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Pentingnya Peran Keluarga dalam Proses Rehabilitasi Pasien dengan Gangguan Jiwa Pragholapati, Andria; Wardany, Nadia Sintia; Amalia, Linda; Dharmansyah, Dhika; Darmawati, Irma; Nasution, Lina Anisa; Fitriana, Lisna Anisa; Somantri, Budi; Salasa, Sehabudin; Andriyani, Septian
Jurnal of Community Health Development Vol 6 No 2 (2025): Journal Of Community Health Development Terbitan Bulan Juli 2025
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2025.6.2.16737

Abstract

Mental disorders are among the health problems that affect all aspects of an individual's life. The rehabilitation of patients with mental disorders does not rely solely on professional services in healthcare facilities, but is also greatly influenced by family involvement. The family plays a crucial role in supporting the healing process, preventing relapse, and optimizing the patient's quality of life. Unfortunately, many families still lack an understanding of their strategic role in this process. This community service activity aims to improve families' knowledge and skills in supporting the rehabilitation of patients with mental disorders. The methods used include education, discussion, simulation, and direct family mentoring. The results showed an increase in family understanding of patient care, active involvement in behavior monitoring, and improved emotional management. Family-based interventions have proven to be an effective approach in the sustainable rehabilitation process of patients with mental disorders.
Socialization of The Dangers of Drug Abuse and Its Impact on Mental Health in The Community Wardany, Nadia Sintia; Pragholapati, Andria; Perdani, Agni Laili; Wahdini, Ridha; Sumartini, Sri; Wahyoe, Asih Purwandari; Suparto, Tirta Adikusuma; Sulastri, Afianti; Rohaedi, Slamet; Rahmi, Upik
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 9 (2025): Volume 8 No 9 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i9.21621

Abstract

ABSTRACT Drug abuse remains a serious problem in Indonesia, with devastating effects both physically and mentally. This community service project explored public knowledge about the dangers of drug abuse and its impact on mental health. The activity was conducted at the Cigugur Tengah Community Health Center in Cimahi. Education and health promotion through interactive counseling, group discussions, and collaboration with the National Narcotics Agency (BNN) and medical personnel. This activity involved 30 participants, including cadres and families/caregivers of patients with mental disorders. Showed an increase in participants' knowledge regarding the identification of types of drugs, their psychological effects, and prevention and early detection strategies. The discussion also highlighted the importance of the role of families and the community in supporting prevention efforts. This outreach program effectively raised public awareness and served as the first step in building a drug-aware environment that supports overall mental health. Keywords: Community, Drug Abuse, Mental Health
PENINGKATAN LITERASI KESEHATAN JIWA KELUARGA MELALUI CERAMAH, DISKUSI, DAN MEDIA VISUAL EDUKATIF Pragholapati, Andria; Amalia, Linda; Dharmansyah, Dhika
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 4 (2025): Volume 6 No 4 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i4.47802

Abstract

Gangguan jiwa merupakan masalah kesehatan masyarakat yang membutuhkan dukungan rehabilitasi jangka panjang, tidak hanya dari tenaga profesional, tetapi juga dari keluarga sebagai pendamping utama. Namun, banyak keluarga belum memiliki pengetahuan dan keterampilan yang memadai dalam merawat Orang Dengan Gangguan Jiwa (ODGJ), sehingga seringkali mengalami tekanan emosional, stigma internal, dan rasa takut dalam menghadapi pasien. Kegiatan pengabdian ini bertujuan untuk memberdayakan keluarga melalui edukasi, pelatihan, dan diskusi kelompok. Kegiatan dilaksanakan di Puskesmas Cigugur Tengah, Kota Cimahi, dengan melibatkan 19 peserta keluarga pasien. Hasil kualitatif dari diskusi kelompok menunjukkan tiga temuan utama: pertama, sebagian besar peserta belum pernah menerima pelatihan atau edukasi terkait gangguan jiwa; kedua, peserta menyatakan bahwa materi sangat membantu mengurangi rasa takut dan stigma internal, serta meningkatkan keberanian mereka dalam mendampingi pasien; dan ketiga, peserta merasa lebih siap dalam menghadapi tantangan merawat pasien, terutama dalam aspek komunikasi dan pengawasan pengobatan. Temuan ini menunjukkan bahwa pendekatan edukatif yang partisipatif mampu meningkatkan kesiapan emosional dan keterampilan praktis keluarga dalam proses rehabilitasi pasien ODGJ.
Scoping Review of Verbal De-Escalation in Psychiatric Emergency Pragholapati, Andria; Fitrikasari, Alifiati; Handayani, Fitria; Kristina, Tri Nur; Dewi, Nur Setiawati; Winarni, Tri Indah
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): 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.v6i2.2826

Abstract

This article presents an in-depth literature review on the practices and significance of verbal de-escalation in psychiatric emergency situations. Verbal de-escalation is a communication strategy aimed at reducing tension and conflict in psychiatric patients experiencing crises. The aim of this research is to explore the effectiveness of various training methods in implementing verbal de-escalation techniques in psychiatric emergencies. The research method with scoping review, this article provides an overview of the concept of verbal de-escalation, commonly used techniques, and its positive impact on enhancing safety and intervention effectiveness in psychiatric emergencies. Additionally, the article identifies factors influencing the success of implementing verbal de-escalation and emphasizes the need for training and a holistic approach in managing psychiatric emergencies. The findings of this research can offer insights for practitioners, researchers, and policymakers in improving the quality of psychiatric emergency services through the effective implementation of verbal de-escalation strategies.
Prevalence Differences of Mental Disorders (Neurotic, Substance Use, Psychotic, and PTSD) Based on Gender in the Adult Population Saputra, Noki Irawan; Wulan, Winda Ratna; Virgiandita, Zesty; Rahmatsyah, Hadi; Ashari, Dedi Nurhasan; Pragholapati, Andria
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6519

Abstract

Mental disorders represent a significant global health concern, adversely affecting individuals' well-being and quality of life. Empirical evidence suggests gender-based differences in the prevalence of mental disorders, yet comprehensive analyses within adult populations remain limited. This study aimed to examine gender differences in the prevalence of four major categories of mental disorders—neurotic disorders, substance use disorders (SUD), psychotic disorders, and post-traumatic stress disorder (PTSD)—in the adult population. The study population consisted of adult patients aged 18 years and older who were present in the designated research area during the study period. From this population, a total sample of 2,875 respondents was targeted using a consecutive sampling technique, where every eligible individual was selected in sequence until the required sample size was achieved. Inclusion criteria included adults who were able to communicate and willing to complete the questionnaire, while those with severe cognitive impairment or in emergency conditions were excluded. Data were collected using the Self-Reporting Questionnaire (SRQ-29), a validated and reliable instrument comprising 29 closed-ended items that assess symptoms across four mental health domains: neurotic, substance use, psychotic, and PTSD. Each “YES” answer was scored as 1 and each “NO” as 0. The responses were analyzed using SPSS version 25.0. Descriptive statistics (frequencies and percentages) were used to summarize the data, while the Chi-Square Test of Independence was applied to examine gender-based differences. Additionally, Odds Ratios (OR) and 95% confidence intervals were calculated to assess the strength of association between gender and mental disorder indications. The findings revealed that neurotic disorders, psychotic disorders, and PTSD were more prevalent in females than in males. Neurotic disorders affected 47.7% of females and 28.3% of males; psychotic disorders were present in 32.6% of females and 27.2% of males; PTSD affected 63.6% of females compared to 46.8% of males. No cases of substance use disorders were reported in either gender group. There are significant gender differences in the prevalence of certain mental disorders, with females exhibiting higher rates of neurotic disorders, psychotic disorders, and PTSD. These findings highlight the need for gender-responsive approaches in mental health interventions, services, and public health policy planning.
FAMILY HEALTH HISTORY CONFIRMED POSITIVE COVID-19 DURING SELF ISOLATION Nurliani, Lia; Pragholapati, Andria
Journal of Vocational Nursing Vol. 3 No. 1 (2022): MAY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i1.31721

Abstract

Introduction: Coronavirus or the so-called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV2) is a virus variant that was newly discovered in December 2019, in Wuhan China, and is the cause of the infectious disease Coronavirus Disease-2019 (COVID-19). This virus can infect all ages and manifests mild to severe symptoms, and can even cause death. Until now, various efforts have been made to prevent the spread of COVID-19, including the government's policy to self-isolate for people infected with COVID-19 who have mild symptoms. During self-isolation, different health problems may arise for each person. Mental health is very necessary to support physical health during isolation. Method: The method used is a qualitative method, a case study on five family members who were confirmed positive for COVID-19 by describing the health history of each individual. Results: In this study, researchers will use both data analysis techniques, namely quantitatively to synthesize research results with a quantitative approach, for example, Cohort Study or Case-Control Study, Cross Sectional Study, Prospective Study / cohort, Retrospective Study, Rapid Review, Observational Study and qualitatively to synthesize (summarize) the results of the descriptive qualitative research. Conclusions: Isolation independent by someone or group of people with mild COVID-19 symptoms. Isolation independent could walk with good if needs base fulfilled and have good mental health.
HUBUNGAN POLA ASUH ORANG TUA DENGAN KECERDASAN EMOSIONAL PADA REMAJA : LITERATURE REVIEW Firman Pangestu, Prayoga; N. Bolla, Ibrahim; Pragholapati, Andria
Journal Healthcare Education Vol. 1 No. 2 (2023): Volume 1 No. 2 2023
Publisher : Yayasan Healing and Healthcare Education

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

Abstract

Generally adolescents often experience emotional changes call is storm and stress conditions, therefore, demanding not only intellectual or cognitive intelligence, but also emotional intelligence for recognizing and controlling emotion. adolescent have bad or good emotional intelligence is relate to several important factors that influence it, one of theme is family environment in which the parenting style that parents give to their children to step on adolescent. Objective: this study puspose to find out corelation pattern of parenting with emotional intelligence to adolescent Method: This study used a literature review with sistematic review design. Search tool uses GoogleScholar Garuda, PubMed, Science direct and online library. The keywords use are parenting, adolescent,and emotional intelligence. Criteria for selecting sources include journal articles or books about parenting and emotional intelligence to adolescents, journals indexed in Sinta and ScimagoJr, open access journal or journal full text, year of publication from 2010 up to 2020 with primary data. The search results obtained 10 journals that qualify of criteria, then the data were analyzed using descriptive methods. Result: Parenting patterns have a significant impact on the development of adolescent emotional intelligence. It is necessary to treat a balance between the dimensions of warmth and controlling in guiding them. This can help improve the development of emotional intelligence for the better.
Emergency psychiatric nursing: A concept analysis Pragholapati, Andria; Ismail, Suhartini
Majalah Kesehatan Indonesia Vol. 5 No. 1: April 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2024193

Abstract

Background: Individuals with Mental Disorders (ODGJ) are at risk of relapse, leading to emergencies. Untreated psychiatric emergencies can result in disability or even death. Emergency psychiatric care, if not promptly addressed, poses a crucial and complex topic. The aim of this research is to define and clarify these essential concepts, integrating them into mental health nursing care. Methods: Literature search employed keywords such as "emergency" AND "psychiatric" AND "nursing" in English databases (including PubMed, ScienceDirect, and CINAHL) without time restrictions. After extracting concept definitions and identifying characteristic features, psychiatric emergency nursing care was defined. Subsequently, case samples, antecedents, consequences, and empirical concept references were determined. Results: After reviewing four articles, psychiatric emergency nursing care was defined with the following attributes: "adequate response to psychiatric patients," "prompt care for patients with mental health issues should be simple and fast," and "stigma associated with those facing mental health problems." Conclusion: Mental health nursing care can utilize these findings for interventions, evaluating psychiatric emergency nursing care, and training high-quality nurses.
Sosialisasi Pada Perawat tentang Restrain Pasien Perilaku Kekerasan di Klinik Jiwa Nur Illahi Hadiansyah, Tantan; Rusnaedi, Uce; Edyana, Asep; Anna. AS, A Nur; Nompo, Rifki Sakinah; Farkhah, Laeli; Hermiati, Dilfera; Pragholapati, Andria
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.16187

Abstract

ABSTRAK Perilaku kekerasan pada pasien dengan gangguan jiwa adalah tantangan serius bagi perawat di klinik jiwa. Penggunaan restrain adalah salah satu metode yang digunakan untuk menangani perilaku kekerasan, namun banyak perawat belum menerima pelatihan yang memadai mengenai prosedur ini, yang berdampak pada rasa percaya diri dan kesiapan mereka dalam menghadapi situasi tersebut. Sosialisasi ini bertujuan untuk meningkatkan pengetahuan, pemahaman, dan kemampuan perawat terhadap restrain pada pasien dengan perilaku kekerasan. Promosi Kesehatan dilaksanakan melalui beberapa tahapan. Sebelum sosialisasi, tingkat pengetahuan perawat mengenai penggunaan restrain relatif rendah, dengan skor pengetahuan rata-rata 4,29 dari 10 soal pilihan ganda. Setelah sosialisasi, skor pengetahuan meningkat signifikan dengan rata-rata skor 8,29. Hal ini menunjukkan peningkatan yang signifikan dalam pengetahuan dan kesiapan perawat setelah sosialisasi dilakukan. Kegiatan sosialisasi mengenai penggunaan restrain sangat penting untuk meningkatkan pengetahuan perawat dalam menangani pasien dengan perilaku kekerasan. Hasil penelitian ini menegaskan perlunya pelatihan berkelanjutan untuk memastikan penerapan restrain yang aman dan efektif. Kata Kunci: Pengetahuan Perawat, Restrain, Perilaku Kekerasan  ABSTRACT Violent behavior in psychiatric patients poses a significant challenge for nurses in mental health clinics. Restraint is one method used to manage violent behavior, but many nurses have not received adequate training in this procedure, impacting their confidence and preparedness in handling such situations. This socialization aims to enhance nurses' knowledge, understanding, and skills in restraining patients with violent behavior. Health promotion was carried out through several stages. Before the socialization, the nurses' knowledge of restraint use was relatively low, with an average knowledge score of 4.29 out of 10 multiple-choice questions. After the socialization, the knowledge scores significantly increased, with an average score of 8.29. This indicates a significant improvement in the knowledge and preparedness of the nurses after the socialization was conducted. Socialization activities regarding the use of restraint are crucial for enhancing nurses' knowledge in handling patients with violent behavior. This study's results emphasize the need for ongoing training to ensure the safe and effective application of restraints. Keywords: Nurses Knowledge, Restraint, Violent Behavior
Studi Kasus: Penerapan General Initial Management Terhadap Kriteria Hasil Masalah Nyeri Akut Pada Pasien Acute Coronary Syndrome di Instalasi Gawat Darurat RSUD Cibabat Kota Cimahi Ardiansyah, Diki; Yasmin, Alya Fariida; Pragholapati, Andria
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16677

Abstract

ABSTRACT The incidence of ACS in the emergency room of Cibabat Hospital, Cimahi City in 2023 was quite high, reaching 1,056 people. The appropriat handling carried out by nurses in the emergency room is to apply general initial management (MONA) as a measure to help reduce pain and risk of death within the first 2 hours of an attack. The purpose of this study was to determine the description of the application of general initial management in nursing care for ACS patients in the Emergency Room of Cibabat Hospital, Cimahi City. This study used descriptive case report or case study methodology. The research subjects were patients with a diagnosis of ACS STEMI, patients with acute pain nursing problems, patients fully conscious with a compos mentis level of consciousness. The results of the assessment of left chest pain, pain did not decrease, pain like stabbing, pain radiating to the back and left arm, pain scale 6, pain lasted ≥20 minutes, echg picture of sinus bradycardia and ST segment elevation in leads II, III, and aVF, troponin I 40000 ng/L. General initial management was applied, positioning, nasal cannula oxygen 4L/min, aspirin (arixtra 2.5 cc 1x1 sc), and nitrates were not given because the patient did not meet the requirements, namely systolic ≤90 mmHg and pulse ≤60x/min, after being evaluated 1 hours the pain scale was reduced to 3. The author concludes that the application of general initial management (MONA) can reduce pain in ACS in the first 1 hours. Based on this study, it is recommended for nurses to improve the accuracy of the implementation of general initial management to reduce acute pain in ACS patients.. Keywords: General Initial Management, Acute Pain, Acute Coronary Syndrome, Nursing Care  ABSTRAK Angka kejadian ACS di IGD RSUD Cibabat Kota Cimahi pada tahun 2023 cukup tinggi yaitu mencapai 1.056 orang. Penanganan yang tepat dilakukan perawat di IGD dengan melakukan penerapan general initial management (MONA) sebagai tindakan untuk membantu mengurangi rasa sakit dan risiko kematian dalam 2 jam pertama serangan. Tujuan penelitian ini guna memahami gambaran penerapan general initial management dalam asuhan keperawatan pada pasien ACS di IGD RSUD Cibabat Kota Cimahi. Penelitian ini menggunakan metodologi deskriptif case report atau studi kasus. Subjek penelitian adalah pasien dengan diagnosa ACS STEMI, pasien dengan masalah keperawatan nyeri akut, pasien sadar penuh dengan tingkat kesadaran compos mentis. Hasil pengkajian nyeri dada sebelah kiri, nyeri tidak berkurang, nyeri seperti tertusuk-tusuk, nyeri menjalar ke punggung dan lengan kiri, skala nyeri 6, nyeri berlangsung ≥20 menit, gambaran EKG sinus bradikardia dan ST segmen elevasi pada lead II, III, dan aVF, troponin I 40000 ng/L. Dilakukan penerapan general initial management pemberian posisi, pemberian oksigen nasal kanul 4L/menit, aspirin (arixtra 2,5 cc 1x1 sc), dan nitrat tidak diberikan karena pasien tidak memenuhi syarat yaitu sistolik ≤90 mmHg dan nadi ≤60x/menit, setelah dievaluasi 1 jam skala nyeri berkurang menjadi 3. Penulis menarik kesimpulan penerapan general initial management (MONA) dapat menurunkan nyeri pada ACS di 1 jam pertama. Berdasarkan penelitian ini disarankan bagi perawat untuk meningkatkan ketepatan implementasi general initial management untuk mengurangi nyeri akut pada pasien ACS. Kata Kunci: General Initial Management, Nyeri Akut, Acute Coronary Syndrome, Asuhan Keperawatan
Co-Authors - Anggorowati . Susilawati A Nur Anna AS Adelia Destyana Afianti Sulastri, Afianti Alifiati Fitrikasari Alifiati Fitrikasari Anggorowati Anggorowati Antri Ariani Ardelia, Indrastata Ardiana, Firna Ardiansyah, Diki Ariani, Antri Aryanti, Fita Lia Ashari, Dedi Nurhasan Azmawa, Ajeng Budi Somantri, Budi Darmawati, Irma Destyana, Adelia Dharmansyah, Dhika Dhito Pemi Aprianto Edy Suprayitno Edy Suprayitno Edyana, Asep Eni Hidayati Eni Hidayati Eni Hidayati Eryanto, Bambang Evi Nurjanah Farkhah, Laeli Fatimah Azzahra Firman Pangestu, Prayoga Fitri Munawaroh Fitria Handayani Gina Khairinisa Hadiansyah, Tantan Hadiansyah, Tantan Haerul Imam Handayani, Fitria Haryana, Iik Frida Hermiati, Dilfera Iik Frida Haryana Iis Haryati Imam Tri Sutrisno Imam, Haerul Indriany, Dini Intan Permatasari Lestari Irman Irman Soemantri Ismafiaty, Ismafiaty Iyus Yosef Jusuf S. Effendi katiah, katiah Laksmi dewi Lestari, Ardita Ayu Lestari, Dias Sri Lilis, Lilis Linda Amalia Lisna Anisa Fitriana, Lisna Anisa Marlina Marlina Megawati, Sri Wulan Mia Ayu Yulianti Mohammad Ali Munawaroh, Fitri Murtaqiatusholihat Murtaqiatusholihat N. Bolla, Ibrahim Naricho Yudha Wiratama Nasution, Lina Anisa Nur Setiawati Dewi Nurlianawati, Lia Nurliani, Lia Oyoh, Oyoh Perdani, Agni Laili Rahmatsyah, Hadi Ratna E, Suci Rifki Sakinah Nompo Rizki Muliani Rizki Muliani Rizki Muliani Rizki Muliani Rofiasari, Linda Roswendi, Achmad Setya Rumkoda, Dina Nadya Rusnaedi, Uce Salasa, Sehabudin Saputra, Noki Irawan Sarinengsih, Yuyun Seliana Dwi Rahmawati Selly Afrilianti Dila Gusraeni Septian Andriyani, Septian Slamet Rohaedi, Slamet Sopiyanti, Desy Sri Sumartini Suci Tuty Putri, Suci Tuty Suhartini Ismail Suhartini Ismail, Suhartini Susanto, Wigyo Susi Gustina Tampubolon, Rossa Natalia Tantan Hadiansyah Tirta Adikusuma Suparto, Tirta Adikusuma Titin Mulyati Tri Indah Winarni Tri Nur Kristina Upik Rahmi, Upik Virgiandita, Zesty Wahdini, Ridha Wahyoe, Asih Purwandari Wardany, Nadia Sintia Wida Ulfitri Wiratama, Naricho Yudha Wulan, Winda Ratna Yana Suryana Yasmin, Alya Fariida Yudianto, Kurniawan Yusita, Intan