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DEPRESSION, ANXIETY, AND STRESS IN FAMILIES CARING FOR PERSONS WITH MENTAL DISORDERS Perdana Febryanto, Kaldera Yugi; Rindayati, Rindayati; Supriati, Lilik; Harianto, Susilo; Iswatun, Iswatun; Okviasanti, Fanni
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.73411

Abstract

Introduction: Mental disorders can disrupt the psychological, emotional, and social functioning of individuals, manifesting through symptoms such as hallucinations, delusions, and decreased motivation. These conditions can affect the families who care for them, often leading to depression, anxiety, and stress. Objective to determine the levels of depression, anxiety, and stress among families caring for individuals with mental disorders. Methods: This quantitative descriptive study involved 75 families who cared for individuals with mental disorders and met predetermined inclusion criteria. The research was conducted in the Manyar Sub-district Health Center area, Gresik Regency, in March 2022. A total of 63 respondents were selected using a purposive sampling method. Data were collected through questionnaires administered during home visits. The variables of depression, anxiety, and stress were measured using the Depression Anxiety Stress Scales (DASS). Results: The study revealed that 57% of families caring for members with mental disorders experienced mild levels of depression. The majority (60%) reported moderate levels of anxiety, while most families (78%) showed normal levels of stress. Conclusions: Most families caring for individuals with mental disorders experienced mild depression, moderate anxiety, and normal stress levels. Providing mental health education and relaxation training for family caregivers is important to reduce depression, anxiety, and stress, thereby improving the quality of care.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND PSYCHOLOGICAL WELL-BEING AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS AT SUKODADI PUBLIC HEALTH CENTER, LAMONGAN REGENCY Umam, Khotibul; Iswatun, Iswatun; Susanto, Joko; Wijayanti, Endah Sri
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.74718

Abstract

Introduction: Type 2 diabetes mellitus is a chronic disease that commonly affects many individuals. It can lead to a lack of self-acceptance, depression, and high levels of anxiety. This can negatively impact a person's psychological well-being, making family support crucial. This study aims to analyze the relationship between family support and psychological well-being among patients with type 2 diabetes mellitus at Sukodadi Public Health Center, Lamongan Regency. Methods: This research used a quantitative correlational design with a cross-sectional study approach. The sample consisted of 50 subjects selected through consecutive sampling. The research instruments used were Hensarling's Diabetes Family Support Scale (HDFSS) and Ryff's Psychological Well-Being Scale (RPWB). Results: The results showed that almost all respondents had high family support, with 88% of respondents reporting this. More than half of the respondents demonstrated good psychological well-being, accounting for 52%. Based on the Chi-Square test, highly significant results were obtained, as evidenced by the Asymp. Sig value of P = 0.000. Conclusions: There was a significant relationship between family support and psychological well-being among patients with type 2 diabetes mellitus at Sukodadi Public Health Center, Lamongan Regency. The results of this study are expected to provide information, serve as a guideline, and offer input regarding the importance of psychological well-being, which can positively influence the health outcomes of patients with type 2 diabetes mellitus.
Self-Efficacy and Utilization of Prolanis Health Services for Type 2 Diabetes Mellitus Patients iswatun, iswatun; Susanto, Joko; Umam, Khotibul; Hidaayah, Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.3175

Abstract

The prevalence of type 2 Diabetes Mellitus (DM) continues to increase globally, including in Indonesia, causing a decrease in quality of life and the risk of serious complications. The Chronic Disease Management Program (Prolanis) is designed to improve disease management, but its utilization has not been optimal. Self-efficacy is a key factor in encouraging patient participation in health services. Objectives: This study aims to analyze the relationship between self-efficacy and the utilization of Prolanis health services in patients with type 2 diabetes mellitus. Specifically, the objectives of this study include identifying the level of self-efficacy of type 2 DM patients who are members of the Prolanis group and assessing the level of utilization of Prolanis health services by type 2 DM patients. Methods: The study was conducted using a cross-sectional approach at the Lamongan Health Center from March to May 2023. The study sample was 125 DM patients in the Prolanis group who were selected by accidental sampling. The research instrument used a general self-efficacy questionnaire and a questionnaire on utilizing the Prolanis health service system compiled by researchers from the results of a literature review and data analysis using the Spearman Rank test. The study results showed that the majority of respondents, 68%, had high self-efficacy, and 51.2% made good use of Prolanis health services. The results of the Spearman Rank test are p = 0.000 and r = 0.763, meaning that there is a relationship between self-efficacy and the utilization of Prolanis health services for type 2 DM patients. The correlation strength is strong and positive. The conclusion shows that high self-efficacy in type 2 DM patients tends to be better at utilizing Prolanis health services than low self-efficacy.
Asuhan Keperawatan Nyeri Akut Pada Klien Dengan Hipertensi : Studi Kasus Iswatun, Iswatun
Jurnal Surya Vol 13 No 2 (2021): VOL 13 NO 02 AGUSTUS 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i2.253

Abstract

Background: Hypertension is a disease that gets attention from all walks of life, considering that its impact requires comprehensive and integrated long-term treatment. Hypertension causes high morbidity (illness) and mortality (death).Objectives: This case study aims to carry out nursing care for clients who experience hypertension with the main problem being acute pain in the working area of the Sukodadi Health Center.Designe: This study design uses a case study method with a nursing process approach. The research subjects were 1 hypertensive client with the main problem being acute pain. The data collection technique was through interviews, observation, physical examination and documentation studies. Hypertensive patients were observed for 3 days of treatment. The data obtained were analyzed by comparing theories and cases. The data were analyzed using narrative analysis.Result: The results of the case study show that in the assessment there is a match between theory and literature review. Nursing diagnoses that arise in addition to acute pain, there is also a knowledge deficit. Nursing implementation is carried out based on interventions that have been made, both non-pharmacological (distraction and relaxation techniques) and pharmacological (collaboration in administering analgesics). In the evaluation there was a decrease in pain from a scale of 6 to a scale of 2.Conclusion: Implementation of non-pharmacological nursing (distraction and relaxation techniques), and pharmacology (collaboration in providing analgesics) and health education (reducing salt consumption, regulating diet, stress management, not smoking, not consuming alcohol, exercising, getting enough rest) can reduce pain and prevent recurrence. Keywords: Nursing care, acute pain, hypertension
Asuhan Keperawatan Keluarga Nyeri Akut Pada Klien Dengan Gastritis : Studi Kasus Iswatun, Iswatun; Wijayanti, Endah Sri; Fatimatuz Z, Aini Nurul
Jurnal Surya Vol 13 No 2 (2021): VOL 13 NO 02 AGUSTUS 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i2.255

Abstract

Background: Gastritis is a problem experienced by many people and can occur at any age. Gastritis is a disease that occurs due to inflammation of the stomach caused by an increase in stomach acid. The most common symptom in gastritis clients is acute pain.Objectives: The purpose of this case study is to carry out Family Nursing Care with Acute Pain for Gastritis Clients in Ngadirejo Village, Widang District, Tuban Regency.Design: This research method uses a case study method with a family nursing process approach, with research subjects 5 gastritis clients with acute pain. Data collection was obtained through interviews, observations, physical examinations, and documentation studies. The data obtained were analyzed by comparing theory with cases, made in a descriptive narrative.Results: The results of the case study showed an assessment of the suitability and discrepancy, 2 clients said the pain was reduced when they were made to sleep on their stomach, 3 clients said the pain was reduced when they were sleeping on their side. Nursing diagnosis leads to acute pain. Interventions were made according to the literature review, focusing on pain management. Implementation is in accordance with predetermined interventions. On evaluation, the diagnosis of acute pain, can be resolved in 3 visits.Conclusions: Pain management by providing distraction and relaxation techniques is very effective in reducing pain in gastric clients. It is hoped that the family is able to take promotive and preventive actions and can play an active role in meeting the needs of the client, so that the family can carry out nursing care independently. Key Word : Family Nursing Care, Acute Pain, Gastritis
THE INFLUENCE OF BINAHONG LEAVES (ANREDERA CORDIFOLIA) ON HEALING OF FLOUR ALBUSON FEMALE STUDENTSOF CLASS XI SMAN 1 PACIRAN LAMONGAN DISTRICT Iswatun, Iswatun; Pangestu, Anestasia; Nasir, Abdul; Lailiyah, Nazilatul; Aris, Arifal
Journal of Vocational Nursing Vol. 1 No. 1 (2020): May 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v1i1.19916

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Introduction: One problem of adolescents at the age of 11-20 years who have not entered adulthood is fluor albus. In the initial survey, more than half of the students (70%) had vaginal discharge problems. This study aimed to determine the effect of binahong leaves decoction (AnrederaCordifolia) on healing Flour Albuson female Student of class XI  SMAN 1 Paciran, Lamongan District. Methods: The design used pre-experimental method with one grouppre test and post test. The population was all female students who had fluor albus of 34 children and  sample of 25 children with consecutive sampling techniques that the inclusion creteria. The data were analyzedusing  Wilcoxon Sign Rank Test, with significance level of p <0.05 using SPSS V program 22.0. Results: The results of statistical tests showed that the values of Z: -4.613b and p = 0.000 where p <0.05, H1 was accepted, meaning that there was an effect of binahong leaves decoction (AnrederaCordifolia) on  healing Flour Albus. This study indicated that binahong leaf decoction herbs can reduce and even healing fluor albus with good personal hygiene behavior.
IDENTIFICATION OF KNOWLEDGE OF BULLYING IN ADOLESCENTS AND ITS EFFECTS ON BEHAVIOR OF BULLYING FRIENDS Nasir, Abdul; Rindayati, Rindayati; Iswatun, Iswatun; Mei Tyas, Anestasia Pangestu; Kurnia Putri, Bela Dwi
Journal of Vocational Nursing Vol. 1 No. 2 (2020): October 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v1i2.23552

Abstract

Introduction: Bullying behavior committed by fellow students at school is always associated with the search for self-identity and social status, but the behavior is very disturbing and has caused many victims. This study is to analyze the relationship of knowledge about bullying in adolescents and its influence on bullying behavior among peers. Methods: Data for this exploratory study were collected using a cross-sectional model. The study sample consisted of 80 students at SMAN 1 Kebomas Gresik who met the inclusion criteria. The independent variable is bullying knowledge. The dependent variable is bullying behavior. Two questionnaires were used in this study, knowledge about bullying and bullying behavior. The statistical test used is the Spearman Rank test with a significance level of α = 0.05.Results: the average sex of the respondent was 1.38 (SD: 0.487), the average age of the respondent was 1.90 (SD: 0.739), the average socioeconomic respondent was 2.75 (SD: 0.490), the average occupation of the respondent was 2.05 (SD: 0.525), the average bullying behavior of respondents is 1.40 (SD: 0.668), and there is a positive-negative relationship between knowledge and bullying behavior in adolescents (p = 0,000).Conclusion: increased knowledge about bullying can reduce bullying behavior. This is necessary for health education to improve understanding of the terror behaviors that are usually carried out by adolescents as a result of the moral release response from the growth and development process that is always experienced by adolescents so that they leave the knowledge possessed
DESCRIPTION OF KNOWLEDGE ABOUT THE POST PLACENTA IUD (INTRA UTERINE DEVICE) CONTRACEPTIVE METHOD FOR PREGNANT Laila, Fadliyah; Mardhika, Amellia; Sulfat, Emuliana; Iswatun, Iswatun; Wijayanti, Endah Sri; A. S, Nela
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.26215

Abstract

Introduction: Post-placental IUD is a long-term contraceptive method with an effective pregnancy prevention 0.6-0.8 pregnancies / 100 women. Installation that is carried out when the mother gives birth has an impact on the coverage of contraceptive use from an early age. Post-placental IUD contraceptives are not only effective in the long term for up to 10 years but are also affordable contraceptives for people from low to high economies status. Currently, these contraceptives can be purchased or installed for free. Contraception does not interfere with milk production, does not require routine follow-up to the hospital, contraceptive examinations can be done independently. The purpose of this study was to describe the knowledge about the post-placenta IUD contraceptive method. Methods: This study used a descriptive design, with a population of 98 people and a sample of 54 people. The sampling used is purposive sampling. Collecting data with a closed questionnaire. Data processing and data analysis by editing, scoring, coding, tabulating and presented in narrative form then draw conclusions. Results: Based on the results of the study, it was found that most (78.1%) pregnant women had less knowledge about Post Placenta IUD contraception. Conclusion: The reference of this study is to increase knowledge about the Post Placenta IUD (Intra Uterine Device) contraceptive method in pregnant women. Periodic health education regarding this contraceptive method during pregnancy so that at delivery, post placenta IUD contraception can be immediately installed. 
DESCRIPTION OF HYPERTENSION LEVELS IN PRIMARY HYPERTENSION ADULTS AND ELDERLY IN KARANGBINANGUN LAMONGAN DISTRICT Iswatun, Iswatun; Wijayanti, Endah Sri; Fadliyah, Lailatul; Purwanto, Cucuk Rahmadi; Rohmawati, Iin
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.26519

Abstract

Introduction: Hypertension is often a silent killer because it is often without symptoms that warn of a problem. Symptoms that appear are often considered as common disorders, so that the victim is too late to realize that the disease is coming. Hypertension is an increase in blood pressure above normal limits with systolic value of 140 mmHg and diastolic value of 90 mmHg. The purpose of this study was to determine the level of hypertension in patients with primary hypertension in Karangbinangun Lamongan District. Method: This research design using descriptive with a population of 70 respondents then sampled using simple random sampling and get a sample of 64 respondents, in accordance with the inclusion criteria, are healthy patients and willing to sign the informed consent The variable in this study is the level of hypertension. The data of this study were taken from the results of blood pressure measurements by standards WHO. The data is tabulated in the form of frequency distribution by categorizing hypertension into mild, moderate and severe. Result: The results showed that half of the respondents (50%) had mild hypertension, 28.1% moderate hypertension and 21.9% severe hypertension. Conclusion: Seeing the results of this study, that there are still many people who have hypertension, so health education by health workers and family is needed to prevent recurrence.
FAMILY NURSING CARE WITH DIABETES MELLITUS PROBLEMS READINESS TO INCREASE FAMILY COPING: A CASE STUDY IN LAMONGAN Wijayanti, Endah Sri; Iswatun, Iswatun; Kurniawati, Rizka
Journal of Vocational Nursing Vol. 2 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i2.30394

Abstract

Introduction : Family is an important aspect in nursing. Family members need care, supervision, and attention if they suffer from  health problems such as Diabetes Mellitus. Families must have effective and competent coping to overcome health problems of family members. Global DM prevalence in 2019 an estimated 9,3% (463 million people). DM patients in Lamongan regency are 1,4% with a total of 4,138 cases per year and are ranked 4th in Java Province. According to an integrated disease surveillance report based on Puskesmas in Lamongan. The percentade of DM in the last 2 years was 12 cases, based on data from Banjarejo village, Sukodadi. District, Lamongan Regency in 2020 as many as 6 patients from 450 patients. Method : Method this research uses a descriptive method in the form of a case study to axplore the problem of family nursing care in the case of Diabetes Mellitus with nursing problems of increasing family coping readiness in Banjarejo village, Sukodadi district, Lamongan regency. The approach used is a nursing care approach that includes assessment, nursing diagnosis, planning,implementation, and evaluation. Result : Patients usually then do things that are not allowed in the treatment process, such as not maintaining a pattern of nutrition, activity, and wound care. Discussion: The role of the family is needed because it has a duty in health so that they understand the health problems of family members with each other so that they can have a positive impact.