Tutu April Ariani
Universitas Muhammadiyah Malang

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Perbandingan Ketuntasan Perawatan Klien Perilaku Kekerasan antara yang Menerima Komunikasi Terapeutik Perawat dan Pekerja Sosial (Sebuah Studi di UPT Rehabilitasi Sosial Eks Psikotik Pasuruan) Tutu April Ariani
Journal of Ners and Midwifery Vol 3 No 1 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i1.ART.p079-088

Abstract

Mental health is the emotional and sosial maturity of a person which is accompanied by a compatibility with himself and his surroundings. One of the deviant behavior of clients with mental disorders are violent behavior. The management of violent behavior can be done with therapeutic communication. The right therapeutic communication can be used to reduce the level of violent behavior. This study aimed to determine comparison completeness of client care with violent behavior who receive therapeutic communication between the nurses and sosial workers. Methods: The research design used in this research was the kind of research the comparative analysis with cross sectional approach. The sample in this research consisted of 16 clients violent behavior, 3 nurses, and 7sosial workers in UPT RSEP Pasuruan. The Sampling technique in this research was purposive sampling. The data analysis used Chi-Square test. Results: Based on the research result client violent behavior who receive therapeutic communication nurses with complete catagory were 3 people (18,8%), and not complete category were 5 people (31,3%). While the violent behavior of respondents who receive therapeutic communication with sosial workers complete catagory were 5 people (31,3%), and not complete catagory were 3 people (18,8%). Chi-Square test result in comparison completeness client care violent behavior who receive therapeutic communication between the nurses and sosial workers, the p value = 0,317 more than the tariff of significance (0,05). Conclusion: It was concluded that there was no difference in complete treatment of violent behavior between nurses and sosial workers in UPT RSEP Pasuruan
Peningkatan Pemahaman Mahasiswa Blok Keperawatan Jiwa Melalui Pembelajaran Kooperatif Tipe STAD (Student Teams Achievement Divisions) Pada Materi Terapi Modalitas Keperawatan Jiwa Tutu April Ariani
Journal of Ners and Midwifery Vol 6 No 1 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i1.ART.p084-092

Abstract

Upaya yang dilakukan untuk meningkatkan kemampuan berpikir kritis yaitu dengan menerapkan model pembelajaran yang dipandang akomodatif bagi peningkatan kemampuan berpikir kritis mahasiswa maupun aktivitas belajar, yaitu  dengan  menerapkan  model  pembelajaran  kooperatif.  Tipe-tipe pembelajaran kooperatif diantaranya adalah Metode STAD (Student Teams- Achievement Divisions). Penelitian tindakan kelas ini dilaksanakan di Se- mester III Prodi S1 Keperawatan FIKES Universitas Muhammadiyah Malang, Kelas A. Kondisi  lain yang terikat bahwa latar belakang  mereka cukup beragam,mereka terdiri dari beragam suku, tempat asal, sehingga secara keseluruhan Semester III relatif cukup heterogen. Pengamatan dari ceklist merupakan data utama yang mengamati aspek: bekerjasama, menyampaikan gagasan, bertanya, memperhatikan pertanyaan teman, menanggapi, mampu mngerti secara mendalam tentang materi, berperan aktif dalam kelompok, dapat menjadi penengah, menjelaskan, menarik kesimpulan materi. Penelitian tindakan memiliki 4 tahapan yaitu: planning, doing action, observation dan reflection, yang berjalan melalui 2 siklus/ putaran (setiap putaran dilakukan 2 kali pertemuan). Tahap terakhir dari proses ini adalah: Reflection. Hasil dari observasi  diorganisir  dan  dianalisis.  Tahap  ini  dapat  digunakan  oleh instruktur  untuk  memberikan  umpan  balik  berdasar  hasil  pengamatan. Berikutnya didiskusikan tindakan yang sudah sesuai untuk meningkatkan pemahaman mahasiswa di mata kuliah Keperawatan Kesehatan Jiwa.  Many ways can improve to critical thinking skills of student  are applying learning  models  that  are  considered  accommodative  for  improving  stu- dents’ critical thinking skills and learning activities by applying coopera- tive learning models. The types of cooperative learning include the STAD Method (Student Teams-Achievement Divisions). This action research was conducted in one class of third semester  in Bachelor Graduate  Nursing Program Study FIKES at the University of Muhammadiyah Malang, espe- cially  Class  A.  Other  conditions  that  were  bound  were  that  their  back- grounds were quite diverse, they consisted of various tribes, places of ori- gin, so that overall Semester III was relatively heterogeneous. Data col- lected by observation sheets, among others, were observed: cooperation in groups,  gave  ideas,  asked  questions,  pay  attention  to  friend  questions, gave  responses, ability  to  understand  material, participation  in  groups, ability  to mediate  if  there are  groups who  misunderstand,  ability to  ex- plain and conclude material discussed. The action through 4 stages, are respectively: planning, action, observation, and reflection, carried out in two cycles (each cycle carried out twice meeting). The final stage of this process is Reflection. The results obtained in the observation phase are collected  and  analyzed.  At  this  stage,  the  instructor  can  reflect  on  the results  of  observations  and  discussions  to  examine  whether  the  actions taken can improve students’ understanding of the Mental Health Nursing course. The results of data analysts carried out in stages will be used as a reference for planning the next cycle.  The results showed  a decrease in misunderstanding,  there  were  3  people (11.11%)  out  of  27  students  who did not reach comprehension of competency, because the accumulation of values   <80. There was an increase in the passing of the competency test to 19 people (88.89%) with the above scores 80.00. It is expected that this STAD method can be applied to other subjects so that overall competency test graduation increases.
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

Abstract

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

Abstract

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.