Claim Missing Document
Check
Articles

Hubungan Ansietas dengan Mekanisme Koping pada Pasien Diabetes Melitus di Semarang: The Relationship of Anxiety and Coping Mechanisms in Diabetes Mellitus Patient Senti Sene; Betie Febriana; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Jurnal Keperawatan Berbudaya Sehat Vol. 3 No. 2 (2025): Juli 2025
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jkbs.v3i2.3883

Abstract

Diabetes Mellitus is a chronic disease that significantly impacts patients' mental health, particularly their anxiety levels. This study aims to investigate the relationship between anxiety and coping mechanisms among diabetes mellitus patients in Semarang. This study employed the DASS 42 questionnaire to assess anxiety levels and coping mechanisms in patients. The results showed a significant correlation between anxiety levels and coping mechanisms in diabetes mellitus patients. The study revealed that patients with higher anxiety levels tend to use less adaptive coping mechanisms, which can exacerbate their health conditions. This study concludes that effective anxiety management is crucial in enabling diabetes mellitus patients to employ more adaptive coping mechanisms. Therefore, healthcare providers should offer psychological support to help reduce anxiety levels among these patients, ultimately improving their overall health outcomes.
Hubungan Dukungan Keluarga terhadap Gangguan Citra Tubuh pada Pasien Kemoterapi Siti Fatimah; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.838

Abstract

This study aimed to identify the relationship between family support and body image disturbance among breast cancer patients undergoing chemotherapy at Sultan Agung Islamic Hospital, Semarang. Breast cancer and its treatment, particularly chemotherapy, often cause physical changes such as hair loss, weight fluctuations, and mastectomy, which can significantly affect patients’ body image perception. Family support is assumed to play a crucial role in helping patients adapt to these changes. This research employed a quantitative approach with a cross-sectional design. A total of 110 breast cancer patients were recruited using consecutive sampling. The research instruments consisted of a family support questionnaire comprising 20 items and a body image questionnaire with 10 items. Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results showed that most respondents (60%) received good family support, while 55% experienced negative body image. Statistical analysis revealed a significant relationship between family support and body image disturbance (p = 0.004) with a correlation coefficient of r = 0.275, indicating a weak but significant correlation. These findings suggest that family support plays an important role in maintaining a positive body image among breast cancer patients undergoing chemotherapy. Therefore, nursing interventions should actively involve family members to provide both emotional and practical support, which may help patients cope with the psychological impact of treatment and improve their overall well-being.
Hubungan antara Tingkat Stres dengan Beban Kerja Perawat di Rumah Sakit Semarang Ika Chandra Putri; Dwi Heppy Rochmawati; Wigyo Susanto
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.840

Abstract

Nurses are healthcare workers who have a high workload because they are in direct contact with patients 24 hours a day. Complex tasks, limited manpower, and high service demands often cause work stress. Unresolved stress can affect nurses' health, reduce performance, and even impact patient safety. This study aims to investigate the relationship between stress levels and workloads among nurses at Semarang General Hospital. The study design employs a cross-sectional approach with a quantitative methodology. The study population consists of all nurses in the inpatient ward of Semarang General Hospital, with a sample size of 80 respondents selected using proportional random sampling. The research instruments used the Perceived Stress Scale (PSS-10) questionnaire to measure stress and the NASA-TLX questionnaire to measure workload. Data analysis was conducted using the Spearman Rank test. The results of the study show that most nurses are in the moderate stress category (65%), while the highest workload is in the high category (58.8%). Bivariate analysis yielded a p-value of 0.001 (p < 0.05) with a correlation coefficient of r = 0.412, indicating a significant positive relationship between stress levels and nurses' workload. The higher the workload of nurses, the higher the stress levels they experience. Hospitals are encouraged to implement effective workload management, including proportional task distribution, additional staff, and stress management programs for nurses.
Gambaran Tingkat Kecemasan pada Pasien Pre Operasi Laparascopy Cholesistectomy di Rumah Sakit Semarang Umi Nuraini, Umi Nuraini; Dwi Heppy Rochmawati; Wigyo Susanto
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.841

Abstract

Preoperative anxiety in patients undergoing laparoscopic cholecystectomy is an important issue because it can affect the psychological and physiological condition, as well as the postoperative recovery process. This study aims to describe the level of anxiety in preoperative laparoscopic cholecystectomy patients at Sultan Agung Islamic Hospital (RSI) Semarang. This research used a quantitative descriptive design with a population of all preoperative laparoscopic cholecystectomy patients and a total sample of 91 respondents, selected using purposive sampling technique. Data collection was performed using a questionnaire, which was then analyzed univariately to obtain the frequency distribution of anxiety levels. The results showed that most respondents were in the elderly group (41.8%), male (79.1%), employed (75.8%), and had no medical history (72.5%). The majority of respondents experienced moderate anxiety (73.6%), followed by mild anxiety (23.1%) and severe anxiety (3.3%). These findings indicate that most patients experience moderate anxiety before the surgical procedure. These results can serve as a basis for healthcare providers to deliver psychological interventions to reduce preoperative anxiety, such as providing adequate information, emotional support, and relaxation techniques to improve patient comfort and readiness for the medical procedure.
Hubungan antara Tingkat Kecemasan dengan Kualitas Hidup Pasien Stroke di Semarang Nur Hidayah, Nur Hidayah; Dwi Heppy Rochmawati; Wigyo Susanto
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.842

Abstract

Stroke is one of the leading causes of disability, resulting in a decline in the quality of life of its sufferers. In addition to physical impairments, stroke patients often experience anxiety, which can hinder the recovery process and lower overall quality of life. This study aims to analyze the relationship between anxiety levels and the quality of life of stroke patients. The research design used a correlational descriptive approach with a cross-sectional method. The study population consisted of stroke patients receiving care or rehabilitation in healthcare facilities, with a total sampling technique for sampling. The research instruments included an anxiety questionnaire and a quality of life questionnaire. Data analysis was performed using Somers’ d statistical test. The results showed that most stroke patients experienced moderate anxiety and had low quality of life. The Somers’ d test indicated a significant relationship between anxiety and the quality of life of stroke patients (p < 0.05). These findings suggest that the higher the anxiety level, the lower the quality of life perceived by the patients. Therefore, healthcare providers are expected to not only focus on physical therapy but also provide psychological interventions to reduce anxiety, thus improving the quality of life of stroke patients.
Hubungan antara Tingkat Spiritual dengan Tingkat Kecemasan pada Pasien Ca Mamae di Semarang Siti Nur Rochmayanti; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1734

Abstract

Anxiety is an emotional condition that causes feelings of discomfort, helplessness, and uncertainty, often without a clear reason. Among breast cancer (carcinoma mammae) patients, anxiety commonly arises due to treatment processes, physical changes, and uncertainty regarding recovery. Spirituality, which involves belief in God Almighty and connection with transcendental aspects, is believed to help individuals cope with uncertain and challenging situations, including serious illness. This study aimed to determine the relationship between spiritual level and anxiety level among breast cancer patients in Semarang. The research used a quantitative correlational design with a sample of 110 respondents selected through purposive sampling based on inclusion criteria. The instruments employed were the Depression Anxiety Stress Scale (DASS-42) to assess anxiety levels and the Daily Spiritual Experience Scale (DSES) to measure spirituality. Data were analyzed using the Chi-Square test to examine the relationship between variables. The results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between spirituality level and anxiety level in breast cancer patients. The findings suggest that higher levels of spirituality are associated with lower anxiety levels. Therefore, interventions that support and strengthen spiritual aspects may be effective in reducing anxiety among breast cancer patients. This study recommends that healthcare professionals incorporate spiritual approaches as part of holistic care to improve psychological well-being in patients undergoing cancer treatment.
Pengaruh Terapi Murottal Surat Arrahman terhadap Kecemasan pada Pasien Pre Op Laparoscopy di Semarang Cita Setya Utami; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1736

Abstract

Surgical procedures, including laparoscopic surgery, may cause preoperative anxiety arising from fear of the surgery process, uncertain outcomes, and postoperative pain. This anxiety can affect anesthesia and recovery aspects. The purpose of this study was to determine the effect of Murottal recitation of Surah Ar-Rahman on anxiety in preoperative laparoscopy patients. This study employed a quasi-experimental design with a pretest–posttest control group. A total of 40 respondents were recruited using total sampling. Data were collected through questionnaires. Data analysis was conducted using the Wilcoxon test for within-group differences and the Mann-Whitney test for between-group differences. The majority of respondents in both intervention and control groups were late elderly, employed, male, and had no history of illness. Before therapy, anxiety levels in both groups were predominantly moderate. After therapy, most respondents in the intervention group experienced mild anxiety, whereas in the control group most remained in the moderate category. Statistical analysis showed a significant effect of Murottal recitation of Surah Ar-Rahman on reducing anxiety, both in the intervention group (Z = -5,477; p = 0.000) and the control group (Z = -2.000; p = 0.046). Overall, Murottal recitation of Surah Ar-Rahman was proven to be significantly effective in reducing respondents’ anxiety levels (Z = -4,534; p = 0.000). It is recommended that families play an active role in supporting anxiety reduction in patients undergoing surgery, for example, by suggesting or facilitating the patients to listen to Murottal recitation of Surah Ar-Rahman.
Hubungan Antara Dukungan Keluarga dengan Tingkat Kecemasan pada Pasien yang Menjalani Kemoterapi di Semarang Umi Aghni; Dwi Heppy Rochmawati; Wigyo Susanto
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1744

Abstract

Cancer is still one of the leading causes of death in Indonesia and poses a major challenge in the world of health. Cancer patients undergoing chemotherapy generally face various psychological problems, one of which is anxiety arising from side effects of therapy, uncertainty of treatment, and deterioration of physical condition. This study aimed to analyze the relationship between family support and anxiety levels in patients undergoing chemotherapy. The research design uses a quantitative approach with a cross-sectional method. The research sample amounted to 40 chemotherapy patients at RSI Sultan Agung Semarang who were selected using a total sampling technique. The research instruments were in the form of family support questionnaires and the Hamilton Anxiety Rating Scale (HARS). Data analysis was carried out using the Marginal Homogeneity test. The results showed that most patients received family support in the moderate to high category (75%) and experienced mild to moderate levels of anxiety (70%). Based on statistical tests, a value of p = 0.001 was obtained, which showed a significant relationship between family support and anxiety levels in chemotherapy patients. The conclusion of this study confirms that good family support plays an important role in helping patients reduce anxiety during treatment. These findings indicate the importance of active family involvement in accompanying patients, both emotionally, informationally, and instrumentally. Therefore, educational programs involving families are highly recommended to improve the quality of care and support the psychological condition of cancer patients.
Efektivitas Terapi Dzikir Sholawat terhadap Tingkat Kecemasan pada Pasien Pre Sectio Caesarea Isni Rahim Paramaasri; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1746

Abstract

Anxiety is an emotional response that is commonly experienced by patients before surgery, including in pre sectio caesarean patients. High levels of anxiety can affect the patient's physiological and psychological condition, so appropriate handling efforts are needed. Non-pharmacological interventions, such as prayer dhikr therapy, can be used as an alternative to help reduce anxiety because it provides relaxation, calmness, and increased spirituality. This study aims to analyze the effectiveness of dhikr sholawat therapy on anxiety levels in pre sectio caesarean patients. The research design used a quasi-experiment with a pre-test and post-test control group approach. The research sample consisted of pre-sectio caesarea patients who met the inclusion criteria, then divided into two groups, namely the intervention group that was given prayer dhikr therapy and the control group that only received standard treatment. The instrument used to measure anxiety levels is the Hamilton Anxiety Rating Scale (HARS). Data analysis was carried out by statistical tests according to the distribution of data to find out the difference in results between the two groups. The results showed a significant decrease in anxiety levels in the intervention group compared to the control group (p < 0.05). These findings prove that prayer dhikr therapy is effective in reducing anxiety in pre-sectio caesarean patients. Thus, this therapy can be recommended as one of the non-pharmacological nursing interventions that support the improvement of service quality and patient comfort.
Analisis faktor prediktor kepatuhan dalam menjalani pengobatan pasien hipertensi: A literature review Alghozali, Rasyid Ardan; Rochmawati, Dwi Heppy; Setyowati, Wahyu Endang; Luthfa, Iskim
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1304

Abstract

Background: Adherence is crucial for people with hypertension because it offers significant potential for effective hypertension control through various therapies. Purpose: To explore factors influencing medication adherence in hypertensive patients. Method: This literature review included 10 articles retrieved from databases such as Scopus, PubMed, Web of Science, and Science Direct. The keywords used were hypertension, medication adherence, factors influencing adherence, and family support published between 2021 and 2025. Furthermore, this literature focused on several factors: predisposing, reinforcing, and supporting factors. Results: Based on the review of 10 articles, it was found that factors influencing hypertension medication adherence include knowledge, motivation, family support, access to healthcare services, and the role of healthcare professionals. Conclusion: Hypertension medication adherence is influenced by several factors, including predisposing factors (knowledge, motivation), reinforcing (family support), and supporting factors (access to healthcare services and the role of healthcare professionals). Therefore, it is important to consider these factors when developing strategies to improve adherence to hypertension medication.   Keywords: Adherence; Hypertension; Patients; Predictors; Treatment.   Pendahuluan: Kepatuhan merupakan hal yang sangat penting bagi penderita hipertensi karena merupakan potensi besar untuk pengendalian hipertensi melalui berbagai terapi yang dilakukan, sehingga pengendalian tersebut menjadi efektif. Tujuan: Untuk mengeksplorasi faktor-faktor yang memengaruhi kepatuhan dalam menjalani pengobatan pada pasien dengan hipertensi. Metode: Studi literature review terhadap 10 artikel yang diperoleh dari database seperti Scopus, Pubmed, Web of Science, dan Science Direct. Kata kunci yang digunakan yakni, hipertensi, kepatuhan pengobatan, faktor-faktor yang memengaruhi kepatuhan, dan dukungan keluarga yang diterbitkan antara tahun 2021 dan 2025. Selain itu, literature ini fokus pada beberapa faktor yaitu predisposing, reinforcing, dan enabling. Hasil: Berdasarkan review terhadap 10 artikel, diketahui bahwa faktor-faktor yang memengaruhi kepatuhan pengobatan hipertensi, meliputi pengetahuan, motivasi, dukungan keluarga, akses pelayanan kesehatan, dan peran tenaga kesehatan. Simpulan: Kepatuhan pengobatan hipertensi dipengaruhi oleh beberapa faktor, termasuk predisposing factors (pengetahuan, motivasi), reinforcing (dukungan keluarga), dan enabling (akses pelayanan kesehatan dan peran tenaga kesehatan). Oleh karena itu, penting untuk mempertimbangkan faktor-faktor tersebut dalam mengembangkan strategi untuk meningkatkan kepatuhan pengobatan hipertensi.   Kata Kunci: Hipertensi; Kepatuhan; Pasien; Pengobatan; Prediktor.
Co-Authors ., Ellisa Abdurrouf, Muh. Abdussamad, Nawangsari Wahyuningtyas Achir Yani S. Hamid Achmad Noerkhaerin Putra Adhitya Indra Maulana Agus Budi Raharjo Ahmad Ikhlasul Amal Ahya Sari Dian Nitami Alghozali, Rasyid Ardan Armelia Tri Pangestika Aslam, Putri Latifa Astry Ratna Afriyanti Bakhtiar, Erwin benita irma widyastini Betie Febriana Budi Anna Keliat Cita Setya Utami Citra Permani Putri Dea Yuhanda W, Dea Desy Nur Laili, Desy Dewi, Perwita Rameka Dyah Wiji Puspita Sari, Dyah Wiji Puspita Erna Melastuti, Erna Ersa Putri Andini Fajrin Ziad Syahputra Fandi Muhbar Febriana, Betty Haq, Baihaqi Izzul Hendrawan, Gagah Satria Hetty Catur Ellyawati, Hetty Catur Honan, Honan Ice Yulia Wardani Ika Chandra Putri Indah Puji Lestari Indah Puji Lestari, Indah Puji Lestari Indah Tri Ayu Iskim Luthfa Isni Rahim Paramaasri Istiadah, Ika Lilis Janitra, Fitria Endah Laela Elisia, Laela Laili Sukmawati Laily Nafisah Lia Khainun Nisa’ Lidya Fitrianingrum Lindawati Lindawati Lolla Loviana Subakir Masrokan Mochamad Abdoel Gofoer Muhbar, Fandi Nawangsari Wahyuningtyas Abdussamad Nofiansyah - Noviana, Aini Niswatun Novy Helena Chatarina Daulima Nur Hidayah, Nur Hidayah Pangestika, Armelia Tri Pratama, Raditiya Beni Purnomo - Putri, Mayshella Reghita Putri, Sinta Asaliyah Annisa Roseka Yuliyanti Roseka Yuliyanti, Roseka S. Eko Purnomo, S. Eko Senti Sene Septiani, Amalia Setyowati, Wahyu Endang Sholekhah, Sholekhah SITI FATIMAH Siti Nur Rochmayanti Susanto, Wigyo Suyanto Suyanto Syahrani, Nabilah Targunawan -, Targunawan Titik Suerni Tyas, Lutvi Mahendra Ning Ulumuddin, Muhammad Ikmal Umi Aghni Umi Nuraini, Umi Nuraini Wahyu Endang Setyowati Waluyo Sejati Wibawa, Yan Adi