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Keefektifan Intervensi Psikologis: Motivational Interviewing Program untuk Meningkatkan Manajemen Diri dan Kontrol Glikemik pada Pasien Diabetes Mellitus Tipe 2 Tristiana, Rr Dian
JURNAL NERS LENTERA Vol 4, No 2 (2016)
Publisher : JURNAL NERS LENTERA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.846 KB)

Abstract

Pendahuluan: Diabetes Mellitus merupakan masalah kesehatan global yang paling serius, mengancam, berkembang yang mengakibatkan morbiditas dan mortalitas serta meningkatkan biaya perawatan kesehatan terbanyak. Manajemen diri merupakan landasan kontrol diabetes namun beberapa studi menemukan tingkat manajemen diri pasien DM masih rendah yang salah satu faktor penyebabnya adalah psikologis pasien. Motivational interviewing (MI) adalah teknik konseling berfokus pada klien yang didesain untuk membantu individu mengeksplorasi dan mengatasi ambivalensi dalam perilaku. Penelitian ini bertujuan untuk menelaah literatur, artikel, dan jurnal penelitian yang berkaitan dengan program motivational interviewing dalam meningkatkan self management dan kontrol glikemik pada pasien diabetes mellitus tipe 2. Metode: Metode yang digunakan dalam penelitian ini dengan metode penelusuran artikel jurnal di database dengan menggunakan kata kunci, kemudian setelah data didapatkan, artikel jurnal penelitian tersebut ditelaah. Hasil: Hasil penelusuran didapatkan 40 artikel dan 8 artikel yang memenuhi kriteria artikel/jurnal yang ditelaah dalam penelitian ini. Kemudian artikel/jurnal tersebut ditelaah desain, sampel, perlakuan, dan hasilnya.(parameter dan hasil). Hasil literature review dari artikel/jurnal menyatakan bahwa motivational interviewing efektif dalam meningkatkan manajemen dan kontrol glikemik pada pasien diabetes mellitus tipe 2. Kesimpulan: intervensi dengan program motivational interviewing efektif dalam meningkatkan manajemen diri dan kontrol glikemik, beberapa komponen dalam pelaksanaan program perlu dimodifikasi untuk mendapatkan hasil yang lebih maksimal.
GAMBARAN SPIRITUALITAS REMAJA YANG TINGGAL DI SEKITAR EKS-LOKALISASI Yusuf, Ah.; Tristiana, Rr Dian; Agustina, Nina
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 11 No 1 (2018): FEBRUARY
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.684 KB) | DOI: 10.33086/jhs.v11i1.94

Abstract

Spirituality is one of the most influential dimensions in adolescent development. Adolescent with good spiritual sees life with optimism, clean mind and soul. Environment will affect the spiritual development of adolescents. This research aimed to understanding the adolescent spirituality living around ex-localization. This research used qualitative research design of phenomenology with in-depth interview with semi structured interview and observation. Participants were junior high school teenagers, Moslems living around exlocalization, Kota Surabaya, choose by purpossive sampling. The data analysis in this study using thematic analysis with nine steps Collaizzi. result of this research got 18 theme that is adolescent perception, adolescent behavior, adolescent relationship with parents, interaction of adolescent with society, interaction of adolescent with opposite sex, adolescent knowledge, adolescent relationship with self, autonomy, feeling during worship, SWT, the purpose of human creation, religious analysis, Allah's incomprehension, the timeliness of worship, obstacles, life goals, hopes, spiritual experiences, ways of dealing with problems, lifestyles, self-image. Adolescents who live in an ex-localization will interact with peers and the surrounding community in the neighborhood. These reciprocal relationships affect the spiritual values in teenagers. The existence of the control of parents can control the interaction process that occurs between adolescents with the surrounding community who live in ex-localization so that formed the spiritual character of adolescents. 
BEBAN YANG DIRASAKAN OLEH PENDERITA TB MDR DAN KELUARGA: REVIEW LITERATUR KUALITATIF Sulistyono, R Endro; Tristiana, Rr Dian
JURNAL NERS LENTERA Vol 6, No 2 (2018): September
Publisher : JURNAL NERS LENTERA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.944 KB)

Abstract

Background: The incidence of Multiple Drugs Resistance Tuberculosis (TB MDR) is still very high. TB MDR treatments requires a long period care that could lead to an impact on TB MDR patients and their families. This study aims to explore the perceived burden of TB MDR patients and their families. Method: Review literature was conducted through a search of four journal databases which later found 8 articles according to the inclusion criteria which were then identified, evaluated and synthesized. Results: The literature review found four major themes related to the perceived burden by TB MDR patients and their family, namely; physical, psychological, social and financial burden. Discussion: various problems arise due to the illness suffered by MDR TB patients and families. Understanding the difficulties and burdens experienced by MDR TB patients and their families is important in order to be able to intervene according to the problems that might arise due to MDR TB disease. Conclusion: The government needs to provide social protection to patients with MDR TB and families. Health professional workers need to add physical and psychological interventions to relieve the burden felt by MDR TB patients and their families. Keywords: Multiple Drugs Resistance Tuberculosis; Perceived burden; Sufferers; family; literature review
Gambaran status gizi akseptor Keluarga Berencana (KB) Implan di Wilayah Surabaya Yeni Rahayu; Ni Ketut Alit Armini; RR Dian Tristiana
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 5, No 1 (2019): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.5.1.39-44

Abstract

Pendahuluan: Penggunaan jenis implan masih banyak digunakan di Indonesia. Namun, penggunaan kontrasepsi ini dapat menimbulkan efek negatif pada status gizi pengguna. Tujuan penelitian ini untuk mengetahui gambaran status gizi akseptor KB Implan di Wilayah Surabaya. Metodologi: deskiptif analitik dengan desain cross sectional, 102 orang (sampel) yang didapat dengan teknik purposive sampling. Sampel penelitian adalah akseptor KB Implan di Wilayah Surabaya. Hasil: Hasil status gizi akseptor KB Implan di Wilayah Surabaya menunjukkan bahwa akseptor dengan status gizi kurang 3 akseptor (2,9%), status gizi normal 65 akseptor (65%), status gizi overweight  15 akspetor (14,7%), dan status gizi obesitas 19 akseptor (18,7%). Diskusi: Gambaran status gizi pada akseptor KB Implan di Wilayah Surabaya memiliki status gizi yang baik, namun perlu dikembangkan faktor-faktor yang mempengaruhi status gizi akseptor KB implan.
Fenomena Pasung dan Dukungan Keluarga terhadap Pasien Gangguan Jiwa Pasca Pasung Ah. Yusuf; Dian Tristiana Tristiana
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1521.271 KB) | DOI: 10.24198/jkp.v5i3.653

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Indonesia bebas pasung bagi pasien gangguan jiwa merupakan program prioritas yang harus dicapai pemerintah pada tahun 2019. Saat ini upaya bebas pasung telah dilaksanakan dengan baik, permasalahan baru muncul setelah masa pengobatan selesai dan harus kembali kepada keluarga dan masyarakat. Keluarga tidak menghendaki pasien kembali kepada keluarga, diabaikan, kembali kambuh atau menjadi gelandangan psikotik. Penelitian ini bertujuan untuk memperoleh gambaran dukungan keluarga terhadap pasien gangguan jiwa pasca pasung. Penelitian ini menggunakan desain kualitatif fenomenologi, jumlah partisipan sebesar 9 orang dipilih dengan purposive sampling, pengumpulan data dilakukan dengan wawancara mendalam, data dianalisis secara tematik. Hasil penelitian menunjukkan dukungan keluarga terhadap pasien gangguan jiwa pasca pasung diperoleh 2 (dua) tema besar yaitu; fenomena pasung terhadap pasien gangguan jiwa dan dukungan keluarga. Fenomena pasung meliputi; alasan, keputusan, metode, pembebasan dan dampak pemasungan. Dukungan keluarga meliputi; dukungan penilaian, instrumental, informasional dan dukungan emosional. Dukungan keluarga dibutuhkan pasien untuk dapat mencapai penyembuhan dan mencegah kekambuhan. Pengetahuan yang kurang terhadap cara perawatan pasien gangguan jiwa pasca pasung menyebabkan dukungan keluarga yang diberikan terhadap pasien tidak optimal. Pandangan keluarga dan masyarakat yang keliru terhadap pasien gangguan jiwa mempengaruhi penanganan yang tepat terhadap pasien gangguan jiwa.Kata kunci: Dukungan keluarga, gangguan jiwa, pasung. AbstractIndonesian free of pasung for mental disorders is a priority program to be achieved by the government in 2019. Currently the effort of free of pasung for mental illness has been well implemented. A new problems arise after the treatment period is over and patients must return to family and community. Families do not want patients to return to then, ignored, relapse or become psychotic homeless. This study aims to obtain a description of pasung phenomenon and family support for patients after having pasung. This research used qualitative phenomenology design, the number of participants for 9 people was chosen by purposive sampling, data collection was done by indepth interview, the data were analyzed by thematic analysis. The result of the research showed two big themes that are; pasung phenomenon and family supports after the patient having pasung. The pasung phenomenon includes; reasons, decisions, methods, exemptions and the effects of deprivation. Family support includes; support assessment, instrumental, informational and emotional support. Family support is needed for patients to achieve healing and prevent recurrence. The lack of knowledge about the way patients care for post pasung mental disorders cause the family support provided to patients is not optimal. Misrepresentation of family and community opinions on psychiatric patients affects the proper treatment of psychiatric patients.Keywords: Family support, mental disorder, pasung.
The Effect of Logotherapy to Diabetes Mellitus Client’s Meaning of Life Ah Yusuf; Rr. Dian Tristiana; Leni Anitasari; Ira Suarilah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1279.183 KB) | DOI: 10.24198/jkp.v7i2.1060

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 Diabetes mellitus is a chronic disease that caused meaning of life disturbance. Logotherapy is an intervention that could affect people life perspective. The purpose of this study was to analyze the effect of logotherapy implementation to the meaning of life in diabetes mellitus client. This study used quasy-experimental pretest-post-test with control group. The dependent variable was meaning of life, and the independent variable was the implementation of logotherapy. Sample in this study was 30 respondents, were taken by using consecutive sampling. The meaning of life were taken by using Purpose in Life Test (PIL Test) then analyzed by using Wilcoxon Sign Rank Test and Mann Witney U statistic test, a= £0.05. The result showed logotherapy had significant effect on meaning of life in the treatment group (p=0,001). Statistical test Mann Whitney U Test showed that there was a difference meaning of life in control group and the treatment group after implementation of logotherapy. It could be concluded that the implementation of logotherapy has an effect to increasing the meaning of life in diabetes mellitus client. Further study was recommended to developing deeper study that related to logotherapy in diabetes mellitus client.
Patients Experience and Perception in Preventing Tuberculosis Transmission in Rural Areas: A Qualitative Research R Endro Sulistyono; Tantut Susanto; Rr Dian Tristiana
Jurnal Keperawatan Padjadjaran Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.556 KB) | DOI: 10.24198/jkp.v8i1.1288

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Tuberculosis (TB) transmission awareness is crucial for TB prevention in the community. However, efforts to prevent TB transmission from TB patients’ perspectives, especially in the rural area, are not well documented. This study aimed to explore the efforts made by TB patients in preventing transmission to the community. This research was qualitative research with a phenomenological approach. Participants in this study were 12 people selected by purposive sampling. Data collection was done by in-depth interviews and recorded. Data analysis was carried out by thematic analysis. This study produced seven themes: perception of TB disease, performing alternative treatments, using personal protective equipment, environmental modification, adhering to treatment, limiting interactions with others, and increasing food intake. Knowledge and awareness of TB patients are still an issue in preventing the transmission of TB in the community. Immediate intervention needs to be made regarding increasing knowledge and awareness of TB patients and the supervision of health workers regularly in handling TB disease in the community.
Kompetensi Perawat dalam Merawat Pasien Gangguan Jiwa Ah Yusuf; Rizki Fitryasari; Hanik Endang Nihayati; Rr. Dian Tristiana
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.906 KB) | DOI: 10.20473/jn.v11i2.2549

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Introduction: Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies. Methods: This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two  Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD).Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi. Result: The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient.  Discussion: The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction.
Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya Rr Dian Tristiana; Kusnanto Kusnanto; Ika Yuni Widyawati; Ah Yusuf; Rizky Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.619 KB) | DOI: 10.20473/jn.v11i2.2607

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Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.
Barriers in Tuberculosis Treatment in Rural Areas (Tengger, Osing and Pandalungan) in Indonesia Based on Public Health Center Professional Workers Perspectives: a Qualitative Research R Endro Sulistyono; Tantut Susanto; Rr Dian Tristiana
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.311 KB) | DOI: 10.20473/jn.v14i1.10270

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Introduction: Tuberculosis (TB) is still one of the main health problems in Indonesia. Various efforts have been made by the government to handle the TB problem in Indonesia, one of which is implementing a direct observed therapy short course (DOTS) program. However, the handling of TB disease in Indonesia, especially in rural areas is still not optimal. This study aims to explore barriers to the handling of TB in rural areas from the perspective of public health center professionals.Methods: This study is a qualitative research with a phenomenological approach. Sampling was done by purposive sampling with a sample of 8 participants. Data is collected through focus group discussions. Thematic analysis is carried out using colaizi step.Results: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.Conclusion: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.