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Hubungan Fungsi Keluarga, Tugas dan Struktur Keluarga dengan Perencanaan Pernikahan Remaja Putri Di Daerah Rural maurida, nurul; Basri, Achmad Ali; Silvanasari, Irwina Angelia; Vitaliati, Trisna
Jurnal Kesehatan Vol 13 No 1 (2025): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i1.538

Marriage planning for women adolescent is one of the things that concern in maintaining reproductive health. One indicator of good marriage planning is marriage at a mature age. The phenomenon that occurs is the rise of early marriage among women adolescent in rural areas. The family has a role in decision making in marriage planning of women adolescent. The aim of this research is to analyze the relationship between family function, family task and family structure with marriage planning among women adolescent in rural areas. The research design is quantitative research with a cross sectional approach. The research sample was 100 women adolescent with a sampling technique using quota sampling. The inclusion criteria for the study were women adolescent in rural areas aged 13-18 years and the exclusion criteria were women adolescent with psychological disorders. The independent variables in this research were family function, family task and family structure. The dependent variable of the research was marriage planning. The research instrument was developed from the concept of family nursing and the concept of normal age marriage and has gone through validity and reliability tests so that it was declared valid and reliable. Research data was analyzed using person chisquare. The results showed that the majority of respondents had good family function (75%), good family task (68%) and good family structure (75%). Most respondents have been marriage planning for > 18 years (81%). The results of the person chisquare analysis show that there was a relationship between family function and marriage planning (ρ = 0.001<0.05), there was a relationship between family task and marriage planning (ρ = 0.000<0.05) and there was a relationship between family structure and marriage planning (ρ 0.001 <0.05). Increasing family knowledge is needed to form a family that is able to carry out the functions, task and structure of the family so that they can make good marriage planning decisions for women adolescent in rural areas.

Family-Centred Nursing Theory and the Functional Consequences Model Improve Diabetes Self-Management in Elderly Diabetics Vitaliati, Trisna; Silvanasari, Irwina Angelia; Maurida, Nurul; Basri, Ahmad Ali
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 9 Number 2 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v9i2.1051

Background: The self-care management of older diabetics is inconsistent and exhibits low adherence. This incident may be influenced by the elderly's disease management capabilities and familial involvement, which may not be conducive to their health and care. This study aimed to develop a management plan for elderly diabetes mellitus that emphasizes self-efficacy and family involvement. Methods: This research employed an explanatory survey design with a cross-sectional methodology. The probability sampling method, particularly simple random sampling, was employed to choose respondents for this study from a cohort of 100 individuals with diabetes mellitus and their families. We created a thorough assessment questionnaire for diabetes mellitus management in the elderly, utilizing the functional consequence model and family-centred nursing theory as the research framework. The statistical method employed was SEM-PLS. Results: The outer model analysis revealed that all indicators of each construct were valid, with a factor loading value of > 0.7. The inner model analysis revealed that the variables family structure, family function, family stressors, elderly risk factors, age-related changes, and elderly consequence functions had a significant effect with a t-value of >1.96 and p-value <0.05. Conclusion: The diabetic mellitus management model, which is based on self-efficacy and familial support, improves self-care management among the elderly. Nurses should adopt the diabetic mellitus management model to increase patient autonomy and educate families on how to support their loved ones, thereby improving the self-care practices of elderly adults with diabetes.

Diabetes Self-Care Management Among the Elderly in Rural Areas Vitaliati, Trisna; Irwina Angelia Silvanasari; Nurul Maurida; Achmad Ali Basri
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.518

Diabetes mellitus is susceptible to being experienced by the elderly because of physiological changes caused by the aging process. Diabetes mellitus will accompany the sufferer for life, so the elderly must be able to carry out diabetes self-care management to optimize metabolic control and prevent diabetes complications. In implementing diabetes self-care, this management will certainly be influenced by the characteristics of the sufferer. This study aims to explore the characteristics of elderly with diabetes mellitus in managing their diabetes self-care management in rural areas. The quantitative descriptive research method, with a cross-sectional approach, was carried out among 100 elderly with diabetes mellitus utilizing the purposive sampling method. This research instrument uses The Summary of Diabetes Mellitus Activities. Univariate analysis was performed using frequency distribution. The results of this study show that 57% of the elderly in rural areas had poor diabetes self-care management. Ususally related to the characteristics of the elderly with diabetes mellitus which can influence treatment in managing the disease.This study concludes that there are still elderly people who do not carry out diabetes self-care management independently in their daily lives. This research emphasizes the need for knowledge and awareness to be provided in rural areas regarding Diabetes self-care management. Structured programs need to be designed to improve the behavior of the elderly to promote better adherence to diet, exercise, medication adherence, and proper foot care.

The Association Between Peer Influence and Dating Behavior Among Adolescents at a High School in Rural Area: A Cross-Sectional Study Amalia, Ananda Putri; Silvanasari, Irwina Angelia
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.587

Background: Dating behavior among adolescents today leads to risky dating behavior that has an impact on premarital sexual behavior. Teenagers are curious about new things and can be influenced by their partners, environment, and peers. Purpose: This study aims to analyze the relationship between the role of peers and dating behavior in adolescents. Methods: This research design is quantitative with a cross-sectional approach. The population at State Senior High School "X" Jember was 121 students, with a sample size of 93 students. The sampling technique used was simple random sampling. The independent variable is the role of peers, and the dependent variable is dating behavior. These two variables were measured using a questionnaire on the role of peers and dating behavior. Univariate analysis was performed with frequency distribution. Bivariate analysis using Fisher's Exact test. Results: The results showed that almost all peer roles were in the positive category, with a percentage of 84.9%. Most respondents showed non-risky dating behavior, 72.0%. Fisher's Exact test results show that the p-value (0.000) is smaller than α (0.05). This means the alternative hypothesis is accepted and indicates a relationship between peer roles and adolescent dating behavior. Conclusions: Positive peer roles tend to lead to non-risky dating behavior. Therefore, adolescents should be more careful in choosing peers to avoid engaging in risky dating behavior.

The Association Between Peer Influence and Dating Behavior Among Adolescents at a High School in Rural Area: A Cross-Sectional Study Amalia, Ananda Putri; Silvanasari, Irwina Angelia
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.587

Background: Dating behavior among adolescents today leads to risky dating behavior that has an impact on premarital sexual behavior. Teenagers are curious about new things and can be influenced by their partners, environment, and peers. Purpose: This study aims to analyze the relationship between the role of peers and dating behavior in adolescents. Methods: This research design is quantitative with a cross-sectional approach. The population at State Senior High School "X" Jember was 121 students, with a sample size of 93 students. The sampling technique used was simple random sampling. The independent variable is the role of peers, and the dependent variable is dating behavior. These two variables were measured using a questionnaire on the role of peers and dating behavior. Univariate analysis was performed with frequency distribution. Bivariate analysis using Fisher's Exact test. Results: The results showed that almost all peer roles were in the positive category, with a percentage of 84.9%. Most respondents showed non-risky dating behavior, 72.0%. Fisher's Exact test results show that the p-value (0.000) is smaller than α (0.05). This means the alternative hypothesis is accepted and indicates a relationship between peer roles and adolescent dating behavior. Conclusions: Positive peer roles tend to lead to non-risky dating behavior. Therefore, adolescents should be more careful in choosing peers to avoid engaging in risky dating behavior.

Relationship between Family Structure with Adolescent Datement Behavior of Young Women Ariskah, Firda; Irwina Angelia Silvanasari; Zidni Nuris Yuhbaba
Journal of Nursing Periodic Vol. 1 No. 2 (2024): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v1i2.26

Introduction: The dating behavior of teenagers in Indonesia is quite worrying and leads to risky behavior. The purpose of this study was to determine the relationship between family structure and dating behavior of young women. Methods: This research method uses quantitative research with cross sectional design. The population in this study were 226 young women obtained from the results of the Slovin formula and a sample of 144 respondents, the sample technique used wasSimple random sampling.The independent variable in this study is family structure and the dependent variable is the dating behavior of young women. Collecting data using a questionnaire about the characteristics of respondents, dating behavior practices, and family structure. Results: Most of the family structures of young women are in poor family structures, while most of the courtship behavior in young women is in risky courting. The results of the analysis with Fisher's test obtained a p-value of 0.028 < α 0.05 so that it can be concluded that there isrelationship between family structure and dating behavior of young women. Conclusions: The less good the family structure is, the more risky dating behavior is, the better the family structure, the less risky dating behavior is. Teenagers should be able to avoid risky dating behavior. Families should provide health education about healthy dating and provide supervision. Family nurses should be able to provide sexuality health education to adolescent families.

The Effectiveness Of Community Mental Health Counseling On The Mental Health Of Farmers During The Covid-19 Pandemic Budiman, M.Elyas Arif; Yuhbaba, Zidni Nuris; Silvanasari, Irwina Angelia; Erdah Suswati, Wahyi Sholehah; Basri, Achmad Ali
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.271 KB)

The spread of the COVID-19 pandemic creates new stressors for farmers and creates pressure and uncertainty for farmers and has a negative impact on the mental health of farmers and the wider Community. In connection with these problems, one of the actions that can improve mental health in farmers is health counselling.The purpose of this study was to determine community-based counseling on the mental health of farmers during the covid-19 pandemic. The type of research used in this study is a quasi-experimental with a sample of 80 respondents with purposive sampling technique. The measuring instrument uses a Self-Reporting Questionnaire (SRQ). Data analysis used the Wilcoxon Paired test and the Mann Whitney test.The results of the Wilcoxon test in this study showed that the experimental group had a p value of 0.00 and in the control group a p value of 180 then the two groups were tested differently using the Mann Whitney test showing a p value of 0.00 where these results indicate that there is an effect of counseling community based on the mental health of farmers during the Covid-19 pandemic. The uncertainty of Covid-19 coupled with the new social environment makes it even more important to understand the importance of mental health counseling for farmers in rural areas to help support farmers in adapting to the habits of the Covid-19 pandemic.

Factors Contributing to Hypertension Self-Care Management Behavior in Elderly Rural Residents Silvanasari, Irwina Angelia; Basri, Achmad Ali; Maurida, Nurul; Vitaliati, Trisna
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1639

The behavior of hypertension self-care management in the elderly is very important to be applied to reduce the prevalence of hypertension in rural areas. This study aims to analyze the factors associated with hypertension self-care management behavior in the elderly in rural areas based on the Protection Motivation Theory (PMT). The research design uses analytic observational with a cross-sectional approach. The sample in this study was 150 elderly people with hypertension who lived in rural areas. The independent variables are perceived vulnerability, perceived severity, perceived reward, response efficacy, self-efficacy, and intention. The dependent variable is hypertension self-care management behavior. Data collection uses the PMT and HSMBQ questionnaires. Bivariate analysis used the Spearman correlation test and multivariate analysis used linear regression with a significance level = 0.05. Bivariate test results found that perceived vulnerability (r=0.615 and p<0.05), perceived severity (r=0.497 and p<0.05), perceived reward (r=0.598 and p<0.05), efficacy response (r=0.510 and p<0.05), self-efficacy (r=0.477 and p<0.05), and intention (r=0.513 and p<0.05) related to hypertension self-care management behavior. Multivariate test results found that the PMT model associated with hypertension self-care management behavior includes perceived vulnerability (p<0.05), perceived severity (p<0.05), perceived reward (p<0.05), and self-efficacy (p<0.05). The value of R square = 0.519 indicates that the PMT model can predict 51.9% of self-care behavior. The dominant factor that can increase hypertension self-care management behavior is the perception of vulnerability. Nurses should be able to provide health education to improve hypertension self-care management behavior.

PENGARUH MEDIA POSTER TEMPEL TERHADAP PERILAKU PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA WANITA BERESIKO Wike Rosalin; Lailil Fatkuriyah; M.Elyas Arif Budiman; Irwina Angelia Silvanasari
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 1 (2023): Desember
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i1.407

One of the health problems faced by women is breast cancer, breast cancer is the most common cancer worldwide and the second cancer that causes death. Breast cancer is the most common in women, namely 42.1 per 100,000 population. Breast cancer can be detected early by breast self-examination or BSE, but many women forget the method and order of practice. Using posters can provide reminders and ways for women to continue doing BSE. This type of research is a quasi-experimental quantitative research. The research design used was a pretest-posttest control group design. The results show differences in knowledge, attitudes and practices each and between groups. Knowledge attitudes and practices have improved overall since the intervention. At the end of the measurement, all groups had good BSE knowledge and attitudes. Behavior with good category before treatment 18% to 39%. In conclusion there are differences in knowledge, attitudes and practices respectively and between groups. Poster media is an effective medium for increasing knowledge and practice. Posted poster media is effective in increasing BSE attitude.

Hubungan Dukungan Keluarga dan Efikasi Diri dengan Kualitas Hidup Lansia Penderita Diabetes Melitus Vitaliati, Trisna; Maurida, Nurul; Silvanasari, Irwina Angelia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 18 No 1 (2023): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v18i1.232

People with Diabetes Mellitus need long-term care and treatment to improve their quality of life. Family support and self-efficacy are believed to have an influence on the quality of life of elderly people with diabetes mellitus. The objective of the study was to identify family support, self-efficacy and quality of life for elderly people with diabetes mellitus. This study is a descriptive analytic study with a cross-sectional approach. The sample in this study were elderly people with diabetes mellitus who were selected using a purposive sampling technique with a total of 54 respondents. Furthermore, univariate data analysis was carried out using the frequency distribution and statistical tests using the Spearman Rho Test. The results of the Rho Spearman analysis showed that family support was positively correlated with the quality of life of elderly people with diabetes mellitus (rho=0.579; p<0.01). Meanwhile, the results of the Rho Spearman analysis showed that self-efficacy correlated positively with the quality of life of elderly people with diabetes mellitus (rho=0.537; p<0.01). The recommendation from the results of this study, is that nurses can increase family support and self-efficacy for elderly people with diabetes mellitus by forming a support group consisting of families who have elderly family members with diabetes mellitus so that they can share information related to how to provide family support to provide positive reinforcement and motivation to elderly people with hypertension so that their quality of life increases.

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