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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 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.
Hubungan Antara Tingkat Harga Diri Mahasiswa dengan Keikutsertaan Organisasi Kampus Laili Sukmawati; Wigyo Susanto; Dwi Heppy Rochmawati
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 1 (2025): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i1.4887

Abstract

Every campus must have an organization within it. Many students join organizations on campus and have no relationship with their self-esteem. Every campus surely has organizations within it. The research results show a relationship between self-esteem levels and campus organization participation among students of the Faculty of Economics at Universitas Islam Sultan Agung Semarang, with a p-value of 0.000 and a moderate correlation indicated by an r-value of 0.450. The research results indicate a relationship between self-esteem levels and campus organization participation among students of the Faculty of Economics at Universitas Islam Sultan Agung Semarang, with a p-value of 0.000 and a moderate correlation shown by an r-value of 0.450.
Hubungan antara Tingkat Kecemasan dengan Kepatuhan Minum Obat pada Pasien Kemoterapi Ca Mamae di Rumah Sakit Semarang Masrokan; Dwi Heppy Rochmawati; Wigyo Susanto
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1756

Abstract

Breast cancer is the leading cause of death globally, following heart disease and stroke. One of the most commonly used treatments is chemotherapy, which offers various benefits but also causes physical and mental side effects. One of the psychological side effects often experienced is anxiety. Extreme fear and the threat of death from cancer can affect adherence to treatment. This study aims to assess the relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients at RSUD Semarang. This research used a quantitative approach with a descriptive correlational method, involving 110 participant samples. The questionnaires used for data collection were DASS-42 to measure anxiety levels and MMAS-8 to assess medication adherence. The study was conducted from June 30 to July 31, 2025, in the Oncology Center room of RSUD Sultan Agung Semarang. Bivariate analysis using Pearson's correlation test showed a p-value of 0.001 < 0.05, indicating a significant relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients. The measured correlation coefficient of -0.325** shows a moderately strong negative relationship, meaning that the higher the anxiety level, the lower the patient's adherence to medication. Based on these findings, it is recommended that nurses in the oncology unit provide additional education and support to patients regarding their anxiety. Effective psychological support can help patients reduce anxiety and increase adherence to treatment, which in turn can improve the outcomes of chemotherapy treatment.
Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Composmentis di ruang Icu Indah Puji Lestari, Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1758

Abstract

Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.
Hubungan antara Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Compos Mentis di Ruang ICU Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1763

Abstract

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.
Co-Authors ., Ellisa Abdussamad, Nawangsari Wahyuningtyas Achir Yani S. Hamid Achmad Noerkhaerin Putra Adhitya Indra Maulana Agatha Alfadiazti Agus Budi Raharjo Ahya Sari Dian Nitami Alghozali, Rasyid Ardan Armelia Tri Pangestika Aslam, Putri Latifa Astry Ratna Afriyanti 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 Dhani Luthfi Hakim Dwi Nurul Badiah Ersa Putri Andini Fajrin Ziad Syahputra Fandi Muhbar Febriana, Betty Haq, Baihaqi Izzul Hetty Catur Ellyawati, Hetty Catur Himatul Millaini Assyifa Ice Yulia Wardani Imas Triayani Indah Puji Lestari Indah Puji Lestari, Indah Puji Lestari Indah Tri Ayu Irgi Ahmad Fahrezi Iskim Luthfa Isni Rahim Paramaasri 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 Mutiara Salsa Nabila Nawangsari Wahyuningtyas Abdussamad Nofiansyah - Noviana, Aini Niswatun Novy Helena Chatarina Daulima 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 Setyati, Dian Setyowati, Wahyu Endang Sholekhah, Sholekhah Siti Nur Rochmayanti Susanto, Wigyo Syahrani, Nabilah Targunawan -, Targunawan Titik Suerni Tyas, Lutvi Mahendra Ning Ulumuddin, Muhammad Ikmal Umi Aghni Wahyu Endang Setyowati Waluyo Sejati Wibawa, Yan Adi