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All Journal Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Gema Keperawatan
Ari Kresna Dewi, Ni Luh Gede
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Health Professions Nursing Public Health

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Resiliensi dan Ide Bunuh Diri Pada Penderita Human Immunodeficiency Virus (HIV) Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Putri Rukmini, Ni Kadek
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4159

Abstract

Stigma, discrimination and changes in health conditions experienced by HIV sufferers can have serious impacts on the psychological condition of sufferers, including increasing suicidal ideation which can be triggered by feelings of hopelessness, depression, and lack of social support. Resilience is known to play a role in reducing individual stress levels and reducing the death rate from suicide. The purpose of this study was to determine the relationship between resilience and suicidal ideation in HIV. This type of research is quantitative research with a correlational analytical method and uses a cross-sectional approach. The research sample consisted of 116 HIV sufferers selected using a purposive sampling technique. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC) questionnaire and The Suicide Behaviors Questionnaire-Revised (SBQ-R). The statistical test technique used was the Spearman's Rank Test. The results showed that the majority of HIV sufferers' resilience was in the high category of 75 respondents (64,7%) and low suicidal ideation of 85 respondents (73,3%). There is a significant relationship between resilience and suicidal ideation in HIV sufferers (p = 0,000 alpha 0,05) with a moderate strength of relationship between the two variables and a negative nature or direction of the relationship, meaning that the higher the resilience of HIV sufferers, the lower the suicidal ideation in HIV sufferers.
Family Psychoeducation (FPE) Meningkatkan Harga Diri dan Menurunkan Stigma Negatif Keluarga dalam Merawat Orang dengan Gangguan Jiwa Sumirta, I Nengah; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 18, No 1 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i1.4074

Abstract

Mental health is health related to a person's emotional, mental and psychological condition. The root of mental health problems is very complex and diverse, involving biological, psychological, social and genetic factors. Events in life that have a major impact on a person's personality and behavior can affect their mental health. The purpose of this study was to determine the effect of Family Psychoeducation on stigma and family self-esteem in caring for family members with mental disorders at home. This type of research is a quantitative pre-experimental study, with a one group pre-post test design. Sampling using purposive sampling technique, sample size 45 people. Data were collected using the Rosenberg Self Esteem Scale (RSES) questionnaire to measure the level of self-esteem and Family stigma is measured by the Community Attitude Toward The Mentally (CAMI) scale. The variables studied were family stigma and self-esteem. The results of the pre-test showed an increase in negative stigma and a decrease in family self-esteem while providing home care with one of their family members with mental disorders. In the post-test, there was a decrease in negative stigma and an increase in self-esteem. The results of the Paired Sample Test on stigma and self-esteem obtained a p value = 0,000. There is an effect of Family Psychoeducation on reducing negative stigma and increasing self-esteem. It is recommended that families improve their ability to care for patients and the research site is advised to carry out Family Psychoeducation interventions routinely to family members who accompany family members with mental disorder who are undergoing outpatient treatment at the mental health clinic.
Determinants Of Mental Health Disorders During The COVID-19 Pandemic Ari Kresna Dewi, Ni Luh Gede; Yusuf, Ah; Tristiana, Roro Dian
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.v4i2.36177

Abstract

Introduction:Many people experienced mental health disorders due to the Covid-19 pandemic and if not treated immediately, it will cause serious problems. The aim of this article was to determine the determinants of mental health disorders during a pandemic. Method :A systematic approach in this review used the PRISMA approach and journal sources from several databases including Scopus, Science Direct, SAGE, NCBI, ProQuest in the 3 last years from 2020 to 2022. Boolean operators within search process used AND and OR. The inclusion criteria were the general public, aged more than 17 years. Exclusion criteria were people with chronic disease and schizophrenia. Literature review, editorial, critical synthesis, and the like were also exclusion criteria for this review. Results: Overall, this review consisted of 13 articles and all of article designs were cross sectional. Respondents in all articles were the general public, the age of 17-60 years. The determinant of mental health disorders were female gender, older age, history of chronic diseases, exposure to media reporting COVID-19, education, job loss and marital status, especially those who were married. Conclusion: Overall, the community experienced mental health problems during the pandemic. Keywords : determinants; factors; mental health disorders; covid-19
Pengaruh Tapas Acupressure Technique Terhadap Tingkat Kecemasan pada Pasien Hipertensi Eka Gayatri, Putu Mitha; Sumirta, I Nengah; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3018

Abstract

Hypertension not only has a physical impact but also affects the patient's psychological condition, one of them is anxiety. Efforts that can be do to reduce anxiety in hypertensive patients are by providing non-pharmacological therapy, namely Tapas Acupressure Technique. Tapas Acupressure Technique is a simple technique that can be done easily, and is free of charge. The aims of research to determine effect of Tapas Acupressure Technique to level anxiety hypertension patients. This research used method pre-experimental design with one group pre-post test. Sampling using non-probability with purposive sampling. The numbersamples was 19 subjects. Data analysis using Non Parametric Test with Wilcoxon Signed Rank Test. Measuring the level of anxiety using Hamilton Anxiety Rating Scale (HARS). The results showed before given Tapas Acupressure Technique most the subjek penelitiants experienced mild anxiety 13 people (68.4%) and moderate anxiety 6 people (31.6%). After the treatment, there was no anxiety 5 people (26.3%), 12 people mild anxiety (63.2%), and 2 people moderate anxiety (10.5%). Tapas Acupressure Technique has a significant effect on the anxiety level of hypertension patients with p-value = 0,000 alpha 0.05, that Tapas Acupressure Technique can reduce anxiety levels in hypertension patients.
Pengaruh Terapi Okupasi: Hasta Karya terhadap Harga Diri pada Pasien Skizofrenia Martini Puspita Yanti, Ni Made Yogi; Ari Kresna Dewi, Ni Luh Gede; Candra, I Wayan; Harini, I Gusti Ayu
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3454

Abstract

Schizophrenia is a psychotic disorder that affects a person's ability to think, feel or behave properly. The negative symptoms that arise are low self-esteem problems where individuals always underestimate themselves and their abilities. Low self-esteem that continues can cause social interaction disorders, self-care deficits, anxiety disorders and non-compliance with treatment. One form of therapy to regain a person's self-confidence is through occupational therapy. The purpose of this study was to prove the effect of occupational therapy: hasta karya on self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024. This research method uses a one-group pre-post test design. The sampling technique is non-probability sampling with purposive sampling. The number of samples is 30 respondents. The research instrument uses the Rosenberg Self-Esteem Scale (RSES). The normality test uses the Shapiro-Wilk test. Hypothesis testing uses the Wilcoxon Signed Ranks Test. The results showed that before being given occupational therapy: hasta karya, 30 people (100,0%) had low self-esteem. After the intervention, 20 people (66,7%) had moderate self-esteem and 10 people (33,3%) had low self-esteem. After analysis, the p-value = 0,000 alpha (0,05) was obtained, meaning that there was an effect of providing occupational therapy intervention: handicrafts on low self-esteem in schizophrenia patients at the Bali Provincial Mental Hospital in 2024, so it can be concluded that occupational therapy: handicrafts can increase self-esteem in schizophrenia patients.
Pengaruh Self-Hypnosis Therapy with Positive Self-Talk terhadap Tingkat Stres pada Pasien Diabetes Melitus Chandranita Shailendra, Sagung; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.2892

Abstract

Diabetes mellitus is a major health problem that has reached an alarming level and endangers health. Patients with diabetes mellitus experience various physiological and psychological problems, one of which is stress. The stress condition of diabetes mellitus patients that is not treated can worsen their condition so that stress management is needed, self-hypnosis therapy with positive self-talk. The purpose of this study was to determine the effect of self-hypnosis therapy with positive self-talk on the stress level of diabetes mellitus patients in the Working Area of Puskesmas II West Denpasar in 2023. This type of pre-experimental research was with a one-group pre-post test design. The sampling technique used purposive sampling with a total of 30 research subjects. The research instrument uses the Perceived StressScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels in diabetic mellitus patientsScale-10. The results showed that before being given self-hypnosis therapy with positive self-talk, 9 people (30.0%) had mild stress, 18 people (60.0%) had moderate stress and 3 people had severe stress (10.0%). After treatment, stress levels decreased, namely 17 people (56.7%) had mild stress and 13 people (43.3%) had moderate stress. There is an effect (p=0.00) of Self-Hypnosis Therapy With Positive Self-Talk on stress levels in diabetes mellitus patients in the Working Area of Puskesmas II Denpasar Barat in 2023. Self-Hypnosis Therapy With Positive Self-Talk can reduce stress levels indiabetic mellitus patients.
Digitalisasi Pengisian Logbook Penggunaan Alat pada Laboratorium Keperawatan Suardani, Ni Luh Ketut; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3822

Abstract

Recording the use of laboratory equipment is done in a logbook or daily log. Logbook is an important document for laboratory managers in managing the improvement of laboratory service quality. The use of logbooks has not been optimal, where recording is still done using conventional methods that are done manually. Filling in the logbook manually causes data on equipment usage to be untraceable, inaccurate and incomplete. Making an application in digital form will facilitate access to equipment data collection. The purpose of this study was to determine the level of feasibility (usability) of filling in the logbook in the form of a QR Code on the use of laboratory equipment in the Nursing Department of  Poltekkes Denpasar. The type of research used is quantitative descriptive with a cross-sectional design. The number of samples for the trial of the digital logbook filling application was 60 people. The sampling technique used the stratified random sampling technique. The data collection instrument used the System Usability Scale (SUS) questionnaire. Data analysis was carried out by calculating the average SUS score. The results of the study showed an average score of 71,08, with the level of acceptance of the QR Code application categorized as "acceptable" with a grade scale in category C, adjective ratings "good". The conclusion is that in terms of usability, the QR Code can be accepted and used by its users and is feasible to be applied to the laboratory equipment usage recording system. Suggestions for support from policy makers to further improve logbook performance with a digitalization system.
Pengaruh Guided Imagery terhadap Tingkat Depresi pada Pasien Diabetes Melitus Patrayana, I Made Tantri; Candra, I Wayan; Sumirta, I Nengah; Harini, I Gusti Ayu; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3277

Abstract

Diabetes melitus is a dangerous health problem and is still listed as a cause of death in the world. Patients with diabetes melitus are at high risk of experiencing depression and ultimately worsening self-care. Therefore psychological treatment is carried out, one of which is guided imagery.The purpose of this study was to determine the effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023. This study used a pre-experimental  method with a one-group pre-post test design. The sampling technique used non-probability purposive sampling with a sample of 32 people. The research instrument used the Beck Depression Inventory-II (BDI-II).Data analysis technique using the wilcoxon signed rank test. The results showed that the level of depression in patients with diabetes melitus before being given guided imagery, most of the patients experienced moderate depression, 17 people (53,1%) then the level of depression in patients with diabetes melitus after being given guided imagery showed that most patients with diabetes melitus experienced mild depression, numbering 24 people (75.0%). After being analyzed, the results obtained were p-value = 0.003 (p 0.050). The conclusion of this study is that there is a significant effect of guided imagery on depression in diabetes melitus patients at UPTD Health Center I South Denpasar in 2023.
Hubungan Spiritualitas dengan Keputusasaan pada Remaja dengan HIV/AIDS Sumirta, I Nengah; Utami Budiari, Ni Putu; Harini, I Gusti Ayu; Candra, I Wayan; Ari Kresna Dewi, Ni Luh Gede
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4117

Abstract

HIV/AIDS is an infectious disease that attacks the immune system, resulting in a significant decline in physical health and triggering vulnerability to psychological problems, such as hopelessness. Despair can lead to decreased treatment adherence, which may worsen physical conditions and accelerate disease progression. The aim of this study was to analyze the relationship between spirituality and hopelessness in adolescents with HIV/AIDS. This type of quantitative research uses a correlational design with a cross-sectional approach. The sample size of 63 people was collected using purposive sampling technique. Data collection instruments used the Daily Spiritual Experience Scale (DSES) and the Beck Hopelessness Scale (BHS). Data analysis using Spearman's Rank Correlation Coefficient test. The results showed that 30 people (47,6%) had low spirituality, 28 people (44,4%) had moderate spirituality, 5 people (7,9%) had high spirituality and 4 people (6,3%) experienced mild hopelessness, 31 people (49,2%) experienced moderate hopelessness, 28 people (44, 4%) experienced moderate hopelessness and there was a relationship between spirituality and hopelessness with a p-value of 0.000 (p-value 0,005), correlation coefficient value of -0,664, strong correlation and negative direction which means the higher the spirituality, the lower the hopelessness. The inclusion of a spiritual approach in psychosocial interventions for adolescents with HIV/AIDS is recommended as a relevant strategy to reduce the risk of despair, strengthen psychological resilience, and enhance the overall quality of life of adolescents living with HIV/AIDS.
Konstribusi Faktor Self Assessment dan Peer Assessment terhadap Kecemasan dalam Menghadapi Ujian OSCE Mahasiswa Keperawatan Ari Kresna Dewi, Ni Luh Gede; Suardani, Ni Luh Ketut
Jurnal Gema Keperawatan Vol 18, No 2 (2025): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v18i2.4920

Abstract

Anxiety is a normal part of life. Excessive anxiety responses can affect exam performance and results. The OSCE is a comprehensive assessment of students' clinical competency. Final-semester nursing students are required to take the OSCE exam according to standards. With more exam material and different exam settings, this situation creates anxiety in students before the OSCE. The graduation rate of the Nursing Department of the Ministry of Health Polytechnic of Denpasar in 2024 reached 97,3% for the Nursing study program and 87.06% for the Diploma III study program. Therefore, it is deemed necessary to evaluate learning outcomes, which can be done independently (self-assessment) or assessed by group members (peer assessment), to prevent abnormal anxiety in students and achieve optimal passing scores. The purpose of this study was to analyze the contributors of self- and peer assessment factors to student anxiety in facing the OSCE exam. This study used a quantitative descriptive design. The number of respondents was 60 respondents, with a simple random sampling technique. The variables examined in this study were the anxiety levels of students who received self-assessment, peer assessment, and self- and peer assessment interventions. The research instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. The Kruskal-Wailiss test was used to analyze the results, resulting in a mean anxiety rank of 26,10. The conclusion was that the most effective intervention was a combination of self- and peer assessment.
Co-Authors Ah Yusuf, Ah Chandranita Shailendra, Sagung Eka Gayatri, Putu Mitha Harini, I Gusti Ayu I Wayan Candra Martini Puspita Yanti, Ni Made Yogi Patrayana, I Made Tantri Putri Rukmini, Ni Kadek Suardani, Ni Luh Ketut sumirta, I Nengah Tristiana, Roro Dian Utami Budiari, Ni Putu