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Journal : Journal Of Nursing Practice

Correlation between Stress Levels and Self-Harm Behavior among College Students in Surabaya: Cross-Sectional: Mental Health Nursing Andikawati Fitriasari; Dyah Ika Krisnawati; Chilyatiz Zahroh; Firdaus; Ragil Putri Fitriyanti
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.919

Abstract

Background: Nursing students experience high stress levels because of the high demands, expectations and activities during their study. Therefore some students struggle to adapt to their college life, eventually resorting to dangerous behaviors such as self-harm, which they perceive as a coping mechanism to relieve stress. Purpose: This study aims to analyze the relationship between stress levels and self-harm incidents among active students at Universitas Nahdlatul Ulama Surabaya. Methods: This research design uses descriptive correlational with cross-sectional approach.  This study involved 293 students from Universitas Nahdlatul Ulama Surabaya, with purposive sampling technique. The dependent variable in this study is self-harm behavior, while the independent variable is the level of stress. The instrument tools used are the Perceived Stress Scale (PSS) questionnaire and DSHI (Deliberate Self Harm Inventory). Results: A total of 293 students were sampled in this study. The majority of stress levels were experienced by women, with 135 respondents experiencing moderate stress levels and 118 students having engaged in mild self-harm behavior. The results of the Spearman’s rank statistical test showed a significant correlation between stress levels and self-harm behavior (p-value = 0.004), indicating that higher levels of perceived stress are associated with a greater tendency toward self-harm Conclusion: This study concluded that the majority of students were under stress, with most perceiving themselves to be experiencing moderate stress. There is an urgent need to identify the underlying causes and implement effective management and preventive measures to mitigate the long-term negative effects of stress on students’ careers and well-being.
Family Caregiving Behavior and its Correlation with Stroke Severity among Patients with Stroke Sari, Ratna Yunita; Riska Rohmawati; Faizah, Imamatul; Dyah Ika Krisnawati; Hasina, Siti Nur; Anh, Duong Thi To; Kuo, Tsung-Rong
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1072

Abstract

Background: Stroke is a disease that requires intensive family care. Suboptimal family care can worsen a stroke patient's condition.   Purpose: This study aimed to determine family caregiving behaviours, based on the severity of the stroke, at PHC Hospital Surabaya. Methods: The study design employed analytical observation using a cross-sectional method, with a study population of 170 respondents and a sample of 120 selected via simple purposive sampling. The independent variable in this study was family behavior, and the dependent variable was tingkat keparahan pasien stroke. The instruments used were National Institutes of Health Stroke Scale (NIHSS) Questionnaire and the Family Behaviour Questionnaire. Data analysis utilised the Spearman rank test. Results: The results of the study showed that almost half (49.2%) had adequate behavior in caring for stroke patients and nearly half (44.2%) had severe stroke severity with a value of ρ = 0.014 correlation coefficient of 1.000, which means there is a relationship between family behavior in caring for stroke patients and the severity of stroke patients at PHC Hospital Surabaya with a robust correlation. Conclusion: Family caregiving behavior is significantly associated with stroke severity. Improving education and guidance for families of stroke patients is crucial to supporting successful patient care and rehabilitation.