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All Journal Nurse Media Journal of Nursing Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) IJNP (Indonesian Journal of Nursing Practices) Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Jurnal Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan MAHESA : Malahayati Health Student Journal Nursing Information Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Poltekita: Jurnal Ilmu Kesehatan
Diyan Yuli Wijayanti
Program Studi Ilmu Keperawatan
Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Self-Efficacy, Resilience, and Loneliness in People with Schizophrenia Wijayanti, Diyan Yuli; Sarjana, Widodo; Astuti, Halimah Wenny Yulina; Sari, Sri Padma
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14060

Abstract

ABSTRACT Self-efficacy and resilience have been associated with loneliness in schizophrenia. Studies reported that people with schizophrenia have low self-efficacy, resilience, and experience a greater level of loneliness, which could lead to worsening symptoms. However, inpatient and outpatients’ differences in these variables have rarely been investigated. This study aimed to compare self-efficacy, resilience, and loneliness among people with schizophrenia from outpatients and inpatients. A total of 130 patients diagnosed with schizophrenia were included in this study. The data were collected using the socio-demographic questionnaire, the General Self-Efficacy Scale (GSE), Connor-Davidson Resilience Scale 10 (CD-RISC 10), and the University of California Los Angeles (UCLA) Loneliness Scale Version 3. The Chi-Square, Mann-Whitney, and the t-test were used for data analysis. The results indicated that inpatient has higher self-efficacy and resilience than outpatients. Interestingly, inpatient significantly has lower loneliness than outpatients. The findings support the evidence of psychological differences in schizophrenia and provide a better understanding of different settings with this diagnosis. In the clinical practice, these results suggest developing interventions to enhance resilience and self-efficacy in schizophrenia. Keywords: Loneliness, Resilience, Self-Efficacy, Schizophrenia
The Efficacy of Mental Health Service on Stigma and Quality of Life of Schizophrenia in Community Windiarti, Sri Endang; Wijayanti, Diyan Yuli
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i1.4007

Abstract

This study was to explore the efficacy of mental health service  on stigma and quality of life of schizophrenia in community.  This study aims to explore the need for mental health services in the community to reduce self-stigma, community stigma and improve the quality of life of schizophrenia.The government role for the mental health care village program have not been implemented intensively. Mental health program required society participation a qualitative study of anti-stigma interventions for mental health services, which includes a step-by-step process model and strategies for implementing programs to reduce stigma and improve the quality of life for people with HIV. Data collection involved in-depth interviews with program stakeholders and direct observation of the program, and qualitative feedback from program participants. This research uses an exploratory approach with in-depth interview techniques and focus group discussions. Data analysis by using content analysis (content analysis). Finding the expected model according to the needs of the community. The analysis leads to a stage model for implementing an anti-stigma program with mental health service providers in the community, the finding of the study show that there are four themes whices  Socialization of anti-stigma service program with outpatients who care for mental health, Village administrators Care for mental health, Training of cadres and mental health administrators, The mental health services needed in the community are services that are integrated with primary services and the local government, which are called mental health care villages. Family and Schizophrenia assistance with several interventions that include socializing mental health programs to families, community leaders, cadres and health workers. The service model in the mental health care village that is expected by the community is a form of intervention that aims to reduce stigma and improve the quality of life of ODS and prevent recurrence.
Reducing Violent Behavior in Schizophrenia Patients using Happy Spiritual Intervention through Rufa Caring System Monitoring Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli; Munif, Badrul; Kandar, Kandar; Suerni, Titik
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.972

Abstract

Competent psychiatric nurses are required to be capable of treating schizophrenia patients so that they can behave adaptively. This study aimed to determine differences in violent behavior among patients with schizophrenia before and after the happy spiritual intervention through the RUFA Caring System. The research employed a pre-experimental study with a pre-post-test without a control group design was conducted among 50 schizophrenia patients in stable wards. The sample in this research is schizophrenia patients who were diagnosed with violent behavior and able to communicate and were purposively recruited. The happy spiritual intervention was given four times for 30 minutes each. Data on violent behavior were collected using the RUFA (General Response of Adaptive Function) scale presented in the RUFA caring system application. The paired t-test was used for data analysis. The mean ± SD of the RUFA caring system score was (29.0±3.4) and (19.3±8.7), before and after the intervention, respectively. The paired t-test analysis found a decreased score of 10.3±5.3 with a p-value of 0.000 (p<0.005) and an effect size of 1.94 (d>0.8). Happy spiritual intervention through the RUFA Caring System is highly effective for mentally disordered patients to control their emotions so that they can reduce violent behavior.
Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study Wijayanti, Diyan Yuli; Sari, Sri Padma; Sarjana, Widodo
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2710

Abstract

Spiritual interventions have received growing attention in recent years as they are evident to reduce psychotic symptoms significantly in patients with mental disorders. However, some nurses neglect patients' spiritual needs as it is not their primary responsibility. In other research, mental health nurses felt uncertain about spiritual issues and anxious to distinguish between spiritual needs and mental illness symptoms. Their concern about spiritual care being inappropriate within their practice setting and lack of knowledge also influence the willingness of nurses to provide spiritual care. This study aimed to explore nurses' experiences of providing spiritual interventions for patients with schizophrenia in Prof. Dr. Soerodjo's psychiatric hospital in Magelang, Indonesia. A descriptive qualitative study with a phenomenological approach was conducted among seven participants who were purposively recruited from different hospital wards. The researchers conducted semi-structured focused-group discussions (FGDs) and employed theoretical triangulation to improve the quality of data analysis. A thematic analysis was used to obtain rich, detailed, complex data reports. The results showed two major themes: (1) nurses' experiences providing spiritual interventions and (2) the importance of spiritual interventions for patients with schizophrenia. Spiritual interventions were crucial to patient care and were implemented in all hospital wards. These interventions varied in form, and their implementation merely relied on nurses' and patients' commitment and motivation. Some barriers to implementing spiritual interventions were reported, including stigma, lack of commitment, and suboptimal fulfillment of spiritual needs for patients other than Moslem. Implementation of spiritual interventions is best based on the prepared modules, which contain spiritual assessment tools, material, and guidelines for fulfilling the spiritual needs and the standard of spiritual intervention that will be provided. Nurses require strong commitment and motivation to carry out spiritual intervention to have a satisfying impact in the form of a decrease in violent behavior, confinement, length of stay, runaway rate, increased communication skills, self-control, and improved appearance. Schizophrenic patients are expected to continue their spiritual activities until they are ready to return to the community. Innovations and institutional support are required to help achieve the goals of spiritual interventions.
Reducing Intolerance of Uncertainty through Happy Spiritual Intervention Using FAMCY (Family Heart Connection) Dwidiyanti, Meidiana; Munif, Badrul; Wijayanti, Diyan Yuli
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2118

Abstract

Families of patients with violent behavior may experience mental health issues, such as stress due to the prolonged period of patient care and the heavy burden of caregiving, leading to feelings of uncertainty. Uncertainty about the disease becomes more pronounced as individuals confront it for extended period, making one’s life more unstable. The state of intolerance to uncertainty is closely related to the patient’s tendency for violent behavior which is difficult to predict. This study aims to investigate the effect of happy spiritual intervention on intolerance of uncertainty in families of patients with violent behavior. This study used a pre-posttest quasi-experimental design with a control group. Purposive sampling was utilized to recruit 50 respondents who were divided into two groups. The intervention group received six sessions of happy spiritual intervention using the family heart connection (FAMCY) application which included guidelines for implementing the therapy. The collected data were analyzed using a t-test to analyze the effect of the happy spiritual intervention on intolerance of uncertainty in the patient’s family. The results indicated a significant difference in intolerance of uncertainty between the two groups after the intervention was administered (p = 0.001). The intervention group exhibited a lower mean value (70.44) in comparison to the control group (80.44). The happy spiritual intervention has a significant effect on reducing intolerance of uncertainty in families dealing with violent behavior.
The Impact of Emotional Regulation Training on Enhancing Emotion Management Competencies in Students Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli; Santoso, Agus; Hartati, Elis; Dewi, Nur Setiawati; Andriany, Megah; Ulliya, Sarah; Hikmat, Rohman
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2148

Abstract

Disturbed mental health among students had a very strong negative impact on physical health, interpersonal communication, and academic ability. Mental health issues in students were caused by pent-up emotions or traumatic events they had experienced. At that time, there was no specific intervention on campus aimed at preventing mental disorders among students. As a result, many emotional problems went unaddressed, increasing the risk of mental disorders among students. The purpose of this study was to improve students' emotional management through emotional regulation training. This study was a quantitative research with a quasi-experimental design using a one-group pre-post-test approach. The respondents of this study were 100 nursing students. The instruments used included an emotional regulation questionnaire and an independent healthy achievement checklist that had been tested for validity and reliability. The data normality test was conducted using the Kolmogorov-Smirnov test, and data analysis was performed using the Wilcoxon test. The results of this study indicated a p value 0.05, demonstrating a significant difference in emotional regulation and emotional management before and after the emotional regulation training was administered. The conclusion of this study was that emotional regulation training was an appropriate intervention to address emotional problems, help improve emotional management skills, and prevent the risk of mental health disorders among students on campus.
Co-Authors Agus Santoso Agustin, Murti Ainun Najib Febrya Rahman Artika Nurrahima, Artika Asiah Asiah Astuti, Halimah Wenny Yulina Cahyaningrum, Dessy Dwi Dian Ratna Sawitri Elis Hartati Fitri, Anindiyani Hikmat, Rohman Hubertus Agung Pambudi Kandar, Kandar Locsin, Rozzano C. Madya Sulisno Megah Andriany Meidiana Dwidiyanti Muin, Muhammad Munif, Badrul Mu’in, Muhammad Nur Setiawati Dewi Prabawati Setyo Pambudi Rahman, Ainun Najib Febryna Rahmawati, Ashri Maulida Sarah Ulliya Sri Endang Windiarti Sri Padma Sari, Sri Padma Titik Suerni Widodo Sarjana AS, Widodo wimala, Dina