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LITERATURE REVIEW: APPLICATION OF POSITIVE ABILITY EXERCISES TO INCREASE LOW SELF-ESTEEM IN CLIENTS WITH SCHIZOPHRENIA Ichya' Ulumudin, Safetyan; Aristawati, Evy; Huda, Nurul; Zuhroidah, Ida; Cahyono, Bagus Dwi
Journal of Vocational Nursing Vol. 3 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i2.39187

Abstract

Introduction: Positive ability is the ability or positive aspect of an individual to identify the ability that exists in the individual so that clients can choose activities according to their abilities. Patients with low self-esteem see that they are not helpful and feel unable to; by practising positive abilities, they can explore aspects of their positive abilities so that they are expected to see themselves as valuable and become good individuals. Methods: The study used was a literature review of positive ability exercises. Searching for the article is done by Google Scholar or Google Scholar, published from 2015 to 2020, accessed full text in PDF format. Of the five studies used, three used the case study method, one used the Quasi-Experimental Pre-post without control method, and the other used the lecture and discussion method. The search strategy in this literature study uses databases, including Science Direct, Google Scholar and Garuda. Results: A literature review of 7 articles showed that positive ability training varied widely. Conclusions: Positive ability training can overcome nursing problems in patients with schizophrenia with impaired self-concept and low self-esteem.
Hubungan Tingkat Kecemasan Wanita Pra Menopause Dengan Masa Pra Menopause Di MI Miftakhul Ulum Kabupaten Pasuruan Puspitasari, R.A. Helda; Aristawati, Evy
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.90

Abstract

Pramenopause is 3-10 years before the arrival of menopause, at this stage ovarian hormone production decreases and fluctuates causing various symptoms. The average age in each country is different but around 45 and 55 years, these women will experience changes both physiological and psychological. The general objective of this research is to study the relationship between anxiety levels of pre-menopausal women and pre-menopausal periods. While the specific goal is to identify between the anxiety levels of pre-menopausal women, as well as to identify between pre-menopausal levels and periods. The design of this study used a descriptive method in which the approach was cross sectional, the sample was selected by saturation sampling of 25 people. Data is collected by filling out the questionnaire then the data obtained is then presented in tabular and narrative form. The results showed that the level of anxiety of women in the heavy pre-menopausal period (40%), while those in the moderate category were (36%), while those in the low category were (24%). For symptoms and consequences experienced in the pre-menopausal high as much (76%), and low (24%). The results of the chi square test obtained X 2 count 7.89 and X 2 table 5.991. Because the X 2 count is bigger and the X 2 table is Ho is rejected and H1 is accepted, it means there is a relationship between the pre-menopausal woman's anxiety level and the pre-menopausal periods.Keywords: Pre Menopause, Anxiety, Pra Menopause Steps
Peran Pendampingan Keluarga Dalam Senam Diabetes Pada Penderita Diabetes Di Puskesmas Sekargadung Aristawati, Evy; Puspitasari, R.A. Helda
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.91

Abstract

Diabetes Mellitus is often referred to as the great imitator, because it can affect all organs of the body and cause various complaints. Diabetes Mellitus can arise slowly so patients are not aware of changes such as drinking more frequent miktion. The aim of the study is to describe the role of family in the implementation of diabetes gymnastics in patients with Diabetes Mellitus (DM) type 2 at Gayungan Health Center Village Dukuh Denied Surabaya.This research design using descriptive research. The population is all families who have family members with cases of diabetes mellitus with a large sample of 4O people. Sampling using technique Total sampling The variables studied is the role of kleuarga in the implementation of diabetes gymnastics. Data collection was done by distributing questionnaires.The results showed that from 40 respondents in Gayungan Public Health Center, Dukuh Menanggal Surabaya, almost half of them play a good role in the implementation of diabetes gymnastics in diabetic patients as much as 40% (16 people).Health workers should improve health services by providing counseling - extension on diabetics millitus and their families.Keywords: Role Family, Diabetes Mellitus, Gymnastics
Cognitive behavioral Therapy Based on Local Wisdom Culture to Increase Happiness and Slow Degradation of Cognitive Function in the Elderly Post-Stroke Aristawati, Evy; Huda, Nurul; Dwi Cahyono, Bagus; Susanto, Tantut
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.663

Abstract

Background: Stroke in the elderly often leads to physical, psychological, and quality of life deterioration, which can hinder post stroke rehabilitation. Although Cognitive Behavioural Therapy (CBT) has been widely applied, the use of Cognitive Behavioural Therapy (CBT) integrated with local wisdom remains limited, particularly among elderly stroke survivors. Purpose: This study aimed to explore the lived experiences of elderly individuals after stroke who received local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer as a therapeutic medium. Methods: This study employed a qualitative phenomenological design. A total of 25 elderly post stroke participants were selected through purposive sampling and participated in in depth interviews. Data were analysed using thematic analysis following Braun and Clarke’s approach. Results: The findings revealed three main themes, namely biological experiences, psychosocial experiences, and spiritual experiences, reflecting participants’ perceptions of physical comfort, emotional regulation, and enhanced spiritual meaning during the recovery process. In conclusion, local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer provides meaningful biological, psychosocial, and spiritual support for elderly individuals after stroke. Conclusions: These findings imply that integrating culturally and spiritually sensitive Cognitive Behavioural Therapy (CBT) interventions may enhance holistic nursing care and rehabilitation outcomes for elderly stroke survivors.
Acupressure as a Complementary Nursing Intervention for Muscle Trauma Rehabilitation in Rural Farmers: A Quasi-Experimental Study Aristawati, Evy; Rahmawati , Apriana; Huda, Nurul; Cahyono, Bagus Dwi
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 2 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i2.222

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Musculoskeletal pain is one of the most prevalent health conditions among adults, frequently leading to reduced functional capacity and diminished quality of life. Non-pharmacological interventions such as soft tissue manipulation have gained increasing attention as strategies to reduce analgesic dependence and promote functional recovery. This study aimed to evaluate the effectiveness of soft tissue manipulation in reducing pain and improving functional activity in patients with muscle trauma. A quasi-experimental pretest–posttest control group design was employed, involving 100 participants allocated into an intervention group (n = 50) and a control group (n = 50). Pain intensity was assessed using the Visual Analog Scale (VAS), while functional ability was measured using the Patient-Specific Functional Scale (PSFS). Data were analyzed using appropriate parametric and non-parametric tests, with Odds Ratio (OR) calculated to determine the likelihood of clinically meaningful improvement. The intervention group demonstrated a substantially greater reduction in pain (?VAS = 3.4) compared with the control group (?VAS = 1.1). A total of 76% of participants in the intervention group achieved clinically significant improvement, yielding an OR of 6.09, indicating a six-fold higher likelihood of improvement relative to controls. Functional scores also increased significantly following the intervention. These findings highlight soft tissue manipulation as an effective non-pharmacological approach for reducing musculoskeletal pain and enhancing functional activity, supporting its integration into clinical rehabilitation practice.
The Impact of Leadership Training on Nurse Satisfaction and Healthcare Outcomes in Management Clinics: A Cross-Sectional Study: Dampak Pelatihan Kepemimpinan terhadap Kepuasan Perawat dan Kinerja Pelayanan di Klinik Manajemen: A Cross-Sectional Study Nurul Huda; Evy Aristawati; Bagus Dwi Cahyono; Apriana Rahmawati
Jurnal Keperawatan Terapan Vol 11 No 2 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i2.5733

Abstract

Abstrak: Kepemimpinan efektif berperan penting dalam meningkatkan kualitas pelayanan kesehatan dan kepuasan tenaga kesehatan. Namun, akses terhadap pelatihan kepemimpinan bagi perawat di klinik manajemen masih terbatas. Penelitian potong lintang ini melibatkan 100 perawat dari 10 klinik manajemen di Indonesia. Data dikumpulkan melalui kuesioner terstruktur yang telah divalidasi (Cronbach’s alpha = 0,89) dan dianalisis menggunakan uji chi-square serta odds ratio (OR) dengan interval kepercayaan 95%. Hanya 44% perawat yang pernah mengikuti pelatihan kepemimpinan. Analisis menunjukkan bahwa perawat yang mengikuti pelatihan memiliki peluang lebih besar mengalami outcome positif, dengan OR tertinggi pada persepsi manajer suportif (OR = 6,00; 95% CI: 2,68–13,40), diikuti kolaborasi tim (OR = 5,45), kualitas pelayanan (OR = 5,17), dan kepuasan kerja (OR = 4,21), semua signifikan secara statistik (p < 0,05). Pelatihan kepemimpinan secara signifikan meningkatkan kepuasan kerja, dinamika tim, dan kualitas pelayanan. Program pelatihan perlu diintegrasikan ke dalam pengembangan profesional berkelanjutan bagi semua perawat.
Early mental health exposure and clinical readiness of nursing students: A qualitative study Bagus Dwi Cahyono; Ronal Surya Aditya; Nurul Huda; Apriana Rahmawati; Evy Aristawati
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.708

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Early experiential exposure is increasingly advocated to enhance psychiatric clinical readiness; however, empirical evidence regarding real-world social rehabilitation settings remains limited, particularly within low- and middle-income countries where clinical placements are often delayed. This study examined nursing students’ learning experiences and perceived clinical readiness following early exposure to individuals with mental disorders in a community rehabilitation setting. A qualitative descriptive design utilizing reflexive thematic analysis was conducted with 35 third-semester Diploma nursing students in East Java, Indonesia. Purposive sampling achieved thematic saturation at 28 interviews. Data were collected via semi-structured interviews and analyzed using reflexive thematic analysis, adhering strictly to COREQ reporting standards to ensure methodological transparency. Findings delineated a developmental trajectory from initial stigma and anxiety toward empathy, therapeutic confidence, and clinical preparedness. Four interconnected themes emerged: (1) attitudinal reconstruction regarding mental illness, (2) emerging relational agency in therapeutic communication, (3) cognitive-affective integration of theoretical constructs, and (4) transitional clinical readiness. Supervised face-to-face engagement within a supportive rehabilitation environment, facilitated stigma deconstruction, and cultivated adaptive interpersonal competencies. It contextualized abstract classroom knowledge through authentic patient interaction, thereby bridging the theory-practice divide. Early structured exposure transcends passive observation, functioning as a transformative pedagogical mechanism that synchronizes affective, cognitive, and relational development. Systematically embedding community-based experiential learning prior to acute psychiatric placements is critical to optimizing global clinical readiness, mitigating entrenched stigma, and advancing recovery-oriented nursing curricula worldwide, particularly in resource-constrained educational systems
ANCAMAN FINANSIAL DAN GAYA HIDUP SEHAT DI KALANGAN MAHASISWA KEPERAWATAN USIA REMAJA AKHIR DI DAERAH PEDESAAN JAWA TIMUR Apriana Rahmawati; Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda; Ronal Surya Aditya; Trihaningsih Puji Astuti
Jurnal Riset Kesehatan Vol 15 No 1 (2026): MAY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v15i1.14203

Abstract

Perceived financial stability and uncertainty may impair physical and mental health during late adolescence. Yet, its association with health-promoting lifestyle among nursing students in resource-limited community settings remains underexplored. This study aimed to analyze the relationship between financial threat and health-promoting lifestyle among late adolescent nursing students. A descriptive quantitative study with a cross-sectional design was conducted in September 2025 with 69 nursing students undergoing rural community fieldwork in a rural district participated. Data were collected using two validated instruments: (1) the Financial Threat Scale (FTS), which measures subjective financial anxiety, perceived economic uncertainty, and financial burden (Cronbach’s α = 0.776), and (2) a modified 10-item Health-Promoting Lifestyle Profile II (HPLP-II), which assesses multidimensional health behaviors across six domains (Cronbach’s α = 0.850). Both continuous variables were dichotomized (low/high) based on empirically derived cut-offs (FTS ≤14 vs. ≥15; HPLP-II ≤37 vs. ≥38) to enable Chi-Square analysis, a non-parametric test appropriate for categorical data with modest sample sizes and potential non-normality. Analyses included descriptive statistics, Pearson’s correlation, and Chi-Square tests with Fisher’s Exact Test. High financial threat was reported by 40.6% (n = 28); 53.6% (n = 37) demonstrated good health-promoting lifestyle. No significant association was found either on a continuous basis, with r = 0.147 and p = 0.228, or on a categorical basis, with χ² = 0.981 and p = 0.322; Fisher's exact test, p = 0.339 meaning that students experiencing high financial threat were just as likely to maintain good health-promoting behaviors as those with low threat. although this study did not directly measure familial support, professional identity or academic scaffolding, the absence of a significant association between financial threat and health-promoting lifestyle despite high levels of perceived threat aligns with emerging literature suggesting that such culturally embedded protective mechanism may buffer the behavioral impact of financial stress in collectivist, low and middle income contexts.
Virgin Coconut Oil Therapy for Coastal Dermatitis: A Community Nursing Application of Orem's Self-Care Deficit Theory Galuh Harini Sasiraya; Evy Aristawati; Apriana Rahmawati; Sri Wahyuni
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.289

Abstract

Dermatitis is one of the most common integumentary disorders encountered in community nursing practice, and its burden is amplified among populations continuously exposed to environmental irritants such as seawater, wind, dust, and extreme humidity. Coastal communities sit at the upper end of this exposure gradient, yet affordable, theory-guided non-pharmacological interventions for this population remain sparsely evaluated. This study evaluated the effectiveness of standardized topical Virgin Coconut Oil (VCO) therapy, delivered through a structured nursing process guided by Orem's Self-Care Deficit Theory, on impaired skin integrity among coastal residents with contact dermatitis. A quasi-experimental, one-group pretest-posttest design, reported in accordance with the TREND Statement, was conducted over three consecutive days (12–14 May 2026) with two purposively selected participants, aged 35 and 60 years, in the coastal working area of the Gadingrejo Community Health Center, Pasuruan City, Indonesia. VCO was applied topically per a standard operating procedure while nursing support progressed from a wholly compensatory to a partially compensatory and finally a supportive-educative system. Skin integrity was assessed daily using SDKI/SLKI-aligned indicators covering pruritus, erythema, skin texture, lesion status, and local skin temperature. Both participants showed a consistent decline in pruritus and erythema, smoother skin texture, and reduced local skin temperature (37.4°C to 36.5°C in the older participant), with near-complete symptom resolution by the third day. Structured VCO therapy delivered through a theory-guided nursing process meaningfully restored skin integrity within 72 hours and moved participants toward independent self-care, supporting its viability as a low-cost, evidence-based community nursing intervention for coastal dermatitis.
Guided Autogenic Relaxation for Hypertensive Acute Pain: An Orem-Based Community Nursing Program Dian Ratna Sari; Evy Aristawati; Apriana Rahmawati; Heny Ekawati
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.298

Abstract

Hypertension rarely presents in isolation; a substantial proportion of affected adults also live with acute pain, most often occipital headache and neck tension, that erodes daily functioning and pushes patients toward unsupervised analgesic use. Community-based, non-pharmacological interventions capable of addressing this dual burden inside patients' own homes remain underdocumented, particularly when explicitly grounded in a nursing theoretical framework. This community nursing program examined the effect of guided autogenic relaxation therapy, structured around Orem's Self-Care Deficit Theory, on acute pain intensity, blood pressure, and self-care behavior among hypertension patients in a primary care catchment area. A quasi-experimental, one-group pretest-posttest design, reported following TREND and TIDieR guidance, was applied to three male patients aged 49-56 years with moderate acute pain (Numeric Rating Scale 4-5). Each participant received a standardized 15-minute guided autogenic relaxation session daily for three consecutive days at home, with pain, blood pressure, vital signs, and pain-related behavior recorded before and after every session. Mean pain intensity fell from 4.67 to 1.33, a 71.5% reduction; systolic pressure declined by 21 mmHg and diastolic pressure by 13 mmHg; and observable pain behaviors resolved by the third day. Two of the three participants began practicing the technique independently before the scheduled session on day two, consistent with Orem's transition from a partially compensatory to a supportive-educative nursing system. These findings support incorporating guided autogenic relaxation into home-based community nursing as an accessible, theory-consistent strategy for strengthening self-care agency in hypertension management.