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                        Hubungan Efikasi Diri dengan Kecemasan Menyusun Skripsi pada Mahasiswa Keperawatan 
                    
                    Niken Saraswati; 
Meidiana Dwidiyanti; 
Agus Santoso; 
Diyan Yuli Wijayanti                    
                     Holistic Nursing and Health Science Vol. 4, No. 1 (2021): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.4.1.2021.1-7                            
                                            
                    
                        
                            
                            
                                
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. 
                            
                         
                     
                 
                
                            
                    
                        Pelatihan Sistem Informasi Sehat Holistik (SI-SEHO) untuk Pemberdayaan Kader Kesehatan 
                    
                    Meidiana Dwidiyanti; 
Sri Padma Sari; 
Diyan Yuli Wijayanti; 
Hasanah Eka Wahyu Ningsih; 
Reza Indra Wiguna; 
Akhmad Yanuar Fahmi                    
                     Holistic Nursing and Health Science Vol. 1, No. 2 (2018): November 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.2.2018.101-108                            
                                            
                    
                        
                            
                            
                                
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. 
                            
                         
                     
                 
                
                            
                    
                        The Effect of Hypnotherapy using Induction Hanung Technique on the Level of Cigarette Dependence and Carbon Monoxide in Exhaled Breath among Active Smokers 
                    
                    Margiyati Margiyati; 
Meidiana Dwidiyanti; 
Diyan Yuli Wijayanti                    
                     Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.1.2018.12-23                            
                                            
                    
                        
                            
                            
                                
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.
                            
                         
                     
                 
                
                            
                    
                        Effectiveness of Mindfulness on Decreasing Stress in Health Professional Students: A Systematic Review 
                    
                    Akhmad Yanuar Fahmi; 
Meidiana Dwidiyanti; 
Diyan Yuli Wijayanti                    
                     Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.1.2018.1-11                            
                                            
                    
                        
                            
                            
                                
Background: Stress in health professional students is increasing every year. Therefore it is necessary to implement stress management for the students. Mindfulness is an alternative which can be used to deal with stress.  Purpose: The purpose of this systematic review is to describe the effectiveness of mindfulness on decreasing stress in health professional students. Methods: This systematic review was conducted by searching relevant articles published in online databases EBSCO, Science Direct, PubMed, and Google. The search was restricted to the full-text articles published in 2010-2017 and employed the RCTs and non-RCTs research designs with a mindfulness intervention.Results: Of the ten articles reviewed, it was found that mindfulness could decrease stress in professional health students with a very significant p-value. The types of mindfulness administered to the health professional students included yoga therapy, MBSR therapy, and meditation therapy. In average, MBSR therapy is used for health professional students. This intervention is practiced through meditation which lasts for 5-35 minutes for 3-6 weeks. Conclusion: The study reported that, in average, the intervention to decrease stress in health professional students is performed by using MBSR with a meditation of 5-35 minutes. The intervention is done for 3-6 weeks. Results found that MBSR mindfulness could decrease stress. Further research is needed to explore the effectiveness of mindfulness on other subjects such as students who get scholarships.
                            
                         
                     
                 
                
                            
                    
                        Gambaran Dampak Kecemasan dan Gejala Psikologis pada Anak Korban Bencana Gempa Bumi di Lombok 
                    
                    Zurriyatun Thoyibah; 
Meidiana Dwidiyanti; 
Misroh Mulianingsih; 
Winda Nurmayani; 
Reza Indra Wiguna                    
                     Holistic Nursing and Health Science Vol. 2, No. 1 (2019): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.2.1.2019.31-38                            
                                            
                    
                        
                            
                            
                                
Introduction: Earthquakes that occur always have a psychological impact on all victims, including children. Limited studies explore anxiety and symptoms of children’s psychological problems. This study aims to describe anxiety and psychological symptoms on children caused by the earthquake in Lombok, West Nusa Tenggara.Method: This study uses a mix-method design with a sample of 47 respondents in SDN 2 Penimbung West Lombok, the sample was determined by purposive sampling technique. Quantitative data analysis using the RCMAS-2 questionnaire (Revised Children's Manifest Anxiety Scale; second edition) and qualitative analysis using the method of in-depth interview.Results: Most of the respondents of children included normal anxiety category 85.11%, while 14.89% belonged to the category of clinical anxiety. The results of the qualitative study showed that there were changes in attitudes in children, such as children becoming more sensitive, easily crying, irritable, children easily panicking and crying if they heard something thundering, children often worried about entering the house, they were initially cheerful but after earthquakes occur more children are quiet and withdraw.Conclusion: Earthquakes that occur cause symptoms of clinical anxiety in some children, which are manifested in everyday life both at home and at school. Future research is expected to provide appropriate therapy for children affected by disasters so that the psychological impact experienced can be reduced. 
                            
                         
                     
                 
                
                            
                    
                        Mindfulness Mobile Application Menurunkan Tingkat Stres Mahasiswa : A Literature Review 
                    
                    Hasanah Eka Wahyu Ningsih; 
Meidiana Dwidiyanti; 
Elis Hartati                    
                     Holistic Nursing and Health Science Vol. 1, No. 2 (2018): November 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.2.2018.116-125                            
                                            
                    
                        
                            
                            
                                
Background: Stress among college students have been widely researched. The interventions such as mindfulness, meditation, relaxation and yoga using mobile application become most appealing choices to reduce stress. Technology is used as media to help implementing the interventions include mindfulness mobile application. It provides mindfulness steps and other features.Purpose: The aim of this paper is to evaluate previous research studies of mindfulness mobile application on decreasing stress level among college students.Method: Literature searches were conducted in October 2018. The search involved the utilization of the following online database: Google Scholar dan Medline. Keywords were “stress, mindfulness, and mobile application”. Searches were limited from 2008 to 2018 with paper in full-text and English language.Results: Four literatur were found which met inclusion and exclusion criteria. Three themes were identified: aplikasi mindfulness, framework penggunaan aplikasi, dan mengukur tingkat stres.  Conclusion: This review expands the knowledge in the area of stress reduction using mindfulness mobile application and calls for further research. The researchers should develop an application using mindfulness as the therapy to decrease stress level of college students. The institution or universities should utilize the findings of this review to promote training of mindfulness in managing the stressors or reducing stress through mobile application.  
                            
                         
                     
                 
                
                            
                    
                        Tingkat Depresi Mahasiswa Keperawatan di Tengah Wabah COVID-19 
                    
                    Agus Santoso; 
Wandria Robi Ardi; 
Rikhan Luhur Prasetya; 
Meidiana Dwidiyanti; 
Diyan Yuli Wijayanti; 
Muhammad Mu'in; 
Sarah Ulliya; 
Fitria Handayani; 
Madya Sulisno; 
Maftukhatun Ni’mah; 
Nur Aas Aisah                    
                     Holistic Nursing and Health Science Vol. 3, No. 1 (2020): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.3.1.2020.1-8                            
                                            
                    
                        
                            
                            
                                
Introduction: The emergence of the COVID-19 pandemic affected the mental health of students. Students feel stressed and sad, anxious, frustrated, confused and do not know how to overcome their conditions. Depression occurs because of negative thinking about oneself and others, so special management is needed in the midst of a COVID-19 pandemic. The aim of this study was to provide an overview of the depression levels of students in the pandemic.Methods: The method in this study was a quantitative research with cross sectional approach. Descriptive analysis is used to provide a description of the level of depression that occurs in students. Data collection used the Beck Deperession Inventory II (BDI II), sampling used a total sample of 148 respondents (students with an average age of 18-20 years old). The process of collecting data is done by using the google form survey method.Results: Students experienced mild mood disorders (25.7%), severe depression (12.2%), low depression (8.1%), moderate depression (0,7%) and extreme (0.7%).Conclusion: Depression in the pandemic of COVID-19 requires special attention in management to prevent mental disorders.
                            
                         
                     
                 
                
                            
                    
                        Perbedaan Tingkat Caregiver Burden Yang Merawat Lansia Demensia Di Panti Wreda 
                    
                    Heru Ginanjar Triyono; 
Meidiana Dwidiyanti; 
Rita Hadi Widyastuti                    
                     Holistic Nursing and Health Science Vol. 1, No. 2 (2018): November 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.2.2018.77-81                            
                                            
                    
                        
                            
                            
                                
Background: The prediction of the number of elderly people in Indonesia will increase along with changes in Indonesia's demographic status. Elderly people who feel that at home less socialize with elderly people choose to live in a nursing home, this is an alternative for the elderly, elderly degenerative diseases are very diverse one of which is elderly dementia with dementia will require a level of dependence beyond the elderly who do not have dementia. Caregivers who treat the elderly with dementia will be very vulnerable to burden in treating elderly dementia.Purpose: The purpose of this study was to analyze the difference in the level of caregiver burden who care for elderly dementia at a nursing home.Method: This research method uses "Quasy experiment pre and posttest with control group". Number of samples 34 from each group. Data were analyzed using the Mann Whitney test with the help of SPSS 22.0 for Windows.Results: Research in the control group has a higher level of burden caregivers compared to intervention groups, this is because the control group respondents have lower wages than the city minimum wage, besides that the elderly characteristics carried out by nursing care have more severe dementia than the intervention group.Conclusion: The results of this study can be used as a reference in developing services for the elderly and elderly caregiver, especially the elderly who suffer from dementia.
                            
                         
                     
                 
                
                            
                    
                        The Influence of Mindfulness on the Decreasing Anxiety in Nursing Students to Support Academic Learning: A Literature Review 
                    
                    Reza Indra Wiguna; 
Meidiana Dwidiyanti; 
Sri Padma Sari                    
                     Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June 
                    
                    Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia 
                    
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                                DOI: 10.14710/hnhs.1.1.2018.24-34                            
                                            
                    
                        
                            
                            
                                
Background: Anxiety and stress in nursing students has been shown to result in a lack of concentration, reduced learning productivity, and unfavorable physiological effects. This can cause a bad risk to the academic process of nursing students. A positive coping mechanism to reduce anxiety can be performed through various mindfulness training to support the academic success of nursing students.Purpose: This literature review study aimed to describe the influence of mindfulness on decreasing anxiety in nursing students to support academic learning, from various literature studies. Method: This study is a literature review. Data were collected through the online databases of EBSCO, PubMed, and ScienceDirect. The articles used in this study were determined published in 2010 to 2017. The key words used in searching for the articles were mindfulness, mindfulness in nursing students, nursing student anxiety, and nursing student achievement.Results: The results of this literature indicate that mindfulness is a holistic intervention that significantly improves mental health in nursing students. It can support students’  learning productivity to improve their academic achievement. The focus of mindfulness training program is to develop a better way to observe and concentrate, which in turn will facilitate a reduction in suffering and increased inner peace. Mindfulness will create relaxed attitudes and facilitates an open acceptance of experiences, thoughts, and learning.Conclusion: Mindfulness therapy with various types of exercises would be a good alternative for nursing students to reduce anxiety. Future studies should explore the long-term effects of mindfulness on the students’ learning productivity and academic achievement
                            
                         
                     
                 
                
                            
                    
                        DUKUNGAN KADER KESEHATAN TERHADAP KEMANDIRIAN FISIK PASIEN TUBERKULOSIS PARU 
                    
                    Khoiroh Umah; 
Meidiana Dwidiyanti; 
Megah Andriany                    
                     Jurnal Ilmiah Kesehatan Vol 11 No 1 (2018): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
                    
                    Publisher : Universitas Nahdlatul Ulama Surabaya 
                    
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                                DOI: 10.33086/jhs.v11i1.118                            
                                            
                    
                        
                            
                            
                                
Self-reliance of TB patients has an effect on the adherence to treatment in the healing process. To achieve self-reliance, patients require supports from the family and community, as well as knowledge and skills to be able to take care of themselves independently. Healthcare cadres are one form of supports that the patients need to maintain self-care capabilities. The purpose of this study was to analyze the effects of health cadres’ supports on the physical self-reliance in pulmonary TB patients. This study was a quantitative research with a pretest-posttest quasi-experimental design with the control group. The samples were 44 patients recruited using purposive sampling technique with inclusion and exclusion criteria and were assigned to two groups: intervention group (n = 22) and control group (n = 22). Instrument used modified healty card owner by Dwidiyanti. The intervention given was in the form of health cadres’ supports given for six times in six weeks. A statistical analysis using paired t-test was performed to identify the effects of the intervention on the physical self-reliance in patients with pulmonary tuberculosis. The results showed that the intervention group obtained a p-value of 0.00 and α of 0.05, where p-value < α, or p-value <0.05, indicating that there was an effect of health cadres’ supports on physical self-reliance in patients with pulmonary TB. Meanwhile, in the control group, a p-value of 0.529 and α of 0.05 were found, where p-value >α or p-value > 0.05, indicating that there was no significant difference in the patients’ physical self-reliance after given supports from the health cadres. Support interventions of health cadres improved the physical self-reliance in patients with pulmonary TB.