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The Effect Benson Relaxation Technique With Anxiety In Hemodyalisis Patients In Yogyakarta Anisa Nuri Kurniasari; Anita Kustanti; Harmilah Harmilah
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

ABSTRACTHemodialysis is a treatment that must be done by patients with chronic renal failure. Hemodialysis can changes the various aspects of life of patients, and it cause anxiety. One of the method that can used to reduce anxiety is Benson relaxation techniques. This technique is a combination of relaxation and elements of religious beliefs espoused. To determine the effect of Benson relaxation techniques for anxiety in patients undergoing hemodialysis therapy. Quasi Experiment pre post test design with comparison groups with simple randomization tech- niques conducted, the number of respondents is 30 people were di- vided into intervention group (n = 14) were given relaxation Benson for 2 weeks every day at 6 am and 5 pm and the comparison group (n = 16) were not given the intervention. Anxiety measurements performed twice pretest and posttest with Analog Anxiety Scale (AAS). The average of respondent’s anxiety pre dan post relaxation tecnic Benson in the inter- vention group 21,93 and 13,59. And in the comparison group 17,19 and 12,94. This study showed that there was a significant decrease in anxiety scores in the intervention group p=0.001 (p0.05) and com- parison group p=0,014 (p0,05). The study showed that the interven- tion group obtained a average difference of 8.36, while in the control group obtained a average difference of 4.25 with p value 0.118 (p 0.05). There are no significant differences in the average difference of anxiety in both groups. Benson relaxation techniques have no effect to the de- crease anxiety scores of hemodialysis patients.Keywords: Chronic renal failure, Benson relaxation, Anxiety Analog Scale. ABSTRAKHemodialisis adalah pengobatan yang harus dilakukan oleh pasien dengan gagal ginjal kronis. Hemodialisis dapat mengubah berbagai aspek kehidupan pasien, dan menyebabkan kecemasan. Salah satu metode yang dapat digunakan untuk mengurangi kecemasan adalah teknik relaksasi Benson. Teknik ini merupakan kombinasi relaksasi dan unsur-unsur keyakinan agama yang dianut. Untuk mengetahui pengaruh teknik relaksasi Benson untuk kegelisahan pada pasien yang menjalani terapi hemodialisis. Kuasi eksperimen pra desain post test dengan kelompok perbandingan dengan teknik pengacakan sederhana yang dilakukan, jumlah responden adalah 30 orang yang dibagi menjadi kelompok intervensi (n = 14) diberi relaksasi Benson selama 2 minggu setiap hari pada pukul 6 pagi dan 5 sore dan perbandingan kelompok (n = 16) tidak diberi intervensi. Pengukuran kecemasan dilakukan dua kali pretest dan post test dengan Analog Skala kecemasan (AAS). Rata-rata kecemasan responden pra Dan pasca relaksasi tecnic Benson pada kelompok intervensi 21,93 dan 13,59. Pada kelompok pembanding 17,19 dan 12,94. Studi ini menunjukkan bahwa ada penurunan yang signifikan dalam skor kecemasan pada kelompok intervensi p = 0,001 (p0,05) dan kelompok pembanding p = 0,014 (p 0,05). Studi ini menunjukkan bahwa kelompok intervensi diperoleh perbedaan rata-rata 8,36, sedangkan pada kelompok kontrol diperoleh perbedaan rata-rata 4,25 dengan nilai p 0,118 (p 0,05). Tidak ada perbedaan yang signifikan dalam perbedaan rata-rata kecemasan pada kedua kelompok. teknik relaksasi Benson tidak berpengaruh terhadap nilai penurunan kecemasan pasien hemodialisis.Kata kunci: Gagal ginjal kronis, Benson relaksasi, Kecemasan Analog Scale.

Hubungan antara Pengobatan Komplementer dengan Kualitas Hidup pada Pasien Diabetes Mellitus Nur Yusrin Husnati; Anita Kustanti; Heny Suseani Pangastuti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 3 (2017)
Publisher : PSIK FKKMK UGM

Background: Diabetes mellitus is a chronic disease that can affect physical, psychological, social and spiritual functional activity that requires special approach and treatment to improve patient's quality of life. One of treatments to improve quality of life is therapy management with alternative and complementary medicine.Objective: To determine the correlation between the use of complementary medicine with the quality of life among diabetes mellitus patients.Methods: This study used an analytic survey with cross-sectional design. Respondents involved in this study were 120 respondent diabetes mellitus patients in Yogyakarta city from August to September 2017 with purposive sampling technique. This study used Diabetes Quality of Life Clinical Trial Questionnaire-Revised Parameter (DQLCTQ-R) questionnaire to measure quality of life among diabetes mellitus patients. Researchers also included questions about the use of complementary therapies to measure the use of complementary therapies. Contingency coefficient correlation test was used to analyze the data statistically.Results: Most patients did not use complementary medicine (53,3%). Most users of complementary and non-complementary medicine had the same high quality of life (60,71% and 56,25%). The correlation test values between complementary medicine and quality of life in patients with diabetes mellitus showed p value = 0,621 (p> 0,05) and r = 0,045.Conclusion: There was no significant correlation between the uses of complementary medicine with quality of life among diabetes mellitus patients.ABSTRAKLatar belakang: Diabetes mellitus merupakan penyakit kronis yang dapat mempengaruhi aktivitas fungsional fisik, psikologis, sosial dan spiritual yang memerlukan pendekatan dan pengobatan khusus untuk meningkatkan kualitas hidup pasien. Salah satu perawatan untuk meningkatkan kualitas hidup adalah manajemen terapi dengan pengobatan komplementer.Tujuan: Mengetahui hubungan antarapengobatan komplementer dengan kualitas hidup pasien diabetes mellitus.Metode: Penelitian ini menggunakan survei analitik dengan desain cross-sectional. Responden yang dilibatkan dalam penelitian ini 120 pasien diabetes mellitus di Kota Yogyakarta dari bulan Agustus sampai September 2017 yang diambil dengan teknik purposive sampling. Penelitian ini menggunakan kuesioner Diabetes Quality of Life Clinical Trial Questionnare-Revised Parameter (DQLCTQ-R) untuk megukur kualitas hidup pasien diabetes mellitus. Peneliti juga mencantumkan pertanyaan tentang penggunaan terapi komplementeruntuk mengukur penggunaan terapi komplementer. Uji korelasi koefisien kontingensi digunakan untuk menganalisis secara statistik.Hasil: Mayoritas pasien tidak menggunakan pengobatan komplementer (53,3%). Mayoritas pengguna pengobatan komplementer dan bukan pengguna pengobatan komplementer sama-sama memiliki kualitas hidup yang tinggi (60,71% dan 56,25%). Nilai uji korelasi antara pengobatan komplementer dengan kualitas hidup pada pasien diabetes mellitus menunjukkan nilai p = 0,621 (p> 0,05) dan r = 0,045.Kesimpulan:Tidak ada hubungan yang signifikan antarapengobatan komplementer dengan kualitas hidup pada pasien diabetes mellitus.

PENGETAHUAN DAN STIGMA PERAWAT TERKAIT ORANG DENGAN HIV/AIDS (ODHA) Sandy Dwi Aryanto; Ibrahim Rahmat; Anita Kustanti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 3, No 2 (2018)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKLatar Belakang: Stigma merupakan masalah yang dihadapi orang dengan HIV/AIDS (ODHA). Dampak buruk terjadinya stigma adalah sulitnya memutuskan rantai penularan HIV/AIDS. Stigma dapat terjadi dimana saja, salah satunya didalam pelayanan kesehatan dan pelaku stigma adalah perawat. Perawat merupakan bagian garis depan dalam melakukan perawatan yang seharusnya tidak melakukan sikap negatif seperti stigma. Sikap stigma yang dilakukan oleh perawat disebabkan karena adanya ketakutan dan adanya kesalahan presepsi tetang penularan atau pencegahan HIV/AIDS. Faktor yang menyebabkan hal tersebut dipengaruhi oleh pengetahuan. Tujuan Penelitian: Mengetahui hubungan antara pengetahuan dengan stigma perawat terkait ODHA di salah satu rumah sakit swasta di Yogyakarta. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Subjek pada penelitian ini adalah perawat yang bekerja di bangsal yang kemungkinan menangani pasien ODHA di salah satu rumah sakit swasta di Yogyakarta dengan jumlah 63 orang. Data diambil dari bulan Desember 2016-Februari 2017. Instrumen yang digunakan pada penelitian ini dengan kuesioner HIV-KQ-18 untuk mengukur tingkat pengetahuan dan kuesioner SHASS untuk mengukur sikap stigma. Pada kuesioner HIV-KQ-18 dilakukan uji kerterbacaan. Kuesioner SHASS telah dilakukan uji validitas dan uji reliabilitas pada penelitian sebelumnya. Analisis menggunakan uji korelasi Spearman rank. Hasil: Sebanyak 40 (63.5%) responden mempunyai pengetahuan cukup dan sebanyak 50 (79.4%) responden mempunyai stigma tinggi. Tidak terdapat hubungan antara pengetahuan dengan stigma perawat terkait ODHA di salah satu RS swasta di Yogyakarta. Kesimpulan: Pengetahuan perawat tentang ODHA masih perlu ditingkatkan. Perlu dilakukan usaha terkait masih tingginya stigma perawat tentang ODHA, misalnya bagi institusi pendidikan dapat menambahkan kurikulum stigma perawat terkait ODHA, melakukan kuliah atau workshop dengan ahli, ODHA, Dinas Kesehatan, dan pelayanan kesehatan, dan pelatihan tentang HIV/AIDS.Kata kunci: ODHA, pengetahuan, stigma perawatKNOWLEDGE WITH NURSE’S STIGMA RELATED PLWHA ABSTRACTBackground: Stigma is a problem faced by people living with HIV/AIDS (PLWHA). The adverse effect of stigma is difficulty in conducting prevention for HIV/ADIS transmission. Stigma could be occur in everywhere, including health facilities with the actor are nurses. Nurse as a leading care provider should not giving stigma. Stigma produced by nurse are a result of scares and misperception regard HIV/AIDS transmission and prevention. These factors are affected by knowledge. Objective: To understand the correlation between knowledge with nurse’s stigma related PLWHA in the one of private hospital in Yogyakarta. Method: This was a quantitative research with cross sectional design. Subject on this research was 63 nurses whose working in the ward to handle care for PLWHA patients in a one of the private hospital in Yogyakarta. Data collected from December 2016 unitl February 2017. Instruments on this research was HIV-KQ-18 designed to measure the knowledge level and SHASS questionnaire to measure the stigma. The HIV-KQ-18 questionnaire was not tested for validity and reliability testing, only a reading test was conducted. The SHASS questionnaire has been tested for validity and reliability testing by previous researchers. Data analyzed with spearman rank correlation. Result: 40 respondents (63,5%) have enough knowledge and 50 respondents (79,4%) in a high stigma. There was no significant correlation between knowledge with nurse’s stigma related PLWHA in a one of the private hospital in Yogyakarta. Conclusion: Nurses knowledge about PLWHA still needs to be improved. Efforts need to be made regarding the high stigma of nurses about PLWHA, for example for educational institutions can add a stigma curriculum for nurses related to PLWHA, conduct lectures or workshops with experts, PLWHA, Health Services, and health services, and training about HIV/AIDS.Keyword: knowledge, nurses stigma, PLWHA

Gambaran Pengetahuan, Sikap, dan Penerimaan Orang Tua terhadap Vaksinasi HPV di SMP Kota Yogyakarta Arina Zulfa; Wiwin Lismidiati; Anita Kustanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 2 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.71832

Background: One of Cervical cancer etiology is Human Papillomavirus (HPV) infection which is transmitted through sexual activity. The main prevention of cervical cancer from WHO is through HPV vaccination in girls aged 9-14 years old who have not been sexually active. Factors related to parental acceptance of HPV vaccination are knowledge, attitude, and parental consent.Objective: To describe student parentsâ€™ knowledge, attitude, and acceptance of HPV vaccination in junior high schools of Yogyakarta City.Method: This descriptive study used a cross sectional design. The research was conducted at several Â junior high schools in Yogyakarta city which involving 332 parents of grade VII and VIII students. Data collection was carried out online because it coincided with the Covid-19 pandemic. Knowledge, attitude, and acceptance questionnaires were prepared and tested for validity and reliability. Chi-square data analysis and fisher test were used to test bivariate aspect.Results: There were 59.3% of respondents who had a high level of knowledge, 57.2% of respondents who had positive attitude regarding this, and 92.5% allowed their children if they were given the HPV vaccination. The level of knowledge was related to the level of education (p=0.000) and information exposure about cervical cancer (p<0.05). Attitude was significantly related to parental income (p=0.014) and level of education (p=0.016). Parents' acceptance of the HPV vaccine was associated with parents' education level (p=0.013).Conclusion: Parents of junior high school students in Yogyakarta City have a high level of knowledge, a positive attitude, and good acceptance of HPV vaccination.ABSTRAKLatar belakang: Salah satu etiologi kanker serviks adalah Infeksi Human Papillomavirus (HPV) yang ditularkan melalui aktivitas seksual. Pencegahan utama kanker serviks dari WHO melalui vaksinasi HPV pada anak perempuan berusia 9-14 tahun yang belum aktif melakukan hubungan seksual. Faktor yang berhubungan dengan penerimaan orang tua terhadap vaksinasi HPV adalah pengetahuan, sikap, dan persetujuan orang tua.Tujuan: Mendapatkan gambaran tentang pengetahuan, sikap, dan penerimaan orang tua terhadap vaksinasi HPV di SMP Kota Yogyakarta.Metode: Penelitian deskriptif ini menggunakan rancangan cross sectional. Penelitian dilaksanakan di beberapa SMP di Kota Yogyakarta yang melibatkan 332 orang tua siswi SMP kelas VII dan VIII. Pengambilan data dilakukan secara daring karena bersamaan dengan pandemi Covid-19. Kuesioner pengetahuan, sikap, dan penerimaan disusun serta sudah dilakukan uji validitas dan reliabilitas. Uji Chi Square dan Fisher Test digunakan dalam analisis bivariat pada penelitian ini.Hasil: Sebanyak 59,3% responden mempunyai tingkat pengetahuan tinggi dan 57,2% responden memiliki sikap positif terkait vaksinasi HPV, serta 92,5% bersedia jika anaknya diberikan vaksinasi HPV. Tingkat pengetahuan berhubungan dengan tingkat pendidikan (p=0,000) dan pengalaman mendengar/paparan terhadap informasi kanker serviks (p<0,05). Sikap memiliki hubungan signifikan dengan pendapatan orang tua (p=0,014) dan tingkat pendidikan (p=0,016). Penerimaan orang tua terhadap vaksin HPV berhubungan dengan tingkat pendidikan orang tua (p=0,013).Simpulan: Orang tua siswi SMP Kota Yogyakarta memiliki tingkat pengetahuan yang tinggi, sikap yang positif, dan penerimaan yang baikÂ terhadap vaksinasi HPV.

Gambaran Keterampilan Mahasiswa Keperawatan dalam Melaksanakan Prosedur Pembalutan Luka pada Pelatihan Basic Trauma and Cardiac Life Support Hanifa Nurul Zahra; Sutono Sutono; Anita Kustanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 5, No 1 (2021)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.84316

Background: Emergency situation can be occurred at any place or time which requires immediate and appropriate treatment. Nursing students as the member of community are expected to provide emergency care aid including wound dressing. Objective: To identify nursing student's skill in performing wound dressing care procedure on Basic Trauma and Cardiac Life Support (BTCLS) training. Method: A descriptive-quantitative research with cross sectional design was piloted in 2 training venue in Yogyakarta. The research ran for 2 months from November to December 2017. The population in the research were whole participants of Basic Trauma and Cardiac Life Support organized by PUSBANKES Team 118 PERSI DIY. Total of 141 respondents participated in the research. Data analysed by univariat technique and displayed in the form of frequency distribution. Result: There were 141 respondents who dominated by female, attending BTCLS training. Most of the respondentsâ€™ skills (93 students) during in-class-skill-training were in the moderate category (skill range 51-74%). During post-training-skills evaluation, there were 131 students (â‰¥75%) who were classified into high category (skill range >75%). Conclusion: Nursing studentsâ€™ skill in providing emergency wound dressing care on BTCLS training is categorized as high skill (â‰¥75%).ABSTRAKLatar belakang: Keadaan gawat darurat bisa terjadi di mana pun dan kapan pun. Kondisi tersebut memerlukan tindakan yang cepat dan tepat. Mahasiswa keperawatan merupakan bagian dari masyarakat yang memerlukan keahlian dalam melakukan tindakan pertolongan pada kondisi gawat darurat, khususnya pembalutan luka.Â Tujuan: Mengetahui gambaran keterampilan mahasiswa keperawatan dalam melaksanakan prosedur pembalutan luka pada pelatihan BTCLS. Metode: Penelitian ini merupakan jenis penelitian deskriptif kuantitatif non-eksperimental dengan rancangan penelitian cross sectional. Penelitian dilakukan di 2 tempat pelatihan, di Daerah Istimewa Yogyakarta pada bulan November dan Desember 2017. Populasi dalam penelitian ini adalah seluruh peserta pelatihan Basic Trauma and Cardiac Life Support (BTCLS) yang diadakan oleh tim (PUSBANKES) 118 PERSI DIY dengan sampel berjumlah 141 peserta. Instrumen yang digunakan dalam penelitian ini adalah Checklist prosedur pembalutan luka yang dimiliki oleh PUSBANKES 118 PERSI DIY. Data dianalisis menggunakan analisis univariat dan ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil: Pada saat latihan keterampilan, sebagian besar responden termasuk dalam kategori keterampilan sedang (skor 51-74%), yaitu sebanyak 93 responden (66,0%). Sementara pada saat evaluasi keterampilan, mayoritas termasuk dalam kategori keterampilan tinggi (skor â‰¥75%), yaitu sebanyak 131 responden (92,9%).Â Kesimpulan: Gambaran keterampilan mahasiswa keperawatan dalam melaksanakan prosedur pembalutan luka pada pelatihan BTCLS berada pada kategori keterampilan tinggi.

Hubungan antara Tingkat Pengetahuan Perawat dan Kualitas Manajemen Nyeri Pasien Pascabedah di RSUP Dr. Sardjito Miftahul Jannah; Arifin Triyanto; Anita Kustanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 3 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.90826

Background: The escalating number of surgical procedures globally, including in Indonesia, has not been followed by quality improvement in postoperative pain management. Insufficient postoperative pain management quality creates new problems, i.e.: decreasing in patients’ quality of life, prolonging hospital stay, and impacting the family’s quality of life. Literature indicates that the quality of pain management is influenced by various factors, one of which is the nurse’s knowledge of postoperative pain management. Objective: To determine the correlation between nurse’s level of knowledge and the quality of postoperative pain management in RSUP Dr. Sardjito. Method: This study was a descriptive correlational design with a cross-sectional approach. There were 47 nurses from Cendana Wards 1-3 in RSUP Dr. Sardjito as respondents who were selected through total sampling. Likelihood Ratio test was employed to identify the relationship between the nurse’s knowledge level and the quality of postoperative pain management. Results: The majority of nurses demonstrated a satisfactory level of knowledge regarding postoperative pain management, comprising 45 respondents (95,7%). However, the quality of pain management remained low in 30 respondents (63,8%). Likelihood ratio analysis indicated that there was no significant relationship between the nurse’s knowledge level and the quality of pain management, with a significance level of 0,683 (p > 0,05). Conclusion: There is no significant correlation between nurse’s level of knowledge and the quality of postoperative pain management.ABSTRAKLatar Belakang: Peningkatan jumlah operasi di seluruh dunia, termasuk di Indonesia, tidak diiringi dengan peningkatan kualitas manajemen nyeri pascabedah. Kualitas manajemen nyeri pasca bedah yang tidak memadai, dapat menimbulkan masalah baru, seperti penurunan kualitas hidup pasien, perpanjangan masa tinggal di rumah sakit, dan dampak terhadap kualitas hidup keluarga. Literatur menyatakan bahwa kualitas manajemen nyeri dipengaruhi oleh beberapa faktor, salah satunya adalah pengetahuan perawat mengenai manajemen nyeri pascabedah. Tujuan: Menentukan hubungan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri pada pasien pasca bedah di RSUP Dr. Sardjito. Metode: Penelitian ini adalah studi deskriptif korelasional dengan desain potongan lintang. Pengambilan sampel dengan metode total sampling yang melibatkan 47 perawat dari Bangsal Cendana 1-3 di RSUP Dr. Sardjito. Uji Likelihood ratio digunakan untuk mengidentifikasi hubungan kedua variabel. Hasil: Mayoritas perawat memiliki tingkat pengetahuan yang baik mengenai manajemen nyeri pascabedah (95,7%). Namun, kualitas manajemen nyeri masih rendah pada 30 responden (63,8%). Analisis menunjukkan bahwa tidak ada hubungan signifikan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri dengan taraf signifikansi 0,683 (p > 0,05). Simpulan: Tidak terdapat hubungan signifikan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri pascabedah.

Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): a community resilience program for COVID-19 at Griya Lare Utami Bantul Yayu Nidaul Fithriyyah; I Made Moh. Yanuar Saifudin; Hersinta Retno Martani; Fajar Arumningtyas; Gaviota Khalish; Aviria Ermamilia; Ipang Fitria Wanti; Khudazi Aulawi; Haryani Haryani; Anita Kustanti
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.82755

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.

CROSS CULTURAL SKALA STIGMA TERKAIT HIV/AIDS PADA MAHASISWA KEPERAWATAN Kustanti, Anita; Wijayanti, Yanri; Rahmat, Ibrahim
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 1, No 2 (2016)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKLatar belakang: Stigma dapat menyebabkan kegagalan atau keterlambatan dalam menangani ataumendiagnosis HIV dan AIDS. Salah satu visi UNAIDS ialah zero stigma. Perawat harus mampumemberikan pelayanan keperawatan bebas stigma dan diskriminasi. Isu nasional yang disarankan olehHPEQ (2012) kepada institusi penyelenggara pendidikan keperawatan 20 persen di antaranya tentangperawatan HIV/AIDS. Namun, terdapat keterbatasan alat ukur kuantitatif untuk mengkaji manifestasistigma terkait HIV/AIDS pada mahasiswa keperawatan. Tujuan: Melakukan pengembangan instrumendengan adaptasi cross cultural dan uji validasi skala stigma sesuai dengan budaya mahasiswa ProgramStudi Ilmu Keperawatan Universitas Gadjah Mada. Instrumen ini merupakan adaptasi SHASS yangdikembangkan oleh Diaz dan Neilands (2009). Metode: Deskriptif dengan desain cross sectional,melibatkan 77 responden, dilakukan bulan Juli–September 2015. Uji validitas dengan product moment,uji reliabilitas dengan menggunakan Cronbach’s Alpha. Hasil: 11 domain stigma HIV/AIDS yang terdiriatas 39 pertanyaan menunjukan valid dan reliable dengan nilai r >0,2 dan nilai alpha > 0,7. Diskusi:Pengembangan instrumen dengan adaptasi cross cultural mempunyai beberapa kelebihan; penelitimelakukan adaptasi dan modifi kasi dari instrumen yang sudah pernah dilakukan uji validitas dan reliabilitassebelumnya di negara lain. Keterbatasan penelitian ini hanya melibatkan mahasiswa ilmu keperawatan.Kesimpulan: Skala stigma terkait HIV/AIDS adaptasi dari Spanish HIV Stigma Scale (SHASS) dapatdigunakan sebagai instrumen kuantitatif pada mahasiswa Program Studi Ilmu Keperawatan.Kata Kunci: cross cultural, stigma HIV/AIDS, mahasiswa ilmu keperawatan.ABSTRACTBackground: Stigma can lead to failure or delay in handling or diagnosing HIV and AIDS. One visionsof UNAIDS is zero stigma. Nurses have to be able to provide stigma and discrimination-free nursingservices. HPEQ (2012) recommends that institutions of nursing education provide 20% of national issuesconcerning HIV/AIDS care. However, there are limitations on quantitative instruments to assess themanifestation of HIV/AIDS-related stigma in students nursing. Objectives: To develop an instrumentby employing cross-cultural adaptation and validity test for stigma scale in accordance with the cultureof students of Nursing Science Program, Universitas Gadjah Mada. This instrument is an adaptation ofSHASS developed by Diaz and Neilands (2009). Methods: This study employed descriptive method withcross sectional design. It involved 77 respondents and was conducted from July to September 2015. Thevalidity test employed product moment and the reliability test employed Cronbach’s Alpha. Results: 11domains of HIV/AIDS-related stigma, which consisted of 39 questions, indicated that the instrument wasvalid and reliable with an r value of >0.2 and an alpha value of>0.7. Discussion: The development of aninstrument by employing cross-cultural adaptation has several advantages; the researchers adapted toand modifi ed instruments of which their validity and reliability were previously tested in other countries.A limitation of this study is that it only involved students of nursing science. Conclusion: HIV/AIDSrelated stigma scale adapted from the Spanish HIV Stigma Scale (SHASS) can be used as a quantitativeinstrument in students of Nursing Science Program.Keywords: cross-cultural, HIV/AIDS-related stigma, students of nursing science.

PERBANDINGAN EFEKTIVITAS WORKSHOP DENGAN KULIAH TERSTANDAR UNTUK MENURUNKAN STIGMA HIV/AIDS PADA MAHASISWA KEPERAWATAN Kustanti, Anita; Wijayanti, Yanri; Rahmat, Ibrahim
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 2 (2023)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i2.456

ABSTRAKStigma merupakan salah satu kondisi yang menyebabkan kegagalan atau keterlambatan dalam menangani atau mendiagnosis HIV dan AIDS. Tujuan Penelitian: Mengidentifikasi stigma dan membandingkan efektivitas workshop serta kuliah terstandar terhadap stigma HIV/AIDS pada mahasiswa keperawatan. Metode: Penelitian merupakan quasi eksperimen dengan pre post test design with control group dilakukan terhadap 82 mahasiswa PSIK UGM semester 3 dan 5, terbagi menjadi 42 mahasiswa sebagai kelompok workshop dan 40 mahasiswa sebagai kelompok kuliah terstandar. Penelitian dilaksanakan selama 3 bulan menggunakan kuesioner skala stigma HIV/AIDS. Data dianalisis menggunakan chi square, unpaired t test dan paired t test. Hasil: Stigma terkait HIV/AIDS pada mahasiswa keperawatan berada pada kategori stigma tinggi (50%). Pada preintervensi tidak terdapat perbedaan stigma antara dua kelompok. Tidak terdapat efek intervensi workshop dan kuliah terstandar terhadap stigma terkait HIV/AIDS (masing-masing p > 0,05). Terdapat perbedaan yang bermakna pada perubahan domain pada kelompok workshop dibandingkan kelompok kuliah terstandar berdasarkan nilai mean yang didapatkan (p < 0,05). Diskusi: Banyaknya responden yang memiliki stigma tinggi menunjukkan adanya stigma eksternal terhadap ODHA. Kebijakan yang dibuat oleh perawat yang mendapatkan banyak pelatihan tentang HIV dan AIDS mempunyai prejudice lebih rendah daripada koleganya yang mempunyai lebih sedikit pelatihan. Workshop lebih dapat menurunkan stigma daripada intervensi kuliah terstandar karena workshop merupakan intervensi pembelajaran aktif yang tidak hanya melibatkan kognitif, tetapi juga perilaku yang dapat membangun rasa percaya diri untuk megubah perilakunya. Kesimpulan: Intervensi workshop lebih dapat menurunkan stigma daripada intervensi kuliah terstandar. Untuk penelitian selanjutnya, pengambilan data post-intervensi sebaiknya dilakukan dengan memberikan jeda waktu dengan memperhatikan retensi informasi pada responden.Kata Kunci: HIV/AIDS, keperawatan, kuliah, mahasiswa, stigma, workshop A Comparison of the Effectiveness of Workshops and Standard Lectures in Reducing HIV/AIDS Stigma Among Nursing Students ABSTRACTStigma is one condition that leads to failure or delay in addressing or diagnosing HIV and AIDS. Objective: To identify stigma and compare the effectiveness of workshops and standard lectures on HIV/AIDS stigma among nursing students. Methods: The research employed a quasi-experimental design with a pre-post test design and a control group, conducted on 82 third and fifth-semester students of the Nursing Science Study Program UGM, divided into 42 students as the workshop group and 40 as the standard lecture group. The research was conducted over three months using an HIV/AIDS stigma scale questionnaire. Data were analyzed using Chi-Square, unpaired t-test, and paired t-test. Results: HIV/AIDS-related stigma among nursing students was in the high stigma category (50%). Prior to the intervention, there was no difference in stigma between the two groups. There was no intervention effect of workshops and standard lectures on HIV/AIDS-related stigma (both p>0.05). There was a significant difference in the change in domains between the workshop group and the standard lecture group based on the mean values obtained (p<0.05). Discussion: The high number of respondents with high stigma indicates external stigma towards PLWHA. Policies made by nurses who receive extensive training on HIV and AIDS have lower prejudice compared to their colleagues with less training. Workshops can reduce stigma more effectively than standard lecture interventions because workshops are active learning interventions that involve not only cognition but also behavior, which can build self-confidence to change behavior. Conclusion: Workshop interventions can reduce stigma more effectively than standard lecture interventions. Post-intervention data should be collected with a time gap for future research, considering respondents' information retention.Keywords: HIV/AIDS, Nursing, Lecture, Students, Stigma, Workshop

Posbindu Cadres Art Dance Therapy (PodCAsT) Improving the Quality of Life Wibawa, Shinta; Kustanti, Anita; Septiyaningtyas, Shyalva Ika; Hidayati, Fahmi
International Journal of Nursing and Health Services (IJNHS) Vol. 7 No. 2 (2024): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v7i2.774

Background: Stress is something condition disease no contagious as possible give an impact bad for health when keeps going experienced by someone for period long. Dancing could be fun for Posbindu Cadres but also could help promote relaxation to reduce stress. Objective: This study aims to uncover the effectiveness of Posbindu Cadres Art Dance Theraphy (PodCAsT) for Posbindu Cadres in reducing stress. Method: The study was a quasi-experimental research with a one-group pretest-posttest design. Twenty-Eight cadres at Gading Wetan Donokerto, Sleman, Yogyakarta, Indonesia were participated the study. Level of Stress was measured using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Wilcoxon test. Result: There was a significant difference with (p<0.001) between the stress level on cadres before and after Posbindu Cadres Art Dance Theraphy (PodCAsT) with with the stress level from 30 to 11. Conclusion: The PodCAsT could effectively reduce the level stress of cadres who experience stress with severe anxiety because of the many duties and responsibilities carried out by Posbindu Cadres in serving and monitoring and controlling public health.Implication: Posbindu Cadres Art Dance Therapy (PodCAsT) can be applied in communities, especially communities, to improve the quality of life and at the same time maintain Yogyakarta traditional dancing culture

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