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<![CDATA[Improving The Self-Efficacy of Post-Stroke Patients Using The Application of Life Review Therapy ]]>
<![CDATA[Wahyuni, Sri]]>;
<![CDATA[Prasetyowati, Christina Dewi]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 15, No 2 (2020) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2020.15.2.1202
<![CDATA[A stroke is a health problem that requires special medical attention, due to its long-term effects such as disability, anxiety, depression, and lack of social participation, which are the causes of patient's self-efficacy being reduced. High self-efficacy is needed so that patients will be motivated to take therapy programs, increase their self-esteem and desire for recovery. The purpose of this study is to determine the self-efficacy improvement of post-stroke patients when provided with life review therapy. This study was quasi-experimental. A purposive sampling technique was used to collect the data, with a sample of 60 respondents (30 controls and 30 interventions). Data was collected using a stroke self-efficacy questionnaire. The statistical tests used were Wilcoxon and Mann Whitney. The patient's self-efficacy in the intervention group showed a change in category in the post-test result (before the intervention it was mostly in the moderate category, after the intervention it went into the high category) with statistical test results p=0.00. The control group remained mostly in the moderate category on both pre-test and post-test results with statistical test results p=0.002. There was a comparison of the effectiveness of applying life review therapy between the two groups (p=0.000). The results of this study indicate that the administration of life review therapy can improve the self-efficacy of patients after a stroke.]]>
<![CDATA[Self-Instructional Training Application on Diabetic Patients' Self-Care Behaviors ]]>
<![CDATA[Wahyuni, Sri]]>;
<![CDATA[Prasetyowati, Christina Dewi]]>;
<![CDATA[Pratiwi, Wahyu Nur]]>;
<![CDATA[Alfiadi, Khalid]]>
<![CDATA[ Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021) ]]>
Publisher : <![CDATA[Department of Nursing, Faculty of Medicine, Diponegoro University ]]>
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DOI: 10.14710/nmjn.v11i2.29360
<![CDATA[Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.]]>
<![CDATA[Penurunan Kecemasan Keluarga Pasien Stroke Dengan Family Centered Empowerment Model ]]>
<![CDATA[Christina Dewi Prasetyowati]]>;
<![CDATA[Sri Wahyuni]]>
<![CDATA[ Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021 ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang ]]>
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DOI: 10.34310/jskp.v8i2.477
<![CDATA[Stroke merupakan keadaan yang terjadi akibat adanya gangguan suplai darah ke otak yang awal timbulnya mendadak, progresi cepat berupa defisit neurologis fokal yang berlangsung 24 jam atau langsung menimbulkan kematian. Dampak dari stroke selain bagi pasien juga menimbulkan dampak psikologis kecemasan bagi keluarga pasien dari ketidaksiapan keluarga dalam merawat pasien stroke. Kecemasan pada keluarga dapat diatasi dengan pemberian edukasi berbasis family centered empowerment model. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan keluarga pasien stroke dengan family centered empowerment model di RSUD Gambiran Kota Kediri. Desain penelitian menggunakan pra experiment dengan rancangan one group pretest and posttest design. Pengambilan sampel secara non probability sampling dengan teknik accidental sampling yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner kecemasan HARS dan dianalisa dengan uji Wilcoxon Signed Ranks Test. Hasil menunjukkan nilai p = 0,000 yang artinya ada pengaruh family centered empowerment model terhadap penurunan kecemasan keluarga pasien stroke. Kata Kunci : family centered empowerment model; kecemasan; keluarga; strokeAnxiety Reduction Of Family Patients With Stroke And Family Empowerment Centered ModelAbstractStroke is a condition that occurs due to disruption of blood supply to the brain which has a sudden onset, rapid progression in the form of a focal neurological deficit that lasts 24 hours or immediately causes death. The impact of stroke in addition to the patient also causes psychological effects of anxiety for the patient's family from the family's unpreparedness in caring for stroke patients. Anxiety in the family can be overcome by providing education based on the family centered empowerment model. This study was aimed to determine the decrease in family anxiety of stroke patients with the family centered empowerment model at Gambiran Hospital, Kediri City. The research design used a pre-experimental design with a one group pretest and posttest design. The Sampling was taken by non-probability sampling with accidental sampling technique, totaling 54 people. Data was collected using the HARS anxiety questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed the value of p = 0.000 which means that there is an effect of family centered empowerment model on reducing family anxiety of stroke patients.Key Word: family centered empowerment model; anxiety; family; stroke ]]>
<![CDATA[FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI PASIEN PASCA STROKE: STUDI CROSS SECTIONAL DI RSUD GAMBIRAN KEDIRI ]]>
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Christina Dewi]]>
<![CDATA[ Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 5, No 2 (2018) ]]>
Publisher : <![CDATA[LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy ]]>
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<![CDATA[Latar belakang: Stroke terjadi dengan tiba-tiba tetapi memberikan dampak jangka panjang seperti, kecacatan, masalah emosional, depresi dan juga perubahan dalam hubungan sosial. Disfungsi pada pasien stroke menimbulkan pengaruh secara psikologis maupun sosial pada pasien, seperti timbulnya perasaan rendah diri, perasaan tidak beruntung, perasaan ingin memperoleh kembali kemampuan yang menurun, perasaan berduka, cemas dan putus asa, dimana hal tersebut merupakan tanda dan gejala efikasi diri yang rendah. Tujuan: Menganalisis faktor-faktor yang berhubungan dengan efikasi diri pasien pasca stroke di RSUD Gambiran Kediri. Metode: Penelitian ini menggunakan desain cross-sectional study. Jumlah sampel dalam penelitian ini adalah sebanyak 30 pasien stroke. Variabel terikat dalam penelitian ini adalah efikasi diri pasien pasca stroke. Variabel bebas dalam penelitian ini berupa karakteristik pasien stroke dan dukungan keluarga. Analisis yang dilakukan berupa uji univariat dan bivariat dengan menggunakan uji Chi square. Hasil: Variabel yang berhubungan dengan efikasi diri pasien pasca stroke (p<0.05) dalam penelitian ini adalah status perkawinan, jenis stroke, serangan stroke dan dukungan keluarga. Simpulan dan saran: Terdapat hubungan status perkawinan, jenis stroke, serangan stroke dan dukungan keluarga dengan efikasi diri. Perlu adanya penentuan variabel yang paling berpengaruh terhadap efikasi diri.]]>
<![CDATA[Keterkaitan Kecemasan Dan Kualitas Hidup Keluarga Pada Masa Pandemi Covid-19 ]]>
<![CDATA[Christina Dewi Prasetyowati]]>
<![CDATA[ Jurnal Smart Keperawatan Vol 9, No 1 (2022): Juni 2022 ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang ]]>
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DOI: 10.34310/jskp.v9i1.606
<![CDATA[Covid-19 merupakan penyakit dengan tingkat morbiditas dan mortalitas yang tinggi dan diperparah dengan kemampuan virus Covid-19 yang menyebar sangat cepat yang tidak sebanding dengan kemampuan dari ilmuwan dalam membuat vaksin menyebabkan kecemasan yang luar biasa bagi masyarakat. Kecemasan yang muncul merupakan bentuk dari adaptasi seseorang dalam menyikapi situasi pandemi Covid-19. Keluarga sebagai bagian terkecil dari masyarakat tentunya sangat terdampak dengan adanya pandemi Covid-19. Beban dan tekanan yang dirasakan keluarga secara langsung maupun tidak akibat pandemi Covid-19 akan berdampak pada kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui keterkaitan kecemasan dan kualitas hidup keluarga pada masa pandemi Covid-19 di Kelurahan Mojoroto Kota Kediri. Desain penelitian menggunakan cross sectional dan pengambilan sampel dengan teknik purposive sampling yang berjumlah 63 Orang. Pengumpulan data menggunakan kuesioner kecemasan HARS sedangkan kualitas hidup menggunakan instrument WHOQOL-BREF. Data dianalisa dengan uji Spearman Rho. Hasil menunjukkan nilai p = 0,000 dan nilai rs = -0,647yang artinya ada keterkaitan kecemasan dan kualitas hidup keluarga pada masa pandemi Covid-19 di Kelurahan Mojoroto Kota Kediri.Kata Kunci : kecemasan; kualitas hidup; keluarga; covid-19ANXIETY AND FAMILY QUALITY OF LIFE DURING COVID-19 PANDEMICABSTRACT Covid-19 is a disease with high rates of morbidity and mortality and it’s exacerbated by the ability of the Covid-19 virus to spread very quickly which is not comparable to the ability of scientists to make vaccines causes tremendous anxiety for the public. Anxiety that arises is a form of adaptation of a person in responding to the Covid-19 pandemic situation. The family as the smallest part of society is certainly very affected by the Covid-19 pandemic. The burden and pressure felt by the family directly or indirectly due to the Covid-19 pandemic will have an impact on their quality of life. This study aims was to determine the relationship between anxiety and family quality of life during the Covid-19 pandemic in Mojoroto, Kediri City. The research design used cross sectional and the sample was taken using purposive sampling technique with a total of 63 people. Data collection was measured using the HARS anxiety questionnaire while the quality of life using the WHOQOL-BREF instrument. Data were analyzed by Spearman Rho test. The results show p value = 0.000 and rs value = -0.647, which means that there is a relationship between anxiety and family quality of life during the Covid-19 pandemic in Mojoroto Village, Kediri City. Keyword: anxiety; quality of life; family; covid-19 ]]>
<![CDATA[The Level of Anxiety of Leprosy Patients in terms of Demographic Characteristics of Respondents ]]>
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Christina Dewi Prasetyowati]]>
<![CDATA[ Gaster Vol 19 No 2 (2021): AGUSTUS ]]>
Publisher : <![CDATA[P3M Universitas 'Aisyiyah Surakarta ]]>
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DOI: 10.30787/gaster.v19i2.603
<![CDATA[Leprosy is a chronic contagious disease caused by the mycobacterium leprae bacteria which attacks the skin and peripheral nerves. This disease can cause physical disabilities if not treated properly. Physical disabilities that appear can cause psychological problems such as anxiety. The purpose of this study was to analyze the level of anxiety in patients with leprosy based on respondents' demographic characteristics. This type of research is analytic observational with a cross-sectional research design. The sample in this study were 106 leprosy patients, with the accidental sampling technique. Data collection using a questionnaire consisted of demographic characteristics, namely age, gender, occupational education, degree of disability, and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used the chi-square statistical test. Results Age, employment, education, and patients' disability degree were associated with patient anxiety (p-value <0.05), while gender was not associated with patient anxiety (p-value> 0.05). Conclusion The variables of age, education, employment, and patients disability degree can affect anxiety in leprosy patients.]]>
<![CDATA[Table Top Salt Triage In Improving Pre Hospital Triage Capacity And Disaster Victim Handling Preparedness ]]>
<![CDATA[Christina Dewi Prasetyowati]]>;
<![CDATA[Sri Wahyuni]]>
<![CDATA[ Jurnal Smart Keperawatan Vol 10, No 1 (2023): Juni 2023 ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang ]]>
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DOI: 10.34310/jskp.v10i1.807
<![CDATA[Disasters have broad and complex impacts, both on humans and the surrounding environment. One of the challenges often faced in health management efforts in disaster areas is the lack of skills of nurses and other health workers in disaster victim preparedness and the ability to carry out pre hospital triage which will ultimately hamper health services. The knowledge and skills of nurses in handling disaster victims including conducting triage on victims are still in the sufficient category at 60%. In pre hospital situations, the correctness of officers in making triage decisions in handling victims has a very important role. The research objective was to determine the effect of the SALT triage table top in improving pre hospital triage capabilities and disaster victim handling preparedness. The research design used was a quasi experiment with a pre-post test with a control group. Sampling using purposive sampling technique. The number of respondents obtained was 78 people. The results of the Wilcoxon test showed a value of p = 0.000, which means that there is an influence of the SALT triage table top in increasing the ability of pre hospital triage and preparedness for handling disaster victims. Keywords: disaster; preparedness; pre hospital; table tops; triageTable Top Salt Triage Dalam Meningkatkan Kemampuan Triage Pre Hospital Dan Kesiapsiagaan Penanganan Korban BencanaABSTRAK Bencana memiliki dampak yang luas dan kompleks, baik terhadap manusia maupun lingkungan sekitarnya. Salah satu tantangan yang sering dihadapi dalam upaya penanggulangan kesehatan di daerah bencana adalah kekurangan ketrampilan perawat dan tenaga kesehatan lainnya dalam kesiapsiagaan penanganan korban bencana maupun kemampuan melakukan triage pre hospital yang akhirnya akan menghambat pelayanan kesehatan. Pengetahuan dan ketrampilan perawat dalam penanganan korban bencana termasuk melakukan triage terhadap korban masih berada pada kategori cukup sebesar 60%. Pada situasi pre hospital, kebenaran petugas dalam membuat keputusan triage dalam penanganan korban memiliki peran yang sangat penting. Tujuan penelitian untuk mengetahui pengaruh table top SALT triage dalam meningkatkan kemampuan triage pre hospital dan kesiapsiagaan penanganan korban bencana. Desain penelitian yang digunakan adalah quasi eksperiment dengan pre-post test with control group. Pengambilan sampel dengan menggunakan tehnik purposive sampling. Responden yang didapatkan berjumlah 78 orang. Hasil uji Wilcoxon menunjukkan nilai p = 0,000 yang artinya ada pengaruh table top SALT triage dalam meningkatkan kemampuan triage pre hospital dan kesiapsiagaan penanganan korban bencana. Kata Kunci : bencana; kesiapsiagaan; pre hospital; table top; triage]]>
<![CDATA[The Level of Anxiety of Leprosy Patients in terms of Demographic Characteristics of Respondents ]]>
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Christina Dewi Prasetyowati]]>
<![CDATA[ Gaster Vol 19 No 2 (2021): AGUSTUS ]]>
Publisher : <![CDATA[P3M Universitas 'Aisyiyah Surakarta ]]>
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DOI: 10.30787/gaster.v19i2.603
<![CDATA[Leprosy is a chronic contagious disease caused by the mycobacterium leprae bacteria which attacks the skin and peripheral nerves. This disease can cause physical disabilities if not treated properly. Physical disabilities that appear can cause psychological problems such as anxiety. The purpose of this study was to analyze the level of anxiety in patients with leprosy based on respondents' demographic characteristics. This type of research is analytic observational with a cross-sectional research design. The sample in this study were 106 leprosy patients, with the accidental sampling technique. Data collection using a questionnaire consisted of demographic characteristics, namely age, gender, occupational education, degree of disability, and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used the chi-square statistical test. Results Age, employment, education, and patients' disability degree were associated with patient anxiety (p-value <0.05), while gender was not associated with patient anxiety (p-value> 0.05). Conclusion The variables of age, education, employment, and patients disability degree can affect anxiety in leprosy patients.]]>
<![CDATA[IMPROVING SELF-MANAGEMENT FOR POST STROKE PATIENTS THROUGH STROKE EMPOWERMENT EDUCATION AS PREVENTION OF RECURRENT STROKE AT RSUD GAMBIRAN KEDIRI CITY ]]>
<![CDATA[Christina Dewi Prasetyowati]]>;
<![CDATA[Giovanni Iga Firmanda]]>
<![CDATA[ Jurnal SMART Keperawatan Vol. 12 No. 1 (2025): JUNE 2025 ]]>
Publisher : <![CDATA[Universitas Karya Husada Semarang ]]>
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DOI: 10.34310/4sqarv13
<![CDATA[Introduction : Stroke can result in a wide range of outcomes, including recovery with disabilities, death or survival with the risk of reccurent strokes. Post-stoke patients require special attention to improve self-management behaviors. Stroke empowerment education is an educational approach given to stroke patients with an empowerment focus that centers on the patient. Objective : This study aimed to determine the impact of stroke empowerment education on the self-management of post-stroke patients as a strategy to prevent recurrent strokes at RSUD Gambiran Kota Kediri. Methods : The research design used was a Quasi-Experiment with a pre-post test design with a control group. The sampling method used was accidental sampling technique, resulting in 98 respondents. Self-management data were gathered through the The Southampton stroke self-management questionnaire (SSSMQ). Results : The results of the Wilcoxon Signed Ranks Test showed a p-value of 0.000, meaning p < 0.05, thus rejecting H0. Conclusion : This study concluded that stroke empowerment education had a positive impact on enhancing self-management in post-stroke patients as a preventive measure against recurrent strokes at RSUD Gambiran Kota Kediri.]]>
