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Play Therapy as a Method of Fine Motor Stimulation for Hospitalized Children with Acute Lymphoblastic Leukemia Hamed, Azahra Chairani; Agustina, Hana Rizmadewi; Haroen, Hartiah
Multidisciplinary Journals Vol. 3 No. 1 (2026): March
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mj.v3i1.1259

Abstract

Children with Acute Lymphoblastic Leukaemia (LLA) are at risk of developmental delays due to the effects of long-term therapy and repeated hospitalisations. This study aims to describe the application of fine motor development stimulation through play therapy, based on the family-centred care approach, for children with LLA who experience developmental delays. Methods: This study used a case study design on a 2-year-old hospitalized at RSUD Welas Asih. Denver II results indicated a delay in fine motor development because he was unable to grasp a pencil or scribble on paper. The intervention lasted 4 days and included family education, pencil-grasping exercises, scribbling activities, and the introduction of simple puzzles. The result showed an improvement in fine motor coordination, with a score increase from 7 to 8. Active family involvement during therapy enhanced the child’s motivation and supported the continuity of stimulation at home. This simple intervention proved effective in supporting the fine motor development of children with chronic diseases and aligned with principles of pediatric palliative care, which focus on improving the quality of life of children and families. Ongoing stimulation and continued use of puzzle activities at home are recommended to further strengthen hand coordination and concentration skills.
DUKUNGAN EMOSIONAL DENGAN INTERACTIVE BRIEFING PADA PASIEN DENGAN KONDISI POST PARTUM DAN SUSPEK KANKERPAYUDARA YANG MENJALANI TINDAKAN BIOPSI Nauli, Yolanda Erica; Haroen, Hartiah; Agustina, Hana Rizmadewi
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 3 (2026): SINERGI : Jurnal Riset Ilmiah, Maret 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i3.2460

Abstract

Cancer is a chronic illness with a long and complex trajectory, beginning from the pre-diagnostic phase, followed by diagnostic procedures such as biopsy, treatment-related side effects, and ongoing uncertainty regarding treatment outcomes. This uncertainty often heightens patient anxiety, particularly during the biopsy phase, when waiting for results can generate psychological distress comparable to the stress experienced upon receiving a cancer diagnosis. Interactive briefing grounded in an Early Palliative Care (EPC) approach plays an important role in supporting patients’ coping processes, especially in preparing them to receive bad news and face future conditions. This case report describes the application of interactive briefing as an EPC approach in Mrs. E, a 40-year-old postpartum woman on her third day following delivery, who was scheduled to undergo a breast biopsy. The intervention involved therapeutic communication and psychosocial support. Findings indicate a reduction in anxiety, improved psychological readiness, and enhanced patient resilience in dealing with her condition.
Hubungan Faktor Sosiodemografi dengan Pengetahuan dan Perilaku Orangtua yang Memiliki Balita dalam Pencegahan Stunting Hartiah Haroen; Citra Sari; Iqbal Pramukti
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.16418

Abstract

ABSTRACT Stunting remains a problem that has persisted despite various challenges and obstacles due to the low level of community participation. The participation of parents, particularly mothers, is crucial in the prevention of stunting, given their pivotal role in fostering healthy behaviors. Stunting prevention behaviors are influenced by a multitude of factors, including the level of knowledge and sociodemographic characteristics. To determine the relationship between sociodemographic factors and the knowledge and behavior of parents with toddlers in stunting prevention. This descriptive correlational study used a cross-sectional design with a purposive sampling technique involving 125 parents who have toddlers in Sukamulya Village, Rancaekek. The questionnaire instrument used to measure knowledge and behavior in stunting prevention consisted of 33 questions and its validity and reliability had been tested. Descriptive analysis related to sociodemographic factors was carried out using frequency distribution and cross tabulation. Meanwhile, data analysis with a contingency correlation test was used to determine the relationship between sociodemographic factors and knowledge and behavior in stunting prevention. Most parents in this study had good knowledge (59.2%) and behavior (52.0%) in efforts to prevent stunting. Sociodemographic factors are known to have no significant relationship to parental knowledge and behavior. However, there is a tendency that younger parents, with a nuclear family type, and having more than 4 family members, have better knowledge and behavior in preventing stunting.Health education and counselling program is essential to enhance parental knowledge and behavior, thereby increasing community participation in stunting control programs. Keywords: Knowledge, Behavior, Parent, Stunting Prevention  ABSTRAK Stunting masih menjadi permasalahan yang hingga saat ini mengalami berbagai tantangan dan hambatan salah satunya diakibatkan oleh rendahnya partisipasi masyarakat. Partisipasi orangtua khususnya ibu sangat diperlukan mengingat peran penting mereka dalam menerapkan perilaku pencegahan stunting. Perilaku pencegahan stunting dipengaruhi oleh berbagai faktor salah satunya tingkat pengetahuan dan aspek sosiodemografi. Mengetahui hubungan faktor sosiodemografi terhadap pengetahuan dan perilaku orangtua yang memiliki balita dalam pencegahan stunting. Penelitian deskriptif korelasional ini menggunakan desain cross-sectional dengan teknik purposive sampling yang melibatkan 125 orangtua yang memiliki balita di Desa Sukamulya, Rancaekek. Instrumen kuesioner yang digunakan untuk mengukur pengetahuan dan perilaku pencegahan stunting terdiri dari 33 butir pertanyaan dan sudah teruji validitas reliabilitasnya. Analisis deskriptif terkait faktor sosiodemografi dilakukan menggunakan distribusi frekuensi dan tabulasi silang. Sementara itu, analisis data dengan uji korelasi kontingensi digunakan untuk mengetahui hubungan antara faktor sosiodemografi dengan pengetahuan dan perilaku pencegahan stunting. Sebagian besar orangtua dalam penelitian ini memiliki pengetahuan (59,2%) dan perilaku (52,0%) yang baik dalam upaya pencegahan stunting. Faktor sosiodemografi diketahui tidak memiliki hubungan yang signifikan terhadap pengetahuan dan perilaku orangtua. Namun, terdapat kecenderungan bahwa orangtua yang lebih muda, dengan tipe keluarga inti, dan memiliki jumlah anggota keluarga lebih dari 4 orang, memiliki pengetahuan dan perilaku pencegahan stunting yang lebih baik. Pendidikan kesehatan dan konseling guna meningkatkan pengetahuan dan perilaku orangtua masih sangat diperlukan dalam rangka meningkatkat partisipasi masyarkat dalam program penanggulangan stunting. Kata Kunci: Pengetahuan, Perilaku, Orangtua, Pencegahan Stunting
Hubungan Antara Usia dan Pengetahuan dengan Persepsi Stigma HIV/AIDS Pada Ibu Rumah Tangga di Kabupaten Garut Hartiah Haroen; Wahyuni Maria Prasetyo Hutomo; Citra Windani Mambangsari; Witdiawati Witdiawati; Hasniatisari Harun
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12991

Abstract

ABSTRACT There are approximately 5,100 new Human Immunodeficiency Virus (HIV) infections in the Housewife (IRT) group every year, and 35% of them are infected from their partners. This rate is higher than HIV cases in other groups such as the MSM (man sex with man). West Java is one of the four provinces with the highest number of HIV/AIDS cases in Indonesia. One of the districts in West Java with a high rate of HIV transmission is Garut Regency, where the estimation of 1,681 people with HIV/AIDS. To determine the relationship between age and knowledge with the perception of HIV/AIDS stigma among housewives. This research is a quantitative research with a cross sectional approach. Data collection was conducted in May 2023 and located in Village X, Garut Regency, West Java. The study population was housewives with inclusion criteria of women of childbearing age (aged 20-49 years) who resided permanently in the ciwalen sub-district area using purposive sampling technique as many as 97 housewives. Data collection was conducted door to door using a questionnaire which included demographic characteristics data, knowledge about HIV/AIDS using the HIV-KQ-18 Instrument consisting of 18 question items and perceived stigma using the stigma questionnaire from Berger's HIV Stigma Scale (HSS). Data were analyzed using SPSS software (Version 21), frequency distribution analysis and chi-square test. The research results showed that the majority of housewives (64 people, 66.0%) had poor knowledge about HIV, (32.0%) had high stigma about HIV and (34.0%) had low stigma. Meanwhile, only a few (34.0%) of the housewives had good knowledge and (25.8%) the housewives' stigma about HIV was low. Relationship between domestic workers' knowledge and stigma about HIV (P0.021). The majority of housewives in the early adulthood stage (55 people, 56.7%), had high stigma (28.9%) and low stigma (27.8%), low stigma was more often found in late adulthood housewives (53.4%). Age was related to stigma about HIV (P 0.014). To increase knowledge about HIV and reduce stigma in society, efforts are being made to increase knowledge and group discussions about HIV/AIDS. Keywords: HIV/AIDS, Housewives, Age, Knowledge, Stigma.  ABSTRAK Terdapat 5.100 infeksi Human Immunodeficiency Virus (HIV) baru  pada kelompok Ibu Rumah Tangga (IRT) setiap tahunya dan sebagian besar 35% tertular dari pasangannya, angkat tersebut lebih tinggi dibandingkan kasus HIV pada kelompok lainnya seperti kelompok MSM (man sex with man). Jawa Barat merupakan salah satu dari empat provinsi dengan jumlah kasus HIV/AIDS tertinggi di Indonesia. Salah satu kabupaten di Jawa Barat yang  angka penularan HIV-nya tinggi adalah Kabupaten Garut,  perkiraan jumlah orang yang hidup dengan HIV (ODHIV) sebanyak 1.681 orang. Diketahui hubungan usia dan pengetahuan dengan persepsi stigma  HIV/AIDS pada ibu rumah tangga. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengambilan data dilakukan pada bulan Mei 2023 dan berlokasi di Desa X, Kabupaten Garut, Jawa Barat. Populasi penelitian adalah ibu rumah tangga dengan kriteria inklusi wanita usia subur (usia 20-49 tahun) yang bertempat tinggal tetap di wilayah tersebut dengan menggunakan teknik purposive sampling sebanyak 97 ibu rumah tangga. Pengumpulan data dilakukan secara door to door dengan menggunakan kuesioner yang meliputi data karakteristik demografi, pengetahuan tentang HIV/AIDS dengan menggunakan Instrumen HIV-KQ-18 yang terdiri dari 18 item pertanyaan dan stigma yang dirasakan dengan menggunakan kuesioner stigma dari Berger's HIV Stigma Scale (HSS). Analisis data dilakukan dengan menggunakan perangkat lunak SPSS (Versi 21), analisis distribusi frekuensi dan uji chi-square. Penelitian menunjukan mayoritas IRT (64 orang, 66,0%) memiliki pengetahuan yang kurang baik tentang HIV, (32.0%) memiliki stigma tentang HIV yang tinggi dan (34,0%) yang memiliki Stigma rendah. Sementara hanya sedikit (34,0%) diantara IRT yang memiliki pengetahuan baik dan (25,8%) stigma IRT tentang HIV yang rendah. Hubungan pengetahuan dan stigma IRT tentang HIV (P0.021). Mayoritas Usia IRT pada tahap dewasa awal (55 orang, 56.7%), memiliki  stigma tinggi (28,9%) dan stigma rendah( 27,8%), stigma rendah lebih banyak dijumpai pada IRT Usia dewasa akhir (53,4%). Usia memiliki hubungan dengan stigma tentang HIV (P 0.014). Untuk meningkatkan pengetahuan tentang HIV dan mengurangi stigma di masyarakat  dilakukan upaya-upaya peningkatan pengetahuan dan  diskusi kelompok bersama tentang HIV/ AIDS. Kata Kunci: HIV/AIDS, Ibu Rumah Tangga, Usia, Pengetahuan, Stigma.
Exploring ICU Nurses Knowledge, Attitude, and Self-Efficacy in Delivering Palliative Care: A Scoping Review Freitas, Lurdes Acorta; Haroen, Hartiah; Priambodo, Ayu Pawesti
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22286

Abstract

ABSTRACT The integration of palliative care into intensive care units (ICUs) is increasingly recognized as vital in addressing the complex needs of critically ill patients. Nurses in ICUs play a key role in ensuring quality palliative care. However, disparities in knowledge, attitudes, and self-efficacy among ICU nurses remain barriers to optimal care delivery. This scoping review aimed to systematically explore the current evidence on ICU nurses’ knowledge, attitudes, and self-efficacy in delivering palliative care. A scoping review following PRISMA-ScR guidelines was conducted. Literature was systematically searched from CINAHL, PubMed, Scopus, Taylor Francis, and Google Scholar using keyword combinations mapped with MeSH terms. A total of 11 eligible articles were included after applying predefined PCC (Population–Concept–Context) criteria. Quality appraisal was conducted using the JBI checklist. Data were analyzed descriptively qualitatively. 11 studies were analyzed in this review. The findings revealed that most ICU nurses had insufficient knowledge of palliative care, particularly in psychosocial and spiritual dimensions. Attitudes towards palliative care were mixed; while some studies reported favorable views, others indicated high rates of ambivalence or negativity. Self-efficacy levels also varied, though studies showed it was generally higher among nurses with formal training or greater experience. ICU nurses’ knowledge and attitudes significantly influence their confidence and ability to deliver effective palliative care. Despite moderate self-efficacy reported in some regions, widespread gaps in knowledge and inconsistent attitudes underscore the urgent need for targeted education, policy support, and ongoing competency development. Keywords: Palliative Care, Intensive Care Unit, Nurses, Knowledge, Attitudes, Self-Efficacy.