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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Penelitian Kesehatan Suara Forikes Faletehan Health Journal Jurnal Kesehatan Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Riset Kesehatan Nasional Jurnal Ners Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Kesehatan Caring : Indonesian Journal of Nursing Science Alauddin Scientific Journal Of Nursing (ASJN) Jurnal Kesehatan JRKN Jurnal Salingka Abdimas Borobudur Nursing Review JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Keperawatan Sumba (JKS) Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan APMa Jurnal Pengabdian Masyarakat Teewan Journal Solutions Indonesian Journal of Global Health Research
Hargiana, Giur
Departemen Keperawatan Jiwa, Fakultas Ilmu Keperawatan, Universitas Indonesia
Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Application of Theory of Unpleasant Symptoms tRoad o Reduce Stress, Anxiety and Depression in Lung Cancer Patients Rufli, Arza; Gayatri, Dewi; Hargiana, Giur
Teewan Journal Solutions Vol. 2 No. 2 (2025): Juni
Publisher : Teewan Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/4t3the41

Abstract

Lung cancer patients often face significant psychosocial distress, negatively impacting their quality of life. To address this problem and equip patients with coping skills, the application of the concept of Theory of Unpleasant Symptoms (TOUS) has become a relevant assessment format. Ten cases of lung cancer patients managed by the Resident showed that EvidenceBased Nursing Practice (EBNP) interventions in the form of Mindfulness Loving-Kindness Meditation (MLKM) were effective in treating psychological distress. This intervention has been shown to significantly reduce levels of stress, anxiety, and depression in patients. Therefore, MLKM is recommended as an essential nursing intervention to help lung cancer patients cope with their psychological distress. Oncology nurses are advised to adopt the TOUS approach in managing lung cancer patients experiencing psychological problems, strengthening evidence-based nursing practices in holistic governance. Keywords: Lung Cancer, Psychological Distress, Loving Kindness Meditation, Discomfort Theory.
Efektivitas Stress Management dan Low Intensity Psychological Intervention terhadap Kecemasan dan Depresi Perawat: Tinjauan Sistematis Oriza Sativa Manurung; Budi Anna Keliat; Giur Hargiana; Yossie Susanti Eka Putri
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42590

Abstract

Stres kerja perawat mengakibatkan tekanan yang mempengaruhi kondisi kesehatan secara umum, yang paling umum terjadi adalah kecemasan dan depresi. Upaya mengatasi kecemasan dan depresi adalah dengan memberikan intervensi dan promosi kesehatan yang efektif yaitu pemberian manajemen stres dan intervensi psikologis. Slow deep breathing/relaksasi napas dalam juga disebutkan sangat efektif menurunkan kecemasan pada orang dewasa begitu pula dengan low intensity pschological intervention seperti yang berfokus pada pengurangan penghindaran penguatan negatif seperti seseorang yang mengalami kecemasan dan depresi dengan terlibat dalam aktivitas yang bertujuan meningkatkan suasana hati. Tinjauan sistemmatis ini bertujuan untuk melakukan tinjauan analisis dan sintesa dari beberapa artikel terpilih mengenai efektifitas management stress dan low intensity pschological intervention terhadap kecemasan dan depresi pada perawat. penelusuran literatur melalui beberapa database yaitu ProQuest, Scince Direct, Wiley online Library dan google Scholar pada 10 tahun terakhir. Pencarian menggunakan english keywords (1) stress management or low intensity pschological intervention (2) nurses or nurse or health workers (3) anxiety and depression or mentah health. terdapat 5 artikel penelitian, diantaranya 3 artikel menggunakan randomized controlled trial dan 2 artikel menggunakan quasy experiment study. metode manajemen stres yang sederhana dan efektif adalah mindfullness baik dalam bentuk aplikasi digital maupun dalam bentuk relaksasi yang dapat menurunkan gejala kecemasan dan depresi pada perawat yang bekerja di rumah sakit dan dapat dikembangkan dengan memperhatikan prinsip-prinsip keperawatan dan psychological intervention.
Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung Muhammad Fadly; Giur Hargiana
Faletehan Health Journal Vol 5 No 2 (2018): Faletehan Health Journal, Juli 2018
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v5i2.14

Abstract

Social isolation is characterized by decline or loss inability to interact with others. This paper aimed to analyze the nursing care of social isolation on Mr. P with schizophrenia paranoid. The nursing care process is based on the standard of generalist nursing care which provided for six days from May 7th throughout 12th 2018 on Mr. P aged 32 years male. Main nursing problem was social isolation. Nursing intervention was emphasized on client’s ability to establish mutual relationship and improve client’s communication skills gradually. Nursing interventions affected client positively as manifested gy decreased signs and symptoms of social isolation on the cognitive, affective, physiological and social aspects, but there had not been a decline in behavioral aspects. Client’s barriers in establishing relationship with nurses were internal factors in which clients had negative judgments about themselves, others and the environment and external factors where clients considered the nurse as a threatening stressor. Nursing care follow-up plans are expected to be maximized for individually, family, group and community.
Faktor psikososial yang memengaruhi post-traumatic growth pada pasien kanker payudara: Sebuah tinjauan literatur sistematis Maria Elisabeth Peni Tukan; Tuti Nuraini; Giur Hargiana
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2196

Abstract

Background: Breast cancer is often perceived as a traumatic event that demands adaptive capacity to survive and find new meaning after a difficult process. One adaptive mechanism is post-traumatic growth (PTG), which is positive psychological growth after experiencing trauma. The level of PTG in breast cancer patients varies and is influenced by multifactorial and complex psychosocial factors, including both internal and external factors. Purpose: To synthesize scientific evidence regarding psychosocial factors associated with post-traumatic growth in breast cancer patients. Method: This systematic literature review was conducted in accordance with PRISMA guidelines and the methodological framework of the Joanna Briggs Institute (JBI). A comprehensive literature search was conducted in five electronic databases: ScienceDirect, PubMed, SpringerLink, Google Scholar, and Sage Journals. English-language research articles published within the last 10 years were selected based on predetermined inclusion criteria. Data were systematically extracted and synthesized using a narrative approach. Results: Ten studies were selected from 1,081 articles identified initially, involving a total of 2,464 breast cancer patients. Post-traumatic growth in breast cancer patients is influenced by the interaction between internal psychological factors and external social factors. Psychological factors associated with PTG include resilience, optimism, self-efficacy, locus of control, perceived stress, and coping strategies, while perceived social support emerged as the most significant external factor. Conclusion: PTG in breast cancer patients is formed through a psychosocial adaptation process influenced by both psychological factors and social support. These findings emphasize the importance of evidence-based nursing and psychosocial interventions to support psychological growth and quality of life in patients.   Keywords: Breast Cancer; Post-Traumatic Growth; Psychosocial Factors; Resilience; Social Support.   Pendahuluan: Kanker payudara sering dipersepsikan sebagai peristiwa traumatis yang menuntut kapasitas adaptif untuk bertahan hidup dan menemukan makna baru setelah menjalani proses yang sulit. Salah satu mekanisme adaptif adalah post-traumatic growth (PTG), yaitu pertumbuhan psikologis positif setelah mengalami trauma. Tingkat PTG pada pasien kanker payudara bervariasi dan dipengaruhi oleh faktor psikososial yang multifaktorial dan kompleks, mencakup faktor internal maupun eksternal. Tujuan: Untuk mensintesis bukti ilmiah mengenai faktor-faktor psikososial yang berhubungan dengan post-traumatic growth pada pasien kanker payudara. Metode: Tinjauan literatur sistematis ini dilakukan sesuai dengan pedoman PRISMA dan kerangka metodologis dari Joanna Briggs Institute (JBI). Penelusuran literatur secara komprehensif dilakukan pada 5 basis data elektronik, yaitu ScienceDirect, PubMed, SpringerLink, Google Scholar, dan Sage Journals. Artikel penelitian berbahasa Inggris yang diterbitkan dalam 10 tahun terakhir dipilih berdasarkan kriteria inklusi yang telah ditetapkan. Data diekstraksi secara sistematis dan disintesis menggunakan pendekatan naratif. Hasil: Sebanyak 10 studi terpilih dari 1,081 artikel yang teridentifikasi pada tahap awal, dengan total 2,464 pasien kanker payudara. Post-traumatic growth pada pasien kanker payudara dipengaruhi oleh interaksi antara faktor psikologis internal dan faktor sosial eksternal. Faktor psikologis yang berhubungan dengan PTG meliputi resiliensi, optimisme, efikasi diri, locus of control, persepsi stres, dan strategi koping, sedangkan dukungan sosial yang dirasakan muncul sebagai faktor eksternal yang paling signifikan. Simpulan: PTG pada pasien kanker payudara terbentuk melalui proses adaptasi psikososial yang dipengaruhi oleh faktor psikologis dan dukungan sosial. Temuan ini menegaskan pentingnya intervensi keperawatan dan psikososial berbasis bukti untuk mendukung pertumbuhan psikologis dan kualitas hidup pasien.   Kata Kunci: Dukungan Sosial; Faktor Psikososial; Kanker Payudara; Post-Traumatic Growth; Resiliensi.
Cognitive Behavioral Therapy for Anxiety Reduction Among Justice-Involved Youth: Insights from a Systematic Review Amalia Choirunnisa; Mustikasari; Giur Hargiana
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22450

Abstract

Teens involved in the juvenile justice system are particularly vulnerable to anxiety disorders due to recurrent exposure to adverse experiences and lack of psychological support. This systematic review aimed to evaluate the efficacy and implementation of Cognitive Behavioral Therapy (CBT) for reducing anxiety among justice-involved adolescents across diverse international contexts. Comprehensive searches were conducted across PubMed, Scopus, PsycINFO, ScienceDirect, and Google Scholar for studies published up to August 2025 involving adolescents aged 10–18 with experience in juvenile justice settings. Cohort, quasi-experimental, randomized controlled trials (RCTs), and pre–post intervention designs were included, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal tools. Ten studies across the US, Germany, Nigeria, Turkey, Thailand, China, and Sweden met the inclusion criteria. Most reported significant reductions in anxiety, particularly in group-based or trauma-focused CBT interventions. Protocol adherence, practitioner skill, and cultural adaptation were identified as critical success factors, while implementation challenges included resource limitations and staff turnover. In conclusion, CBT demonstrates robust potential as an effective and adaptable intervention for anxiety reduction among justiceinvolved youth, especially when culturally tailored and trauma-informed. Further studies should focus on long-term outcomes and context-specific adaptation for resource-limited settings such as Indonesia. Keyword: Cognitive Behavioral Therapy, Anxiety Disorders, Juvenile Delinquency, Adolescent, Psychological  Trauma                                                                                                                                                    
Peningkatan Kesiapsiagaan Psychological First Aid pada Wilayah Rawan Kebakaran Tambora Mustikasari; Dian Fitria; Suryane Sulistiana Susanti; Ria Utami Panjaitan; Ice Yulia Wardani; Yudi Ariesta Chandra; Giur Hargiana; Firhan Nurfalah; Akbar Nur; Azwar; Ghaida Awad Elradi Mohamed
APMa Jurnal Pengabdian Masyarakat Vol. 6 No. 2: Juli 2026
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v6i2.965

Abstract

Bencana kebakaran merupakan salah satu bencana yang sering terjadi di wilayah padat penduduk seperti Kecamatan Tambora, Jakarta Barat, dan dapat menimbulkan dampak fisik maupun psikologis pada masyarakat terdampak. Psychological First Aid (PFA) menjadi salah satu pendekatan yang dapat digunakan untuk meningkatkan kesiapsiagaan masyarakat dalam memberikan dukungan psikososial awal pada situasi bencana. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kesiapsiagaan masyarakat melalui pembentukan dan pelatihan tim Psychological First Aid (PFA) di wilayah rawan kebakaran Tambora. Metode yang digunakan adalah pre-experimental dengan pendekatan one group pretest and post-test design pada 40 peserta (tim PFA). Kegiatan dilakukan melalui edukasi, pelatihan, simulasi, dan praktik lapangan kepada 80 keluarga di wilayah Kelurahan Tambora. Pengumpulan data dilakukan menggunakan kuesioner kesiapsiagaan tim PFA dan lembar observasi performance. Hasil menunjukkan adanya peningkatan rata-rata skor kesiapsiagaan peserta dari 61,35 ± 9,12 pada pretest menjadi 65,40 ± 5,82 pada post-test dengan peningkatan sebesar 4,05 poin atau 6,6% (p < 0,001). Selain itu, sebagian besar masyarakat memiliki tingkat kesiapsiagaan dalam kategori baik setelah diberikan edukasi dan praktik lapangan. Pelatihan PFA berbasis komunitas efektif dalam meningkatkan kesiapsiagaan psikososial masyarakat pada wilayah rawan kebakaran. Program ini diharapkan dapat menjadi salah satu strategi penguatan kapasitas masyarakat dalam mitigasi bencana berbasis komunitas.
Knowledge, Attitude and Skills of Nurses Related to the Implementation of Safewards in Mental Hospital Tri Wahyuni; Giur Hargiana; Soimah Soimah
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5180

Abstract

Safewardis an approach to providing inpatient mental health services with the aim of minimizing the number of conflicts that arise between nurses and clients. This study aims to determine the characteristics of nurses including gender, age, education level, work experience, safewards training that has been attended and identify the description of nurse readiness including skills, perceived knowledge and attitudes. The study was conducted using a descriptive design with a sample of 124 nurses. The sample was selected using the total sampling method, namely nurses who provide direct services in the inpatient room and are willing to participate in the study. Data were collected from respondents using the primary method where respondents directly filled out the questionnaire online which was shared via google form. Univariate frequency and percentage analysis were used to analyze the collected data. The results of the study showed that 77.42% of respondents had a positive attitude towards safewards, 62.90% had good knowledge and 54.5% had high skills. The results of this study recommend the need for training on safewards at all levels of nurses to improve nurse readiness in implementing the safewards approach.
The Effectiveness of Psychosocial Interventions on Increasing Self-Efficacy for Drug Abusers: Systematic Review Rahmawati Rahmawati; Achir Yani S. Hamid; Giur Hargiana; Yossie Susanti Eka Putri
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5765

Abstract

Drug abuse can occur an increase in global and national prevalence rates. This is influenced by several factors including the family and community environment, causing several impacts including biological, psychological and social impacts between the psycholoogical impacts of drug abuse, namely the decrease in self-esteem and self-efficacy. Handling of drug users needs to be given in order to increase self-efficacy, nursing care that can be given in the form of Psycosocial Intervention is the application of interventions in the form of rehabilitation therapy, supportive therapy, group therapy, supportive counseling, therapeutic communities, group education, and yoga. Literature search through several databases namely Proquest, Science Direct, Wiley Online Library and Google Scholar in the last 5 years. Search uses english keywords: (1) drug abuse or drug dependence, (2) pshycosocial intervention, (3) self efficacy, (4) self-esteem. There are eight research articles, including three articles using Randomized Control Trials and five other articles using Quasi-Experimental Design. By strengthening knowledge, increasing self defense, providing social support, and improving perceptions about drug users, psychosocial interventions can be an effective intervention in increasing long-term self-efficacy for drug users not to return to addiction.
The Effectiveness of Massage Therapy in Reducing Fatigue among Cancer Patients Undergoing Chemotherapy: Systematic Review Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6500

Abstract

Fatigue is one of the most common side effects experienced by cancer patients undergoing chemotherapy and has a serious impact on quality of life. Massage therapy has emerged as a potential non-pharmacological intervention to alleviate this symptom. Objective: To systematically review the effectiveness of massage therapy in reducing fatigue among cancer patients undergoing chemotherapy. Methods: This study employed a systematic review design based on the PRISMA guidelines. Literature was searched through PubMed, ScienceDirect, ProQuest, and Google Scholar databases. Articles published in English or Indonesian in the last 10 years (2014–2024). Included articles were randomized controlled trials (RCTs), quasi-experimental studies, or clinical trials evaluating the effects of massage therapy on fatigue in cancer patients. 139 Articles were founds and 10 article were selected. Study quality was assessed using the CASP tool, and data were analyzed descriptively. Results: A total of 10 studies met the inclusion criteria. Findings showed that massage therapy—including slow-stroke back massage, Swedish massage, hand and foot massage, and combinations with aromatherapy—was effective in reducing fatigue. The effectiveness was influenced by the type of massage, duration, and frequency of the intervention. Conclusion: Massage therapy is an effective intervention that can be integrated into clinical care to reduce fatigue in chemotherapy patients. Further research is needed to strengthen the existing evidence.
Validity of the Construct and Reliability of the Indonesian Version of the Cancer Fatigue Scale (CFS) Instrument in Measuring Fatigue in Cancer Patients Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana; Yati Afianti; Retno Setiowati
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.1128

Abstract

Cancer-related fatigue is one of the most frequent symptoms and has a significant impact on the quality of life of cancer patients. Accurate fatigue measurements require instruments that are valid and reliable, and appropriate to the cultural and linguistic context. Therefore, it is necessary to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) before it is widely used. This study aims to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) instrument in measuring fatigue in cancer patients. This study is an analytical descriptive research using a Cross Sectional design. This research was conducted at Darmais Cancer Hospital (RSKD). The number of samples was 220 people, with a sampling technique, namely purposive sampling. The instrument used in this study was the Cancer Fatigue Scale (CFS) as the core questionnaire. The data was analaysed to test realibility and validity of instruments CFS.   The results showed that all Indonesian version of CFS items had a total item–correlation value above the minimum acceptable limit (r > 0.30), indicating adequate construct validity. The reliability test showed Cronbach's alpha value of 0.824, which indicated good internal consistency. The Indonesian version of the Cancer Fatigue Scale has been proven to have good construct validity and reliability, making it suitable for use as an instrument for measuring fatigue in cancer patients in oncology nursing research and practice.
Co-Authors Achir Yani S. Hamid Afiyanti, Yati Ahmad Fadhlur Rahman Akbar Nur Allenidekania Allenidekania Alvian Harisandy Amalia Choirunnisa Arza Rufli Azwar Budi Anna Keliat Cahyani, Eliza Daulima, Novi Helena Chatarina Dewi Gayatri Dian Fitria Enie Novieastari Eriyono Budi Wijoyo Erviana, Irma Firhan Nurfalah Fitria, Dian Gayatri, Dewi Gayatri, Dewi Ghaida Awad Elradi Mohamed Hari Widiyatmini Hasmira Hasmira Herni Susanti Ice Yulia Wardani Imami Nur Rachmawati Indra, Ibaadi Irma Erviana Isnaini, Barkah Kartikasari, Ida Ayu Kusnadi, Rudi Laras Steffiani Larasaty, Lisa Lisa Larasaty Maria Elisabeth Peni Tukan Marthalila, Eko Putra Muhammad Fadly Muhammad Fadly Mulyati, Mulyati Mustafidz, Mustafidz Mustikasari Mustikasari Mustikasari Mustikasari Naedi Naedi Novy Helena Chatarina Daulima Nuraini, Tuti Nurfalah, Firhan Oktavia, Maynah Oriza Sativa Manurung Pramudita, Fadma Aji Putri, Yossie Susanti Eka Rahman, Ahmad Fadhlur Rahmawati Rahmawati Ratnawati, Ika Retno Setiowati Ria Utami Panjaitan Rudi Abas Sambodo Sriadi Pinilih Samosir, Melissa Novitasari Shafira, Ananda Nur Shinta Yuliana Hasibuan Sintiawati , Tia Soimah Soimah Suryane Sulistiana Susanti Tia Sintiawati Tri Wahyuni Tuti Nuraini Tuti Nuraini Ummah, Tarnimatul Wardhani, Ice Yulia Yati Afianti Yati Afiyanti Yossie Susanti Eka Putri Yudi Ariesta Chandra