Arif Budiman, M. Elyas
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ADAPTATION TRAINING FOR MENTAL RESILIENCE OF ADOLESCENTS USING THE ROY ADAPTATION MODEL APPROACH Arif Budiman, M. Elyas; Yuhbaba, Zidni Nuris; Erdah Suswati, Wahyi Sholehah; Basri, Achmad Ali
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 6 No. 2 (2024): September 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v6i2.50445

Abstract

Introduction: Adolescence is a key period for mental health, as over half of mental health problems begin during this stage and often persist into adulthood. Many adolescents, however, lack access to specialized care. This research aims to examine the impact of adaptation training on mental health resilience in adolescents, utilizing the Roy Adaptation Model. Method: This quasi-experimental study followed a pre-test-post-test control group design. The sample consisted of 100 adolescents, divided into an experimental group (50 respondents) and a control group (50 respondents), selected using purposive sampling. The experimental group participated in six weeks of adaptation training, with one session held each week. The training aimed to help adolescents better adapt to stressors, fostering mental resilience. The Adolescent Resilience Questionnaire (ARQ) was used to measure resilience, specifically evaluating the capacity to achieve positive outcomes despite facing challenges. The Wilcoxon Paired test was applied to assess differences within each group before and after the intervention, and the Mann-Whitney test was used to compare outcomes between the two groups. Both tests utilized an ordinal scale for analysis. Results: The Mann-Whitney test results showed a significant difference between the experimental and control groups, with a p-value of 0.000. This indicates that adaptation training had a positive effect on increasing adolescent mental resilience. Conclusion: Adaptation training is effective in improving adolescents' mental resilience. It has the potential to be integrated into school programs to support mental health promotion and prevention, offering a proactive approach to addressing adolescent mental health challenges.
PSIKOEDUKASI DENGAN PENDEKATAN SKILL TRAINING MODEL TERHADAP KEMAMPUAN MENGENALI PERKEMBANGAN PSIKOSOSIAL REMAJA Sholehah Erdah Suswati, Wahyi; Nuris Yuhbaba, Zidni; Arif Budiman, M. Elyas
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 2, Juli 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i2.1381

Abstract

Perkembangan psikososial rasa remaja berada pada tahap pencarian identitas diri. Hal tersebut membuat remaja mulai berpikir tentang dirinya sendiri sebagai persiapan ke arah kedewasaan. Upaya yang dilakukan untuk membantu remaja agar mampu mencapai perkembangan psikososial pada rentang adaptif dan sehat adalah dengan melakukan psikoedukasi. Penelitian ini bertujuan memberikan psikoedukasi dengan pendekatan skill training model untuk meningkatkan kemampuan mengenali perkembangan psikososial pada remaja berdasarkan teori Erikson. Desain penelitian menggunakan quasy experiment with control group terhadap 50 orang responden yang diambil secara acak dengan teknik proportionate stratified random sampling. Responden kemudian dibagi menjadi 2 kelompok yakni kontrol dan eksperimen masing-masing terdiri dari 25 orang. Intervensi diberikan selama 2 hari dengan jumlah sesi sebanyak 5 sesi meliputi topik tentang perubahan aspek biologis dan psikoseksual, perubahan aspek kognitif dan bahasa, perubahan aspek moral dan spiritual, perubahan aspek emosi dan psikososial, dan perubahan aspek bakat dan kreativitas pada remaja. Kemampuan remaja dalam mengenali perkembangan kesehatan mentalnya diukur dengan kuesioner dengan reliabilitas 0,983. Data dianalisis dengan uji Wilcoxon dan Mann-Whitney untuk membandingkan skor subjek pada pretest dan posttest dari kelompok kontrol dan eksperimen. Hasil penelitian diperoleh: 1) tidak ada perbedaan kemampuan mengenali perkembangan psikososial remaja pada kelompok kontrol sebelum dan sesudah intervensi (p-value 0,235 > 0,05); 2) terdapat perbedaan yang signifikan kemampuan mengenali perkembangan psikososial remaja pada kelompok eksperimen (p-value 0,000 < 0,05); 3) terdapat perbedaan kemampuan mengenali perkembangan psikososial antara kelompok kontrol dan eksperimen (p-value 0,003 < 0,05). Psikoedukasi dengan pendekatan skill training model dinilai cukup efektif digunakan sebagai pilihan intervensi bagi perawat jiwa atau profesional terkait lainnya untuk membantu remaja mengenali kemampuan perkembangan psikososialnya. The psychosocial development of adolescents is at the stage of searching for self-identity. This makes teenagers start to think about what and who they are at that time and in the future as preparation for adulthood. Psychoeducation is an intervention option to help adolescents achieve their psychosocial development in the adaptive and healthy range. This research aims to provide psychoeducation with a skills training model approach to improve the ability to recognize psychosocial development in adolescents based on Erikson's theory. The research design used a quasi-experiment with a control group on 50 respondents taken randomly using a proportional stratified random sampling technique. The respondents were then divided into 2 groups, namely the control and the experiment consisting of 25 people each group. The intervention provided in 5 sessions in 2 days include: changes in biological and psychosexual aspects, changes in cognitive and language aspects, changes in moral and spiritual aspects, changes in emotional and psychosocial aspects, and changes in talent and creativity aspects. Adolescents' ability to recognize the development of their mental health was measured by a questionnaire with a reliability of 0.983. Data were analyzed using the Wilcoxon and Mann-Whitney tests to compare subjects' scores on the pretest and posttest from the control and experimental groups. The results of the study were obtained: 1) there was no difference in the ability to recognize the psychosocial development of adolescents in the control group before and after the intervention (p-value 0.235 > 0.05); 2) there was a significant difference in the ability to recognize the psychosocial development of adolescents in the experimental group (p-value 0.000 < 0.05); 3) there was a difference in the ability to recognize psychosocial development between the control group and the experiment (p-value 0.003 < 0.05). Psychoeducation with a skills training model approach is considered a quiet effective intervention for psychiatric nurses or other related professionals to help adolescents recognize their psychosocial development abilities.
Stress Adaptation Model For Uncertain Process Of Diabetes Mellitus Disease Arif Budiman, M. Elyas; Yusuf, Ah; Sri Suhardiningsih, Av; Endang Nihayati, Hanik
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 4 No. 2 (2022): September 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v4i2.36574

Abstract

Introduction: Uncertainty Diabetes mellitus shows the inability of individuals to determine the meaning of events related to the disease process. Uncertainty Diabetes mellitus causes stress due to uncertainty around the disease, disease process, treatment and side effects. The purpose of this study was to develop a stress adaptation model to the uncertainty of the diabetes mellitus disease process. Method: The design of this research is an explanatory survey with a cross sectional approach.Methods: The sample size of the study was 250 Diabetes mellitus clients who were recruited using simple random sampling technique. The research variables are cognitive, biophysical, social, psychological factors, structure providers, illusions, inferences, uncertainty, psychosocial coping and adaptations. Data were collected by questionnaire and analyzed by SEM-PLS. Results: The results of this study indicate that cognitive, biophysical, psychological factors, structure providers and the illusion of inference have a significant effect on uncertainty. Social factors have no effect on uncertainty. Uncertainty has a significant effect on coping and psychosocial adaptation. Coping has a significant effect on psychosocial adaptation. The test criteria state that if the T-statistics T-table value (1.96) or the P-value <significant alpha 5% or 0.05, it is stated that there is a significant effect of the independent variable on the dependent variable. Conclusions: The finding of the stress adaptation model to the uncertainty of the disease process Diabetes mellitus is associated with that uncertainty is a cognitive condition, indicating the inadequacy of existing cognitive factors to support the interpretation of disease-related events.Then adaptation in the context of uncertainty reflects the continuation of the normal biopsychosocial behavior of Diabetes mellitus clients and is the expected result of coping efforts to reduce uncertainty which is assessed as a danger.