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Gambaran Perilaku Anak Berkebutuhan Khusus dan Penanganannya oleh Guru di Sekolah Dasar Inklusi Kabupaten Sleman Galih Adi Pratama; Ibrahim Rahmat; Sri Warsini
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 2 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.74915

Background: Sleman District Government through the Child Friendly City (Kota Layak Anak/KLA) has a child-friendly school program in the form of inclusive school. The implementation of inclusive education in Indonesia has not met the current standard. There has been no further study regarding the behavior of children with special needs in inclusive schools and how teacher handle their behaviors in Sleman. Therefore, research on the experience of classroom teachers in finding and handling behavior of children with special needs in inclusive primary school of Sleman Regency is important.Objective: To describe the experience of classroom teachers in finding and handling behavior of children with special needs in inclusive primary school Sleman Regency.Method: This research was qualitative with phenomenology approach. The subjects were six class teachers, six parents/guardians, and two education-office civil servants whom were selected by purposive sampling method. Data obtained from the results of in-depth interviews were processed using content analysis.Result: Children with special needs had several behavioral problems, i.e: internalizing problems in the form of anxiety, somatic disorder, and withdrawal; externalizing issues (behavior) in the form of aggressive behavior, and destructive behavior; other behavioral problems such as attention disorder, thought problem, and social problem. The handling of children with special needs at school was based on the strategy of the school and its classroom teacher.Conclusion: There are five themes in this research that are internalizing (emotion) children with special needs, externalizing (behavioral) problem of children with special needs, other behavior problem, classroom teacher strategy in handling children with special needs behavior, and school strategy in handling children with special needs behavior.ABSTRAKLatar belakang: Pemerintah Kabupaten Sleman melalui program Kota Layak Anak (KLA) mempunyai program sekolah ramah anak yang diimplementasikan dalam sekolah inklusi. Pelaksanaan pendidikan inklusi di Indonesia masih belum memenuhi standar yang ada. Belum ada kajian lebih lanjut mengenai sekolah inklusi di Kabupaten Sleman khususnya mengenai perilaku Anak Berkebutuhan Khusus (ABK) di sekolah inklusi dan bagaimana penanganan perilaku yang telah dilakukan guru di sekolah. Oleh karena itu, penelitian tentang pengalaman guru kelas dalam menemukan perilaku pada anak berkebutuhan khusus dan penanganannya di sekolah dasar inklusi Kabupaten Sleman, penting untuk dilakukan.Tujuan: Mengetahui pengalaman guru kelas dalam menemukan perilaku pada anak berkebutuhan khusus dan penanganannya di sekolah dasar inklusi Kabupaten Sleman.Metode: Jenis penelitian ini adalah kualitatif, menggunakan pendekatan fenomenologi. Subjek penelitian adalah 6 guru kelas, 6 orang tua/wali, dan 2 pegawai dinas yang dipilih dengan purposive sampling. Data diperoleh dari hasil wawancara mendalam. Data dianalisis menggunakan analisis konten.Hasil: ABK mempunyai beberapa masalah perilaku, yaitu masalah internalizing (emosi) yang meliputi kecemasan, gangguan somatis, dan menarik diri; masalah externalizing (perilaku) yang meliputi perilaku agresif dan perilaku merusak; serta masalah perilaku lainnya, seperti gangguan perhatian, masalah pemikiran, dan masalah sosial. Penanganan ABK di sekolah dilakukan berdasarkan strategi dari sekolah dan yang dilakukan oleh guru kelas.Kesimpulan: Terdapat lima tema dalam penelitian ini, yaitu masalah internalizing (emosi) ABK, masalah externalizing (perilaku) ABK, masalah perilaku lainnya, strategi guru kelas dalam penanganan perilaku ABK, dan strategi sekolah dalam penanganan perilaku ABK.

Studi Literatur: Efektivitas Model Kesiapsiagaan Bencana di Komunitas I Made Moh. Yanuar Saifudin; Ni Luh Seri Astuti; Novida Prima Wijayanti; Marsha Yoke Nancy; Ahmad Firdaus; Uki Noviana; Sri Warsini
Jurnal Kesehatan Manarang Vol 7 No 1 (2021): Juli 2021
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v7i1.342

Natural disasters occur all over the world and have massive effects. The impact of natural disasters has prompted various studies to find out the effects of a better mitigation and preparedness phase on individuals and communities in reducing the number of victims. Although revious literature are available that discuss disaster preparedness, studies that specifically assess the effectiveness of community-based disaster preparedness training are not available yet. This study aimed to identify effectiveness of community-based disaster preparedness training and which communication media are effective for use in disaster management in society. The literature reviews were conducted using the PRISMA model. The articles were collected from 4 journal databases, including EBSCO, Science Direct, Scopus dan ProQuest. Quality of each articles were assessed by Crowe Critical Appraisal Tool (CCAT). We identified a total of 3 studies. From the data extraction, 4 types of interventions were obtained in increasing disaster preparedness including phone-based intervention, printed media intervention, peer-mentored preparedness (PM-Prep) program and small group discussion intervention. The effectiveness of community-based disaster preparedness training is evidence that is needed to be applied in various countries due to the high prevalence of natural disasters worldwide.

Peran Perawat pada Fase Preparedness dalam Penanggulangan Bencana: Systematic Review Renaldi. M Renaldi. M; Endah Tri Wulandari; Annisa’i Rohimah; Uki Noviana; Sri Warsini
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1220

Bencana alam berpotensi membunuh ribuan orang dalam hitungan menit dan masih banyak lagi dampak negatif yang terjadi setelahnya. Salah satu tenaga kesehatan yang perlu dipersiapkan dalam menghadapi bencana adalah perawat. Meningkatnya frekuensi bencana di seluruh dunia menuntut perawat untuk cukup siap dalam menanggapi bencana agar dapat mengurangi konsekuensi negatif dari peristiwa tersebut. Pengetahuan, keterampilan, dan kesiapsiagaan perawat terhadap bencana merupakan faktor penting dalam respon yang tepat terhadap meningkatnya kejadian bencana. Untuk mengetahui peran perawat pada fase kesiapsiagaan dalam penanggulangan bencana di rumah sakit. Strategi yang digunakan untuk mencari artikel adalah kerangka Population Concept Context. Basis data menggunakan "ScienceDirect, ProQuest, dan EBSCOhost. Batasan yang digunakan dalam tinjauan sistematis ini adalah artikel berbahasa Inggris dengan publikasi dari 2016 hingga 2021. Pencarian awal menghasilkan 500 artikel dan hanya 11 artikel yang dimasukkan dalam ulasan artikel. Kesiapsiagaan bencana rumah sakit merupakan bentuk penanggulangan bencana yang harus dilakukan dengan langkah-langkah strategis untuk mengurangi dampak bencana.

Hubungan Stres Akademik dengan Kecenderungan Depresi Mahasiswa Ilmu Keperawatan Universitas Gadjah Mada pada Masa Transisi Pandemi COVID-19 Afna Hanung Azizah; Sri Warsini; Kurnia Putri Yuliandari
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 2 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.84827

Background: College students as a group who are experiencing the transition from adolescence to early adulthood, are at risk of experiencing stress problems, especially academic-related stress. This condition has been exacerbated by the COVID-19 pandemic which has changed the education system in Indonesia. Experiencing high academic stress without any effort to overcome it, can potentially lead to depressive disorders. Research on the correlation between academic stress and depression tendencies among nursing students during the transition of COVID-19 pandemic has never been conducted.Objective: To determines the correlation between academic stress and depression on nursing students in School of Nursing, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada in post pandemic COVID-19.Method: This study was an analytic observational study with a cross-sectional design. The research population was nursing students in School of Nursing, FK-KMK UGM. Data was collected in December 2022. The samples were 185 respondents obtained through stratified random sampling. This study used Academic Stress Scale questionnaire and The Patient Health Questionnaire 9 (PHQ-9) questionnaire. Data were analyzed using Spearmanâ€™s correlative test.Results: All nursing students in UGM experienced moderate academic stress in post pandemic COVID-19 and the majority of respondents (43,8%) showed a mild tendency to depression. The correlation test between academic stress and depression analysis showed a correlation coefficient (r) of 0,597 with a significant value of 0,000. Conclusion: There is strong significant correlation with a positive direction between academic stress and depression in nursing students during post pandemic COVID-19.ABSTRAKLatar belakang: Mahasiswa sebagai kelompok usia yang mengalami transisi dari masa remaja ke dewasa awal, berisiko mengalami masalah stres, terutama yang bersumber dari proses akademik. Kondisi ini diperparah dengan adanya pandemi COVID-19 yang mengubah sistem pendidikan di Indonesia. Tingginya kondisi stres akademik yang dialami dan tanpa upaya untuk mengatasinya, akan berpotensi menimbulkan gangguan depresi. Penelitian mengenai hubungan stres akademik dengan kecenderungan depresi pada mahasiswa ilmu keperawatan pada masa transisi pandemi COVID-19 belum pernah dilakukan sebelumnya. Tujuan: Mengetahui hubungan antara stres akademik dengan kecenderungan depresi pada mahasiswa ilmu keperawatan UGM pada masa transisi pandemi COVID-19.Metode: Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross sectional. Populasi penelitian yaitu mahasiswa Ilmu Keperawatan UGM angkatan 2019, 2020, dan 2021. Jumlah sampel sebanyak 185 mahasiswa yang didapatkan melalui stratified random sampling. Kuesioner yang digunakan adalah Skala Stres Akademik dan The Patient Health Questionnaire 9 (PHQ-9). Analisis data menggunakan uji korelatif Spearman. Hasil: Pada masa transisi pandemi COVID-19, semua responden mengalami stres akademik pada tingkat sedang dan mayoritas responden (43,8%) menunjukkan kecenderungan depresi pada tingkat ringan. Hasil analisis uji korelasi antara stres akademik dengan kecenderungan depresi menunjukkan koefisien korelasi (r) 0,597 dengan nilai signifikansi 0,000.Kesimpulan: Terdapat hubungan kuat dengan arah positif antara stres akademik dan kecenderungan depresi pada mahasiswa ilmu keperawatan transisi pandemi COVID-19.

Hubungan Skor Depresi dengan Kualitas Hidup Pada Pasien dengan Penyakit Ginjal Kronis yang Menjalani Hemodialisis Kintan Ayu Kartika Putri; Melyza Perdana; Sri Warsini
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 3 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.88700

Background: Repeated hemodialysis therapy in end-stage chronic kidney disease often leads to various physical and also psychological challenges. The significant mental challenges affecting the quality of life among patients with chronic kidney disorder is depression. Objective: Determine the relationship between the level of depression and the quality of life among patients with chronic kidney disorder undergoing hemodialysis at PKU Muhammadiyah Hospital, Yogyakarta. Method: This study was a correlational analytical research using cross-sectional approach that conducted at PKU Muhammadiyah Hospital of Yogyakarta from March to May, 2018. As many as 114 respondents were recruited using consecutive sampling technique. The instruments were the Beck Depression Inventory II (BDI II) questionnaire to measure depression scores and the Kidney Disease Quality of Life 36 (KDQOL 36) questionnaire to assess patientâ€™s quality of life. Further data analysis was conducted using Spearman. Result: 28,94% of the respondents were diagnosed with depression with an average score of 12,06. The highest to lowest scores of quality of life were obtained in the symptom and problem domain, disease burden domain, followed by the physical quality of life domain in order. The significance of the Spearman analysis for the overall quality of life domains was p=0,000, detailed for physical domain Â (r = -0,441), mental domain (r = -0,380), disease burden domain (r = -0,457), symptom and problem domain (r = -0,477), and disease effect domain (r = -0,449). Conclusion: Depression scores have a meaningful correlation with the overall quality of life domains of patients with chronic kidney failure that experiencing hemodialysis at PKU Muhammadiyah Hospital of Yogyakarta.ABSTRAKLatar belakang: Terapi hemodialisis yang berulang pada penyakit ginjal kronis stadium akhir kerapkali menyebabkan berbagai permasalahan fisik maupun mental. Salah satu permasalahan mental yang sangat berdampak pada kualitas hidup pasien yang mengalami penyakit ginjal kronis adalah depresi. Tujuan: Â mengetahui hubungan antara tingkat depresi dan kualitas hidup pasien yang mengalami penyakit ginjal kronis dan sedang menjalani hemodialisis di Rumah Sakit PKU Muhammadiyah, Yogyakarta. Metode: Penelitian ini merupakan penelitian korelasional dengan pendekatan cross-sectional. Yang telah dilaksanakan di RS PKU Muhammadiyah, Yogyakarta Â mulai Maret hingga Mei, 2018. Sebanyak 114 orang pasien dilibatkan dalam penelitian berdasarkan teknik consecutive sampling. Instrumen yang dipakai berupa Beck Depression Inventory II (BDI II) questioner untuk mengukur depresi, dan kuesioner Kidney Disease Quality of Life 36 (KDQOL 36) untuk menilai kualitas hidup pasien. Analisis data selanjutnya dilakukan dengan menggunakan Spearman Rank. Hasil: 28,94% responden terdiagnosis mengalami depresi dengan skor rata-rata sebesar 12,06. Dari kelima domain kualitas hidup, perolehan nilai dari domain tertinggi ke domain terendah adalah domain gejala dan masalah, domain beban penyakit, disusul dengan domain fisik kualitas hidup secara berurutan. Signifikansi analisis Spearman terhadap keseluruhan domain kualitas hidup adalah sebesar p=0,000, terperinci untuk domain kualitas hidup fisik (r = -0,441), domain psikologis (r = -0,380), domain beban dari penyakit (r = -0,457), domain masalah dan gejala (r = -0,477), serta domain dampak penyakit (r = -0,449). Kesimpulan: Derajat depresi memiliki korelasi yang bermakna dengan keseluruhan domain kualitas kehidupan pasien dengan penyakit gagal ginjal kronis yang sedang melakukan hemodialisis di Rumah Sakit PKU Muhammadiyah, Yogyakarta.Â

Factors That Affect The Posttraumatic Growth of Flash-Flood Survivors in Indonesia Warsini, Sri; Cahyani, Hanif Eka; Assyifa, Hanin
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Disasters not only bring bad impacts and cause problems to the victims, but they can also bring a positive impact, i.e., posttraumatic growth (PTG), that appears after the disaster. Investigating the posttraumatic growth of disaster survivors is important as it helps to identify the needs of survivors and develop intervention programs. Currently, there is no research in Indonesia about the PTG of flash flood disaster victims. This study aims to determine the posttraumatic growth of flash flood disaster victims in Indonesia. This was an analytical correlation analysis study which observed 95 flood victims in Magelang and employed the Posttraumatic Growth Inventory-Expanded (PTGI-X) instrument. The data were analyzed by using the Mann-Whitney, Pearson, independent t-test, and multiple linear regression tests. The average PTG of flood victims was 72.31 ± 15.91. The male disaster victims with high PTSD scores, with high school and university education levels, had a higher level of PTG. This model described that the factors investigated in this study had a 23.2% contribution to PTG.The factors that influence the PTG of flood victims were PTSD, gender, educational level, and severity of disasters.

The Effectiveness of Psychoeducation to Reduce Anxiety and Insomnia among Patients with Chronic Kidney Failure in Hemodialysis Unit Sumai, Shanty Amalia; Rahmat, Ibrahim; Warsini, Sri
Jurnal Keperawatan Soedirman Vol 18 No 3 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.3.6754

Patients with chronic kidney disease who undergo hemodialysis may feel anxiety and experience insomnia. Anxiety is one of the factors that affects insomnia in patients with chronic kidney disease. One of the nursing interventions to reduce patient anxiety and insomnia is psychoeducation. The purpose of this research was to determine the effect of psychoeducation to reduce anxiety and insomnia in patients with chronic kidney failure treated in the hemodialysis unit. This was a quasi-experimental research using pre-test and post-test design with control group. The total sample was 54 respondents using a convenience sampling technique. Insomnia was measured using the Insomnia Severity Index questionnaire and anxiety was measured using the Zung Self Rating Anxiety Scale questionnaire. Psychoeducation intervention was carried out within three weeks. The results showed there were differences of anxiety score in the intervention group (p<0.001) and control group (p=0.022). There were differences of insomnia score in the intervention group (p<0.001) and control group (p=0.029). The results of multivariate test showed that the factors significantly related to anxiety were age and comorbidity. Psychoeducation using booklets was effective to reduce anxiety and insomnia of patients with chronic kidney disease undergoing hemodialysis.

Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research Ambarwati, Dwi; Warsini, Sri; Hapsara, Sunartini; Haryanti, Fitri
Belitung Nursing Journal Vol. 10 No. 2 (2024): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3232

Background: Basic non-military flight nurse training is essential for enhancing nurses’ competency in conducting aeromedical evacuations. Trained nurses possessing flight nurse proficiency are indispensable for ensuring stable patient conditions amidst the unique physical, physiological, and psychological challenges encountered during flights. Objective: This study aimed to describe the experiences and perceptions of nurses and air ambulance service providers regarding aeromedical evacuations. Methods: This study employed a qualitative descriptive design. Data were gathered from February to July 2023 through semi-structured online interviews with seven nurses and air ambulance service providers engaged in aeromedical evacuation. Content analysis was utilized to interpret the interview data. Results: Seven themes were generated: 1) Experiences in aeromedical evacuation experiences, 2) Challenges faced by nurses and air ambulance service providers during aeromedical evacuations, 3) Essential knowledge for nurses involved in aeromedical evacuations, 4) Efforts to improve nurses’ knowledge and skills, 5) Leveling of flight nurse training, 6) Flight nurse training methods, and 7) Flight nurse training evaluation strategies. Conclusion: Nurses and air ambulance service providers acknowledge the significant influence of the flight environment on changes in patient conditions during aeromedical evacuations. To effectively manage alterations in patient conditions during flights, healthcare workers equipped with aviation health competency are imperative. One approach to enhancing the competency of healthcare workers is through flight nurse training. The findings from this study serve as a valuable resource for policymakers and health-related institutions endeavoring to formulate aeromedical evacuation strategies.

Factors affecting resilience of drug abusers at correctional facilities Warsini, Sri; Astuti, Arfiana Fani; Sari, Diana Nurlaila; Lestari, Pita Puji; Pratiwi, Sherli Damara; Masdar, Mahmasoni; Prasetyo, Nur Ajie; Indriati, Diah Fitri; Marchira, Carla R
MEDISAINS Vol 17, No 2 (2019)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v17i2.4947

Background: Indonesia is currently facing a narcotics emergency as indicated by a drastic increase in the number of drug users and drug-related deaths. Rehabilitation does not guarantee recovery and relief from drugs. Even while undertaking rehabilitation, drug abusers may relapse. Resilience can prevent drug abusers from relapsing and help them overcome their problems. There has been a dearth of research focusing on factors affecting the resilience of drug abusers in Indonesia.Objective: The objective of this research is to identify factors affecting the resilience of drug abusers at correctional facilities in the Special Region of Yogyakarta.Methods: This is a cross-sectional design and was conducted in February 2017 at the Correctional Facility for Narcotics Cases Class IIA in Sleman and the Correctional Facility in Wirogunan. A total of 77 respondents were involved in this research by a consecutive sampling technique. The instruments used included the resilience questionnaire developed by Pertiwi based on Grotberg’s theory, Beck Depression Inventory II, Satis-faction with Life Scale and Positive Affect Negative Affect Schedule, Isundariyana’s stress instrument, Rosenberg Self-Esteem Scale (RSES), Zung Self Rating Anxiety Scale (ZSAS), General Self-Efficacy Scale, Life Orientation Test-Revised (LOT-R), and Difficulties in Emotion Regulation Scale (DERS). The data were analyzed by univariate, bivariate (Pearson and Spearman’s Rank), and multivariate (linear regression) analyses.Results: Out of the 8 factors examined (subjective well-being, optimism, self-esteem, emotion regulation, anxiety, stress, depression, and self-efficacy) and 2 demographic factors (age and occupational status), only self-efficacy (β = 1.063; p = 0.13), optimism (β = 1.51; p = 0.01), and self-esteem (β = 1.540; p = 0.009) affected resilience.Conclusions: Self-efficacy, optimism, and self-esteem are modifiable factors that can influence the resilience of drug abusers

Studi Literatur: Efektivitas Model Kesiapsiagaan Bencana di Komunitas I Made Moh. Yanuar Saifudin; Ni Luh Seri Astuti; Novida Prima Wijayanti; Marsha Yoke Nancy; Ahmad Firdaus; Uki Noviana; Sri Warsini
Jurnal Kesehatan Manarang Vol 7 No 1 (2021): Juli 2021
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v7i1.342

Natural disasters occur all over the world and have massive effects. The impact of natural disasters has prompted various studies to find out the effects of a better mitigation and preparedness phase on individuals and communities in reducing the number of victims. Although revious literature are available that discuss disaster preparedness, studies that specifically assess the effectiveness of community-based disaster preparedness training are not available yet. This study aimed to identify effectiveness of community-based disaster preparedness training and which communication media are effective for use in disaster management in society. The literature reviews were conducted using the PRISMA model. The articles were collected from 4 journal databases, including EBSCO, Science Direct, Scopus dan ProQuest. Quality of each articles were assessed by Crowe Critical Appraisal Tool (CCAT). We identified a total of 3 studies. From the data extraction, 4 types of interventions were obtained in increasing disaster preparedness including phone-based intervention, printed media intervention, peer-mentored preparedness (PM-Prep) program and small group discussion intervention. The effectiveness of community-based disaster preparedness training is evidence that is needed to be applied in various countries due to the high prevalence of natural disasters worldwide.

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