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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 96 Documents
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Perbedaan Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Kader Posyandu Lansia Tentang Gerakan Masyarakat Hidup Sehat (GERMAS) Catur Retno Lestari; Nunung Eni Elawati; Martha Aulia Marco
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202256

Abstract

Knowledge and attitudes are one of the factors in GERMAS health education for posyandu cadres as community facilitators. Knowledge and attitude of GERMAS to perform physical activity, consumption of vegetables and fruit, as well as regular health checks. One form of delivering messages in communication and providing health education is counseling. The purpose of this study was to determine health education on the knowledge and attitudes of elderly posyandu cadres about GERMAS. This research is quantitative research using pre-test and post-test designs. The technique used in this research is Total Sampling, where the entire population becomes the research sample. The analysis in this study used the non-parametric Wilcoxon Sign Test. The average level of knowledge and attitudes of elderly posyandu cadres before health education was carried out in Jangli Village, Semarang City was 5.03 and 7.10, respectively. The average level of knowledge and attitudes of elderly posyandu cadres after health education was carried out in Jangli Village, Semarang City was 8.53 and 9.10, respectively. There is an effect of providing health education on the knowledge and attitudes of elderly posyandu cadres in Jangli Village, Semarang City, p-value = 0.000 and p-value = 0.000. Suggestions for posyandu cadres can apply a GERMAS attitude and invite the community to be more concerned with health and maintain health and spirituality, so as to prevent disease and carry out regular health checks.   Abstrak: Pengetahuan dan sikap merupakan salah satu faktor dalam pendidikan kesehatan Germas pada  kader posyandu sebagai fasilitator masyarakat. Pengetahuan dan sikap pada Germas untuk melakukan aktifitas fisik, konsumsi sayur dan buah, serta cek kesehatan secara berkala. Salah satu bentuk penyampaian pesan dalam komunikasi dan pemberian pendidikan kesehatan adalah penyuluhan. Tujuan penelitian ini untuk mengetahui pendidikan kesehatan terhadap pengetahuan dan sikap  kader posyandu lansia tentang Germas. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain Pre Eksperiment  pre test dan post test. Teknik yang digunakan dalam penelitian ini adalah Total Sampling, dimana seluruh populasi menjadi sampel penelitian. Analisis dalam penelitian ini menggunakan uji non parametric Wilcoxon Sign Test. Rata-rata tingkat pengetahuan dan sikap  kader posyandu lansia sebelum dilakukan pendidikan kesehatan di Kelurahan Jangli Kota Semarang sebesar 5,03 dan 7,10. Rata-rata tingkat pengetahuan dan sikap  kader posyandu lansia sesudan dilakukan pendidikan kesehatan di Kelurahan Jangli Kota Semarang sebesar 8,53 dan 9,10. Ada pengaruh pemberian pendidikan kesehatan terhadap pengetahuan dan sikap  kader posyandu lansia di Kelurahan Jangli Kota Semarang p value = 0,000 dan p value = 0,000. Saran bagi kader posyandu dapat melakukan penerapan sikap germas dan mengajak masyarakat untuk lebih peduli dengan kesehatan dan menjaga kesehatan dan rohani, sehingga mencegah terjadinya penyakit serta melaksanakan pemeriksaan kesehatan secara berkala.
Comparative Study of The Use of Alum Water as Vulva Hygiene Therapy in Postpartum Mothers Pearly Otis Putri Oktaviani; Norma Mardiani; Siti Juariah
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202284

Abstract

The maternal mortality rate according to the IDHS (2020) 2020 was 416 cases. West Java showed that the incidence of puerperal fever was still relatively high at around 23%, of all puerperal fever 46% could be identified as infection. The purpose of this study was to determine a comparative study of the use of alum water as therapy for vulva hygiene in mothers. This type of research is a true experimental design with a control group pre and post-test. The population is all postpartum mothers during the early postpartum period for the period June 2022 as many as 205 people. The sampling technique in this study used purposive sampling of as many as 32 postpartum mothers. The results showed that the average postpartum mother respondents who did Vulva hygiene therapy had a greater effect on the intervention group, 6.00 compared to the control group, 2.00, with a 95% confidence level (<0.05), p-value <0.0001, the intervention group with a standard deviation of 0.403. , lower 5.97 and upper 6.40 control group with a standard deviation of 1.078, lower 1.74 and upper 2.89 with a value of Z = -3.564b, p-value <0.0001 then Ha is accepted, meaning that there is a difference between the intervention group and the control group who perform therapy vulva hygiene. Postpartum mothers can take advantage of various kinds of natural ingredients that are around the environment, so they do not require expensive costs and side effects due to chemical-based drugs.
Identification of Physical and Spiritual Activities Among Patients with Hypertension in Maintaining Health Status Sri Rahayu; Shelin Putri Malvasari; Vany Septa Viani
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202287

Abstract

Online activities during the pandemic have changed people's lifestyles, including patients with chronic diseases. Without realizing it, patients with hypertension are less mobile, tend to sit, rarely exercise, rarely control their health, and eventually lead to sedentary behavior. This sedentary behavior risks the emergence of other health problems. Hence, it is necessary to identify the physical and spiritual activities of patients with hypertension to maintain and improve their health status. For this reason, this study aims to identify the physical and spiritual activities of patients with hypertension in maintaining their health status. The research used a quantitative method with a cross-sectional study design. Respondents involved in this study were 84 patients with hypertension with limited inclusion and exclusion criteria. The results showed that most patients with hypertension were 37 adults (44.0%), 52 people (61.9%) were female, 56 people (66.7%) had senior high school education, 36 people (42.9%) were housewives, 45 people (53.6%) had low activity, 100% active in spiritual activities, and having health status, i.e., sometimes sick, were 40 people (47.6%). Suggestions for further research are to identify differences in physical activity and health status in other chronic diseases, such as patients with Diabetes Mellitus.
The Effect of the VAKVID E-Booklet (Electronic Booklet of the Covid-19 Vaccine) on Knowledge and Attitude of Understanding the Covid-19 Vaccine Meutia Zuhra; Inong Sri Rahayu; Aulia Rahmi
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202291

Abstract

There are many pros and cons to the government's policy regarding the Covid-19 Vaccine for students in schools. Low knowledge and understanding of the Covid-19 vaccine are one of the causes. Socialization and education related to the Covid-19 Vaccine are one of the efforts to support this vaccination program. The purpose of this study is to determine the influence of education using the E-Booklet VAKVID (Electronic Covid-19 Vaccine Booklet) on knowledge and attitudes of Understanding the Covid-19 Vaccine. Pre-Experimental Research with the design of One group pretest-posttest used a purposive sampling technique in sampling as many as 230 students of Madrasah Tsanawiyah (Junior Hogh School) Lhokseumawe City, knowledge and attitudes of understanding the Covid-19 vaccine were measured using questionnaires, analyzed through statistical tests Shapiro Wilk continued with the Wilcoxon test. The data from the study showed that there were differences in knowledge and attitudes of understanding the COVID-19 vaccine before and after education using the VAKVID e-Booklet. The average knowledge pretest score is 5.34±1.398 and the post-test score is 6.93±0.960, while the Attitude pretest score is 15.00±1.884 and the post-test score is 16.33±0.923. The influence of education using the VAKVID E-Booklet method provides a significant difference in knowledge (p = 0.000) and attitudes (p = 0.000) regarding Understanding the Covid-19 Vaccine. Education using the e-Booklet VAKVID method can increase knowledge and attitudes of understanding the Covid-19 vaccine in students. Abstrak: anyak pro dan kontra terhadap kebijakan pemerintah terkait Vaksin Covid-19 untuk siswa di sekolah. Pengetahuan dan sikap pemahaman vaksin Covid-19 yang rendah merupakan salah satu penyebabnya. Sosialisasi dan edukasi terkait Vaksin Covid -19 merupakan salah satu upaya dalam mendukung program vaksinasi ini . Tujuan penelitian ini untuk mengetahui pengaruh edukasi  menggunakan metode E-Booklet VAKVID (Elektronik Booklet Vaksin Covid-19) terhadap pengetahuan dan sikap Pemahaman Vaksin Covid-19. Penelitian Pre Eksperimental dengan desain One group pretest-posttest ini menggunakan teknik purposive sampling dalam pengambilan sample sebanyak 230 siswa Madrasah Tsanawiyah Kota Lhokseumawe, pengetahuan dan sikap pemahaman vaksin Covid-19 diukur menggunakan kuesioner, dianalisis melalui uji statistik Shapiro Wilk dilanjutkan uji Wilcoxon.Data hasil penelitian menunjukkan terjadi perbedaan pengetahuan dan sikap pemahaman vaksin Covid-19 sebelum dan sesudah edukasi menggunakan metode e-Booklet VAKVID. Rerata skor pretest pengetahuan adalah 5,34±1,398 dan skor posstest 6.93±0,960, sedangkan skor pretest Sikap adalah 15,00±1,884 dan skor posttest 16,33±0,923. Pengaruh edukasi menggunakan metode E-Booklet VAKVID memberikan perbedaan yang signifikan terhadap pengetahuan (p=0,000) dan sikap (p=0,000) Pemahaman Vaksin Covid-19. Edukasi menggunakan metode e-Booklet VAKVID dapat meningkatkan pengetahuan dan sikap pemahaman vaksin Covid-19 pada siswa.
The Relationship between Body Mass Index and Grasping Strength in Students of the Medical Education Study Program, Faculty of Medicine, University of Papua Erwin Ramandei; Yanti Pesurnay; Oktamina Pinem; Irmayanti Irmayanti; Devi Darwin
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202292

Abstract

Grip strength as a clinical parameter to assess a person's nutritional status. Body mass index is useful for describing body composition. Differences in Body Mass Index (BMI) values can affect motor performance, postural balance, hand grip muscle strength and quality, lifestyle, physical activity, age and gender. The type of research carried out in this research is observational research, namely by observing students of PSPD FK UNIPA. The observation method used in this study is a cross-sectional observation method. Data collection was carried out in June 2022 using the simple random sampling method. There were 107 samples, the results of which were analyzed by using the Chi-Square test. The results of this study showed that the average number of overweight students was 34 people with a percentage of 31%, normal students amounted to 51 people with a percentage of 47.7% while underweight was 22 people with a percentage of 20.6%. The average grip strength, the respondents with strong gripping strength were 39 people with a percentage of 36.44%, for normal there were 53 people with a percentage of 49.54% while the weak were 15 people with a percentage of 14.02%. The results of the Chi-Square test showed that the significant value of 2-tailed was 0.734 more than 0.05. There is no statistically significant relationship between body mass index and grip strength in PSPD FK UNIPA students.
Family Support for Healing Mental Disorder Patients with Social Isolation in the Work Area of Pasirkaliki Public Health Center, Bandung City Zaenal Muttaqin; Muryati Muryati; Dadang Purnama; Rukman Rukman
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202295

Abstract

The research with the title: Family Support for the Recovery of Mental Patients with Social Isolation in the Pasirkaliki Bandung Health Center Work Area in 2021, aims to identify differences in family support for the recovery of mental patients with social isolation before and after being given training and assistance. The research method used is quasi-experimental with one group pretest and posttest design with bivariate test using T-test. The population in this study was all families who had family members with mental disorders (social isolation) recorded at the Pasirkaliki Health Center in Bandung from January-June 2021 with a sample of 35 people. The results of the study after the provision of material and assistance by researchers are that there are significant differences in the level of physiological adaptation before and after health education is carried out where p-v = 0.001, there were significant differences in the level of adaptation of self-concept before and after the implementation of health education where the value of p-v = 0.045, there was no significant difference in the level of interdependence adaptation before and after the implementation of health education where the value of p-v = 0.068. The conclusion of this study is that there is an increase in family support for the recovery of mentally disturbing patients with social isolation after providing material and assistance to families in the care of social isolation patients, both physiological support, self-concept support and interdependence support. Likewise, the total adaptation support provided by families to mental patients with social isolation. The suggestion in this study is for the Puskesmas to hold trainings to improve the performance of its employees in the mental nursing service unit to further increase knowledge and understanding so that it can be applied to the community in developing.
Improving Health Service Quality Management in Hospitals (Literature Study) Dewi Agustina; Arini Fajriani; Alwi Safriansyah Lubis; Dina Anggreini; Fitri Amja Yani; Nyak Firzah
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2022101

Abstract

Hospitals as the main goal of overcoming public health complaints should try to provide best quality services to patients from all walks of life. For this reason, it is necessary to have service quality management as a process of optimizing the implementation of health activities according to established health service standards. The research method used is a literature study method related to a series of activities related to the collection of library data regarding improving the quality management of health services in hospitals that are sourced from research journals that will be read, writtten, and then the datas will be processed. Quality management of health services in hospitals can be improved by paying attention to aspects of fulfilling hospital accreditation according to established standards, fulfilling hospital minimum service standards, implementing management functions in health programs such as BPJS Kesehatan, as well as analysing integrated quality management (TQM) and based on ISO 9001:2015
Differences in Immunoglobin a Levels in Breast Milk Between Mothers with and without the Covid 19 Vaccine Atika Fadhilah Danaz Nasution; Imelda
Majalah Kesehatan Indonesia Vol. 3 No. 2: October 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2022103

Abstract

Giving the vaccine to breastfeeding mothers will provide immunity to the baby through the placenta, umbilical cord (IgG) and breast milk (IgA). The purpose of this study was to analyze differences in IgA levels in breast milk in breastfeeding mothers with the Covid 19 vaccine and without the Covid 19 vaccine. This study used an observational comparative analytic study in 2 unpaired groups with a cross sectional design. The research sites for taking breast milk were in the Working Area of ??Paal Merah I Public Health Center, Jambi City, PMB Rosmala Aini and the Biomedical Laboratory of the Faculty of Medicine, Andalas University for the assessment of breast milk IgA levels. The population in this study were all breastfeeding mothers who had received the Covid-19 vaccine stage 1 and stage 2 and as controls were all breastfeeding mothers who had not received the Covid-19 vaccine in the Paal Merah I Health Center Work Area and PMB Rosmala Aini Jambi City. a sample of 40 respondents. In the univariate analysis, the normality of the data was tested first using Shapiro Wilk. In Bivariate analysis to see the difference in IgA levels with unpaired t test if the data is normally distributed (p value> 0.05), if the data is not normally distributed (p value 0.05) an alternative test is used, namely Mann Whitney. The results showed that the average level of Immunoglobin A in breastfeeding mothers with the Covid-19 vaccine was 2.30 ± 0.44 ng/ml, while the average level of Immunoglobin A in breastfeeding mothers without the Covid-19 vaccine was 2.54 ± 0.45 ng. /ml. The results of the independent t test found that the P-value was 0.10, so it can be concluded that there is no difference in the levels of Immunoglobin A in breast milk between breastfeeding mothers with the Covid-19 vaccine and without the Covid-19 vaccine. The conclusion of the study is that there is no difference in levels of Immunoglobin A in breast milk both in breastfeeding mothers with the Covid-19 vaccine and without the Covid-19 vaccine. Abstrak: Pemberian vaksin pada ibu menyusui akan memberikan kekebalan pada bayi melalui plasenta, tali pusat (IgG) dan ASI (IgA). Tujuan penelitian adalah menganalisis perbedaan kadar Ig A ASI pada Ibu Menyusui dengan vaksin Covid 19 dan tanpa vaksi Covid 19. Penelitian ini menggunakan jenis penelitian analitik komparatif observasional pada 2 kelompok tidak berpasangan dengan desain cross sectional. Tempat penelitian pengambilan ASI Ibu di Wilayah Kerja Puskesmas Paal Merah I Kota Jambi, PMB Rosmala Aini dan Laboratorium Biomedik Fakultas Kedokteran Universitas Andalas untuk penilaian kadar IgA ASI. Populasi pada penelitian ini adalah seluruh ibu menyusui yang telah mendapat vaksin Covid-19 tahap 1 dan tahap 2 dan sebagai kontrol adalah seluruh ibu menyusui yang belum mendapat vaksin Covid-19 di Wilayah Kerja Puskesmas Paal Merah I dan PMB Rosmala Aini Kota Jambi, dengan jumlah sampel sebanyak 40 responden. Pada analisis univariat dilakukan uji normalitas data terlebih dahulu menggunakan shapiro wilk. Pada analisis Bivariat untuk melihat perbedaan kadar Ig A dengan uji t tidak berpasangan jika data berdistribusi normal (nilai p>0,05), jika data tidak berdistribusi normal (nilai p?0,05) digunakan uji alternatif yaitu mann whitney. Hasil penelitian menunjukkan bahwa rerata kadar Immunoglobin A pada ibu menyusui dengan vaksin covid-19 adalah 2,30 ± 0,44 ng/ml, sedangkan rerata kadar Immunoglobin A pada ibu menyusui tanpa vaksin Covid-19 adalah 2,54 ± 0,45 ng/ml. hasil uji independen t test ditemukan bahwa nilai P-value 0,10 sehingga dapat disimpulkan tidak terdapat perbedaan Kadar Immunoglobin A pada ASI antara ibu menyusui dengan Vaksin Covid-19 dan tanpa Vaksin Covid-19. Kesimpulan penelitian bahwa tidak berbeda kadar Immunoglobin A pada ASI baik pada ibu menyusui dengan Vaksin Covid-19 dan tanpa Vaksin Covid-19
The Relationship of Breakfast Habits, Coffee Consumption, and Sleep Duration with Obesity Incidence in University Students Nurul Putrie Utami; Cita Eri Ayuningtyas; Putri Cahya Pertiwi
Majalah Kesehatan Indonesia Vol. 4 No. 1: April 2023
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2023110

Abstract

The increasing prevalence of adult obesity in Indonesia from 14,8 to 21,8% in 2013-2018 impacts in a higher incidence of various non-communicable diseases. Lifestyle changes such as sleeping habits, breakfast, exercise, and coffee consumption can escalate the risk of obesity. Purpose: The purpose of this study was to determine the relationship between breakfast habits, coffee consumption, and sleep duration with the incidence of obesity among Ahmad Dahlan University students. This study was an observational study with a cross-sectional design with a purposive sampling method. The subjects are 459 students of Universitas Ahmad Dahlan. The research instrument used was a self-administrated online questionnaire that asked about the habits of breakfast, sleep, and coffee consumption. Anthropometric data were obtained from the results of the latest anthropometric measurements of each research subject. The research data were processed using statistical applications using the chi-square test with a significance value of p <0.05. Results: Breakfast habits, frequency, sources, timing, and the menu was not related to nutritional status (p> 0.05). Other health habits such as sports habits and sleep duration also did not found any significant relationship with nutritional status (p> 0.05). However, coffee consumption was related to nutritional status (p = 0.001). This relationship was found in female subjects (p = 0.014). The conclusion of this study is that breakfast habits and sleep duration are not related to the nutritional status of students, while coffee drinking habits have a relationship with the nutritional status of students, especially female students.
The meaning of the life of married people with HIV/AIDS (PLWHA) in Salatiga Wiwit Novi Febrianti; Arthur Huwae
Majalah Kesehatan Indonesia Vol. 4 No. 1: April 2023
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2023118

Abstract

This research aimed to identify the meaning of life for married PLWHA (people living with HIV/AIDS) in Salatiga. This study employed qualitative phenomenological research with a purposive sampling technique, observation, and interviews. This study had two participants: household heads infected with the HIV/AIDS virus in Salatiga. This research utilized the theory of Frankl (2000), which discusses aspects of the meaning of life. The meaning of life can be understood as a condition in which individuals can perceive how far they can live and live the life they are living. Each participant has been allowed to interpret their life experiences. This is evident from how the two participants fulfilled aspects of the meaning of life, including life goals, life satisfaction, freedom, attitude toward death, suicidal thoughts, and the desire to live with decency. In addition to aspects, the two participants satisfied the factors of the meaning of life, including self-understanding, the meaning of life, changing attitudes, commitment, directed activities, and social support. Although not all processes about the meaning of life are identical, the two participants could make sense of their lives. This was since they comprehended their situation and could adapt to continue living normally. The two participants can still perform their duties as family heads and are responsible for their survival and that of their family under the current circumstances. Abstrak: Penelitian ini bertujuan untuk mengetahui dan mengidentifikasi secara mendalam mengenai kebermaknaan hidup pada ODHA (Orang Dengan HIV/AIDS) yang telah berkeluarga di Salatiga. Penelitian ini menggunakan penelitian kualitatif fenomenologi dengan teknik pengambilan sampel secara purposive sampling dengan observasi dan wawancara. Jumlah partisipan yang terlibat dalam penelitian ini berjumlah dua orang. Partisipan dalam penelitian ini merupakan seorang kepala keluarga yang terinfeksi virus HIV/AIDS yang ada di Salatiga. Penelitian ini menggunakan teori dari Frankl (2000) yang membahas tentang aspek kebermaknaan hidup. Kebermaknaan hidup dapat dipahami sebagai suatu keadaan dimana individu dapat melihat dari sudut pandang dirinya sendiri sejauh mana dirinya dapat menjalani dan menghayati kehidupan yang sedang dijalani. Kedua partisipan dapat dikatakan telah dapat memaknai hidupnya. Hal ini terlihat dari bagaimana kedua partisipan dapat memenuhi aspek pada kebermaknaan hidup yaitu tujuan hidup, kepuasaan hidup, kebebasan, sikap terhadap kematian, pemikiran tentang bunuh diri dan kepantasan untuk hidup. Selain aspek, kedua partisipan juga dapat memenuhi faktor-faktor kebermaknaan hidup yaitu pemahaman diri, kebermaknaan hidup, pengubahan sikap, komitmen, kegiatan yang terarah, dan dukungan sosial. Meskipun tidak semua proses dalam pemaknaan hidup sama, namun secara keseluruhan dapat dikatakan bahwa kedua partisipan sudah dapat memaknai hidupnya. Hal ini dikarenakan mereka mampu memahami keadaan mereka dan mampu beradaptasi untuk tetap dapat menjalani kehidupan seperti biasanya serta dengan kondisi yang ada kedua partisipan tetap mampu menjalankan tugas sebagai kepala keluarga serta bertanggung jawab atas kelangsungan hidupnya dan keluarganya.

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