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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) MAHESA : Malahayati Health Student Journal Jurnal Berita Ilmu Keperawatan
Diana, Gimanda Nahdiah
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Other

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Differences in Spiritual Coping Strategies of Mothers with Autism Children in Developed and Developing Countries: a Qualitative Systematic Review Diana, Gimanda Nahdiah; Pratiwi, Cesa Septiana; Afrianty, Dina
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 1 (2025): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i1.7889

Abstract

Comprehensive community support is needed to help mothers cope with the psychological, physical, and social challenges of caring for a child with autism. This study aimed to identify differences in mothers' initial responses, spiritual coping strategies that influence psychological well-being, and factors supporting and inhibiting maternal coping in developed and developing countries. A literature search was conducted on EBSCO, PubMed, Wiley, Science Direct, ProQuest, Research Rabbit, and Google Scholar databases from 2014 to 2023, which was screened using Mendeley. Critical appraisal and data mapping were performed with the Joanna Briggs Institute (JBI) checklist for qualitative research and textual evidence. A total of 18 selected studies were analyzed using a narrative approach. The results identified five main themes: (1) acceptance and love in the face of adversity, (2) resilience through emotional turmoil to social and cultural complexities, (3) strength in community and shared experiences, (4) empowerment, and (5) advocacy. The spiritual coping strategies of mothers in developing countries differ from those in developed countries, influenced by social, cultural, and economic contexts. Social support proved crucial for maternal emotional resilience. Education of health workers on culture-based spiritual coping strategies is needed to support maternal well-being. An approach that considers the social, cultural, and economic context will facilitate access to resources, integration of relevant spirituality, and self-empowerment. This aims to improve maternal mental health and create an inclusive environment that supports families, especially mothers of children with autism.  
Metode ERACS vs Konvensional: Nyeri dan Lama Rawat Pasca Operasi Sesar Diana, Gimanda Nahdiah; Nurbaity, Nurbaity; Emiliana, Emiliana; Suriani, Suriani; Jesus, Helena Marques De; Mahardya, Rizki Tsalatshita Khair; Astuti, Andari Wuri
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.19153

Abstract

ABSTRACT The increasing prevalence of caesarean sections globally has led to the development of a new method, ERACS, to speed up recovery and reduce postoperative complications. The aim of this systematic review was to identify the current evidence on the effectiveness of various ERACS methods and conventional methods on patient pain levels and length of hospital stay after caesarean section. Systematic Review guidelines using PRISMA 2020 guidelines. Articles used were published in 2020-2024. 781 articles were found through searching articles from 3 databases, namely PubMed (688), EBSCO (50) and Cochrane (2), and manual searches of Google Scholar (18) and research rabbit (23). Based on data extraction and quality assessment of articles using RoB2, 4 articles were found suitable for inclusion in the review.  The results of the review showed that the ERACS protocol significantly reduced postoperative pain levels and had a shorter hospitalization time compared to conventional methods. Suggestions for future research to explore the social and psychological impact of the ERACS method, including patient satisfaction and social support. Midwives need to attend ongoing training on ERACS for optimal implementation. The government should establish a monitoring and evaluation system of ERACS results in various health facilities for continuous improvement. Keywords: Cesarean Section, Postoperative Pain, Length of Hospitalization.ERACS, Conventional Method  ABSTRAK Meningkatnya prevalensi operasi caesar global mendorong pengembangan metode baru yaitu ERACS untuk mempercepat pemulihan dan mengurangi komplikasi pasca operasi. Tujuan dari systematic review ini adalah untuk mengidentifikasi bukti terkini dari efektifitas perbedaan metode ERACS dan konvensional pada tingkat nyeri pasien dan lama rawat inap post operasi sesar. Panduan Systematic Review menggunakan panduan PRISMA 2020. Artikel yang digunakan terbit tahun 2020- 2024. 781 artikel ditemukan melalui pencarian artikel dari 3 database yaitu  dari PubMed (688), EBSCO (50) dan Cochrane (2), dan pencarian manual Google Scholar (18) dan research rabbit (23).Berdasarkan data ekstraksi dan penilaian kualitas artikel menggunakan RoB2 didapatkan 4 artikel yang sesuai untuk dimasukkan dalam review.  Hasil review menunjukkan bahwa protokol ERACS secara signifikan mengurangi tingkat nyeri pascaoperasi dan  mengalami lama rawat inap yang lebih singkat dibandingkan dengan metode konvensional.Saran untuk penelitian selanjutnya untuk mengeksplorasi dampak sosial dan psikologis metode ERACS, termasuk kepuasan pasien dan dukungan sosial. Bidan perlu mengikuti pelatihan berkelanjutan tentang ERACS untuk implementasi optimal. Pemerintah harus membentuk sistem pemantauan dan evaluasi hasil ERACS di berbagai fasilitas kesehatan untuk perbaikan berkelanjutan. Kata Kunci:  Operasi Sesar, Nyeri Pascaoperasi, Lama Rawat Inap, ERACS, Metode Konvensional
An investigation of spiritual coping strategies among mothers of children with autism in Indonesia Diana, Gimanda Nahdiah; Pratiwi, Cesa Septiana; Setiawan, Iwan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).238-251

Abstract

Background: Autism spectrum disorder places substantial emotional, social, and psychological demands on mothers, who often serve as the primary caregivers. In Indonesia, spirituality and religious practice are closely intertwined with everyday life and may function as important coping resources when mothers face prolonged caregiving stress, stigma, and uncertainty about their children’s future. Objective: This study explored how mothers of children with autism in Indonesia integrate spirituality into their coping processes during everyday caregiving. Methods: A qualitative descriptive study was conducted. Ten mothers of children diagnosed with autism spectrum disorder were recruited purposively on the basis of their role as primary caregivers and their involvement in spiritual or religious practices. Data were collected through in-depth semistructured interviews conducted face-to-face or online. Each interview lasted approximately 60–90 minutes, was audio-recorded with consent, transcribed verbatim, and analyzed thematically with the support of NVivo software. Results: Five main themes were identified: (1) the search for and meaning of spirituality, (2) emotional responses and the dynamics of acceptance, (3) spiritual coping strategies and daily practices, (4) culture, stigma, and social support, and (5) self-transformation and reflections on parenting. These findings suggest that faith actively shapes mothers’ resilience, hope, and acceptance of their circumstances. Conclusions: Spiritual coping is a crucial element that supports the psychological well-being of mothers caring for children with autism. The findings support the incorporation of spirituality-based approaches into mentoring and support practices for healthcare professionals, educators, and families as part of a holistic strategy for assisting mothers of children with autism.
Co-Authors Astuti, Andari Wuri Dina Afrianty Emiliana, Emiliana Iwan Setiawan Jesus, Helena Marques De Mahardya, Rizki Tsalatshita Khair Nurbaity, Nurbaity Pratiwi, Cesa Septiana Suriani Suriani