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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
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.
Integrating Expressive Writing into Nursing Care for Schizophrenia Patients with Hallucinations: A Case Report Bela Puspita Sari; Erti Ikhtiarini Dewi
Madago Nursing Journal Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i1.4095

Abstract

Background: Hallucinations represent a common sensory perception disorder in schizophrenia patients, affecting 70-80% of cases. Expressive writing therapy serves as a potential non-pharmacological intervention to reduce hallucination symptoms through emotional catharsis and distraction mechanisms. To analyze the effectiveness of expressive writing therapy in reducing hallucination symptoms in schizophrenia patients. Methods: A qualitative case study was conducted on a 23-year-old female patient with hebephrenic schizophrenia diagnosis at Dr. Radjiman Wediodiningrat Mental Hospital Lawang. The intervention was performed for 3 days combining expressive writing therapy 20 minutes/day and hallucination management implementation strategies. Data were collected through observation, interviews, and document analysis. Results: A significant reduction in hallucination symptoms was observed, decreasing from 5 symptoms to 3 symptoms post-intervention. The patient demonstrated improved ability to control hallucinations through rejecting techniques (100%), regular medication adherence (100%), and beginning social interaction capability. Emotional expression through writing showed progression from traumatic experiences toward positive hopes. Conclusion: Expressive writing therapy is effective as an adjuvant intervention in reducing hallucination symptoms and enhancing emotional expression in schizophrenia patients.
Self-efficacy and Job Stress among Tobacco Farmers Enggal Hadi Kurniyawan; Alfia Andriyani; Emi Wuri Wuriyaningsih; Erti Ikhtiarini Dewi; Rismawan Adi Yunanto; Fitrio Deviantony; Yeni Fitria
Health and Technology Journal (HTechJ) Vol. 1 No. 3 (2023): June 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i3.41

Abstract

Farmers have heavy work demands, so farmers are at risk of injury and work-related illnesses such as mental stress disorder. This study analyzed the relationship between self-efficacy and work stress in tobacco farmers. The research design used is the analytic correlation with a cross-sectional approach. The sampling technique uses probability sampling with cluster sampling. The sample for this research is tobacco farmers who are members of the farmers' group, with a sample size of 100 respondents. The instrument used in this study was the GSE (General Self-efficacy) Questionnaire to measure self-efficacy in tobacco farmers. The DASS 42 Questionnaire (Depression, Anxiety, Stress, Scale) was used to measure work stress—data analysis using the Pearson test correlation test. The average tobacco farmer has high Self-Efficacy and low work stress. The results of the Pearson test, namely the p-value of 0.001 with a correlation value of -0.419, show a relationship between self-efficacy and work stress with a moderate correlation level with a negative correlation direction. Nurses are expected to carry out counseling activities for tobacco farmers to prevent work stress and increase self-efficacy in tobacco farmers.
Perilaku Self-Harm pada Remaja Awal di Wilayah Pertanian Kabupaten Jember Adela Qiyas Aulawi; Yeni Fitria; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Fitrio Deviantony
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.204

Abstract

Early adolescents who are unable to deal with stress well will trigger maladaptive coping mechanisms such as self-harm. Self-harm behavior has become an adolescent trend that can endanger lives. This research aims to explore self-harm behavior among early adolescents at the Agricultural Area in Jember. The method used is quantitative descriptive with a cross-sectional approach. The research sample was obtained using a proportional stratified random sampling technique with a total sample of 376 respondents. Data was collected using the Deliberate Self-Harm Inventory (DSHI) questionnaire and data analysis using univariate analysis. The research results showed that almost all the respondents carried out self-harm in the low category; namely, 319 respondents (84.8%) and the remaining 27 respondents (7.2%) carried out self-harm in the medium category, two respondents (0.5%) did self-harm in the high category, 28 respondents (7.4%) never did self-harm. The low category of self-harm behavior that early adolescents often carry out is deliberately preventing wounds from healing, and the least common is intentionally breaking bones. Early adolescents who engage in low levels of self-harm behavior do not mean that these early adolescents will not attempt suicide. Psychiatric nurses and community nurses are expected to be able to coordinate with schools to develop appropriate nursing interventions for early adolescents who engage in self-harm behavior.
Penerapan Terapi Afirmasi Positif dalam Meningkatkan Harga Diri pada Pasien Harga Diri Rendah : Studi Kasus Febrinia Mutiara Fiska; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Amalia Kusumaningsih
Health and Technology Journal (HTechJ) Vol. 2 No. 4 (2024): August 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i4.219

Abstract

Low self-esteem will experience negative feelings which cause loss of self-confidence, feelings of worthlessness and pessimism about oneself. Positive affirmation therapy is giving positive sentences which are usually about ideals and hopes expressed in thoughts or writing which are done repeatedly. This research aims to analyze how positive affirmation therapy is applied in providing mental nursing care for people with low self-esteem. The method used in this scientific work is a case study of a client in the Wijaya Kusuma room at Radjiman Wediodiningrat Lawang Hospital with a nursing problem of Chronic Low Self-Esteem adjusted to the Low Self-Esteem SP and then receiving additional non-pharmacological therapy in the form of positive affirmation therapy for 10 minutes at every 5-day meeting. Interventions for clients with chronic low self-esteem are adapted to SP chronic low self-esteem and self-esteem promotion interventions and substance abuse education. After that, Positive Affirmation therapy is given for 10 minutes at each meeting. This positive affirmation therapy can free oneself from negative thoughts and can increase an individual's ability to have positive thoughts. There is a need for non-pharmacological therapy that is easy, effective and economical, namely positive affirmation therapy to increase client self-esteem for clients in nursing care for clients with low self-esteem.
Analisis Penerapan Murottal Al-Quran Terhadap Tanda Dan Gejala Halusinasi Pendengaran Ny. R Di Wilayah Kerja Puskesmas Panti Kabupaten Jember Juwita Puspita Rini Saputri; Enggal Hadi Kurniyawan; Erti Ikhtiarini Dewi; Amalia Kusumaningsih
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.240

Abstract

Schizophrenia is a serious mental health problem where one of the symptoms is hallucinations. Signs and symptoms of hallucinations include feeling more comfortable with their situation, the client is seen laughing and talking to himself or expressing things that are not actually real, so pharmacological and non-pharmacological therapy management is needed. One of them is by providing Murottal Al-Qur'an therapy. The aim of this research is to explain nursing care and determine the analysis of Al-Quran murottal therapy on reducing the signs and symptoms of auditory hallucinations experienced by patients. This research design uses descriptive research with a case study method. Therapy is given for 7 days for 15 minutes by listening to the chanting of holy verses from the Koran, one of which is Surah Ar-Rahman and Surah Al-Jinn. The results of the research were a decrease in the signs and symptoms of hallucinations in clients and the ability to control their hallucinations by carrying out positive activities, conversing with people around them and murottalizing the Koran. Providing Al-Quran murottal therapy can reduce the client's signs and symptoms of hallucinations, namely daydreaming, isolating himself, smiling, talking to himself, lack of eye contact and hearing voices that are not real.
Co-Authors Achir Yani S. Hamid Adela Qiyas Aulawi Adhelia Reisa Zalsabilla Adista Nur Alifa Afrize Rosalia Ahmad Muizzulhafiidh Ahmad, Intan Faradela Alfia Andriyani Alfid Tri Afandi Alifia Marcheilla Yulfansha Amadea Yollanda Amalia Kusumaningsih Amalia Kusumaningsih Amalia Kusumaningsih 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 Wuriyaningsih Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi Kurniyawan Erlando, Robby Prihadi Aulia Febrianty, Dyta Febrinia Mutiara Fiska Feno Aureola Maharani Ferdiana Sari Tidar Feri Ekaprasetia Firnanda, Dhea FITRI NURCAHYANI Fitria, Halena Laila Fitrio Deviantony Geldine Raudina Freshta Delendra Hafan Sutawardana, Jon Hamzah, Rizqi Bachtiar Hanny Rasni Indra Stiawan Juwita Puspita Rini Saputri Kushariyadi Lailatul Fitria Lantin Sulistiyorini, Lantin 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 Widayati Nurfika Asmaningrum Nurfika Asmaningrum nuriyah halida Peni Perdani Juliningrum, Peni Perdani Permatasari, Vio Nadya Ragil Deshinta Ratna Sari Hardiani Regita Sari Dwi Cahyani Resita Ovina Intiyaskanti Rismawan Adi Yunanto Rista Dwi Pratiwi Rommiyatun Zainiyah Rondhianto Rondhianto Salsabila, Miftah Santoso, Sofi Fitriyah Sari Mulia Ningrum Sekar Ayu Widowati Siswahyudianto 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