, Faculty of Health, Universitas Pembangunan Nasional "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v8i1.7503

Abstract

The elderly is someone who has entered retirement or is 60 years old and is characterized by a period of deterioration of body cells, including movement and memory, which can make an older person often feel anxiety or anxiety about the life that will be passed next. One way for anxiety to decrease or disappear is by doing deep breath relaxation therapy because it is considered adequate and accessible. Deep breath relaxation is done with a deep breath technique of approximately 5 seconds, then exhaling slowly. The purpose of this study was to identify the description of anxiety responses in older people who were given deep breath relaxation therapy. The research method uses a case study approach with 2 elderly subjects. Anxiety data was collected using interview sheets, observation sheets, and Geriatric Anxiety Scale (GAS) questionnaires. The results showed that subjects who were given a deep breath relaxation therapy intervention for 2 weeks with 6 meetings experienced a decrease in anxiety from moderate anxiety to mild anxiety; subject 1, with a middle anxiety score of 41, decreased to mild anxiety with a score of 24 while subject 2 experienced moderate anxiety with a score of 43 reduced to mild anxiety with a score of 27. It is hoped that what has been taught (deep breath relaxation) can be done regularly to maintain anxiety levels so that they can manage anxiety independently.
HUBUNGAN ANTARA PENDIDIKAN IBU DENGAN KEMAMPUAN IBU DALAM MENSTIMULASI PERKEMBANGAN PSIKOSOSIAL OTONOMI PADA TODDLER Esti Widiani
MEDICA MAJAPAHIT Vol 10 No 2 (2018): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Toddlers are the second stage of psychosocial development after babies in the age range of 18 months to 36 months. To avoid failure in passing through the stages of psychosocial development, autonomy versus doubt or shame need to provide good stimulation. The purpose of this study was to determine the relationship of mothers education with the ability of mothers to stimulate psychosocial development of autonomy in children. This study uses an observational design with a cross sectional approach. The study was conducted in the Kemantren Village, Jabung District, Malang Regency. The technique used for sampling in this study is accidental sampling with the number of samples obtained were 168 respondents. The instrument used to measure mother's ability is a modification from Infant-Toddler Child Care HOME Inventory. The data analysis used was spearman rank with a statistically significant correlation between maternal education and mother's ability to stimulate the development of psychosocial autonomy with p = 0,000 (p <0.005). The BKB (Toddler Family Development) group is recommended to be held in each Posyandu as a service center and learning center for mothers who conduct early detection and developmental stimulation.
IMPLEMENTATION OF BALANCE EXERCISE FOR THE ELDERLY AT RISK OF FALLING IN THE MULYOREJO HEALTH CENTER WORKING AREA: CASE STUDY Aurel Fendi Irmawan; Swito Prastiwi; Esti Widiani
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.5140

Abstract

Lansia kerap dikaitkan dengan penurunan pada fungsi fisik dan kognitif tubuh manusia. Akibatnya lansia mengalami penurunan keseimbangan tubuh yang dapat menimbulkan insiden jatuh dan mengakibatkan kejadian cedera pada lansia. Untuk mencegah hal tersebut terdapat beberapa metode yang dapat dilakukan salah satunya yaitu latihan keseimbangan atau balance exercise. Metode penelitian ini menggunakan deskriptif dengan pendekatan studi kasus. Penelitian ini melibatkan dua orang subjek penelitian yang telah dilakukan pada tanggal 25 januari-21 Februari 2023. Penelitian ini dilakukan dengan berfokus pada kegiatan observasi hasil penerapan balance exercise selama 3 minggu dengan masing masing minggu 3 kali latihan selama 15 menit. Data disajikan dalam bentuk tulisan, uraian kalimat, atau narasi, serta beberapa data disajikan dalam bentuk tabel dan grafik. Hasil penelitian ini didapatkan kedua subjek dilakukan pengitungan risiko jatuh sebelum dan sesudah diberikan memperoleh hasil tetap yaitu (40). namun pada penghitungan penilaian keseimbangan mengalami peningkatan, subjek 1 meningkat dari skor (42) menjadi (53) dan pada subjek 2 meningkat dari skor (47) menjadi (53). Kesimpulan kedua subjek mengalami penurunan risiko jatuh dapat dilihat dari peningkatan keseimbangan. Hal ini menunjukkan bahwa balance exercise mampu meningkatkan keseimbangan pada lansia sehingga risiko jatuh pada lansia dapat menurun.
Strategi Koping dan Depresi pada Mahasiswa yang Praktek Klinik Keperawatan saat Pandemi COVID-19: Coping Strategies and Depression in Students Practicing Clinical Practice Nursing during the COVID-19 Pandemic Esti Widiani; Ira Rahmawati; Nurul Hidayah
NERS Jurnal Keperawatan Vol. 19 No. 2 (2023): NJK Volume 19, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i2.67

Abstract

Against the backdrop of the COVID-19 pandemic, the demands placed on nursing students during clinical practice have necessitated a heightened level of professionalism. Paradoxically, this intensified clinical environment has also given rise to increased rates of depression among nursing students, compounding the preexisting challenges they face. This study is driven by the objective of investigating the correlation between coping strategies and depression among nursing students actively engaged in clinical practice during the COVID-19 pandemic. A total of 373 nursing students participated in this cross-sectional study. The assessment of depression among the respondents was carried out using the Patient Health Questionnaire (PHQ-9). Coping strategies were evaluated through the application of the Coping Orientation to Problems Experienced Inventory (Brief-COPE). The results yielded significant insights, with the coping strategy of reframing (p=0.009) demonstrating a noteworthy correlation with depression. In the realm of emotion-focused coping strategies, while the acceptance subscale (p=0.310) did not exhibit a significant correlation with depression, emotional support (p=0.037), venting (p=0.000), humor (p=0.000), and self-blame (p=0.003) all displayed notable correlations with depression. Furthermore, within the domain of avoidance coping, self-distraction (p=0.000), denial (p=0.008), substance use (p=0.000), and behavioral disengagement (p=0.000) subscales were also found to be significantly correlated with depression. These findings underscore the paramount importance of fostering adaptive coping strategies and emphasize the pivotal role of clinical instructors in preparing and bolstering students to effectively manage their emotional well-being during clinical practice, particularly within the challenging context of the COVID-19 pandemic.
Depresi dan Kesepian Pada Lanjut Usia Saat Pandemi COVID-19 : Depression and Loneliness in the Elderly During the COVID-19 Pandemic Esti Widiani; Nurul Hidayah; Abdul Hanan
NERS Jurnal Keperawatan Vol. 18 No. 1 (2022): NJK Volume 18, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v18i1.101

Abstract

The ongoing COVID-19 pandemic has had a psychological impact on the elderly. The elderly are prone to experiencing psychosocial problems or mental disorders when isolating themselves or withdrawing from community activities, one of which is the COVID-19 pandemic. They can feel lonely and depressed. Spirituality is needed by the elderly to face the pandemic. This study aims to determine the relationship between spirituality with depression and loneliness in the elderly. This research was conducted with a cross-sectional approach using a questionnaire on 142 elderly respondents. Research respondents were taken by purposive sampling technique. Based on the Spearman rank correlation test results, there is no relationship between spirituality scores and depression scores with a value of p=0.939 (p>0.05). There is a direct relationship between spirituality with a p-value of 0.00 (p <0.05). The correlation coefficient value between spirituality score and loneliness score is 0.306, which means that the higher the spirituality score, the higher the loneliness score with low relationship strength. Spirituality is not the only factor that can improve depression and loneliness in the elderly during the COVID-19 pandemic. Other aspects need to be identified to help overcome depression and loneliness in the elderly.
Penerapan Komunikasi Terapeutik Pada Pasien Skizofrenia Dalam Mengontrol Halusinasi Di RS Jiwa Menur Surabaya: Application of Therapeutic Communication in Schizophrenia Patients to Control Hallucinations at Menur Mental Hospital, Surabaya Yosi Apriliani; Esti Widiani
NERS Jurnal Keperawatan Vol. 16 No. 2 (2020): NJK Volume 16, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v16i2.147

Abstract

Hallucinations are absorption (perception) of the five senses without any stimulation from outside. The way to control hallucinations was by conducting therapeutic communication. Therapeutic communication is communication done by nurses during nursing interventions to help the patient's healing process and help patients overcome their problems through communication. Nurse's therapeutic communication has four phases of communication namely pre-interaction, orientation or introduction, work and termination. This study aims to improve the ability of people with schizophrenia in controlling hallucinations in Menur Mental Hospital Surabaya. The method in this research was a case study using two subjects. The results of this study indicate that after doing therapeutic communication with a frequency of 6 sessions in 6 days both subjects experienced an increase in the ability to control hallucinations. Therapeutic communication can improve the ability to control the hallucinations of the subject if it is done according to the stages.
Peningkatan Kapasitas Kader Kesehatan dalam Deteksi Dini Masalah Psikososial pada Penderita Hipertensi dan Diabetes Melitus Esti Widiani; Nurul Hidayah; Nurul Pujiastuti
Abdimas Galuh Vol 8, No 1 (2026): Maret 2026
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v8i1.21282

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Penyakit kronis seperti hipertensi dan diabetes mellitus tidak hanya menimbulkan dampak fisik, tetapi juga berdampak pada kondisi psikososial penderitanya. Kader kesehatan desa berperan penting dalam memberikan pelayanan kesehatan primer, namun sebagian besar belum memiliki keterampilan untuk mendeteksi dini masalah psikososial. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan kader kesehatan dalam mengenali tanda dan gejala depresi maupun kecemasan pada penderita hipertensi dan diabetes mellitus. Metode pelatihan dilakukan melalui ceramah interaktif, diskusi kelompok, dan simulasi kepada 20 kader kesehatan desa. Evaluasi menggunakan pre-test dan post-test serta observasi keterampilan. Hasil menunjukkan rata-rata skor pre-test 52,5 meningkat menjadi 82,15 pada post-test, dengan rata-rata peningkatan 29,65 poin. Keterampilan kader juga meningkat, terlihat dari kemampuan melakukan wawancara singkat dan mengidentifikasi gejala psikososial dalam simulasi. Kesimpulan kegiatan ini adalah pelatihan efektif meningkatkan kapasitas kader dalam deteksi dini masalah psikososial. Disarankan pelatihan dilakukan secara berkelanjutan dengan dukungan pendampingan dari tenaga kesehatan profesional.
Hubungan Paparan Gadget Dengan Perilaku Makan Pada Anak Usia Prasekolah (3-5 Tahun) Di Posyandu Kampung Sanan Kota Malang Jihan Triamanda Valentine; Esti Widiani; Naya Ernawati; Tri Nataliswati
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1057

Abstract

Gangguan perilaku makan yang sering terjadi pada anak usia prasekolah yaitu perilaku makan negatif, akan berdampak negatif bagi keseimbangan gizi dan pertumbuhan anak. Salah satu faktor penyebabnya yaitu tingginya paparan gadget yang membuat anak cenderung tidak peka terhadap rasa kenyang atau lapar. Penelitian ini bertujuan untuk menganalisis hubungan paparan gadget dengan perilaku makan pada anak usia prasekolah (3-5 tahun) di Posyandu Kampung Sanan, Kota Malang. Desain penelitian ini kuantitatif korelasi dengan pendekatan cross-sectional. Penelitian dilakukan pada 16 Oktober 2025. Sampel terdiri dari 70 responden yang diambil menggunakan teknik total sampling. Data dianalisis menggunakan uji Spearman’s Rho dengan tingkat signifikansi α = 0,05. Hasil penelitian ini menunjukkan bahwa sebagian besar anak memiliki paparan gadget tinggi (47%), sedangkan perilaku makan negatif ditemukan pada hampir seluruh responden (92,9%). Uji statistik menghasilkan nilai r = –0,144 dengan p = 0,234, yang menandakan tidak adanya hubungan signifikan antara kedua variabel. Perilaku makan pada anak prasekolah dipengaruhi oleh berbagai faktor, termasuk personal preference, status sosial ekonomi, budaya, rasa lapar, kenyang, nafsu makan, kesehatan dan paparan gadget. Paparan gadget berlebihan juga berpotensi mengganggu proses makan anak, anak cenderung tidak peka terhadap rasa lapar dan kenyang. Meskipun hubungan statistik tidak signifikan, kontrol penggunaan gadget tetap diperlukan karena mekanisme-mekanisme tersebut dapat berkontribusi pada pembentukan perilaku makan negatif dalam jangka panjang.
Determinant Factors of Chronic Energy Deficiency (CED) in Pregnant Women: A Mixed-Methods Study Marlynda Happy Nurmalita Sari; Dina Dewi Anggraini; Ira Rahmawati; Esti Widiani
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i1.515

Abstract

Background: This study investigates Chronic Energy Deficiency (CED) in expecting mothers, a condition arising from prolonged inadequate energy and protein intake. Untreated CED poses health risks for both mothers and their unborn babies, including miscarriage, premature birth, birth defects, low birth weight (LBW), and potentially stunting the child's growth. Despite existing goals, the incidence of CED in pregnant women remains above the target of 17.3%. Women with a mid-upper arm circumference (MUAC) less than 23.5 cm are considered at high risk. This research aims to identify factors contributing to the prevalence of CED among pregnant women in the Central Java and East Java regions. Methods: This study employs a mixed-methods approach, specifically a sequential explanatory design. A sample sized group of 124 participants was selected using simple random sampling. Questionnaires were distributed to healthcare facilities.  In-depth interviews were subsequently conducted to delve deeper into the causes of CED and existing efforts to address it within the chosen health centers.  Results: The final multivariate analysis revealed a significant association (p-value < 0.05) between CED in pregnant women and the following factors: income (p-value=0.018, OR=3), knowledge about CED (p-value=0.028, OR=2.7), dietary habit (p-value=0.015, OR=3.4), and food intake (p-value=0.007, OR=4). Conclusion: Food intake is a more dominant variable in relation to CED in pregnant women. Health workers are encouraged to continue enhancing health promotion efforts regarding nutritional intake for pregnant women and their families. In addition, community health centers should consistently support the provision of supplementary feeding programs for pregnant women through regular monitoring.
Co-Authors Abdul Hanan Abdul Hanan Abdul Hanan Ade Firman Agus Setyo Utomo Ahsan Ahsan Anggraini, P. Anggun Setyarini Anjarsari, Dinda Risma Putri Arnoldina Martha Ema ARY KURNIAWAN Astri Astri Atti Yudiernawati, Atti Aurel Fendi Irmawan Beki Tumewo Boyke Pangemanan Budiono Budiono Debora Biri Tara Dera Lukita Sari Desten Welnimus Adu Dina Adhila Dina Dewi Anggraini Dina Dewi Anggraini Dince Sari Rambu Amma Dinda Risma Putri Anjarsari Dionesius Adolfus Raga Doddy Indrawan Dorkas Yufice Ariyanti Kale Dwi Anggraini Dyah Widodo Dyna Wardhani Egi Sumitra Eka Arvi Sukmawan Elvina Goveia Leite Ema Marlina Ema Marlina Erlisa Candrawati Erlisa Candrawati Ermelinda Jeniu Evy Safitri Farida Halis Farida Hallis Dyah Kusuma Frederikus Kely Gabriel Rahaq Haniza Haniza Hermina Nona Imelda Imelda Ira Rahmawati Irene R.N. Latue Irmawan, Aurel Fendi Ita Historyana Jihan Triamanda Valentine Kasiati Kasiati, ., Kasiati, Khorida Alvima Maul Jannah Kitri Nour Hamidea Lilik Supriati Lingling Marinda Palupi Lingling Marinda Palupi Lingling Marinda Palupi Lucia Retnowati Maidatul Hasanah Maidatul Ustadiyah Maria Fransiska Wulandari Maria Magdalena Sri Widiastuti Maria Resti Usfinit Marlynda Happy Nurmalita Sari Munizar Munizar Nasuha Nasuha Nasution, Annio Indah Lestari Naya Ernawati Nety Herawati Ngesti W. Utami Noviasari Noviasari Nur Fauzi Marindra Nur Hafifah Nur Halilah Nurul Hidayah NURUL HIDAYAH Nurul Pujiastuti Nurul Pujiastuti Palupi, Lingling Marinda Pertiwi Perwiraningtyas Pitono Pipit Hari Popy Anggraini Ridho Putra Ridwan Ridwan Ronasari Mahaji Putri Sari, Marlynda Happy Nurmalita Sartiwi Sartiwi Satria Yudha K. Setyorini, Anggun Sindi Muthiah Utami Siswahyudianto Sofyan Rahman Sonny Sujatmiko Setyawan Sri Baskoro Kawoco Sulasmini Sulasmini susi susi Swito Prastiwi Swito Prastiwi, Swito Tanto Hariyanto Tentrem Metionita Teofilus Evangelista Tri Handayani Trishinta, Sirli Mardianna Tyas Dwi Widiandari Wahidyanti Rahayu Hastutiningtyas Yana Karina Yanti Rosdiana Yohanes Dudu Yosi Apriliani Zaky Soewandi Ahmad