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The Effect of Self-Help Group (SHG) on Family's Ability in Treating Person with Mental Illness (PWMI) Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Emi Wuri Wuryaningsih; Fitrio Deviantony; Yeni Fitria
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 1 (2023): March 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v3i1.173

Abstract

The community health center in Jember Regency has not been optimal in overcoming mental disorders in the community, causing increasingly complex mental health problems and impacting not only individuals but families and society itself. The family approach using self-help group (SHG) therapy is one way to be able to provide treatment for Person With Mental Illness (PWMI). The role of mental nurses is to explore mental health problems in PWMI and psychosocial problems in families with PWMI by giving SHG therapy. This study aimed to analyze the effect of self-help groups on the family's ability to care for PWMI. This study uses a pre-experimental design approach with a one-shot case study method. The measuring instruments used were self-help group SOP, PWMI daily living activity observation sheets, and a questionnaire on the family's ability to care for PWMI. The SHG will be held for four sessions involving PWMI, families, and the person in charge of mental health programs at the community health center. The results showed a significant increase in the family's cognitive abilities before and after getting a self-help group with a P-value of 0.040. and a significant increase in psychomotor abilities with a P-value of 0.043. It is hoped that nurses can form SHG to improve PWMI care in the community
Strengthening the Mental Health of Elderly Farmers After the COVID-19 Pandemic: Penguatan Kesehatan Mental Petani Lansia Pasca Pandemi COVID-19 Kurniyawan, Enggal Hadi; Dewi, Erti Ikhtiarini; Wuryaningsih, Emi Wuri; Deviantony, Fitrio; Fitria, Yeni
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.27

Abstract

The elderly with cognitive decline can experience anxiety, restlessness, and social withdrawal, so they need special attention. Elderly farmers need to get family and community support to increase self-efficacy, resilience, and coping mechanisms in order to reduce the stress they experience. Community service activities are carried out to strengthen the mental health of elderly farmers. This health education activity was carried out at the Sukoreno Village Hall, Kalisat District, Jember Regency. Counseling on improving mental health was carried out for 60 minutes using the media of leaflets, x-banners, and banners with the lecture method followed by discussion, questions, and answers. The material presented to elderly farmers was entitled mental health for the elderly, which is a Mental Health Media Kit from the Ministry of Health of the Republic of Indonesia. The community service activity ended with the distribution of groceries to elderly farmers.
Farmers' Mental Health and the Need for Agro-Nursing-Based Nursing Interventions in the Agricultural Area of Jember District Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan; Fitrio Deviantony; Yeni Fitria
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 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