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The impact of the COVID-19 pandemic on the psychological distress of parents and children cancer care: A cross-sectional study Krisnana, Ilya; Rachmawati, Praba Diyan; Nastiti, Aria Aulia; Soares, Domingos; Puspitasary, Novalia
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.70155

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Introduction: The current situation of the COVID-19 pandemic has an impact on stress among parents of children with cancer. This uncertain situation can cause psychological distress experienced by parents and can reduce the level of care for children with cancer, it can reduce the cure rate and increase the morbidity rate of children with cancer. The study aimed to analyses the impact of the COVID-19 pandemic on the psychological distress of parents and the treatment of children with cancer. Methods: The research design used was descriptive analytics with a cross-sectional approach. The population in this study were parents of children with cancer living in the Surabaya and East Java areas who lived in a halfway house. Respondents were 78 parents of children with cancer. The children were aged between 2 and 15 years. Selected using the convenience sampling technique for three months (June to August 2022). The independent variable in this study was the level of psychological distress, while the dependent variable was the treatment of children with cancer. The data was obtained using the DASS-21 questionnaire and analyzed using the Spearman Rank Correlation test with α = .05. Results: The results of the study showed that there was an impact of the COVID-19 pandemic on psychological distress [(stress P-value = .002; r = .341); (anxiety P-value = .013; r = .281), and depression P-value = .026; r = .252)] and cancer care for children. Conclusion: The COVID-19 pandemic has an impact on the psychological distress of parents and the care of children with cancer. The level of stress experienced by parents should be given further treatment immediately. Keywords: cancer; chronic diseases; COVID-19; pandemic; psychological distress
RELATIONSHIP BETWEEN STRESS LEVELS AND CHANGES IN RANDOM SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS AT MENTIKAN PUBLIC HEALTH CENTER, MOJOKERTO CITY Wahyuni, Lutfi; Krisnana, Ilya; Ramadina, Rizma Dwi
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/625

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Diabetes mellitus is a metabolic disease characterized by randomly high blood sugar levels. Risk factors that can cause diabetes mellitus include stress, genetic factors, age, and a history of consuming alcohol. The simplest effort to control random blood sugar is by implementing stress management. But in reality, there are still many diabetes mellitus sufferers who cannot manage stress, resulting in random increases in blood sugar levels. This study aims to determine the relationship between stress levels and changes in random blood sugar levels in diabetes mellitus sufferers in the Mentikan Community Health Center, Mojokerto City. This research uses a correlation analytical method with a cross-sectional design. The total sample was 67 respondents taken using the purposive sampling technique. The Spearman Rho test results showed a value of 0.001 < α 0.05, so it can be concluded that there is a relationship between stress levels and random changes in blood sugar levels in diabetes mellitus sufferers. Meanwhile, the correlation coefficient figure shows a value of 0.663, which means the relationship between stress levels and random changes in blood sugar levels is strong. Stress can increase random blood glucose levels because stress stimulates the body to release the hormones cortisol and epinephrine. These two hormones have a strong effect in causing the process of gluconeogenesis, so that it will increase random blood glucose levels by large amounts within a few minutes. It is hoped that good stress management can control sufferers' sugar levels so as to create a better quality of life for Diabetes Millitus sufferers.
The correlation between parents interaction conflict with online game addiction in adolescents Kurnia, Iqlima Dwi; Ardi, Bangun Mukti; Krisnana, Ilya; Nastiti, Aria Aulia; Rithpo, Pratuma; Arief, Yuni Sufyanti
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.26785

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Introduction: The prevalence of online game addiction has increased among adolescents in Indonesia. This study aimed to analyze the correlation between parent conflict and online game addiction among adolescents. Methods: This study used a cross-sectional, correlational design. The inclusion criteria in this study were as follows: (1) adolescents between the ages of 13-19 and who were male, and (2) adolescents who were willing to become respondents. Eighty adolescents were approached according to the inclusion criteria, and 73 respondents were eligible for this study. The data collection method used was a questionnaire filled out by adolescents. The questionnaire was adapted to adolescents and to determine adolescents' perceptions of interaction conflict. Statistical analysis was performed using Spearman's rank test with α=0.05. Results: Parental interaction conflict was positively related to online game addiction among adolescents (p = 0.004). The majority of respondents who experienced online game addiction in the fair category had low interaction conflicts with their parents. Conclusions: Conflict of interaction with parents can cause adolescents to become addicted to online games. Parents are expected to engage in good interactions in accordance with the stages of adolescent development. Parents should be able to complete their problem interactions well.
Developing a parental empowerment model to prevent health risk behaviors among adolescents in East Java, Indonesia Krisnana, Dr. Ilya; Rachmawati, Praba Diyan; Kurnia, Iqlima Dwi; Wahyuni, Lutfi; Rithpo, Pratuma
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.v19i2.54203

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Introduction: Parental empowerment in monitoring adolescents plays a crucial role in preventing health-risk behaviors. This research aimed to develop a model of parental empowerment against the prevention of health risk behavior (PE-HRB) in adolescents based on the theory of health promotion model. Methods: The research design used was an explanative survey method. The research population was parents who have adolescent children in East Java and able to access online questionnaires. Consecutive sampling obtained a large sample of 704 respondents from July - September 2020. Questionnaires were distributed online using the online Zoho platform and distributed to parents. The data analysis used a smart PLS (Partial Least Squares) statistical test with significance level T>1.96. Results: Personal factors positively and significantly influenced cognition and affect (T=2.82;p=0.005). Cognition and affection variables influence on parental empowerment (T=5.19; p=<.001). Cognition and affection have no effect on preventive behavior (T=1.49; p=.135). Parental empowerment is an important point in shaping preventive behavior. Conclusions: Empowerment is a factor that significantly affects the formation of parental behavior without going through commitment variables. Parental involvement in adolescents' academic and personal lives is an important aspect to prevent health-risk behavior in adolescents. Cognition and affection variables cannot directly form preventive behavior but must go through parental empowerment pathways to form preventive behavior. Parental empowerment has no effect on commitment, but commitment affects prevention behavior. Empowering parents is a topic that can be used as material in health education in primary health services.
Peran Regulasi Diri terhadap Pencegahan Perilaku Seksual Berisiko pada Remaja: A Systematic Review Lestari, Wahyu Agustin Eka; Indarwati, Retno; Krisnana, Ilya
BRILIANT: Jurnal Riset dan Konseptual Vol 8 No 3 (2023): Volume 8 Nomor 3, Agustus 2023
Publisher : Universitas Nahdlatul Ulama Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28926/briliant.v8i3.1291

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Introduction: The inability of adolescents to control themselves causes adolescents to have low self-regulation and causes several serious problems such as sexually transmitted diseases (STDs), disability and death in adolescents. This review study aimed to identify the role of self-regulation as an effort to prevent sexual behavior in adolescents. Method: A systematic review using 4 databases (Scopus, ScienceDirect, PubMed and Web of Science) published in the last 6 years (2017-2022). Results: Eight articles were selected in the final review. All articles mention the role of self-regulation in adolescents. The role is to control themselves, the environment and behavior so that adolescents who have good self-regulation will be able to prevent sexual behavior. Conclusion: Self-regulation is an individual's ability to regulate emotions, thoughts and behavior to achieve a goal. Adolescents who have higher self-regulation and greater growth of self-regulation will decrease the likelihood of engaging in sexual risk-taking behavior in young adulthood
Innovations for Successful Electronic Medical Records (EMR) Implementation in Hospitals: Inovasi untuk Keberhasilan Implementasi Rekam Medis Elektronik (EMR) di Rumah Sakit Sandhe, Dhiyan Sandhe Kurniawan; Krisnana, Ilya; Pradanie, Retnayu
Indonesian Journal of Innovation Studies Vol. 26 No. 2 (2025): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i2.1360

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General Background: Electronic Medical Records (EMR) enhance healthcare efficiency, cost-effectiveness, and data accessibility. However, implementation remains uneven globally. Specific Background: Despite Indonesia’s Ministry of Health Regulation No. 24 of 2022 mandating EMR adoption, many hospitals struggle with infrastructure, workforce limitations, and regulatory challenges. Knowledge Gap: While studies highlight EMR benefits, limited research addresses specific barriers in Indonesian hospitals and effective implementation strategies. Aims: This study identifies EMR adoption challenges and explores strategies for successful implementation in Indonesia. Results: Key barriers include inadequate infrastructure, unclear policies, insufficient training, and connectivity issues. Pre-implementation planning and structured training improve outcomes. Novelty: This study systematically analyzes Indonesia-specific EMR challenges and presents actionable solutions. Implications: Hospitals require better preparation, clear policies, and government support to ensure seamless EMR integration, fostering healthcare digitalization. Highlights: Regulatory Compliance: Despite mandates, many Indonesian hospitals struggle with full EMR adoption due to infrastructure and policy gaps. Key Barriers: Limited resources, lack of training, and unstable internet hinder effective EMR implementation. Strategic Solutions: Pre-implementation planning, technical support, and structured training improve adoption success. Keywords: Barriers, Strategy, Electronic Medical Record, Hospital
Relationship Analyst of Sort, Set in Order, Shine, Standardize, and Sustain (5s) Method With Quality Nursing Services Nanang Fachruddin; Purwaningsih Purwaningsih; Ilya Krisnana
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.v10i1.54475

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The application of the sort, set in order, shine, standardise, and sustain (5S) method has the potential to improve the quality of nursing services by improving the efficiency and regularity of the work environment in hospitals. This study aimed to analyse the relationship between the 5S method and the quality of nursing services. This cross-sectional study included 50 patients selected using purposive sampling. Questionnaires on the application of the 5S method and quality of nursing services were administered, and relationship analysis was performed using Spearman’s correlation test. Correlation analysis showed a significant positive relationship with the strength of correlation between the application of the 5S method and the quality of protection services (r = 0.684; p = 0.045). The application of the 5S method contributes to improving the quality of nursing services by improving work efficiency, environmental orderliness, and patient safety. Therefore, the 5S method can be recommended as an effective quality management strategy for improving the quality of nursing services in hospitals.
Compliance of the Nurse for Fall Risk Re-Assessment Base on Theory of Planned Behaviour Putrina, Ade; Harmayetty, Harmayetty; Krisnana, Ilya
Fundamental and Management Nursing Journal Vol. 2 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v2i2.12846

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Introduction: Increasing the workload of nurses caused the re-assessment of patients fall risk to be rare and can affect the value and quality of the Hospital. This study aims to determine the factors associated with patient compliance with re-assessment of the risk of falls in IRNA Bedah RSUD Dr. Soetomo Surabaya.Method: This study uses a descriptive correlation design with a cross-sectional approach. Samples in this research was nurses obtained with simple random sampling. Independent variables were attitudes, subjective norms, perceived behavior control, and intention. The dependent variable was compliance with re-assessment of the patient's fall risk. Data were obtained by attitude, subjective norms, perceived behavior control, intention, and compliance with re-assessment questionnaires and analyzed with Spearman's Rho with α = 0,05%.Result: Statistical test results showed that there was a significant relationship (p = 0.010) between attitudes and nurses' intentions in re-assessment of risky patients with weak correlation levels (r = -0.292), there was a significant relationship (p = 0.001) between Subjective norms with nurse intentions on re-assessment of falling risk patients with weak correlation levels (r = 0.281), there is a significant relationship (p = 0.007) between perceived behavioral control and nurses' intentions on re-assessment of falling risk patients with weak correlation levels ( r = 0.237), there is a significant relationship (p = 0,000) between intention and nurse adherence in re-assessment of patients' risk of falling with a fairly strong correlation level (r = 0.541).Conclussion: Intention has the strongest relationship in reassessing falling risk patients. Attitudes, subjective norms, and perceived behavioral control also be a factor in increasing nurse participation in reassessing a patient's risk of falling. Supervision and control of nurses' approval is needed in reassessing patients at risk of falling. 
Cyberbullying Relationship with Social Anxiety and Social Withdrawal in Adolescents Fahlevi, Restu Yogi; Yusuf, Ah; Krisnana, Ilya
Fundamental and Management Nursing Journal Vol. 3 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v3i2.21720

Abstract

Introduction: The process of changing a person into adolescence is a very important process where in adolescence, the process of finding the identity of a teenager is ongoing, looking for self-identity, trying new things, and social processes such as having a group of friends who he thinks have one hobby with him. Commonly referred to as "gangs", the characteristics of adolescents who are in the process of seeking their own identity often cause negative problems in their environment, including cyberbullying.Methods: The study design was cross sectional. A sample of 262 students of class xi and obtained using simple random sampling technique. Data obtained from the Cyberbullying and Online Aggression Survey Instrument questionnaire and The Social and Emotional Competences Evaluation Questionnaire (QACSE) were then analyzed using the Spearman Rho correlation statistical test.Results: The results of this study indicate that there is a relationship between Cyberbullying and social anxiety in adolescents. It was found that the higher the Cyberbullying obtained, the higher the social anxiety experienced by adolescents with a value of p = 0.000; r = 0.225 normal value p = 0.05, r = 1. There is a relationship between cyberbullying and social withdrawal in adolescents with a value of p = 0.009; r = 0.161 with a normal value of p = 0.05 and r = 1.Conclusion: Cyberbullying on social anxiety has a low and significant relationship with a negative direction where the higher the involvement of adolescents with cyberbullying is lower and Cyberbullying on social withdrawal has a low and significant relationship in a negative direction where the higher the adolescent involvement with cyberbullying is lower.
Implementation of Discharge Planning Based on Patient Centered Care for Post Stroke Patients in the Stroke Unit: A Systematic Review Halimatus Sa’diyah; Mira Triharini; Ilya Krisnana; Novia Caecilia Laoli; Nurma Lindawati
Nusantara Medical Science Journal Vol. 11 No. 1 (2026): Volume 11 Issue 1, January - June 2026
Publisher : Faculty of Medicine, Hasanuddin University.

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

Abstract

Background: Stroke is a major mortality factor necessitating coordinated care systems to prevent incidents and enhance patient prognosis. The implementation of discharge planning based on patient centered care in stroke patients aims to increase patient involvement through the provision of personalized information and shared decision making, in order to prepare patients for daily activities after discharge from the hospital. This study aims to Assess the effectiveness and impact of implementing patient-centered care-based discharge planning after stroke on patient satisfaction, quality of life, and reduction in hospital re-visits. Methods: The authors conducted a systematic review using PRISMA 2020 Guidelines. The article were derived from four electronic databases (Web of Science, JStor, PubMed, and Scopus) using keywords and terms relevant to the research topic. Consisting of full text original research articles published between 2019 and 2025 using quantitative and qualitative methods. Results: A total of 2,518 records were identified. Nine articles met the selection inclusion criteria were included due to having good methodological quality Patient-centered discharge planning interventions were associated with improved quality of life, patient satisfaction, adherence to post-discharge plans, and reduced hospital readmissions. Conclusion: Patient-centered discharge planning models positively influence patient satisfaction, quality of life, and rehospitalization rates among post-stroke patients. Implementing structured, multidisciplinary discharge planning protocols based on patient-centered care principles is crucial to improving stroke recovery outcomes.
Co-Authors Achmad Ibrahim Ade Sugih Herlambang Aden, Christine Adi, Sugiono Ah Yusuf, Ah Ah. Yusuf Alit Armini, Ni Ketut Amilia krisdiantini Ananda Hanna Pratiwi Ananta , Syafira Dwi Anggari, Anita Firmanti Kartika Anna Rufaida Annisa Mufidah Ardi, Bangun Mukti Aria Aulia Nastiti Arief, Yuni Sufyanti Arifin, Hidayat Arik Setyani Asih , Meirina Nur Ayatulloh, Daviq Azhari, Indah Bagus Setyoboedi Bahrul Ulumi Biru, Mustika Milenia Dwi Tunjung Chayatin, Nurul Danasari, Titis Mustikowati Dian L. Azizah Dian P. Sari Dian Perdana Fitri Mandasari Dominicus Husada Dona Muji Fitriana Dona Muji Fitriana Dwi Adinda Mukhalladah Eka Mishbahatul Mar'ah Has Elida Ulfiana Elyana Asnar Ernawati, Rini Esti Yunitasari Fahlevi, Restu Yogi Faida Anisa Farida Norma Yulianti Farida Norma Yuliati Feriani, Pipit Ferry Efendi Firmanti, Tria Anisa Florentina Sustini Gustini Gustini Halimatus Sa’diyah Harmayetty, Harmayetty Hasan, Diana Sukmawati Heny Ferdiana Ida Berliana Iismayanti Iismayanti Indarwati , Retno Iqlima D. Kurnia Iqlima Dwi Kurnia Ira Rahmawati Israfil, Israfil Istiqomah, Amani Istiqomah, Yutri Joko Susanto Kristiawati Kristiawati Kristiawati Kristiawati Kusnanto Kusnanto Laeli Nurhanifah Lestari, Wahyu Agustin Eka Lestari, Wahyu Agustin Eka Lilik Choiriyah Luh Titi Handayani, Luh Titi Lulut R. Siwi Lutfi Wahyuni Maghfiroh, Umi Makhfudli Makhfudli Maria Yashinta Seran mariyam mariyam mariyam mariyam, mariyam Mar’atus Sholihah Mira Triharini Mufidah Binti Eka Muhammad Adil Sipahutar Mukhamad Fathoni Nanang Fachruddin Neisya Pratiwindya Sudarsiwi NEVIATY PUTRI ZAMANI Nihayati, Hanik Endang Nimas Anggie Auliasari Nining Ambarwati Noki Rama DS Nor Z. Asy’ariyah Norma Astrianingsih Norwinda Norwinda Novia Caecilia Laoli Nur Indah Dwi Yanti Nur Sayyid J Rummy Nurma Lindawati Nursalam Nursalam Nursalam, Nursalam Nurul Chayatin Nuzul Qur'aniati Nuzul Qur'aniati Olimpia de Jesus Araujo Olvinda Eka Zulfi Pawestri, Pawestri Praba D. Rachmawati Praba D. Rachmawati Praba Diyan Rachmawati, Praba Diyan Praba Diyan Racmawati Pradanie, Retnayu Pratuma , Rithpho Priyantini, Diah Pudji Lestari Pupuh Satiti, Nantiya Purwaningsih - Puspitasary, Novalia Putrina, Ade Putu Intan Daryaswanti Qur'aniati, Nuzul Quraniati, Nuzul Qur’aniati, Nuzul Rahmawati, Praba Diyan Ramadina, Rizma Dwi Reny Mareta Sari, Reny Mareta Rina Wahyuningsih Risa Etika, Risa Riski Hardani Rithpho, Pratuma Rithpo, Pratuma Riu, Silvia Dewi Mayasari Ronal S. Aditya Rosi Arista Rusmini, Sri Sa'ngadah, Niswatus Safaah, Nurus Sandhe, Dhiyan Sandhe Kurniawan Saverinus Suhardin Setho Hadisuyatmana Soares, Domingos Sri Ratna Dwiningsih Suciati Ningsih Sulistyorini Sulistyorini Syafira Dwi Ananta Tianingrum, Niken Agus Tintin Sukartini Sukartini, Tintin Sukartini Tiur Trihastutik Tiyas Kusumaningrum Triharini, Mira Ucik Nurmalaningsih Wahyuni Tri Lestari Wirahadi Saputra Wiwin Yuli Triana Yohana A. Sitanggang Yulis Setiya Dewi Yuni S. Arief Yuni S. Arief