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All Journal JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) IJNP (Indonesian Journal of Nursing Practices) Media Keperawatan Indonesia South East Asia Nursing Research Jurnal Ilmu Kesehatan Borneo Student Research (BSR) Proceedings of the International Conference on Nursing and Health Sciences GENIUS JOURNAL (General Nursing Science Journal) ASJN (Aisyiyah Surakarta Journal of Nursing) SEHAT : JURNAL KESEHATAN TERPADU International Journal of Health, Engineering and Technology Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Jurnal Kesehatan Cendikia Jenius Strada Jurnal Ilmiah Kesehatan (SJIK) Jurnal Pengabdian Masyarakat Nusantara
Dwi Rahmah Fitrniani
Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
Religion Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Correlation between Spirituality Levels and Stress among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Chairunnisa, Aldilla Asri; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.457

Abstract

Introduction: University students, particularly those in health-related programs, are often subjected to various academic demands that must be completed within strict timeframes. These demands, coupled with a lack of preparedness to cope, can lead to psychological issues such as stress. Globally, stress affects more than 350 million people and ranks as the fourth most common health problem. Objective: This study aimed to determine the relationship between spirituality levels and stress among freshmen in the Health Sciences Program at Universitas Muhammadiyah Kalimantan Timur. Methods: This research employed a quantitative approach with a cross-sectional design. A total of 271 respondents were selected using random sampling. The instruments used were the Daily Spiritual Experience Scale (DSES) to measure spirituality and the Depression Anxiety and Stress Scale (DASS-21) to measure stress levels. Data were analyzed using the Spearman rank correlation test. Results: The majority of respondents had a high level of spirituality (160 respondents or 59%), while most respondents also reported normal levels of stress (159 respondents or 58.7%). Statistical analysis revealed a negative correlation between spirituality and stress levels, with a correlation coefficient of -0.417 and a p-value of 0.000, indicating a significant inverse relationship. Conclusion: The findings indicate that higher levels of spirituality are associated with lower levels of stress among new health students. This suggests that spirituality may serve as a protective factor and should be considered in holistic student support and stress management programs in higher education settings.
Correlation Between Spirituality Levels and Depression among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Asrianti, Ulfa Dwi; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.458

Abstract

Introduction: Depression is a common mental health issue among first-year university students, often resulting from the challenges of adapting to new academic and social environments. Spirituality is considered a protective factor that may help reduce symptoms of depression by promoting emotional resilience and a sense of meaning. Objective: This study aimed to examine the relationship between spirituality levels and depression among first-year students enrolled in health study programs at Muhammadiyah Universitas Muhammadiyah Kalimantan Timur. Additionally, the study analyzed the distribution of spirituality and depression levels and explored demographic characteristics that may influence this relationship. Methods: A descriptive correlational study with a quantitative approach was conducted using stratified random sampling. The sample consisted of 271 freshmen, determined using the Slovin formula. Data collection instruments included the Daily Spiritual Experience Scale (DSES) to assess spirituality levels and the Depression Anxiety Stress Scale (DASS-21) to measure depression. Data were analyzed using the Spearman rank correlation test. Results: The analysis revealed a significant negative correlation between spirituality and depression (p = 0.000; r = -0.406), indicating that higher levels of spirituality were associated with lower levels of depression. The strength of the correlation was moderate. Conclusion: The study found a significant negative correlation between spirituality and depression among freshmen in health-related study programs. Higher levels of spirituality were associated with lower levels of depression, highlighting the potential protective role of spiritual well-being in supporting student mental health.
Correlation between Spirituality Levels and Coping Mechanism among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Nabila, Nabila; Milkhatun, Milkhatun
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.461

Abstract

Introduction: Spirituality plays an important role in influencing an individual's ability to manage stress and challenges, including among students in health-related fields. The level of spirituality reflects the depth of a person's spiritual beliefs, practices, and experiences, which may be linked to coping mechanisms. Objective: This study aims to determine the relationship between the level of spirituality and coping mechanisms among freshmens in the Health Study Program at Universitas Muhammadiyah Kalimantan Timur. Methods: This research employed a quantitative method with a descriptive approach. The population consisted of freshmens enrolled in the Health Study Program. Data were collected using validated questionnaires and analyzed using the Spearman Rank correlation test. Results: The majority of respondents were 18 years old (69.7%), female (81.2%), Muslim (98.9%), and from the Public Health undergraduate program (30.0%). Most respondents had a high level of spirituality (59.0%), while 41.0% had a moderate level. Regarding coping mechanisms, 57.9% used adaptive coping, while 42.1% employed maladaptive coping. The Spearman Rank test yielded a p-value of 0.000 (≤0.005), indicating a statistically significant relationship. The correlation coefficient was 0.238, demonstrating a weak but positive correlation between spirituality levels and coping mechanisms. Conclusion: There is a significant positive relationship between the level of spirituality and coping mechanisms among freshmens in the Health Study Program, although the strength of the correlation is weak. These findings highlight the potential importance of spiritual development in enhancing students' coping strategies.
Coping Mechanisms and Social Support To Reduce Nurse Students' Anxiety In Facing Competency Tests Fitriani, Dwi Rahmah; Allison, Enda Maimia Taesa; Aldi, M; Wahyuni, Tri; Damaiyanti, Mukripah
Media Keperawatan Indonesia Vol 8, No 3 (2025)
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Nursing students who will face competency tests generally have varying levels of anxiety and this will likely have an impact on the competency test results. The aim of this research is to analyze the relationship between coping mechanisms and social support with the level of anxiety of nursing students in facing competency tests in Samarinda. This research uses quantitative research methods with a cross-sectional design. There were 138 respondents in this study using total sampling technique. Data was collected using the Brief Cope questionnaire for coping mechanisms, social support using the Multidimensional Scale of Perceived Social Support and the State Anxiety Inventory for anxiety. The results of the analysis of the independent and dependent variables using the gamma correlation test were obtained for coping mechanisms with an anxiety level of P value: 0.312 and social support with an anxiety level of p value of 0.015. So it was found that there was a relationship between social support and the level of anxiety in nursing students who were facing competency exams in Samarinda City.
SOSIALISASI PENGHENTIAN SUNAT PADA ANAK PEREMPUAN DAN PEREMPUAN PADA KELOMPOK IBU DHARMA WANITA KLHK PROVINSI KALIMANTAN TIMUR Tri Wahyuni; dwi rahmah Fitriani; Faried Rahman Hidayat; Meliana Susanti
Jurnal Pengabdian Masyarakat Nusantara Vol. 2 No. 2 (2023): jurnalpkm.org
Publisher : Open Edutech Indonesia

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Abstract

Female Genital Cutting and Mutilation (FGCM) or female circumcision is an old practice that is still widely practiced in various parts of the world, including Indonesia. The implementation of female circumcision is linked to religious and cultural values, so it gives the impression of being a medicalization that parents must carry out for their daughters because they are worried that they will be ostracized or deemed not to comply with religious law. The aim of this community service is socialization to jointly stop the behavior of circumcising girls in the neighborhood where Darma Wanita lives. Community service utilizes counseling at the Dharma Wanita UPT Ministry of Environment and Forestry. The results of this activity increased the knowledge of mothers of Dharma Wanita members regarding the prohibition of female circumcision both from a health and religious perspective, as well as understanding the side effects of female circumcision for children who experience it. Apart from that, there was a commitment raised by the majority of participants in outreach activities not to allow their children, grandchildren, or relatives to undergo female circumcision.
M MANAJEMEN KECEMASAN DENGAN TEHNIK RELAKSASI NAFAS DI PUSKESMAS KARANG ASAM SAMARINDA: Anxiety Management with Breath Relaxation Techniques at the Karang Asam Samarinda Health C enter Mutia Riani; Khairun Nikmah; Nadiya Az Zahra; Putri Dwi Yuni; Dwi Rahmah Fitriani; Muhammad Amal Satrio Wibowo; Deby Suryani
Jurnal Pengabdian Masyarakat Nusantara Vol. 3 No. 2 (2024): Jurnalpkm.org
Publisher : Open Edutech Indonesia

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Abstract

Abstract. Various problems faced in daily life can cause / have an impact on psychology. Without realizing it, these problems can cause anxiety. The purpose of this study is to find out how to manage anxiety in visitors to the Karang Asam Samarinda Health Center. The research design is a descriptive research with a quantitative approach, the population is 23 visitors to the Karang Asam Samarinda Health Center. The questionnaire used was HARS with results describing various anxiety in respondents, namely mild, moderate, and severe. The results of the community service program (PKM) with anxiety management education with deep breath relaxation techniques showed that there was a significant change in the level of severe anxiety which was initially in the range of 34.8% to 8.7%. So that the implementation of this community service activity is expected to increase knowledge, understanding and increase the awareness of visitors to the Karang Asam Samarinda Health Center about the importance of getting to know early related to anxiety and how to overcome anxiety. Keywords: anxiety, deep breath relaxation, Karang asam health center Abstrak. Berbagai masalah yang dihadapi dalam kehidupan sehari-hari dapat menyebabkan /berdampak terhadap psikologis. Tanpa disadari masalah tersebut dapat menimbulkan kecemasan. Tujuan dari penelitian ini yaitu mengetahui bagaimana manajemen kecemasan pada pengunjung Puskesmas Karang Asam Samarinda. Rancangan penelitiannya adalah penelitian deskriptif dengan pendekatan kuantitatif, populasinya adalah pengunjung Puskesmas Karang Asam Samarinda sebanyak 23 orang. Kuesioner yang dipergunakan yaitu HARS dengan hasil mengagambarkan kecemasan beragam pada responden yaitu ringan, sedang, dan berat. Hasil dari program pengabdian masyarkat (PKM) dengan edukasi manajemen kecemasan dengan tehnik relaksasi nafas dalam didapatkan hasil terdapat perubahan yang signifikan pada tingkat kecemasan berat yang awalnya berada pada rentang 34.8% menjadi 8.7%. Sehingga pelaksanaan kegiatan pengabdian masyarakat ini diharapkan dapat meningkatkan pengetahuan, pemahaman serta peningkatan kesadaran pengunjung Puskesmas Karang Asam Samarinda akan pentingnya mengenal secara dini terkait kecemasan dan cara mengatasi kecemasan. Kata kunci: kecemasan, relaksasi nafas dalam, puskesmas karang asam
Analysis of Crossword Puzzle Therapy to Control Auditory Hallucinations in Sensory Perception Disorder Patients Jihan Nabilah Yusuf; Arief Budiman; Dwi Rahmah Fitriani; Linda Dwi Novial
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 2 (2026): April 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i2.394

Abstract

Auditory hallucinations are one of the most common and disruptive symptoms experienced by individuals with schizophrenia, often impairing concentration, emotional regulation, and daily functioning. Non-pharmacological interventions, such as cognitive distraction techniques, are increasingly needed to complement medication in managing these symptoms. This study aimed to analyze the effectiveness of crossword puzzle distraction therapy in improving the ability of patients to control auditory hallucinations. A case study design was used involving one patient diagnosed with schizophrenia who received crossword puzzle therapy for three consecutive days. Data were collected through observation, interviews, and the Auditory Hallucination Rating Scale (AHRS), and analyzed descriptively to assess changes before and after the intervention. The patient showed a marked reduction in hallucination intensity, improved focus, and increased ability to redirect attention away from hallucinatory voices. AHRS scores decreased significantly from severe to mild levels, accompanied by behavioral improvements such as calmness, cooperation, and self-control. These findings suggest that crossword puzzle distraction therapy can serve as a practical and effective non-pharmacological strategy in psychiatric nursing care. The study recommends the integration of cognitive activity-based distraction techniques into routine nursing interventions for patients experiencing auditory hallucinations.
Analysis of Nursing Clinical Practice Using Relating Therapy Intervention to Reduce Auditory Hallucination Symptoms Nuraini Yulianti; Arief Budiman; Linda Dwi Novial; Dwi Rahmah Fitriani
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 2 (2026): April 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i2.395

Abstract

Auditory hallucinations are one of the most common and disruptive symptoms experienced by individuals Auditory hallucinations are one of the positive symptoms of schizophrenia that significantly affect patients’ cognitive processes, emotional stability, and social interactions, making comprehensive nursing care essential. This study aims to analyze the effectiveness of Relating Therapy (RT) as an innovative intervention in reducing the signs and symptoms of auditory hallucinations among patients in the Elang Ward of Atma Husada Mahakam Samarinda Mental Hospital. This research employed a case study design using a psychiatric nursing care approach on a patient diagnosed with paranoid schizophrenia. Data were collected through clinical observation, interviews, and the Auditory Hallucination Rating Scale (AHRS) over a nine-day intervention period, then analyzed descriptively to identify changes in frequency, intensity, and emotional distress related to hallucinations. The results demonstrated a significant decrease in AHRS scores from 24 (severe hallucinations) to 5 (mild hallucinations) after six sessions of Relating Therapy, along with improved self-control, reduced psychological distress, and more assertive responses toward hallucinatory voices. This study concludes that Relating Therapy is effective as a non-pharmacological intervention in reducing auditory hallucination symptoms and is recommended for integration into clinical psychiatric nursing practice, with a suggestion for its continued application to enhance patient outcomes.
Analysis of Nursing Clinical Practice Using Ecoprint Occupational Therapy to Reduce Auditory Hallucination Symptoms Lulu Khairiyah; Arief Budiman; Dwi Rahmah Fitriani; Linda Dwi Novial
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 2 (2026): April 2026
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i2.396

Abstract

Auditory hallucinations are a major symptom experienced by patients with schizophrenia and can disrupt cognitive, emotional, and social functioning, thus requiring comprehensive therapeutic management. This study is necessary because pharmacological therapy alone is not sufficient to optimize patients’ ability to control hallucinations, making meaningful non-pharmacological interventions essential. This study aimed to determine the effectiveness of ecoprint occupational therapy in reducing signs and symptoms of auditory hallucinations in Mr. I. The research employed a case study design involving one patient, with data collected using the Auditory Hallucination Rating Scale (AHRS), conducted over two consecutive days. The ecoprint intervention was implemented for approximately 60 minutes per session and analyzed descriptively. The results demonstrated a reduction in AHRS scores from 23 to 21 on the first day and from 17 to 11 on the second day, with improvements observed in frequency, intensity, negative voice content, disturbance to activities, and control over hallucinations. The patient also showed increased focus and engagement during the activity. In conclusion, ecoprint occupational therapy is effective as a supportive intervention for helping patients control auditory hallucinations. It is recommended for continued implementation with expanded duration and activity variations to enhance therapeutic outcomes.
Analysis Of Nursing Clinical Practices In MRS. S With The Innovation Of Free Painting Therapy Using Totebag Media In Patients With Sensory Perception Disorders, Auditory Hallucinations In The Punai Room Of Atma Husada Mahakam RSJD Samarinda Chairunnisa, Aldilla Asri; Arief Budiman; Linda Dwi Novial; Dwi Rahmah Fitriani
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.855

Abstract

Mental disorders, especially schizophrenia, are still a mental health problem with a high prevalence in Indonesia, including in East Kalimantan, with one of the main symptoms being sensory perception disorders of auditory hallucinations that can interfere with psychosocial functions and the patient's ability to control themselves. This scientific paper aims to analyze the effectiveness of an innovative intervention in the form of free painting therapy with totebag media as a non-pharmacological approach in reducing the signs and symptoms of auditory hallucinations. The method used is an analysis of nursing clinical practice through a nursing process approach, with measurement of the level of auditory hallucinations using the Auditory Hallucination Rating Scale (AHRS) 11-item questionnaire which was carried out three times during three free painting therapy interventions. The evaluation results showed a significant decrease in the auditory hallucination score, from an initial score of 33 before the intervention to 7 after the entire series of interventions were given, which was characterized by a reduction in the frequency, duration, and intensity of hallucinations and an increase in the patient's ability to control and divert attention from hallucinations. Free-form painting therapy using tote bags is effective as a non-pharmacological nursing intervention in reducing the intensity of auditory hallucinations and can be used as an alternative activity therapy in psychiatric nursing practice.
Co-Authors Achmad Riyadi Adela Rosnadia Akmad Safrudin Aldi, M Alfif Fikrianur Allison, Enda Maimia Taesa Ana Safitri Andi Nindya Markang Annisa Yuliah Aqmarina Abidah Arief Budiman Arief Budiman Asrianti, Ulfa Dwi Asthiningsih, Ni Wayan Wiwin Astiningsih, Ni Wayan Wiwin Chairunnisa, Aldilla Asri Chatarina Umbul Wahyuni Cindi Neni Amalia Damaiyanti, Mukhripah Damaiyanti, Mukripah Deby Suryani Devita Nurul Jannah Dewi Nurkayatun Dhita Fitriyanti Eka Yulia Dithah Elvina, Rodiana Faried Rahman Hidayat Fathia Wianida Ghozali Indah Permata Sari Ira hmah Ismi Nurina Sari Jihan Febriyanti Jihan Nabilah Yusuf Joanggi Wiriatarina Joanggi Wiriatarina Harianto Khairun Nikmah Linda Dwi Novial Lulu Khairiyah Meliana Susanti Milkhatun, Milkhatun Muhammad Amal Satrio Wibowo Muhammad Fikri Muhammad Sarkawi Mukhripah Damaiyanti Mukhripah Damaiyanti Mukhripah Damaiyanti Mutia Riani Nabila, Nabila Nadiya Az Zahra Nahdiyaty Nur Rahmi Ni Wayan Wiwin Astiningsih Novi Oktavianti Novia Syafriani Novie Amaliah Selvyana Nur Hamidah Nur Inda Marlidani Nuraini Yulianti Nuralim Setiawicaksana Priyo Handayono Putri Ayu Wulandari Putri Dwi Yuni Ramdhany Ismahmudi Rian Rian Rian Rini Ernawati Ritanti Ritanti Riza Irfani Rizal, Alfi Ari Fakhrur Sentia Wulandari Siti Khoiroh Muflihatin Sulastri Sulastri Sutari, Mira Tri Wahyuni tri wahyuni Umil Mahmudah Utami Wahyu Lestari Yulia Saputri Yuliani Winarti Zulliani Akbar