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Hubungan Ulkus Diabetik Dengan Citra Tubuh Klien Diabetes Mellitus Tipe 2 M. Elyas Arif Budiman; Ah. Yusuf; AV. Sri Suhardiningsih
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 3 (2020): Juli 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11312

Abstract

Diabetic ulcers are the most feared complications of Diabetes mellitus patients because of reduced blood supply to the tissues, causing tissue death and compounded with bacterial infections that can cause amputations and even have wide impact because they can cause death, morbidity, disability, and decreased quality of life. The purpose of this study was to determine the relationship of diabetic ulcers in patients with diabetes mellitus with body image. The research design used was analytic survey with cross sectional design. The sample in this study proves 40 samples taken Probability of Samples with the type of sampling in a row that was a diabetic ulcer sufferer who performs examinations in the clinic of Jember. This research was conducted by observing the degree of injury for diabetic ulcers and questionnaire sheets for body image. The results of this study were analyzed using the statistical test Spearman rank test. The results of the analysis showed that first-degree injuries were 22 respondents (55%), second-degree injuries were 17 respondents (42.5%), and third-degree injuries were respondent (2.5%). While the body image results in diabetics with 13 respondents (32.5%) had a negative body image, while 27 respondents (67.5%) had a positive body image. The results of the analysis of the two variables obtained by the value of p value Sig. (two tailed) of 0.023 α α (0.05) which shows that there was a relationship between diabetic ulcers in patients with diabetes mellitus with body image. Clients who suffer from diabetes mellitus will affect the appearance of the body, especially will have an impact on body image so it is very important for clients diabetes mellitus to improve adjustment in dealing with the disease process and the consequences of the disease. Keywords: diabetic ulcer; body image ABSTRAK Ulkus diabetikum merupakan komplikasi yang paling ditakuti pasien Diabetes Melitus karena berkurangnya suplay darah ke jaringan tersebut menyebabkan kematian jaringan dan diperparah dengan infeksi bakteri yang dapat menyebabkan amputasi bahkan berdampak luas karena dapat menyebabkan kematian, morbiditas, peningkatan biaya perawatan, dan penurunan kualitas hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh di Klinik Jember. Desain penelitian yang digunakan yaitu survey analitik dengan rancangan coss sectional. Sampel dalam penelitian ini diambil secara Probability Sample dengan jenis Consecutive Sampling yaitu penderita ulkus diabetik yang melakukan pemeriksaan di klinik jember sebanyak 40 responden Penelitian ini dilakukan dengan cara melihat/observasi derajat luka untuk ulkus diabetik dan lembar kuesioner untuk citra tubuh. Hasil penelitian ini dianalisa menggunakan uji statistic spearman rank test. Hasil analisanya didapatkan bahwa luka derajat 1 sebanyak 22 responden (55%), luka derajat 2 sebanyak 17 responden (42,5%), dan luka derajat 3 sebanyak 1 responden (2,5%). Sedangkan hasil citra tubuh pada penderita diabetes melitus sebanyak 13 responden (32,5%) memiliki citra tubuh negatif , sedangkan 27 responden (67,5%) memiliki citra tubuh positif. Hasil analisa dari kedua variabel didapatkan nilai p value Sig (two tailed) sebesar 0,023 ≤ α (0,05) yang menunjukkan bahwa ada hubungan ulkus diabetik pada penderita diabetes melitus dengan citra tubuh. Klien yang menderita diabetes mellitus akan mempengaruhi penampilan tubuh, terutama akan berdampak pada citra tubuh sehingga sangat penting bagi klien diabetes mellitus untuk meningkatkan penyesuaian dalam menangani proses penyakit dan konsekuensi penyakit. Kata kunci: ulkus diabetic; citra tubuh
ANALISIS FAKTOR YANG MEMPENGARUHI KEJADIAN BURNOUT SYNDROME PERAWAT DI RS DARMO SURABAYA Okte Citra Indiawati; Hidayatus Sya’diyah; Dhian Satya Rachmawati; A.V. Sri Suhardiningsih
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 11, No 1 (2022): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v11i1.1037

Abstract

ABSTRAKStress pada perawat terjadi karena tugas perawat yang semakin kompleks dalam memberikan pelayanan keperawatan yang kompehensif dan profesional. Tujuan penelitian adalah menganalisis faktor yang mempengaruhi Burnout syndrome pada perawat di RS Darmo Surabaya. Peneliti menggunakan metode observasional analitik dengan pendekatan cross sectional. Populasi diambil dari 140 perawat RS Darmo, dengan teknik proporsional random sampling didapatkan sampel sebanyak 104 perawat. Alat ukur yang digunakan adalah kuesioner beban kerja perawat, IPC, OCQ, MBI HSS dengan penghitungan analisis statistik Spearman rho pada tingkat signifikasi α<0,05. Hasil penelitian didapatkan perawat RS Darmo Surabaya sebagian besar mengalami burnout syndrome sedang dengan presentase 71,15 %. Hasil analisis statistik menunjukkan semua variabel bernilai p = 0,01 sehingga dapat disimpulkan terdapat pengaruh usia, jenis kelamin, tingkat pendidikan, status pernikahan, masa kerja, beban kerja, locus of control, dan komitmen terhadap Burnout Syndrome perawat. Faktor yang paling berpengaruh adalah komitmen dengan koefisien korelasi sebesar -0,804 yang berarti semakin tinggi komitmen perawat terhadap rumah sakit maka burnout syndrome semakin menurun. Implikasi penelitian yaitu untuk menurunkan burnout syndrome yang terjadi pada perawat dapat dilakukan dengan cara memberikan dukungan kepada rekan kerja, menciptakan lingkungan kerja yang nyaman dengan suasana kekeluargaan. Kata kunci : Faktor Demografi, Beban Kerja, Locus of Control, Komitmen, Burnout Syndrome
The Relationship between Well-being and Risk of Wondering among Elderly with Dementia in Mental Health Hospital, Dr. Radjiman Wediodiningrat Lawang, Malang Amalia Kusumaningsih; Ah Yusuf; AV Sri Suhardiningsih
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.97 KB) | DOI: 10.35654/ijnhs.v3i1.180

Abstract

Dementia is a syndrome in the form of decreased cognitive function. Wandering is a neuropsychiatric symptom that has an impact on mortality rates which are indicators of achievement of subjective well-being. The study aimed to determine relationship between subjective well-being and risk of wandering among elderly with dementia. A quasi-experimental study, one group pre-post test design was applied in this study, we recruited 34 elderlies and their caregivers using the purposive method. The result showed that there is positive effect of social leisure activity in reducing wandering risk (p=0,000) and increasing subjective well-being (p=0,000). Subjective well-being has a significant correlation with the risk of wandering at the post-test (p=0,000). The result given between characteristic’s elderly and subjective well-being showed p-value less than 0,05 excepted on neuropsychiatric symptoms. Subjective well-being correlation with decreased risk of wandering by providing regular physical activity
Identifying Strategies to Cope with Mental Illness-related Stigma of Family Caregiver Living with Mental Illness in Pamekasan, Indonesia: A Qualitative Study Willi Holis; Ah. Yusuf; AV Sri Suhardiningsih
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 3 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (746.525 KB) | DOI: 10.35654/ijnhs.v3i3.248

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The social stigma that experienced by people with mental illness has negative consequences both for the patients and their family members. The stigma causes psychological stress, such as depression, frustration, and anxiety for the family. The study aimed to explore the family members’ efforts to cope with mental illness stigma in social encounters. This study was qualitative. Eleven families were living with mental illness who were experiencing stigma, and data were collected mainly through in-depth interviews. The results of this study reported that families were using different coping strategies to counter the stigma. They used Problem-focused coping and emotional focused dealing. Adaptive coping strategies used by families of people with mental illness can help to reduce psychological stress. In contrast, coping strategies that tend to be maladaptive can increase the occurrence of psychological stress. Families of people with mental illness that affected by stigma must get psychological therapy to improve the quality of life, and to reduce the negative impact of the stigma itself
Upaya Pemberdayaan Siswa dalam Pencegahan Masalah Kesehatan Jiwa Selama Pandemi Covid-19 di SMA Hang Tuah 1 Surabaya Sukma Ayu Candra Kirana; Lela Nurlela; Muh Zul Azhri Rustam; Diyan Mutyah; A. V Sri Suhardiningsih; Dya Sustrami; Rossa Kurnia Ethasari
Jurnal Abdidas Vol. 2 No. 3 (2021): Pages 459-724
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v2i3.312

Abstract

Perubahan situasi baru akibat pandemi Covid-19 membuat sekolah ditutup dan pembatalan aktivitas siswa yang merupakan waktu penting bagi keseharian dan kehidupan siswa dalam hal ini remaja. Cemas, terisolasi dan terbebani dengan perubahan hidup akibat situasi pandemi menjadikan 99% (2,34 miliar) anak dan remaja dibawah 18 tahun di dunia dibatasi gerak. Sebanyak 60% (1,4 miliar) anak dan remaja tersebut tinggal di negara lockdown penuh, sebanyak 7% dan lockdown sebagian 53%. Data tersebut tentunya dapat menjadi data kesehatan mental remaja. Tujuan kegiatan ini adalah untuk meningkatkan peran siswa dalam pencegahan masalah mental remaja selama pandemi Covid-19 di SMA Hang Tuah 1 Surabaya. Kegiatan melibatkan guru penanggung jawab UKS dan guru BP, dan siswa. Kegiatan melalui tiga tahap yaitu tahap awal yaitu sosialisasi, tahap kedua adalah pelaksanaan. Tahap pelaksanaan yang meliputi edukasi, pelatihan relaksasi, pendampingan siswa dan diakhiri tahap evaluasi kegiatan. Edukasi masalah kesehatan mental remaja di masa pandemi dilakukan melalui Zoom Meeting. Kegiatan dilaksanakan dengan baik dan diperoleh keadaan kesehatan mental siswa SMA Hang Tuah 1 Surabaya mayoritas tidak mengalami gangguan mental emosional. Kepala sekolah beserta jajaran SMA Hang Tuah 1 Surabaya mendukung keberlanjutan program pendampingan upaya pencegahan masalah kesehatan jiwa bagi siswanya.
Upaya Mewujudkan Sehat Jiwa dalam Penggunaan Gadget Selama Pandemi Covid-19 di SMA Hang Tuah Surabaya Hidayatus Sya’diyah; Sukma Ayu Candra Kirana; Lela Nurlela; A.V. Sri Suhardiningsih; Dya Sustrami; Diyan Mutyah
Jurnal Abdidas Vol. 2 No. 5 (2021): October Pages 1021-1256
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdidas.v2i5.397

Abstract

Penerapkan Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) untuk menekan penyebaran virus menyebabkan semua aktivitas dilakukan di rumah, salah satunya dibidang pendidikan yang memberlakukan pembelajaran jarak jauh (PJJ). Data menunjukkan 79 % orang tua memberi izin ke anak memakai gadget untuk kegiatan selain belajar online dan hanya 21% orang tua yang melarang anak memakai gadget selain untuk belajar online, sehingga perlu diimbangi dengan kesehatan jiwa untuk mendukung kegiatan tersebut. Tujuan kegiatan ini adalah untuk meningkatkan peran siswa mewujudkan sehat jiwa bagi remaja dengan penggunaan gadget yang sering selama pandemi Covid-19 di SMA Hang Tuah Surabaya. Kegiatan melibatkan guru penanggung jawab UKS dan Guru BP, dan siswa. Kegiatan melalui tiga tahap yaitu tahap awal yaitu sosialisasi, tahap ke dua adalah pelaksanaan dan tahap ketiga evaluasi. Tahap pelaksanaan yang meliputi edukasi, pendampingan siswa dan diakhiri tahap evaluasi kegiatan. Edukasi mewujudkan sehat jiwa remaja di masa pandemi dilakukan melalui Google Meeting. Kegiatan dilaksanakan dengan baik dan diperoleh keadaan kesehatan jiwa siswa SMA Hang Tuah Surabaya mayoritas tidak mengalami gangguan mental emosional. Kepala sekolah beserta jajaran SMA Hang Tuah Surabaya mendukung keberlanjutan program pendampingan upaya pencegahan masalah kesehatan jiwa bagi siswanya.
PENGARUH SOCIAL LEISURE ACTIVITY TERHADAP PENURUNAN RISIKO WANDERING PADA LANSIA DEMENSIA DI RSJ Dr. RADJIMAN WEDIODININGRAT LAWANG MALANG: The Effect of Social Leisure Activity for Decreased Risk of Wandering on Dementia Elderly in Mental Health Hospital Dr. Radjiman Wediodiningrat Lawang Malang Amalia - Kusumaningsih; Ahmad Yusuf; AV Sri Suhardiningsih
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 6 No. 1 (2020): JIKep | Maret 2020
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (323.429 KB) | DOI: 10.33023/jikep.v6i1.333

Abstract

Introduction: Dementia is a clinical syndrome of decline in cognitive function. Dementia with various neuropsychiatric symptoms can have a large impact on both clients and caregivers, one of which is wandering behavior. Wandering is a neuropsychiatric symptom that is difficult to control, challenging, at risk of loss, causes various risks of fracture, and even death. Wandering management still uses traditional methods until now. The purpose of this study was to determine the effect of Social Leisure Activity in reducing the risk of wandering. Methods: The design of this study was quasi-experimental with a pre-post test one group. The study population was 47 elderly and a sample of 34 elderly dementia along with their caregivers who were outpatients at the Psychogeriatric Clinic of Dr. RSJ Radjiman Wediodiningrat Lawang. The sampling technique used purposive sampling method. The independent variable in this study was the Social Leisure Activity and the dependent variable was wandering risk. The instrument used Elopement Screening to assess the risk of wandering, the KATZ Independence Index, and the Caregiver Training questionnaire. The intervention was carried out at home by the caregiver in the form of a series of activities carried out for 4 weeks with a frequency of 3 times a week and 45 minutes per activity. The caregiver was given training as well as a demonstration of wandering and social leisure activity before the research was conducted. Data were analyzed using Paired-Samples T-Test. Results: The results of the analysis showed that there were significant differences (p = 0,000) on the value of the risk of wandering before and after an intervention. Training data on the caregiver gave a result that there was a significant difference (p = 0,000) in the caregiver's knowledge before and after training. Discussion: The risk of wandering in dementia elderly could be reduced by providing regular physical activities that prioritize elements of social interaction. Social Leisure Activity is an effective activity to be developed because it is easy to implement and efficient because it does not require high costs. Conclusions and Suggestions: Social Leisure Activities can help reduce the risk of wandering if done regularly and continuously. Social Leisure Activity can be used as an alternative for caregivers and elderly dementia to keep on doing activities.
Uncertainty in Ilness and Psychological Status in Patients with Diabetes Mellitus M.Elyas Arif Budiman; Ah Yusuf; Av Sri Suhardiningsih
NurseLine Journal Vol 5 No 1 (2020): May 2020
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.17316

Abstract

Poor psychological well-being is an important issue that must be addressed in managing Diabetes Mellitus. Uncertainty surrounding health conditions substantially affects psychological outcomes, anxiety characteristics, loss of hope and psychological distress in clients with Diabetes Mellitus. The purpose of this study was to determine the description of the uncertainty of the disease process (Uncertainty in illness) and the psychological status of Diabetes Mellitus clients in the Jember Community Health Center. The design of this study was the explanatory survey with a cross-sectional approach. The study population was all Diabetes Mellitus clients in the Jember Community Health Center. Sample size: 250 Diabetes Mellitus clients were recruited using a simple random sampling technique. The data used in this research is descriptive statistical analysis so that the results will be obtained in the form of a frequency distribution. The results showed that the highest level of client expectations was with a low expected rate of 51.2%. The level of distress of respondents who had the highest Diabetes Mellitus was in the category of distress by 50.4%. The level of anxiety felt by respondents is mostly in the category of disturbance by 47.6% and uncertainty (Uncertainty) is in the less category by 63.2%. Several psychological factors have contributed to affect the emotional and psychological well-being of diabetes mellitus clients, including the Diabetes Mellitus client's acceptance of the uncertainties surrounding health conditions.
DETERMINAN PEMBERIAN MPASI PADA BAYI USIA 6-24 BULAN DI POSYANDU DEWI SARTIKA SURABAYA: DETERMINAN PEMBERIAN MPASI PADA BAYI USIA 6-24 BULAN DI POSYANDU DEWI SARTIKA SURABAYA Muh Zul Azhri Rustam; Faradila Faizah; AV Sri Suhardiningsih; Sri Anik Rustini
Jurnal Medika Hutama Vol. 3 No. 02 Januari (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Complimentary food for breast milk (MPASI) is food or drink containing nutrients that is given to infants or children aged 6-24 months and is given gradually according to the baby's age and planning ability to meet nutritional needs, other than breast milk. Objective: The purpose of this study was to analyze the dominant factors in the provision of complementary feeding for infants aged 6-24 months. Methods: The design of this study was a cross-sectional approach. Data analysis using Logistic Regression. The results there is a relationship between knowledge, work, and attitudes with complementary feeding. The dominating factor, in this case, is knowledge because it has a value of 0.006 (ρ<0.05) and affects 18.621 times. Conclusion based on the results of this study knowledge is the dominant factor that has the greatest influence. If the mother's knowledge is good, the better the mother's attitude in providing complementary feeding for infants aged 6-24 months so that complementary feeding is carried out properly. Keywords: Knowledge; Occupation; Attitude; Complementary Foods
Stress Adaptation Model For Uncertain Process Of Diabetes Mellitus Disease M. Elyas Arif Budiman; Ah Yusuf; Av Sri Suhardiningsih; Hanik Endang Nihayati
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.v4i2.36574

Abstract

Introduction: Uncertainty Diabetes mellitus shows the inability of individuals to determine the meaning of events related to the disease process. Uncertainty Diabetes mellitus causes stress due to uncertainty around the disease, disease process, treatment and side effects. The purpose of this study was to develop a stress adaptation model to the uncertainty of the diabetes mellitus disease process. Method: The design of this research is an explanatory survey with a cross sectional approach.Methods: The sample size of the study was 250 Diabetes mellitus clients who were recruited using simple random sampling technique. The research variables are cognitive, biophysical, social, psychological factors, structure providers, illusions, inferences, uncertainty, psychosocial coping and adaptations. Data were collected by questionnaire and analyzed by SEM-PLS. Results: The results of this study indicate that cognitive, biophysical, psychological factors, structure providers and the illusion of inference have a significant effect on uncertainty. Social factors have no effect on uncertainty. Uncertainty has a significant effect on coping and psychosocial adaptation. Coping has a significant effect on psychosocial adaptation. The test criteria state that if the T-statistics T-table value (1.96) or the P-value <significant alpha 5% or 0.05, it is stated that there is a significant effect of the independent variable on the dependent variable. Conclusions: The finding of the stress adaptation model to the uncertainty of the disease process Diabetes mellitus is associated with that uncertainty is a cognitive condition, indicating the inadequacy of existing cognitive factors to support the interpretation of disease-related events.Then adaptation in the context of uncertainty reflects the continuation of the normal biopsychosocial behavior of Diabetes mellitus clients and is the expected result of coping efforts to reduce uncertainty which is assessed as a danger.