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Acceptance and Commitment Therapy (ACT) for Improving the Quality of Life Patients Suffering Cancer Krisnana, Ilya; Kusnanto, Kusnanto; Suhardin, Saverinus
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/%oj.Ners111%y118-127

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Â Â Â Â Â Â Method: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level Î±=0.05. Result: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted. Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.Â

Kebutuhan pasien COVID-19 selama isolasi mandiri: Literature Review Saverinus Suhardin; Ferry Efendi; Siti Nur Kholidah
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 2 (2021): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.2.123-131

Pendahuluan: Isolasi mandiri merupakan salah satu metode yang digunakan untuk mengendalikan penyebaran SARS-CoV-2 sebagai penyebab pandemi COVID-19. Tujuan dari literature reviewini adalah merangkum hasil penelitian sebelumnya yang memberikan gambaran tentang kondisi dan kebutuhan penderita COVID-19 yang menjalani isolasi mandiri. Metode: Literature reviewini menggunakan teknik naratif, meringkas atau mensintesis apa yang telah ditulis tetapi tidak mencari generalisasi. Pencarian artikel dilakukan pada empat database: Scopus, Science Direct, PubMed, dan Google Scholar. Hasil: Hasil analisis dijabarkan ke dalam lima tema tentang kebutuhan penderita COVID-19 yang melakukan isolasi mandiri. Kelima kebutuhan tersebut adalah kebutuhan biologis, psikologis, sosial, spiritual, dan budaya. Simpulan: Isolasi mandiri mempengaruhi hampir semua aspek kehidupan manusia. Semua kebutuhan orang dengan COVID-19 yang sedang menjalani isolasi mandiriperlu diperhatikan.

Acceptance And Commitment Therapy (ACT) Meningkatkan Kualitas Hidup Pasien Kanker Saverinus Suhardin; Kusnanto Kusnanto; Ilya Krisnana
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Methods: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05.Results: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted.Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.

Family Experiences in Caring for Children with Stunting in Timor, East Nusa Tenggara, Indonesia: A Family-Centered Nursing Approach Suhardin, Saverinus; Suwetty, Awaliyah Muslimah; Lede, Meldy Emry Hamdany; Riantiarno, Flavianus; Mella, Orni; Banamtuan, Desi Adiyanti
Journal of Current Health Sciences Vol. 4 No. 1: May 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.202486

Stunting is a critical global issue, particularly in developing countries such as Indonesia, where it significantly impacts children's health and development. This study aimed to explore the experiences of families in caring for children with stunting in Timor, Nusa Tenggara Timur, Indonesia. A qualitative phenomenological approach was employed, and nine families were selected through purposive sampling. Data were collected using in-depth interviews and observations over one month. Thematic analysis, supported by NVivo 14, was used to identify recurring themes. The study's findings are framed by the Family-Centered Nursing (FCN) theory, focusing on five key tasks: recognizing the problem, decision-making, caregiving capacity, modifying the environment, and utilizing healthcare services. Results indicated that while families recognized the issue of stunting, many attributed it to genetic factors. However, after guidance from healthcare workers, families engaged in available interventions, including attending Posyandu and participating in the government’s Supplementary Feeding Program. Families also expressed the need for educational reinforcement about stunting, particularly regarding its environmental and nutritional causes. Practical implications suggest the necessity of empowering families with skills to prepare complementary feeding using local resources and encouraging greater involvement of fathers in caregiving roles. Multisectoral approaches that involve healthcare, education, and social support are essential to effectively address stunting prevention. Abstrak: Stunting adalah masalah global yang krusial, terutama di negara berkembang seperti Indonesia, di mana hal ini memiliki dampak signifikan terhadap kesehatan dan perkembangan anak. Penelitian ini bertujuan untuk mengeksplorasi pengalaman keluarga dalam merawat anak dengan stunting di Timor, Nusa Tenggara Timur, Indonesia. Pendekatan fenomenologi kualitatif digunakan, dan sembilan keluarga dipilih melalui purposive sampling. Data dikumpulkan melalui wawancara mendalam dan observasi selama satu bulan. Analisis tematik, dengan dukungan NVivo 14, digunakan untuk mengidentifikasi tema yang berulang. Temuan penelitian ini dibingkai oleh teori Family-Centered Nursing (FCN), dengan fokus pada lima tugas utama: mengenali masalah, pengambilan keputusan, kapasitas perawatan, memodifikasi lingkungan, dan memanfaatkan layanan kesehatan. Hasil menunjukkan bahwa meskipun keluarga mengenali masalah stunting, banyak yang mengaitkannya dengan faktor genetik. Namun, setelah mendapatkan bimbingan dari tenaga kesehatan, keluarga terlibat dalam intervensi yang tersedia, termasuk menghadiri Posyandu dan berpartisipasi dalam Program Makanan Tambahan pemerintah. Keluarga juga menyatakan perlunya penguatan edukasi tentang stunting, terutama terkait dengan penyebab lingkungan dan gizi. Implikasi praktis menunjukkan perlunya memberdayakan keluarga dengan keterampilan untuk menyiapkan makanan pendamping ASI menggunakan sumber daya lokal dan mendorong keterlibatan yang lebih besar dari ayah dalam peran pengasuhan. Pendekatan multisektoral yang melibatkan kesehatan, pendidikan, dan dukungan sosial sangat penting untuk secara efektif menangani pencegahan stunting.

Efektivitas Pendidikan Kesehatan Menggunakan Media Buku Kesehatan Jiwa Berbahasa Lokal Terhadap Pengetahuan Kesehatan Jiwa Remaja SMA di Kabupaten Kupang Riantiarno, Flavianus; Suhardin, Saverinus; Lagut, Yosefina Frisnarati Novita; Dee, Theodehild M. Theresia; Sakinah, Siti; Lote, Rian Rifaldo; Bire, Deriensi D. Aprilin
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.301

Mental health problems in adolescents are a serious health problem. There is an increase in mental health problems in adolescents. Knowledge is one of the contributing factors. Mental health knowledge can make the right decisions about their own mental well-being and seek help when they need it. Health education is an effort to increase knowledge. Many studies use health media to increase mental health knowledge. The novelty in this study is the use of local language health pocket books. The purpose of the study was to determine the effectiveness of health education using local language mental health pocket books on adolescent knowledge of mental health. This type of research is a Quasi Experiment with a Pretest and Posttest two Group Design research design. The sample size was 150 respondents, with a sampling technique: purposive sampling. Data collection using a knowledge questionnaire in the pre-test and post-test. The results of the study using the Wilcoxon test showed that health education using local language books was effective in increasing adolescent mental health knowledge with a p value of 0.000 (p <0.05). In conclusion, local language Mental Health Books can be used to improve adolescent mental health knowledge.

Efektivitas Pendidikan Kesehatan Menggunakan Media Buku Kesehatan Jiwa Berbahasa Lokal Terhadap Pengetahuan Kesehatan Jiwa Remaja SMA di Kabupaten Kupang Riantiarno, Flavianus; Suhardin, Saverinus; Lagut, Yosefina Frisnarati Novita; Dee, Theodehild M. Theresia; Sakinah, Siti; Lote, Rian Rifaldo; Bire, Deriensi D. Aprilin
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.301

Mental health problems in adolescents are a serious health problem. There is an increase in mental health problems in adolescents. Knowledge is one of the contributing factors. Mental health knowledge can make the right decisions about their own mental well-being and seek help when they need it. Health education is an effort to increase knowledge. Many studies use health media to increase mental health knowledge. The novelty in this study is the use of local language health pocket books. The purpose of the study was to determine the effectiveness of health education using local language mental health pocket books on adolescent knowledge of mental health. This type of research is a Quasi Experiment with a Pretest and Posttest two Group Design research design. The sample size was 150 respondents, with a sampling technique: purposive sampling. Data collection using a knowledge questionnaire in the pre-test and post-test. The results of the study using the Wilcoxon test showed that health education using local language books was effective in increasing adolescent mental health knowledge with a p value of 0.000 (p <0.05). In conclusion, local language Mental Health Books can be used to improve adolescent mental health knowledge.

Fragmentasi Layanan dan Determinan Sosial: Analisis Kualitatif Kegagalan Discharge Planning dan Rekomendasi Model Kolaboratif Lintas Sektor (Sehati) Yohana Teodosia Setu; Saverinus Suhardin; Imakulata Bete; Awaliyah Muslimah Suwetty; Moses Filmon Nennogasu; Adhytrio Yohanes Nubatonis
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23910

ABSTRACT High readmission rates among Patients with Mental Disorders (ODGJ) are often linked to Discharge Planning (DP) failures. This study aims to deeply explore systemic barriers and the need for community-based solutions to prevent DP from functioning as an effective Transitional Care (TC) mechanism at Naimata Mental Hospital, Kupang. This descriptive phenomenological qualitative research involved 14 key participants (Mental Hospital Health Personnel, Community Health Center Nurses, ODGJ Patients, and Families/Caregivers) through In-depth Interviews. Data were analyzed using thematic methods to identify major barriers in the post-discharge continuum of care. Eight main themes were found, which include: (1) Massive handoff failure, manifested as "Silent Discharge" due to the absence of formal coordination (WA Group) between the Mental Hospital and Community Health Centers (Puskesmas). (2) Medication non-adherence is triggered by Social Determinants of Health (SDH), especially the "Medication vs. Food" dilemma and high transportation costs. (3) Families experience an extreme Caregiver Burden crisis, inducing High Expressed Emotion (EE) due to inadequate Family Psychoeducation (FPE). (4) The analysis justifies the need for the SEHATI Collaborative Model as a bridging mechanism. Service fragmentation, coupled with unaddressed SDH and high Caregiver Burden, drives readmission. The SEHATI Model is recommended to formalize coordination, integrate local initiatives (Gentar Sejiwa), and provide holistic psychoeducation to prevent relapse. Keywords: Discharge Planning, Handoff Failure, Caregiver Burden, Social Determinants of Health, SEHATI Model. ABSTRAK Angka readmisi yang tinggi pada Pasien Dengan Gangguan Jiwa (ODGJ) sering dikaitkan dengan kegagalan Discharge Planning (DP). Penelitian ini bertujuan mengeksplorasi secara mendalam hambatan sistemik dan kebutuhan solusi berbasis komunitas yang mencegah DP berfungsi sebagai mekanisme Transitional Care (TC) yang efektif di RS Jiwa Naimata Kupang. Penelitian kualitatif fenomenologi deskriptif ini melibatkan 14 partisipan kunci (Tenaga Kesehatan RSJ, Perawat Puskesmas, Pasien ODGJ, dan Keluarga/Caregiver) melalui In-depth Interview. Data dianalisis menggunakan metode tematik untuk mengidentifikasi hambatan utama dalam kontinum layanan pasca-pulang. Ditemukan delapan tema utama, yang menunjukkan: (1) Kegagalan handoff yang masif, termanifestasi sebagai “Pulang Senyap” (Silent Discharge) karena ketiadaan koordinasi formal (WA Grup) antara RSJ dan Puskesmas. (2) Non-adherence obat dipicu oleh Determinan Sosial Kesehatan (SDH), terutama dilema "Obat vs. Nasi" dan tingginya biaya transportasi. (3) Keluarga mengalami krisis Beban Caregiver yang ekstrem, memicu High Expressed Emotion (EE) akibat kegagalan Family Psychoeducation (FPE). (4) Analisis memvalidasi kebutuhan Model Kolaboratif SEHATI sebagai mekanisme penghubung. Fragmentasi layanan, ditambah SDH yang terabaikan dan Caregiver Burden tinggi, mendorong readmisi. Model SEHATI direkomendasikan untuk memformalkan koordinasi, mengintegrasikan inisiatif lokal (Gentar Sejiwa), dan memberikan psikoedukasi holistik guna mencegah kekambuhan. Kata Kunci: Discharge Planning, Kegagalan Handoff, Beban Caregiver, Determinan Sosial Kesehatan, Model SEHATI.

Forgotten Patients: Family Caregivers in Psychiatric Care Transitions and Readmission Prevention Saverinus Suhardin; Yohana Teodosia Setu; Imakulata Bete; Camelia Bakker; Joli Riyana Nubatonis; Kurnia Bend. Yunita Pellondou
Journal of Health and Behavioral Science Vol 8 No 2 (2026): June 2026
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v8i2.28915

Introduction Psychiatric readmission remains a major challenge in mental health care, particularly in resource-limited settings where continuity of care following hospital discharge is often fragmented. Aim This study explored the role of discharge planning in preventing psychiatric readmission from the perspectives of patients, family caregivers, psychiatric hospital staff, and primary healthcare nurses in East Nusa Tenggara, Indonesia. Result The findings showed that fragmented discharge planning limited continuity of care after psychiatric discharge and increased the responsibilities of family caregivers in coordinating post-discharge care. Four interrelated themes emerged: (1) family burden extending beyond hospital discharge; (2) emotional exhaustion and psychological distress among family caregivers; (3) fragmented discharge planning and weak continuity of care following psychiatric discharge; and (4) living with limited resources. Conclusion These findings suggest that psychiatric readmission is influenced not only by patient-related factors but also by fragmented transitions of care that unintentionally transfer greater responsibility for continuity of care to family caregivers.

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