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Journal : MEDISAINS

Stress influencing and coping strategies model among people living with HIV/AIDS: a mixed-methods Handayani, Sri; Susanti, Dewi
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23365

Abstract

Background: The influencing factor is stress, which has an impact on the low motivation of People Living With HIV/AIDS (PLWHA) to recover. By knowing these factors, interventions in controlling stress can be carried out well. A coping model is needed as a basis for developing stress control intervention plans for PLWHA using a family approach. As the closest environment to PLWHA, the family is very appropriate to control stress in PLWHA.Purpose:  This research aims to determine the factors that influence stress and models of coping strategies for stress in PLWHA.Methods: This is a mixed-method study with an exploratory sequential approach. This research was conducted in Padang City at the quantitative research stage. The sample in this study was 38 PLWHA and nine respondents in a quantitative study (psychologists, counselors, HIV counselors, companions of PLWHA (husband/wife/children/parents), and PLWHA). Data collection was carried out through observation and deep interviews with the respondents.Results: The statistical analyses revealed that factors influencing stress are self-control and discrimination. The results of the interviews obtained information that PLWHA needs to increase their faith in God, PLWHA does not want their status to be known by many people, and there is a lack of knowledge of PLWHA and the environment regarding HIV/AIDS transmission. The appropriate coping strategy model for PLHIV is to increase the PLWHA's faith, prevent the family from disclosing the PLWHA's disease status to the environment, and increase the knowledge of PLWHA and the social environment.Conclusion: Self-control and discrimination influence stress. The stress control coping strategy model for PLWHA is formed from three pillars: faith/belief, health status, and knowledge.
Factors influence the severity of premenopause syndrome Sinambela, Megawati; Hariati, Hariati; Susanti, Dewi; Sirait, Reni Aprinawaty
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23123

Abstract

Background: Premenopause syndrome triggers more severe physical and psychological problems and the emergence of various diseases. The limited research on the factors causing the severity of Premenopause syndrome has resulted in a lack of efforts to address the causative factors. Purpose: This study aims to explore factors that influence the severity of premenopause syndrome.Method: This is an analytic observational study with a cross-sectional design. Eighty-eight women aged 40-45 years were included in this study. The knowledge, attitude, age of menarche, use of hormonal contraceptives, and symptoms of premenopause syndrome observed in this study—data analysis using chi-square and multiple logistic regression.Results: Factors that influence the severity of premenopause syndrome are knowledge, attitude, age of menarche, and use of hormonal contraceptives (p<0.001). Knowledge is the most dominant factor (Exp(B) = 25.983; p<0.05)Conclusion: These results underscore the importance of increasing the knowledge of premenopause women to reduce the severity.
Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach Susanti, Dewi; Yuda, Rahmi Andrita; Handayani, Sri; Sirait, Reni Aprinawaty; Sinambela, Megawati; Yusefni, Elda
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23317

Abstract

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose:  This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.
Co-Authors ', Zulirfan Abdul Rozaq Achmad, Himawan Adi Rahmat Adinugraha, Yudha Afrida Harahap, Dedek Afrida, Dede Alsri Windra Doni Amriani Amir Anggalia, Revikha Anjani, Fidha Merry Annurrahman, Annurrahman Anugrah Ayumaharani Ariesta, Ria Arnetty, Arnetty Arono Aslan Sari M.Si SP. Thesiwati Ayu, Yusmaini Dewi Mulyani Dinaryanti, Ratna Sari Dita Astriningrum Drs. H.Damanhuri Daud, Drs. H.Damanhuri Drs. Ridwan Ahmad Dwi Lantiani Elda Yusefni Elly Junalia, Elly Eni Nuraeni Erwani Erwani, Erwani Evi Hasnita Fahira, Alya Hanifa Faizah, Rahma Fakhruddin Z Fatiatun, Fatiatun Fitri Husni Mardiyah Gustimal Witri Hafizhurrahman, Muhammad Reza Handayani, Sri Harahap, Dedek Afrida Hardinto, Raden Kelik Hardisman Hariati Hariati Hasanah, Nadhatul Nurul Hasanah, Nursifa Hayat, Silvia Salsabila Hayati, Neni Fitra Hermanto, Andryan Maulana Hulu, Victor Trismanjaya I Nyalung, Yanson Ifitri, Ika Ifriqia, Fartika Irwani Zawawi Khoerunnisa, Rani Siti Khofifah, Rosa Nur Kusumandari, Rahma Kusumawardani, Diny lantiany, dwi Lesmana, Belda Nurmultiefa Listiani, Cynthia Yoga Maimunah Maimunah Masniladevi, Masniladevi Masythah, Irma Maulana, Akmal Meilansari, Putri Indah Mudjiran Mudjiran Muhammad Faisal Muhammad Faizal Muhsinin, Siti Zuraida Murwantoko . Musa, Ahmad Musniati, Musniati Nani S. Rahayu Nastasya, Ricca Olivia Niken Titi Pratitis Nofasari, Erlinda Nofriani Fajrah, Nofriani novianto, hendri Nurlia, Restu Vivy Nursyamsiar Tirtowati Oemar, Fahmi Oktavia, Alfonsa Reni Otang Kurniaman Panjaitan, Arop Ria Saulina Patriantoro . Pitaloka, Mawar Diah Ponda, Aprizal Pratiwi, Esti Rizkiana Pujilestari, Mey Purba, Neni Marlina BR Putri, Rinta Twin Utami rahman, hafit Rahmat Kartolo Rahmi Andrita Yuda Rahmi, Nurfadhilah Ramadhan , Fikri Rini Setyowati, Rini Rizaldyaji, Aldinanda Rizanda Machmud Rohaetin, Sri Rois, Moh. Roosita Diana Rotua Sumihar Sitorus Rustam, Yefrida Sari, Wulan Mayang Sefna Rismen Sibarani, Asni Sinambela, Megawati Sirait , Reni Aprinawaty Sirait, Reni Aprinawaty Soebiantoro, Ugy Sri Hartati Sudarmiani Sudarmiani, Sudarmiani Sugiyono . Sulistio, Retno Suparman, S Suprapto, Wasis Supriyanti, Lily supriyanto, dedy irawan SUTIKNO Sutopo A. Wibowo Syarifah Nur Siregar Syarifah, Syifa Tri Suratno Triana, Heny TRIANINGSIH, DEVI Trisna, Eva Triyono Triyono Utomo, Muhamad Tridhal Dadi Verawati, Anisa Villia Anggraini Wahyudi, Agung Susilo Warman, Anses Widaningsih, Wiwin widuri, kinanti kusuma Wijaya, Ferry Winedar, Chusma Candra Yanti, Meyi Yantri Maputra Yundari, Yundari Yusrawati Yusrawati Zurianti, Renita Eka Zuryanty, Zuryanty