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Efektifitas Terapi Kognitif, Psikoedukasi Keluarga Dan Terapi Kelompok Suportif Pada Klien Dengan Ketidakberdayaan Melalui Pendekatan Model Transisional Meleis Berlian Nurtyashesti Kusumadewi; Novy Helena Catarina Daulima; Ice Yulia Wardani
Jurnal Kesehatan Vol 7, No 1 (2018)
Publisher : Sekolah Tinggi Ilmu Kesehatan Ngesti Waluyo

Gangguan mental emosional dapat terjadi pada individu yang mengalami kondisi kesehatan yang kronis. Pasien yang sedang menjalani pengobatan medis ditemukan 25% diantaranya mengalami depresi dengan berbagai variasinya. Proses penyakit yang melemahkan juga merupakan hal yang berperan menyebabkan ketidakberdayaan klien dengan penyakit kronis. Ketidakberdayaan dan gejala depresi menunjukkan hubungan yang signifikan dan positif dengan ide untuk bunuh diri. Hasil pemberian tindakan keperawatan ners, terapi kognitif, psikoedukasi keluarga dan terapi suportif dapat menurunkan tanda gejala dan meningkatkan kemampuan klien penyakit kronis dengan ketidakberdayaan beserta keluarganya. Perlunya optimalisasi dan pengembangan pelayanan kesehatan jiwa kepada klien dengan masalah psikososial terkhusus klien dengan ketidakberdayaan di tatanan pelayanan puskesmas.Kata kunci: penyakit kronis; pelaku rawat; dukungan keluarga; dukungan sosial; depresi

E Efektifitas Terapi Kognitif, Psikoedukasi Keluarga Dan Terapi Kelompok Suportif Pada Klien Dengan Ketidakberdayaan Melalui Pendekatan Model Transisional Meleis Berlian Nurtyashesti Kusumadewi; Novy H.C. Daulima; Ice Yulia. W
Jurnal Kesehatan Vol 7 No 1 (2018): Jurnal Kesehatan Volume 7 tahun 2018
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.995 KB)

Gangguan mental emosional dapat terjadi pada individu yang mengalami kondisi kesehatan yang kronis. Pasien yang sedang menjalani pengobatan medis ditemukan 25% diantaranya mengalami depresi dengan berbagai variasinya. Proses penyakit yang melemahkan juga merupakan hal yang berperan menyebabkan ketidakberdayaan klien dengan penyakit kronis. Ketidakberdayaan dan gejala depresi menunjukkan hubungan yang signifikan dan positif dengan ide untuk bunuh diri. Hasil pemberian tindakan keperawatan ners, terapi kognitif, psikoedukasi keluarga dan terapi suportif dapat menurunkan tanda gejala dan meningkatkan kemampuan klien penyakit kronis dengan ketidakberdayaan beserta keluarganya. Perlunya optimalisasi dan pengembangan pelayanan kesehatan jiwa kepada klien dengan masalah psikososial terkhusus klien dengan ketidakberdayaan di tatanan pelayanan puskesmas.

Stres dan Korelasinya dengan Faktor Demografi pada Wanita Pekerja di Sektor Tembakau Monica Kartini; Berlian Nurtyashesti Kusumadewi
Jurnal Keperawatan Karya Bhakti Vol. 5 No. 2 (2019)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.49 KB)

Latar Belakang: Peran ganda perempuan, khususnya yang bekerja di sektor pertanian tembakau, membuatnya harus bisa membagi waktu untuk urusan domestik dan juga mampu untuk melakukan pekerjaan yang biasanya dilakukan oleh pekerja tembakau laki-laki. Konflik peran ganda berkaitan erat dengan munculnya gangguan kecemasan, depresi dan perasaan bersalah. Penelitian ini bertujuan untuk mengetahui tingkat stress pada perempuan yang bekerja di sektor tembakau dan hubungannya dengan beberapa faktor demografi. Metode: penelitian ini adalah penelitian analitik korelasional dengan menggunakan pendekatan cross-sectional. Sebanyak 75 wanita pekerja di sektor tembakau di wilayah Kabupaten Temanggung berpartisipasi dalam penelitian ini, yang dipilih dengan menggunakan teknik non-probability sampling. Tingkat stress diukur dengan menggunakan instrumen Perceived Stress Scale (PSS) dan faktor demografi dilihat dari faktor usia, status pernikahan, tingkat pendidikan, lama bekerja, jumlah anak, status tempat tinggal dan pendapatan keluarga. Data kemudian dianalisis dengan menggunakan teknik analisis bivariat Chi- square. Hasil: Sebagian besar subjek penelitian memiliki tingkat persepsi stres sedang, yaitu sejumlah 52 wanita (69,33%). Sedangkan responden yang memiliki tingkat stress rendah sejumlah 21 wanita (28%) dan sebanyak 2 perempuan (2,67%) memiliki tingkat stress tinggi. Variabel demografi status pernikahan dan tingkat pendidikan memiliki p-value<0,05. Sedangkan faktor demografi lainnya memiliki p-value>0,05. Kesimpulan: Sebagian besar responden memiliki tingkat stres sedang (69,33%) dan hanya 2,67% subjek memiliki tingkat stres tinggi. Terdapat hubungan yang signifikan antara stres dengan status pernikahan dan usia. Tidak ada hubungan yang signifikan antara tingkat stres denganfaktor demografi lainnya. Diperlukan penelitian lebih lanjut mengenai bagaimana para perempuan pekerja di sektor tembakau beradaptasi dengan stres yang dihadapi dan adakah korelasi dengan tingkat kebersyukuran yang dimiliki.

Efektivitas Massage untuk Meningkatkan Produksi Air Susu Ibu (ASI) pada Ibu Postpartum Kartini, Monica; Kusumadewi, Berlian Nurtyashesti
Jurnal Kesehatan Vol 12 No 1 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i1.146

Giving breast milk in the first two years of a baby's life improves the health, growth, development and intelligence of children, and provides protection against various diseases. However, various obstacles are often encountered, both from the mother's side and the less optimal role of health workers in providing care for postpartum mothers, so that the target of early and exclusive breastfeeding for babies has not been achieved. This study aims to identify, evaluate and synthesize literature on massage methods and their effect on breast milk production and postpartum depression. Using the literature review method, research articles were searched in the Pubmed and GARUDA databases for articles published in 2013-2023 using keywords: massage, milk production, breast milk, breastfeeding, postpartum. The initial search results found 122 articles, and after checking and appraisal, there were 22 relevant articles for review. There are various types of massage methods for postpartum mothers that are effective for increasing milk production, and the most widely practiced is oxytocin massage, either just oxytocin massage or in combination with other techniques such as acupressure, marmet massage, oketani massage, music therapy or massage using lavender essential oil. Massage performed on postpartum mothers will make mothers feel comfortable, reduce depression and pain sensations, make the body more relaxed, reduce stress hormones, increase the level of hormones prolactin and oxytocin, and increase milk production. Massage that is done twice a day (morning and evening) with a duration of 10-15 minutes or 30-60 minutes for 3-14 days is effective for increasing the production of breast milk in postpartum mothers and reducing depression.

Hubungan Tingkat Spiritualitas dengan Tingkat Stres Paska Bencana Banjir Gati, Norman Wijaya; Kusumadewi, Berlian Nurtyashesti; Waluyo; Arifin, Zaenal
Jurnal Kesehatan Vol 13 No 1 (2024): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v13i1.188

The Semanggi sub-district, located in Surakarta, is an area that is often affected by flooding during the rainy season. This flood condition will cause physical and psychological impacts. The physical impacts of flooding include loss of life and damage to infrastructure, while the psychological impacts include anxiety disorders, stress, and post-traumatic syndrome. Flood disasters cannot be predicted, so these conditions often require survivors to adapt physically and psychologically. When a disaster occurs, it stimulates the brain to form a perception of the severity of the stress. Being resilient when facing stress requires internal and external support, trust in the Creator, and social support. This research aims to determine the relationship between the level of spirituality and stress in post-flood disaster survivors. This type of research uses a cross-sectional quantitative approach. This research was conducted in March-May 2023 in the Semanggi sub-district, RW 10-13, which was affected by the flood. The population in this study was 1480 heads of families in RW 10-13, Semanggi sub-district. The numbers of samples were determined using the Slovin formula, consisting of 94 respondents who were selected based on the inclusion and exclusion criteria. Stress levels were measured using The Perceived Stress Scale-10, and spirituality level was measured using Daily Spiritual Experience scale. Based on the Spearman'rho correlation analysis test, the result was 0.664. There is no relationship between stress levels and spirituality levels.

Gambaran Pelaksanaan Rekam Medis Elektronik Lesa; Berlian Nurtyashesti Kusumadewi; Suci Artanti
Jurnal Kesehatan Vol 14 No 2 (2025): JURNAL KESEHATAN
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v14i2.556

The Advances in information technology in the healthcare sector are encouraging hospitals to implement Electronic Medical Records (EMR) to improve efficiency and service quality. Harapan Hospital, Magelang, has implemented an EMR system since 2023. This study aims to describe the implementation of EMR at Harapan Hospital, Magelang, based on user perceptions of ease of use and challenges. The study used a quantitative descriptive method with a survey approach involving 32 admissions and medical records staff using a total sampling method. Data were collected using a Likert-scale questionnaire and analyzed descriptively. The results indicate that EMR helps improve work effectiveness and facilitates administrative task control, although technical challenges remain. These challenges include network disruptions, downtime, lack of data backup during disruptions, and duplicate workloads due to data entry in the hospital's SIMRS (Symposium on Hospital Management Information System) and the EMR in Magelang City. The study concludes that the implementation of EMR has provided convenience for users. However, improvements to the network infrastructure, provision of data backup, and system integration are needed to avoid duplicate workloads, enabling more optimal EMR implementation.

Risk Factors of Prenatal and Postnatal Depression Monica Kartini; Berlian Nurtyashesti Kusumadewi
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health

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Background: The postpartum period is the time when many women or mothers ex

Pengalaman Petugas Administrasi Dalam Melakukan Penginputan Data Klaim ke Badan Penyelenggara Jaminan Sosial (BPJS) di Rumah Sakit Titi Restui; Suci Artanti; Berlian Nurtyashesti Kusumadewi
Jurnal Kesehatan Vol 15 No 1 (2026): JURNAL KESEHATAN
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v15i1.575

Entering claim data for social security agency on health is an important process in the hospital administrative system, requiring accuracy and efficiency to prevent delays and claim rejections. This study aimed to explore the experiences of administrative staff in entering social security agency on health claim data at Harapan Hospital. The study employed in-depth interviews with five participants from the administrative services management unit. The analysis identified several themes: (1) challenges faced by administrative staff when entering claim data documents for social security agency on health; (2) acquisition of knowledge and skills regarding entering claim data procedures; (3) availability of standard operating procedures entering claim data processing for social security agency on health; (4) the role of information technology in supporting administrative staff in social security agency on health claim data entry; (5) evaluation and recommendations for improving software and network systems used in the social security agency on health process; and (6) expectations for improving knowledge and skills entering claim data procedures for social security agency on health. The findings showed that the data entry process still faced various challenges. In terms of human resources, there was a mismatch between the tasks performed by administrative staff and their assigned job descriptions, as well as disparities in staff competencies. The standard operating procedures had not been properly disseminated and were not accessible to all staff. From a technological perspective, the claims software had not functioned optimally due to frequent maintenance issues and slow internet connectivity. In addition, the absence of integration (bridging) between the hospital management information system for outpatient services and Indonesia Case Base Groups (INA CBG’s) application required staff to enter data manually, thereby increasing the risk of errors and delays. These findings highlight the need to improve human resource capacity, reorganize and strengthen standard operating procedures implementation, and enhance information system infrastructure to support a more effective and accurate claims process.

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