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NURSE CARING BEHAVIOR AND SATISFACTION OF INPATIENT PATIENTS ON NURSING SERVICES Ariani, Tutu April; Aini, Nur
Jurnal Keperawatan Vol 9, No 1 (2018): JANUARI
Publisher : University of Muhammadiyah Malang

Nurses are at the forefront of health care. Satisfied or not the patient to the health service is an indicator and one of the determinants of good quality of nursing service quality. Professional and qualified nurses must have hard skill and soft skill skills. Soft skill skills include the ability to communicate, empathy and caring. Caring is an attitude of caring, respect and respect for others. In fact, many nurses do not reflect caring behavior in giving nursing care to clients. The purpose of this study is to provide intervention in the form of therapeutic communication to develop or improve caring behavior of nurses so that this will affect the quality of nursing service & patient satisfaction. Type of research is pre experiment. Sample of six nurses were taken with sampling quota technique and patient of five people taken by purposive sampling technique. The research was conducted at Rumkit Tk II. Dr. Soepraoen Malang. The research variables were caring and patient satisfaction. Intervention given is therapeutic communication training for 1 month. Data analysis using univariate analysis. There is an increase in caring behavior of nurses, especially in terpeutik communication and increased patient satisfaction after nursing care given by nurses who have received caring behavior training: It is recommended to the nurse to maintain caring behavior in every nursing care in patients, especially in communicating.

Nurse caring behavior and satisfaction of inpatient patients on nursing services Tutu April Ariani; Nur Aini
Jurnal Keperawatan Vol. 9 No. 1 (2018): JANUARI
Publisher : University of Muhammadiyah Malang

Nurses are at the forefront of health care. Satisfied or not the patient to the health service is an indicator and one of the determinants of good quality of nursing service quality. Professional and qualified nurses must have hard skill and soft skill skills. Soft skill skills include the ability to communicate, empathy and caring. Caring is an attitude of caring, respect and respect for others. In fact, many nurses do not reflect caring behavior in giving nursing care to clients. The purpose of this study is to provide intervention in the form of therapeutic communication to develop or improve caring behavior of nurses so that this will affect the quality of nursing service & patient satisfaction. Type of research is pre experiment. Sample of six nurses were taken with sampling quota technique and patient of five people taken by purposive sampling technique. The research was conducted at Rumkit Tk II. Dr. Soepraoen Malang. The research variables were caring and patient satisfaction. Intervention given is therapeutic communication training for 1 month. Data analysis using univariate analysis. There is an increase in caring behavior of nurses, especially in terpeutik communication and increased patient satisfaction after nursing care given by nurses who have received caring behavior training: It is recommended to the nurse to maintain caring behavior in every nursing care in patients, especially in communicating.

THE POTENTIAL OF PSYCHOSOCIAL HEALTH INDICATORS THAT EFFECTS TO CHRONIC RENAL FAILURE (CRF) PATIENT WITH COGNITIVE BEHAVIOR THERAPY (CBT) BASED Tutu April Ariani
Jurnal Kesehatan Hesti Wira Sakti Vol. 5 No. 1 (2017)
Publisher : Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Malang

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Introduction: Chronic Renal Failure (CRF) is classified as a chronic disease that is due to take place throughout the life of the patient. Stress experienced by patients occur due to patient awareness that the disease can’t be cured, the patient difficulty adapting to the conditions and limitations experienced by many patients. Cognitive Behavior Therapy (CBT) is a therapy used to modify thoughts, feelings and behaviors by emphasizing the role of brain to analyzing, deciding, asking, doing and deciding so that it can change the feelings and thoughts from maladaptive become adaptive. Methods: This study included quasy experimental research. The method used the provision of CBT intervention and FGD (Focus Group Discussion) through 5 sessions. Data collection was done by means of interviews, questionnaires and participatory techniques. Results: Wilcoxon test for depression scale get p (0.00) < (0.05) and self efficacy p (0.00) < (0.05). As for the self-esteem of data analyzed by the McNemar test get p (0.00) < (0:05). Discussion: There is a change in degree of decreased depression psychosocial as well as increased self-efficacy and self-esteem. Result of statistical analysis shows significant differences between before and after the intervention CBT. This can happen because the CBT helps individuals to identify thoughts and beliefs are dysfunctional, negative, no correct and self-critical characteristic and transform them into positive thoughts.

Grieving Process Among Bereaved Family in The Funeral Ceremony Amid Covid-19 Pandemic: A Literature Review Tutu April Ariani; Ika Rizki Anggraini
Malahayati Nursing Journal Vol 5, No 7 (2023): Volume 5 Nomor 7 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i7.9925

ABSTRACT Sudden death due to COVID-19, will have an impact on the family and causes grief, devastating and traumatic. To prevent the Coronavirus high transmission rate during pandemic has provided a new perspective on dying and rituals worldwide and needs reform. Funeral practices that should give comfort and support were not possible, which can increase feelings of isolation, loss, and despair on family. This study aims to find out what information already exists in the bereaved family grieving process related to the funeral ceremony policy during the COVID-19 pandemic. This study used literature review from 21 articles from four electronic databases: MEDLINE (Ovid), Embase, EBSCOhost, and Scopus, and added the search from other references as grey literature. The literature was reviewed chronologically to demonstrate how grieving process went through by bereaved family related to the funeral policy during COVID-19 pandemic. The findings of the selected literature review and equipped with grey literature, shows how family involvement in each funeral’s stage of the deceased: planning, within and post ceremony, having a relationship and impact on the priesthood and success of the grieving process on the family left by Covid-19. We underline that it is essential to be present in the burial process, starting from involvement in planning, attending, and believing the funeral process and after it is necessary to note. Future research is still needed to review more literature with a mix-method study. Thus, it can equally review both studies to balance and mutually supportive Keywords: Bereaved Family, COVID-19, Funeral Ceremony, Grieving Process, Literature Review

Prediction of quality of life among the elderly based on level of depression and spirituality Salsabila, Nadia Nandina; Ariani, Tutu April; Aini, Nur; Marta, Ollyvia Freeska Dwi; Mashfufa, Erma Wahyu
MEDISAINS Vol 22, No 3 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i3.24272

Introduction: Quality of life (QoL) in the elderly is shaped by physical, psychological, and spiritual factors. Depression commonly affects older adults and is linked to poorer QoL, while spirituality can offer resilience. However, the combined impact of depression and spirituality on elderly QoL is seldom explored.Purpose: This study aims to investigate the relationship between depression, spirituality, and QoL among elderly individuals in nursing homes, examining how these factors influence their physical, social, and mental well-being.Methods: This study used a cross-sectional study design conducted on nursing home residents. The study population was elderly living in nursing homes, with a sample size of 73 people selected by convenience sampling and calculated using G*power software. Quality of life (QoL) was measured using the SF-36 questionnaire, spirituality was measured using the Spiritual Well-Being Scale (SWBS), and depression was measured using the Beck Depression Inventory-II (BDI-II). Data analysis was performed using multiple logistic regression to analyze the relationship between the study variables.Results: Mean scores for physical and mental components of QoL were 50.06 (±6.80) and 50.22 (±8.73), respectively. Spirituality was positively associated with QoL, especially in social (AOR 1.15) and mental health (AOR 1.06) dimensions (p < 0.05). Depression was negatively related to vitality (AOR 1.11) and mental health (AOR 1.09), showing that greater spirituality aligns with higher QoL, while depression correlates with poorer QoL.Conclusion: Spiritual well-being and depression significantly impact elderly QoL, particularly in social, vitality, and mental health aspects.

Sociodemographic and psychological factors associated with depression among nursing home elders Widyasari, Eka; Ariani, Tutu April; Aini, Nur; Marta, Ollyvia Freeska Dwi; Mashfufa, Erma Wahyu
MEDISAINS Early Release
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v0i0.25830

Introduction: Depression in the elderly is shaped by sociodemographic and psychological factors. Depression generally affects older adults and is associated with a poor life, with sociodemographic and psychological factors such as social support and loneliness playing a role in the onset of depression. However, the relationship between these factors and depression in the elderly is still rarely explored.Purpose: This study aims to explore the relationship between psychological and sociodemographic factors on the level of depression in the elderly living in nursing homes, with a focus on social support, level of loneliness, and cognitive impairment.Methods: This study used a descriptive cross-sectional design and involved 72 older adults living in four East Java, Indonesia nursing homes. Data were collected through questionnaires using the Multidimensional Scale of Perceived Social Support (MSPSS), UCLA Loneliness Scale, Mini-Mental State Examination (MMSE), and Beck Depression Inventory-II (BDI-II), which were translated into Bahasa Indonesia. Multiple logistic regression was used to understand the relationship between sociodemographic and psychological factors and the level of depression in the elderly.Results: Marital status (AOR 0.177, p = 0.030) and social support (AOR 0.950, p = 0.040) are significantly associated with depression in the elderly.Conclusion: Marital status and level of social support have the potential to cause depression in the elderly living in nursing homes.

Sociodemographic and psychological factors associated with depression among nursing home elders Widyasari, Eka; Ariani, Tutu April; Aini, Nur; Marta, Ollyvia Freeska Dwi; Mashfufa, Erma Wahyu
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Early Release
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v0i0.25830

Introduction: Depression in the elderly is shaped by sociodemographic and psychological factors. Depression generally affects older adults and is associated with a poor life, with sociodemographic and psychological factors such as social support and loneliness playing a role in the onset of depression. However, the relationship between these factors and depression in the elderly is still rarely explored.Purpose: This study aims to explore the relationship between psychological and sociodemographic factors on the level of depression in the elderly living in nursing homes, with a focus on social support, level of loneliness, and cognitive impairment.Methods: This study used a descriptive cross-sectional design and involved 72 older adults living in four East Java, Indonesia nursing homes. Data were collected through questionnaires using the Multidimensional Scale of Perceived Social Support (MSPSS), UCLA Loneliness Scale, Mini-Mental State Examination (MMSE), and Beck Depression Inventory-II (BDI-II), which were translated into Bahasa Indonesia. Multiple logistic regression was used to understand the relationship between sociodemographic and psychological factors and the level of depression in the elderly.Results: Marital status (AOR 0.177, p = 0.030) and social support (AOR 0.950, p = 0.040) are significantly associated with depression in the elderly.Conclusion: Marital status and level of social support have the potential to cause depression in the elderly living in nursing homes.

Exploring Psychosocial Issues of Breast Cancer: What Coping Mechanisms Have They Used to Manage Their Stressors? Ibad, Muhammad Rosyidul; Katrina, Mery; Muhammad Ari Arfianto; Ariani, Tutu April
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p001-013

One of the most common diseases causing death in women is mammary carcinoma which is the third largest cause of death in Indonesia after heart disease and stroke. Chemotherapy and surgery are treatment methods that have been widely used. The body image of patients who have undergone mastectomy will change as they no longer have breasts. The purpose of this study was to determine how coping mechanisms were used in patients suffering from carcinoma mammae post-mastectomy. This study used a qualitative-quantitative research design. The data was obtained through semi-structured interview guides and coping mechanism questionnaires as support. The data validity test method used triangulation of sources and methods. The data analysis in the study used domain analysis. The researcher analyzed the data using domain analysis and found seven main themes emotional distress when first diagnosed with Ca mammae, body image disturbance after mastectomy, breast loss after mastectomy, the use of active coping in seeking recovery, use of healthy lifestyle planning to reduce disease risk, use of religious coping mechanisms for illness perception, use of acceptance coping mechanism in illness. Some psychosocial problems such as mental emotional disorders such as severe stress, fear, and worry about the disease are often felt by patients. However, participants use adaptive coping mechanisms to adapt to psychosocial problems through the use of active coping, religion, planning, and being able to accept deficiencies in their body image.

Nutritional Status Correlated with Frailty Among Elderly Dewi, Ucik Yusinta; Mashfufa, Erma Wahyu; Aini, Nur; Martha, Ollyvia Freeska Dwi; Ariani, Tutu April; Haikal, Muhammad; Sari, Yeni Kartika
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p071-079

Nutritional status is a critical issue for older adults and is closely linked to various health problems. Insufficient or excessive dietary intake can impair the body’s ability to manage physical disorders and diseases, leading to increased weakness in this population. This research aimed to analyze the correlation between nutritional status and frailty in the elderly. This research utilized a cross-sectional design, employing consecutive sampling to gather data from 65 patients in four nursing homes. Participants were elderly individuals over 45 years old, residing in nursing homes, cooperatives, and willing to participate. Sample size determination was performed using G*power 3.1.9.7 software, with a medium effect size of 0.41, a p-value of 0.05, and a power of 0.90. Non-parametric tests were used for data analysis, employing the MNA-SF and Frailty Index Questionnaire-40 (FI-40) instruments. The average age of participants was 75.92 (+9.45) years, with the majority of the sample being elderly, and women constituted 80% of all participants. There was a significant correlation between nutritional status and frailty (p=0.005 <0.05), with a moderate negative relationship (r=-0.344). This research concluded that the better the nutritional status, the lower the frailty level. This research indicated that better nutritional status was linked to reduced frailty in the elderly, highlighting the need for healthcare teams to implement strategies that enhance patient adherence in managing factors that negatively affect nutrition.

Model Pembelajaran Skenario Pengalaman Multi Peran dalam Mencegah Bullying di SMP Muhammadiyah Malang Widowati, Sri; Ariani, Tutu April
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 9 No 2 (2025): Mei
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v8i2.25576

Perilaku bullying masih banyak dilakukan siswa di SMP Muhammadiyah Malang terutama bullying secara verbal antara lain dengan mengolok-olok, mencaci maki, mengumpat, dan menghina. Dampak dari bullying verbal ini korban menjadi malu, minder, menghindar dari pergaulan, dan menjadi malas sekolah. Pihak sekolah sering melakukan edukasi pada siswa siswi dengan tujuan untuk tidak melakukan bullying lagi dan melapor ke sekolah jika ada yang dibully. Akan tetapi perilaku bullying masih sering dilakukan oleh siswa siswa. Tujuan dari kegiatan ini untuk meningkatkan empati pada siswa siswi dengan demikian mampu membantu teman yang dibully. Metodenya adalah edukasi dan model pembelajaran skenario berbasis pengalaman multi peran pada kelas VII, VIII, dan IX dengan mengukur skor empati sebelum dan sesudah kegiatan menggunakan the Toronto empathy questionnaire (TEQ), di mana siswa siswi akan bermain peran bergantian baik sebagai korban, pelaku, maupun pengamat dengan skenario yang sudah dibuat. Pada siswa kelas 7, dari 66 siswa, sebelum kegiatan skor empati rendah 37 siswa dan sesudah kegiatan 32 siswa. Siswa kelas 8 dari 47 siswa, sebelum kegiatan skor empati rendah 26 siswa dan sesudah kegiatan 23 siswa. Siswa kelas 9,sebelum kegiatan skor empati rendah 45 siswa dan sesudah kegiatan 37 siswa. Kesimpulan : Edukasi dan model pembelajaran skenario berbasis pengalaman multi peran dapat diterapkan untuk meningkatkan empati pada siswa SMP dalam mencegah bullying.

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