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PERBANDINGAN ALAT CRANE DAN MANUAL TERHADAP DURASI TINDAKAN ANTISEPTIK INTRAOPERATIF Rahayuningrum, Lina Madyastuti; Qomariah, Siti Nur; Rohman, Abdur
Journals of Ners Community Vol 5 No 2 (2014)
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v5i2.97

Abstract

ABSTRAKRumah sakit sebagai pengelola menghadapi tantangan globalisasi saat ini. InstalasiBedah adalah salah satu pelayanan kesehatan di rumah sakit. Kombinasi antiseptik saattindakan operasi dengan crane yang bekerja menggunakan prinsip kerja tali sangatmembantu. Durasi antiseptik intraoperatif dapat dipengaruhi oleh banyak faktor: sumberdaya manusia, peralatan, biaya, kompleksitas operasi. Tujuan dari penelitian adalah untukmenjelaskan perbandingan crane dan manual terhadap durasi antiseptik intraoperatif.Desain penelitian ini adalah Quasy Experiment (Post-Test Design). Populasi dalampenelitian ini adalah pasien dengan operasi fraktur ekstremitas bawah, dengan sampel 20responden, 10 responden dengan crane dan 10 responden dengan manual. Sampel diambilsecara purposive sampling. Variabel bebas adalah alat crane dan variabel terikat adalahdurasi antiseptik intraoperatif. Data durasi antiseptik intraoperatif menggunakan instrumenobservasi, kemudian analisis data dengan Independent T-Test.Hasil penelitian menunjukkan bahwa rata-rata durasi antiseptik intraoperatif denganmenggunakan crane selama 13 menit dari 10 responden, sedangkan rata-rata durasitindakan manual selama 15 menit dari 10 responden. Hasil uji analisis p= 0.000, sehinggaada perbedaan yang signifikan dari crane dan manual terhadap durasi antiseptikintraoperatif.Penggunaan crane saat tindakan antiseptik intraoperatif pada operasi ekstremitasbawah sangat membantu, terutama pasien dengan berat badan ≥ 40kg.Kata kunci: Crane, Manual, Antiseptik intraoperatifABSTRACTFace of challenge in this globalization, Surgery Installation was one of the healthservices in hospital. Combination antiseptic with crane that work using rope principalbecome very helpful. The duration of antiseptic intraoperative may influenced by factors:human resources, equipment, cost, complexity and simplicity The purposes of research wasto explain the comparison of a crane and manual for the duration of the antisepticintraoperative.The design of this study was Quasy Experiment (Post-Test Design). The populationin this study were patients with fractures of the lower extremity surgery, with a sample of20 respondents, 10 respondents with a crane and 10 respondents with manual. Samplestaken by purposive sampling. Independent variable was a crane and dependent variablewas duration of antiseptic intraoperative. Data duration of antiseptic intraoperative wasused observation instrument, then the data analysis by independent statistical T-Test.The results showed that mean duration of antiseptic intraoperative by using a cranefor 13 minutes of 10 respondents, while mean duration of manual action for 15 minutes of10 respondents. The results of the analysis of test p= 0.000, so there was a significantdifference of a crane and manual for the duration of the antiseptic intraoperative.The use of a crane for antiseptic intraoperative on the lower extremities surgery isvery helpful, especially patients with a body weight ≥ 40kg.Keywords: Crane, Manual, Antiseptic intraoperative
BEBAN KERJA FISIK DAN USIA MENYEBABKAN HERNIA INGUINALIS (Physical Work load and Age with the Incidence of Inguinal Hernia) Qomariah, Siti Nur; Rofiqoh, Rofiqoh
Journals of Ners Community Vol 7 No 1 (2016)
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v7i1.111

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ABSTRAK Hernia adalah suatu tonjolan (protrusion) dari organ dan sebagian organ intra abdominal yang keluar dari kavum abdomen melalui lakus minoris (Facial defek) dinding abdomen dan masih meliputi peritoneum. Terdapat beberapa faktor yang dapat mempengaruhi kejadian hernia inguinalis yaitu faktor beban kerja fisik (mengangkat berat) dan faktor usia. Tujuan penelitian ini untuk menganalisis  hubungan antara beban kerja fisik dan usia dengan kejadian hernia inguinalis.Desain penelitian ini menggunakan Retrospektif. Metode sampling yang digunakan adalah purposive sampling. Sampel yang diambil sebanyak 30 pasien hernia inguinalis. Variabel independen adalah beban kerja fisik dan usia, sedangkan variabel dependen adalah kejadian hernia inguinalis. Data penelitian ini diambil dengan kuesioner dan hasil diagnosa medis. Data ini menggunakan uji statistik Mann Whitney dengan nilai signifikansi p ≤ 0,05.Hasil uji statistik beban kerja fisik didapatkan hasil p=0,576 artinya tidak ada hubungan beban kerja fisik dengan hernia inguinalis. Hasil uji statistik usia didapatkan hasil p=0,028 artinya ada hubungan usia dengan kejadian hernia inguinalis. Hernia inguinalis terjadi karena faktor usia yang mengakibatkan tekanan intra abdomen semakin melemah dan melemahkan otot rongga abdomen sehingga kanalis inguinalis terbuka sampai terjadi hernia inguinalis karena prolap usus yang masuk kedalam anulus inguinalis.Upaya yang diperlukan untuk mencegah hernia inguinalis adalah petugas kesehatan secara bersama-sama memberikan pendidikan kesehatan tentang cara bekerja dengan prinsip ergonomik. Kata kunci: Beban kerja fisik, usia, hernia inguinalis.  ABSTRACT A hernia is a protrusion of organs and parts of the intra-abdominal organs out of the abdominal cavity through lakus minoris abdominal wall and still covers the peritoneum. There are several factors that can influence the incidence of inguinal hernia include physical work load factor and age. The purpose of this study was to analyze the corelation between physical workload and age with the incidence of inguinal hernia. This research used retrospective design. The sampling method used purposive sampling. The samples were 30 patients with inguinal hernia. Independent variable was physical work load and age and the dependent variable was the incidence of inguinal hernia. The data of this study were taken by questionnaire and medical diagnosis. Data was analyzed using the Mann Whitney statistical test with the significance p≤0.05. Statistical test results showed physical workload p=0.576 it means there was no relationship between physical workload with inguinal hernia. Statistical test results showed age p=0.028 it means there was a relationship between age with the incidence of inguinal hernia. Inguinal hernia occurs due to age factor that resulted in weakens intra-abdominal pressure and muscle in abdominal cavity weakens so that the inguinal canal is open until inguinal hernia occurs because prolap bowel into the inguinal ring. The effort to prevent an inguinal hernia is health workers together with the public provide health education how to work with ergonomic principles. Keywords: Physical workload, age, inguinal hernia.
KOMUNIKASI TERAPEUTIK PERAWAT MENURUNKAN KECEMASAN KELUARGA PASIEN KRITIS (Nurses’ Therapeutic Communication Decrease Anxiety In Critical Patients Family) Qomariah, Siti Nur; Rohmah, Mujiati
Journals of Ners Community Vol 8 No 2 (2017): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v8i2.415

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ABSTRAK          Kecemasan  keluarga pasien kritis dikarenakan takut terjadi sesuatu yang buruk atau kematian pada keluarganya. Kecemasan bisa dikurangi dengan pemberian komunikasi terapeutik yaitu bentuk hubungan perawat dengan pasien dan keluarganya dalam pemenuhan kebutuhan rasa aman, nyaman, pendidikan dan pelayanan keperawatan. Tujuan penelitian ini adalah  mengetahui pengaruh komunikasi terapeutik perawat terhadap tingkat kecemasan keluarga pasien kritis.          Penelitian ini menggunakan desain Pre Eksperiment Design One Group Pre – Post Test Design. Sampel terdiri dari 18 subyek yang dipilih dengan teknik purposive  Sampling di ruang High Care Unit Rumah Sakit Muhammadiyah Gresik. Variabel independen dalam penelitian ini adalah komunikasi terapeutik sedangkan variabel dependen adalah kecemasan keluarga pasien,data diambil menggunakan kuesioner. Penelitian ini menggunakan uji statistik Wilcoxon signed Rank test dengan tingkat signifikasi <0,05.          Kecemasan keluarga pasien kritis sebelum dilakukan komunikasi terapeutik sebagian besar cemas berat (83,3%). Sesudah dilakukan komunikasi terapeutik sebagian besar cemas sedang (55,6%). Hasil  nilai α = 0,000 yang berarti bahwa α < 0,05 maka ada pengaruh antara komunikasi terapeutik terhadap tingkat kecemasan keluarga pasien kritis.          Perawat dapat mengaplikasikan komunikasi terapeutik sebagai intervensi mandiri dalam usaha menurunkan kecemasan keluarga pasien kritis. Kata Kunci:  Komunikasi terapeutik, Kecemasan Keluarga, Pasien Kritis ABSTRACT          Anxiety can happened to critical patient's family because fear of something bad or death in the family. Anxiety can be reduced with the administration of therapeutic communication that shapes the relationship of nurses with patients and their families with the needs of safety, comfort, education and nursing services. The purpose of this study was to determine the effect of nurses’ therapeutic communication to the anxiety level of the critical patients family.          The design of this study was Pre - Experimental Design One Group Pre - Post Test Design. The sample consisted of 18 subjects were selected by using purposive sampling room High Care Unit of the Hospital Muhammadiyah Gresik. The independent variables in this study was a therapeutic communication while the dependent variable was anxiety level of critical patients family. Data was retrieved using a questionnaire. This study used a statistical test Wilcoxon signed rank test with significance level <0.05.          Anxiety family of critically ill patients prior to therapeutic communication room most of severe anxiety (83.3%). After the therapeutic communication most of  moderate anxiety (55.6%). The results of the analysis obtained value α = 0.000. It means there was effect of nurses’ therapeutic communication to the anxiety level of the critical patients family.          Nurses should apply therapeutic communication as an independent intervention in an effort to reduce family anxiety critical patients. Keywords: Therapeutic Communication, Critical Patient anxiety FamilyDOI : 10.5281/zenodo.1401012
HOMEBASED EXERCISE SEBAGAI STRATEGI PENINGKATAN KUALITAS HIDUP PASIEN LANJUT USIA DENGAN OSTEOARTHRITIS Rahmawati, Rita; Qomariah, Siti Nur
Journals of Ners Community Vol 10 No 1 (2019): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v10i1.746

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Osteoarthritis (OA) merupakan penyakit kronis yang menyerang tulang rawan sendi dan jaringan di sekitarnya dengan gejala nyeri, kaku dan hilangnya fungsi dari sendi. Tujuan penelitian ini adalah tercapainya kualitas hidup terkait kesehatan yang baik pada lansia.Penelitian HBET ini menggunakan quasy experimental dengan pendekatan one group pre-post test design. Data dikumpulkan dari pasien lanjut usia dengan osteoarthritis di Gresik. Pasien diambil menggunakan teknik consequtive sampling dan didapatkan 26 pasien yang sesuai dengan criteria inklusi melakukan HBET senam lutut selama 2 minggu. Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) untuk mengukur kualitas hidup responden lansia dengan osteoarthritis. Paired t-test digunakan untuk menganalisis pengaruh Home Based Exercise Training (HBET).Didapatkan nilai p<0,0001 pada kualitas hidup. Pasien lansia dengan osteoarthritis yang melakukan HBET senam lutut menunjukkan peningkatan kualitas hidup. HBET dengan senam lutut efektif dalam meningkatkan kualitas hidup pasien lanjut usia dengan osteoarthritis.Penelitian selanjutnya perlu dilakukan Home Based Exercise Training dengan penyakit degeneratif yang lain.Kata kunci: Home-Based Exercise Training, kualitas hidup, lanjut usia, osteoarthritisDOI: 10.5281/zenodo.3367799
PEMBERIAN INFUSA KAYU MANIS (Cinnamomun zeylanicum) MEMPENGARUHI KADAR GLUKOSA DARAH PASIEN DIABETES MELLITUS Suwanto, Suwanto; Qomariah, Siti Nur; Dianah, Imamah Nur
Journals of Ners Community Vol 11 No 2 (2020): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v11i2.1155

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Penatalaksanaan diabetes mellitus dapat melalui modifikasi gaya hidup dan pengobatan  yaitu dengan memanfaatkan kayu manis, mengandung zat aktif yaitu polifenol yang bekerja dengan meningkatkan protein reseptor insulin pada sel, sehingga dapat meningkatkan sensitivitas insulin dan menurunkan kadar glukosa darah. Tujuan dari penelitian menganalisis pengaruh pemberian infusa kulit kayu manis terhadap kadar glukosa darah acak pada pasien diabetes mellitus tipe 2. Desain penelitian ini menggunakan Quasy Eksperimental. Metode sampling menggunakan Purposive sampling. Sampel sebanyak 28 responden, dikelompokkan menjadi 2 yaitu kelompok intervensi (obat glibenklamid dan infusa kulit kayu manis) dan kelompok kontrol (obat glibenklamid). Hasil uji statistik pada kedua kelompok menggunakan Uji Wilcoxon Signed Rank Test. Pada kelompok intervensi nilai signifikansi p= 0,002 artinya ada pengaruh pemberian infusa kulit kayu manis terhadap tingkat kadar glukosa darah acak pada pasien diabetes mellitus tipe2. Pada kelompok kontrol nilai signifikansi p = 0,564 > 0,05 artinya tidak ada pengaruh pemberian glibenklamid terhadap penurunan kadar glukosa darah acak pasien diabetes mellitus tipe2. Sedangkan hasil uji statistik Mann-Withney U Test didapatkan nilai signifikan p = 0,012 < 0,05. Pemberian infusa kayu manis dapat menurunkan kadar glukosa darah pada pasien diabetes mellitus tipe 2. Pemberian infusa kayu manis perlu diberikan sebagai alternatif pengobatan pada pasien diabetes mellitus tipe 2. Kata kunci: Infusa kulit kayu manis, Glukosa Darah, Diabetes mellitus DOI: 10.5281/zenodo.4774794
Assessing patient safety implementation and its associate factors in a pediatric inpatient ward Rukmini, Rukmini; Qomariah, Siti Nur; Savage, Eileen
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.4-12

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BackgroundPatient safety is an emerging healthcare discipline with the ultimate goal of reducing errors and harm to patients by implementing quality health services. The provision of patient safety is complex and difficult to achieve. The purpose of this research was to assess patient safety in hospital pediatric inpatient care and factors affecting nurses implementing pediatric patient safety. MethodsThis cross-sectional study involved 80 nurses (male and female) at several private and public hospitals in Surabaya City. The research instruments used were secondary data on patient safety in hospital pediatric inpatient wards, hospital medical records, as well as questionnaires, and observations of the implementation of pediatric patient safety goals. Data were analyzed using multiple logistic regression. ResultsMost participants were female (71.3%), were over 45 years old (18%), and had more than 5 years of work experience in pediatric wards (76%). There were reportedly 145 patient safety incidents, consisting of 46% unexpected events (Kejadian Tidak Diharapkan), 48% nearly injurious events (Kejadian Nyaris Cedera), 6% potential injurious events (Kejadian Potensial Cedera), and 0% sentinel events. Multiple logistic regression analysis showed that nurses who work in less positive working settings are at higher risk of negative implementation of pediatric patient safety than those who work in positive working settings [AOR= 1.85 (95% CI 1.62-4.92)]. ConclusionThis study demonstrated that work setting and frequency of reported events were significantly associated with negative implementation of pediatric patient safety. Therefore, intervention is recommended to minimize unnecessary pediatric patient harm.
PERUBAHAN PERSEPSI DAN POLA DIET PADA KLIEN DIABETES MELLITUS MELALUI RATIONAL EMOTIVE THERAPY Maria Orizani, Chindy; Kristiani, Rina Budi; Qomariah, Siti Nur
KOSALA : Jurnal Ilmu Kesehatan Vol 12 No 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.329

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Latar Belakang: Diabetes Mellitus (DM) merupakan kondisi kronis yang membutuhkan perawatan seumur hidup, termasuk pengaturan diet yang tepat. Namun, mengubah persepsi dan perilaku diet pada klien DM bukanlah hal yang mudah. Rational Emotive Therapy (RET) dapat membantu klien mengidentifikasi dan mengubah keyakinan irasional terkait diet sehingga mereka dapat memiliki pandangan yang lebih positif dan menerapkan pola makan yang sehat. Tujuan penelitian ini adalah untuk menganalisis pengaruh Rational Emotive Therapy terhadap perubahan persepsi dan pola diet pada klien Diabetes Mellitus. Subyek dan metode: Sampel penelitian ini pasien DM tipe 2 yang berjumlah 40 orang. Penelitian ini merupakan pra experimental design dengan satu kelompok perlakuan yang dilakukan pre-tes dan post-tes setelah diberikan RET selama 4 minggu. Pengumpulan data dilakukan dengan kuesioner persepsi diet dan pola diet. Data dianalisis dengan Wilcoxon Signed Rank test. Hasil penelitian menunjukkan perubahan persepsi dan pola diet pada klien DM dengan hasil uji antara sebelum dan sesudah yaitu p=0,001 untuk persepsi diet dan p=0,005 untuk pola diet. Kesimpulan penelitian ini menunjukkan bahwa Rational Emotive Therapy berpengaruh terhadap perubahan persepsi dan pola diet pada klien Diabetes Mellitus.   Kata kunci: Diabetes Mellitus, diet, persepsi, pola, Rational Emotive Therapy   Background: Diabetes Mellitus (DM) is a chronic condition that requires lifelong treatment, including proper diet management. However, changing perceptions and dietary behavior in DM clients is not an easy thing. Rational Emotive Therapy (RET) can help clients identify and change irrational beliefs related to diet so they can have a more positive outlook and adopt healthy eating patterns. The research aimed to analyze the influence of Rational Emotive Therapy on changes in perceptions and diet patterns in Diabetes Mellitus clients.  Subject and method: The research sample consisted of 40 patients of type 2 DM. This research was a pre-experimental design with one treatment group undergoing pre-test and post-test after being given RET for 4 weeks. Data collection was carried out using diet perception and diet pattern questionnaires. Data were analyzed using Wilcoxon Signed Rank test. The results of the research showed changes in perception and diet pattern in DM clients with test results between before and after of intervention, result of p=0.001 for diet perception and p=0.005 for diet pattern. The conclusion showed that Rational Emotive Therapy influences changes in perceptions and dietary patterns in Diabetes Mellitus clients.   Keywords: Diabetes Mellitus, dietary, perception, pattern, Rational Emotive Therapy.
Gambaran Intervensi Penghentian Merokok Pada Pasien Tuberkulosis Yang Resisten Terhadap Obat di RS X Indrayani, Kantun Safira; Fadhila, Syifa Nur; Qomariah, Siti Nur
Journal of Health Management Research Vol 4 No 2 (2025): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/jhmr.v4i2.646

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Background: Because of its high recurrence risk and extended treatment duration, drug-resistant tuberculosis (DR-TB) presents a serious public health concern. Poor treatment adherence, financial difficulties, immunocompromised conditions, bacterial mutations, and irregular treatment regimens are some of the factors that lead to recurrence. Aims: To describe smoking cessation intervention in drug-resistant tuberculosis patients at Hospital X. Methods: A qualitative research study explored the challenges of providing Smoking Cessation (SC) interventions in a hospital setting, specifically focused on patients with drug-resistant tuberculosis, hospital staff, and structural elements, with a total sample size of 18. Conducted at a DR-TB management hospital in Surabaya. In-depth interviews lasting approximately thirty minutes each utilized open-ended questions regarding the dangers of smoking, barriers to cessation support, and resource availability. Interviews were recorded, transcribed verbatim, and thematically analyzed using an inductive coding approach following participant consent. Results: The research offers subthemes that were outlined under each of the three main themes (barriers to quitting smoking) that were identified. Individual DR-TB inpatients' personal factors are obstacles to quitting smoking, whereas hospital staff members' personal aspects are obstacles to quitting smoking. The government and hospital administration are in charge of addressing the institutional impediments to quitting smoking. Conclusion: The health of drug-resistant tuberculosis inpatients is adversely affected by cigarette smoking. Mandatory screening and counseling for smokers among DR-TB and TB patients are essential for developing effective treatment strategies in healthcare.
EDUCATION FOR NURSES WORKING IN PRE-HOSPITAL EMERGENCY CARE Suroso, Heri; Fajriyah, Novita; Susila, Wahyu Dini Candra; Qomariah, Siti Nur
SYNTHESIS Global Health Journal Volume 1, Issue 1, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.112 KB) | DOI: 10.61543/syn.v1i1.9

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Background. Pre-hospital emergency care is the most important part of ambulance services that provide emergency health services in providing an assessment of the patient's condition and providing intervention measures quickly and appropriately to prevent delays in handling patients before arriving at the hospital. A systematic review aims to find out the education for nurses working in ambulances (pre-hospital). Research Method. Systematic review goes through several stages, namely making questions, identification, eligibility, selection of article inclusion, screening, and assessment/appraisal. The Selection Process is listed in the thematic review framework and the results of 9 articles are obtained. Articles are then summarized and assessed JBI on each of the articles Findings. The data showed varying results adapted to the system and the conditions from which the study was conducted. To improve the knowledge, skills, and experience of nurses, nurses who work in ambulances (pre-hospital), are carried out to provide education with 3 methods, such as providing questionnaires, simulations and relationships between nurses and patients through 4-phase identification. Conclusion. An effort to improve the knowledge, skills, and experience of nurses working in the ministry is to apply several special education and training methods for ambulance nurses such as providing questionnaires, simulations and and relationships between nurses and patients through four phases, namely orientation, identification, exploitation and resolution.
STRESS MANAGEMENT EDUCATION AND TRAINING PROGRAM REDUCES THE ANXIETY LEVELS OF STUDENTS FACING THE NATIONAL HIGH SCHOOL EXAM Qomariah, Siti Nur; Iswati, Iswati; Faniwati, Faniwati; Wiyono, Elviana Putri; Amin, Nadyah Safirah; Azizah, Yesita Nur; Huda, Miftakhul
SYNTHESIS Global Health Journal Volume 1, Issue 1, 2023
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.977 KB) | DOI: 10.61543/syn.v1i1.15

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Background. The national exam is seen by students as something scary and threatening to the future, thus increasing negative cognition and anxiety. Education will focus on individual reactions to a situation and the ability to face the exam. The purpose of this community service was to increase students' knowledge about stress management and decrease students' anxiety level in facing national school exams. Implementation Method. This community service was carried out on grade 12 students of Madrasah Aliyah Negeri Surabaya with a total of 15 people. The activity was carried out in December 2022. The method used was stress management training and a combination of several ways to reduce stress, including deep breathing relaxation techniques, positive thinking exercises, and spiritual emotional freedom technique (SEFT) exercises. Findings. The results of the activity obtained mostly students’ increased knowledge about stress management of 10 students (66.7%) and 10 students had anxiety within normal limits as many as 10 children (66.7%). Conclusion. Stress management education and training combinations are very useful for reducing student anxiety in facing school exams.
Co-Authors Abdur Rohman Abdur Rohman Abu Bakar Abu Bakar Aidatur Runis Al Aziz, Fatqur Rochman Amin, Nadyah Safirah Apriliana, Bella Ashari, Muhammad Farid Azizah, Yesita Nur Barrotul, Umi Budi Kristanto Budi Setiawan Budi Setiawan Chindy Maria Orizani Chindy Maria Orizani Dianah, Imamah Nur Difran Nobel Bistara Elfira Fitria Rohma Fadhila, Syifa Nur Fajriyah, Novita Faniwati, Faniwati Fauziyah, Febrike Inggit Fitiyanti, Rica Agustina Fitriatul Jannah Hartanto, Mey Vina Wirianti Herawati, Novi Heri Suroso, Heri Ika Nur Pratiwi Imamah Nur Dianah Indrayani, Kantun Safira Iqlima Dwi Kurnia Iswati Iswati, Iswati Kadir, Khairul Azmi Abd Kristiani, Rina Budi Kurniawan, Afif Kusnanto Kusnanto Lailatun Ni&#039;mah Laily Hidayati Lidiyah, Uyan Ari Lilis Fatmawati Lilis Fatmawati Lilis Fatmawati Lin, Chueh-Ho Lina Madyastuti Rahayuningrum Mafrukahtul Firdani Maftuh, Muhammad Mahish, Mohammad Mareta Deka Paraswati Merryana Adriani Miftakhul Huda Mochammad Mustai'in Mohammad Mahish Mohammad, Alfian Irfhani Muhammad Farid Ashari Muhammad Maftuh Mujiati Rohmah Mustai'in, Mochammad Nur Farida Nursalam, Nursalam P., Yudi Agung Rahayuningrum, Lina Madyastuti Rica Agustina Fitiyanti Rina Budi Kristiani Rina Budi Kristiani Rita Rahmawati Rita Rahmawati Roberto A. Goenarso rofiqoh rofiqoh Rohmah, Mujiati Rukmini Rukmini Savage, Eileen Susanti Susanti Susanti Susanti Susila, Wahyu Dini Candra Suwanto Suwanto Suwanto Suwanto Tjokro, Silvia Haniwijaya Uyan Ari Lidiyah Wardani, Rossalina Kusuma Warsini Warsini Wiyono, Elviana Putri Yobel, Sosilo Yuanita Syaiful Yudi Agung P. Yulianti, Tunjung Sri