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All Journal Journals of Ners Community JURNAL ILKES (Jurnal Ilmu Kesehatan) Pediomaternal Nursing Journal Indonesian Journal of Community Health Nursing Jurnal Pengabdian Masyarakat dalam Kesehatan FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Journal of Applied Nursing and Health Tri Dharma Mandiri: Diseminasi dan Hilirisasi Riset Kepada Masyarakat (Jurnal Pengabdian Kepada Masyarakat) Jurnal Abdi Kesehatan dan Kedokteran SPIKESNAS International Journal of Health and Medicine The Indonesian Journal of Health Science
DIANA RACHMANIA, DIANA
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Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Nurse Responsiveness and Empathy as Predictors of Patient Loyalty: A Cross-Sectional Study in Hospital Care Settings Widayati, Dhina; Rachmania, Diana
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): VOLUME 8 ISSUE 2 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.77252

Abstract

Introduction: Patient loyalty serves as an important indicator in evaluating the overall quality of nursing services within hospital settings. Loyalty reflects a crucial determinant of hospital competitiveness and sustainability. This study aims to analyze the relationship between nurse responsiveness, empathy, and patient loyalty in the hospital service environment. Method: This quantitative cross-sectional study involved 62 patients as respondents using accidental sampling techniques. Patient in the ward patients admitted to the ward during January. Data were collected through questionnaires to measure nurses' responsiveness and empathy through patient perceptions, as well as the Patient Loyalty Questionnaire (PLQ), which includes dimensions of attitudinal loyalty, behavioral loyalty, word of mouth, and recommendation intentions. Data were analyzed using Spearman correlation and Ordinal Logistic Regression. Results: Patient perceptions of nurse responsiveness showed that more than half (66.1%) were in the good category. Similarly, patient perceptions of nurse empathy showed that more than half (71%) were in the good category. Some patients (54.9%) had high loyalty. Analysis of the relationship between responsiveness and loyalty (p=0.001 and r=0.69) and between empathy and loyalty (p=0.001 and r=0.59). Both results indicate that responsiveness and empathy are related to loyalty with the strength of the relationship in the strong category Conclusions: Nurses' responsiveness and empathy are important factors influencing patient loyalty. Hospital management needs to develop training programs to strengthen nurses' skills in responding to patient needs quickly and effectively, as well as work systems that support nurses' quick, responsive, and timely responses in interacting with patients, so that patients feel satisfied and become loyal.
Improving Blood Type Checking Readiness in Adolescents Through Teams Games Tournament-Based Education and Video Animation Rachmania, Diana; Widayati, Dhina
The Indonesian Journal of Health Science Vol. 15 No. 1 (2023): The Indonesian Journal of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/tijhs.v15i1.421

Abstract

Background and Aim:. Every individual is important to know the types of their blood. Most adolesence are still unfamiliar with their blood type because of the lack of readiness of adolescents in examining blood type due to insufficient information. Education with games and video can provide information related to blood type. The aim of this study was determine the effect of education through a combination of Teams Games Tournament (TGT) and video animation on the readiness of blood types examination in adolescents.  Method : Pre-experimental became the design in this study involving 40 respondents through purposive sampling. Readiness of blood types examination variable was measured using a questionnaire. Data  analyzed by Wilcoxon test. Results: before being given an intervention, almost half of adolescents (45%) were not ready to check blood type and after being given an intervention, most (57.5%) were very ready to check blood type.  Conclusion: Education through a combination of TGT and video animation give a good effect on readiness of blood types examination in adolescents. This intervention can affect the readiness of adolescents through increasing knowledge so that they have a positive attitude and become more prepared in carrying out blood group tests. In TGT and animation videos, adolescents will use the five senses more so that it is easier for the brain to understand and generates a stimulus in the form of an attitude of readiness in examining blood type. Education with game and video-based media can be a method of education for adolescents.
Optimalisasi Generasi Muda Siaga Melalui Pelatihan Bantuan Hidup Dasar (BHD) Berbasis Demonstrasi: Optimizing Youth Readiness through Demonstration-Based Basic Life Support (BLS) Training Widayati, Dhina; Rachmania, Diana; Setyorini, Dwi
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.78

Abstract

One type of emergency problem that can cause sudden death is usually caused by cardiac arrest. Basic life support training provided to PMR cadres can improve the knowledge and skills of the younger generation in providing basic life support, especially in cases of cardiac arrest. The purpose of this community service activity is to optimize the role of PMR cadres so that they are able to educate about basic life support in cases of cardiac arrest through demonstrations and community service participants learn about how to provide basic life support in cases of cardiac arrest. The method of implementing this activity is carried out through lecture and demonstration methods involving 6 PMR cadres and 20 student participants from SMK YP 17 Pare. This activity was carried out on April 10-12, 2025. The implementation of the activity consisted of 2 sessions. The first session was empowering PMR cadres through cadre training activities on basic life support in cases of cardiac arrest and the second session was delivering material by trained cadres which was delivered to community service participants. The results of this community service activity were that trained cadres were able to deliver the material well, there was an increase in knowledge and ability of participants in providing basic life support in cases of cardiac arrest after demonstration education was carried out by trained cadres. Education through empowerment of cadres as a way to optimize the role of the younger generation can improve students' understanding of basic life support in cardiac arrest. As agents of change and possessing significant social influence, the younger generation is expected to be able to educate more people through creative and relevant methods.
STRENGTHENING LITERACY AND PSYCHOMOTOR SKILLS OF ADOLESCENTS IN FIRST AID FOR BLEEDING THROUGH PEC (PRESSURE-ELEVATION-COVER) TECHNIQUE SIMULATION Rachmania, Diana; Widayati, Dhina
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 7 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v7i2.77641

Abstract

Introduction: The adolescent age group is closely associated with high levels of physical activity, putting them at risk for injury, including bleeding. Therefore, proper first aid literacy and skills are essential through education and training. This community service activity aims to improve first aid literacy and psychomotor skills in bleeding among adolescents through education and training on PEC (Pressure-Elevation-Cover) techniques. Methods: The activity was carried out in July 2025 at Senior High School 1 Puncu involving 35 students of 5 students per class from 7 classes. The activity began with interactive education related to the concept of bleeding for 60 minutes and continued with training with a simulation approach using simple equipment on how to provide first aid for bleeding for 120 minutes with pressure techniques, and covering. Pre and post data for literacy were measured using questionnaires and observation sheets for psychomotor abilities. Results: An increase in the average literacy score (from 60 to 85) and psychomotor skills (most of the sufficient category became the majority in the good category). The results of statistical analysis using the Paired t-Test and Wilcoxon also showed a significant difference in literacy and skills pre and post with p = 0.001. Conclusion: Education and training using the PEC technique simulation method are effective in improving literacy and psychomotor skills in first aid for bleeding in adolescents. The simulation method provides hands-on experience in quickly and accurately performing first aid for bleeding. Similar activities can be conducted periodically with a broader target audience.
Emotional Self-Awareness and Quarter Life Crisis in Final Year of Undergraduate Nursing Students Rachmania, Diana; Zakiyyatul Fuadah, Dina
Journal of Applied Nursing and Health Vol. 5 No. 2 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i2.164

Abstract

Background: A quarter-life crisis is when individuals experience an emotional crisis with negative feelings toward the future. Many responsibilities and demands on fourth-year students affect their psychology. A person with good self-awareness makes it easier to control emotions, read the surrounding situation, not be easily affected, and focus on himself. This study aims to analyse the relationship between self-awareness and quarter-life crisis in the final years of undergraduate nursing students. Methods: This research design is correlational with a cross-sectional approach. The sample in this study was 87 people, which was the whole population (Total Sampling). The research instrument used a self-awareness questionnaire and a quarter-life crisis questionnaire—data analysis using the Spearman Rank. Results: The study results showed that most respondents (55.2%) had sufficient emotional self-awareness, and most (52%) experienced a moderate quarter-life crisis. Analysis using the Spearman Rank test obtained a p-value of 0.018 with an error level of α = 0.05, meaning that there is a relationship between emotional self-awareness and quarter-life crisis with a strong category strength (r = -0.54) Conclusion: Some factors affect self-awareness, namely thoughts, feelings, knowledge behaviour, environment, and quarter-life crisis internal factors such as identity exploration, expectations, and religion, while external factors such as romantic relationships, work, family, and friends. Self-introspection strategies can increase self-awareness. Dealing with a crisis is not comparing yourself with others, communicating with parents, or finding professionals if the problem is getting complicated
Increasing the Comfort of Hypertension Sufferers Through Effleurage Back Massage Widayati, Dhina; Rachmania, Diana; Safitri, Nabila
Journal of Applied Nursing and Health Vol. 6 No. 1 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i1.194

Abstract

Background: Comfort is one of the basic needs that is holistic. Hypertension sufferers often feel discomfort due to increased blood pressure, so these basic needs are not appropriately met. Effleurage back massage intervention is one method used to overcome discomfort in hypertension sufferers. The aim of this research was to determine the effect of efflurage back massage on the comfort level of hypertension sufferers Methods: The research design used pre-experiment, involving 32 respondents through purposive sampling from a population of 42 people with hypertension. The comfort variable was measured using the SGCQ questionnaire sheet and the results were analyzed using the Independent T-Test with α 0.05 Results: The research results showed an increase in comfort from almost all (75%) respondents in the very uncomfortable category in the pretest results to almost all (93.7%) respondents in the very comfortable category in the post test. The Wilcoxon results obtained p-value = 0.001 (<α), indicating that effleurage back massage intervention can increase comfort in hypertension sufferers. Conclusion: Giving effleurage back massage can trigger endorphin neurotransmitters in the autonomic nerves which make blood circulation smooth so that the body relaxes. This intervention can be applied as a non-pharmacological therapy in the management of hypertension.
Self Control And Self Management Skills (SCSMk) in Patient with Diabetes Melitus Rachmania, Diana; Taukhid, M.; Widayati, Dhina
Journal of Applied Nursing and Health Vol. 6 No. 1 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i1.196

Abstract

Background: A person with Diabetes Mellitus is faced with various challenges in managing their health condition in order to prevent complications that can arise as a result of their disease. The patient's internal abilities are needed to prevent psychological deterioration which ends in various complications.  one of which is Self Control and Self Management Skills (SCSMk) which consists of three aspects, namely self-monitoring, self-evaluation and self-strengthening. This research aims to determine the Self Control and Self Management Skills of Diabetes Mellitus sufferers. Methods: The design of this research is quantitative descriptive. The research sample of 60 people suffering from diabetes mellitus was obtained using a purposive sampling technique taken from a population of 200 diabetes mellitus patients in the area. The instrument in this research is a questionnaire. Data were analyzed using descriptive percentage analysis. Results: Most respondents (73%) have Self Control and Self Management Skills (SCSMk) in the sufficient category Conclusion: Self monitoring is the dominant aspect possessed by respondents. When individuals have good self-monitoring, they can monitor the status and context of their own behavior such as their actions, thoughts and emotions. Respondents try to carry out positive behavior in the form of following instructions in managing diabetes mellitus treatment.
Pain Management in Hypertension Through Pressure Point Massage Widayati, Dhina; Rachmania, Diana
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.244

Abstract

Background: Hypertension is a disorder of the cardiovascular system characterized by increased blood pressure that causes pain in the back of the neck area. Giving a massage is one effort to reduce pain. This study was to determine the effect of pressure point massage on pain levels in hypertension. Methods: The design of this research was pre-experiment, involving 44 respondents by purposive sampling from 73 people with hypertension as a population. The dependent variable of pain level was measured using a pain scale, and the data was analyzed by paired t-test with α 0.05 Results: The results were a decrease in pain levels (pre-test 77.3% moderate pain and post-test 87% mild pain). The results of the data analysis using paired t-test were obtained p-value = 0.001 (<α), showing that there was an influence of pressure point massage on the level of pain in hypertension. Conclusion: Blood circulation becomes smooth because of pressure point massage, which can stimulate endorphin neurotransmitters in the autonomic nerves so that the body relaxes. Pressure point massage intervention can be applied as an alternative therapy option in the management of hypertension, which supports the treatment of hypertension so that blood pressure can be well controlled.
PEER TUTOR DALAM MENINGKATKAN MOTIVASI SADARI (PEMERIKSAAN PAYUDARA SENDIRI) PADA REMAJA PUTRI widayati, dhina; rachmania, diana; novitarinda, shely
Journals of Ners Community Vol 9 No 2 (2018): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v9i2.716

Abstract

Metode pembelajaran peer tutor merupakan suatu metode pembelajaran yang dilakukan oleh peserta didik dengan teman sebayanya untuk meningkatkan motiasi mereka, terutama pada teknik SADARI (pemeriksaan payudara sendiri). Tujuan penelitian ini adalah untuk mengetahui pengaruh peer tutor terhadap motivasi SADARI (pemeriksaan payudara sendiri).Desain dalam penelitian menggunakan quasy eksperimental dengan pendekatan control group pra-post test design. Jumlah populasi 40 siswa, teknik sampling yang digunakan yaitu simple random sampling dan diperoleh sampel sebanyak 12 sampel yang terbagi atas dua kelompok yaitu kelompok kontrol (n=6) dan perlakuan (n=6). Instrumen penelitian yang digunakan adalah lembar observasi kuisioner yang hasilnya dianalisis menggunakan uji statistik paired sample t-Test dan independent sample t-Test α= 0,05. Hasil pengukuran motivasi pre intervensi pada kelompok  perlakuan terdapat 83% dengan rentang skor (17 – 23) dan 17% dan rentang skor (24 – 30). Pada kelompok kontrol terdapat 50% dengan rentang skor (24 – 30) dan 50% dengan rentang skor (17 – 23). Data motivasi setelah dilaksanakan peer tutor pada kelompok perlakuan seluruh responden (100%) memiliki rentang skor (24 – 30) dan pada kelompok kontrol hampir seluruh dari responden (83%) memiliki rentang skor (24 – 30).Hasil analisis menunjukkan ρ value= 0,002 < α= 5% = 0,05 yang berarti ada pengaruh metode peer tutor terhadap motivasi SADARI (pemeriksaan payudara sendiri). Bedasarkan hasil penelitian, disarankan untuk menggunakan aspek pengukuran motivasi secara obyektif dengan menggunakan wawancara maupun data observasi. Kata kunci : Peer Tutor, Motivasi SADARI, Remaja Putri     Abstract  Peer tutor learning method is a method of learning that conducted  by learners with their peers to improve their motivation, especially in technique of SADARI (breast self-examination). The objective of this research was to know the influence of peer tutor toward motivation of SADARI (pemeriksaan payudara sendiri). The research design used control group pra test-post test design. The population amounted to 40 students, Technique of sampling used random sampling and obtained sample amounted to 12 students that consisted of two groups, control (n=6)dan treatment (n=6). The research instrument used observation sheet of questionnaire then the result analyzed using statistical test of paired sample t-Test and independent sample t-Test α= 0,05. Before being implemented peer tutor in the pre test treatment group contained 83% with an (17 – 23) score range of 17% with a (24 – 30) score range. In the control group there were 50% with the range of scores of (24 – 30) and 50% with a score range (17 – 23). Thereafter peer tutor and conducted post test in the treatment group (100%) of all respondents had a score range of (24 – 30) late in the almost group almost all of respondents (83%) had a score range (24 – 30). The analysis showed ρ value = 0,002 <α = 5% = 0.05, which means that there ws the influence of the peer tutors on the motivation of SADARI (breast self-examination). Based on the results of research, are adviced to use the measurement aspect of motivation objectively by using interview and observation data. Keyword: Peer Tutor, motivation of SADARI, adolescent girlsDOI: 10.5281/zenodo.2629475
HUBUNGAN LAMA TERAPI HEMODIALISIS DENGAN DUKACITA KRONIS PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) Sunaringtyas, Widyasih; Rachmania, Diana
Journals of Ners Community Vol 11 No 1 (2020): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v11i1.1028

Abstract

Manifestasi klinis pada pasien CKD (Chronic Kidney Diseases) dan dampak terapi hemodialisis dapat menimbulkan masalah psikologis pada pasien karena proses adaptasi terhadap penyakit akibat perubahan yang dialami pasien memerlukan waktu. Pasien tersebut akan kehilangan fungsi tubuhnya dan juga harus mendapatkan tindakan invasive yang dialami berulang ulang. Semakin lama pasien di diagnosis menderita CKD juga akan semakin lama mengalami tindakan hemodialisis. Keadaan ini akan memepengaruhi psikologis pasien, salah satunya pasien dapat mengalami berduka kronis. Tujuan penelitian ini menganalisis hubungan antara lama terapi hemodialisis dengan berduka kronis.Metode penelitian yang digunakan dalam penelitian ini adalah korelasi dengan pendekatan cross sectional. Populasi pada penelitian adalah pasien hemodialisis di RSUD Kabupaten Kediri dengan teknik total sampling sebanyak 72 responden. Variabel dalam penelitian ini adalah Lama terapi hemodialisis dan duka cita kronis. Tehnik pengumpulan data menggunakan kuesioner yaitu Kendalls Chronic Sorrow Instrument.Hasil identifikasi lama terapi hemodialisis, Sebagian besar responden (64%) termasuk kategori lama. Hasil identifikasi dukacita kronis, sebagian besar  responden (61%) mengalami dukacita kronis. Hasil uji korelasi antar variabel yaitu 0,003 < 0,05  artinya ada hubungan antara lama terapi hemodialisis dengan berduka kronis pada pasien CKD dengan tingkat koefisien korelasi lemah. Hal tersebut dikarenakan kondisi berduka kronis dapat dinormalkan apabila metode penanganan internal dan eksternal berjalan dengan efektif.Keluarga diharapkan memberikan dukungan kepada pasien CKD yang menjalani terapi hemodialisis supaya pasien tidak terus mengalami kondisi berduka dalam waktu yang lama dan mampu menerima keadaanya saat ini.Kata Kunci: CKD, Dukacita Kronis, Lama HemodialisisDOI: 10.5281/zenodo.4738396
Co-Authors Ade Aryanti, Windy Almira Hutami, Nur Arik Susmiatin, Eko Dhina Widayati, Dhina Dina Zakiyyatul Fuadah, Dina Zakiyyatul Dwi Setyorini Kartika Sari, Melani Khazanah, Natasya Maulidya Ludyanti, Laviana Nita madiha mukhtar, madiha Novita Yudik, Novita novitarinda, shely SAFITRI, NABILA Siswoaribowo, Andika Susmiatin, Eko Arik Taukhid, M. Widyasih Sunaringtyas, Widyasih Zakiyyatul Fuadah, Dina