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<![CDATA[Factors Affecting Physical Self-Care Among Patients with Tuberculosis ]]>
<![CDATA[dwidiyanti, Meidiana]]>;
<![CDATA[Sari, Sri Padma]]>;
<![CDATA[Wijayanti, Diyan Yuli]]>;
<![CDATA[Ningsih, Hasanah Eka Wahyu]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2019.14.3.1055
<![CDATA[Background physical self-care is necessary to gain patient involvement in health care in order to improve health outcome among tuberculosis patients. However, Factors related to support of physical self-care among patient tuberculosis under treatment was very rarely considered. This study aimed to identify the correlation between coping strategy, self-care management process and family well-being as factors associated with physical self-care. Method: A correlation study was conducted among forty-five of tuberculosis patients using purposive sampling. Data were collected within follow up session after implementing self-management support intervention by using physical self-care, coping strategy, self-care management process and family well-being questionnaire. Pearson test was used to analyze the data. Result: There were a significant association between self-care management process (r= 0.590; p=0.000), family well-being (children) (r=0.331; p=0.000) and physical self-care. However, there were no relationship between family well-being (parent) (p=0.789), coping strategy (p=0.874) and physical self-care among tuberculosis patient. Conclusion: Self-care management process and family well-being on children are essential factors to improve physical self-care among tuberculosis patient. Therefore, intervention which integrate those factors are important to enhance physical self-care among patients with tuberculosis]]>
<![CDATA[Peningkatan Koping Keluarga Pasien Skizofrenia melalui Intervensi Mindfulness ]]>
<![CDATA[Irene Febriany Mamo Kitu]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Jurnal Smart Keperawatan Vol 7, No 1 (2020): Juni 2020 ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang ]]>
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DOI: 10.34310/jskp.v7i1.304
<![CDATA[Keluarga mempunyai beban yang besar dalam merawat anggota keluarga yang mengalami Skizofrenia, dimana stigma yang keliru dari masyarakat menjadi stresor tambahan bagi keluarga. Dalam merawat anggota keluarga yang mengalami Skizofrenia, keluarga memerlukan koping yang efektif sehingga perawatan yang diberikan dapat optimal. Salah satu cara yang dapat dilakukan oleh keluarga adalah dengan meningkatkan kesadaran dan perhatian melalui intervensi mindfulness. Tujuan untuk mengetahui pengaruh intervensi mindfulness terhadap tingkat koping keluarga pasien Skizofrenia. Penelitian ini menggunakan desain quasi experiment dengan rancangan pre-post test with control grup design. Teknik sampling yang digunakan adalah purposive sampling dengan populasi sebanyak 50 keluarga yang terbagi atas 25 kelompok intervensi dan 25 kelompok control, dengan menggunakan instrument Ways Of Coping. Hasil ditunjukkan adanya pengaruh terhadap tingkat koping keluarga pasien Skizofrenia sesudah diberikan intervensi mindfulness dengan nilai p = 0,000. Pemberian intervensi mindfulness dapat membantu keluarga meningkatkan koping yang efektif dengan cara lebih fokus dan menerima keadaan yang terjadi tanpa menghakiminya, sehingga pemberian pelayanan tidak hanya berfokus kepada pasien saja tetapi juga mencakup keluarga pasien.Kata Kunci: koping keluarga; skizofrenia; mindfulness IMPROVEMENT OF SCIZOFRENIA PATIENTS’ FAMILY THROUGH MINDFULNESS INTERVENTION ABSTRAKThe family has a big burden in caring for family members who experience Schizophrenia, where the wrong stigma from the community becomes an additional stressor for the family. In treating family members who have Schizophrenia, families need effective coping so that the care provided can be optimal. One way that families can do is to increase awareness and attention through mindfulness interventions. This study was to determine the effect of mindfulness interventions on the level of coping in families of Schizophrenia patients. This research used a quasi-experimental design with a pre-post-test with control group design. The sampling technique used was purposive sampling with a population of 50 families divided into 25 intervention groups and 25 control groups. The study was conducted on 50 families using the Ways of Coping instrument. Results: There was an influence on the level of coping in Schizophrenia family after mindfulness intervention with p = 0,000. Conclusion: Providing mindfulness interventions can help families improve effective coping by focusing more and accepting the circumstances that occur without judging them, so that service delivery does not only focus on the patient but also includes the patient's familyKeywords: family coping; schizophrenia; mindfulness]]>
<![CDATA[Terapi Keperawatan terhadap Koping Keluarga Pasien Skizofrenia ]]>
<![CDATA[Irene Febriany Mamo Kitu]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 3 (2019): November 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/jkj.7.3.2019.253-256
<![CDATA[Permasalahan yang terjadi pada pasien skizofrenia tidak hanya melibatkan pasien itu sendiri tetapi juga melibatkan keluarga sebagai orang terdekat dari pasien tersebut. Keluarga mempunyai beban tersendiri saat merawat anggota keluarga yang mengalami gangguan jiwa. Terapi keperawatan diberikan kepala keluarga agar koping keluarga lebih efektif dalam menghadapi situasi yang ditimbulkan selama perawatan pasien skizofrenia. Literature ini bertujuan untuk mengetahui terapi keperawatan yang dapat digunakan pada keluarga agar koping keluarga lebih efektif. Metode yang digunakan dalam penulisan ini yaitu literature review dengan menggunakan artikel/ jurnal dari tahun 2003 – 2019 dan pencarian artikel melalui Science Direct, Google Scholar dan Pubmed. Tema artikel yang digunakan yaitu terapi keperawatan terkait dengan koping keluarga pasien skizofrenia. Hasil sintesa dari artikel-artikel yang telah ditelusuribahwa terapi keperawatan spesialis mampu mengatasi masalah koping pada keluarga pasien skizofrenia namun perlu adanya penelitian lebih lanjut tentang terapi keperawatan komplementer terhadap masalah koping keluarga pada pasien skizofrenia. Kata kunci: terapi keperawatan, koping keluarga, skizofrenia NURSING THERAPY TOWARD THE COPING OF FAMILLIES OF SCHIZOPHRENIC PATIENTS: A LITERATURE REVIEW ABSTRACTThe problems that occur in schizophrenic patients not only involve the patient himself but also involve the family as the closest person to the patient. Families have their own burdens when caring for family members who experience mental disorders. Nursing therapy is given by the head of the family so that family coping is more effective in dealing with situations caused during the treatment of schizophrenic patients. This literature aims to determine nursing therapy that can be used in families so that family coping is more effective. The method used in this writing is the literature review by using articles / journals from 2003 - 2019 and searching articles through Science Direct, Google Scholar and Pubmed. The theme of the article used was nursing therapy related to coping with the family of schizophrenic patients. The results of the synthesis of the articles that have been traced that specialist nursing therapy is able to overcome coping problems in the family of schizophrenic patients but need further research on complementary nursing therapy on family coping problems in schizophrenic patients Keywords: nursing therapy, family coping, schizophrenic ]]>
<![CDATA[Penurunan Tingkat Stres Keluarga Pasien Skizofrenia melalui Mindfulness Spiritual Islam ]]>
<![CDATA[Medika Utama]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 1 (2020): Februari 2020 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/jkj.8.1.2020.21-26
<![CDATA[Keadaan stres yang terjadi pada keluarga pasien skizofrenia akan dapat berpengaruh terhadap kualitas hidup keluarga dan berpengaruh terhadap kesembuhan pasien. Jika keadaan yang menyebabkan stres pada keluarga tidak dapat ditanggulangi dengan baik, maka pasien yang menderita skizofrenia tersebut akan mengalami lebih banyak penderitaan dan akhirnya dirawat berulang-ulang di rumah sakit tanpa menunjukan tanda-tanda membaik. Penelitian ini dilakukan untuk mengetahui pengaruh intervensi mindfulness spiritual Islam dalam mengatasi keadaan stres yang terjadi pada keluarga pasien skizofrenia. Stres yang terjadi pada keluarga pasien skizofrenia yang terjadi karena keluarga merasa terbebani dan kurangnya rasa penerimaan juga kesadaran terhadap keadaan pasien. Penelitian ini menggunakan quasy-experiment dengan rancangan pre test - post test control group design. Sampel atau responden dalam penelitian ini adalah anggota keluarga dari pasien dengan skizofrenia yang memenuhi keriteria inklusi berjumlah 50 responden yang terdiri dari 25 kelompok kontrol dan 25 kelompok intervensi. Berdasarkan hasil penelitian yang dihitung menggunakan uji statistic menggunakan mann-whitney test terdapat penurunan stres sesudah diberikan intervensi pada kelompok intervensi dan kontrol (p = 0,000 < 0,05).Nilai mean rank intervensi sebesar 13,00 lebih kecil dibandingkan dengan nilai mean rank kontrol 38,00 berarti bahwa terdapat penurunan stres pada kelompok intervensi setelah diberikan intervensi. Kata kunci: mindfulness spiritual Islam, skizofrenia, stres keluarga REDUCING STRESS LEVEL IN FAMILY MEMBERS OF PATIENTS WITH SCHIZOPHRENIA THROUGH ISLAMIC SPIRITUAL MINDFULNESS ABSTRACTStressful conditions in family members of patients with schizophrenia will affect the quality of family life as well as the patient’s recovery. If such conditions are not properly managed, the patients may experience more suffering and readmission without any signs of improvement. Stress in the family members of patients with schizophrenia occurs due to the family burden and the lack of acceptance as well as the awareness of the patient’s condition. The purpose of this study was to determine the effects of Islamic spiritual mindfulness on decreasing stress in family members of patients with schizophrenia. This study used a pretest-posttest quasi-experimental design with a control group. The samples were 50 families of patients with schizophrenia who met the inclusion criteria, and were assigned to the intervention group (n=25) and the control group (n=25). Based on the results of the Mann-Whitney test, it was found that there was a decrease in stress after the implementation of Islamic spiritual mindfulness in the intervention and control groups (p=0.000 <0.05). The mean value of stress in the intervention group was 13.00 while in the control group was 38.00 indicating that there was a decrease in stress in the intervention group after the intervention. The Islamic spiritual mindfulness gaveeffects on reducing stress in family members of patients with schizophrenia. Keywords: family stress, schizophrenia, islamic spiritual mindfulness]]>
<![CDATA[Spirituality Nursing Among Patients with Schizophrenia ]]>
<![CDATA[Sri Padma Sari]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Jurnal Ners Vol. 9 No. 1 (2014): April 2014 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v9i1.3262
<![CDATA[Introduction: Spirituality has been reported to have benefits for recovery and quality of life for people with mental disorders including patients with schizophrenia. Spiritual can also be a coping strategy for patients with schizophrenia. This study aims to explore the importance of spirituality among patients with schizophrenia.Methods: This study uses descriptive phenomenological approach. There are 9 participants in this study, 7 participants are patients who diagnosed of schizophrenia and 2 participants are the caregivers. The data were analyzed by phenomenological hermeneutic approach.Results: Two main themes emerge from this study are 1) the meaning of spirituality is closed with Allah and the improvement of the spiritual practice and 2) the benefits of spirituality is recovery from the illness, symptoms management, behavioral change, emotional change and hope. Conclusion: Spirituality has an important role for patients with schizophrenia including helping the recovery process and hope. The results of this study are expected to give an overview of the spiritual need among patients with schizophrenia so that the nurses can give religion and or spiritual activity in the nursing intervention.]]>
<![CDATA[GAMBARAN EMPATI MAHASISWA KEPERAWATAN PROGRAM PROFESI NERS UNIVERSITAS DIPONEGORO ]]>
<![CDATA[Handika Kiswantoro]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ ]]>
Publisher : <![CDATA[ ]]>
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DOI: 10.24252/asjn.v1i1.16139
<![CDATA[Empati penting bagi seorang perawat terutama untuk mahasiswa keperawatan karena empati mempunyai banyak manfaat seperti mengoptimalkan asuhan keperawatan kepada pasien, meningkatkan kemampuan interpersonal, membantu menyelesaikan masalah pasien, dan meningkatkan tingkah laku prososial. Empati mahasiswa keperawatan program sarjana menunjukkan 43,8% mahasiswa memiliki kemampuan empati kurang baik. Tujuan dari penelitian ini adalah untuk menggambarkan empati mahasiswa keperawatan program profesi ners Universitas Diponegoro. Desain penelitian yang digunakan adalah deskriptif survey, menggunakan kuesioner JSPE-R Version. Populasi dalam penelitian ini mahasiswa keperawatan program profesi ners Departemen Ilmu Keperawatan Universitas Diponegoro. Sampel penelitian berjumlah 119 mahasiswa program profesi ners dengan menggunakan teknik total sampling. Hasil penelitian diperoleh kemampuan empati mahasiswa keperawatan program profesi ners sebanyak 51,3% memiliki kemampuan empati baik dan 48,7% memiliki kemampuan empati kurang baik. Komponen empati dengan nilai rata-rata tertinggi yaitu perspective taking dibandingkan compassionate care dan standing of the patient’s shoes. Mahasiswa keperawatan dapat meningkatkan empati dengan cara emphatic care training, latihan dukungan sosial, dan mindfulness. Keyword             : empati, mahasiswa keperawatan, program profesi ners]]>
<![CDATA[Effects of Spiritual Mindfulness on Spiritual Self Reliance and Medication Adherence in Patients with Schizophrenia ]]>
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Sri Padma Sari]]>;
<![CDATA[Diyan Yulia Wijayanti]]>;
<![CDATA[Hasanah Eka Wahyu Ningsih]]>;
<![CDATA[Reza Indra Wiguna]]>;
<![CDATA[Akhmad Yanuar Fahmi Pamungkas]]>;
<![CDATA[Badrul Munif]]>
<![CDATA[ Jurnal Ilmu Keperawatan Jiwa Vol. 3 No. 3 (2020): Agustus 2020 ]]>
Publisher : <![CDATA[Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah ]]>
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DOI: 10.32584/jikj.v3i3.644
<![CDATA[Mental health problems have been a concern in all countries throughout the world. Patients with schizophrenia tend to have low spiritual self-reliance and medication adherence, resulting in an increasing number of hospitalizations. Spiritual interventions, for example, spiritual mindfulness, are evident to improve patients’ spiritual self-reliance and self-awareness to adhere to medication. This study aimed to determine the effects of Spiritual Mindfulness on spiritual self-reliance and medication adherence in patients with schizophrenia. The present study used a pre-posttest quasi-experimental design without a control group. The samples were 45 patients with schizophrenia at a psychiatric hospital in Semarang, Indonesia. Spiritual Mindfulness was given to the patients for six meetings. The data were collected using the questionnaires of DAI (Drug Attitude Inventory) and NAMA (Nursing Assessment of Medication Acceptance) and analyzed using a t-test or mean/median difference test or delta analysis. The results showed that Spiritual Mindfulness affected the spiritual self-reliance of schizophrenic patients with a p-value of 0.001. Spiritual Mindfulness also affected drug-taking behaviors (p=0.027) and drug-taking acceptance (p=0.000). Spiritual Mindfulness gave effects on the level of self-efficacy of spiritual self-reliance and medication adherence in patients with schizophrenia.]]>
<![CDATA[Hubungan Efikasi Diri dengan Kecemasan Menyusun Skripsi pada Mahasiswa Keperawatan ]]>
<![CDATA[Niken Saraswati]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Agus Santoso]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 4, No. 1 (2021): June ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.4.1.2021.1-7
<![CDATA[Introduction: Students who writing their thesis experience difficulties during the COVID-19 pandemic result in anxiety. The feeling can arise due to a low self-efficacy that view difficult experiences as threats and think about the possibility of failure. Previous studies show different relationship between self-efficacy and anxiety thus requires further research particularly in seeking the relationship of self-efficacy and anxiety on thesis’s writing among undergraduate nursing students.Methods: This study was a correlational study with all of undergraduate nursing students who is writing a thesis as the population. Subjects (112 students) were selected by a proportionate stratified random sampling method. Questionnaires used in this study were General Self-Efficacy Scale (GSES) and Zung Self Rating Anxiety Scale (ZSRAS). Data analysis was performed by Pearson Correlation tests.Results: Main results distinguished that there is a negative relationship between self-efficacy and anxiety of undergraduate nursing students who is writing a thesis with r = -0.445 which is indicate that the relationship between two variable is strong enough.Discussion: Students need to make a list of goals to be achieved, so they are encouraged to try to achieve these goals more. Moreover, students can conduct a variety of things to reduce their anxiety. ]]>
<![CDATA[Pelatihan Sistem Informasi Sehat Holistik (SI-SEHO) untuk Pemberdayaan Kader Kesehatan ]]>
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Sri Padma Sari]]>;
<![CDATA[Diyan Yuli Wijayanti]]>;
<![CDATA[Hasanah Eka Wahyu Ningsih]]>;
<![CDATA[Reza Indra Wiguna]]>;
<![CDATA[Akhmad Yanuar Fahmi]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 1, No. 2 (2018): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.1.2.2018.101-108
<![CDATA[Background: Public health services today require community empowerment so that services become affordable in every village in the community. Health cadres are existing non-professional health workers who are trained to be able to support patients or the community in addressing health problems faced. Health cadres as non-professionals who are directly dealing with the community are required to increase their ability continuously according to the changes that occur in the community.Purpose: The purpose of this study is that health cadres can improve their understanding holistically about health, through the SI-SEHO application tool so that health cadres can monitor the health of patients in the community.Method: The research used is descriptive using a qualitative approach obtained from the results of empowerment and cadre training activities using the SI-SEHO application. Data analysis is based on the objectives of the training on the use of the SI-SEHO application.Results: The results of this research activity are that health cadres can understand the meaning of health holistically that is inseparable from several dimensions of understanding holistic health. As stated by SP respondent 4 "Holistic health is comprehensive health, such as body and mind health." The ability of cadres to help individuals, families and communities increase with cadres saying "now we can help others in the community by registering through applications". Other results were obtained from research subjects as several people had been detected with physical illness and some people were detected at risk for mental disorders.Conclusion: The use of information technology is able to improve the knowledge and ability of health cadres in monitoring sick individuals or patients in the community. The development of health information systems is currently needed in the development of health services in today's digital era, such as empowering health cadres through information system training. ]]>
<![CDATA[The Effect of Hypnotherapy using Induction Hanung Technique on the Level of Cigarette Dependence and Carbon Monoxide in Exhaled Breath among Active Smokers ]]>
<![CDATA[Margiyati Margiyati]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Diyan Yuli Wijayanti]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.1.1.2018.12-23
<![CDATA[Background: Smoking is a habit that causes many health problems. Nicotine substances in cigarettes cause addiction and carbon monoxide inhaled is poisonous. Hypnotherapy using induction hanung technique is an alternative which can be used to change someone’s smoking behaviors. This therapy is performed by giving hypnotic suggestions combined with a massage at acupuncture points of neguan, yintang, and taiyang. Purpose: This study aimed to analyze the effects of hypnotherapy using induction hanung technique on the level of cigarette dependence and carbon monoxide in exhaled breath among active smokers in Kesdam IV/ Diponegoro College of Nursing, Semarang.Methods: The present study employed a true-experimental pretest-posttest control group design. A total of 40 students were recruited as samples and randomly assigned to the intervention group (n=20) and control group (n=20). The intervention in the form of hypnotherapy using induction hanung technique was given for six times in two weeks. The instruments used were Fagerstorm Test for Cigarette Dependence (FTCD) and smokerlyzer. Data were analyzed with the Mann-Whitney test and independent t-test.Results: The results showed a decrease in the score of cigarette dependence level in the intervention group by 1.25 after the intervention was given with pretest mean value of 1.45 (SD=1.132). The result of Mann-Whitney test showed a significant difference in the cigarette dependence score between the intervention and control groups with a pvalue of 0.028. The level of carbon monoxide in the exhaled breath also decreased by 8.80 ppm after the intervention from the pretest mean values of 12.55 (SD=6.669). The independent sample t-test result also showed a significant difference in the carbon monoxide level between the two groups with a p-value of 0.000.Conclusion: The present findings showed that hypnotherapy using induction hanung technique affected the level of cigarette dependence and carbon monoxide in exhaled breath among the active smokers. Based on the findings, this therapy is recommended as an alternative to nursing intervention for the smoking cessation programs.]]>
