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All Journal Jurnal Keperawatan Jurnal Keperawatan Jurnal NERS Nursing Current : Jurnal Keperawatan Abdimas Universal Malahayati International Journal of Nursing and Health Science Jurnal Ners Jurnal Kesehatan Tambusai Ahmar Metakarya: Jurnal Pengabdian Masyarakat GENIUS JOURNAL (General Nursing Science Journal) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus Nerspedia NERS Jurnal Keperawatan
Lenny Gannika
Universitas Sam Ratulangi
Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Effectiveness of Music and Art Therapy on Hemodynamic Status in Pediatric Cancer Patients Undergoing Chemotherapy Lomboan, Shania Putri; Simanjuntak, Susi Roida; Gannika, Lenny
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.400

Abstract

Introduction: Cancer in children is a major global health issue, with over 400,000 new cases annually. Pediatric cancer treatment often results in fatigue and psychological stress, which may influence hemodynamic status such as pulse, blood pressure, respiration, and oxygen saturation. Music and art therapy have emerged as supportive nursing interventions that may help stabilize these indicators. Objective: This study aims to evaluate the effectiveness of combined music and art therapy on the hemodynamic status of pediatric cancer patients undergoing chemotherapy. Method: This study used a descriptive case study design involving three pediatric cancer patients with varying diagnoses: Hodgkin’s lymphoma, rectal adenocarcinoma, and ovarian clear cell carcinoma. The intervention consisted of simultaneous music and art therapy sessions administered for 15–20 minutes daily over three consecutive days. Hemodynamic indicators, including pulse rate, blood pressure, respiration rate, and oxygen saturation, were monitored before and after each session. Result: All three respondents showed a consistent decrease in pulse rate over the three days of therapy, indicating reduced physiological stress. However, changes in other hemodynamic indicators, such as systolic and diastolic blood pressure, respiratory rate, andoxygen saturation, were inconsistent across the participants. Despite variability in clinical outcomes, verbal and observational feedback indicated positive emotional responses and improved engagement during therapy. Conclusion: Music and art therapy interventions positively influenced the pulse rate of pediatric cancer patients, suggesting an impact on autonomic nervous system regulation. Although other hemodynamic parameters showed inconsistent changes, the interventions contributed to psychological comfort and may enhance the overall well-being of pediatric oncology patients. Further research with larger samples and extended intervention durations is recommended to confirm clinical significance.
Stress Levels and Coping Mecanism of COVID-19 Patient that Undergo Self-Isolation in Manado City Gannika, Lenny; Sembiring, Erika Emina; Setiono, Alfred
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 2 (2022): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (614.777 KB)

Abstract

Peningkatan jumlah pasien COVID-19 pada awal Mei 2021  menyebabkan pemerintah mengeluarkan kebijakan isolasi mandiri bagi pasien COVID-19 yang tidak bergejala atau bergejala ringan. Isolasi mandiri akan  membatasi interaksi fisik seseorang dengan orang lain  sehingga dapat menyebabkan stres. Pasien COVID-19 memerlukan mekanisme koping yang tepat untuk mengatasi stresnya. Tujuan penelitian ini adalah  untuk mengetahui hubungan tingkat stres dan mekanisme koping pasien COVID-19 yang menjalani isolasi mandiri. Metode penelitian yaitu penelitian kuantitatif dengan jenis penelitian analisis dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang pernah/sedang terkonfirmasi COVID-19 dan menjalani isolasi mandiri. Teknik pengambilan sampel adalah purposive sampling dengan jumlah responden 100 orang.  Penelitian dilakukan di Kota Manado dengan bekerjasama Dinas Kesehatan Kota Manado pada tanggal 06 Mei- 06 Agustus 2021. Alat ukur penelitian menggunakan kuesioner, untuk tingkat stres menggunakan kuesioner Depression Anxiety Stress Scale  (DASS) sedangkan untuk strategi koping menggunakan kuesioner Brief COPE. Peningkatan jumlah pasien COVID-19 pada awal Mei 2021  menyebabkan pemerintah mengeluarkan kebijakan isolasi mandiri bagi pasien COVID-19 yang tidak bergejala atau bergejala ringan. Isolasi mandiri akan  membatasi interaksi fisik seseorang dengan orang lain  sehingga dapat menyebabkan stres. Pasien COVID-19 memerlukan mekanisme koping yang tepat untuk mengatasi stresnya. Tujuan penelitian ini adalah  untuk mengetahui hubungan tingkat stres dan mekanisme koping pasien COVID-19 yang menjalani isolasi mandiri. Metode penelitian yaitu penelitian kuantitatif dengan jenis penelitian analisis dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang pernah/sedang terkonfirmasi COVID-19 dan menjalani isolasi mandiri. Teknik pengambilan sampel adalah purposive sampling dengan jumlah responden 100 orang.  
Screen Time and Emotional-Behavioral Problems in School-Aged Children: A Cross Sectional Study Dauhan, Clarita Jolanda Glorya; Gannika, Lenny; Simanjuntak, Susi Roida
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.501

Abstract

Background: The rapid development of digital technology has led to increased screen time among children, raising concerns about its potential impact on emotional and behavioral development. Excessive screen exposure is suspected to contribute to psychosocial issues in school-aged children. Objective: This study aims to analyze the relationship between screen time and emotional and behavioral problems in school-age children. Method: A cross-sectional quantitative design was employed. A total of 92 parents of students at a private elementary school in Tahuna, North Sulawesi, were selected using proportionate stratified random sampling. Data were collected using a validated screen time questionnaire and the Pediatric Symptom Checklist-17 (PSC-17). Statistical analysis was performed to assess the relationship between screen time and emotional and behavioral problems. Result: Findings showed that 83.7% of children had screen time exceeding WHO recommendations, and 84.8% exhibited signs of emotional and behavioral problems. A statistically significant relationship was found between excessive screen time and emotional and behavioral issues (p < 0.05). Conclusion: Excessive screen time is significantly associated with an increase in emotional and behavioral problems among school-aged children. Interventions aimed at monitoring and reducing screen exposure are strongly recommended to support children's psychosocial well-being.
HUBUNGAN POLA ASUH ORANG TUA DENGAN PERKEMBANGAN ANAK USIA PRASEKOLAH (3-6 TAHUN) Malonda, Valentina; Gannika, Lenny; Rompas, Sefti
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48921

Abstract

Usia prasekolah (3–6 tahun) merupakan masa emas perkembangan anak yang mencakup aspek motorik, bahasa, dan sosial, sehingga peran pola asuh orang tua sangat penting dalam mengoptimalkan stimulasi serta mencegah keterlambatan perkembangan. Dalam penelitian ini bertujuan untuk mengetahui hubungan pola asuh orang tua dengan perkembangan pada anak usia prasekolah (3-6 tahun). Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional yang dilaksanakan di Kota Manado pada bulan Maret hingga Mei 2025. Instrumen yang digunakan dalam penelitian ini adalah kuesioner PSDQ (Parenting Styles and Dimensions Questionnaire-Short Version) untuk mengukur pola asuh orang tua dan KPSP (Kuesioner Perkembangan Skrining Prasekolah) untuk menilai perkembangan anak. Sampel dalam penelitian pada anak prasekolah 3-6 tahun ini berjumlah 85 responden yang ditentukan dengan rumus Yamane dan menggunakan teknik purposive sampling. Analis data menggunakan uji Spearman’ rho. Hasil analisis menggunakan uji Spearman’s rho diperoleh nilai p=0.000<0,05 sehingga terdapat hubungan positif dan signifikan dengan kekuatan sedang antara pola asuh orang tua dengan perkembangan anak (r= 0.456). Dalam penelitian ini didapati terdapat hubungan yang signifikan antara pola asuh orang tua dengan perkembangan anak usia prasekolah 3-6 tahun. Oleh karena itu diharapkan orang tua perlu menerapkan pola asuh demokratis dan rutin memantau perkembangan anak melalui layanan kesehatan agar sesuai dengan tahap usianya.
Hubungan Dukungan Sosial dengan Keberfungsian Sosial pada Eks Pasien Covid-19 di Sulawesi Utara Sembiring, Erika Emnina; Gannika, Lenny; Layuck, Anggun Rizty Proklamasia
Nerspedia Vol. 6 No. 1 (2024): Nerspedia
Publisher : School of Nursing, Faculty of Medicine and Health Science, Lambung Mangkurat University.

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Abstract

Stigma negatif dan diskriminasi dari masyarakat tidak jarang diberikan kepada pasien Covid-19 yang sudah dinyatakan sembuh, hal ini dapat membuat keberfungsian sosial eks pasien Covid-19 di masyarakat menjadi terganggu. Dukungan sosial dari keluarga, teman, tetangga, rekan kerja sangat diperlukan untuk meningkatkan keberfungsian sosial eks pasien Covid-19. Penelitian ini bertujuan untuk mengidentifikasi hubungan dukungan sosial dengan keberfungsian sosial pada eks pasien Covid-19 di Sulawesi Utara. Penelitian ini merupakan penelitian korelasi dengan jumlah responden sebanyak 164 orang. Hasil penelitian dianalisa menggunakan uji Spearman dengan nilai p (0,000), hal ini menunjukan bahwa ada hubungan dukungan sosial dengan keberfungsian sosial pada eks pasien Covid-19.
Early patients' illness perception as a predictor of post-traumatic stress disorder and quality of life one month after mild traumatic brain injury: a prospective study Mulyadi, Mulyadi; Sithichoksakulchai, Siriluk; Gannika, Lenny; Sembiring , Erika Emnina
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.51316

Abstract

Introduction: The illness perception of mild Traumatic Brain Injury (mTBI) patients before discharge from the hospital tends to be inappropriate. Apart from that, post-injury symptoms such as post-traumatic stress disorder (PTSD) are often experienced by patients, which can affect their quality of life. However, research linking patient perceptions with post-traumatic stress and quality of life remains scarce. This study aimed to examine patient's illness perceptions and their relationship with PTSD and HRQOL. Methods: This study employed a prospective survey. Illness perceptions were measured before hospital discharge, and a follow-up of post-traumatic stress and health-related quality of life using an online survey was conducted one month later. The survey was administered from July to October 2023 at two hospitals, with a sample size of 72 mTBI patients. Results: mTBI patients with older age (p=.001), negative emotional perceptions (p=<.001), more consequence (p=.045), more concern about their injury (p=<.001) are significantly related to more symptoms of post-traumatic stress. Patients with mTBI who felt more identity symptoms of IR (p=.001), worsened personal control (p=.041), and worsened treatment control (p=.011) are significantly related to deteriorated quality of life one month after injury. Conclusions: This study produces evidence that mTBI patients' perceptions before leaving the hospital tend to be inappropriate and are related to post-traumatic stress and quality of life one month later. Based on these results, it is crucial for trauma nurses to identify patients' illness perceptions and initiate appropriate interventions to reduce PTSD symptoms and improve patients' quality of life.
Tingkat Pengetahuan dan Perilaku Pencegahan Coronavirus Disease 2019 (COVID-19) Pada Masyarakat Sulawesi Utara: Level of Knowledge and Preventive Behavior towards Coronavirus Disease 2019 (COVID-19) in the Community of North Sulawesi Lenny Gannika; Erika Emnina Sembiring
NERS Jurnal Keperawatan Vol. 16 No. 2 (2020): NJK Volume 16, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v16i2.150

Abstract

The Coronavirus Disease (COVID-19) pandemic that happens world widely including Indonesia have caused new habits to emerge in the society. The number of confirmed positive cases increased without seeing someone’s background includes it’s educational background makes the society have to be aware about the importance of COVID-19 prevention behavior. The goal is to know the correlation between level of education and COVID-19 prevention behavior of the people in North Sulawesi. This study uses quantitative research with cross sectional approach and with the total sample 390 respondents. This research was delivered by filling the online questionnaire that can be access through https://bit.ly/3gOVe5h. The data analyzed by using pearson chi square test. The result shows the value of p=0,000 <0.05 which means there is a correlation between level of education and COVID-19 prevention behavior of the people in North Sulawesi. The higher the level of education of someone hence the better the COVID-19 prevention behavior.
Long-term effects of chemotherapy in children with cancer Lenny Gannika; Mulyadi Mulyadi; Gresty Natalia Maria Masi
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.12663

Abstract

Background: Cancer is a non-communicable disease that poses a health problem worldwide, including in Indonesia, affecting not only adults but also children. The most commonly used cancer therapy is chemotherapy, yet it still has effects that can impact children both physically and psychologicallyPurpose: To identify the frequently experienced impacts of chemotherapy on children based on assessments conducted by parents at the "Estella" Children's Cancer Center, Prof. Dr. Kandou Hospital.Method: This research utilized a quantitative descriptive method. The sampling technique employed was consecutive sampling, involving a total of 41 respondents. The study was conducted during the period of July-August 2023. Data was gathered using the Chemotherapy-Symptom Assessment Scale (C-SAS), comprising 23 questions. Data analysis utilized frequency distribution.Results: The research findings indicated that 80.5% of children experience alopecia (hair loss), and 80% of children considered nausea and vomiting as the most disruptive physical effects of chemotherapy, with mood swings being identified as the most disruptive psychological effect.Conclusion: Parents need to pay attention to the effects of chemotherapy to enhance the quality of life for their children during their chemotherapy treatments. It is hoped that the results of this research can be utilized by parents to manage the effects of chemotherapy on pediatric cancer patients.
Prevalence of Post-Concussion and Post-Traumatic Stress Symptoms One Month after Mild TBI: A Descriptive Observational Study Mulyadi, Mulyadi; Gannika, Lenny; Najoan, Rizki Rivaldo; Djalil, Rahmat Hidayat; Tonapa, Santo Imanuel
Nursing Current: Jurnal Keperawatan Vol. 13 No. 2 (2025): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i2.10359

Abstract

Mild traumatic brain injury (mTBI) frequently leads to post-concussion symptoms (PCS) and post-traumatic stress disorder (PTSD), both of which may hinder recovery if not identified early; however, research on these conditions remains limited. This study aimed to determine the prevalence of PCS and PTSD one month after mTBI and to describe demographic and clinical characteristics, including age, gender, education, employment, injury mechanism, and comorbidities. This study employed adescriptive observational design using descriptive statistics. A purposive sampling technique recruited 65 patients based on predefined inclusion and exclusion criteria. PCS was measured using the Rivermead Post-Concussion Symptoms Questionnaire, and PTSD was assessed using the PTSD Checklist for DSM-5. Data were collected from August to November 2024 at Prof. Dr. R.D. Kandou Hospital, Manado, North Sulawesi. Descriptive statistics were applied to analyze PCS, PTSD, and demographic characteristics. The results reported that of 65 patients with mild traumatic brain injury (mean age 30.69 years, 67.7% male), most had >9 years of education (60.0%) and were unemployed (61.5%). Motor vehicle crashes were the leading cause of injury (46.2%). One-month post-injury, 33.8% experienced post-concussion symptoms and 21.5% reported symptoms of post-traumatic stress disorder. Conclusion, PCS and PTSD are common in the early phase after mTBI, particularly among young men and those injured in motor vehicle crashes. These findings highlight the importance of early symptom recognition, patient education, and psychological support, as well as strengthened road safety measures to reduce the impact of mTBI. 
Hubungan Tingkat Pengetahuan dengan Kecemasan Remaja dalam Menghadapi Menarche pada Remaja Usia 10-13 Tahun di Desa Talawaan Wuisan, Maria; Natalia, Adriani; Gannika, Lenny
Mapalus Nursing Science Journal Vol. 3 No. 1 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i1.55667

Abstract

Background: Knowledge is the result of "knowing" and this occurs after people perceive a particular object, anxiety is a subjective feeling of disturbing mental tension as a general reaction to the inability to solve a problem or a lack of security. Research Objectives: To determine the relationship between the level of knowledge and the anxiety level of adolescents in facing menarche in grades V and VI at St Nikolaus Catholic Elementary School, SD N 1, SD N 2, SD GP Talawaan. Research Methods: This research was conducted on students of grades V & VI SD with a total sample of 84 students. The sampling technique uses a purposive sample. Research Results: The results in this study were that the majority of respondents had a good level of knowledge as many as 78 people (92.2%). The majority of respondents experienced mild anxiety as many as 59 people (70.2%). Conclusion: There is no relationship between the level of knowledge and the level of adolescent anxiety in facing menarche in grades V and VI at St Nikolaus Catholic Elementary School, SD N 1, SD N 2, SD GP Talawaan. Suggestion: This research is expected to be a guideline for existing teachers to maintain education about menarche in grades V & VI SD.
Co-Authors Andi Buanasari Andini, Astari Bella Asep Rahman Buanasari, Andi Djalil, Rahmat Hidayat Gresty Natalia Maria Masi Juwita Moreen Toar Kairupan, B H Ralph Katrina Feby Lestari Keni, Nia Widia Aprilia Khairun Nisa Khofria Nurzamzamni Kharie Langi, Marcella Margaretha Larengkeng, Trivena Larira, Dina Mariana Layuck, Anggun Rizty Proklamasia Likiliay, Paulina Mais, Fraldy Robert Makatindu, Marsha Gladis Manik, Sepri Yanti Manoppo, Jeanette Irene CH. Michael Karundeng Mona Wowor Mulyadi Mulyadi Mulyadi Mulyadi Najoan, Rizki Rivaldo Natalia, Adriani Pangalila, Milkha Pangandaheng, Velisia Pondaag, Ferlan Rama, Rifka E. Rina Kundre Rompas, Sefti S.J. Rotty, Monique Priscilla Fransiska Ruauw, Julio Rumondor, Marlisa Santo Imanuel Tonapa, Santo Imanuel Sefti Rompas Sembiring , Erika Emnina Sembiring, Erika Emina Sembiring, Erika Emnina Setiono, Alfred Sinubu, Trisca J.V Sithichoksakulchai, Siriluk Susi Roida Simanjuntak Tambengi, Henny Wuisan, Maria Wuwung, Edgar Ch. Q. Yolanda Bataha, Yolanda