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PENGETAHUAN ORANG TUA TENTANGSIBLING RIVALRYPADA ANAK USIA PRASEKOLAH Novi Wandari; Sulastri Sulastri; Mashaurani Yamin
Jurnal Keperawatan Vol 10, No 2 (2014): Jurnal Keperawatan
Publisher : Jurusan Keperawatan Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (51.207 KB) | DOI: 10.26630/jkep.v10i2.249

Abstract

Sibling rivalrypadaanak-anakprasekolahmerupakan kecemburuananak-anakprasekolahterhadapsaudara-saudara mereka.Oleh karena itupengetahuanorang tuasangat pentingdalam mengatasireaksisibling rivalry.Berdasarkanstudi pendahuluanpenelitian yang dilakukandiperolehsejumlahorang tua yangberhasildiwawancarai5orangdari 8 orang tuamengatakanmengalamisibling rivalry.Tujuan daripenelitian ini adalah untukmengetahui gambarantingkat pengetahuanorang tuatentangsibling rivalrypada anakusiaprasekolahdiTKAl-Huda BrantiRayaII. Desain penelitian yang digunakanadalah deskriptif.Populasi penelitianiniadalah orang tuaanakusiaprasekolah(usia 3-5tahun) diTKAl-Huda BrantiRayaIIdengan populasisebanyak58orang tua.Teknik yang digunakandalampengambilan sampeladalah teknikpurposifdan memperolehjumlahrespondensebanyak49orang.Dalam penelitian ini penelitimengumpulkandata menggunakanlembar pertanyaan instrumen tes, danpenelitianmenggunakan analisisunivariat (pesentase).Hasilpenelitian menggambarkanbahwa sebanyak22orang(44,9%) berpengetahuan kurangbaik, 15orang(30,6%) cukup baik, dan12orang(24,5%) baik. Dengangambaran tingkatpengetahuanyangdiketahuiorang tua tentangsibling rivalrypada anakprasekolahusia-(usia3-5tahun) diTKAl-Huda BrantiRayaII, maka orang tuadiharapkanuntuk lebih meningkatkanpengetahuan untukmengatasisibling rivalrymelalui bimbingandisediakan olehkliniklokalatau mediainformasilainnya
Effectiveness of a cognitive behavioral group therapy program for reducing violence risk in persons with schizophrenia Putri Karlinda; Teguh Pribadi; Sulastri Sulastri
Malahayati International Journal of Nursing and Health Science Vol 3, No 1 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v3i1.2869

Abstract

Background: Violent behavior is the dominant sign and symptom in patients with schizophrenia. Proper nursing care can help patients independently control violent behavior. A cognitive behavioral group therapy program  in stimulation of perception to identify their experience of violent behavior.Purpose: Knowing the effectiveness of a cognitive behavioral group therapy program for reducing violence risk in persons with schizophreniaMethods: A quantitative research by design an experimental analytic with pre and post-experiment approach. The sample was 18  inpatient at mental hospital, Lampung Indonesia. By criteria who has a experience of violent behavior.Results: The average score of (pre-treatment) a cognitive behavioral group therapy program  in stimulation of perception of 7.94 (SD± 2.838) (post-treatment) of 10.50 ( SD±2.203). The test results obtained p-value = 0,000, therefore, there is a significant effectiveness of a cognitive behavioral group therapy program for reducing violence risk in persons with schizophrenia.Conclusion: The evident a significant effectiveness of a cognitive behavioral group therapy program for reducing violence risk in persons with schizophrenia. Suggestions to hospital management to be regularly to apply that therapy as an effort to help clients in control of their violent behavior.
The Management of Psychosocial Case with the Mental Health and Psychosocial Support During Covid-19 Pandemic Dwi Heppy Rochmawati; Heri Setiawan; Tri Andri Pujiyanti; Sulastri Sulastri
Indonesian Journal of Global Health Research Vol 3 No 2 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.776 KB) | DOI: 10.37287/ijghr.v3i2.374

Abstract

Since the declaration of the pandemic condition by WHO on March 11, 2020, it has caused various responses from people throughout the world. The spread of the virus is very fast, wide and mass causing more cases and affecting not only physical condition but also psychosocial condition. Various psychosocial problems are experienced by the community related to pandemic conditions. The purpose of this paper was to describe the management of mental health care and psychosocial support for the handling of psychosocial problems experienced by the community during Covid-19 pandemic. The study used quantitative methods of pretest post-test experiment without control group, by providing mental health and psychosocial support. The research sample of 95 respondents was taken by total sampling. The package of activities provided: Mental and Psychosocial Health Support (DKJPS) for Healthy People, DKJPS for Travel Players, DKJPS in Close Contact, DKJPS in Probable Cases, DKJPS in Covid-19 Confirmed Cases and DKJPS for Vulnerable Groups. Therapy was given to 95 respondents (22 volunteers, 51 volunteer nuclear families and 22 volunteer assisted families) using the 29-question of Self-Reporting Questionnaire (SRQ) measurement tool. The results showed that the provision of mental health and psychosocial support had an impact on reducing respondents' psychosocial problems, in the pretest measurement as much as 6.3% of respondents experienced psychosocial problems to 0% of respondents on the post-test. The analysis was carried out using the Wilcoxon test and obtained a p-value of 0.014 (<0.05), which means that there is an effect of mental health and psychosocial support on the handling of psychosocial problems.
Alat Cuci Tangan Elektrik sebagai Upaya Pencegahan Penyebaran COVID-19 di Lokasi Pasca Bencana Tsunami Mei Ahyanti; Ahmad Fikri; Bambang Murwanto; Retno Puji Hastuti; Sulastri Sulastri; Reka Lagora Marsofely
Jurnal Abdimas Mahakam Vol. 5 No. 02 (2021): Juli
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

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

Abstract

Indonesia sebagai negara yang rawan bencana geologi disebabkan keberadaannya di area ring of fire. Beberapa kali Indonesia mengalami tsunami. Tahun 2018 terjadi tsunami di Selat Sunda, dampaknya ke perairan Selatan Sumatera dan perairan Barat Provinsi Banten. Pemulihan baik fisik maupun mental akibat tsunami belum seluruhnya selesai dilakukan, virus COVID-19 datang mengancam kesehatan masyarakat. Virus yang menyerang saluran pernafasan dengan keganasan tinggi dan penyebaran yang begitu cepat. Pengabdian masyarakat ini bertujuan mewujudkan suatu pekon dengan kondisi masyarakat yang memiliki pengetahuan untuk menerapkan pola budaya hidup sehat dan bersih dalam mencegah penularan COVID-19. Kegiatan dilaksanakan dengan pendekatan interkolaborasi dari tiga profesi, yaitu kesehatan lingkungan, keperawatan dan promosi kesehatan, dibantu 9 mahasiswa. Sasaran kegiatan adalah masyarakat terdampak bencana di Pekon Kunjir Kecamatan Rajabasa Kabupaten Lampung Selatan. Kegiatan dilaksanakan pada Bulan November 2020. Tahapan kegiatan meliputi analisis situasi, perencanaan, pelaksanaan dan evaluasi. Evaluasi dilakukan menggunakan kuesioner Indeks Kepuasan Masyarakat. Data yang terkumpul selanjutnya dianalisis secara univariat dalam persentase dan disajikan dengan pie chart. Alat cuci tangan telah terpasang 6 unit di puskesmas, pasar dan tempat rekreasi dan kemandirian masyarakat dalam bidang kesehatan telah terbentuk. Sebagian besar masyarakat merasa sangat puas (94,12%) terhadap kegiatan pengabdian.
Deteksi dini status kesehatan balita dan status kesehatan ibu balita resiko stunting pada anak balita Yunani Yunani; Yuniastini Yuniastini; Purwati Purwati; Sulastri Sulastri
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 5 (2025): June Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i5.1066

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  Background: Stunting is a form of growth failure in a child, where the child's height is lower than other children of the same age. The Asian Development Bank reported that the prevalence of stunting in toddlers in Indonesia is the second highest in Southeast Asia. The prevalence reached 31.8% in 2020. According to the Indonesian Nutritional Status Study (SSGI, 2021), 1 in 4 Indonesian children experience stunting, approximately 5 million Indonesian children experience stunting. Meanwhile, in 2021 the stunting rate reached 24%. Indonesia targets the stunting rate to drop to 14% by 2024. Purpose: To determine the distribution of stunting risk factors in toddlers. Method: The design of this study is a quantitative research design with a survey design. The population and sample are all toddlers in Noto Harjo sub-district, totaling 224 people and a sample of 112. Data collection techniques are observation (height measurement), interviews with toddlers' parents, and documentation studies (KIA Book). Data analysis is descriptive. Results: The results of this study showed that the number of stunting was 21.4%. This data is almost the same as the prevalence of stunting in Indonesia, which is 21.6%. While the target to be achieved by the government is 14%. For this reason, various joint efforts are needed to achieve the targets that have been set. Conclusion: Based on the results of research and statistical test results, the prevalence of stunting in toddlers in Notoharjo Village reached 21.4%. These results show a figure that is almost comparable to the national stunting prevalence in Indonesia, which is 21.6%, this figure is still far above the target set by the government, which is 14% in 2024. This emphasizes the need for more intensive efforts in handling stunting, including nutritional interventions, increasing public awareness, and more effective policy support. With collaboration between various parties, it is hoped that the target of reducing stunting can be achieved, so that children in Indonesia can grow healthily and optimally.
Effectiveness of Afigel therapy in reducing urinary incontinence among premenopausal women: a quasi-experimental study in rural Indonesia Siti Fatonah; Sulastri Sulastri
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26945

Abstract

Urinary incontinence (UI) affects millions globally, predominantly women, significantly impacting quality of life. This study evaluated Afigel as a novel intervention for reducing UI symptoms. A quasi-experimental pre-posttest design was employed with 93 premenopausal women randomly assigned to intervention (n = 31) and control (n = 62) groups. Data collection utilized personal data sheets, Afigel therapy standard operating procedures, observation sheets, and the questionnaire for urinary incontinence diagnosis (QUID). Dependent and independent t-tests analyzed the data. Among participants, 43% experienced stress incontinence, 47% experienced urge incontinence, and 10% mixed incontinence. Severity was mild (41%), moderate (45%), and severe (14%). The intervention group demonstrated a significant reduction in incontinence scores from 6.30 to 1.53 (p = 0.000), while the control group showed minimal change from 6.30 to 6.18 (p = 0.21). Afigel demonstrates potential as an effective UI management therapy. These findings suggest Afigel could substantially improve quality of life by reducing UI-related social embarrassment, activity limitations, and psychological distress. For primary health care settings, Afigel offers a potentially accessible, non-invasive treatment option that community health nurses and primary care providers could implement, reducing referral burdens on specialist services while addressing this prevalent yet often underreported condition.
Development of a supportive-educative health education intervention for family caregivers of diabetes mellitus patients: a quasi-experimental study Siti Fatonah; Sulastri Sulastri; Yuniastini Yuniastini
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27034

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Despite growing evidence on family involvement in diabetes management, few studies have developed and tested structured educational programs targeting family caregivers as active companions in resource-limited settings. This study aimed to evaluate the effectiveness of a comprehensive family support education program based on the five pillars of diabetes mellitus (DM) management in enhancing family knowledge and educational support capacity. A quasi-experimental design with non-probability sampling was employed, involving 157 respondents (intervention group: 72; control group: 85). Social support was measured using a modified Diabetes Social Support Questionnaire-Family. Data were analyzed using independent and paired t-tests. The intervention group demonstrated a significant increase in mean educational support scores from 61.81 to 90.85 (mean difference = 29.04; p < 0.001; Cohen's d = 1.82), indicating a large effect size. The control group showed negligible changes. Poor knowledge decreased from 45.8% to 26.39% in the intervention group, while intermediate knowledge increased substantially. The structured family education program produced a large and statistically significant improvement in caregiving capacity. These findings underscore the need for public health policies to integrate family-centered educational interventions into routine diabetes care, particularly in settings with limited healthcare infrastructure, to reduce disease burden and improve patient outcomes.
Impact of an empathy-based mental health first aid intervention using the SUFA model on anxiety and depression among adolescents: a quasi-experimental study Sulastri Sulastri; Siti Fatonah; Yuniastini Yuniastini; Giri Udani; Allan Harris
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26994

Abstract

This study evaluated the effectiveness of an empathy-based mental health first aid (MHFA) intervention through structured SUFA mentoring by peer counselors in reducing symptoms of anxiety and depression in adolescents. The design used was a quasi-experimental, one-group pretest-posttest study conducted over two weeks in middle and high schools. A total of 100 students were trained as peer counselors, and each mentored one adolescent (a 1:1 ratio). Symptoms were measured before and after the intervention using the Mini MINDHEAR Youth Scale V.1. Analysis included descriptive statistics (mean pre–post scores and changes in symptom categories of "mild/none" vs. "moderate") and McNemar test (α = 0.05) to assess changes in categories. Respondents were predominantly female (67%), in late adolescence (58.18%), and high school students (55%). The mean anxiety score decreased from 4.92 to 3.50 (Δ = 1.42), while depression decreased from 5.05 to 3.21 (Δ = 1.84). The proportion of mild/none anxiety increased from 13 to 56, and moderate decreased from 87 to 44 (p = 0.003). A similar pattern occurred for depression: mild/none increased from 13 to 61, while moderate decreased (p = 0.001). SUFA-based peer counseling interventions significantly reduce symptoms of anxiety and depression in adolescents. Schools should integrate structured peer counselor training programs into mental health frameworks, establish systematic early detection protocols, and establish clear referral pathways to professional services within school-based support systems. The limitations of this study were no control group and short duration, which must be addressed in subsequent research.
Spiritual Emotional Freedom Technique for Enhancing the Meaning of Life in Patients with Ischemic Stroke Dedek Saiful Kohir; Agilia Nur Fauziah; Sulastri Sulastri; Almurhan Almurhan; Sunarsih Sunarsih; Siti Fatonah
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5619

Abstract

Beyond its effects on physical motor abilities, ischemic stroke frequently results in psychological and spiritual crises. Loss of "meaning in life," a commonly disregarded effect, can seriously impair a patient's motivation throughout long-term recovery. Psychospiritual therapies, such as the Spiritual Emotional Freedom Technique (SEFT), which combines spiritual affirmations with meridian-tapping procedures, are used to address this. The purpose of this study is to examine how SEFT treatment affects ischemic stroke patients' sense of purpose in life in a clinical environment. This study used a one-group pretest-posttest methodology and a quantitative pre-experimental design. All stroke patients at RSUD (Regional public hospital) Jenderal Ahmad Yani made up the population. A purposive sampling method was used to select 39 eligible respondents: individuals aged 20 to 60 who were willing to participate in the Spiritual Emotional Freedom Technique (SEFT). They were also of sound mind (compos mentis). The intervention included two SEFT therapy sessions, which took place over two weeks. To measure the differences before and after the intervention, the Meaning in Life Questionnaire (MLQ) was used for data collection, and the Paired Sample T-Test was used for data analysis. The results showed that the "meaning in life" ratings significantly increased after the SEFT intervention, with a significance value of 0.001 (p < 0.05). Patients said they felt more at ease, accepted their status better, and had more optimism for the future. By releasing negative emotions and bolstering spiritual resilience, SEFT is successful in assisting ischemic stroke patients in regaining their sense of purpose. To enhance holistic and humanistic healthcare services, this intervention is advised as a crucial component of psychospiritual nursing care. In addition to standard physical therapy, nurses are urged to educate patients and their families on this self-help method.
Correlation of tumor size with Nottingham histological grading among breast cancer patients: a retrospective correlational study Yuniastini Yuniastini; Yunani Yunani; Sulastri Sulastri; Siti Fatonah; Wien Wiratmoko Guritno Tedjo Prasetio; Prayudi Yushananta
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 2 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i2.4105

Abstract

Background: Tumor size is critical prognostic factor in breast cancer, but evidence regarding its correlation with histological grading is still limited in the Indonesian population. Objective: The aimed of this study was to determine the correlation between tumor size and Nottingham histological grading in breast cancer patients. This study provides the first regional evidence from Lampung, Indonesia, examining the correlation between tumor size and grading using the Nottingham Grading System over 15-year retrospective period (2010–2025). Methods: A descriptive correlational study with a retrospective approach was conducted at RSUDAM, Bandar Lampung, from February to August 2025. Total of 152 breast cancer patients were selected through purposive sampling.Tumor size was categorized as <2 cm, 2–5 cm, and >5 cm based on histopathological examination. Grading was performed using the Nottingham Grading System (grades 1–3). Data were collected from medical records and analyzed using descriptive statistics and Spearman's Rank-Test (α=0.05). Results:The largest tumor size (>5 cm) was found in 44.3% of patients, and grade 3 was the most common (45%). Spearman correlation analysis revealed a statistically significant association between tumor size and histological grading (p=0.046). Among grade 3 tumors, 35.9% were >5 cm, while 75% of grade 1 tumors were 2–5 cm. Overall, a statistically significant negative correlation was observed between tumor grading and tumor size (rₛ = −0.199, p = 0.046). Conclusion: Tumor size correlated significantly with Nottingham histological grading, with larger tumors associated with higher grades, highlighting the need for early detection programs to identify breast cancer at smaller stages and lower grades.