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All Journal Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Muhammadiyah Journal of Nursing Care and Biomolecular Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Suaka Insan Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Jurnal Aisyah : Jurnal Ilmu Kesehatan Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Pendidikan Kesehatan (e-Journal)
Ridwan Sofian
Sekolah Tinggi Ilmu Kesehatan Maharani Malang
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 - 16 Years: A Multi-Centre Cross-sectional Study Heni Dwi Windarwati; Retno Lestari; Ridhoyanti Hidayah; Ahmad Afif Supianto; Satrio Agung Wicaksono; Niken Asih Laras Ati; Mira Wahyu Kusumawati; Dewa Ayu Anggi Gharbelasari; Ridwan Sofian; Phat Prapawichar
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i2.2009

Abstract

Background: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents. Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents. Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression. Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296-3.608) were signifcantly correlated with family communication. Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting.
My Husband is My Strength: A Phenomenological Study of Women After Hysterectomy Ridwan Sofian; Kumboyono Kumboyono; Retno Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (666.461 KB) | DOI: 10.30604/jika.v7i3.1257

Abstract

Post-hysterectomy women consider hysterectomy as the loss of femininity which significantly impacts the psychological state of the convalescent. The support and motivation from the family, especially the husband tend to affect the wife's life quality and self-confidence after a hysterectomy. Therefore, this study aims to explore the psychological experiences of post-hysterectomy women in terms of support from their husbands using a qualitative method with a phenomenological approach. The participants were selected through the purposive sampling method with inclusion criteria: (1) Women with the history of hysterectomy, (2) Those at productive age (15-64 years old), and (3) Post-hysterectomy respondents living with their husbands. The data were obtained from in-depth interviews with 6 post-hysterectomy participants, and the analysis was carried out using the Interpretative Phenomenological Analysis Technique. The four themes used were: 1) Fear of being abandoned before the procedure, (2) My husband is my strength, (3) I feel the love of my spouse, (4) Thanks for accompanying me, (5) Accepting what has happened, (6) I wish we always be together, healthy, and happy. The support in the form of providing motivation, encouragement, and affection for post-hysterectomy women strengthens and improve life quality. In conclusion, with partner support, women feel the affection and love, which relatively increase happiness within the family.Abstrak: Wanita paska histerektomi menganggap histerektomi sama dengan kehilangan kewanitaan yang berdampak pada aspek psikologis. Dukungan dari suami akan berpengaruh terhadap peningkatan kualitas hidup wanita paska histerektomi. Dukungan dan motivasi dari keluarga khususnya suami akan mempengaruhi kepercayaan diri wanita. Penelitian ini bertujuan untuk mengeksplorasi pengalaman psikologis yang dialami oleh wanita paska histerektomi dilihat dari aspek dukungan dari suami menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini dipilih dengan metode purposive sampling dengan kriteria inklusi: (1) Wanita yang telah menjalani histerektomi, (2) Wanita usia produktif (15-64 tahun), dan (3) Wanita pascahisterektomi yang masih memiliki suami. Data didapat dari proses wawancara mendalam kepada 6 partisipan pascahisterektomi. Selanjutnya analisis data menggunakan teknik Interpretative Phenomenological Analysis Terdapat 4 tema yang ditemukan pada penelitian ini yaitu; 1) Takut ditinggalkan sebelum prosedur, (2) Suami adalah kekuatan saya, (3) Saya merasakan cinta pasangan saya, (4) Terima kasih telah menemani saya, (5) Menerima apa yang telah terjadi, (6) Saya semoga kita selalu bersama, sehat, dan bahagia. Dukungan berupa pemberian motivasi, pemberian semangat, dan juga sebagai penghibur bagi wanita pascahisterektomi akan menjadikan kekuatan tersendiri bagi wanita pascahisterektomi. Dapat disimpulkan bahwa dengan dukungan dari pasangan, wanita akan merasakan kasih sayang dan merasa dicintai oleh pasangan. Perasaan dicintai akan meningkatkan kebahagiaan bersama keluarga.
Masalah Psikologis Wanita Pascahisterektomi: Literatur Review Sofian, Ridwan; Nur, Mangsur M
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 12, No 1 (2024): JKP Juni 2024
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v12i1.912

Abstract

Latar Belakang: Histerektomi merupakan suatu tindakan pembedahan dengan melakukan pengangkatan rahim akibat suatu penyakit ginekologi. Wanita merasa bahwa histerektomi menyebabkan kehilangan kepercayaan dan menyebabkan kurangnya harga diri sebagai seorang wanita.Tujuan: penulisan literatur review ini adalah memahami masalah-masalah psikologis yang dapat terjadi dan dialami oleh wanita pasca histerektomi.Metode: Metode menggunakan pendekatan literatur review. Pencarian artikel melalui PubMed, Science Direct, EBSCO, dan ProQuest dengan kata kunci “psychological issues after hysterectomy”.  Kriteria artikel harus dari jurnal internasional dan full text serta terpublikasi 8 tahun terakhir. Sampel dalam penelitian ini sebanyak 16 artikel yang disesuaikan dengan kriteria.Hasil: Hasil yang telah didapatkan menunjukkan bahwa histerektomi dapat menyebabkan gejala depresi seperti keputusasaan, kecemasan, ketakutan, citra tubuh dan harga diri rendah, masalah PTSD akibat stressor berkelanjutan, hingga masalah psikoseksual yang dapat terjadi pada sebagian besar wanita karena penurunan hasrat seksual pascahisterektomi.Kesimpulan: Literatur review ini menggambarkan masalah psikologis pada wanita pascahisterektomi seperti kejadian depresi, PTSD, dan masalah psikoseksual. Masih minimnya penatalaksanaan pada masalah psikologis, mengharuskan penerapan terapi psikologis cognitive dan behavior pada pelayanan kesehatan untuk wanita pascahisterektomi.
STUDI FENOMENOLOGI: PENGALAMAN PSIKOLOGIS WANITA PASCAHISTEREKTOMI Sofian, Ridwan; M. Nur, Mangsur
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 13 No. 2 (2024): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v13i2.4522

Abstract

Post-hysterectomy women tend to experience psychological problems that impact their mental health. This study aims to explore the psychological experiences of post-hysterectomy women using a qualitative method with a phenomenological approach. Participants were selected through purposive sampling method with inclusion criteria: (1) Have undergone hysterectomy, (2) Women aged 15-64 years. The research was conducted for 22 days at Wava Husada Kepanjen Hospital with semi-structured interviews. Data were obtained through interviews with 6 post-hysterectomy participants. Analysis used the Interpretative Phenomenological Analysis technique. Eleven themes emerged: (1) Tumor growth as the cause of hysterectomy, (2) No longer having a uterus, (3) Unable to menstruate and conceive again, (4) Loss of femininity, (5) Fear of abandonment by spouse, (6) Feeling powerless in the situation, (7) Resigned acceptance of everything that happens, (8) Withdrawing from the outside environment at the onset of surgery, (9) Decreased sexual behavior, (10) Spouse as strength to forget problems, (11) Hope for always being healthy and happy. Participants understand that hysterectomy means no longer having a uterus, unable to menstruate and conceive again. This understanding leads to negative thoughts, perceiving themselves as lacking in femininity, and experiencing negative feelings of powerlessness and behaviors related to decreased sexual behavior.
Psikoseksualitas PascaHisterektomi: Perspektif Wanita Dalam Budaya Indonesia: Psychosexuality A Post-Hysterectomy: Women's Perspectives Within Indonesian Culture Ridwan Sofian; Khafidhiyah Nur Insaniyah
Journal of Nursing Care and Biomolecular Vol 10 No 1 (2025): Journal of Nursing Care and Biomolecular
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: In Indonesian culture, women who have undergone hysterectomy often perceive the loss of the uterus as a loss of femininity, which can diminish self-esteem and affect sexual life as well as interpersonal relationships. Objective: This study aims to explore the psychosexual experiences of women post-hysterectomy from an Indonesian cultural perspective. Method: A qualitative research approach was employed through in-depth interviews with six participants at RS Wava Husada Kepanjen. Results: Three main themes emerged: (1) When Sexual Relations Become a Physical Burden, where participants experienced pain and vaginal dryness during sexual intercourse. (2) When Love Loses Its Passion, where participants lost the desire for intimacy. (3) Shadows of Separation, where participants felt incapable of satisfying their husbands and feared abandonment. Conclusion: Hysterectomy has a significant impact on the physical, psychological, and relational aspects of women's lives, particularly concerning sexual relationships. Complaints such as pain and vaginal dryness disrupt sexual activity, reduce the frequency and quality of relationships, and create tension between partners. Further research is needed to understand the experiences of partners in addressing the psychosexual issues faced by women post-hysterectomy. Keywords: Post-hysterectomy, Psychosexual Issues, Women's Perspective
PSYCHOSOCIAL EXPERIENCES AND MENTAL HEALTH CHALLENGES OF TRANSGENDER WOMEN LIVING WITH HIV/AIDS: A QUALITATIVE STUDY Kurnia Laksana; Ridwan Sofian
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.78462

Abstract

Introduction: Transgender women (locally known as waria) represent a key population that is highly vulnerable to HIV/AIDS. Elevated rates of risky sexual behavior, limited access to healthcare services, and pervasive social stigma and discrimination intensify this vulnerability. Although intervention programs, such as Voluntary Counseling and Testing (VCT), are available, the awareness and personal experiences of transgender individuals concerning these services remain underexplored. This study aimed to delve into the lived experiences of transgender women in Malang, East Java. Method: This research employed a qualitative design informed by a phenomenological approach. Data were gathered through in-depth interviews with 12 purposively selected transgender participants, alongside field observations. The data were analyzed using thematic analysis to uncover patterns and meanings within the participants' subjective experiences. Results: The study revealed four key themes: a limited understanding of HIV and its associated risks, low engagement with HIV testing services, psychological distress following a positive diagnosis, and risky sexual behaviors driven by financial necessity. Participants expressed inadequate knowledge about HIV transmission, inconsistent condom usage, irregular testing habits, emotional distress, internalized stigma, and ongoing high-risk behaviors influenced by economic pressures. Conclusions: Transgender women face a range of intricate challenges. Despite possessing some awareness of HIV, factors such as limited testing participation, psychological distress, and economic vulnerability contribute to the persistence of risky sexual practices. It is crucial to implement integrated interventions that focus on health education, mental health support, improved access to services, and economic empowerment to reduce the ongoing risk of HIV transmission effectively.
The Relationship Between Family Support and Quality of Life Among People Living with HIV/AIDS (PLHIV) At WPA Turen Foundation Muhammad Rias Kurnia Sandi; Sih Ageng Lumadi; Ridwan Sofian
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: HIV/AIDS is a progressive chronic disease that adversely affects the physical, psychological, social, and spiritual dimensions of an individual's life. People living with HIV/AIDS (PLHIV) are particularly vulnerable to a decline in quality of life due to opportunistic infections, stigma, discrimination, and inadequate social support, including limited support from their families. Objective: This study aimed to analyze the relationship between family support and quality of life among PLHIV at the WPA Turen Foundation, Malang Regency. Methods: A descriptive quantitative study with a cross-sectional design was employed. Thirty PLHIV respondents were recruited through purposive sampling from a total population of 59 PLHIV at the WPA Turen Foundation. Data were collected using validated family support and quality of life questionnaires adapted from Kusuma (2011). Bivariate analysis was conducted using the Spearman rho test at a significance level of α = 0.05. Results: The majority of respondents received non-supportive family support (60%) and reported a good quality of life (53.3%). The Spearman rho test yielded p = 0.005 (p < 0.05) with a correlation coefficient of r = 0.355, indicating a statistically significant positive relationship of moderate strength between family support and quality of life among PLHIV. Conclusion: A significant relationship exists between family support and quality of life among PLHIV at the WPA Turen Foundation. The more supportive the family, the better the individual's quality of life. Family-based interventions, including HIV/AIDS education and family counseling, are recommended to sustainably improve the quality of life of PLHIV.
Pengaruh Pengaruh Peer Education Terhadap Perilaku Merokok Pada Remaja Di SMP Negeri 1 Wajak : Peer Education, Perilaku Merokok, Remaja Much. Rizal Arifin; Rahmawati Maulidia; Ridwan Sofian
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perilaku merokok pada remaja jika tidak segera dicegah dapat berdampak negatif pada remaja. Salah satu pencegahan untuk mengubah pengetahuan, sikap, dan perilaku merokok adalah dengan menggunakan pendekatan pendidikan sebaya. Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh pendidikan sebaya terhadap perilaku merokok pada remaja di SMP Negeri 1 Wajak. Desain penelitian menggunakan pendekatan pra-eksperimental dengan desain pretest-posttest satu kelompok. Sampel terdiri dari 30 remaja yang memiliki kepribadian perokok. Teknik pengambilan sampel menggunakan metode purposive sampling. Instrumen pengukuran menggunakan lembar kuesioner perilaku merokok. Analisis data menggunakan uji Wilcoxon Sign Rank. Hasil penelitian menunjukkan bahwa lebih dari setengah siswa sebelum diberikan pendidikan sebaya terkait perilaku merokok berada pada kategori cukup dengan 20 responden (66,7%). Setelah diberikan pendidikan sebaya terkait perilaku merokok, hampir seluruh siswa menunjukkan hasil pada kategori rendah dengan 26 responden (86,7%). Hasil analisis Uji Wilcoxon menunjukkan nilai p Asymp.sig (2-tailed) = 0,000 (α <0,05), yang berarti terdapat Pengaruh Pendidikan Sebaya terhadap Perilaku Merokok pada Remaja di SMP Negeri 1 Wajak. Pendidikan sebaya memiliki dampak positif terhadap perilaku merokok karena dengan pendidikan sebaya, tidak hanya pengetahuan yang diperoleh, tetapi juga pengalaman pribadi dibagikan dalam proses berhenti merokok. Pendidikan sebaya yang melibatkan teman sebaya seringkali memiliki pengaruh besar terhadap sikap seseorang, terutama remaja karena informasi yang disampaikan oleh teman sebaya seringkali lebih mudah diterima dan dipahami. Teman sebaya dapat meningkatkan pemahaman individu tentang bahaya merokok, termasuk risiko kesehatan jangka panjang seperti kanker, penyakit jantung, dan gangguan pernapasan serta meningkatkan kepercayaan diri dalam menghadapi tekanan.
Luka Tak Terlihat dan Harga Diri yang Hancur: Studi Fenomenologi tentang Pengalaman Emosional Mahasiswi dengan Riwayat Body Shaming Ridwan Sofian; Ervina Dwi Anatasya
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 11 No. 1 (2026): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : Institut Kesehatan Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v11i1.1166

Abstract

Body shaming experiences in young women can result in serious psychological consequences; however, in-depth exploration of nursing students’ emotional experiences remains limited. This study aimed to explore the emotional experiences of female students who had experienced body shaming. A qualitative phenomenological approach was employed involving five active eighth-semester students at STIKes Maharani Malang selected through purposive sampling. Data were collected through in-depth interviews and analyzed using phenomenological thematic analysis. Four major themes emerged: Drizzle That Never Ceases (Cumulative Internalization of Suppressed Emotional Wounds), When the Shadow of the Body Becomes a Shackle (Shame-Induced Erosion of Self-Confidence), The Wound That Makes No Sound (Chronic Emotional Exhaustion from Cumulative Body Shaming), and When the Mirror Whispers “You Are Not Worthy” (Internalization of Negative Body Messages and Erosion of Self-Esteem). Body shaming exerts multidimensional effects on female students’ mental health, highlighting the need for trauma-informed interventions and responsive counseling services in nursing education.
COGNITIVE CONFLICT AMONG NURSING STUDENTS EXPERIENCING QUARTER-LIFE CRISIS: A PHENOMENOLOGICAL STUDY Ridwan Sofian; Ratna Wulandari; Annastasya Wijaya
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.89943

Abstract

Introduction: Final-year students often face a gap between idealistic expectations and academic reality, triggering Quarter-Life Crisis (QLC). This study explores cognitive conflict among nursing students facing this clash. Method: A qualitative study using an Interpretative Phenomenological Analysis (IPA) approach was conducted at a health sciences institution in East Java, Indonesia. Six female nursing students aged 22–23 years in their seventh semester were selected through purposive sampling based on the inclusion criterion of experiencing all seven characteristics of Quarter-Life Crisis (QLC). The all-female composition of the participants provided a relatively homogeneous sample, allowing for an in-depth exploration of subjective experiences among individuals with similar characteristics. Data were collected through semi-structured, in-depth interviews lasting 50–70 minutes. Results: Analysis generated five overarching themes. First, “When Expectations Turn into Despair” reflected cognitive dissonance arising from the discrepancy between idealistic expectations and challenging academic realities. Second, “Stranded in a Harbor I Did Not Choose” described a loss of personal autonomy resulting from parental dominance in decision-making. Third, “Hating Myself for Every Failure” reflected a maladaptive internal attribution pattern characterized by negative self-labeling. Fourth, “When Fear Paralyze Every Step” illustrated decision-making paralysis driven by intolerance of uncertainty. Fifth, “The Future as a Corridor Without an End” represented future disorientation and existential anxiety. Conclusions: QLC experienced by all participants represented an existential crisis rooted in the discrepancy between expectations and reality, loss of autonomy, destructive thought patterns, decision-making paralysis, and future disorientation. decision-making support is needed to help students navigate and cope with this crisis.
Co-Authors Ahmad Afif Supianto Annastasya Wijaya Dewa Ayu Anggi Gharbelasari Ervina Dwi Anatasya Khafidhiyah Nur Insaniyah Kumboyono Kumboyono Kurnia Laksana Kusumawati, Mira Wahyu Lestari, Retno Maulidia, Rahmawati Much. Rizal Arifin Muhammad Rias Kurnia Sandi Niken Asih Laras Ati Nur, Mangsur M Phat Prapawichar Ratna Wulandari Ridhoyanti Hidayah Satrio Agung Wicaksono Sih Ageng Lumadi Windarwati, Heni Dwi