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EFEKTIVITAS INTERVENSI SELF-MANAGEMENT TERHADAP ADHERENCE TO RECOMMENDED REGIMEN PADA KLIEN SKIZOFRENIA DI WILAYAH PUSKESMAS PURWADADI KECAMATAN PURWADADI KABUPATEN CIAMIS Hertini, Reni; Iskandar, Shelly; Hernawaty, Taty
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 20, No 2 (2020)
Publisher : STIKes Bakti Tunas Husada Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v20i2.612

Abstract

The Knowledge related to Mental Health of the People around the Coastal Areas Taty Hernawaty; Hadi Suprapto Arifin; Efri Widianti
Jurnal Keperawatan Indonesia Vol 23, No 3 (2020): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i3.1234

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Mental health is one of Indonesia’s public health development goals. The Pangandaran District Administration of West Java is an expanded district that actively carries out various development programs, including mental health programs. This study aimed to identify public knowledge about mental health in Pangandaran District using quantitative descriptive method. The research population comprised residents of the Pangandaran District, and a sample was collected via cluster multistage sampling technique. The sample was gradually determined in the order of subdistricts, villages, subvillages, community units, and neighborhood units. The total sample was composed of 113 respondents. The questionnaire was developed based on theories and concepts on public mental health and distributed to participants after validity and reliability tests were conducted. The construct validity test result was between 0.303 and 0.764, which meant that all items were valid. The Kuder-Richardson 20 formula was used to test reliability, and the reliability coefficient was 0.887. Mathematical calculations were used for data analysis; data are presented as frequency distributions. In this study, 61.10% of the respondents had “less” knowledge, 33.59% had “good” knowledge, and the remaining 5.30% had “enough” knowledge of mental health. The results suggest that the local government should provide mental health education for the residents. For educational institutions, mental health programs should be a fundamental offering in Indonesian society. Abstrak Pengetahuan tentang Kesehatan Mental Warga di Sekitar Wilayah Pesisir. Sehat secara mental merupakan bagian dari tujuan pembangunan kesehatan masyarakat. Pemerintah Kabupaten Pangandaran merupakan kabupaten pemekaran yang sedang menggalakkan berbagai program pembangunan termasuk program kesehatan jiwa. Penelitian ini bertujuan mengidentifikasi pengetahuan masyarakat Kabupaten Pangandaran mengenai kesehatan jiwa. Metode penelitian menggunakan deskriptif kuantitatif. Populasi penelitian adalah seluruh masyarakat Kabupaten Pangandaran dan sampel diambil menggunakan tehnik cluster multistage sampling. Tahapan penetapan sampel dilakukan bertahap mulai dari kecamatan, desa, dusun, rukun warga, sampai rukun tetangga dan didapat sebanyak 113 orang. Data penelitian dikumpulkan melalui kuesioner dan dibagikan pada seluruh responden. Kuisioner dikembangkan dari teori dan konsep kesehatan jiwa masyarakat dan sudah dilakukan uji validitas dan reliabilitas. Uji validitas konstrak didapatkan hasil berkisar antara 0,303 sampai 0,764 sehingga semua item dinyatakan valid. Uji reliabilitas menggunakan uji Kuder Richardson 20 dan diperoleh koefisien reliabilitas KR-20 sebesar 0,887. Analisa data menggunakan perhitungan matematis dan ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa 61,10% responden kurang memiliki pengetahuan mengenai kesehatan jiwa, 33,59% responden memiliki pengetahuan mengenai kesehatan jiwa yang baik, dan sisanya 5,30% responden memiliki pengetahuan mengenai kesehatan jiwa yang cukup. Saran, bagi pemerintah setempat agar memberikan pendidikan kesehatan jiwa bagi masyarakat. Bagi instansi pendidikan, diharapkan menjadi data dasar dalam membuat program kesehatan jiwa di masyarakat.  Kata Kunci: Jawa Barat, kesehatan masyarakat, program kesehatan jiwa, wilayah pesisir
LITERASI INFORMASI KESEHATAN LINGKUNGAN PADA MASYARAKAT DI DUSUN CIKANGKUNG DESA CIKEMBULAN KECAMATAN SIDAMULIH KABUPATEN PANGANDARAN: PENGELOLAAN SAMPAH BERBASIS TEKNOLOGI LINGKUNGAN TEPAT GUNA Taty Hernawaty
Dharmakarya Vol 6, No 1 (2017): Maret
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.539 KB) | DOI: 10.24198/dharmakarya.v6i1.14559

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Program Perilaku Hidup Bersih dan Sehat (PHBS) yang dicanangkan pemerintah sejak 2010 perlu dukungan masyarakat. Berdasarkan hasil pengamatan lingkungan, halaman dan pekarangan rumah penduduk di Dusun Cikangkung Kecamatan Sidamulih tampak berserakan dan tidak rapi. Hampir seluruh masyarakat memiliki kebiasaan membuang sampah ke dalam lubang tanah yang dibuatnya di halaman atau pekarangan rumah dan adapula yang dibakar. Hal penting yang harus diperhatikan dengan cara pembuangan seperti ini adalah pengelolaan dalam pemilahan. Beberapa jenis sampah tidak baik langsung dibakar karena dapat menghasilkan gas kimia berbahaya dan beracun. Pemberian informasi kesehatan lingkungan yang difokuskan pada pengelolaan sampah belum pernah diberikan pada masyarakat. Oleh karena itu, kegiatan PKM ini bertujuan meningkatkan wawasan dan sikap masyarakat mengenai pentingnya Program PHBS kebersihan lingkungan khususnya pengelolaan sampah. Kegiatan ini dilakukan dalam bentuk penyuluhan dan kerja bakti. Kegiatan ini diharapkan memberikan manfaat bagi pemerintah Jawa Barat khususnya Kabupaten Pangandaran dalam meningkatkan kualitas hidup masyarakat. Bagi masyarakat setempat, terciptanya lingkungan yang bersih, sehat, dan asri.
Faktor Caregiver dan Kekambuhan Klien Skizofrenia Laeli Farkhah; Suryani S; Taty Hernawaty
Jurnal Keperawatan Padjadjaran Vol. 5 No. 1 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1194.394 KB) | DOI: 10.24198/jkp.v5i1.348

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Caregiver merupakan orang yang bertanggung jawab memberikan perawatan secara langsung dalam segala situasi,baik saat pasien kambuh atau tidak kambuh. Beberapa faktor caregiver yang berhubungan dengan kekambuhanpasien skizofrenia adalah dukungan keluarga, pengetahuan tentang pengobatan skizofrenia, peristiwa kehidupan yang penuh stres, dan kualitas hidup caregiver. Penelitian ini bertujuan untuk menganalisis faktor caregiver yang berhubungan dengan kekambuhan pasien skizofrenia. Penelitian ini merupakan penelitian deskriptif analitikdengan rancangan crosssectional. Pengambilan sampel dengan consecutive sampling sebanyak 30 orang. Datadikumpulkan menggunakan kuesioner. Analisis data menggunakan uji korelasi Pearson Product Moment untukmelihat hubungan antara dua variabel dan uji regresi logistik untuk menentukan faktor yang dominan berhubungan dengan frekuensi kekambuhan pasien skizofrenia. Hasil penelitian menunjukkan semua variabel memiliki hubungan dengan frekuensi kekambuhan pasien skizofrenia. Variabel dukungan keluarga memiliki hubungan yangkuat dengan arah hubungan yang negatif (r = -0,630). Variabel pengetahuan keluarga memiliki hubungan yangsedang dengan arah hubungan yang negatif (r = -0,820). Variabel kualitas hidup memiliki hubungan yang sangatkuat dengan arah hubungan yang negatif (r = -0,560). Variabel peristiwa hidup penuh stres memiliki hubunganyang sedang dengan arah hubungan yang positif (r = 0,447). Hasil analisis regresi logistik menunjukkan bahwafaktor caregiver yang paling dominan berhubungan dengan dengan kekambuhan adalah kualitas hidup dengannilai r = -0,560 dan koefisien determinannya (r2) yaitu 0,768 yang memiliki kekuatan hubungan (OR) 25,093.Dari penelitian ini dapat disimpulkan bahwa kualitas hidup caregiver merupakan faktor yang paling dominanterhadap kekambuhan. Penelitian ini merekomendasikan agar perawat berperan aktif dalam meningkatkan kualitashidup caregiver dan pentingnya caregiver support group dalam rangka meningkatkan kualitas hidup caregiver.
Relationship of Adolescents’ Characteristics, Smartphone Uses and Premarital Sexual Behavior in High School Students Hardiyati Hardiyati; Shelly Iskandar; Taty Hernawaty
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.176 KB) | DOI: 10.24198/jkp.v7i1.410

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Adolescents’ problematic behavior is in relation to premarital sexual behavior. Adolescents’ premarital sexual behavior can cause abortion, unwanted pregnancy, death, potential HIV/AIDS infection as well as moral decency crime in Gowa District. Factors of premarital sexual behavior among adolescents include gender, origin of school, status and frequency of dating, religious norms, household norms, knowledge and the uses of smartphone. This research aims at analyzing adolescents’ characteristics of and the uses of smartphone in relation with premarital sexual behavior among high school students in Gowa District, South Sulawesi Province. It was the correlational design quantitative research. Total samples amounted to 500 high school students in Gowa District, South Sulawesi Province after these were selected with the cluster sampling. The questionnaire used in this research consisted of religious norms (the reliability test results of 0.791, R-value of 0.397–0.678), household norms (the reliability test results of 0.856, R-value of 0.430–0.893), knowledge (the reliability test results of 0.738, R-value of 0.362–0.514), and premarital sexual behavior (the reliability test results of 0.844, R-value of 0,483–0,763), smartphone use with the calculated R value > r table (0.514) the reliability indicates the alpha cronbach’s value> 0.60. The analyzed data use Chi square and logistic regression. The research results show that the premarital sexual behavior has total risk value of 66.0% and the unrisky value of 34.0%. It relates to some adolescents’ characteristics among others frequency of dating (p=0.000), status of dating (p=0.000), religious norms (p=0.000), household norms (p=0.000), knowledge (p=0.000), and smartphone use (p=0.000), the variables of adolescents’ characteristics i.e. gender and the origin of school do not have significant relationship (p> 0.05). The smartphone use is the most significant factor with the premarital sexual behavior (OR=3.583). The smartphone use is the most significant factor with premarital sexual behavior, and therefore, it indicates that teachers at school and parents at home should who carry out the control and adolescent education in the smartphone use are important factors to be upgraded. The school based health education program can avoid the risky premarital sexual behavior, and the program can focus on the control of smartphone use and skill training among adolescents.
Comparison of Lecture and Video Methods in Increasing Caregiver Knowledge in Treating Clients Halusination Bambang Eryanto; Taty Hernawaty; Shelly Iskandar
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (636.238 KB) | DOI: 10.24198/jkp.v6i2.776

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Efforts to improve caregiver’s knowledge on hallucination is by providing an education the caregivers. Enhancing such knowledge can be carried out by different methods, include lecture and watching video methods. The purpose of the present research was to compare the effectiveness of lecture  and watching video method in enhancing caregiver’s knowledge on hallucination.          The research used a quasi-experiment method with a pretest and posttest group design, with the research sample was 60. The sampling technique used was a total sampling. The scores of caregiver’s knowledge were determined by a questionnaire of knowledge on hallucination that was self-developed by validity test (0.707) and reliability test (0.968). The data obtained was then tested by using Independent Sample T-test, Mann-Whitney test, and Wilcoxon test.          The result of pretest of caregiver’s knowledge before the intervention showed that there was no difference between intervention and control group (p-value=0.624), while result of posttest of caregiver’s knowledge after the intervention showed that there was a significant difference between lecture group and video group (p-value=0.000). The research findings revealed that there was a significant increase in the scores of knowledge for both methods (p-value=0.000), but the increase of video group’s knowledge score was higher (4.23) than that of lecture group (2.57).          The conclusion of the research was that wathing video method was more effective than lecture method in enhancing caregiver’s knowledge so that video can be used as an alternative method for mental health education.
The Structure, Process, and Outcome of Mentorship on Survivor with Schizophrenia: A Case Study Rozali Arsyad Kurniawan; Suryani Suryani; Taty Hernawaty; Lilibeth Al-Kofahy
Jurnal Keperawatan Padjadjaran Vol. 9 No. 1 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i1.1645

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The personal recovery paradigm in schizophrenia patients require a change of service. One of the changes that can be made to support the schizophrenia recovery process is a change in the concept of the relationship between patients and nurses. Nurse mentorship for schizophrenia patients is a new terminology of innovation in a supportive relationship between health workers and patients. At present, it is not known how the structure, process, and outcome of mentorship to schizophrenia survivors. This study aimed to explain how the structure, process, and outcome of mentoring nurses to schizophrenia survivors. This research is qualitative research using the case study method involving three cases of mentorship conducted in Banyumas Regional Hospital. A total of nine participants were involved in this study which consisted of three nurses as mentors, three schizophrenia survivors, and three caregivers. Data were collected by semi-structured interview techniques, observation, and document review. After in-depth analysis seven research themes were found. Participants’ perception about the structure of mentorship include the theme mentorship requires a variety of abilities of nurses and conditions of survivors who can participate in mentorship. While the mentorship process includes the theme requires patience in mentorship, giving guidance for the recovery of survivors, and facing the recurrence of survivors due to treatment factors. Participants revealed the outcome of mentorship in the theme mentors feel inner satisfaction, and survivors feel more enthusiastic about life. The results of this study provide the view that mentorship has the potential to be developed into quality nursing interventions to support the recovery process of schizophrenia survivors.
Terapi Aktivitas Kelompok menurunkan Tingkat Halusinasi pada Pasien Skizofrenia: Literature Review Indra Maulana; Taty Hernawaty; Iwan Shalahuddin
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 9, No 1 (2021): Februari 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.9.1.2021.153-160

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Jenis dan karakteristik gangguan jiwa sangat beragam, satu diantaranya yang sering dirawat yaitu skizofrenia. Diperkirakan lebih dari 90% pasien skizofrenia mengalami halusinasi. Untuk memperkecil dampak yang ditimbulkan halusinasi, dibutuhkan penanganan yang tepat. Terapi aktivitas kelompok adalah salah satu terapi modalitas yang merupakan upaya untuk memfasilitasi perawat atau psikoterapis terhadap sejumlah pasien pada waktu yang sama. Tujuan untuk mengetahui pengaruh Terapi Aktivitas Kelompok (TAK) terhadap penurunan tingkat halusinasi pada pasien skizofrenia. Penelitian ini dilakukan menggunakan metode literature review. Penelusuran artikel dilakukan menggunakan beberapa search engine, diantaranya Google Scholar, Pubmed, dan Ebsco. Dalam penelusuran artikel ini digunakan batasan tahun yaitu mulai dari tahun 2015 hingga 2020. dan menghasilkan 27 temuan artikel. Lalu dilakukan penyeleksian  dan  didapatkan 5  artikel. Setelah artikel didapatkan, dilakukan critical appraisal pada kelima artikel tersebut menggunakan instrumen Joanna Briggs Institute (JBI). Kata kunci yang digunakan dalam penelusuran artikel berbahasa Inggris yaitu “Schizophrenia”, “Group Activity Therapy”, “Hallucination”, sedangkan dalam penelusuran artikel berbahasa Indonesia menggunakan kata kunci “Skizofrenia”, “Terapi Aktivitas Kelompok”, “Halusinasi”. Terapi Aktivitas Kelompok memberikan pengaruh yang signifikan dalam mengontrol beberapa penyakit mental seperti halusinasi, skizofrenia, delusi, dan depresi. Intervensi Terapi  Aktivitas Kelompok (TAK) dapat mengontrol halusinasi dan menurunkan halusinasi pada penderita skizofrenia secara signifikan. Kemudian lingkungan kelompok yang kondusif dan rasa saling percaya antar anggota kelompok dapat memutus halusinasi pada klien dengan skizofrenia.
Adolescents' Attitude Towards Premarital Sex Violla Anggiani; Taty Hernawaty; Efri Widianti
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 4 (2020): November 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.4.2020.411-420

Abstract

Pangandaran is a tourism place given more impact on behavior sexuality among adolescents. One of the factors that most influence this behavior is attitude. The attitude becomes a stimulus for adolescents in reflecting premarital sexual behavior. This research aimed to find out the adolescent's attitudes towards premarital sexual behavior in SMA X Pangandaran. This research used a descriptive quantitative method with a cross-sectional approach. The study population was adolescents at SMA X Pangandaran with a total of 842 people. The data collection used proportionate stratified random sampling, with the sample counted as 240 students. Data were collected within 2 weeks using BSAS which was distributed online and the validity test was carried out with a score of 0.896 and a reliability test with an Alpha value of 0.861. Data were analyzed by the mean and standard deviation formulas. In this study, adolescent attitudes toward premarital sexual behavior tend to be less accepting about sex (permissiveness) 43,40 ± 5,772, responsible for birth control 11,14 ± 2,820, do not tend to fuse with sex partners (communion) 14, 96 ± 4.892, and do not tend sexual orientation (instrumentality) 18.36 ± 4.007. The majority of students consider premarital sex is not allowed and is a taboo subject to talk about.
The Differences of Nurses’ Work Stress in The Intensive Care Unit and Inpatient Room in A Psychiatric Hospital Irman Somantri; Taty Hernawaty; Ratna Multisari
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (863.733 KB) | DOI: 10.24198/jnc.v2i1.19046

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Inpatient room in a psychiatric hospital is divided into the acute (intensive) room and non-acute (inpatient) room. Several types of research showed different levels of work stress experienced by nurses in those rooms. The work stress is a form of individual response towards physical and psychological demand caused by the interaction of an individual to the working environment. This research aimed to know the difference in the work stress levels of nurses in psychiatric intensive care unit and inpatient room at a Psychiatric Hospital in West Java Province. This research used a comparative analytical design. The 104 samples were chosen through proportional random sampling technique. The data were collected through New Brief Job Stress Questionnaire (New BJSQ) instrument containing 29 items. The technique of data analysis used was the Mann-Whitney test. The results showed that job stress levels of nurses in psychiatric intensive care unit and inpatient room were low with the median score 42 (SD=7.706 for the intensive care unit and in the inpatient room was 38 (SD=6.167). The results of the Mann-Whitney test found p-value (0.047) < 0,.5. In conclusion, there is a bit different in the job stress level of nurses in psychiatric intensive care unit and inpatient room. Maintaining the mechanism of adaptive coping, adding the number of nurses, and the policy regarding nurse room rotation schedules would be solutions to overcome with work stress.