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HUBUNGAN EFIKASI DIRI DENGAN MEKANISME KOPING PADA REMAJA KORBAN PERCERAIAN DI SEKOLAH MENENGAH PERTAMA WILAYAH KABUPATEN JEMBER Erti Ikhtiarini Dewi; Novia Narulia Sari; Enggal Hadi Kurniyawan
Jurnal Vokasi Keperawatan (JVK) Vol. 8 No. 1 (2025): JUNI
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v8i1.40918

Abstract

Introduction: Parental divorce has significant negative impacts on children’s psychological well-being, particularly in adolescents. Self-efficacy, which is influenced by an individual’s belief in their own abilities, is believed to influence the coping mechanisms employed when dealing with stressors. This study aims to analyze the relationship between self-efficacy and coping mechanisms among adolescents affected by parental divorce in junior high schools in Jember Regency. Method: this study used a correlational design with a cross-sectional approach. The respondents were 60 adolescents aged 12-15 years selected using purposive sampling based on inclusion criteria. Data were collected using the general self-efficacy scale (GSES) to measure self-efficacy and the brief cope inventory to measure coping mechanisms. Data analysis was conducted using the kendall tau test. Result: the results showed that most respondents had high self-efficacy (91.7%) and employed adaptive coping mechanisms (90%). there was a significant positive relationship between self-efficacy and coping mechanisms (p-value = 0.000; r = 0.362). Analysis: these findings suggest that adolescents with high self-efficacy tend to be more able to use adaptive coping strategies. It is important to get support in building self-efficacy and understanding of adaptive coping mechanisms so that they can adjust well. Discussion: nurses as educators can teach effective coping strategies and can provide emotional support through counseling sessions. The role model method can be used to use emotional management that can be applied by adolescent victims of divorce. Keywords : adolescents, coping mechanisms, parental divorce, self-efficacy
Cross-Sectional Study: Family Social Support and Self-Harm Behavior in Early Adolescents in the Agricultural Region of Jember Regency Hamzah, Rizqi Bachtiar; Fitria, Yeni; Kurniyawan, Enggal Hadi; Dewi, Erti Ikhtiarini; Deviantony, Fitrio
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 13 No 2 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v13i2.678

Abstract

Problems experienced by early adolescents are often triggered by stressors related to physical, cognitive, and emotional changes, which may lead to low self-confidence and self-harming behaviors. These issues can cause psychological distress, thereby increasing the importance of family support. This study aimed to analyze the relationship between family social support and self-harm behavior among early adolescents in the agricultural region of Jember Regency. A correlational research design with a cross-sectional approach was employed. The study population consisted of early adolescents enrolled in public junior high schools (SMPN) in Jember, totaling 2,191 students. A sample of 376 students was selected using proportionate stratified random sampling. Data were collected using the Perceived Social Support from Family (PSS-Fa) questionnaire and the Deliberate Self-Harm Inventory (DSHI). Bivariate statistical analysis using Kendall’s tau-C revealed a significant relationship between family social support and self-harm behavior in early adolescents in the agricultural region of Jember (p = 0.002, r = -0.081). These findings indicate that family social support plays a crucial role in maintaining adolescents' emotional stability and preventing self-harm behaviors resulting from difficulties in adapting to stressors.
The Relationship between Acceptance and Caregiving Burden in Parents of Children with Intellectual Disabilities Fitria, Yeni; Widiyantari, Ni Made Galuh; Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 7 No. 2 (2025): September 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v7i2.74191

Abstract

Introduction: Parents of children with intellectual disabilities often deal with complex emotional and psychological challenges. This can affect parents' acceptance of their child's condition. Parental acceptance plays an important role in determining the ability to manage caregiving burden, which will have an impact on childcare. This study aims to analyze the relationship between acceptance and caregiving burden in parents of children with intellectual disabilities.  Method: This study used a cross-sectional design with total sampling technique involving 74 respondents. Inclusion criteria were biological parents who live together and care for children with intellectual disabilities at SLB-C TPA Jember and SLB Negeri Jember. Data was collected using the Parental Acceptation-Rejection Questionnaire (PARQ) and Zarit Burden Interview (ZBI) and analyzed using Kendall's Tau-C correlation test. Results: The results showed that most respondents 68 (91.9%) had a high acceptance, while 42 (56.8%) experienced a mild burden. The p- value = 0.005 and the coefficient correlation r=-0,298, shows that there is negative relationship with a weak correlation between parental acceptance and caregiving burden in parents of children with intellectual disabilities. Conclusions: This study found that there is relationship between parental acceptance and the caregiving burden. The higher the parental acceptance, the lower the caregiving burden. Parents who can accept their children with intellectual disabilities tend to be more ready to deal challenges and are able to perform their parenting role with an adaptive attitude. Parental acceptance can reduce the perception of caregiving burden. The findings highlight that parents should increase their acceptance to children with intellectual disabilities to deal with parenting challenges more easily.
The Relationship between Fear of Missing Out (FoMO) and Self-Esteem in Middle Adolescents Dewi, Erti Ikhtiarini; Fitria, Halena Laila; Kurniyawan, Enggal Hadi; Wuryaningsih, Emi Wuri; Erlando, Robby Prihadi Aulia
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 7 No. 2 (2025): September 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v7i2.76223

Abstract

Introduction: Middle adolescents are closer to their peers as part of their search for identity, so they are easily influenced by social trends, including the use of social media. High intensity of use can trigger fear of missing out (FoMO). FoMO encourages negative social comparisons that lead to decreased self-esteem, especially when adolescents feel that their lives are less ideal than others. This has an impact on the mental health, self-confidence, and social relations of adolescents. This study aims to determine the relationship between FoMO and self-esteem in middle adolescents at Senior High School 2 of Jember. Method: This research uses a correlational quantitative design with a cross-sectional approach. The sampling technique used was total sampling, totaling 1083 students. The instruments used were the FoMOs questionnaire and the Rosenberg Self-Esteem Scale (RSES). Data were analyzed univariately and bivariately with the Kendall Tau-c correlation test. Results: Bivariate analysis shows the value of ρ = 0.000 < 0.05, indicating a significant relationship between fear of missing out (FoMO) and self-esteem in middle adolescents at Senior High School 2 of Jember with a negative correlation direction. Conclusions: FoMO triggers a decrease in self-esteem in middle adolescents through upward social comparison of ideal content on social media. The important role of families, schools, and health workers, especially nurses, in helping teenagers manage stress due to FoMO, strengthen self-regulation, and increase self-esteem through digital education and emotional support.
The Relationship Of Self-Esteem With Diabetes Distress In Type 2 Diabetes Mellitus Patients Kurniyawan, Enggal Hadi; Ahmad, Intan Faradela; Widayati, Nur; Wuryaningsih, Emi Wuri; Dewi, Erti Ikhtiarini
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.13

Abstract

Living with diabetes can lead to various psychosocial problems that affect health and the ability to manage diabetes. Diabetes is a disease that must be managed every day by patients, causing increased stress. This study aimed to analyze the relationship between self-esteem and diabetes distress in patients with type 2 diabetes mellitus. This study used an analytical observational design with a cross-sectional method. The sample in this study was 84 type 2 DM patients. Sampling was carried out in this study using a non-probability sampling technique using consecutive sampling. Self-esteem is measured using the Rosenberg Self-Esteem Scale (RSES), while diabetes distress is measured using the Diabetes Distress Scale (DDS). Data analysis in this study used the Spearman rank (rs) statistical test. Respondents in this study had low self-esteem, as many as 51 people (60.7%). The diabetes distress respondents were in the moderate distress category, as many as 43 people (51%). Based on the results of the study, it was found that there was a significant relationship between self-esteem and diabetes distress in type 2 DM patients with a correlation value of -0.548, which means that the direction of the correlation is negative with moderate strength. This shows that the higher the self-esteem of type 2 DM patients, the lower the diabetes distress experienced. Nurses are expected to think about psychological aspects by providing counseling interventions to patients to increase self-esteem to reduce diabetes distress experienced by patients.
Self-Empowerment And Coping Strategies In Type 2 Diabetes Mellitus Patients Kurniyawan, Enggal Hadi; Santoso, Sofi Fitriyah; Widayati, Nur; Dewi, Erti Ikhtiarini; Hakam, Mulia; Deviantony, Fitrio; Fitria, Yeni
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i2.49

Abstract

Diabetes Mellitus is a chronic disease that can harm the body, both physically and psychologically (stress). DM patients will carry out adaptive coping strategies to properly manage treatment or therapy. The process of self-empowerment in people with type 2 diabetes mellitus will appear when they have information or knowledge about the disease so that it can influence the patient's self-skills for further treatment. This study aimed to analyze the relationship between self-empowerment and coping strategies in patients with type 2 diabetes mellitus. The design of this study was an analytical observational study using a cross-sectional method. The sampling technique used is consecutive sampling. The sample of this study was type 2 DM patients with 84 respondents. The instrument used in this study is the Diabetes Empowerment Scale-Long (DES-LF) questionnaire and the Cope Inventory questionnaire. Data were analyzed using the Spearman test. Self-empowerment and coping strategies in type 2 diabetes mellitus patients showed close to maximum results. In the results of the study, it was found that there was no significant relationship between self-empowerment and coping strategies in type 2 DM patients with p = 0.086. It means that other factors can influence coping strategies. Health services can educate patients about the importance of coping strategies for DM clients so that they can reduce the impact of DM disease
Farmers' Mental Health and the Need for Agro-Nursing-Based Nursing Interventions in the Agricultural Area of Jember District Dewi, Erti Ikhtiarini; Kurniyawan, Enggal Hadi; Deviantony, Fitrio; Fitria, Yeni
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5224

Abstract

The agricultural sector faces with various challenges that can affect the psychological condition of farmers. These challenges include crop yield uncertainty, extreme weather, market price fluctuations, debt, and high workloads. This pressure can cause stress, anxiety, and even depression among farmers, who often receive little attention from the health system, including nursing. Objective: This research aims to identify farmers' mental health and the need for agro-nursing-based nursing interventions. Method: This research is descriptive research with a survey method. Respondents were determined using cluster random sampling, and a sample of 227 respondents was obtained. The research instrument to measure farmers' mental health uses the SRQ-20 and the need for nursing intervention uses an instrument prepared by researchers based on the Indonesian Nursing Intervention Standard (SIKI) guidelines. Results: The research results showed that 30.5% of farmers were at risk of mental health problems (SRQ score >=6). The most common symptom of anxiety experienced was not sleeping soundly (45.9%). The most common cognitive symptom experienced was difficulty making decisions (35.1%). The most common somatic symptom experienced was headache (40.5%). The most common symptom of depression experienced was loss of interest in various things (43.3%). Nursing interventions required by farmers include the need for psychological education (72%), therapeutic support (81%), and advanced therapy (43%). Conclusions: Farmers often face social and economic challenges, including income uncertainty, social isolation in rural areas, and limited access to mental health services. Farmers usually work in remote areas, making it difficult for them to accessexisting mental health facilities. Agro-nursing-based nursing can develop intervention programs in local communities, helping farmers and their families easily access mental health support. Farmers are one of the professions that are at risk of experiencing mental health problems due to the demands of their work, so they require mental nursing intervention.
Hubungan antara Dukungan Sosial dengan Resiliensi Penyintas COVID-19 di Wilayah Kerja Puskesmas Kaliwates Jember: The Relationship Between Social Support and Resilience Among COVID-19 Survivors in the Working Area of Kaliwates Health Center, Jember Aditya Kusuma Wardana; Erti Ikhtiarini Dewi; Yeni Fitria
NERS Jurnal Keperawatan Vol. 19 No. 1 (2023): NJK Volume 19, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v19i1.46

Abstract

Survivors are vulnerable to mental health problems. Mental health problems in COVID-19 survivors that can occur are anxiety, fear, disappointment, and sadness. Social support can be one of the efforts that can be made. This research aims to analyze the correlation of social support with the resilience of COVID-19 survivors in the working area of the Kaliwates Jember Health Center. This research uses a quantitative method with an analytical observational design with a cross-sectional approach. The number of samples in this research was 176 COVID-19 survivors and were selected using the simple random sampling technique. Data were obtained using the Multidimensional Scale of Perceived Social Support (MSPSS) and Connor-Davidson Resilience Scale (CD-RISC-25) questionnaires. The results showed that the respondents had high social support (94.3%) and moderate resilience (64.2%). Data analysis using the Spearman’s-rank correlation test showed a moderately positive relationship between social support and resilience in COVID-19 survivors in the work area of the Kaliwates Jember Health Center (p = 0.000 and r = 0.574). The higher the social support, the higher the resilience of COVID-19 survivors. Providing holistic nursing care with social support is essential to improve or maintain good resilience in COVID-19 survivors.
Determinants of Food Security in Rural Households: An Analysis of Dietary Diversity, Land Ownership, and Socioeconomic Factors Deviantony, Fitrio; Dewi, Erti Ikhtiarini; Fitria, Yeni; Kurniyawan, Enggal Hadi
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.325

Abstract

Background: Food security is a critical issue in rural areas, influenced by various socioeconomic factors, dietary practices, and resource ownership. Understanding the determinants of food security can help in designing effective interventions to improve the well-being of rural households. Purpose: This study aims to identify and analyze the key determinants of food security among rural households, focusing on dietary diversity, land ownership, and other socioeconomic factors. Methods: The dataset used in this study includes variables such as gender, marital status, education, land ownership, food crop cultivation, meal frequency, age, food source, Food Security Index (FSI), and Household Dietary Diversity Score (HDDS). Multiple linear regression analysis was conducted to explore the relationships between these variables and the FSI. Additionally, a Random Forest Regressor model was employed to predict the FSI and to determine the importance of each feature. Results: The multiple linear regression analysis revealed that HDDS has a significant positive relationship with the FSI (p<0.001), indicating that higher dietary diversity is associated with higher food security levels. Other variables, such as education and food source, showed weaker correlations with food security. The Random Forest Regressor model achieved an R-squared value of 0.495, with feature importance analysis indicating that HDDS, food source, and age are the most influential factors in determining food security. The Mean Squared Error (MSE) of the model was 10.743. Conclusion: This research highlights the crucial role of dietary diversity and socioeconomic conditions in shaping food security outcomes in rural areas. The findings provide valuable insights for policymakers and stakeholders aiming to enhance food security and dietary quality in rural communities. Further studies are recommended to explore the complex interactions between these variables and to develop targeted interventions to improve food security.
The Relationship between Parenting Styles and Self-Harm Behavior in Early Adolescents in The Agricultural Area of Jember Regency Oktaviana Dwi Kartikasari; Yeni Fitria; Fitrio Deviantony; Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.373

Abstract

Early adolescents are experiencing various changes in themselves and must adapt to them. In this process, many problems can lead to deviant behavior, one of which is self-harm behavior. Self-harming behaviors can cause harm to oneself and can even lead to suicide. The purpose of this study was to determine the relationship between parenting styles and self-harm behavior in early adolescents in the agricultural area of Jember Regency. This study used a correlational design with a cross-sectional approach. The sampling technique used was proportionate stratified random sampling with 376 respondents. The instruments used were the Parenting Authority Questionnaire (PAQ) and the Deliberate Self-Harm Inventory (DSHI)—data analysis using the contingency coefficient correlation test. The results showed that the most common parenting style was authoritative parenting, with as many as 242 respondents (64.4%), and the most common self-harm behavior was low self-harm, with as many as 319 respondents (84.8%). The correlation test results show that the ρ value is 0.000, which means a significant relationship exists between parenting styles and self-harm behavior in the agricultural area of Jember Regency. Parenting provided by parents ideally or means not restraining too hard and facilitating adolescents to express their opinions can trigger early adolescents' coping mechanisms to be more adaptive by behaving, not deviating, or not committing self-harm behavior. This study can be used as a guideline for schools, mental health nurses, and communities to develop appropriate interventions to address the problem of self-harm and parenting in early adolescents.
Co-Authors Achir Yani S. Hamid Adhelia Reisa Zalsabilla Aditya Kusuma Wardana Afrize Rosalia Ahmad Muizzulhafiidh Ahmad, Intan Faradela Alfid Tri Afandi Alifia Marcheilla Yulfansha Amadea Yollanda Ami Allaili Aura Najwa Salasabila Azizah, Lia Bafidz Arifahmi Bachtiyar Bela Puspita Sari Devi Chintya Ayu Palupi Dini Kurniawati Dita Dityas Hariyanto Dodi Wijaya Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi K Enggal Hadi Kurniyawan Erlando, Robby Prihadi Aulia Febrianty, Dyta Feno Aureola Maharani Ferdiana Sari Tidar Feri Ekaprasetia Firnanda, Dhea FITRI NURCAHYANI Fitria, Halena Laila Fitria, Lailatul Fitrio Deviantony Geldine Raudina Freshta Delendra Hadi, Enggal Hafan Sutawardana, Jon Hamzah, Rizqi Bachtiar Hanny Rasni Indra Stiawan Kushariyadi Kusumaningsih, Amalia Lantin Sulistyorini Laras Ati, Niken Asih Latifa Aini Susumaningrum Latifa Aini Susumaningrum Lie Liana Fuadiati Luh Putu Ratna Sundari Muhammad Anshori Rizqi Putra Mulia Hakam Mustikasari, Novia Narulia Sari Noviyanti Fernandy Noviyanti Noviyanti Nur Aini Nur Widayati Nurfika Asmaningrum nuriyah halida Oktaviana Dwi Kartikasari Peni Perdani Juliningrum, Peni Perdani Permatasari, Vio Nadya Ragil Deshinta Ratna Sari Hardiani Regita Sari Dwi Cahyani Resita Ovina Intiyaskanti Rista Dwi Pratiwi Rommiyatun Zainiyah Rondhianto Rondhianto Santoso, Sofi Fitriyah Sari Mulia Ningrum Sekar Ayu Widowati Siti Hotijah Tantut Susanto Vania Putri Widiagma Wahyu Elok Pambudi Wantiyah Wantiyah Widiyantari, Ni Made Galuh Windi Noviani Yeni Fitria Yunita Eka Ratnasari Yunus Nur Zakarya Zulfa Makhatul Ilmi