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SUPPORTIVE GROUP THERAPY: ALTERNATIF INTERVENSI PENATALAKSANAAN MASALAH PSIKOGERIATRI PADA LANSIA DENGAN PENYAKIT TIDAK MENULAR Widyastuti, Rita Hadi; Andriany, Megah; Ulliya, Sarah; Rachma, Nurullya; Hartati, Elis
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 7 No 3 (2020): September
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v7i3.1024

Abstract

Prevalensi lansia dengan penyakit Tidak Menular semakin meningkat. Kondisi tersebut menimbulkan dampak fisik maupun psikologis. Alternatif solusi yang dapat digunakan untuk mencegah masalah psikologis khususnya stres pada lansia dengan Penyakit Tidak Menular adalah Supportive Group Therapy. Terkait hal itu, program pengabdian masyarakat ini bertujuan untuk melakukan Supportive Group Therapy guna menurunkan tingkat stres pada lansia dan meningkatkan ketrampilan kader dalam penatalaksanaan masalah psikogeriatri. Metode yang digunakan dalam program ini meliputi pelatihan dengan metode ceramah dan praktik mendekteksi dini stres dan implementasi Supportive Group Therapy. Hasilnya menunjukkan bahwa 35 lansia dengan penurunan tingkat stres mengalami penurunan nilai Depression, Anxiety, Stress Scale (DASS-42). dan terjadi peningkatan ketrampilan kader dalam melakukan deteksi dini stres dan pelaksanaan Supportive group therapy. Supportive group therapy dapat menjadi alternatif intervensi dalam penatalaksanaan masalah psikogeriatri pada Lansia dengan Penyakit Tidak Menular.
Harapan Pada Lansia Dengan Diabetes Melitus Tipe 2 Ifianti, Lailatuz Zulia; Widyastuti, Rita Hadi
Jurnal Smart Keperawatan Vol 7, No 2 (2020): Desember 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v7i2.331

Abstract

Diabetes melitus adalah gangguan metabolik yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan  berbagai macam komplikasi sehingga mempengaruhi kualitas hidup lansia. Harapan akan membawa kepada keoptimisan dan meningkatkan kualitas hidup lansia dengan penyakit kronis. Sementara penelitian mengenai dampak harapan masih sangat kurang. Penelitian ini bertujuan untuk mendeskripsikan derajat harapan pada lansia dengan diabetes melitus tipe 2.Penelitian ini menggunakan desain penelitian kuantitatif survei, responden terdiri dari 127 lansia yang menderita DM tipe 2 yang diambil dengan teknik total sampling setelah memenuhi kriteria inklusi. Kuesioner HHI (Herth Hope Index) digunakan untuk mengetahui gambaran harapan. Uji validitas dan reliabilitas telah dilakukan dan hasilnya valid serta reliabel.  Hasil penelitian ini menunjukkan bahwa karakteristik responden adalah didominasi usia 60-74 tahun, sebagian besar berjenis kelamin wanita, tingkat pendidikan didominasi oleh pendidikan SD-SMP, sebagian besar menikah, Suku Jawa, menderita DM < 5 tahun dan tidak mengalami komplikasi. Derajat harapan menunjukkan bahwa responden mempunyai harapan yang tinggi dengan nilai mean sebesar 37.41. Sebagian besar responden merasa hidupnya memiliki nilai dan berharga.Masyarakat dan petugas kesehatan harus membantu lansia mempertahankan derajat harapan yang sudah tinggi dengan menyediakan dukungan sosial dan membantu lansia mencari jalan keluar ketika menghadapi masalah tentang kesehatan dan yang lainnya. Kata Kunci: diabetes mellitus; harapan; lansiaHOPE IN ELDERLY WITH DIABETES MELITUS TYPE 2Diabetes mellitus is a metabolic disorder that signed with the increase of glucose level in blood and can make various complication which influences the elderly’s quality of life. Hope will bring the optimism and increased the  quality of life on elderly with chronic diseases. However, research supporting this effect is lacking. This study was aimed to find out the description of the hope level among elderly with diabetes mellitus type 2. This study was quantitative descriptive with 127 elderly diabetic patients taken by using total sampling technique by fulfilling the inclusion criteria. Herth Hope Index (HHI) questionnaire was used. The validity and reliability was confirmed. The results of this research show that the age of respondent was dominated with 60-74 years old, mostly consist of female. The education level was mostly elementary school, mostly have been married and from Javanese family, suffered from DM for about 5 years and mostly didn’t have complications. For the hope level, the respondent mostly  is in high level with mean score is 37.41. The respondent feel that their life is worth and precious. Based on the results of this research, the society and health center member should help the elderly to maintenance their level of hope by give the support system to the elderly and facilitate the elderly to solve their problem about health or another. Keywords: diabetes mellitus; elderly; hope  
Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates Fitri, Khirza Maulida; Widyastuti, Rita Hadi
Media Keperawatan Indonesia Vol 4, No 4 (2021)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1670.137 KB) | DOI: 10.26714/mki.4.4.2021.323-329

Abstract

Cognitive-behavioural therapy (CBT) approaches have among the highest level of empirical support for drug and alcohol use disorder treatment. The unbearable impact of withdrawal syndrome such as physical related problems, psychological, social and behavioural can take a long-term impact such as affective and anxiety disorder that can lead to depression. CBT as an intervention that improves coping-skill, and strategy to change a maladaptive mindset should be convenient to reduce withdrawal symptoms. The effect of CBT intervention on the severity of the symptoms of methamphetamine withdrawal syndrome is still narrow. This research is aimed to find out the CBT effect on withdrawal symptoms in both qualitative and quantitative methods on female inmates. This research uses a case study design. Data were conducted using Amphetamine Withdrawal Questionnaire (AWQ) before and after CBT intervention. Data were analyzed using univariate analysis presented as distribution frequency on both before and after the intervention and discussed with single case analysis.  The result showed that CBT affects reducing withdrawal syndrome symptoms severity after 4 weeks and 4 session intervention. CBT affects decreasing withdrawal syndrome severity level. Based on these findings, the correctional nurse needs to develop comprehensive nursing care by providing CBT on a rehabilitation program to decrease female inmates’ withdrawal syndrome severity level.
Pelaksanaan Perawatan Kesehatan Masyarakat dalam Rangka Program Indonesia Sehat dengan Pendekatan Keluarga Rachma, Nurullya; Widyastuti, Rita Hadi; Andriany, Megah; Nurrahima, Artika; Hartati, Elis; Dewi, Nur Setiawati; Mui’in, Muhammad
Jurnal Perawat Indonesia Vol. 3 No. 3 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.138 KB) | DOI: 10.32584/jpi.v3i3.417

Abstract

Pembangunan di bidang kesehatan, diupayakan melalui Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK), yang diaplikasikan dalam kegiatan perawatan kesehatan masyarakat. Tujuan penelitian untuk mengidentifiaksi pelaksanaan perawatan kesehatan masyarakat yang bersinergi terhadap PIS PK. Rancangan penelitian menggunakan metode mixed method. Penelitian kuantitatif dengan desain cross sectional, menggunakan sampel sebesar 110 dan diambil secara cluster sampling. Instrumen menggunakan format pelaksanaan perkesmas yang terdiri dari kunjungan untuk pendataan, promosi kesehatan, dan tindak lanjut.  Penelitian kualitatif untuk memperoleh gambaran pelaksanaan PIS PK yang diintegrasikan dengan perawatan kesehatan masyarakat, melalui Focus Group Discussion. Partisipan adalah masyarakat (kader), staf puskesmas, dan staf dinas kesehatan. Pelaksanaan kunjungan rumah oleh petugas kesehatan (puskesmas) yang paling banyak menunjukkan 65.5% keluarga pernah dikunjungi. Kegiatan yang dilakukan oleh petugas kesehatan saat kunjungan rumah meliputi: pendataan keluarga 32.7%, pemeriksaan kesehatan 40%, penyuluhan kesehatan 10.9%, pemberantasan sarang nyamuk 17 15.5%, dan kesehatan ibu anak 2 1.8%. Kegiatan tindak lanjut terhadap kunjungan rumah yang sudah dilakukan lebih banyak tidak dilakukan 69.1%.Hasil FGD dengan kader didapatkan 4 tema: kegiatan perawatan kesehatan masyarakat oleh puskemas, peran kader kesehatan dalam perawatan kesehatan masyarakat, masalah dalam pelaksanaan perawatan kesehatan masyarakat, harapan terhadapan pelayanan kesehatan di masyarakat. Pelaksanaan perkesmas dalam rangka PIS PK, berdasarkan hasil FGD dengan pelaksana perkesmas di puskesmas dan staf bidang pelayanan kesehatan Dinas Kesehatan Kota Semarang didapatkan 2 tema: pelaksanaan perawatan kesehatan masyarakat dalam rangka PIS PK dan kendala pelaksanaan perkesmas dalam rangka PIS PK. Diperlukan evaluasi bersama pelaksanaan PIS PK antara pelaksana dan penanggung jawab program PIS PK agar indikator keberhasilan PIS PK dapat tercapai maksimal. Kata kunci: Pelaksanaan perkesmas, program Indonesia sehat dengan pendekatan keluarga Abstract The Implementation Community Health Care of The Healthy Indonesia Program With The Family Approach. Development in the health sector, is pursued through the Healthy Indonesia Program with the Family Approach, which is applied in community health care activities. The research objective was to identify the implementation of community health care that synergizes with Healthy Indonesia Program. The research design uses the mixed method. Quantitative research with cross sectional design, using a sample of 110 and taken by cluster sampling. The instrument uses the format of the implementation of the social security program consisting of visits for data collection, health promotion, and follow-up. Qualitative research to obtain an overview of the implementation of Healthy Indonesia Program integrated with community health care, through a Focus Group Discussion. Participants are the community (cadres), puskesmas staff, and health service staff. Conducting home visits by health workers which showed the most 65.5% of families had been visited. Activities undertaken by health workers during home visits included: family data collection 32.7%, health checks 40%, health education 10.9%, eradication of mosquito nests 17 15.5%, and maternal health of children 2 1.8%. More follow-up activities on home visits were not carried out 69.1%. FGD results with cadres found 4 themes: community health care activities by the health center, the role of health cadres in community health care, problems in the implementation of public health care, expectations towards health services in society. The implementation of community health care in the framework of program, based on the results of the FGD with the implementation of community health care in the health center and the health service staff in the Semarang City Health Office, obtained two themes: the implementation of community health care in the framework of the program and the constraints in implementing the community health care in the framework of the program. A joint evaluation of the program implementation is needed between the implementer and the person responsible for the program so that the indicators can be achieved optimally. Keywords: Implementation of community health care, healthy Indonesia program with family approach
Assessing needs for developing a multisensory room design with Javanese gestures for older adults Mendrofa, Fery Agusman Motuho; Hani, Umi; Widyastuti, Rita Hadi; Murniati, Restu; Pratama, Wisnu
Public Health of Indonesia Vol. 9 No. 4 (2023): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i4.757

Abstract

Background: Multisensory stimulation in the elderly helps train cognitive function and motor skills by incorporating elements that stimulate their senses. The application of a multisensory room caters to sensory stimulation identified for individuals experiencing cognitive decline from moderate to severe and those with neurodegenerative conditions such as Parkinson's, Dementia, and Alzheimer's. Objective: This study aimed to assess needs to develop a multisensory room design tailored with a Javanese cultural approach for the older adults. Methods: A plan for a multisensory room was made involving experts in gerontic nursing, design, and interior space design. Qualitative data collection utilized the Focus Group Discussion (FGD) technique. FGD was employed to comprehend factors associated with the necessity of a therapeutic room for the elderly, especially concerning the functionality of the multisensory space. Additionally, the FGD sought to identify Javanese cultural elements applicable to the room concept. Participants in the FGD included geriatric nurses, representatives from Alzheimer's Indonesia, Javanese cultural experts, architects, and Health Service members. The analysis of FGD results was conducted using the Colaizzi method. This involved creating transcripts from the FGD, multiple readings of the transcripts, extracting significant statements, validation with participants, and formulating meaningful themes, sub-themes, and categories. The themes identified during the data analysis were integrated and presented as research outcomes. Results: Two themes emerged from the analysis: aspects that need to be considered when creating a multisensory room and the elements in a multisensory room. Conclusion: By addressing the demand for innovative elderly health services and collaborating with stakeholders in developing spatial models, this study anticipates the creation of applicable and beneficial space designs. This endeavor aims to validate the effectiveness of the applied concepts in line with evolving health needs, particularly concerning the elderly population.
Intervensi Massage pada Bayi Hiperbilirubin dengan Fototerapi Rajasa, Hyang Kinanti; Zubaidah, Zubaidah; Widyastuti, Rita Hadi
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13474

Abstract

This study aims to get a comprehensive picture of massage interventions that reduce the value of bilirubin in infants with hyperbilirubin with phototherapy. The method used is the scoping review method. Search articles using several databases, namely: Medline (PubMed), cinahl (Ebsco), Scopus (Elsevier), and Science Direct with publication time of articles from January 2019 to December 2024. The results show that 7 articles support massage interventions to reduce the values of Bilirubin. There are variations in massage interventions that are carried out to reduce the value of bilirubin. Most articles showing massage are done 2 times a day, in the morning and evening with a duration of 15-20 minutes. The massage method used in the article Body Massage, Abdominal Massage, Massage, and Bathing, Massage Acupressure, and Massage. In conclusion, massage can reduce the value of bilirubin, by paying attention to the duration, frequency, and massage methods carried out. Keywords: Bilirubin, Hyper Bilirubin, Jaundice, Massage, Neonates
Eksplorasi Faktor-faktor yang Mempengaruhi Tingkat Praktik Dokumentasi Keperawatan: Scoping Review Istianah, Istianah; Dwiantoro, Lucky; Widyastuti, Rita Hadi
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3683

Abstract

Dokumentasi keperawatan merupakan komponen sangat penting untuk praktik keperawatan, mendukung perawatan berkualitas, komunikasi antarprofesi, dan pengambilan keputusan klinis. berbagai faktor, seperti beban kerja, rasio perawat-pasien, pengetahuan, dan sikap perawat, sering kali memengaruhi kualitas dokumentasi. Penelitian ini bertujuan untuk mengeksplorasi faktor-faktor yang memengaruhi praktik dokumentasi keperawatan melalui scoping review. Penelitian dilakukan melalui scoping review dengan kriteria kelayakan: artikel akademis dari ProQuest, ScienceDirect, PubMed, Ebsco, dan Scopus, terbit pada 2020–2024, berbahasa Inggris, populasi penelitian adalah perawat, dan dampak yang diukur adalah dokumentasi keperawatan. Proses seleksi mencakup identifikasi, skrining, kelayakan, dan inklusi. Kata kunci “Nurse” AND, “Documentation” AND” Practice”. Dari 534 artikel awal, 6 artikel dianalisis dengan pendekatan deskriptif untuk mengidentifikasi faktor- faktor yang mempengaruhi praktik dokumentasi keperawatan. Artikel berasal dari Norwegia, Zimbabwe, Pakistan, Nigeria, dan Ethiopia, menggunakan metode cross-sectional, audit klinis, dan analisis kualitatif. Faktor yang mempengaruhi dokumentasi meliputi: Faktor Individual: Pengetahuan, sikap, pengalaman kerja, usia, tingkat pendidikan. Faktor Organisasi: Beban kerja, rasio perawat-pasien, pelatihan tidak memadai, Faktor Sumber Daya: Ketersediaan lembar dokumentasi, waktu, dan infrastruktur. Faktor individu, organisasi, dan sumber daya mempengaruhi dokumentasi keperawatan. Intervensi berbasis pelatihan, kebijakan, dan teknologi diperlukan agar meningkatkan kualitas dokumentasi lebih baik. Penelitian lebih lanjut diperlukan untuk mengimplementasikan intervensi ini.
STRATEGI KOMPREHENSIF PENANGANAN HIPERTENSI PADA LANSIA MELALUI EDUKASI KESEHATAN DAN SENAM ANTI HIPERTENSI Widyastuti, Rita Hadi; Andriany, Megah; Bala, Rusmin Nuryadin; Titiyahi, Melda Deny; Isrowati, Isrowati; Wijayanti, Ririn Aprillita; Permadani, Sofi Navita Adiya; Arwandaninggar, Raisya; Nurohmah, Adrikah Azizah; Lutfiah, Umi Hanifatul; Mulia, Syafa Lina; Utami, Nur Afifah Putri
Jurnal Pengabdian kepada Masyarakat (NADIMAS) Vol 4 No 1 (2025): Jurnal Pengabdian kepada Masyarakat (Nadimas)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31884/nadimas.v4i1.87

Abstract

Abstract Hypertension is a condition in which the systolic blood pressure in a person's body is more than or equal to 140 mmHg and or diastolic blood pressure is more than or equal to 90 mmHg. Hypertension is one of the serious health problems that many people encounter in society. If not treated properly, hypertension can lead to the risk of serious disease complications such as stroke, heart failure, kidney disease, and so on. Proper treatment and handling are necessary for people with hypertension, such as a healthy diet, taking medication regularly, stress management, and physical activity. This community service activity aims to increase residents' knowledge about hypertension and improve hypertension management behaviors which include maintaining diet, medication compliance, the importance of physical activity and exercise, and stress management for hypertension. The methods used in this community service program are Health Education and demonstrations. The results of the service were obtained from an increase in the level of knowledge related to hypertension in residents by 62% and an increase in hypertension self-management behavior by 53%. Hypertensive patients are expected to be able to implement a healthy lifestyle in their daily lives to keep their blood pressure within normal limits. KEYWORDS: Hypertension, Health Education, Elderly Gymnastics
Multidimensional Impact of Overweight on Quality of Life of Children and Adolescents: A Scoping Review Lamukara, Iin Utami Yasrianti; Dewi, Nur Setiawati; Widyastuti, Rita Hadi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6622

Abstract

Overweight in adolescents is a global health issue that has shown a significant increase in recent decades. This condition has a multidimensional impact, particularly on the physical, psychological, social aspects, and overall quality of life of adolescents. Children and adolescents who are overweight often experience body shaming, social stigma, decreased self-esteem, and social isolation, all of which can contribute to a lower quality of life. Although numerous studies have explored the relationship between being overweight and quality of life, most have focused only on physical or psychological dimensions. Many of the existing studies examine just one or two aspects of quality of life and lack a comprehensive consideration of cultural factors, developmental age, and social interactions. Objective to comprehensively review the scientific literature that examines the impact of overweight on the quality of life among adolescents. This study employed a scoping review approach based on the PRISMA-ScR guidelines. Literature searches were conducted through three databases: Scopus, PubMed, and ScienceDirect, using the keywords "Overweight," "Adolescents," and "Quality of Life." The selected articles were published within the last three years (2023–2025) and met the inclusion criteria, including being written in English, open access, and relevant to the topic. A total of 15 articles were selected from an initial search result of 18,441 records. The article selection involved a multi-stage screening process, including title and abstract screening, full-text review, and assessment using inclusion and exclusion criteria. Each article was then analyzed thematically to identify patterns related to the impact of overweight on adolescents' quality of life. These studies employed qualitative and quantitative approaches, including multivariate analysis, logistic models, as well as mediation and moderation analyses. Most of the articles reported that overweight has a negative impact on adolescents’ quality of life, particularly in the physical, psychological, social, and academic functioning domains. Overweight in adolescents has a significant impact on various aspects of quality of life. These findings highlight the importance of developing multidimensional interventions that not only address physical aspects but also take into account psychosocial factors and the adolescent’s environment.
Development of a Home-Based Holistic Dementia Nursing Intervention Model for Family Caregivers Widyastuti, Rita Hadi; Sahar, Junaiti; Rekawati, Etty
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.65049

Abstract

Background: The number of older adults with dementia in Indonesia continues to increase. However, many family caregivers still have limited knowledge and skills, leading to adverse effects on both the older adults and the caregivers themselves. Existing interventions mainly focus on single aspects of care and have not adequately addressed the physical, psychological, social, and spiritual dimensions. Therefore, there is a need for a comprehensive intervention model that holistically meets caregivers’ needs.Purpose: This study aimed to develop a home-based holistic dementia nursing intervention model for family caregivers and identify its key features.Methods: Three approaches were used for model development: (1) literature review, (2) in-depth interviews, and (3) expert validation. Five articles addressing holistic care dimensions and nursing interventions were included in the review. Fifteen participants took part in the in-depth interviews, while expert validation involved three specialists in the geriatric field with specific qualifications. Data were collected between August and September 2022. Analysis was conducted by comparing and synthesizing the findings from the literature review, interviews, and expert validation.Results: The holistic dementia nursing intervention model for family caregivers consisted of four intervention domains: (1) physical, (2) psychological, (3) social, and (4) spiritual. The model also incorporated three key components: (1) communication processes, (2) organizational processes, and (3) belief systems.Conclusion: The home-based holistic dementia nursing intervention model for family caregivers offers a potential conceptual framework to comprehensively address the physical, psychological, social, and spiritual needs of both older adults and their caregivers.