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Witdiawati, Witdiawati
Fakultas Keperawatan Universitas Padjadjaran
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MINDFULNESS-BASED STRESS REDUCTION (MBSR) AND EFFECTIVENESS ON ANXIETY IN BREAST CANCER SURVIVORS: A RAPID LITERATURE REVIEW Witdiawati, Witdiawati; Andini, Wilda; Purnama, Dadang; Dinan, Nur Azmina; Bakar, Shabila Fasa Noor; Fauziah, Siti; Mulyani, Airin Rizki
Journal of Maternity Care and Reproductive Health Vol 8, No 4 (2025): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i4.12344

Abstract

Cancer is one of the leading causes of death in the world and its number continues to increase every day. The decline in physical condition that haunts breast cancer patients often makes patients anxious. Mindfulness-based stress reduction (MBSR) has been used to cope with stress normally but often and more significantly than daily life. The purpose of this literature review was to provide an empirical basis to evaluate whether the MBSR method can effectively reduce anxiety levels in breast cancer patients. The method in searching for article data sources was carried out through the Google Scholar, PubMed, SAGE Journals, and EBSCO (2012-2022) data bases database to retrieve relevant articles. The inclusion study design focuses on breast cancer patients. The selection process used the PRISMA Flow Diagram 2009, 5 articles were selected as the result of the selection. Result. MBSR has been shown to be effective in reducing anxiety and stress in breast cancer survivors. Conclusion. MBSR may be one of the nonpharmacological interventions that accompany conventional therapy in breast cancer patients. Keywords: Mindfulness-based stress reduction (MBSR), breast Cancer, Anxiety.
Pemberdayaan Siswa dalam Pembentukan PHBS Sekolah di Madrasah Aliyah 19 Persis Bentar-Garut Rosidin, Udin; Witdiawati, Witdiawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23196

Abstract

ABSTRAK Kesehatan siswa memiliki peran penting dalam mendukung keberhasilan proses belajar-mengajar di sekolah. Lingkungan sekolah yang sehat tidak hanya berkontribusi pada prestasi akademik siswa, tetapi juga pada pembentukan generasi muda yang sehat, produktif, dan berkualitas. Keperawatan kesehatan sekolah sebagai pendekatan pelayanan kesehatan di sekolah bertujuan untuk mendukung peningkatan kesehatan siswa melalui upaya promotif, preventif, kuratif, dan rehabilitatif. Namun kenyataannya, masih banyak siswa yang menghadapi berbagai permasalahan kesehatan. Berdasarkan data yang diperoleh di MA Persis 19 Bentar Garut, sebagian besar siswa memiliki perilaku hidup bersih dan sehat yang kurang, perilaku buang sampah yang buruk, hampir setengahnya siswa putri memiliki pengetahuan yang rendah terkait anemia. Keadaan tersebut menunjukan rendahnya partisipasi siswa dalam pembentukan PHBS sekolah. Tujuan dari kegiatan pengabdian ini adalah untuk meningkatkan pengetahuan siswa dalam pembentukan PHBS sekolah di MA 19 Persis Bentar Garut. Metode kegiatan yang digunakan adalah pemberdasayaan siswa dalam pembentukan PHBS sekolah. Jumlah peserta yang hadir sebanyak 263 siswa. Hasil kegiatan menunjukkan rata-rata nilai hasil prestest sebesar 64,19 poin dan rata rata nilai posttest sebesar 86,96 poin. Kesimpulan ada peningkatan pengetahuan setelah dilakukan penyuluhan  kesehatan sebesar 25,77 poin. Rencana tidak lanjut yang disepakati adalah menyusun kebijakan dan peraturan sekolah sebagai pedoman  pelaksanaan PHBS sekolah, mengaktifkan kembali program UKS, pelatihan Duta remaja sehat dan pengelolaan sampah.  Kegiatan yang sudah  direncanakan diharapkan dapat dilanjutkan oleh sekolah bekerjasama dengan puskesmas sebagai pembina wilayah.                                                                                                                                          Kata Kunci: Pemberdayaan, PHBS Sekolah, Siswa.  ABSTRACT Student health plays an important role in supporting the success of the teaching and learning process in schools. A healthy school environment not only contributes to students' academic achievement but also to the formation of a healthy, productive, and quality young generation. School health nursing as a health service approach in schools aims to support the improvement of student health through promotive, preventive, curative, and rehabilitative efforts. However, in reality, many students still face various health problems. Based on data obtained at MA Persis 19 Bentar Garut, most students have poor clean and healthy living behaviors, poor waste disposal behavior, almost half of female students have low knowledge regarding anemia. This situation indicates low student participation in the formation of PHBS schools. The purpose of this community service activity is to increase student knowledge in the formation of PHBS schools at MA 19 Persis Bentar Garut. The activity method used is student empowerment in the formation of PHBS schools. The number of participants who attended was 263 students. The results of the activity showed an average pre-test score of 64.19 points and an average post-test score of 86.96 points. The conclusion was that there was a 25.77-point increase in knowledge after the health education. The agreed-upon follow-up plans include developing school policies and regulations to guide the implementation of PHBS (Healthy Living Behavior), reactivating the UKS program, training Healthy Youth Ambassadors, and managing waste. The planned activities are expected to be continued by the school in collaboration with the community health center (Puskesmas) as the regional supervisor. Keywords: Empowerment, School PHBS, Students.
GAMBARAN  SELF CARE PADA PASIEN PASCA PERCUTANEOUS CORONARY INTERVENTION DI CARDIAC CENTRE RUMAH SAKIT SANTOSA BANDUNG CENTRAL IRAWAN, ERNA; Ningrum, Tita Puspita Ningrum; witdiawati, witdiawati; maidartati, Maidartati; Assidik, Muhamad Fajar Assidik
Jurnal Keperawatan BSI Vol. 13 No. 2 (2025): Jurnal Keperawatan BSI
Publisher : LPPM Universitas Adhirajasa Reswara Sanjaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51977/szqgmm46

Abstract

  PCI merupakan salah satu tatalaksana penyakit jantung koroner yang pada saat ini banyak digunakan karena proses penatalaksanaan yang cepat dan minimal resiko yang dapat meningkatkan kualitas hidup pasien.Penerapan self care yang tidak adekuat dapat meningkatkan kekambuhan gejala seperti nyeri dada, sesak nafas, dada terasa seperti tertindih serta keterbatasan dalam melakukan aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui gambaran Self Care Pada Pasien CAD Post Tindakan PCI di Cardiac Centre Santosa Hospital Bandung Central. Penelitian ini merupakan penelitian descriptive corelative dengan desain cross sectional. Dalam penelitian ini populasinya adalah pasien CAD rajal post PCI sebanyak 200 responden, Teknik sampling dalam penelitian ini menggunakan purposive sampling n sampel berjumlah 133 orang dengan kriteria minimal 4 minggu post PCI. Instrument dalam penelitian ini menggunakan kuesioner (SC-CHDI dan  SAQ-7). Pengolahan data dianalisis menggunakan software statistic SPSS, kemudian untuk analisis univariat menggunakan distribusi frekuensi, sedangkan analisis bivariat menggunakan uji ranks spearman. Berdasarkan hasil penelitian didapatkan gambaran self care responden menunjukan sebagian besar memiliki self care baik sebanyak 80 responden (60.2%), dan sebagian kecil memiliki self care kurang sebanyak 53 responden (39.8%).   PCI is one of the coronary heart disease treatments that is currently widely used because the management process is fast and minimal risk that can improve the quality of life of patients. Inadequate self-care implementation can increase the recurrence of symptoms such as chest pain, shortness of breath, chest feels like being crushed and limitations in carrying out daily activities. This study aims to determine the Relationship of Self-Care with Quality of Life in CAD Patients Post PCI Procedures at the Cardiac Center Santosa Hospital Bandung Central. This study is a descriptive correlative study with a cross-sectional design. In this study, the population was 200 respondents of CAD patients post PCI. The sampling technique in this study used purposive sampling with a sample of 133 people with a minimum criterion of 4 weeks post PCI. The instrument in this study used a questionnaire (SC-CHDI and SAQ-7). Data processing was analyzed using SPSS statistical software, then for univariate analysis using frequency distribution, while bivariate analysis using the Spearman ranks test. Based on the research results, the description of respondents' self-care shows that most have good self-care, as many as 80 respondents (60.2%), and a small portion has poor self-care, as many as 53 respondents (39.8%).  
Pendidikan Kesehatan Terkait Peningkatan Pengetahuan Sikap dan Keterampilan Ibu Balita dalam Pencegahan Penanganan dan Pengendalian Diare pada Balita Purnama, Dadang; Witdiawati, Witdiawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23896

Abstract

ABSTRACT Diarrhea in toddlers is the occurrence of loose or watery stools that occur more than three times a day. Diarrhea is generally caused by consuming food or drinks contaminated with viruses, bacteria, or parasites. This requires a collaborative effort from all community members, and the role of residents, especially mothers with toddlers, is crucial in addressing the problem. The objective of this activity is health education related to improving knowledge, attitudes, and skills in preventing, treating, and controlling diarrhea. Health education is provided using lecture and discussion methods, with pre- and post-tests. The target group is mothers with children at risk of diarrhea in RW IV, Cipacing Village. Results: The activity was attended by residents who participated in the health education, including mothers with toddlers and several Posyandu (Integrated Service Post) cadres. There was an increase in knowledge, attitudes, and skills before and after health education on the prevention, treatment, and control of diarrhea, with a score increase of 31.68%. The average pretest score was 3 (53.38%) and the average posttest score was 4-5 (85.06%). In conclusion, after the Health Education, knowledge, attitudes, and skills related to the prevention, treatment, and control of diarrhea increased in 16 respondents. With appropriate knowledge, attitudes, and skills in prevention, treatment, and control, mothers of toddlers and several Posyandu (Integrated Service Post) cadres are expected to contribute significantly to reducing the incidence of diarrhea in toddlers. Keywords: Toddlers, Diarrhea, Mothers of Toddlers, Health Education.  ABSTRAK Diare pada balita adalah keluhan buang air besar encer atau berair yang terjadi lebih dari 3 kali dalam sehari. Diare umumnya disebabkan oleh konsumsi makanan atau minuman yang terkontaminasi virus, bakteri, atau parasite, dimana hal tersebut memerlukan upaya bersama dari seluruh komponen komunitas, dan peran warga, khususnya ibu yang memiliki anak balita sangatlah penting dalam upaya untuk mengatatasi permasalahannya. Tujuan kegiatan adalah pendidikan kesehatan terkait peningkatan pengetahuan, sikap dan keterampilan dalam pencegahan, penanganan dan pengendalian diare. Pendidikan kesehatan diberikan dengan metode ceramah dan diskusi, pre test dan post test. Sasaran kegiatan adalah Ibu dengan anak risiko diare di RW IV Desa Cipacing. Hasil. Kegiatan di hadiri warga yang ikut dalam kegiatan pendidikan kesehatan yang merupakan ibu yang memiliki anak balita dan beberapa kader posyandu. Terdapat peningkatan pengetahuan, sikap dan keterampilan sebelum dan sesudah dilakukan pendidikan kesehatan tentang pencegahan, penanganan dan pengendalian diare dengan peningkatan nilai sebesar 31,68 %. Dimana hasil nilai pretest rata-rata adalah 3 (53,38%) dan pada post test nilai rata – rata adalah    4-5 yaitu (85,06%). Kesimpulan, setelah dilakukan Pendidikan Kesehatan, pengetahuan, sikap dan keterampilan terkait pencegahan, penanganan dan pengendalian diare pada 16 responden meningkat. Dengan pengetahuan, sikap, dan keterampilan dalam pencegahan, penanganan dan pengendalian yang tepat, ibu balita dan bebera kader posyandu diharapkan dapat berkontribusi signifikan dalam mengurangi angka kejadian diare pada anak balita.  Kata Kunci: Balita, Diare, Ibu Balita, Pendidikan Kesehatan.
SCOPING REVIEW: SUPPORTIVE CARE NEEDS IN YOUNG WOMEN WITH BREAST CANCER Berlianti, Denisa Novianne; Witdiawati, Witdiawati
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12370

Abstract

The incidence of breast cancer in young women is increasing globally and nationally, as the disease affects individuals under 40. This condition creates complex, multidimensional needs. Despite high prevalence, specific research on supportive care for this age group remains limited. Unidentified needs risk decreasing quality of life and increasing patients' economic burden. This study aims to identify the supportive care needs of young women with breast cancer. A literature search was conducted via PubMed, Scopus, and EBSCO (2020-2025) using keywords “Young Adults,” “Breast Neoplasms,” and “Supportive Care.” Inclusion criteria were limited to full-text articles in English or Indonesian focusing on breast cancer patients under 50. From 807 identified articles, title/abstract screening and full-text eligibility assessment were performed using the PRISMA Flow Diagram 2020, resulting in 5 final articles for review. Data were extracted and analyzed using narrative synthesis. Results showed that unmet supportive care needs include health systems and information, psychological, sexual, and physical and daily activity domains. In conclusion, young women with breast cancer have various crucial supportive care needs requiring further attention in healthcare. Therefore, studies with more representative sample sizes and stronger designs are recommended to formulate targeted interventions.
Norma Subjektif Perawatan Kaki Penderita Diabetes Melitus di Wilayah Kerja Puskesmas Babakan Sari Putri, Syifa Nabilla; Witdiawati, Witdiawati; Rosidin, Udin
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24541

Abstract

ABSTRACT Diabetes mellitus is a chronic disease with an increasing prevalence and a risk of various complications, including foot ulcers. The importance of foot care in preventing such complications is well-established, yet patient compliance remains influenced by a variety of psychosocial factors, including subjective norms. The objective of this study is to provide the description of subjective norms of diabetes mellitus patients related to foot care behaviour in the working area of the Babakan Sari Community Health Centre. This study used a quantitative, descriptive design with a sample of 79 diabetes mellitus patients, selected using purposive sampling. Data were collected using a questionnaire based on the modified Theory of Planned Behavior, and analysed descriptively. The results indicated that the majority of respondents (70.9%) exhibited poor subjective norms regarding foot care behavior. This finding suggests that individuals with diabetes may not perceive sufficient social support or normative pressure from their immediate environment, including family, peers, and health professionals, to engage in regular foot care practices.The subjective norms of people with diabetes mellitus regarding foot care remain relatively low. These findings emphasise the importance of strengthening social support and the role of the surrounding environment in improving foot care behaviour at primary healthcare level. Keywords: Diabetes Mellitus, Foot Care, Subjective Norms.  ABSTRAK Diabetes melitus merupakan penyakit kronik dengan prevalensi yang terus meningkat dan berisiko menimbulkan berbagai komplikasi, salah satunya ulkus kaki. Perawatan kaki merupakan perilaku yang diperlukan dalam pencegahan komplikasi tersebut, tetapi kepatuhan pasien masih dipengaruhi oleh berbagai faktor psikososial, termasuk norma subjektif. Penelitian ini bertujuan untuk mengetahui gambaran norma subjektif penderita diabetes melitus terkait perilaku perawatan kaki di wilayah kerja Puskesmas Babakan Sari.  Penelitian ini menggunakan desain deskriptif kuantitatif dengan sampel sebanyak 79 penderita diabetes melitus yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner berbasis Theory of Planned Behavior yang telah dimodifikasi dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebagian besar responden (70,9%) memiliki norma subjektif yang kurang baik terhadap perilaku perawatan kaki. Temuan ini mengindikasikan bahwa penderita diabetes belum merasakan dukungan sosial atau tekanan normatif yang cukup kuat dari lingkungan terdekat, seperti keluarga, teman sebaya, dan tenaga kesehatan, untuk melakukan perawatan kaki secara konsisten. Norma subjektif penderita diabetes melitus terkait perawatan kaki masih relatif rendah. Temuan ini menegaskan pentingnya penguatan dukungan sosial dan peran lingkungan sekitar dalam upaya meningkatkan perilaku perawatan kaki di tingkat pelayanan kesehatan primer. Kata Kunci: Diabetes Melitus, Norma Subjektif, Perawatan Kaki.
Co-Authors Ahmad Yamin AI MARDHIYAH, AI Aisyah, Salsa Andini, Wilda Annisya Awalia Arum Rukmasari Assidik, Muhamad Fajar Assidik Azzahra, Shafira Bakar, Shabila Fasa Noor Berlianti, Denisa Novianne Chandra Isabella Hostanida Purba Dadang Purnama Damar Irza Irza Desy Indra Yani Dinan, Nur Azmina Dwinaputri, Adinda Zahira Erna Irawan, Erna Fauzia, Nuris Azril Gustav, Ghina Irval Hartiah Haroen Harun, Hasniatisari Hasan, Nur Bilqis Haibah Mufidah Hendrawati Hendrawati Hidayat, Nabila Nur Fadilah Hutomo, Wahyuni MP Iceu Amira D.A Imas Rafiyah Inriyana, Ria Iwan Shalahuddin Iwan Sholahuddin K.H, Firla Husnul Kesumawati, Rianti Kintan Komala Kosim Kosim Kusman Ibrahim Laili Rahayuwati Lilis Mamuroh Luthfiyani, Nida M Noor, Rohmahalia Maidartati Maidartati, Maidartati Mamat Lukman Mambangsari, Citra Windani Mulya, Adelse Prima Mulyani, Airin Rizki Muryati Muryati Nara Raihani Neti Juniarti Nina Sumarni Ningrum, Tita Puspita Ningrum Noor, Rohmahalia M Nugraha, Puput Nuraeni, Imel Nurjanah, Lilis Siti Pataya, Amalla Putri, Syifa Nabilla Rahma, Syifa Imaniar Raihani, Nara Raini Diah Susanti Ramdani, Sucia Ratnasari, Indah Millenia Rifki Febriansyah Rohmahalian M. Noor Rukman Rukman Salsabila, Nada Salsabilla, Raisha Sari, Citra Windani Mambang Setiawan Setiawan Sheizi Prista Sari Sheizi Prita Sari Siti Fauziah Sri Hendrawati Sukmawati Sukmawati Sukmawati Sukmawati Tarigan, Sri Yenni Br Tetti Solehati Theresia Eriyani Udin Rosidin Umar Sumarna Umar Sumarna Uu Sunarya Wahyuni Maria Prasetyo Hutomo Windy Rakhmawati Yuliana Eka Putri, Yuliana Eka Yusshy Kurnia Herliani Zaenal Muttaqin