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Psychotherapies for posttraumatic stress disorder applied for people in indonesia: A scoping review Ninik Yunitri; Christina Yeni Kustanti; Fauzi Ashra; Slametiningsih Slametiningsih; Nuraenah Nuraenah; Rani Septiawantari; Nurlia Ikaningtyas
Jurnal Keperawatan Padjadjaran Vol. 11 No. 1 (2023): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v11i1.2226

Abstract

Background: Posttraumatic stress disorder (PTSD) occurs as triggered or exposure to traumatic events. Psychotherapies have been proven to be effective and superior for people with PTSD. Several psychotherapies have been developed with different approaches. Yet the application of psychotherapy is rarely found and provided by professionals to those who need it in Indonesia. Purpose: This study aimed to figure out the application of PTSD psychotherapies for people with PTSD based on studies conducted in Indonesia. Methods: The review was reported following the PRISMA statement for scoping reviews. A systematic screening was performed in CINAHL, Cochrane library, Embase, Portal Garuda, PubMed, Scopus, as well as manual searches without language and date restrictions. The quality of the study was determined based on the risk of bias. Cochrane risk of bias 2.0 (RoB 2.0) and MINORS were used to evaluate the risk of bias of RCT and quasi-experimental studies, respectively. Results: Five RCTs and four quasi-experimental studies published from 2008 to 2022 (n=465) were employed in this review. Three types of therapies were conducted for people with PTSD; five CBT studies, two EMDR studies, and two SHAT studies, performed in one day up to six weeks, one to 15 sessions, and 30 to 60 minutes for each session. All studies evaluated PTSD as the primary outcome, while the most measured secondary outcomes were depression and anxiety symptoms. Conclusions: CBT was the most frequent therapy for Indonesian people with PTSD, followed by EMDR and SHAT. The application of therapies varied in frequency, duration, length of therapy, and component. Further research on the implementation of various types of psychotherapy for people with PTSD will be required.
Pemberdayaan “Tungku Tigo Sajarangan, Tali Tigo Sapilin” melalui Program Remaja Bersih Narkoba Fransiska, Mellia; Hidayati, Hidayati; Susanti, Evi; Zoni, Henri; Putra, Yuhendri; Ashra, Fauzi; Kustanto, Debby Ratno; Ramadanti, Indah Putri; Masnarivan, Yoko
Jurnal Abdidas Vol. 5 No. 6 (2024): Desember
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v5i6.1078

Abstract

Diperlukan upaya sinergis antara pemerintah, kepolisian, perguruan tinggi, lembaga adat, dan masyarakat dalam penanggulangan narkoba di Kota Bukittinggi mengingat meningkatnya penyalahgunaan narkoba dari 67 kasus tahun 2022 menjadi 100 kasus di 2023. Tujuan PkM ini adalah meningkatkan partisipasi "Tungku nan tigo sajarangan, tali nan tigo sapilin" dalam penanggulangan narkoba melalui Program Remaja Bersih Narkoba (Raja Benar). Metode: Sosialisasi melalui analisis situasi dan advokasi mitra (LKAAM dan Satresenarkoba Kota Bukittinggi), edukasi melalui pelaksanaan kegiatan workshop, penerapan teknologi yaitu pembentukan manajemen dan desain Raja Benar, pendampingan dan evaluasi melalui pengukuran pengetahuan pre dan post kegiatan, pembentukan manajemen Raja Benar, dan desain Raja Benar. Hasil: Tahap Persiapan, koordinasi dan advokasi tim dengan Mitra untuk menentukan jadwal kegiatan dan peserta. Tahap Pelaksanaan, Lokakarya. Kegiatan ini dilaksanakan pada hari Sabtu, 21 September 2024 di Aula UPN Bukittinggi. Workshop dihadiri oleh 25 peserta dari LKAAM, Satgas Narkoba Bukittinggi, LKAAM se-Kota Bukittinggi, KAN Kurai 5 Jorong, Kepala TrantibHumas se-Kota Bukittinggi, Alim Ulama, Parik Paga Nagari Kurai dan pers koran Singgalang. Narasumber Ketua LKAAM, Satgas Narkotika, dan Dosen UPN Bukittinggi. Sebelum kegiatan dimulai, dilakukan pretest pengetahuan peserta. Kegiatan dibuka oleh MC, pemaparan materi oleh ketiga narasumber yang dipimpin oleh moderator dan dilanjutkan dengan diskusi panel, pembentukan pengurus Raja Benar, yang akan ditetapkan oleh Rektor UPN, menyepakati desain Raja Benar, dan setelah itu dilakukan post-test pengetahuan peserta dan diakhiri dengan pencatatan testimoni para peserta aktivitas. Evaluasi dilakukan untuk menilai efektivitas kegiatan berupa peningkatan pengetahuan peserta worskshop sebelum dan sesudah kegiatan, pembentukan pengurus Raja Benar, disepakatinya prototipe Raja Benar di Kota Bukittinggi, dan adanya testimoni positif dari peserta kegiatan
Self-care and quality of life among patients with breast cancer Mega Herawati; Fauzi Ashra; Ayu Nurdiyan
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1137

Abstract

Background: Breast cancer is the most common cancer found in women worldwide and is the second cause of cancer-related deaths after lung cancer. Breast cancer has several treatments including chemotherapy, radiotherapy, hormonal therapy, and mastectomy. Impaired physical mobility can cause self-care deficits, self-care dramatically affects the quality of life of Breast Cancer patients, but further research is needed to what extent self-care can affect the quality of life of patients. Purpose: Knowing the relationship between self-care and the quality of life of Breast Cancer patients in the Surgery Room of Dr. Achmad Mochtar Hospital Bukittinggi. Method: Mixed methods with explanatory design. The sampling technique used was a total sampling of 50 respondents for quantitative purposes and a purposive sampling technique of 5 participants for qualitative purposes. Quantitative Self-care measurement using the Barthel Index questionnaire, quality of life measurement using the SF-36 questionnaire, and qualitative using an in-depth interview guide. Qualitative data analysis using the chi square and qualitative statistical test using keywords, subcategories, categories and themes. Results: The quantitative research results show a relationship between self-care and the quality of life of breast cancer patients by sig 0.011. In qualitative research, the lower the self-care of breast cancer patients, the worse the quality of life in breast cancer patients. Conclusion: Self-care in breast cancer patients, qualitative research, the lower the self-care of breast cancer patients, the worse the quality of care. life in breast cancer patients.
Pemberdayaan Komunitas Raja Benar dalam Roadshow Edukasi dan Pembentukan Duta Gen-Berani sebagai Strategi Inovatif Pencegahan Penggunaan Zat Adiktif pada Remaja Fransiska, Mellia; Husna, Elfira; Masnarivan, Yoko; Susanti, Evi; Ashra, Fauzi; Putra, Yuhendri; Fatria, Erian; Soasa, Cindy; Salsabila, Salsabila
Jurnal Abdidas Vol. 6 No. 5 (2025): Oktober 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v6i5.1199

Abstract

Penggunaan zat adiktif seperti rokok, tembakau, dan alkohol masih menjadi masalah kesehatan di Sumatera Barat. Berdasarkan Survei Kesehatan Indonesia (SKI) 2023, dari 28.384 responden tercatat 24,8% merupakan perokok aktif, dengan 21,3% merokok setiap hari. Sementara itu, perilaku mengunyah tembakau hanya ditemukan pada 0,5% responden setiap hari, dan 97,4% tidak pernah melakukannya. Konsumsi alkohol tercatat sangat rendah, hanya 0,6% yang pernah mengonsumsi, sedangkan 99,4% tidak pernah. Kegiatan pengabdian masyarakat ini merupakan kelanjutan dari program tahun 2024 “Tungku Nan Tigo Sajarangan, Tali Nan Tigo Sapilin” yang berfokus pada pencegahan penyalahgunaan narkoba melalui komunitas RAJA BENAR di Bukittinggi. Tujuan kegiatan ini adalah memberdayakan komunitas RAJA BENAR yang telah terbentuk melalui pelaksanaan roadshow edukasi dan pembentukan Duta Gen-Berani sebagai upaya pencegahan penggunaan zat adiktif pada remaja di SMAN 4 Bukittinggi. Metode pelaksanaan meliputi analisis situasi dan advokasi mitra, edukasi melalui roadshow, penerapan teknologi dengan pembentukan Duta Gen-Berani serta posko Gen-Berani, pendampingan dan evaluasi menggunakan pengukuran pengetahuan pretest dan posttest. Tahapan kegiatan terdiri dari persiapan (koordinasi dan advokasi mitra), pelaksanaan roadshow pada 3 September 2025, diikuti 51 peserta yang terdiri dari siswa, kepala sekolah, guru, perwakilan Dinas Kesehatan, Polresta Bukittinggi, LKAAM, serta tim PkM UPN Bukittinggi. Rangkaian kegiatan mencakup pretest, pemaparan materi, diskusi panel, pelantikan Duta Gen-Berani yang disahkan melalui SK kepala sekolah, post-test, serta pendokumentasian testimoni. Evaluasi menunjukkan adanya peningkatan pengetahuan peserta dan testimoni positif dari siswa maupun pemangku kepentingan. Kegiatan ini menegaskan pentingnya pemberdayaan komunitas dan peran duta remaja dalam pencegahan penggunaan zat adiktif.
Pengaruh Intervensi Mobilisasi Dini Terstruktur Terhadap Kemandirian Activity Daily Living Pasien Stroke Iskemik Fase Akut di Ruang Rawat Inap Merapi Rsomh Bukittinggi Junita Irawaty Lispandon Siboro; Fauzi Ashra; Mellia Fransiska
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54548

Abstract

Abstrak Pasien stroke iskemik pada fase akut umumnya mengalami gangguan fungsi motorik yang berdampak langsung terhadap terjadi penurunan kapasitas pasien dalam melaksanakan aktivitas kehidupan sehari-hari (Activity Daily Living). Keadaan imobilisasi pada periode awal perawatan dapat memperlambat pemulihan fungsional serta meningkatkan ketergantungan pasien terhadap bantuan orang lain. Oleh karena itu, diperlukan intervensi keperawatan yang sistematis dan terencana, salah satunya melalui mobilisasi dini terstruktur yang mengacu pada teori konservasi Levine untuk mendukung pemulihan kemandirian pasien. Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi mobilisasi dini yang terencana terhadap tingkat kemandirian aktivitas kehidupan sehari-hari pada pasien stroke iskemik fase akut. Penelitian ini menerapkan metode kuantitatif dengan rancangan quasi-eksperimen menggunakan desain kelompok kontrol tidak ekuivalen. Total responden yang terlibat berjumlah 43 orang, yang terdiri atas 22 responden pada kelompok intervensi dan 21 responden pada kelompok kontrol (21 orang). Kelompok intervensi diberikan mobilisasi dini terstruktur selama lima hari dengan frekuensi dua kali per hari dan durasi 15–30 menit, sementara itu kelompok kontrol memperoleh perawatan yang mengikuti standar operasional rumah sakit. Penilaian kemandirian ADL dilakukan menggunakan Barthel Index pada tahap sebelum maupun setelah pemberian intervensi. Pengolahan dan analisis data menggunakan uji paired t-test dan independent t-test. Hasil analisis menunjukkan adanya peningkatan kemandirian ADL yang signifikan pada kelompok yang mendapatkan intervensi mobilisasi dini terstruktur (p<0,001). Selain itu, ditemukan adanya perbedaan nilai rata-rata kemandirian ADL yang signifikan antara kelompok yang memperoleh intervensi dan kelompok kontrol dengan nilai statistik t sebesar 8,025. Mobilisasi dini terstruktur terbukti efektif dalam meningkatkan kemandirian Activity Daily Living pada pasien stroke iskemik fase akut. Intervensi ini direkomendasikan untuk diintegrasikan ke dalam praktik asuhan keperawatan sebagai upaya mendukung pemulihan fungsi dan meningkatkan kemandirian pasien sejak tahap awal perawatan. Kata Kunci: Kemandirian ADL; mobilisasi dini terstruktur; stroke iskemik; teori Levine
Aktivitas Fisik sebagai Faktor yang Berhubungan dengan Indeks Massa Tubuh pada Mahasiswa Husnul Khatimah; Fauzi Ashra; Mellia Fransiska; Andri Gemaini
Jurnal Sporta Saintika Vol 11 No 1 (2026): Jurnal Sporta Saintika Edisi Maret 2026
Publisher : Departemen Kesehatan Dan Rekreasi Fakultas Ilmu Keolahragaan Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/sporta.v11i1.554

Abstract

This study aims to analyze the relationship between physical activity and Body Mass Index (BMI) in students of the Faculty of Sports Science, Padang State University. This study used a quantitative design with a cross-sectional approach involving 140 students as respondents. The variables analyzed included age, BMI, and physical activity level measured using MET-min/week units. Normality test was conducted using Kolmogorov-Smirnov, while relationship and contribution analysis were conducted through correlation and regression tests. Normality test results showed that BMI and physical activity variables were not normally distributed (p < 0.05). Correlation analysis showed a relationship between physical activity and BMI, with the strength of the relationship classified as [weak/moderate], with a significance value of p < 0.05. Regression analysis showed that physical activity contributed [R² %] to the variation in BMI. This finding indicates that although physical activity has a relationship with BMI, other factors outside of physical activity also play a role in determining the anthropometric status of sports students. The results of this study provide an empirical picture of the characteristics of physical activity and BMI in sports students and can be the basis for developing fitness and health monitoring strategies in the University environment.
Efektivitas Video Edukasi Tuberkulosis Berbasis Keperawatan Keluarga Terhadap Pengetahuan, Sikap, dan Tindakan Pencegahan Keluarga Pasien Yuliaty Kartika 'Ashri; Suyanto Suyanto; Elfira Husna; Fauzi Ashra; Mellia Fransiska; Asrul Fahmi; Satya Anggi Permana
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60705

Abstract

Tuberculosis (TB) remains a major global health problem, with Indonesia ranking second among countries with the highest TB burden worldwide. Family members of TB patients are at high risk of infection; however, preventive behaviors remain inadequate, highlighting the need for innovative family nursing education. This study aimed to analyze the effectiveness of a family nursing-based TB educational video in improving knowledge, attitudes, and TB preventive practices among family members of TB patients at Siulak Gedang Primary Health Center. A quasi-experimental study with a two-group pretest–posttest control design was conducted in April 2026. Twenty-eight respondents were recruited using consecutive sampling and assigned to either the intervention group (three-episode TB educational video) or the control group (conventional education). Data were analyzed using paired t-test, independent t-test, and Mann–Whitney test. The intervention group showed significant improvements in knowledge (Δ = +3.43; p < 0.001), attitudes (Δ = +4.36; p = 0.001), and TB preventive practices (Δ = +3.07; p = 0.013). Between-group analysis demonstrated significant differences in knowledge (p < 0.001) and attitudes (p = 0.003), but not in preventive practices (p = 0.225). Family nursing-based TB educational videos effectively improved knowledge and attitudes and have the potential to serve as a technology-based community nursing intervention in primary healthcare settings.
Edukasi Mengenai Penyakit Berbasis Lingkungan Sebagai Dampak Bencana Perubahan Iklim Erian Fatria; Agus Priadi; Febrian Rahmat Suwandi SN; Fauzi Ashra; Savio Pipo Boytoleny; Sunarti Sunarti
Lamahu: Jurnal Pengabdian Masyarakat Terintegrasi Vol 3, No 2: August 2024
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ljpmt.v3i2.26548

Abstract

The background of the implementation of this community service is based on the many incidents of environment-based diseases that occur at every level of society as a result of the phenomenon of climate change. Education about environment-based diseases is a solution that can be offered in the context of anticipating climate change disaster adaptation and mitigation. The purpose of this community service is to provide information to the public regarding climate literacy and the importance of efforts to prevent and overcome various environmental-based disease events. The method in this community service is a quantitative method involving 39 Public Health students at Universitas Prima Nusantara Bukittinggi, who were selected by purposive sampling, after the education is carried out, the group will be given a test instrument to determine student knowledge about environment-based diseases and global climate change. The analysis technique used is a descriptive technique which is carried out to map the knowledge gained by students. The results of this community service are able to provide new knowledge to students related to the incidence of environment-based diseases as an impact of global climate change, by getting the most scores in the good predicate interval (71-85), reaching  46.15% of the total students. And it is concluded that the educational method on environment-based diseases is effective to be given in the context of adaptation and mitigation of climate change disasters. The findings obtained can be taken into consideration for the community on the importance of increasing knowledge in achieving a balance of human quality of life with environmental quality in the context of achieving the 3rd SDGs, namely guaranteed health and well-being and the 13th SDGs, namely climate action.
Analisis Faktor-Faktor Self-Care Hipertensi dengan Status Kontrol Tekanan Darah pada Pasien Hipertensi di Uptd Puskesmas Muara Belida Tahun 2026 Armala Serotinus; Fauzi Ashra; Mellia Fransiska; Dwi Dwi Apriadi; Erian Fatria; Masyitah Fadhani
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63084

Abstract

Hipertensi masih menjadi masalah kesehatan yang memerlukan pengelolaan berkelanjutan, sementara keberhasilan pengendalian tekanan darah tidak hanya ditentukan oleh terapi farmakologis, tetapi juga oleh perilaku self-care pasien. Tujuan penelitian ini bertujuan menganalisis faktor-faktor self-care hipertensi yang berhubungan dengan status kontrol tekanan darah serta mengidentifikasi faktor yang paling dominan pada pasien hipertensi di wilayah kerja UPTD Puskesmas Muara Belida Kabupaten Muara Enim Tahun 2026. Metode penelitian ini menggunakan desain kuantitatif observasional analitik dengan pendekatan cross-sectional. Sampel terdiri atas 100 pasien hipertensi usia 30–59 tahun yang dipilih menggunakan multistage random sampling. Perilaku self-care diukur menggunakan instrumen Hypertension Self-Care Activity Level Effects (H-SCALE), sedangkan status kontrol tekanan darah diukur menggunakan sphygmomanometer digital terkalibrasi. Analisis data dilakukan menggunakan uji Chi-Square dan regresi logistik biner. Hasil sebanyak 62,0% responden memiliki tekanan darah tidak terkontrol dan 38,0% terkontrol. Analisis bivariat menunjukkan bahwa medication adherence (p=0,023; OR=0,312; 95% CI: 0,133–0,731) dan weight management (p=0,008; OR=0,297; 95% CI: 0,116–0,758) berhubungan signifikan dengan status kontrol tekanan darah. Sementara itu, low salt diet, physical activity, smoking exposure, dan alcohol intake tidak menunjukkan hubungan yang bermakna. Analisis multivariat menunjukkan bahwa weight management merupakan faktor dominan yang berhubungan dengan status kontrol tekanan darah (AOR=0,325; p=0,023; 95% CI: 0,123–0,857). Kesimpulan weight management merupakan faktor self-care yang paling dominan berhubungan dengan status kontrol tekanan darah pada pasien hipertensi. Penguatan intervensi keperawatan komunitas melalui edukasi dan pendampingan pengendalian berat badan serta peningkatan kepatuhan minum obat perlu diprioritaskan dalam program pengendalian hipertensi di pelayanan kesehatan primer.
Comparison of Nutritional Status Assessment Using MST (Malnutrition Screening Tool) and SGA (Subjective Global Assessment) in Assessing Nutritional Status Against the Injury Occurrence in the Patient In the Intensive Care Unit (ICU) Room Achmad Mochtar Hospital Fauzi Ashra; Rina Rina
Jurnal Kesehatan Vol. 8 No. 2 (2017): Jurnal Kesehatan Prima Nusantara Bukittinggi
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v8i2.332

Abstract

 Patients in intensive space have the right to get special attention due to metabolic changes that have an impact on nutritional status. Critical patients will experience an increase in metabolism as the body's response to disease. Assessment of nutritional status must be carried out routinely in the hospital, including in the ICU. The Council of Europe 2001, that there are no nutritional assessment standards that can be used for all patients treated. The assessment must be early, simple, based on current science and can be adapted in the clinical environment. The American Society of Parenteral and Enteral (ASPEN) recommends assessing nutritional status or nutritional screening tools in patients treated by using Subjective Global Assessment (SGA). Another measure of nutritional status assessment that can be used is the Malnutrition Screening Tools (MST). MST is a nutritional status assessment tool that has been used by the General Intensive Care Unit (ICU) in Achmad Mochtar Bukittinggi Hospital. This study aims to analyze the differences in the accuracy of MST and SGA in assessing nutritional status as well as differences in sensitivity of MST and SGA as indicators of the incidence of pressure sores in patients in the ICU of the Achmad Mochtar Bukittinggi Hospital. The type of this research is this research is quantitative research with comparative hypothesis type and cross-sectional research design. The results of this study indicate that SGA is more accurate in assessing nutritional status in patients in intensive rooms.