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All Journal Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Jurnal Keperawatan Muhammadiyah Manuju : Malahayati Nursing Journal Indonesian Journal of Nursing Research (IJNR) Indonesian Journal of Community Dedication Jurnal Ners Jurnal Keperawatan Florence Nightingale JUKESHUM: Jurnal Pengabdian Masyarakat Proceedings Series on Health & Medical Sciences COVIT Prosiding University Research Colloquium Prosiding Seminar Nasional Hasil-hasil Penelitian dan Pengabdian Pada Masyarakat Jurnal Keperawatan Profesional (KEPO) Jurnal Keperawatan Profesional
Suci Ratna Estria
Universitas Muhammadiyah Purwokerto
Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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Fatherlessness as a Risk Factor for Suicide among Nursing Students in Indonesia: An Attachment Theory Perspective Fatin Karimatunnisa; Meida Laely Ramdani; Suci Ratna Estria; Wahyu Riyaningrum
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51946

Abstract

Suicide is the third leading cause of death among young people worldwide. Contributing  factors including family dysfunction and weak parent–child attachment. One prominent issue is the loss of a father’s role, either physically or emotionally, known as fatherlessness. This condition can hinder emotional regulation and increase vulnerability to mental health problems. Nursing students represent a high-risk group due to academic and clinical pressures. This study aimed to analyze the relationship between the level of fatherlessness and suicide risk among nursing students based on attachment theory. A quantitative cross-sectional design was used with 351 respondents selected through purposive sampling. The instruments included the Nurturant Father Involvement and Reported Father Involvement scales to measure fatherlessness, and the Suicide Behavior Questionnaire Revised (SBQ-R) to assess suicide risk. Results showed a significant relationship between fatherlessness and suicide risk (p < 0.001) with a moderate strength of association (Cramer’s V = 0,273). These findings emphasize that secure attachment as a protective factor for emotional well-being and highlight of paternal involvement as part of preventive efforts to reduce suicide risk among nursing students. Practical implications include educational institutions conducting family-based mental health screenings and educating on fathers’ caregiving importance to prevent suicide
Efektivitas Jar Positive Self-Talk Therapy terhadap Remaja dengan Perilaku Self-Injury di SMP Telkom Purwokerto Safira Jihan Safitri; Suci Ratna Estria
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23301

Abstract

ABSTRACT Self-injury is a serious issue involving intentional physical harm without the intent to end one's life and is not considered a socially or medically acceptable procedure. The prevalence of self-injury among adolescents has significantly increased over the past decade. According to a YouGov Omnibus report (2019), more than one-third (36%) of Indonesians have intentionally engaged in self-injury, with 45% of respondents being adolescents. Further, recent research by Faradiba (2021) revealed that 20.21% of Indonesian adolescents have been involved in self-injury behavior. A preliminary study conducted by the researchers on July 22, 2024, at Telkom Junior High School Purwokerto discovered that 81 participants had engaged in self-injury, while 110 participants had considered engaging in self-injury. This study aimed to identify the effectiveness of jar positive self-talk therapy in adolescents with self-injury behavior at SMP Telkom Purwokerto. This research employed a pre-experimental design with a one-group pre-test and post-test approach. The sampling technique used was total sampling, with a total of 81 respondents. The research instrument utilized was the Non-Suicidal Self-Injury Expectancy Questionnaire (NEQ). The findings indicated that the average expectancy score for self-injury behavior before the intervention with jar positive self-talk therapy was 70.80, which decreased to 52.83 after the intervention. The Paired Sample T-test yielded a p-value of 0.000, with an effect size (r) of 0.79. This study concludes that jar positive self-talk therapy is effective in addressing self-injury behavior among adolescents at SMP Telkom Purwokerto.  Keywords: Self-injury, Adolescents, Jar Positive Self-Talk Therapy.  ABSTRAK Self-injury merupakan masalah serius, perilaku ini dapat menyebabkan kerusakan fisik yang disengaja meskipun tanpa niat untuk mengakhiri hidup dan bukan merupakan prosedur yang dianggap legal menurut sosial maupun medis. Self-injury pada remaja prevalensinya semakin meningkat dalam satu dekade terakhir. YouGov Omnibus (2019) melaporkan lebih dari sepertiga (36%) orang Indonesia pernah dengan sengaja melakukan self-injury, dengan 45% responden berada pada usia remaja. Selain itu, data terbaru dari penelitian Faradiba (2021) menunjukan bahwa 20,21% remaja di Indonesia pernah terlibat dalam perilaku self-injury. Studi pendahuluan yang telah dilakukan oleh peneliti pada tanggal 22 Juli 2024 di SMP Telkom Purwokerto didapatkan hasil bahwa 81 peserta pernah melakukan tindakan self-injury dan 110 peserta pernah berpikiran untuk melakukan self-injury. Penelitian ini bertujuan untuk mengidentifikasi efektivitas jar positive self-talk therapy terhadap remaja dengan perilaku self-injury di SMP Telkom Purwokerto.Desain penelitian ini adalah pre-experimental dengan one group pre-post test design. Teknik pengambilan sampel menggunakan total sampling dengan jumlah total responden adalah 81 responden. Instrumen penelitian menggunakankuisioner The Non-Suicidal Self-Injury Expectancy Questionnaire (NEQ). Hasil penelitian ini menunjukan bahwa rata-rata skor ekspektansi perilaku self-injury sebelum intervensi dengan media jar positive self-talk therapy adalah 70.80 dan setelah dilakukan intervensi menjadi 52.83. Hasil Uji Paired Sample T-test p-value 0,000 dan hasil effect size r = 0,79. Penelitian ini menyimpulkan terdapat efektivitas jar positive self-talk therapy terhadap remaja dengan perilaku self-injury di SMP Telkom Purwokerto. Kata Kunci: Self-injury, Remaja, Jar Positive Self-Talk Therapy.
Pengaruh Program Sehat Hari Ini Ceria Masa Tua (Sehari Cermat) terhadap Kualitas Tidur dan Tingkat Stres pada Lansia Penderita Hipertensi Aji Purnama; Suci Ratna Estria
Malahayati Nursing Journal Vol 7, No 1 (2025): Volume 7 Nomor 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i1.16965

Abstract

ABSTRACT Elderly individuals often experience both primary and secondary hypertension, with primary hypertension leading to stress, a significant factor in hypertension. In addition to stress, hypertensive patients also suffer from poor sleep quality. Unmanaged stress and poor sleep quality can exacerbate hypertension, thus necessitating a health program specifically designed for elderly hypertensive patients. To determine the effects of Sehat Hari Ini Ceria Masa Tua (Healthy Today, Happy at Old Age) SEHARI CERMAT program on sleep quality and stress levels in elderly hypertensive patients in Cijati Village, Cimanggu District. This quantitative study employs a descriptive correlational design with a pre-experimental approach using a one-group pretest-posttest design. Data collection was conducted through the distribution of questionnaires, and data analysis was performed using paired sample t-tests. 144 (55.2%) students have a moderate level of Health responsibility aspect, in the physical activity aspect, most students (152 students or 58.2%) were categorized in the moderate category. Moreover, in the nutritional eating pattern aspect, 132 students (51.3%) were in the moderate category, and the majority of students are in the good category of spiritual development, 136 students (52.1%). In the interpersonal relationship aspect, students (112 students or 42.9%) are mainly in the good category, and 133 students (51%) have stress management aspects in the moderate category. The results showed that the healthy lifestyle of SMP N 3 Pangkah students with an average score of 2,560,20.  The SEHARI CERMAT program effectively improves sleep quality and reduces stress levels in elderly hypertensive patients. Keywords: Hypertension, Sleep Quality, Elderly, SEHARI CERMAT, Stress.  ABSTRAK Lanjut usia mengalami penyakit hipertensi sekunder dan primer dimana hipertensi primer menyebabkan stress yang termasuk faktor utama penyebab hipertensi. Selain mengalami stress penderita hipertensi juga mengalami kualitas tidur yang buruk. Stress dan kualitas tidur yang tidak diatasi akan menyebabkan memberatnya hipertensi, maka hal ini perlu diatasi dengan program Kesehatan untuk penderita hipertensi pada lansia. Untuk mengetahui Pengaruh Program Sehari Cermat terhadap kualitas tidur dan tingkat stres pada lansia penderita hipertensi di Desa Cijati Kecamatan Cimanggu. Metode penelitian yang digunakan adalah kuantitatif dengan desain deskripsi kolerasi dengan pendekatan pre-eksperimental dengan rancangan One Grup Pretest and Posttest design. Instrumen pengumpulan data menggunakan penyebaran Kuesioner. Teknik analisis data menggunakan paired simple T test. Mayoritas usia responden adalah 60-70 tahun sebanyak 25 orang(60%) dengan jenis kelamin mayoritas Perempuan sebanyak 22 orang (52%). Nilai rata-rata stres pada lansia sebelum  dilakukan intervensi adalah 30.98 setelah dilakukan intervensi adalah 9.28. Nilai rata-rata kualitas tidur lansia sebelum dilakukan intervensi adalah 23.10 setelah dilakukan intervensi adalah 5.65. berdasarkan uji statistik dengan Uji Paired Sample T test didapatkan hasil setelah diberikan intervensi tingkat stres nilai Sig 2-tiled adalah 0.0000.05 yang artinya terdapat pengaruh dari program sehari cermat tergadap tingkat stres pada lanisa hipertensi. Hasil uji statistik dengan Paired Sampel T Test setelah diberikan intervensi kualitas tidur didapatkan nilai Sig 2-tiled 0.0000.05 yang artinya terdapat pengaruh dari program sehari cermat terhadap kualitas tidur pada lansia hipertensi. Program sehari Cermat efektif meningkatkan kualitas tidur lansia dan efektif menurunkan tingkat stres lansia.  Kata Kunci: Hipertensi, Kualitas Tidur, Lansia, Sehari Cermat, Stres.
Pengaruh Permainan Tradisional Ular Naga terhadap Sense of Belonging pada Anak Panti Asuhan Tsara Afifah; Suci Ratna Estria
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.v7i2.17007

Abstract

ABSTRACT A preliminary study conducted at the Dharmo Yuwono Orphanage for Orphans and Abandoned Children revealed that 30 children reside in the orphanage, many lacking a sense of belonging. A survey conducted by the researcher on January 9, 2024, showed that 2 children had a high sense of belonging, 4 had a moderate sense of belonging, and 4 had a low sense of belonging. Many children appeared isolated and unwilling to interact with others. This study aims to determine whether the traditional game Ular Naga affects the sense of belonging among children at the Dharmo Yuwono Orphanage for Orphans and Abandoned Children. This research employed a pre-experimental design using a non-randomized pre-post test without a control group design and paired sample t-test technique. A total sampling technique was used to select 30 orphanage children as the sample. The data were collected using the Sense of Belonging Instrument (SOBI) questionnaire. The score before the intervention was 66.97, and after the intervention, it was 23.77, indicating a difference of 43.20. The paired sample t-test results showed a mean difference of 43.20 with a standard deviation of 8.77. The significance level of the results was 0.000 0.05, indicating that the Ular Naga game significantly affected the sense of belonging among orphanage children. The traditional game Ular Naga significantly influences the sense of belonging among children at the Dharmo Yuwono Orphanage for Orphans and Abandoned Children. Keywords: Ular Naga Game, Sense of Belonging  ABSTRAK Berdasarkan hasil studi pendahuluan yang dilakukan di panti asuhan Yatim Piatu dan Terlantar Dharmo Yuwono terdapat ada 30 anak yang tinggal di panti asuhan dan terdapat anak-anak yang terlantar dan kurang sense of belonging.  Hasil survei yang telah dilakukan peneliti pada tanggal 9 Januari 2024, menunjukkan 2 anak mengalami rasa memiliki yang tinggi, 4 anak mengalami rasa memiliki yang sedang dan 4 anak mengalami rasa memiliki yang rendah. Banyak anak-anak yang terlihat menyendiri dan tidak mau berbaur dengan teman lainnya. Peneliti ingin mengetahui ada atau tidaknya pengaruh dari permainan tradisional ular naga terhadap sense of belonging anak Panti Asuhan Yatim Piatu dan Terlantar Dharmo Yuwono. Jenis penelitian yang digunakan adalah Pre eksperiment dengan desain penelitian non randomized pre-post test without control group design dan Teknik paried sampel t test. Sampel yang di ambil dengan teknik total sampling 30 anak panti asuhan. Instrumen pengumpulan data menggunakan penyebaran kuesioner SOBI. Skor sebelum intervensi adalah 66,97 dan setelah intervensi adalah 23,77, atau terdapat perbedaan sebesar 43,200. hasil uji t test sampel berpasangan yang diperoleh setelah diberikan intervensi rasa memiliki, diperoleh nilai rata-rata sebesar 43,200 dan standar deviasi sebesar 8,771. Tingkat signifikansi hasil sebesar 0,000 0,05 menunjukkan bahwa permainan ular naga berpengaruh terhadap rasa memiliki anak panti asuhan. Ada pengaruh permainan tradisional ular naga terhadap sense of belonging anak Panti Asuhan Yatim Piatu dan Terlantar Dharmo Yuwono. Kata Kunci: Permainan Ular Naga, Sense of Belonging
Analysis of the Description of Students' Expectancy with Self-Injurious Behavior Adhisti Nuur Ainii; Suci Ratna Estria; Etlidawati Etlidawati; Indana Lazulfa
Jurnal Keperawatan Profesional (KEPO) Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Mei 2026
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v7i1.1398

Abstract

Self-harm behavior in adolescents is a common mental health problem and is associated with difficulties in emotion regulation. This study aimed to describe the expectations of students who engage in self-harm behavior. A quantitative method with a descriptive design was employed. The sample consisted of 81 students from “SMP X” who had a history of self-harm behavior and were selected using a purposive sampling technique. Data were collected using the Non-Suicidal Self-Injury Expectancy Questionnaire (NEQ) and analyzed using descriptive statistics. The results showed that expectations related to self-harm behavior were in the high category across several aspects. In the affect regulation aspect, most subjects expected to feel calm after engaging in self-harm behavior (mean = 3.27). In the negative social aspect, subjects expected that others would notice them and perceive them as strange (mean = 3.14). In the communication aspect, subjects expected to receive attention and sympathy from others (mean = 2.99). In the pain aspect, subjects expected self-harm to be painful (mean = 3.27). In the negative self-beliefs aspect, subjects expected to feel ashamed after engaging in self-harm (mean = 3.23). In conclusion, students with a history of self-harm behavior have various expectations, particularly related to emotional regulation and social interaction.
Sapalunak “Sarung Spalk Untuk Anak” Menurunkan Kecemasan pada Anak Dalam Pemasangan Infus di Igd Rs Tk III Wijayakusuma Purwokerto Salsha Bila Riska; Happy Dwi Aprilina; Suci Ratna Estria; Atika Dhiah Anggraeni
Indonesian Journal of Nursing Research (IJNR) Vol. 9 No. 1 (2026)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v9i1.5003

Abstract

Preschoolers often experience anxiety during invasive procedures such as IV insertion in the emergency department (ED). This anxiety resulting from hospitalization can hinder children's involvement in medical procedures and delay recovery, necessitating effective interventions. This study aimed to analyze the effect of using a Child's Surgical Sarong (SAPALUNAK) on reducing anxiety levels in preschoolers during IV insertion procedures in the ED, with outcomes including decreased anxiety scores, increased cooperation, and smoother procedures. Methods: The study used a quasi-experimental design with a post-test-only non-equivalent control group approach. Data were collected from April to May 2025 at the ED of Wijayakusuma Hospital III Purwokerto. A sample of 48 preschoolers was allocated into two groups: an intervention group receiving SAPALUNAK and a control group receiving animated cartoons as a distraction. Consecutive sampling was used as the sampling technique. Anxiety levels were measured post-intervention using the Face Image Scale (FIS), and data were analyzed statistically using the Mann-Whitney test. Results: Statistical analysis showed a significant difference in anxiety levels between the two groups (p < 0.05). Nursing SAPALUNAK can be implemented as a non-pharmacological intervention in pediatric nursing practice to improve patient comfort and cooperation, and support smooth IV administration. Its use also has the potential to be implemented as part of atraumatic care-based nursing standards in the emergency department. These findings indicate that the use of SAPALUNAK is effective and feasible in reducing procedural anxiety in preschool-aged children during IV administration in the emergency department.   Abstrak Anak usia prasekolah sering mengalami kecemasan selama prosedur invasif seperti pemasangan infus di IGD. Kecemasan akibat hospitalisasi ini dapat menghambat keterlibatan anak dalam tindakan medis dan memperlambat pemulihan, sehingga diperlukan intervensi yang efektif. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh penggunaan Sarung Spalk untuk Anak (SAPALUNAK) terhadap penurunan tingkat kecemasan anak usia prasekolah selama prosedur pemasangan infus di IGD, dengan outcome berupa penurunan skor kecemasan, peningkatan kooperatif, dan kelancaran prosedur. Desain penelitian yang digunakan adalah quasi-eksperimen dengan pendekatan post-test only non-equivalent control group. peneliti ini mengambil data pada bulan April-Mei 2025 di IGD RS TK III Wijayakusuma Purwokerto. Sampel berjumlah 48 anak prasekolah yang dialokasikan ke dalam dua kelompok: kelompok intervensi yang menerima SAPALUNAK, dan kelompok kontrol yang diberikan distraksi menonton animasi kartun. teknik sampling menggunakan consecutive sampling. Tingkat kecemasan diukur pasca-intervensi menggunakan Face Image Scale (FIS) dan data dianalisis secara statistik menggunakan uji Mann-Whitney. Analisis statistik menunjukkan adanya pengaruh tingkat kecemasan yang signifikan antara kedua kelompok (p < 0,05). Implikasi keperawatan: SAPALUNAK dapat diterapkan sebagai intervensi nonfarmakologis dalam praktik keperawatan anak untuk meningkatkan kenyamanan dan kooperatif pasien, serta mendukung kelancaran tindakan pemasangan infus. Penggunaannya juga berpotensi untuk diimplementasikan sebagai bagian dari standar asuhan keperawatan berbasis atraumatic care di instalasi gawat darurat. Temuan ini menunjukkan bahwa penggunaan SAPALUNAK efektif dan layak untuk mengurangi kecemasan prosedural pada anak usia prasekolah selama pemasangan infus di IGD.
Pengaruh Pelatihan Kesehatan Jiwa Terhadap Stigma Kader Pada Orang Dengan Gangguan Jiwa Ferika Anggun Saputri; Suci Ratna Estria; Siti Nurjanah
Jurnal Keperawatan Florence Nightingale Vol 9 No 1 (2026)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v9i1.458

Abstract

Mental disorders remain a public health problem influenced by negative stigma against people with mental disorders (PMDs). This stigma results in low social acceptance, delayed help seeking, and limited support for the recovery process of people with mental disorders. Mental health cadres play a strategic role in public health services, but data collection shows that most cadres have never received mental health training. This situation indicates the need for interventions in the form of mental health training to reduce stigma against people with mental disorders. This study aims to describe the effect of mental health training on cadre stigma against people with mental disorders. This study used a pre-experimental design with a one group pretest-posttest with a total sampling technique of 40 respondents. The research instrument used was Community Attitudes Toward Mentally Ill (CAMI). Data analysis was conducted using the Shapiro Wilk test and Paired Sample T-test. The results showed an increase in the average stigma score from 75.54 to 84.03 with a p-0.003. It was concluded that mental health training had a positive and significant effect in reducing negative stigma and improving positive attitudes of community health workers toward people with mental disorders
The Correlation Between Nurses Caring Attitudes And The Implementation Of Holistic Nursing Care In Patient Care In The Inpatient Habib Karim Amrullah; Etlidawati Etlidawati; Jebul Suroso; Suci Ratna Estria
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.13460

Abstract

Caring attitudes form the core of nursing practice, fostering therapeutic relationships and enhancing care quality. Holistic nursing care encompasses patients' physical, psychological, social, and spiritual aspects. The research location was chosen because of the diverse characteristics of the patients. A preliminary study on July 7, 2025, using observation and interviews, found variations in patient perceptions of nurse caring, particularly in communication and emotional support. This study aimed to analyze the relationship between nurses' caring attitudes and the implementation of holistic nursing care among inpatients. It employed a quantitative cross-sectional design with purposive sampling (n=90 respondents based on inclusion criteria). Instruments: CBI-24 and HCQAS-P questionnaires (adapted without modification; validity 0.69–0.78 and 0.446-0.799, p<0.01). Data were analyzed using the Chi-square test (p<0.05). Most respondents were male (58.9%), aged 60 years (42.2%), elementary-educated (41.1%), and private sector workers (95.6%). Caring attitudes were rated high by 73.3%, and holistic nursing care implementation was good by 76.7%. A significant relationship was found (p=0.001). These findings align with prior studies, emphasizing the need for ongoing caring training and hospital policy support in regional hospitals.
Co-Authors Abdul Hakim Nitiprojo Adhisti Nuur Ainii Aji Purnama Aliffia Yulanda Prabawati Anggita Febriana Anggraeni, Atika Dhiah Aprilia Widiyawati Aqilatun Zulfa Arum Astika Sari Candra Andodo Destiya Dwi P Dina Ratna Juwita Elma Dwi Lestari Etlidawati Etlidawati Etlidawati Etlidawati Fatin Karimatunnisa Ferika Anggun Saputri Fitriana, Nurul Fatwati Habib Karim Amrullah Happy Dwi Aprilina Hikmi Muharromah Pratiwi Indana Lazulfa Jebul Suroso Jumiati Riskiyani Dwi Nandia Laila Musalimah Lisa Dewi Diana Sari Mayzar Briliana Widiya Ningrum Mega Agustin Cahyandari Meida Laily Ramdani Nadeli Triwiono Ramdani, Meida Laely Reni Purwo Aniarti Safira Jihan Safitri Salsha Bila Riska Sifa Eka Wardani Siti Nurjanah Siti Nurjanah Sri Suparti Trihadi, Dayat Tsara Afifah Wahyu Riyaningrum Zulfatul Asfiyah