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Faktor – Faktor Yang Berhubungan dengan Motivasi Kerja Perawat Rawat Inap Rsud Kota Tanjungpinang Susilawati Yuliana; Rachmawaty M. Noer; Mira Agusthia
Jurnal Siti Rufaidah Vol. 2 No. 3 (2024): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i3.93

Abstract

Work motivation is the desire or desire that influences nurses' behavior in order to improve performance. There are several factors related to the work motivation of inpatient nurses at Tanjungpinang City Regional Hospital, namely responsibility, recognition, achievement, working environment conditions, interpersonal relationships and supervision. This research was conducted in the inpatient room of Tanjungpinang City Hospital, Riau Islands Province. The type of research used is quantitative research with a cross sectional approach. The population in this study were all inpatient nurses at the Tanjungpinang City Regional Hospital, namely 85 people and the number of samples in this study was 85 respondents using a total sampling technique. The statistical test used is the chi square test. The results of the research show that what influences work motivation are: Responsibility 98.87 Recognition 80.7 Achievement 83.59 Work environment conditions 51.87 Interpersonal relationships 97.64 Supervision 89.49. The results of statistical tests formulate a relationship between motivation and: Responsibility, the P value is 0.353. Achievement of P value recognition P value 0.028. Interpersonal relationships P value 0.547. Working environmental conditions P value 0.521. Supervision P value 0.334. It is hoped that the results of this research can increase the work motivation of nurses at the Tanjungpinang City Hospital.
THE EFFECT OF INTRADIALYTIC EXERCISE ON ANXIETY LEVELS INPATIENTS WITH CHRONIC KIDNEY FAILURE IN THE HEMODIALISAROOM OF RSUD TANJUNGPINANG Yovi Octaviana Hasibuan; Mira Agusthia; Althafia Athaya Drana Drana; Rachmawaty M Noer
Proceeding of Banten Internasional Conference on Health Advancement and Research Vol. 1 No. 1 (2026): Proceeding Banten International Conference on Health Advancement & Research (BI
Publisher : Poltekkes Kemenkes Banten

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Abstract

Background: Chronic kidney failure is a pathophysiological condition that can arise due to various etiologies. Hemodialysis patients with chronic kidney failure who experience problems and clinical difficulties can affect anxiety levels, one of the non pharmacological treatments that can be given to patients is Intradialytic exercise because the movements are simple, do not interfere with the hemodialysis procedure, and are useful in reducing anxiety levels. Research Objectives: This study aims to determine the effect of intradialytic exercise on anxiety levels in patients with chronic kidney failure in the hemodialysis room of Tanjungpinang City Hospital. Research Method: This study uses a quantitative research method with a quasi-experimental design without control design, the design form used is pre and post test. The sample in this study of patients treated at Tanjungpinang City Hospital amounted to 30 people with random sampling techniques. The anxiety level measurement instrument uses the Hamilton Anxiety Rating Scale (HARS) questionnaire. The statistical analysis used was a normality test with a sig value. > 0.005, t paired sample t test and independent t test. Study Results: There was a significant influence between the average anxiety level score at the pre-test and post-test in the intervention group (intradialytic exercise) (mean pre- test = 24.60 to mean post-test = 18.33) with a p-value of 0.000. Conclusion: this study found the effect of intradialytic exercise on anxiety levels in patients with chronic kidney failure in the hemodialysis room of Tanjungpinang City Hospital. Suggestion: Suggestion for Tanjungpinang City Hospital, intradialytic exercise therapy can be considered as a non-pharmacological management in patients with chronic kidney failure in the Hemodialysis room to reduce anxiety levels.
FAMILY LITERACY-BASED APPROACH TO STRENGTHENING SELF-CARE MANAGEMENT COMPLIANCE IN DIABETES MELLITUS PATIENTS: INSIGHTS FROM A HOSPITAL STUDY. Rachmawaty M. Noer; Sri Herti Naulina Simatupang; Collene Fathona; Mira Agusthia
Proceeding of Banten Internasional Conference on Health Advancement and Research Vol. 1 No. 1 (2026): Proceeding Banten International Conference on Health Advancement & Research (BI
Publisher : Poltekkes Kemenkes Banten

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Abstract

Self care. management in patients with diabetes mellitus, which is an effort that can be made by patients with diabetes mellitus to be able to manage themselves which is influenced by family support and health literacy. This study was conducted to determine the Relationship between Family Support and Health Literacy with Self care. management Compliance in Patients with Diabetes Mellitus in the Edelweis Room of X Batam Hospital in 2024. This study used a quantitative method with 30 respondents of Patients with Diabetes Mellitus in the Edelweis Room of X Batam Hospital using consecutive sampling techniques. Data were processed using the Chi Square test. The results of the study obtained the largest respondent support in the poor category as many as 18 respondents (60%), the largest respondent Health literacy in the inadequate category as many as 20 respondents (66.7%), Self Care Management of the largest respondents in the poor category as many as 16 respondents (53.3%), There is a Relationship between Family Support and Self Care Management in Diabetic Mellitus Patients with a p value of 0.02, There is a Relationship between Health literacy and Self Care Management in Diabetic Mellitus Patients with a p value of 0.019. This study can provide better knowledge to patients about the importance of family support, health literacy, and DM selfcare management to improve health levels.
Efektivitas Terapi Mindfulness Berbasis Aplikasi Breathe2Relax Terhadap Stres Mahasiswa Tingkat Akhir Mira Agusthia; Utari Christya Wardhani; Novita Rochmayanti; Triyana Harlia Putri
Malahayati Nursing Journal Vol 6, No 8 (2024): Volume 6 Nomor 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i8.12608

Abstract

ABSTRACT Academic stress is defined as a condition of individuals experiencing pressure from the perception and assessment of academic stressors, which are related to science and education in higher education. The prevalence of students in the world who experience stress is 38-71%. Meanwhile, the prevalence of students experiencing stress in Indonesia was 36.7-71.6%. Stress cannot be prevented but it can be managed. Non-pharmacological therapy for stress reduction is application-based mindfulness. The “Breathe2Relax” app is also a portable skill training tool for practicing diaphragmatic breathing. Mindfulness brings students to focus on realizing the conditions they are currently facing, accepting them with sincerity, without reacting and giving judgments. To determine the effectiveness of Mindfulness Therapy based on the Breathe2Relax Application on Final Year Student Stress. Quantitative research quasi-experimental one group pretest - posttest design without a control group and sampling using purposive sampling with a total sample of 34 students. The level of stress before being given mindfulness therapy was moderate stress as many as 32 people (94.1%) and severe stress as many as 2 people (5.9%). The stress level of students after being given mindfulness therapy was 29 people (85.3%) mild stress and 5 people (14.7%) moderate stress. The results of the analysis test showed that there was an effectiveness of mindfulness therapy based on the Breathe2Relax application on stress in final year students at Awal Bros University. p value=0.000 (p0.05). There is an effect of the effectiveness of mindfulness therapy based on the "Breathe2Relax" application on stress in final year students. It is hoped that the research place will conduct counseling guidance as a place of guidance for students so that it can reduce the level of stress that occurs in students. Keywords: Student, Stress, Mindfulness Therapy  ABSTRAK Stress akademik diartikan sebagai suatu keadaan individu yang mengalami tekanan hasil persepsi dan penilaian tentang stressor akademik, yang berhubungan dengan ilmu pengetahuan dan pendidikan di perguruan tinggi. Prevalensi mahasiswa di dunia yang mengalami stres didapatkan sebesar 38-71%. Sementara itu prevalensi mahasiswa yang mengalami stres di Indonesia sendiri didapatkan sebesar 36,7- 71,6%. Stres tidak dapat dicegah tetapi bisa dikelola. Terapi non farmakologi penurunan stres yaitu mindfulness berbasis aplikasi. Aplikasi “Breathe2Relax” juga merupakan alat latihan keterampilan portabel untuk melatih pernapasan diafgrama. Mindfulness membawa mahasiswa untuk fokus menyadari kondisi yang dihadapi saat ini, menerimanya dengan penuh keikhlasan, tanpa bereaksi dan memberikan penilaian. Tujuan untuk mengetahui Efektivitas Terapi Mindfulness berbasis Aplikasi Breathe2Relax terhadap Stres Mahasiswa Tingkat Akhir. Penelitian kuantitatif quasi experimental one grup pre test - post test design tanpa kelompok kontrol dan pengambilan sample menggunakan Purposive Sampling dengan jumlah sample sebanyak 34 mahasiswa. Tingkat stres sebelum diberikan terapi mindfulness stres sedang sebanyak 32 orang (94,1%) dan stres berat sebanyak 2 orang (5,9%). Tingkat stres mahasiswa setelah diberikan terapi mindfulness yaitu stres ringan sebanyak 29 orang (85,3%) dan stres sedang sebanyak 5 orang (14,7%). Hasil uji analisis didapatkan bahwa terdapat efektivitas terapi mindfulness berbasis aplikasi Breathe2Relax terhadap stres pada mahasiswa tingkat akhir Universitas Awal Bros. p value=0,000 (p0,05). Ada pengaruh efektivitas terapi mindfulness berbasis aplikasi “Breathe2Relax” terhadap stres pada mahasiswa tingkat akhir. Diharapkan  tempat penelitian melakukan bimbingan konseling sebagai tempat bimbingan bagi mahasiswa sehingga dapat mengurangi tingkat stres yang terjadi pada mahasiswa. Kata Kunci: Mahasiswa, Stres, Terapi Mindfulness
Menjadi Remaja Peduli Kesehatan Mental Melalui Program Mental Healt First Aid Mira Agusthia; Siska Natalia; Julia Hermalina; Nur Latifa
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/8py2wp38

Abstract

Remaja merupakan kelompok usia yang rentan terhadap masalah kesehatan mental akibat perubahan biologis, psikologis, dan sosial yang cepat. Kurangnya pengetahuan serta stigma terhadap isu kesehatan mental membuat remaja enggan mencari bantuan, sehingga risiko gangguan mental meningkat. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kepedulian remaja terhadap kesehatan mental, membangun kesadaran, serta melatih keterampilan coping adaptif melalui pendekatan interaktif dan partisipatif. Kegiatan dilakukan di SMA Negeri 26 Kota Batam dengan melibatkan 35 siswa kelas XI–XII sebagai partisipan. Metode intervensi meliputi edukasi interaktif, workshop teknik koping (mindfulness, journaling, relaksasi napas), diskusi kelompok, dan pembentukan peer support. Data dikumpulkan menggunakan kuesioner pre-post test untuk mengukur pengetahuan dan sikap, serta Focus Group Discussion untuk pengalaman subjektif. Analisis kuantitatif menggunakan uji t berpasangan, sementara data kualitatif dianalisis secara tematik. Hasil menunjukkan peningkatan signifikan dalam pengetahuan dan sikap positif terhadap kesehatan mental (p < 0,01), kemampuan mengidentifikasi tanda stres, serta keterampilan coping adaptif. Diskusi kelompok mendukung terbentuknya lingkungan yang aman untuk berbagi pengalaman, meski beberapa partisipan masih mengalami hambatan akibat stigma internal. Pengabdian ini menunjukkan bahwa pendekatan edukatif dan peer support efektif meningkatkan kepedulian remaja terhadap kesehatan mental dan memberikan dasar bagi pengembangan program berkelanjutan di sekolah
ANALISIS DETERMINAN KUALITAS PENDOKUMENTASIAN ASUHAN KEPERAWATAN BERBASIS SIMRS KHANZA DI RUMAH SAKIT Mira Agusthia; Rachmawaty M. Noer; Rahmawati Zartika
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.977

Abstract

Nursing care documentation is a vital component of nursing services that functions as a communication tool, legal evidence, and an indicator of service quality. The implementation of a Hospital Management Information System (SIMRS) is expected to enhance the effectiveness and quality of documentation. However, several obstacles remain in its execution. Nurses tend to prioritize patient care, resulting in documentation being completed only at the end of a shift. Furthermore, SIMRS features that are not yet effective, efficient, or compliant with standards cause nurses to perform repetitive, inaccurate, and inconsistent documentation. Other constraining factors include inadequate computer facilities, unstable internet connections, and a lack of regular supervision and training. This study aims to identify the factors influencing the quality of nursing care documentation within the Khanza Management Information System at RSUD Embung Fatimah, Batam City. This research used a quantitative design with a correlational analytic approch with a cross-sectional method. Data analysis was conducted using the Chi-Square test. The sample was selected using a total sampling technique consisting of 50 staff nurses. Data analysis was performed univariate and bivariate analyses with a significance level of α= 0.05. The results showed that 25 respondents (50%) had a light workload. Bivariate analysis revealed a significant relationship between workload and the quality of nursing care documentation in the Khanza system, with a p-value of 0.000 (≤ 0.05). Additionally, there was a significant relationship between organizational support and the quality of nursing care documentation, with a p-value of 0.029 (≤ 0.05). In conclusion, workload and organizational support are related to the quality of nursing care documentation within the Khanza system at RSUD Embung Fatimah, Batam City.
Pengaruh Terapi Progresive Muscle Relaxation Terhadap Penurunan Stres Orang Tua Menghadapi Hospitalisasi Di Ruang Rawat Inap Anak RSUD Raja Ahmad Tabib Tanjungpinang Rozanawati Rozanawati; Mira Agusthia; Yulianti Wulandari
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 3 No. 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2244

Abstract

Hospitalization is a condition where a child is sick and undergoing treatment in a hospital. This condition causes stress for children and parents. Stress in parents can have a negative impact on children because it affects the healing process. This research was carried out to see the effect of PMR therapy on reducing parental stress facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Tanjungpinang Hospital in 2023. The research design is a quasi-experimental pre-test post-test design involving 2 groups, intervention and control group. The independent variable is PMR therapy and the dependent variable is stress level. The population in this study was 36 respondents, namely parents whose children were being treated in the pediatric inpatient room. The results of the analysis in the intervention group using the Paired T Test obtained a significant value of .001 < 0.05, so it could be said that Ho was rejected and Ha was accepted. There is a significant effect of Progressive Muscle Relaxation (PMR) Therapy on reducing the stress of parents facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Hospital, Tanjungpinang. Meanwhile, in the control group, there was an increase in stress in the post-test group.
Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Tekanan Darah Pada Lansia Di UPTD Puskesmas Tanjung Unggat Reza Novizar Syah; Mira Agusthia; Rachmawaty M. Noer
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 3 No. 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2247

Abstract

The prevalence of hypertension in Indonesia reaches 34.11%, with the highest incidence of hypertension found in those aged 65 years and over at 63.22%. The number of elderly patients suffering from hypertension who undertake non-pharmacological therapy needs to be encouraged. Non-pharmacological therapy is always an option because it is not expensive, one of which is progressive muscle relaxation. Research objective: to determine the effect of progressive muscle relaxation therapy on reducing blood pressure in the elderly at the Tanjung Unggat Community Health Center UPTD. Quasi Experiment with One Group Pre-Post Test Design approach. The sample consisted of 26 elderly respondents who suffered from hypertension in the UPTD area of ​​the Tanjung Unggat Community Health Center using a purposive sampling technique. The mean systolic and diastolic blood pressure before progressive muscle relaxation therapy was 152.50 mmHg and 94.81 mmHg. After treatment with progressive muscle relaxation therapy, the mean systole was 138.85 mmHg and the mean diastole was 88.62 mmHg. The results of the Wilcoxon Sign Rank Test statistical test obtained p-value = 0.000 (p < 0.05), namely H0 was rejected, which means there was an effect of providing progressive muscle relaxation therapy on reducing blood pressure in the elderly at the UPTD Tanjung Unggat Health Center. It is hoped that the elderly can apply progressive muscle relaxation to lower blood pressure.
Studi Fenomenologi Pengalaman Orangtua Dalam Merawat Anak Dengan Penyakit Jantung Bawaan Di RS Awal Bros Gajah Mada Batam Indah Purnama Sari; Mira Agusthia; Susanti Susanti
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1174

Abstract

Penyakit Jantung Bawaan (PJB) merupakan kelainan struktural jantung sejak lahir yang memerlukan perawatan jangka panjang dan berdampak tidak hanya pada kondisi fisik anak, tetapi juga pada aspek psikologis dan sosial keluarga, khususnya orangtua sebagai caregiver utama. Penelitian ini bertujuan untuk menggali dan memahami secara mendalam pengalaman orangtua dalam merawat anak dengan PJB di Rumah Sakit Gajah Mada Batam, dengan metode kualitatif pendekatan fenomenologi. Partisipan berjumlah lima orangtua yang memiliki anak dengan PJB, yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan melalui wawancara mendalam (in-depth interview), kemudian dianalisis menggunakan pendekatan analisis tematik. Hasil penelitian mengidentifikasi tiga tema utama pengalaman orang tua dalam merawat anak dengan Penyakit Jantung Bawaan (PJB), yaitu beban psikologis, kebutuhan informasi dan dukungan, serta keterlibatan dalam perawatan. Orang tua mengalami kecemasan dan ketidakpastian pada awal diagnosis, kemudian beradaptasi seiring waktu. Kebutuhan akan edukasi yang jelas dan dukungan emosional dari tenaga kesehatan menjadi faktor penting. Selain itu, orang tua berperan aktif sebagai caregiver, pengambil keputusan, dan mitra tenaga kesehatan dalam perawatan anak.. Kesimpulan penelitian menunjukkan bahwa pengalaman orangtua dalam merawat anak dengan PJB bersifat kompleks dan multidimensional, sehingga diperlukan pendekatan asuhan keperawatan berbasis keluarga (Family-Centered Care) yang menekankan pada komunikasi efektif, dukungan emosional, serta keterlibatan aktif keluarga dalam perawatan.
EFEKTIVITAS MENTAL HEALTH FIRST AID TERHADAP TINGKAT STRES DAN PERILAKU AGRESIF PADA REMAJA DI SMA X KOTA BATAM Mira Agusthia; Rachmawaty M Noer; Siska Natalia; Julia Hermalina
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.8378

Abstract

Pendahuluan: Remaja merupakan kelompok usia yang rentan mengalami berbagai permasalahan psikologis sebagai konsekuensi perubahan biologis, psikologis, dan sosial pada masa transisi menuju dewasa. Stres akibat tekanan akademik dan dinamika hubungan sebaya dapat berkembang menjadi respons perilaku maladaptif, termasuk perilaku agresivitas, yang berpotensi mengganggu kesejahteraan psikologis dan proses pembelajaran. Intervensi kesehatan mental berbasis sekolah diperlukan untuk mendukung kemampuan remaja dalam mengenali dan memberikan pertolongan awal terhadap masalah kesehatan mental. Tujuan: tujuan dari penelitian ini adalah untuk menganalisis efektivitas Mental Health First Aid (MHFA) dalam menurunkan tingkat stres dan perilaku agresivitas pada remaja sekolah menengah atas. Metode: penelitian ini merupakan penelitian kuantitatif dengan desain quasi-experimental pretest–posttest with control group. Sampel pada penelitian ini terdiri atas 35 siswa SMA Negeri 26 Kota Batam yang dipilih menggunakan purposive sampling dan dibagi menjadi kelompok intervensi dan kontrol sesuai kriteria yang telah ditetapkan. Instrumen yang digunakan adalah Perceived Stress Scale-10 (PSS-10) dan Aggression Questionnaire (AQ). Analisis meliputi univariat, Wilcoxon Signed-Rank Test, Mann–Whitney U Test, dan MANOVA. Hasil: penelitian ini pada kelompok intervensi menunjukkan penurunan median skor stres dari 17,5 (IQR 14,0–29,8) menjadi 13,0 (IQR 11,0–23,0) (p 0,001), sedangkan skor agresivitas menurun dari 89,5 (IQR 89,0–93,0) menjadi 72,5 (IQR 71,0–86,2) (p 0,001). Uji Mann–Whitney menunjukkan perubahan skor stres yang lebih besar pada kelompok intervensi dibandingkan kontrol (U = 9,00; p 0,001) dan perbedaan perubahan skor agresivitas yang signifikan secara simultan (p 0,001). Kesimpulan: kelompok intervensi yang mendapatkan Mental Health First Aid (MHFA) menunjukan penurunan tingkat stress dan perilaku agresivitas. Diskusi: Mental Health First Aid memiliki potensi sebagai pendekatan promotive dan preventif berbasis sekolah serta salah satu strategi dalam mendukung kesehatan mental remaja yang dapat diintegrasikan dalam kegiatan pendidikan