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Health Impacts of Pesticide Exposure Among Farmers: A Systematic Review and Implications for Agronursing Practice Enggal Hadi Kurniyawan; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur; Alfid Tri Afandi; Yeni Fitria; Emi Wuri Wuryaningsih; Robby Prihadi Aulia Erlando
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.593

Abstract

Pesticide exposure among farmers poses significant health risks globally; however, comprehensive recent evidence on the role of nursing in mitigating these hazards remains underexplored. This systematic review aims to synthesize empirical findings from 2024 to 2025 on the health impacts of pesticide exposure in farming populations and discusses implications for agronursing practice. Following the PRISMA 2020 guidelines, a systematic search was conducted across Scopus, PubMed, and ProQuest using the keywords "pesticide," "farmer," and "nursing." From an initial pool of 2,757 records, 10 original research articles published between 2024 and 2025 met the inclusion criteria: full-text, English-language, open-access, peer-reviewed research articles with ethical clearance, an active DOI, and no study design restrictions beyond excluding non-original works. The 10 included studies were conducted in Thailand, Spain, Greece, Ethiopia, Indonesia, Türkiye, and India. These studies revealed consistent associations between pesticide exposure and adverse health outcomes, including sleep disorders, depression, suicide attempts, oxidative stress, DNA damage, elevated inflammatory markers, and increased stroke risk biomarkers. Behavioral assessments indicated widespread deficiencies in safe pesticide handling and low risk perception. Importantly, nurse-led interventions demonstrated effectiveness in improving occupational health service delivery and farmer knowledge. Pesticide exposure continues to pose a risk to farmers' health across diverse global settings. Agronursing emerges as a vital interdisciplinary approach to address this challenge through education, early detection, advocacy, and community-based prevention. Integrating agronursing competencies into primary healthcare and nursing curricula is crucial for protecting agricultural workers and promoting sustainable rural health.
The Relationship Between Parental Verbal Violence And Emotional Regulation Levels In Adolescents Erti Ikhtiarini Dewi; Lailatul Fitria; Enggal Hadi Kurniyawan; Yeni Fitria; Fitrio Deviantony
Jurnal Kesehatan Manarang Vol 12 No 1 (2026): April 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i1.1479

Abstract

Verbal violence that occurs over a prolonged period leads adolescents to have difficulty regulating their emotions. As a result of experiencing repeated verbal violence and having low emotional regulation abilities, adolescents may replicate their experiences, become apathetic or aggressive, and exhibit delinquent behaviors. This study aims to determine the relationship between parental verbal violence and emotional regulation levels in adolescents. This research utilizes a quantitative correlational study with a cross-sectional survey design approach. The sample consisted of 172 respondents, selected through non-probability sampling, specifically purposive sampling. The research instruments were measured using the parental verbal violence questionnaire and the emotional regulation level questionnaire. Bivariate analysis was conducted using Kendall's Tau-b test. The results indicated that verbal violence against adolescents was in the moderate category as many as 107 respondents (62.2%), and emotional regulation levels in adolescents were also in the moderate category as many as 87 respondents (50.6%). The test yielded a p-value of 0.000 and a correlation coefficient of -0.557. These findings demonstrate a significant relationship between parental verbal violence and emotional regulation levels. The strength of the relationship is categorized as strong and negative in direction, meaning that as verbal violence experienced by adolescents increases, their level of emotional regulation decreases. Education regarding the impact of verbal violence needs to be provided to parents and adolescents using interesting media, and involving the role of accompanying teachers as facilitators.
Farmers' Mental Health and the Need for Agro-Nursing-Based Nursing Interventions in the Agricultural Area of Jember District Erti Ikhtiarini Dewi; Enggal Hadi Kurniyawan; Fitrio Deviantony; Yeni Fitria
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5224

Abstract

The agricultural sector faces with various challenges that can affect the psychological condition of farmers. These challenges include crop yield uncertainty, extreme weather, market price fluctuations, debt, and high workloads. This pressure can cause stress, anxiety, and even depression among farmers, who often receive little attention from the health system, including nursing. Objective: This research aims to identify farmers' mental health and the need for agro-nursing-based nursing interventions. Method: This research is descriptive research with a survey method. Respondents were determined using cluster random sampling, and a sample of 227 respondents was obtained. The research instrument to measure farmers' mental health uses the SRQ-20 and the need for nursing intervention uses an instrument prepared by researchers based on the Indonesian Nursing Intervention Standard (SIKI) guidelines. Results: The research results showed that 30.5% of farmers were at risk of mental health problems (SRQ score >=6). The most common symptom of anxiety experienced was not sleeping soundly (45.9%). The most common cognitive symptom experienced was difficulty making decisions (35.1%). The most common somatic symptom experienced was headache (40.5%). The most common symptom of depression experienced was loss of interest in various things (43.3%). Nursing interventions required by farmers include the need for psychological education (72%), therapeutic support (81%), and advanced therapy (43%). Conclusions: Farmers often face social and economic challenges, including income uncertainty, social isolation in rural areas, and limited access to mental health services. Farmers usually work in remote areas, making it difficult for them to accessexisting mental health facilities. Agro-nursing-based nursing can develop intervention programs in local communities, helping farmers and their families easily access mental health support. Farmers are one of the professions that are at risk of experiencing mental health problems due to the demands of their work, so they require mental nursing intervention.
Asuhan Keperawatan Jiwa pada Pasien dengan Gangguan Orientasi Realita: Studi Kasus Nadya Rahmania; Faizatul Ulya; Yeni Fitria
Nursing Information Journal Vol. 2 No. 1 (2022): 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.v2i1.221

Abstract

Pendahuluan: Skizofrenia merupakan bentuk psikosa fungsional dengan gangguan utama pada proses pikir serta disharmoni antara proses pikir, afek, dan psikomotor. Salah satu gejala positif skizofrenia yaitu gangguan orientasi realita, waham. Pasien dengan waham tidak mampu mengenali tempat, waktu, dan orang disekitarnya yang mengakibatkan pasien merasa asing, dan menjadi pencetus terjadinya ansietas. Untuk mengatasi hal ini maka perlu dilakukan aktivitas yang memberi stimulus secara konsisten tentang realitas disekitarnya. Intervensi keperawatan yang diberikan pada pasien dengan waham yaitu berfokus pada orientasi realita. Tujuan dari studi kasus ini adalah untuk mengetahui pengaruh asuhan keperawatan pada pasien gangguan jiwa dengan masalah gangguan orientasi realita. Metode: Desain yang digunakan dalam penelitian ini adalah studi kasus dengan pendekatan proses keperawatan, meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Sampel adalah Tn Y dengan diagnosa Skizofrenia yang dirawat di RSJ dr. Radjiman Wediodiningrat Lawang. Pengumpulan data dilakukan melalui anamnesa dan observasi selama 6 hari. Hasil: Berdasarkan hasil pengkajian ditemukan masalah keperawatan utama pada pasien adalah waham. Intervensi keperawatan yang diberikan yaitu strategi pelaksanaan SP1-3P, dan melakukan implementasi kemudian melakukan evaluasi. Implementasi keperawatan yang dilakukan yaitu melakukan SP1-3P meliputi melatih orientasi realita diri terhadap waham, menggali kebutuhan yang tidak terpenuhi, dan meningkatkan pengetahuan pasien terhadap penggunaan obat secara teratur. Evaluasi pada hari terakhir didapatkan bahwa pasien masih suka berbicara non realistik khususnya terkait wahamnya, kontak mata menjadi lebih baik, dan pasien tetap menolak orientasi realitas yang diberikan. Kesimpulan: Berdasarkan evaluasi tersebut dapat disimpulkan bahwa tujuan asuhan keperawatan yang diberikan pada pasien masih tercapai. Diharapkan perawat meningkatkan komunikasi terapeutik sehingga terjalin hubungan saling percaya dan kerja sama yang baik untuk mendorong klien lebih kooperatif dan tercapainya tujuan asuhan keperawatan. Selain itu juga perlu adanya terapi kognitif perilaku untuk mengembalikan orientasi realita pasien. Keluarga diharapkan untuk memberi dukungan dan motivasi dalam merawat pasien di rumah, khususnya terhadap kepatuhan minum obat secara teratur.
Co-Authors Adela Qiyas Aulawi Adhelia Reisa Zalsabilla Ahmad Muizzulhafiidh Alfia Andriyani Alfid Tri Afandi Alifia Marcheilla Yulfansha Amalia Kusumaningsih Anggian, Arista Ardiansyah, Riko Arima, Putra Asih Laras Ati, Niken Aura Najwa Salasabila Azizah, Lia Baskoro Setioputro Benaya Sriharja Dewi Kurniawati Dicky Endrian Kurniawan Didit Haryadi DINI KURNIAWATI Emi Wuri Wuriyaningsih Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi Kurniyawan Erti I Dewi Erti Ikhtiarini Dewi Eva Yuliatin Fahruddin Kurdi Faizatul Ulya Falah, Mahmudatul Rodliyatil Febriana Ira Handian Ferdiana Sari Tidar Firnanda, Dhea Fitrio Deviantony Hamzah, Rizqi Bachtiar Handian, Febriana Ira Hanny Rasni Hardianto, Widodo Hermawansa, Hermawansa Hsb, Sholahuddin Ramadan Ikhtiarini Dewi, Erti Ira Rahmawati Japroni, Japroni Jon Hafan Sutawardana Khaira, Nisaul Kristiana, Ike Kushariyadi Kusumaningsih, Amalia Lailatul Fitria Laras Ati, Niken Asih Latifa Aini Susumaningrum Lia Christina Lilik Supriati Lilik Supriati, Lilik Litasari, Maulida Luh Putu Ratna Sundari Lumadi, Sih Ageng Maarif, Husnul Mahmudatul Rodliyatil Falah Malau, Jeremi Jordan Maratun Nafi’ah A.Z Miska, Tasnim Muhammad Nur, Kholid Rosyidi Mulia Hakam Nadya Rahmania Nasution, Iman Ali Matua Nisa, Fitria Hawatun Ni’mah, Afa Faiqotun Novita Febrian Nur Afidah Nur Widayati Nurhidayati Nurhidayati Poeranto, Sri Rabbani, Muhammad Priya Rismawan Adi Yunanto Robby Prihadi Aulia Erlando Salim, Yoga Dwi Salsabila, Miftah Santoso, Sofi Fitriyah Saputra, Cholin Edi Sekar Ayu Widowati Sinta Nur A.Z Siregar, Yan Indra Siswahyudianto Siti Saleha Sri Poeranto Sri Poeranto, Sri Supriati, Lilik Susilaningsih Susilaningsih Susilaningsih Susilaningsih Tambunan, Herrywati Tri Pramesuari, Ni Komang WIDIASTUTI, Rahayu Widiyantari, Ni Made Galuh Wiwin Handayani Wuri Wuryaningsih, Emi Yani