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Manajemen Stress Psikologis untuk Pengendalian Tekanan Darah dengan Hipnoterapi Pada Kelompok Penderita Hipertensi RW I Mersi Kabupaten Banyumas Setyo, Arif; Isworo, Atyanti; Ekowati, Wahyu
Jurnal of Community Health Development Vol 3 No 1 (2022): Journal Of Community Health Development terbitan bulan Januari 2022
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

The impact of the COVID-19 pandemic causes both physical and psychological stress, especially for people with hypertension. Stress conditions in patients with hypertension can cause uncontrolled blood pressure. The results of the interview with the Chair of the Sehati hypertension group revealed that the problem faced by sufferers during this pandemic was uncontrolled blood pressure as a result of psychological stress. The solutions offered include non-pharmacological psychological stress management training, training in measuring blood pressure and stress levels, as well as hypnotherapy training for controlling blood pressure and psychological stress in patients with hypertension. The results obtained included 100% of participants being able to mention non-pharmacological methods to control psychological stress, 93.33% of participants being able to explain the measurement of psychological stress, 86.67% able to demonstrate the use of hypnotherapy for stress control, 100% of participants who demonstrated a decrease in stress levels. psychologically from a score of 4-6 (moderate stress) to a score of 1-3 (mild stress) and showed a decrease in blood pressure. The implementation of training is effective in increasing the knowledge and skills of hypertension sufferers in managing psychological stress.

Peer Group Education untuk Pencegahan Stroke Pada Kelompok Hipertensi di Desa Susukan Kecamatan Sumbang Kabupaten Banyumas Setyo, Arif; Sari, Yunita; Ekowati, Wahyu
Jurnal of Community Health Development Vol 4 No 1 (2023): Vol 4 No 1 (2023): Journal Of Community Health Development terbitan bulan Januari
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

The prevalence of hypertension in Indonesia is increasing every year. Based on the Basic Health Research (Riskesdas) in 2013 the prevalence of hypertension was 25.8%, while in the 2018 Riskesdas it increased to 34.1%. The results of the study stated that the prevalence of uncontrolled hypertension in Indonesia was high, which was more than 91%. Uncontrolled hypertension can cause stroke. The prevalence of stroke in Indonesia increases every year, based on Riskesdas in 2013 the prevalence of stroke was 7%0, while at Riskesdas in 2018 the prevalence of stroke was 10.9%0. The results of the survey of the hypertension group in Susukan Village, Sumbang Subdistrict showed that the majority of hypertension sufferers had low education (91.67%), low knowledge of hypertension (45.83%), uncontrolled blood pressure >140mmHg (83.33%), stroke prevention behavior was low (54.17%). Implementation methods include training on the introduction of hypertension, stroke risk and the benefits of Peer Group Education for stroke prevention, training on prevention of stroke in the hypertension group through a healthy lifestyle (diet, physical activity and stress management), training in early detection of stroke, training in blood pressure monitoring and style monitoring. life of hypertensive patients to prevent stroke. The results showed 90% of participants increased knowledge about hypertension as measured by HKLS, 90% of participants were able to explain a healthy diet in hypertension for stroke prevention, 100% of participants were able to explain physical activity or exercise in hypertension sufferers, 100% of participants were able to explain psychological stress management in hypertension. , 100% of the group were able to demonstrate blood pressure measurement, 100% of the group were able to fill out a healthy lifestyle monitoring sheet for patients with hypertension, 100% of the group were able to demonstrate early detection of stroke. Conclusion: Training increases the knowledge and skills of partners in stroke prevention effectively.

Asuhan Keperawatan Klien Harga Diri Rendah Dengan Terapi Okupasi Berkebun Kurniasari, Siwi; Ekowati, Wahyu
Jurnal of Community Health Development Vol 4 No 2 (2023): Journal Of Community Health Development
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2023.4.2.8171

Harga diri rendah di gambarkan sebagai perasaan negatif terhadap diri sendiri termasuk hilangnyarasa percaya diri dan harga diri. Tanda dan gejala harga diri rendah diantaranya yaitu munculperasaan bingung, putus asa, tidak berdaya, tidak berharga dan tidak berguna, merasa kurangdiperhatikan, menurunnya memori dalam jangka waktu panjang atau pendek, menurunnyakemampuan, menarik diri dan kurang melakukan sosialisasi. Upaya yang dapat dilakukan untukmeningkatkan kemampuan untuk melakukan kegiatan pada pasien yang mengalami harga dirirendah salah satunya adalah dengan terapi okupasi berkebun. Tujuannya melakukan studi kasuspenerapan terapi okupasi berkebun pada klien harga diri rendah. Metode penelitian ini yaitu Studikasus dengan menerapkan implementasi evidance based practice pada asuhan keperawatan.Hasildari studi kasus adalah pemberian intervensi terapi okupasi berkebun yang berdampak padameningkatnya kemampuan positif dan peningkatan harga diri klien. Peningkatan kemampuanberkebun klien didapatkan hasil awal sebelum tindakan yaitu skor 4, setelah tindakan menjadi skor 9.Kemudian peningkatan harga diri diukur menggunakan kuesioner Rosenberg diperoleh dari skorsebelum dilakukan tindakan okupasi 19, skor akhir setelah tindakan okupasi menjadi 24.

Ekspolrasi Tingkat Pengetahuan dan Perilaku Body Shaming Mahasiswa di Kota Purwokerto Astuti, Yustria Puji; Ekowati, Wahyu; Kusumawardani, Lita Heni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 1 (2022): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jik.v17i1.159

nd self-assessment that can arise due to dissatisfaction with what is owned by the individual. These behaviours can make individuals susceptible to body dysmorphic disorder. Objective: This study aims to explore the body shaming that exists among students in Purwokerto. Methods: This descriptive quantitative study used a cross-sectional approach. 1,165 students covering the number of all majors were then taken as many as 148 students with the inclusion criteria of active medical students, willing to follow until the end of the study, the exclusion criteria of students who could not complete the research until the end of data collection. The instrument in this study is a closed-ended questionnaire and uses the Guttman scale for its assessment with the categories of Good: 8-10, Enough: 6-7, Less: 0-5. Data were analyzed univariately and presented in the form of a frequency distribution. Results: The level of knowledge of students about body shaming is 89.9% and is included in the good category, while students' body-shaming behaviour is included in the medium category, namely 76.4%. The results of this study indicate that respondents who have a good level of knowledge can also perform body-shaming behaviour even though it is in the moderate category. Conclusion: The level of knowledge does not guarantee that individuals do not engage in body shaming behaviour. This behaviour can be avoided if the individual understands that it is not a good thing to do.

Hubungan Antara Stres dengan Perilaku Emotional Eating pada Mahasiswa Semester Satu di Purwokerto Rachma, Haliza Aulia; Ekowati, Wahyu; Kusumawardani, Lita Heni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 19 No 1 (2024): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v19i1.339

Introduction: First year students in college are prone to experiencing stress because environmental adaptation and new habits while undergoing their first semester lectures. This raises different stress coping for each student. Objectives: This study aims to determine the relationship between stress and emotional eating behavior in first semester students of Health Department in Purwokerto. Methods: The type of research used quantitative research with a cross sectional research design. The sampling technique used purposive sampling with a total of 247 students as respondents. The analysis test in this study used the Rank Spearman test. Results: Respondents experienced moderate category of stress (73.7%) and moderate category of emotional eating (73.7%). The results of the Rank Spearman test between the variables of stres and emotional eating showed p value = 0.000 (p value <0.05). Conclusions: There was a significant relationship between stress and emotional eating in first semester students.

Validation of Indonesian Brief Measurement of Religious Coping (Brief R Cope BI) Mulyono, Wastu Adi; Ekowati, Wahyu
Jurnal Keperawatan Soedirman Vol 18 No 1 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.1.7109

Religion and spirituality are determinants of psychological adjustment of coping resources, especially in a religious country such as Indonesia. However, in general, its measurement does not use standardized scales. This study aimed to examine the validity of the Indonesian version of the Brief Measurement of Religious Coping (Brief RCOPE). The sample of this study was 150 women recruited by a consecutive sampling strategy. Exploratory factor analyses were performed to examine the structure’s validity. The criteria’s validity was measured by its correlation with the Freiburg Mindfulness Inventory and FACIT Sp12. The exploratory factor analyses indicated that the Indonesian Brief RCOPE satisfied the construct validity. The Bartlett sphericity test was significant (df (91) = 1109.79, p < 0.001), and the Kaiser-Meyer-Olkin (KMO) test was 0.782. The exploratory factor analyses confirmed that the two-factor design model with 50.4% explained the variance. Positive religious coping was correlated with mindfulness (r = 0.338, p < 0.01) and spirituality (r = 0.317, p< 0.01), while negative religious coping was correlated with perceived stress (0.182, p < 0.05). Cronbach’s alpha coefficients for Factor 1 and Factor 2 were 0.83 and 0.82, respectively. Thus, the Indonesian version of Brief RCOPE is valid and reliable for measuring positive and negative religious coping.

Quality of life in gynecological cancer patients: focusing in religious aspects Mulyono, Wastu Adi; Ekowati, Wahyu; Ningrum, Fera Agusti; Nurhikmah, Salma; Maharani, Nadia Bella
MEDISAINS Vol 22, No 3 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i3.23781

Background: Gynecological cancer is a malignancy that attacks the reproductive organs, affecting not only physical health but also psychological and emotional well-being, often causing depression and anxiety. Religious and spiritual factors have been identified as potential moderators of quality of life in cancer patients.Objective: This study evaluates the relationship between religious aspects spirituality, awareness, and religious coping and quality of life in gynecological cancer patients.Methods: A cross-sectional study involved 61 gynecological cancer patients undergoing chemotherapy at Margono Hospital. Data were collected using validated instruments: FACIT-Sp for spirituality, FMI for awareness, Brief R-Cope for religious coping, PSS-10 for stress, and WHOQOL-BREF for quality of life. The Pearson correlation coefficient was used to assess the relationship between variables.Results: Spirituality (r = 0.434), awareness (r = 0.425), positive religious coping (r = 0.313), and stress (r = -0.515) were significantly correlated with quality of life. Negative religious coping (r = -0.121) showed a negative but non-significant correlation.Conclusions: This study highlights that spirituality, mindfulness, and positive religious coping are significantly associated with improved quality of life in gynecologic cancer patients. These results emphasize the potential role of religious and spiritual support as an integral component of comprehensive cancer care to improve overall patient well-being.

The Relationship Between Mental Health Literacy and Attitudes Towards Seeking Professional Mental Health Help Among Students Amalia, Reza Fajar; Ekowati, Wahyu; Mulyaningrat, Wahyudi; Swasti, Keksi Girindra
Eduvest - Journal of Universal Studies Vol. 5 No. 5 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i5.51163

The likelihood of addiction increases as more school-aged youngsters use smartphones. When faced with an uncomfortable circumstance or pressure, kids with poor self-efficacy frequently turn to their smartphones as a coping strategy to instill a sense of security. This study aimed to understand the relationship between mental health literacy and students' attitudes towards seeking professional psychological help. The sampling technique used was stratified random sampling of 386 college students to fill out a questionnaire that assessed their mental health literacy and attitude towards seeking professional psychological help. The mean of mental health literacy score was 118 (SD=14.01) while the overall mean attitude towards seeking professional psychological help was 21 (SD=7.30). A correlation coefficient of r is found in statistical tests examining the relationship between the two variables. A significant correlation between the two variables is revealed by statistical testing (r=0.784, p=0.010). This study shows a significant correlation between mental health literacy and attitude towards seeking professional psychological help. Formulating strategies for education and promoting mental health services in higher education units is important.

A scoping Review on the Impact of Self-Stigma in Individual with Type 2 Diabetes Isworo, Atyanti; Ekowati, Wahyu; Danismaya, Irawan
Media Keperawatan Indonesia Vol 8, No 3 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Self-stigma, also known as internalized stigma, is the psychological burden that arises when individuals adopt society’s negative perceptions about their health condition. This phenomenon is commonly experienced by individuals with type 2 diabetes mellitus (T2DM) and can significantly affect their psychological well-being and self-care practices. This scoping review aims to map the various impacts of self-stigma on individuals with T2DM based on the most recent empirical evidence. The review followed the Arksey and O’Malley framework and adhered to PRISMA-ScR guidelines. A comprehensive search was conducted across nine databases, resulting in the inclusion of twelve primary studies. The data were analyzed thematically and narratively. Self-stigma was found to have multidimensional effects, encompassing psychological aspects, behavioral aspects, clinical consequences and quality of life. Contextual factors such as age, duration of diabetes, gender, and BMI influenced the degree of self-stigma experienced. Self-stigma poses a substantial barrier to effective T2DM management. Psychosocial interventions that promote self-efficacy and social support are essential to mitigate its negative effects and enhance patients’ overall health outcomes

Ekspolrasi Tingkat Pengetahuan dan Perilaku Body Shaming Mahasiswa di Kota Purwokerto Astuti, Yustria Puji; Ekowati, Wahyu; Kusumawardani, Lita Heni
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 1 (2022): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jik.v17i1.159

nd self-assessment that can arise due to dissatisfaction with what is owned by the individual. These behaviours can make individuals susceptible to body dysmorphic disorder. Objective: This study aims to explore the body shaming that exists among students in Purwokerto. Methods: This descriptive quantitative study used a cross-sectional approach. 1,165 students covering the number of all majors were then taken as many as 148 students with the inclusion criteria of active medical students, willing to follow until the end of the study, the exclusion criteria of students who could not complete the research until the end of data collection. The instrument in this study is a closed-ended questionnaire and uses the Guttman scale for its assessment with the categories of Good: 8-10, Enough: 6-7, Less: 0-5. Data were analyzed univariately and presented in the form of a frequency distribution. Results: The level of knowledge of students about body shaming is 89.9% and is included in the good category, while students' body-shaming behaviour is included in the medium category, namely 76.4%. The results of this study indicate that respondents who have a good level of knowledge can also perform body-shaming behaviour even though it is in the moderate category. Conclusion: The level of knowledge does not guarantee that individuals do not engage in body shaming behaviour. This behaviour can be avoided if the individual understands that it is not a good thing to do.

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