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The Relationship between Exploring New Meanings of Caregiving and Family's Ability to Care Schizophrenia Nia Agustiningsih; Dwi Indah Iswanti; Fery Agusman Motuho Mendrofa
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.963

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Background: Families who care for patients with schizophrenia are still considered negative experiences. Families are less able to find new, positive meaning when caring for patients with schizophrenia. This condition increases the family's and patient's burden as well as the inability of families to care for patients with schizophrenia. Purpose: This research aims to identify relationships between exploring the new meaning of caregiving with the family's ability to take care of patients with schizophrenia. Methods: This research is a quantitative descriptive study with a cross-sectional approach. A sample of 135 families who were caregivers of patients with schizophrenia was selected using purposive sampling techniques. The questionnaire exploring the new meaning of caregiving was developed from the concept of integrative empowerment and the family's ability to care for schizophrenia from the Barthel Index questionnaire and the Caregiving Tasks in Caring for an Adult with Mental Illness Scale (CTiCAMIS). Data analysis used Spearman rank correlation with alpha 5%. Results: This study's result is that the family's ability to explore new meanings of care is still in the sufficient category, both in the family aspect of having responsibility, the ability to assess positive aspects, acceptance of caring situations, and the family being part of the healer. Meanwhile, families' ability to care for patients with schizophrenia is still lacking to help with social interaction and productive skills. Conclusion: There is a relatively strong and unidirectional relationship between exploring new meanings of caregiving and the family's ability to care for schizophrenia (p-value=0.000; rho=0.311). Nurses must train family skills to explore new meanings through family empowerment programs.
Optimalisasi Pendidikan Seksualitas pada Anak Usia Dini berbasis Puppet Show Lestari, Sri Puji; Iswanti, Dwi Indah; Haji, Son
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

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Rendahnya pengetahuan masyarakat dan budaya yang menganggaptabu pendidikann seksualitas pada anak-anak usia dini adalah salahsatu pencetus timbulnya pelecehan seksual pada anak-anak.Pendidikan seksualitas yang sesuai dengan kapasitas dan pola pikiranak-anak akan membantu seorang anak melindungi dirinya daripelecehan. Metode “Puppet Show” yang menggunakan bonekasebagai alat, menawarkan metode yang lebih menarik untuk anakanak.Penelitian ini bertujuan untuk mengetahui keefektifan PuppetShow sebagai metode untuk meningkatkan pengetahuan masa kanakkanaktentang seksualitas, dengan menggunakan uji pre-post de ngandesain kelompok kontrol. Subyek penelitian ini adalah 34 anak diPAUD Tiara Hati, Semarang dengan menggunakan tehnik purposivesampling. Data dikumpulkan dengan kuesioner, intervensimenggunakan modul Puppet Showdibantu oleh pendongen. Datadianalisis dengan menggunakan Uji T-Test. Hasilnya menunjukkanPuppet Show bisa meningkatkan Pengetahuan anka usia didni tentangseksualitas.
The predictor of non-suicidal self-injury behavior among adolescents: a cross-sectional study Iswanti, Dwi Indah; Lai, Lee-Lee; Saifudin, I Made Moh. Yanuar; Kandar, Kandar; Dewi, Rian Kusuma; Cahyaningrum, Dessy Dwi
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.54610

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Introduction: Non-Suicidal Self-Injury (NSSI) among adolescents is a prevalent issue in Indonesia. Comprehensive understanding of NSSI is essential for uncovering the factors that trigger and predispose adolescents to such behavior. This knowledge serves as a foundation for crafting targeted nursing interventions to address and mitigate NSSI among this vulnerable population. This study aimed to identify determinant factors contributing to the occurrence of Non-Suicidal Self-Injury behavior in adolescents. Methods: The study employed a cross-sectional approach conducted between October and December 2023, with 570 respondents selected through simple random sampling. Socio-demographic, precipitating, and predisposing factors were measured using a checklist sheet. The Self-Harm Inventory (SHI) instrument was utilized to assess NSSI. Data analysis involved Pearson correlation and multiple regression to examine the relationships between variables. Results: The study revealed significant relationships among five variables. Gender (p-value = 0.004), bullying (p-value = 0.002), disappointment (p-value = 0.001), sharing place (p-value = 0.002), and communication pattern (p-value = 0.010) were identified as factors associated with Non-Suicidal Self-Injury behavior in adolescents. On the other hand, personality (p-value = 0.174), environment (p-value = 0.260), coping mechanism (p-value = 0.458), and parenting style (p-value = 0.054) showed no association with Non-Suicidal Self-Injury behavior. Conclusions: The findings underscore the significance of disappointment and the absence of a supportive environment in influencing NSSI. This highlights important considerations for healthcare professionals, educators, and policymakers. Strategies should encompass comprehensive approaches, early detection, and targeted interventions to foster supportive environments and address the complex nature of NSSI among adolescents.
Diabetes Self-Management Education on Dietary Compliance in Indonesia: A Descriptive Literature Review Rompas, Meigi; Iswanti, Dwi Indah; Utama, Julvainda Eka Priya
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1665

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Diabetes Mellitus (DM) is a condition that is becoming more common worldwide, affecting both industrialized and developing countries. The objective of this study was to do a comprehensive analysis of the available literature in order to investigate the impact of Diabetes Self-Management Education (DSME) on adherence to dietary guidelines among individuals with diabetes in Indonesia. This study employed a method of descriptive literature review. Relevant keywords were used to conduct literature searches on academic databases including PubMed, Scopus, and Google Scholar. Relevant articles were picked based on specific criteria, and data were collected from them. The initial studies found from databases were 1,730 and after applied inclusion and exclusion criteria, the final studies included to this study was nine studies (2012 – 2024). The gathered data were subsequently examined through three distinct stages: data reduction, data presentation, and generating conclusions that was done by all authors. The results indicated that Diabetes Self-Management Education (DSME) programs had a notable effect on the degree of adherence to dietary guidelines in individuals with Diabetes Mellitus (DM). Patients who engaged in the DSME program exhibited greater adherence to the prescribed diet, in contrast to those who did not partake in the program.
The Effect of Warm Water Foot Soaking Therapy and Hand Massage on Blood Pressure and Anxiety in Hypertensive Patients Takumasang, Reza Resaldi; Iswanti, Dwi Indah; Widiyaningsih, Widiyaningsih; Gero, Sabina
ProNers Vol. 10 No. 1 (2025): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i1.94678

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Background: Hypertension is a widely recognized cardiovascular disease where patients' blood pressure rises above normal levels. Hypertension is also known as a "silent killer" because its symptoms only become apparent when complications occur. There are several management approaches for hypertension patients, both pharmacological and non-pharmacological, such as those implemented by researchers who provided warm water soaking and hand massage. Objective: To determine the effect of warm water foot soaking therapy and hand massage on blood pressure and anxiety in hypertensive patients and to compare the effectiveness between the two interventions. Methods: The research design used in this study was quasi-experimental with a pre-post design with control group approach. The sampling technique used was purposive sampling with a sample size of 48 respondents divided into 2 groups. Results: Differences in blood pressure before and after hand massage in the working area of Kombos Primary Health Center, Manado City, showed a p-value of 0.000, and there was a significant difference in blood pressure before and after warm water foot soaking therapy with a p-value of 0.000. Additionally, there was a difference in effectiveness between warm water foot soaking therapy and hand massage therapy with a p-value of 0.001. Conclusion: Foot soaking therapy using warm water and hand massage have an effect in reducing blood pressure in patients with hypertension.
The Effect of Snakes and Ladders Game on the Level of Gadget Addiction in School-Age Children Raras Arifa Kinanti Putri; Dwi Indah Iswanti; Umi Hani; Son Haji
Link Journal of Health Science Vol 1 No 1 (2024): September : Journal of Health Science
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljhs.v1i1.2

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Introduction: The development of technology is marked by the widespread use of gadgets not only by adults, but children also have the same interest. Excessive intensity of gadget use can indicate addiction to gadget use. Children's dependence on gadgets is due to the convenience and sophistication features contained in them, however, the games on gadgets make children less active, have less emotional expression, have minimal self-awareness, and have minimal social interaction with peers because they make children only fixated on their gadget screens. Previous research has revealed that actively play with peers can have a positive influence on children's gadget addiction, playing with peers can also be used as an effort to stimulate aspects of child development. Objectives: This research aims to determine the effect of the snakes and ladders game on the level of gadget addiction in school-age children at SDN Sendangmulyo 02 Semarang. Methods: This is quasi-experimental research with one-group pretest-posttest design. Purposive sampling was used as the sampling technique with 18 school-age children as respondents. This research used the Shapiro-Wilk Normality Test and the Wilcoxon Signed Ranks Test was used as the hypothesis test. Results: The results of the study analyzed using the Wilcoxon Signed Ranks Test showed a p-value <0.05, which is 0.000. Conclusion: Based on analysis results can be concluded that the snakes and ladders game influences the level of gadget addiction in school-age children.
Gambaran perilaku Self-Harm pada Anak Usia Remaja di Kota Semarang Kandar; Dewi, Rian Kusuma; Dwi Indah Iswanti; Dessy Dwi Cahyaningrum; Rilla Fiftina; Theresia Asri Luberingsih
Link Journal of Health Science Vol 1 No 1 (2024): September : Journal of Health Science
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljhs.v1i1.3

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Pendahuluan: Self-harm merupakan masalah kesehatan mental yang sering terjadi pada remaja di Indonesia. Meskipun SELF-HARM tidak memiliki niat untuk bunuh diri, beberapa kasus berujung pada kematian. Tujuan: mendeskripsikan pengalaman remaja berperilaku SELF-HARM. Metode: Desain penelitian kuantitatif deskriptif. Responden adalah 904 siswa SMA dan SMK Negeri di Provinsi Jawa Tengah yang dipilih dengan menggunakan non-probability sampling dan pendekatan purposive sampling dari 4000 siswa. Penelitian ini dilakukan dengan menggunakan Google Forms pada bulan September -November 2023. Instrumen yang digunakan adalah Self-harm Inventory. Analisis data pada penelitian ini menggunakan analisis deskriptif yang menganalisis distribusi frekuensi dan persentase. Hasil: perilaku SELF-HARM yang paling sering dilakukan adalah memukul diri sendiri. Kesimpulan: Hasil penelitian ini dapat menjadi evidence-based bagi para pemangku kepentingan untuk memberikan intervensi, terutama bagi populasi yang rentan melakukan perilaku SELF-HARM.
Penggunaan system klasifikasi pasien sebagai penentuan kebutuhan perawat profesional Balalembang, Febriani Zusje; Gero, Sabina; Iswanti, Dwi Indah; Pujiyanto, Tri Ismu; Widiyaningsih
Link Journal of Health Science Vol 1 No 1 (2024): September : Journal of Health Science
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljhs.v1i1.5

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Pendahuluan: Penggunaan PCS diharapkan mampu memetakan kebutuhan perawat yang sesuai dengan kompleksitas kondisi pasien, sehingga distribusi perawat menjadi lebih efektif dan efisien. Tujuan: menghitung kebutuhan perawat profesional berdasarkan Sistem Klasifikasi Pasien. Metode: desain penelitian kualitatif dengan pendekatan riset tindakan. partisipan Perawat di RSUD Teluk Bintuni. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi yang berkaitan dengan pengelolaan tenaga keperawatan di rumah sakit. Proses analisis data menggunakan pendekatan kuantitatif dan kualitatif dengan tematik. Hasil: Penggunaan PCS perlu untuk pembagian perawat profesional di agar meningkatkan pelayanan secara maksimal. Kekurangan sumber daya manusia khususnya perawat menjadi penyebab sistem dinas tiga shift belum dapat diterapkan. Selain itu, tawaran alternatif sistem dinas perawat menjadi tiga shift dengan memenuhi kebutuhan jam kerja 40 jam dalam seminggu diterima oleh para perawat dengan adaptasi dan evaluasi yang cukup untuk memastikan keberhasilan implementasi. Kesimpulan: mempertimbangkan penerapan PCS sebagai metode utama dalam pengelolaan tenaga keperawatan guna meningkatkan kualitas pelayanan kesehatan.
Understanding predictors of caregivers’ treatment-seeking behavior for mental health: the roles of stigma, motivation, relationship, and literacy Fitryasari, Rizki; Iswanti, Dwi Indah; Sari, Dianis Wulan; Nurlela, Lela; Marthoenis, Marthoenis; Warsini, Sri; Mulud, Zamzaliza Abdul
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.75117

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Introduction: Caregivers play a crucial role in seeking timely treatment for individuals with mental disorders. However, reliance on traditional healing practices often leads to delayed medical care. This study aims to identify predictors of caregivers' treatment-seeking efforts, focusing on the role of stigma, motivation, relationship with the patient, and mental health literacy. Methods: A cross-sectional study involving 301 caregivers of patients with mental disorders was conducted in two mental hospitals using cluster sampling. Variables studied include sociodemographic factors, caregiving burden, stigma, social support, motivation, mental health literacy, and treatment-seeking behavior. The data were collected through validated questionnaires as instruments. Multivariate regression analysis was performed to identify significant predictors of treatment-seeking behavior. Results: The study revealed that caregivers' relationship with the patient, perceived stigma, caregiving motivation, and mental health literacy significantly predicted treatment-seeking behavior (p < 0.05). Mental health literacy emerged as the strongest predictor (β = 0.349), followed by motivation (β = 0.202), stigma (β = -0.125), and relationship with the patient (β = -0.108). Together, these variables explained 23.4% of the variance in treatment-seeking efforts. Conclusions: Mental health literacy is the most influential factor in caregivers' efforts to seek medical treatment. Interventions aimed at increasing mental health literacy and reducing stigma are critical to enhancing caregivers' engagement with formal healthcare services. Findings support the development of culturally appropriate education and support programs to improve mental health outcomes.
Kesinambungan Pelayanan Kesehatan Ibu Hamil untuk mencegah perdarahan post-partum: Studi Literatur Dwi Indah Iswanti; Sa'adah Mujahidah; Nia Agustiningsih
Link Journal of Midwivery Vol 1 No 1 (2025): January: Journal of Midwivery
Publisher : CV. LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmw.v1i1.29

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Kesinambungan pelayanan kesehatan dapat memutus salah satu penyebab kematian Ibu dan Anak. Berbagai faktor yang menyebabkan ibu tidak melakukan pemeriksaan kehamilan secara berkesinambungan. Tujuan: menyajikan studi literatur kesinambungan pelayanan kesehatan pada pada ibu hamil untuk mencegah risiko perdarahan post-partum. Metode: studi literatur dari berbagai original article di 3 data base: Scopus, ProQuest, SAGE. Proses pemilihan artikel menyesuaikan kriteria inklusi melalui kerangka kerja PICOS. Penilaian risiko bias dari artikel yang ditemukan dengan menggunakan critical judgment dari peer-review dan Flow chat PRISMA. Ada 10 artikel yang terseleksi untuk ditinjau karena relevan dengan tujuan penelitian. Hasil: Kesinambungan pelayanan kesehatan pada ibu hamil melalui konsistensi perawatan, advokasi dan aksesibilitas ke tenaga kesehatan. Perawatan yang membangun hubungan dekat dengan ibu hamil dan peka terhadap budaya sehingga meningkatkan persepsi keselamatan dan kepercayaan serta merasa didukung dalam mengambil keputusan. Simpulan: Faktor penghambat seperti keterbatasan tenaga bidan/perawat dan variasi budaya tentang menjadi tantangan pelayanan kesehatan untuk dapat diminimalkan.
Co-Authors Abu Bakar Ah Yusuf Ah Yusuf, Ah Ahsan Ahsan Ahsan Antono Surjoputro Ariskha, Feti Arista Adityasari Putri Balalembang, Febriani Zusje C. Lenny Priharsanti Cahyaningrum, Dessy Dwi Dessy Dwi Cahyaningrum Devilya Pasimanyeku Dewi Mayangsari Dewi, Rian Kusuma Dianis Wulan Sari Diyanto Diyanto Dwi Retnaningsih Elis Susilawati Eni Kusyati Erwansyah, Rio Ady Faizatur Rohmi Feki Karu Fery Agusman Fery Agusman MM Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Fery Agusman Motuho Mendrofa Feti Ariskha Gero, Sabina Gloria Caesar Cabral Hani, Umi Helena Alalag Hery Ernawati I Made Moh. Yanuar Saifudin Indah Wulaningsih Julian Debora Talasi Kandar Kandar Kandar Kandar Kandar Kandar Kandar, Kandar Kanthi Suratih Kanthi Suratih Khairul Huda Khairul Huda Khairul Huda Koesoemo, Rizki Fitryasari Patra Kristiana Susilowati Lai, Lee-Lee Lela Nurlela Lenina Nurani M. Marthoenis Martha Irene Kartasurya Metik Prihandini Muhammad Akbar Sobarna Muhammad Rivai Mujahidah, Sa'adah Mulud, Zamzaliza Abdul Nia Agustiningsih Nia Agustiningsih Nia Agustiningsih Nia Agustiningsih, Nia Nike Silprihatin Romauli Niken Sukesi Nordianna Seman Nursahid Nursahid Nursalam Nursalam Nursalam Nursalam, Nursalam Oktavia Ramadhani Saputri Ovtalia Andriyani Permana, Bhakti Puji Lestari, Sri Raras Arifa Kinanti Putri Rilla Fiftina Rita Sariani Saragih Rohmi, Rohmi Rompas, Meigi Rozaq I Nugraha Sa'adah Mujahidah Saifudin, I Made Moh. Yanuar Sawab Sawab Sawab Sawab Sa’adah Mujahidah Sa’adah Mujahidah Siti Nur Umariyah F. STIKES Karya Husada Semarang Son Haji Son Haji Son Haji Son haji, Son Sri Puji Lestari Sri Puji Lestari Sri Puji Lestari Sri Wahyuni Sri Warsini Suhartini Suhartini Supriyadi Supriyadi Takumasang, Reza Resaldi Theresia Asri Luberingsih Tri Ismu Pujiyanto Tri Ismu Pujiyanto Udur Hotmaira Sirait Umi Hani Umi Hani Utama, Julvainda Eka Priya Wenni Winasti Widiyaningsih Widiyaningsih, Widiyaningsih Winasti, Wenni Yulina Mahaling