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All Journal Jurnal NERS International Journal of Advanced Health Science and Technology
Shifaza, Fathimath
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Electrical & Electronics Engineering Health Professions Nursing Public Health

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The Impact of Counseling on the Anxiety Level of the Surrounding Community Due to Positive Indication of Residents of Covid-19 Proboningsih, Jujuk; Suprihatin, Endah; Joeliantina, Anita; Novita Sari, Aida; Shifaza, Fathimath
International Journal of Advanced Health Science and Technology Vol. 4 No. 2 (2024): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i2.73

Abstract

This pandemic period has multiple impacts on all aspects of life. Both economic, social, religious, and psychological. The psychological side is the great fear in the community as the virus spreads very quickly from the sick to the healthy. Changes in interpersonal relationships and in the economy are often followed by changes in politics, including the life of the nation and the state. Various everyday problems also need to be observed and solved with new approaches. The aim of this research is to examine the impact of counseling on the anxiety level of the surrounding community due to residents found to have positive COVID-19 infection. So that people can understand Covid-19 properly and don't experience anxiety even though there are local residents who are confirmed positive for Covid-19. This study was a quasi-experimental study with a pre-post test control group design. The purpose of this study was to analyze the effectiveness of counseling in reducing anxiety levels in the surrounding community due to residents indicated as positive for Covid-19. Test results showed a significant difference in the treatment group before (pre-test) and after (post-test) counseling (p-value 0.000). The test results between the treatment group and the control group also showed a significant difference in the post-test (p-value of 0.000). Anxiety or stress during this pandemic leads to an increase in concern for one's own health and that of the family. The situation is exacerbated by the fact that information arriving in bewildering abundance will increase public anxiety. There is a need for participation and collaboration between health care facilities and health care workers and health cadres to provide accurate information so that people are properly informed and can reduce their fears so that they are able to take appropriate action. There is a significant effect of counseling to reduce the anxiety level of the surrounding community due to residents who tested positive for Covid-19.
Structural constraints and patient agency in diabetes self-management: a critical case study in a primary healthcare center in Indonesia Yulia, Yulia; Abigail, Wendy; Willis, Eileen; Shifaza, Fathimath
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.71301

Abstract

Introduction: Effective self-management is essential for individuals with Type 2 Diabetes Mellitus (T2DM), yet patients in Indonesia often encounter persistent barriers. This study explores patients’ perspectives on the challenges they face as well as the perceived supports available within the primary healthcare system. Methods: A qualitative case study approach, based on Yin’s methodology, was employed. Guided by Habermas’s theory of communicative action and Honneth’s theory of recognition, data were collected through in-depth interviews with 14 patients, 28 clinical observations of patient–provider encounters, and one focus group with five healthcare professionals. Participants were recruited from a suburban primary healthcare center in Indonesia using purposive sampling. Reflexivity and field notes were maintained throughout the data collection process. Data were analyzed using thematic qualitative analysis. Triangulation across data sources helped enhance credibility and trustworthiness. Results: Five key themes emerged: (1) Medical dominance in care provision, (2) Communication gaps, (3) Regulation-centered care, (4) Care quality, and (5) Patient self-empowerment. These themes reveal systemic, structural, and interpersonal barriers that constrain effective diabetes self-management in primary care. Conclusions: Understanding the lived experiences of patients with T2DM is critical to informing practice and policy. To overcome these barriers, a shift toward patient-centered care, improved communication, and more inclusive support systems is essential within Indonesia’s healthcare system.
Co-Authors Abigail, Wendy Anita Joeliantina Jujuk Proboningsih, Jujuk Novita Sari, Aida Suprihatin, Endah Willis, Eileen Yulia Yulia