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Caregiver Coping Mechanisms on the Ability to Care for Individual with Schizophrenia (IWS) Dwi Heppy Rochmawati; Betie Febriana; Hetty Catur Ellyawati
Indonesian Journal of Global Health Research Vol 4 No 4 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.177 KB) | DOI: 10.37287/ijghr.v4i4.1317

Abstract

The health condition of individual with schizophrenia (IWS) needs special attention because it shows a high number and has a bad impact on IWS and caregivers and families. Meanwhile, the handling of IWS takes a long time and causes the caregiver's self-defense to weaken and decrease. Purpose to determine the relationship between coping mechanisms and the caregiver's ability to treat IWS. Method using a non-experimental quantitative research design with a cross sectional method. Sampling was done by total sampling with a total sample of 53 caregivers. Data was collected using a questionnaire on coping mechanisms and cognitive and psychomotor abilities and then analyzed by univariate and bivariate. Univariate analysis using frequency distribution, bivariate analysis using chi-square test. Mean age 41-60 years 69.8%; female 94.3%; high school education below 92.4%; caregiver working as a laborer 66%, relationship with IWS as a parent 66% and length of care >10 years 41.5%. As many as 64.2% of caregivers have adaptive coping mechanisms, caregivers know how to treat IWS 75.5% and are able to care for 54.5% quite well. Data analysis using chi-square test showed that there was a relationship between coping mechanisms and cognitive abilities (p-value 0.019), there was a relationship between coping mechanisms and psychomotor abilities (p-value 0.001). There is a relationship between caregiver coping mechanisms and the ability to care for IWS, caregivers need to get help to improve psychomotor abilities in providing care for IWS
Pendampingan Kader Kesehatan Jiwa (KKJ) dalam Penatalaksanaan Kesehatan Jiwa Berbasis Masyarakat di Brebes Dwi Heppy Rochmawati; Betie Febriana; Hetty Catur Ellyawati
Jurnal Peduli Masyarakat Vol 4 No 3 (2022): Jurnal Peduli Masyarakat: September 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v4i3.491

Abstract

Masalah kesehatan jiwa ditemukan akibat tingkat kesejahteraan dan permasalahan ekonomi yang dihadapi oleh penduduk. Kondisi gangguan jiwa merupakan kondisi yang sangat serius karena mempengaruhi kualitas hidup penderitanya, menimbulkan beban sosial ekonomi yang tinggi, mengakibatkan kemiskinan, kehilangan produktifitas, dan disintegrasi keluarga. Gangguan jiwa merupakan sindrom atau pola perilaku, atau psikologis seseorang yang secara klinik bermakna, dan secara khusus berkaitan dengan suatu gejala penderitaan (distress) atau hendaya (disability) atau secara bermakna meningkatnya risiko merasa sangat menderita, merasa sakit, kecacatan, atau kehilangan arti penting dari kebebasan. Disfungsi yang terjadi dapat berupa disfungsi dalam segi perilaku, psikologik, biologik dan gangguan itu tidak semata-mata terletak di dalam hubungan antara orang itu dengan masyarakat. Meningkatkan kemampuan dan ketrampilan KKJ dalam penanganan masalah kesehatan jiwa melalui pendampingan berbasis masyarakat. Pentingnya melibatkan masyarakat karena pasien gangguan jiwa hidup di tengah masyarakat dan merupakan bagian dari masyarakat. Lingkungan masyarakat ikut berperan dalam mewujudkan kestabilan dan kesembuhan pasien gangguan jiwa. Menggunakan pendekatan proses keperawatan yang terdiri dari pengkajian, perencanaan, tindakan keperawatan dan evaluasi, diharapkan mampu meningkatkan ketrampilan KKJ dalam penanganan gangguan jiwa. Kegiatan yang dilakukan dengan membentuk KKJ, memberikan pelatihan dan pendampingan praktik pelaksanaan deteksi pada KKJ. Terdeteksinya kondisi kesehatan jiwa masyarakat dengan teridentifikasinya 40 orang pasien gangguan jiwa. Adanya peningkatan pengetahuan dan kemampuan KKJ setelah dilakukan pendampingan sebagai upaya penatalaksanaan kesehatan jiwa di Puskesmas S dengan rata-rata hasil pretest 40 dan hasil posttest 85. Diharapkan KKJ mampu melakukan penatalaksanaan awal masalah kesehatan jiwa setelah pendampingan agar tidak menjadi kasus gangguan jiwa.
Peningkatan Ketahanan Mental Remaja Melalui Peer Group Counseling Dalam Wadah Duta Remaja Sehat Jiwa Betie Febriana; Dwi Heppy Rochmawati
SALAM: Jurnal Sosial dan Budaya Syar-i Vol 10, No 3 (2023)
Publisher : Faculty of Sharia and Law UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/sjsbs.v10i3.32151

Abstract

Adolescence is a stage of development that is very vulnerable to shocks. This shock can affect the mental resilience of adolescents. Very few students take advantage of the existence of BK to consult the conflicts they experience. Teenagers tend to prefer telling stories to their peers. So the peer counselor program is expected to be one of the programs that can be implemented to maximize mental health services in schools. In the community service program this time the team used the health promotion method with a peer approach to make a positive impact. as many as 15 students took part in this program in a forum for youth ambassadors who would become a place to vent for their friends. The material provided is mental health, spiritual values, deep breathing relaxation techniques and role play as a peer counselor. The results of the comparison are shown from the pre and post values, that is, before being given knowledge about peer counselors, adolescents were in the low category of 8 people, medium 6 people and 1 high person. Meanwhile, after being given education about peer counselors, the knowledge of adolescents increased to 8 people in the medium category, 7 people in the high category and none in the low category. The hope is that the counselor can become a bridge from professionals in dealing with the problems of their peers.Keyword: Teenager; Mental;  Peergroupcounseling; youthambassador; soul AbstrakRemaja adalah suatu tahap perkembangan yang sangat rentan mengalami goncangan. Goncangan ini dapat memengaruhi ketahanan mental remaja. Sedikit sekali siswa yang memanfaatkan keberadaan BK untuk mengkonsultasikan konflik yang mereka alami. Remaja cenderung lebih memilih bercerita terhadap dengan teman sebayanya. Maka program konselor sebaya diharapkan menjadi salah satu program yang dapat dilakukan guna memaksimalkan layanan kesehatan mental di sekolah. Pada program pengabdian masyarakat kali ini tim menggunakan metode dengan cara promosi Kesehatan dengan pendekatan melalui teman sebaya untuk memberikan pengaruh positif. sebanyak 15 siswa mengikuti program ini dalam wadah duta remaja yang akan menjadi tempat curhat untuk temannya. Materi yang diberikan adalah kesehatan mental, nilai spiritual, tekhnik relaksasi napas dalam serta role play sebagai peer conselor. Hasil dari kegiatan ini diperoleh dari pre-post test yang menunjukkan data bahwa peserta mendapatkan nilai yang meningkat dari sebelum diberikan pengetahuan tentang konselor sebaya. Hasil perbandingan ditunjukkan dari nilai pre dan post yaitu sebelum diberi pengetahuan tentang konselor sebaya remaja berada dikategori rendah sebanyak 8 orang, sedang 6 orang dan tinggi 1 orang, sedangkan setelah diberikan Pendidikan tentang konselor sebaya pengetahuan remaja meningkat menjadi 8 orang dikategori sedang, 7 orang dikategori tinggi dan kategori rendah tidak ada. Harapannya, konselor dapat menjadi jembatan dari tenaga professional dalam menangani masalah teman sebayanya.Kata Kunci: Remaja; Mental; Peergroupcounseling; Duta Remaja; Jiwa
Hubungan Dukungan Keluarga terhadap Gangguan Citra Tubuh pada Pasien Kemoterapi Siti Fatimah; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.838

Abstract

This study aimed to identify the relationship between family support and body image disturbance among breast cancer patients undergoing chemotherapy at Sultan Agung Islamic Hospital, Semarang. Breast cancer and its treatment, particularly chemotherapy, often cause physical changes such as hair loss, weight fluctuations, and mastectomy, which can significantly affect patients’ body image perception. Family support is assumed to play a crucial role in helping patients adapt to these changes. This research employed a quantitative approach with a cross-sectional design. A total of 110 breast cancer patients were recruited using consecutive sampling. The research instruments consisted of a family support questionnaire comprising 20 items and a body image questionnaire with 10 items. Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results showed that most respondents (60%) received good family support, while 55% experienced negative body image. Statistical analysis revealed a significant relationship between family support and body image disturbance (p = 0.004) with a correlation coefficient of r = 0.275, indicating a weak but significant correlation. These findings suggest that family support plays an important role in maintaining a positive body image among breast cancer patients undergoing chemotherapy. Therefore, nursing interventions should actively involve family members to provide both emotional and practical support, which may help patients cope with the psychological impact of treatment and improve their overall well-being.
Hubungan antara Tingkat Stres dengan Beban Kerja Perawat di Rumah Sakit Semarang Ika Chandra Putri; Dwi Heppy Rochmawati; Wigyo Susanto
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.840

Abstract

Nurses are healthcare workers who have a high workload because they are in direct contact with patients 24 hours a day. Complex tasks, limited manpower, and high service demands often cause work stress. Unresolved stress can affect nurses' health, reduce performance, and even impact patient safety. This study aims to investigate the relationship between stress levels and workloads among nurses at Semarang General Hospital. The study design employs a cross-sectional approach with a quantitative methodology. The study population consists of all nurses in the inpatient ward of Semarang General Hospital, with a sample size of 80 respondents selected using proportional random sampling. The research instruments used the Perceived Stress Scale (PSS-10) questionnaire to measure stress and the NASA-TLX questionnaire to measure workload. Data analysis was conducted using the Spearman Rank test. The results of the study show that most nurses are in the moderate stress category (65%), while the highest workload is in the high category (58.8%). Bivariate analysis yielded a p-value of 0.001 (p < 0.05) with a correlation coefficient of r = 0.412, indicating a significant positive relationship between stress levels and nurses' workload. The higher the workload of nurses, the higher the stress levels they experience. Hospitals are encouraged to implement effective workload management, including proportional task distribution, additional staff, and stress management programs for nurses.
EFEKTIVITAS DM LEARNING MENGGUNAKAN APLIKASI TERHADAP TINGKAT KECEMASAN PASIEN DIABETES MELLITUS DI POLIKLINIK RUMAH SAKIT Evi Wahyuni; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

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

Abstract

Diabetes mellitus (DM) patients can experience anxiety due to complex disease management, fear of complications (kidney failure, amputation), the impact of lifestyle changes, and lack of social support. DM Learning can help DM patients manage their disease, where DM learning is an educational tool about DM disease that includes an understanding of the causes, symptoms, treatment methods (diet, exercise, medication), complications, and prevention, so that sufferers and the general public can manage DM effectively and improve their quality of life. Objective: This study aimed to determine the effectiveness of DM Learning using an application on the anxiety level of DM patients at the Sari Asih Serang Hospital Polyclinic. Method: A quasi-experimental study with a pretest–posttest design with a control group. Each group consisted of 60 respondents taken using a purposive sampling technique. Data were analyzed univariately and bivariately using the marginal homogeneity test. Results: The analysis results showed that application-based DM learning was effective in reducing the anxiety level of diabetes mellitus patients (p: 0.000). Conventional DM learning was also effective in reducing the anxiety level of diabetes mellitus patients (p: 0.000). Application-based DM learning is more effective in reducing anxiety levels in diabetes mellitus patients compared to conventional DM learning (p: 0.000). Conclusion: Application-based DM learning is effective in reducing anxiety levels in diabetes mellitus patients.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI APENDIKTOMI DI RUANG RAWAT INAP RUMAH SAKIT Susila Wati; Dwi Heppy Rochmawati; Wigyo Susanto
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i2.134

Abstract

Early mobilization is an important intervention in post-appendectomy care to accelerate recovery, prevent complications, and improve patient comfort. The implementation of early mobilization is greatly influenced by the patient's level of knowledge regarding the benefits, timing, and implementation techniques. Objective: To determine the relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Method: This study used a descriptive correlative design with a cross-sectional approach. The sample of the study was 40 post-appendectomy respondents with a total sampling technique. Data were collected using a questionnaire on the level of knowledge and early mobilization behavior, then analyzed bivariately using the Chi-Square test. Results: The results of the Chi-Square test showed that the p-value was 0.000 (p <0.05). So there is a significant relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Conclusion: There is a relationship between knowledge level and early mobilization behavior of appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang.
PENGARUH GUIDED IMAGERY TERHADAP CEMAS DAN NYERI PADA PASIEN CHOLELITIASIS DI RUMAH SAKIT Yayat Fitriyati; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.136

Abstract

Cholelithiasis patients experience gallstone obstruction which causes the patient to feel pain in the abdomen, the pain makes the patient feel anxious to do activities or mobilization. Anxiety and pain can be overcome with non-pharmacological measures, one of which is guided imagery therapy. Guided imagery relaxation techniques can be used to restore hormonal balance in the body after experiencing disorders, making the body feel more relaxed overall. Objective: This study aims to determine the effect of guided imagery on anxiety levels and pain scales in cholelithiasis patients at Sari Asih Hospital. Method: A quasi-experimental study with a pre-experiment one group pre-post test design involving 35 cholelithiasis patients at Sari Asih Hospital was taken using consecutive sampling techniques. Data were analyzed univariately and bivariately using the chi square test. Results: The results of the univariate analysis showed that before the intervention the majority of anxiety was severe (71.4%) and pain was moderate (62.9%), while, after the intervention the majority of anxiety was mild (51.4%) and pain was mild (62.9%). Bivariate analysis results showed an effect of guided imagery on anxiety (p=0.000) and pain (p=0.000) in cholelithiasis patients. Conclusion: Guided imagery has an effect on anxiety and pain in cholelithiasis patients at Sari Asih Hospital.
PENGARUH HIPERTENSI LEARNING TERHADAP TINGKAT KECEMASAN PASIEN HIPERTENSI DI RUMAH SAKIT X Yuliya Septiani; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.138

Abstract

The development of digital technology in the health sector has given birth to various health learning applications, one of which is a special education application for hypertension. This study aims to determine the effect of hypertension learning on anxiety levels in hypertension patients at Sari Asih Hospital, Serang. Method: This study uses a quantitative approach with a pretest & posttest design, using a total sampling technique. Hypothesis testing uses a marginal homogeneity test. The questionnaire uses the Zung Self Anxiety Scale. Results: The P Value is: 0.157 which is greater than 0.05 (>0.05), which means there is no significant difference between anxiety levels before and after the intervention. The correlation coefficient (r) cannot be calculated because all anxiety values ​​in the post-test are in one category, namely all mild (there is no data variation). The direction of the relationship is positive, because it is towards improvement in all (towards mild), the density of the relationship is clinically strong, because 100% of the post-test results are in the best category (mild). Conclusion: Although no statistically significant differences were found, the Hypertension Learning application was clinically effective in maintaining and improving anxiety levels in hypertensive patients. These findings support the theory that digital education increases self-efficacy, reduces perceived threat of illness, and improves psychological responses in chronic patients. Therefore, Hypertension Learning continues to have important practical and clinical value as part of technology-based nursing interventions in the era of digital transformation in healthcare.
Hubungan Antara Gaya Hidup Hedonisme dengan Tingkat Harga Diri pada Mahasiswa di Semarang Leni Alfiyah; Wigyo Susanto; Dwi Heppy Rochmawati
Journal of Health, Medical, and Psychological Studies Vol 1 No 2 (2025): December: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/sxf80986

Abstract

This study investigates the relationship between hedonistic lifestyle tendencies and self-esteem among students at the Faculty of Nursing, Sultan Agung Islamic University in Semarang. Using a quantitative correlational design, the study analyzed data from 115 respondents to determine the strength and significance of the association between the two variables. The findings demonstrate a significant and strong positive correlation (p = 0.000; r = 0.764), indicating that students with higher hedonistic tendencies tend to report higher levels of self-esteem. This pattern suggests that a considerable portion of students develop a sense of self-worth based on external reinforcement such as social acceptance, peer approval, and recognition from their environment. Although such externally driven self-esteem may enhance confidence temporarily, it may also be unstable because it relies heavily on fluctuating social dynamics. To foster healthier psychological development, students are encouraged to cultivate internal sources of self-worth, while educational institutions are advised to provide programs on healthy lifestyle management, financial literacy, and mental health support. Future researchers are recommended to incorporate longitudinal approaches and include additional variables such as digital platform usage, family support, and peer influence to broaden the generalizability of the findings.