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Efektivitas Terapi Hipnotik Lima Jari Pada Gangguan Stres Pasca Trauma Pasca Bencana: Effectiveness Of Five-Finger Hypnotic Therapy With Post-Traumatic Stress Disorder Post-Disaster Rahmawati, Primasari Mahardhika; Pebriyanti, Dwi Ochta; Sulistyono, R. Endro; Suhari
Binawan Student Journal Vol. 6 No. 1 (2024)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/jbp0t543

Bencana alam adalah bencana yang disebabkan oleh terjadinya serangkaian peristiwa alam, seperti gempa bumi, gunung meletus, tanah longsor, dan erupsi gunung. Peristiwa erupsi Gunung Semeru tidak hanya berdampak pada fisik, tetapi penyintas juga dapat mengalami dampak psikologis jangka panjang dan berpengaruh pada kesejahteraan psikologis. Tujuan penelitian ini adalah untuk mengetahui efektifitas Terapi Hipnotik Lima Jari terhadap Post Traumatic Stres Disorder pasca Bencana. Penelitian ini menggunakan metode quasy experiment pre post test dengan responden sejumlah 60 orang dengan teknik purposive sampling. Penelitian ini dilakukan di wilayah relokasi penyintas erupsi semeru Kabupaten Lumajang, dengan menggunakan instrument berupa PCL-C dilakukan pada bulan Mei-Juni tahun 2023. Tingkat gejala PTSD secara keseluruhan menunjukkan penurunan setelah dilakukannya intervensi berupa terapi hipnotik lima jari. Terapi hipnotik lima jari ini dapat dinyatakan efektif terhadap penurunan gejala Post Traumatic Stres Disorder (uji Wilcoxon p-Value = 0.039, α 5%), yang bermakna terdapat perbedaan PTSD pre dan post diberikan terapi hipnotik lima jari. Hasil penelitian diharapkan mampu mempermudah pengembangan intervensi keperawatan khususnya yang berkaitan dengan penurunan tingkat kecemasan. Terapi hipnotik lima jari ini dapat dinyatakan efektif terhadap penurunan gejala Post Traumatic Stres Disorder. Terapi hipnotik lima jari mampu mengalihkan pemikiran seseorang yang sedang mengalami trauma.

The Effect of Distraction Therapy in Reducing Children's Anxiety During Circumcision: Pengaruh Terapi Distraksi dalam Mengurangi Kecemasan pada Anak yang Disunat Rahmawati, Primasari Mahardhika; Sulistyono, R. Endro; Suhari; Ochta Pebriyanti, Dwi
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May (2024)
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.159

Circumcision or circumcision is a surgical procedure that involves removing all or part of the foreskin of the penis with the aim of keeping the vital area clean so that it is not easily infected. By 2020, 85% of boys will be circumcised, equating to around 8.7 million boys annually. The circumcision rate will increase along with population growth in Indonesia. Most children who undergo circumcision will encounter obstacles such as fear, crying, refusing to enter the room and having to ask their parents to accompany them when they want to enter the room. This shows that there are fundamental problems in children who will be circumcised. Anxiety is one of the things a child will face before being circumcised. Anxiety can cause prolonged trauma, causing children to experience stressor crises. The cause of anxiety is pain and fear during the circumcision process. Often parents and medical personnel think this is trivial, but in fact if left unchecked it will have a serious impact on the child's mental condition. Distraction therapy is an example of therapy that can help reduce a child's anxiety about circumcision. Children who are circumcised will naturally feel afraid and anxious, so play therapy is carried out to reduce these feelings of anxiety. This therapy involves diverting attention to the child who will be circumcised. The goal is to change the child's orientation and thinking, which was initially focused on circumcision, towards the proposed therapy. This will create a feeling of security and comfort, thereby helping the circumcision process run smoothly.

Optimizing Mental Health Cadres In Disaster Response: Stress Management and Spiritual Emotional Freedom Technique (SEFT) in Agricultural Communities Rahmawati, Primasari Mahardhika; Rondhianto, Rondhianto; Pebriyanti, Dwi Ochta; Suhari, Suhari; Sulistyono, R Endro
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 11, No 2 (2025): June
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.104898

Natural disasters produce both immediate and prolonged psychological consequences, including stress, anxiety, and depression. These effects require comprehensive interventions combining stress management strategies with the Spiritual Emotional Freedom Technique (SEFT). This study aimed to enhance mental health cadres' capacity to support disaster resilience programs in agricultural communities, focusing on Indonesia's disaster-prone Lumajang District. The research implemented a two-phase intervention: First, 30 health cadres received training using a quantitative pre-experimental design with pre-test and post-test evaluations. Second, these trained cadres conducted home visits for 80 community members, with outcomes measured using the PTSD Checklist (PCL-5). Results demonstrated significant improvements across both cadres and community members. Cadres' stress management knowledge increased substantially from an average pre-test score of 50% (poor category) to 76.6% (good category) post-intervention. Most importantly, SEFT implementation reduced PTSD symptoms among community members from 41.25% to 11.25%. The study also revealed high participant engagement, with all 30 cadres completing training and demonstrating strong knowledge retention. These findings confirm that targeted training in SEFT and stress management can effectively enhance mental health cadres' professional capabilities. By strengthening frontline responders' skills, communities gain greater capacity to address post-disaster psychosocial challenges and build long-term resilience. The research highlights the value of integrating evidence-based psychological interventions with community health worker programs, particularly in vulnerable agricultural regions facing recurrent disasters. This cadre-centered approach offers a sustainable model for improving mental health outcomes in disaster-affected populations while supporting broader disaster preparedness initiatives. Where it will also support the achievement of SDG 3.

Studi Kasus Implementasi Pemberian VCO dan Edukasi Kesehatan pada Keluarga Penderita Penyakit Kusta di Wilayah Kerja Puskesmas Sukodono: Case Study of the Implementation of VCO and Health Education for Families of Leprosy Patients in the Sukodono Health Center Working Area Rahmawati, Primasari Mahardhika; Suhari; Sulistyono, R Endro; Pebriyanti, Dwi Ochta; Triana, Dinda; Purwanto, Alvin Ferdian
Binawan Student Journal Vol. 7 No. 1 (2025)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/xh6jqp47

Latar Belakang: Penyakit kusta masih menjadi masalah kesehatan yang signifikan di Indonesia, termasuk di Provinsi Jawa Timur, dengan prevalensi yang meningkat. Penyakit ini tidak hanya memengaruhi fisik penderita tetapi juga berdampak pada aspek psikologis dan sosial, terutama akibat stigma negatif yang berkembang di masyarakat. Pengetahuan keluarga mengenai penyakit kusta dan cara perawatan penderita menjadi kunci utama dalam pengelolaan penyakit ini. Tujuan: untuk menganalisis pengaruh edukasi kesehatan dan pemberian terapi Virgin Coconut Oil (VCO) dalam meningkatkan pemahaman keluarga dan kualitas hidup penderita kusta di Desa Selokgondang, Kabupaten Lumajang. Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan kualitatif, dengan pengumpulan data melalui wawancara, observasi, dan dokumentasi. Hasil: setelah tiga kali kunjungan, keluarga dan partisipan menunjukkan bahwa edukasi kesehatan yang diberikan dapat meningkatkan pemahaman keluarga mengenai penyakit kusta, serta pentingnya pengobatan dan pencegahan penularan. Selain itu, pemberian VCO terbukti efektif dalam meningkatkan kelembapan kulit dan mengurangi keluhan kulit kering pada penderita. Kesimpulan: intervensi edukasi kesehatan yang diikuti dengan pemberian terapi VCO dapat meningkatkan pemahaman keluarga dalam merawat penderita kusta serta memperbaiki kondisi fisik pasien, yang pada akhirnya meningkatkan kualitas hidup penderita kusta.

Strategies to Increase Family Resilience to Disasters Based on Pentahelix Perspectives: A Qualitative Study Suhari, Suhari; Sulistyono, R Endro; Rahmawati, Primasari Mahardhika; Pebriyanti, Dwi Ochta
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.8655

Disasters affect family dynamics as the smallest social unit in society. Disasters that occur in communities have a considerable impact on the lives and property, and mental health of survivors. In addition, it also affects human health, which risks undermining the well-being of families, due to the health problems that can occur. The family's unpreparedness in these tasks can increase the psychological and physical impacts experienced by its members. Therefore, strategies in disaster preparedness are important to reduce the impact. This study aims to explore strategies to improve family resilience in disaster mitigation. The number of interviews is 21 people, consisting of women and men with an average age of 45 years, who have different backgrounds. Including academians, business, community, government, and journalists. The results showed that the strategy to increase family resilience to disaster is based on 5 family tasks from Maglaya's theory, including that families must have a preparedness plan and knowledge about disaster management through education to families about the steps that must be taken before, during, and after a disaster is very helpful in increasing family resilience. The conclusion is that disaster training and simulation programs involving family members have proven effective in building confidence and necessary skills. This research can be concluded that family disaster preparedness depends on good knowledge and planning. Disaster nurses play an important role in education and training, which helps reduce psychological and physical impacts. Thus, community safety and well-being can be improved by exploring strategies to improve family resilience in disaster mitigation

IMPLEMENTASI SENAM KUSTA TERHADAP KESIAPAN PENINGKATAN MANAJEMEN KESEHATAN DI WILAYAH UPT PUSKESMAS PADANG : STUDI KASUS Pebriyanti, Dwi Ochta; Sulistyono, R Endro; Suhari, Suhari; Rahmawati, Primasari Mahardhika; Parwati, Lia; Setyawan, Handhi Agung
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.47281

Kusta merupakan penyakit infeksi kronik akibat Mycobacterium leprae yang menyerang kulit dan saraf tepi, serta berisiko menyebabkan kecacatan permanen jika tidak ditangani secara tepat. Untuk mencegah komplikasi penyakit dan mencapai kondisi kesehatan yang optimal, diperlukan kesiapan peningkatan manajemen kesehatan untuk meningkatakan kualitas hidup penderita yang lebih baik. Salah satu intervensi yang dapat diterapkan yaitu senam kusta. Penelitian ini bertujuan untuk mengeksplorasi implementasi senam kusta sebagai upaya peningkatan manajemen kesehatan dan pencegahan komplikasi pada penderita kusta. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus yang dilakukan pada satu partisipan berinisial Tn. M di wilayah kerja UPT Puskesmas Padang Kabupaten Lumajang. Teknik pengambilan data menggunakan wawancara, observasi, dan dokumentasi, serta dianalisis secara tematik berdasarkan proses asuhan keperawatan. Hasil: Setelah dilakukan implementasi selama tiga kali kunjungan, partisipan menunjukkan peningkatan kemampuan dalam melakukan gerakan senam, penurunan frekuensi kram, peningkatan motivasi menjaga kesehatan, serta adanya keterlibatan keluarga dalam mendampingi. Selain itu, dukungan keluarga terbukti berperan penting dalam meningkatkan motivasi partisipan dan keberhasilan terapi. Simpulan: Implementasi senam kusta efektif sebagai terapi nonfarmakologis yang mudah diterapkan, mampu mencegah kontraktur, meningkatkan fungsi motorik, serta memperkuat dukungan keluarga dalam proses pemulihan. Oleh karena itu, senam kusta dapat menjadi rekomendasi dari intervensi untuk meningkatkan kualitas hidup penderita kusta.

IMPLEMENTATION OF DHIKR THERAPY FOR MENTAL DISORDERS WITH SENSORY PERCEPTION DISTURBANCE NURSING PROBLEMS AT CANDIPURO COMMUNITY HEALTH CENTER Rahmawati, Primasari Mahardhika; Abidin, Zainal; Puji Astutik, Devi
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.68502

Introduction: Mental disorders are a serious health issue that can significantly affect a person's quality of life. One common symptom experienced by patients with mental disorders is auditory hallucination. Dhikr therapy is a non-pharmacological approach that can be used to help patients with auditory hallucinations. This case study aims to assist patients in reducing the level of auditory hallucinations using dhikr therapy. Methods: This research employed a case study with a descriptive-narrative method through a mental health nursing process approach involving one patient with auditory hallucinations at the Mental Health Service Unit of the Candipuro Community Health Center from June 11–13, 2024. The intervention included nursing actions that involved dhikr therapy conducted for three days with a duration of 10–20 minutes per session. Data analysis was performed by observing changes in the level of hallucinations before and after dhikr therapy. Results: The implementation of dhikr therapy for three days showed a reduction in auditory hallucinations and an improvement in sensory perception criteria. The patient rarely heard whispers, sensory distortions decreased, patient responses improved, and behaviors indicating the perception of hearing voices diminished. The AHRS questionnaire results indicated the effectiveness of dhikr therapy in reducing auditory hallucinations, with a final score of 17, categorizing it as moderate hallucination. Conclusions: Based on the results of this case study, it is hoped that nurses can provide dhikr therapy as a non-pharmacological treatment option for patients with mental disorders experiencing auditory hallucinations. This research is also expected to be developed further by applying dhikr therapy to multiple patients with similar cases for comparative analysis.

RESILIENCE OF ADOLESCENT POST-DISASTER ERUPTION OF MOUNT SEMERU: LITERATURE REVIEW Rahmawati, Primasari Mahardhika; Suhari, Suhari; Astuti, Anggia; Musviro, Musviro
Journal of Vocational Nursing Vol. 2 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i2.30625

Introduction:Indonesia sits on an active continental plate, surrounded by a series of very active volcanoes called the ring of fire. These conditions make Indonesia very vulnerable to disasters. Mount Semeru was observed to have experienced at least 57 eruptions or eruptions. The resilience possessed by adolescents can affect when the post-eruption disaster strikes.Methods:The strategy to determine the selection of studies that have been found, the author uses a protocol and evaluation uses the PRISMA Checklist and is adjusted to the purpose of this literature review. Searching for literature sources in this literature review uses several databases including PubMed and Google ScholarResults:Resilience is very important for adolescents in post-mountain eruption disaster situations, adolescents who have resilience can survive and never give up in difficult circumstances, adapt to these conditions, and can rise. Most of the adolescents in post-disaster areas have moderate levels of resilience as much as 64% and as high as 63%. This can occur due to several factors, namely individuals, families, and communities. In addition, gender can also affect a person's resilience. Men are more resilient than women.Conclusion:The existence of sources of support from internal and external as well as knowledge about adolescent disasters can optimize youth resilience after the Semeru eruption disaster.

Adolescent Stress Management Using Five-Finger Hypnotic Therapy during The Covid-19 Pandemic Abidin, Zainal; Rahmawati, Primasari Mahardhika; Musviro, Musviro
JI-KES (Jurnal Ilmu Kesehatan) Vol. 6 No. 2 (2023): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/jikes.v6i2.571

Abstrak Pandemi Covid-19 memiliki dampak parah pada semua sektor, baik kesehatan, ekonomi, dan secara sosial di seluruh dunia. Remaja adalah kelompok yang rentan terhadap masalah psikologis seperti stres karena pandemi. Upaya dan kebijakan dalam menangani pandemi seperti membatasi pertemuan sekolah dan pembelajaran online dapatmemicustres untuk remaja. Hipnotis lima jari adalah salah satu intervensi keperawatan yang dapat diimplementasikan untuk mengurangi stres, terapi ini menyebabkan relaksasi yang tinggi sehingga akan mengurangi ketegangan. Penelitian ini bertujuan untuk mengidentifikasi hubungan hipnotik lima jari dengan tingkat stres remaja di era pandemi Covid-19. Metode dalam penelitian ini adalah quasi eksperimen one group pre test – post test dengan sampel 30 remaja yang ditentukan oleh pengambilan sampel acak, yang memenuhi kriteria inklusi untuk kisaran usia 12-19 tahun. Stres diukur menggunakan instrumen Perceive Stress Scale. Data dianalisis menggunakan uji korelasi t-test berpasangan yang menunjukkan bahwa ada efek terapi hipnotik lima jari pada tingkat stres remaja (Sig.2-tailed = 0,000, α = 0,05). Hasil dari studi ini menunjukkan bahwa hipnotis lima jari memiliki efek yang signifikan pada pengurangan stres dan dapat menjadi intervensi keperawatan alternatif dalam mengurangi stres, terutama pada remaja. Kata kunci: manajemen stres, remaja, hipnotik lima jari, Covid-19 Abstract The Covid-19 pandemic has had a severe impact on all sectors, both health, economically and socially across the globe. Adolescents are a group that is vulnerable to psychological problems such as stress due to the pandemic. Efforts and policies in dealing with the pandemic, such as limiting school gatherings and implementing online learning are stressful for adolescents. Five finger hypnosis is one of the nursing interventions that can be implemented to reduce stress, this therapy causes high relaxation, so it will reduce tension. This study aims to identify the relationship between five-finger hypnosis and adolescent stress levels. The method used in this study is a quasi experiment one group pre - post test with a sample of 30 adolescents chosen at random who meet the inclusion criteria for the age range of 12 to 19 years. Stress was measured using the Perceive Stress Scale instrument. The data was analyzed using a paired t-test correlation test, which revealed that five-finger hypnotic therapy had an effect on adolescent stress levels (Sig.2-tailed = 0.000, = 0.05). According to the findings of this study, five-finger hypnosis has a significant effect on stress reduction and can be used as an alternative nursing intervention in stress reduction. Keywords: stress management, adolescents, five-finger hypnotics, Covid-19

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