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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 Jurnal Sehat Mandiri 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 Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat Jurnal Kesehatan Cendikia Jenius Strada Jurnal Ilmiah Kesehatan (SJIK) KEWINUS: Jurnal Keperawatan dan Kesehatan Jurnal Pengabdian Masyarakat Nusantara
Dwi Rahmah Fitrniani
Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
Religion Humanities Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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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
ANALISIS PRAKTIK KLINIK KEPERAWATAN MENDENGARKAN ASMAUL HUSNA DALAM PENURUNAN TANDA DAN GEJALA RISIKO PERILAKU KEKERASAN Fathia Wianida; Milkhatun Milkhatun; Dwi Rahmah Fitriani; Arief Budiman
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i2.58737

Abstract

Risiko perilaku kekerasan ialah masalah keperawatan jiwa yang bisa memicu keselamatan pasien, orang lain, dan lingkungan apabila tidak ditangani secara tepat. Tingginya kasus risiko perilaku kekerasan di rumah sakit jiwa menunjukkan perlunya intervensi keperawatan yang efektif, tak sekedar melalui terapi farmakologis tapi juga intervensi nonfarmakologis. Tujuan penelitian ini untuk menggambarkan penerapan asuhan keperawatan jiwa pada pasien dengan risiko perilaku kekerasan lewat perancangan penggerakkan yang dikombinasikan dengan terapi mendengarkan Asmaul Husna. Studi kasus dengan pendekatan tahapan keperawatan, mencakup kajian, diagnosis keperawatan, perancangan, penggerakkan, dan evaluasi. Intervensi diberikan secara bertahap melalui strategi pelaksanaan risiko perilaku kekerasan juga terapi mendengarkan Asmaul Husna yang dijalankan secara terjadwal. Hasil penelitian ini menunjukkan bahwa selama 6 kali diberikan terapi mendengarkan Asmaul Husna terdapat penurunan skor tanda dan gejala risiko perilaku kekerasan dari 24 pada hari pertama menjadi 9 pada hari terakhir. Kombinasi strategi pelaksanaan dan terapi mendengarkan Asmaul Husna terbukti efektif sebagai intervensi keperawatan nonfarmakologis dalam menyusutkan tanda juga gejala risiko perilaku kekerasan.
EFEKTIVITAS TERAPI THOUGHT STOPPING DALAM MENGONTROL HALUSINASI PENDENGARAN PADA PRAKTIK KLINIK KEPERAWATAN Eka Yulia Dithah; Milkhatun Milkhatun; Arief Budiman; Dwi Rahmah Fitriani
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i2.58771

Abstract

Halusinasi pendengaran merupakan satu diantaranya gejala positif yang seringkali dialami oleh pasien skizofrenia dan bisa menghalangi kegunaan psikologis, sosial, serta perilaku apabila tidak dikendalikan dengan baik. Halusinasi pendengaran yang tidak terkontrol dapat menyebabkan klien mengalami kecemasan, ketegangan, dan kesulitan dalam memutuskan perhatian. Satu diantaranya terapi nonfarmakologis yang bisa digunkan untuk membantu mengawasi halusinasi pendengaran ialah terapi Thought Stopping, yang manfaatnya mengehentikan pikiran negatif dengan kata “stop” lalu merubah pikiran kearah positif. Karya Ilmiah Akhir Ners ini mengaplikasikan metode studi kasus dengan pendekatan asuhan keperawatan jiwa. Subjek penelitian adalah satu klien dengan diagnosis gangguan persepsi sensori : halusinasi pendengaran yang dirawat di RSJD Atma Husada Mahakam Samarinda. Terapi Thought Stopping diberikan selama 30 menit selama lima hari. Evaluasi dilakukan menggunaka Audiotory Hallucination Rating Scale (AHRS) Temuan implementasi menunjukkan penurunan tanda dan gejala halusinasi pendengaran setelah diberikan terapi Thought Stopping. Skor AHRS klien mengalami penurunan dari 30 (halusinasi berat) sebelum intervensi menjadi 11 (halusinasi ringan), yang memperlihatkan peningkatan kemampuan klien dalam mengontrol halusinasi pendengaran. Terapi Thought Stopping efektif sebagai intervensi keperawatan nonfarmakologis guna membantu menyusutkan tanda dan gejala halusinasi pendengaran serta meningkatkan kemampuan kontrol klien terhadap halusinasi.
Efektifitas Terapi Musik Dangdut dalam Menurunkan Halusinasi pada Pasien Skizofrenia: Studi Kasus Luthfiana Sukma Rantikasari; Milkhatun Milkhatun; Dwi Rahmah Fitriani; Arief Budiman
Jurnal Sehat Mandiri Vol 21 No 1 (2026): Jurnal Sehat Mandiri, Volume 21, No.1 Juni 2026
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v21i1.2656

Abstract

Hallucinations in patients with schizophrenia can disrupt psychosocial functioning and increase the risk of maladaptive behaviors, highlighting the need for effective and contextually appropriate non-pharmacological interventions. This study aimed to evaluate the implementation of dangdut music therapy in reducing the level of hallucinations among patients with schizophrenia. A case study design was employed using a psychiatric nursing care approach involving one patient at Atma Husada Mahakam Psychiatric Hospital, Samarinda. The intervention consisted of dangdut music therapy administered for approximately 15–30 minutes per session, once daily for five consecutive days. Hallucination levels were measured using the Auditory Hallucinations Rating Scale (AHRS) before and after the intervention. The results demonstrated a reduction in the AHRS score from 28 (moderate–severe category) to 14 (mild–moderate category), accompanied by a decrease in hallucination frequency from 5–6 episodes per day to 1–2 episodes per day and a reduction in emotional response intensity from a score of 4 to 2. These findings suggest that dangdut music therapy has the potential to help reduce hallucination severity in patients with schizophrenia. In conclusion, dangdut music therapy may serve as a beneficial complementary intervention for managing hallucinations in schizophrenia within the context of a case study. However, further studies with larger sample sizes and more rigorous research designs are needed to confirm its effectiveness on a broader scale.
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.
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 Asrianti, Ulfa Dwi 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 Halipah Nurajijah 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 Luthfiana Sukma Rantikasari Meliana Susanti Milkhatun, Milkhatun Mira Sutari 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 Asthiningsih 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 Tri Wahyuni tri wahyuni Umil Mahmudah Utami Wahyu Lestari Yulia Saputri Yuliani Winarti Zulliani Akbar