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Caregiving in Schizophrenia: The Role of Self-Efficacy in Shaping Resilience Among Family Caregivers Mochammad Sadam Hilbram Afrizal; Yeni Fitria; Fitrio Deviantony; Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.691

Abstract

Background: Caring for patients with schizophrenia is a significant challenge for caregivers. The responsibility of caring for patients with schizophrenia creates its own pressures and burdens for caregivers, requiring resilience to adapt to these challenges. In addition, self-efficacy is essential for caregivers to maintain confidence and a positive outlook regarding their ability to provide care. Purpose: This study aims to analyze the relationship between self-efficacy and resilience among caregivers of patients with schizophrenia in the Sumbersari District of Jember. Methods: This research uses a cross-sectional correlational design. The population includes 177 caregivers of schizophrenia patients in the Sumbersari District, Jember. A non-probability purposive sampling technique was used, resulting in a total of 123 respondents. The research instruments used were the General Self-Efficacy Scale (GSES) and the Connor-Davidson Resilience Scale (CD-RISC), and data were analyzed using Kendall’s Tau-C test. Results: Most caregivers had low self-efficacy (64, 52%) and moderate resilience (116, 94.3%). The analysis revealed a significant positive relationship between self-efficacy and resilience, with a weak strength (p = 0.001; r = 0.202). This indicates that higher self-efficacy is associated with greater resilience. Conclusions: Caregivers with high self-efficacy tend to be more confident, optimistic, and capable of handling stress while caring for patients with schizophrenia, thus demonstrating stronger resilience in fulfilling their roles. In contrast, caregivers with low self-efficacy may feel less capable of managing caregiving responsibilities, making them more susceptible to psychological stress. It is recommended that interventions prioritize enhancing caregivers’ self-efficacy, as this may improve resilience.
Caregiving in Schizophrenia: The Role of Self-Efficacy in Shaping Resilience Among Family Caregivers Mochammad Sadam Hilbram Afrizal; Yeni Fitria; Fitrio Deviantony; Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.691

Abstract

Background: Caring for patients with schizophrenia is a significant challenge for caregivers. The responsibility of caring for patients with schizophrenia creates its own pressures and burdens for caregivers, requiring resilience to adapt to these challenges. In addition, self-efficacy is essential for caregivers to maintain confidence and a positive outlook regarding their ability to provide care. Purpose: This study aims to analyze the relationship between self-efficacy and resilience among caregivers of patients with schizophrenia in the Sumbersari District of Jember. Methods: This research uses a cross-sectional correlational design. The population includes 177 caregivers of schizophrenia patients in the Sumbersari District, Jember. A non-probability purposive sampling technique was used, resulting in a total of 123 respondents. The research instruments used were the General Self-Efficacy Scale (GSES) and the Connor-Davidson Resilience Scale (CD-RISC), and data were analyzed using Kendall’s Tau-C test. Results: Most caregivers had low self-efficacy (64, 52%) and moderate resilience (116, 94.3%). The analysis revealed a significant positive relationship between self-efficacy and resilience, with a weak strength (p = 0.001; r = 0.202). This indicates that higher self-efficacy is associated with greater resilience. Conclusions: Caregivers with high self-efficacy tend to be more confident, optimistic, and capable of handling stress while caring for patients with schizophrenia, thus demonstrating stronger resilience in fulfilling their roles. In contrast, caregivers with low self-efficacy may feel less capable of managing caregiving responsibilities, making them more susceptible to psychological stress. It is recommended that interventions prioritize enhancing caregivers’ self-efficacy, as this may improve resilience.
Farmers' Mental Health and the Need for Agro-Nursing-Based Nursing Interventions in the Agricultural Area of Jember District Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan; Fitrio Deviantony; Yeni Fitria
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5224

Abstract

The agricultural sector faces with various challenges that can affect the psychological condition of farmers. These challenges include crop yield uncertainty, extreme weather, market price fluctuations, debt, and high workloads. This pressure can cause stress, anxiety, and even depression among farmers, who often receive little attention from the health system, including nursing. Objective: This research aims to identify farmers' mental health and the need for agro-nursing-based nursing interventions. Method: This research is descriptive research with a survey method. Respondents were determined using cluster random sampling, and a sample of 227 respondents was obtained. The research instrument to measure farmers' mental health uses the SRQ-20 and the need for nursing intervention uses an instrument prepared by researchers based on the Indonesian Nursing Intervention Standard (SIKI) guidelines. Results: The research results showed that 30.5% of farmers were at risk of mental health problems (SRQ score >=6). The most common symptom of anxiety experienced was not sleeping soundly (45.9%). The most common cognitive symptom experienced was difficulty making decisions (35.1%). The most common somatic symptom experienced was headache (40.5%). The most common symptom of depression experienced was loss of interest in various things (43.3%). Nursing interventions required by farmers include the need for psychological education (72%), therapeutic support (81%), and advanced therapy (43%). Conclusions: Farmers often face social and economic challenges, including income uncertainty, social isolation in rural areas, and limited access to mental health services. Farmers usually work in remote areas, making it difficult for them to accessexisting mental health facilities. Agro-nursing-based nursing can develop intervention programs in local communities, helping farmers and their families easily access mental health support. Farmers are one of the professions that are at risk of experiencing mental health problems due to the demands of their work, so they require mental nursing intervention.
Co-Authors Adela Qiyas Aulawi Adhelia Reisa Zalsabilla Adzahri, Hasbi Asyidiq Agustin, Nanda Leoni Ahmad Muizzulhafiidh Ahsan Ahsan Ahsan Ahsan Aindani, Rafelina Putri Alfia Andriyani Alifia Marcheilla Yulfansha Amalia Kusumaningsih Amalia Kusumaningsih Anggalia N Aura Najwa Salasabila Azizah, Lia Balgis, An'nisha Rachmatika Benaya Sriharja Bunga, Adelia Dhimas Anggi Septiansyah Dini Kurniawati Dini Kurniawati Efendi, Melani Adelia Eka Afdi Septiyono Emi Wuri Wuriyaningsih Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi Kurniyawan Enggal Hadi Kurniyawan Erti I Dewi Erti Ikhtiarini Dewi Erti Ikhtiarini Dewi Erti Ikhtiarini Dewi Erti Ikhtiarini Dewi Fahruddin Kurdi Fatimatus Zahro, Fatimatus Febrianty, Dyta Fitria, Lailatul Gani, Amelinda Nasywa Filial Geldine Raudina Freshta Delendra Grysha Viofananda Hamzah, Rizqi Bachtiar Hanny Rasni Hariyanti, Fajar Dini Ikhtiarini Dewi, Erti Ilzam Suji Ajikumoro Kaniya, Nurul Kushariyadi Kusumaningsih, Amalia Lailatul Fitria Latifa Aini Susumaningrum Lestari, Aynuning Hadi Luh Putu Ratna Sundari Mochamad Riko Saputra Mochammad Sadam Hilbram Afrizal Muhammad Ashari Mulia Hakam Murtaqib Murtaqib Nabila Ita Nabila Nadhifa Eriyanti Nanda Leoni Agustin Nindy arum setianing putri Nugroho Dwi Susilowati Nur Widayati Nurul Hidayah Oktaviana Dwi Kartikasari Popi Dyah Putri Kartika Primasari Mahardhika Rahmawati Purwita Lestari Ramadhani, Adinda Nasywa Ramadina, Putri Dwi Riski Hidayaturrohkim Rismawan Adi Yunanto Salwa Nirwanawati Santoso, Sofi Fitriyah Setyoadi Setyoadi Setyoadi Setyoadi Siswoyo Sofi Fitriyah Santoso Sofiatun Sofiatun Sofiatun Syamsul Arifin Tantut Susanto Tantut Susanto Tri Pramesuari, Ni Komang Vania Putri Widiagma Wantiyah Wantiyah Winda Kusumawardani Wiwin Handayani Wiwit Ulansari Wuri Wuryaningsih, Emi Yeni Fitria Yeni Fitria Yeni Fitria Yeni Fitria Yeni Fitria Yuni Puji Lestari