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STUDI FENEMONOLEGI: STRATEGI KOPING ORANG TUA DALAM MERAWAT ANAK AUTISM SPECTRUM DISORDER (ASD) Hidayah, Ridhoyanti; Yusuf, Ahmad; Fitryasari, Rizky
Jurnal Keperawatan Vol 8, No 2 (2017): JULI
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.456 KB) | DOI: 10.22219/jk.v8i2 Juli.4332

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STUDI FENEMONOLEGI: STRATEGI KOPING ORANG TUA DALAM MERAWAT ANAK AUTISM SPECTRUM DISORDER (ASD) Coping Strategy Used by Parents of Children with Autism Spectrum Disorder (ASD)  Ridhoyanti Hidayah1, Ah.Yusuf2, Rizky Fitryasari31Jurusan Keperawatan Fakultas Kedokteran Universitas Brawijaya2,3Program Magister Prodi Keperawatan Fakultas Keperawatan Universitas AirlanggaEmail: 1)ridhoyanti.fk@ub.ac.id ABSTRACTCoping strategies are important predictors of psychosocial adaptation among parents of children with ASD. This study aimed to explore coping strategies used by parents of children with ASD. This descriptive phenomenology study used in-depth semi-structured interviews to explore parents experiences. Six participants were recruited from Pusat Layanan Autis Kota Malang by using purposive sampling. The interviews were digitally recorded and transcribed verbatim. The thematic were analyzed using Colaizi’s phenomenological method. Eight themes were extracted according to the spesific purposes: (1) caring demand; (2) social stigma; (3) level of ASD severity; (4) life stressor of parent as a caregiver; (5) constructive coping strategies: seeking for information, formal support, spiritual approach, relaxation, and positif thinking (6) destructive coping strategies: physical and verbale action; (7) positive life meaning: change of the way of thinking and behavior, and (8) negative life meaning: stress feeling of having ASD children. It can be concluded that both constructive and destructive coping strategies were used by parents when dealing with children with ASD. Futher investigation with parents living in rural areas is needed to explore their constructive coping strategies using phenomenology study design.Key words: coping strategies, parents, autism spectrum disorder
Anger Management Berbasis Spiritual Care dalam Meningkatkan Regulasi Emosi Caregiver Klien Skizofrenia: A Systematic Review Maulidiyah Junnatul Azizah Heru; Rizki Fitryasari; Hendy Muagiri Margono
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 2 (2021): April 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12225

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Background: Caregivers of schizophrenic clients are faced with various problems and caregiving burdens that can trigger stress and anger. Objective: To determine the effectiveness of spiritual-based anger management interventions in improving the emotional regulation of caregiver clients with schizophrenia. Methods: The sources of the articles used were obtained from searches through the Scopus database, Science Direct, and Proquest. The search for articles is limited from 2015 to 2020. After the articles are obtained, they are then reviewed until the stage of making a systematic review. The keywords used in the article search were “anger management”"spiritual care", "Emotional Regulation" "Caregiver". This systematic review uses 25 articles that fit the inclusion criteria. Results: The spiritual-based anger management interventions from the reviewed research is very significant in increasing the emotional regulation of the caregiver in schizophrenic clients. Conclusion: A spiritual-based anger management strategy can increase emotional regulation and calm attitude so that it will have a good impact on the recovery process for schizophrenic clients. Keywords: anger management; spiritual care; emotion regulation; caregiver; schizophreric ABSTRAK Latar Belakang: Caregiver klien skizofrenia dihadapkan pada berbagai persoalan dan beban pengasuhan yang dapat memicu stress dan kemarahan. Tujuan: untuk mengetahui efektifitas anger management berbasis spiritual dalam meningkatkan regulasi emosi caregiver klien skizofrenia. Metode: Sumber artikel yang digunakan didapat dari pencarian melalui database Scopus, Science Direct dan Proquest. Pencarian artikel dibatasi mulai tahun 2015-2020. Setelah artikel didapatkan, kemudian dilakukan telaah artikel sampai tahap pembuatan systematic review. Kata kunci yang digunakan pada pencarian artikel adalah “anger management” “spiritual care” “Regulasi Emosi” “Caregiver”. Systematic review ini menggunakan 25 artikel yang sesuai dengan kriteria inklusi Hasil: Intervensi anger management berbasis spiritual dari penelitian yang direview sangat singnifikan dalam meningkatkan regulasi emosi caregiver klien skizofrenia. Kesimpulan: Strategi spiritual care dapat meningkatkan regulasi emosi dan ketenangan dalam bersikap sehingga akan berdampak baik pada proses recovery klien skizofrenia. Kata kunci: anger management; spiritual care; regulasi emosi; caregive; skizofrenia
Model Kompetensi Kepemimpinan Kepala Ruang Meningkatkan Motivasi dan Kinerja Perawat Pelaksana Putu Widhi Sudariani; Budi Utomo; Rizki Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.346 KB) | DOI: 10.20473/jn.v11i2.1948

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Introduction: Leadership competencies are unsuitable that given the leadership to employees, can decrease the motivation, performance and ultimately job satisfaction. This research was conducted to develop a leadership competency model as an effort to improve the motivation and performance of nurses so as to improve health services. Methods: This research have two phase, phase one is analytic observational with 140 sample, analysis data with partial least square (PLS), formulation of strategic issues using focus group discussion (FGD), then make a modul with some expertise. Phase two is quasy experimental with 32 sample divided into two group, there are treatment group and control group. Analysis data in phase two with wilcoxon signed rank test and mann whitney. Result: Phase one there is influence of internal factors (knowledge, skills, and values) to the leadership competencies (t = 3.728> 1.96), there is influence of external factors (cultural organizations) to the leadership competencies (t = 2.257> 1.96), competence leadership influence motivation (t = 3,432> 1,96), leadership competencies influence to performance (t = 2.878> 1.96). The second phase, calculation with Wilcoxon signed rank test showed there is difference motivation in treatment group pre-test and post-test, Mann-Whitney test showed there is influence of development leadership competency model to the motivation of nurses. Test Wilcoxon signed rank test for performance of nurses showed there is difference between pre-test and post-test, Mann-Whitney test was obtained there is influence development of leadership competency model to the performance of nurses. Discussion: Development of leadership competency model can increase the motivation and performance of nurses.
Kompetensi Perawat dalam Merawat Pasien Gangguan Jiwa Ah Yusuf; Rizki Fitryasari; Hanik Endang Nihayati; Rr. Dian Tristiana
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.906 KB) | DOI: 10.20473/jn.v11i2.2549

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Introduction: Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies. Methods: This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two  Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD).Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi. Result: The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient.  Discussion: The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction.
Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya Rr Dian Tristiana; Kusnanto Kusnanto; Ika Yuni Widyawati; Ah Yusuf; Rizky Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.619 KB) | DOI: 10.20473/jn.v11i2.2607

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Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.
The Grieving Process Experienced Family and Charges in Treating Children with Autism Rizki Fitryasari Patra Koesoemo
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.293 KB) | DOI: 10.20473/jn.v5i2.3956

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Introduction: Children with autism will be a stressor to their family. This research aims to describe about family grieving process and family burden when taking care of their children with autism at Special Needs School Bangun Bangsa, Surabaya.Method: This research used descriptive phenomenology design with indepth interview method. The participant of this research was six member of a family who plays role as the main caregiver for autism child. This study employs the purposive sampling method. The data is gathered through interviews and fi eld notes that is then analyzed with the Collaizi technique. This research generated three themes.Result: The results illustrate families display the grieving process as a cycle. They feel a deep, permanent and long period of grief through in to five stages of grief: denial, anger, depression, bargaining and acceptance. The Grieving is come from the caregiver and the autism child. Large amounts of grief cause families in grief for a long period and this causes family burden. There are six family burden, psychological burden, physical burden, financial burden, social burden, time burden and thought burden.Conclusion: Finding of the research would hopefully be beneficial to professional health staff, especially psychiatric nurses to complete their ability in minimizing various negative impacts that the family may suffer from while taking care their autism children with autism through nursing care plans designs development, researches about family empowerment in burden managements and also a research to improve the Family Psycho-education Therapy and a specific Supportive Group Therapy modules for family with autism children.
Terapi Aktifitas Kelompok (TAK): Stimulasi Persepsi Modifikasi sebagai Alternatif Pengendalian Halusinasi Dengar pada Klien Skizofrenia Ah. Ah. Yusuf; Rizki Fitryasari; Nursalam Nursalam; Iskandar Iskandar
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.784 KB) | DOI: 10.20473/jn.v2i1.4948

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The objective of this study was to examine the effect of modified Group Activity Therapy (GAT) perception stimulation on auditory halucination controlling in schizophrenia. Modification means using only 3 sessions in GAT. A quasi-experimental pre post test design was used in this study.   Eighteen  samples with auditory halucination at male third’s class wards Menur Mental Hospital Surabaya were used in this study and divided into 2 groups. Observation was applied to measure patient’s responses and data were analyzed by Wilcoxon Signed Rank test and Mann Whitney test with significance level of  α<0.05.Conclusion:  modified perception stimulation of GAT is able to increase patient’s ability for making differences between reality and non-reality and motivated patient to choose and use the best way  for controlling halucination.
Terapi Aktivitas Kelompok (TAK) Stimulasi Persepsi Meningkatkan Harga Diri Anak di Lembaga Pemasyarakatan Ah. Yusuf; Rizki Fitryasari; Wiwin Sulistyawati
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.448 KB) | DOI: 10.20473/jn.v2i2.4959

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Introduction: Prison is societal implementer unit which accommodate care and develop the delinquent children. It was recorded that 57% of children at Blitar Child Prison undergo some self concept problems such as low self esteem. This was caused by some factors such as society’s stigmatization toward criminals, development pattern and education, and less support from family. If the self esteem problem is not being overcome soon, the children may  fell useless, disable to control their self and recrime when they are back to society. The objective of this study was to analyze the influence of  GAT (Group Activity Therapy) perception stimulation in increasing the children  self esteem at prison. Method:  A quasy experimental pre post control design was used in this study. Samples were recruited by using total sampling and there were 22 samples as on inclusion criteria. The independent variable was GAT perception stimulation and the dependent variable was increasing self esteem of these childen. Data were collected by using questionnare and analyzed by using Wilcoxon Signed Ranks Test and Mann Whitney U Test with the significance level α≤0.05.Result:  The result showed that controlled group has significance level was p=0.654, it is mean there was no self esteem change before and after GAT perception stimulation was given. Whereas treatment group has significance level was p=0.001, it revealed that  there was self esteem change before and after GAT perception stimulation was given. The result of Mann Whitney U Test showed p=0.000 which means was accepted. Discussion: It can be concluded that perception stimulation can increase the children self esteem at prison. Further studies are recommended to study the effect of GAT perception stimulation modified by skill therapy in increasing children self esteem in prison.
Predictors of Family Stress in Taking Care of Patients with Schizophrenia Rizki Fitryasari; Nursalam Nursalam; Ah Yusuf; Rachmat Hargono; Chong-Mei Chan
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.152 KB) | DOI: 10.20473/jn.v13i1.7762

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Introduction: Taking care of schizophrenia patients is challenging and causes stress for the family involved. The study was conducted to identify the predictors of family stress present when taking care of a patient with schizophrenia. The ABCX Stress Theory of Hill was used as the theoretical framework.Methods: This study used a correlational design. The sample was 137 families who were caring for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The data was collected by a questionnaire and analysed by multiple regression to determine the relationship of the family’s structure, family knowledge, the burden of care, stigma, social support, the patient's illness duration, the patient’s frequency of relapse and the patient's severity level with family stress.Results: The results showed that the family’s stress was predicted by the family’s structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the patient’s frequency of relapse (p=0.005). The burden of care was the strongest predictor of family stress (Beta= 0.619).Conclusion: The patient's frequency of relapse and stigma were other kinds of family stressor. The stressors stimulated a negative perception, called the care burden. Limited adequacy of the family structure-function will inhibit the family in using other resources, creating family stress. Nurses may develop an assessment format that consists of the family stress predictors in order to create a nursing care plan specific to reframing the techniques of family stress management.
Analisis Faktor Penyebab Ide Bunuh Diri pada Remaja: Literatur Review Ipung Jatmiko; Rizki Fitryasari; Rr Dian Tristiana
Jurnal Ilmu Keperawatan Jiwa Vol. 4 No. 2 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar

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Suicide is cause of death in 15 -29 years age group number second  in 2014. This study aims to explain related to internal and eksternal factors and suicide idea among adolescent. Study literature review was used in this study with sample adolescent age 10 – 19 years conducted three electronic databases (Scopus, Science Direct and ProQuest) which published between January 2015 - September 2020. Analysis of selected journals used prisma check list by assessing a suitable journal. with the aim of review literature topics ranging from title, abstract, background, research methods, research results.  Journal quality was assessed by 3 researchers using critical appraisal checklist from The Joanna Briggs Institute and process selection a literature using The Center for Review and Dissemination. Internal factors cause suicidal ideation are biological, demographics, psychological, deviant behavior, and lifestyle. External factors cause suicidal ideation are negative life experiences, family, economic, friendship, technology and education. We found that peer support, good relationships with classmates and teachers, physical activity, a good diet and positive religious coping were protective factors against suicidal ideation. Internal factors such as history of previous suicide, depression, anxiety and external factors such as adequate food intake, history of suicide in family are variables that have highest potential to cause suicidal ideation.
Co-Authors Achmad Masfi Aditya, Ronal Surya AH Yusuf Ah Yusuf Ah Yusuf Ah Yusuf Ah Yusuf, Ah Ah. Ah. Yusuf Ah. Yusuf Ahsan Ahsan Aini, Nauvila Fitrotul Ambarwati, Galuh Adjeng Andayani, Evi Aria Aulia Nastiti Arief, Yuni Sufyanti Astuti, Trihaningsih Puji Ayatulloh, Daviq Aziz Nashiruddin Habibie Budi Utomo Budiono Budiono Chong-Mei Chan Devi Rahma Sofia Dewi Ratna Sulistina Dianis Wulan Sari Diba, Rafidah Farah Dimas Hadi Prayoga Dwi Indah Iswanti Faizatur Rohmi Farapti Farapti Fery Agusman Motuho Mendrofa Firnanda Erindia Fitrotul 'Aini, Nauvila Hani, Umi Harmayetty, Harmayetty Hendy Muagiri Margono Hendy Muagiri Margono Herdhika Ayu Retno Kusumasari Herdina Mariyanti Heru, Maulidiyah Junnatul Azizah Ika Yuni Widyawati Ipung Jatmiko irawan, Faisal Adi Iskandar Iskandar Iskandar Iskandar Kandar Kandar Kisworo, Bayu Kristiawati Kristiawati Kusnanto Kusnanto Laras Putri Gamagitta Lela Nurlela Lilis Indrawati Maliah, Iin Marfita, Mayra Putri Margono, Hendy Muagiri Maria Norberta Bwariat Martha Oktavia Setyaningrum Misbahatul Mar’ah Has, Eka Mukaromah, Afifatul Mulud, Zamzaliza Abdul Munawaroh, Sri Nasifah, Ike Ayunda Neisya Pratiwindya Sudarsiwi Ni'mah, Lailatun Nihayati, Hanik Endang Nur Arifah Astri Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Praba Diyan Rachmawati, Praba Diyan Pramesti, Dewita Priyantini, Diah Putu Widhi Sudariani Rachmat Hargono Rahayu, Ninik Dwi Retno Puji Astuti Rian Priambodo Ridhoyanti Hidayah, Ridhoyanti RR Dian Tristiana Sembiring, Rinawati SITI KHOLIFAH Sofiatun Syadiyah, Hidayatus Thomas, Deena Clare Tristian, Dian Tsanifiandi, Fauzi Wimar Anugrah Romadhon Wiwin Sulistyawati WULANDARI Wulandari Wulandari Yulia Yunara