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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
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
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.