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Pandangan Lansia tentang Seksualitas pada Lanjut Usia Pambudi, Hubertus Agung; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli
Jurnal Kesehatan Vol 9, No 1 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

The physiological, cognitive and psychosocial changes which occur in the elderly can have an impact on the elderly’s decreased ability to meet functional needs, confusion or withdrawal, and an inability to make needs-related decisions. The physical changes include some changes in the appearance, different alterations in internal organ systems, changes in psychological function and nervous system, as well as changes in the sexuality appearance and ability. The purpose of this study was to investigate sexuality experiences of the elderly in the society. This study used a qualitative design with a hermeneutic phenomenological approach. The samples were three elderly people recruited using purposive sampling technique. The steps in analyzing the data included data collection analysis, data reduction, verification, and conclusion. The findings revealed that sexual intercourse in the elderly served a part of worship and efforts made to maintain the family harmony. Based on findings, it is recommended that the health service units work together with the health volunteers of the elderly health service post to provide correct information through health education about sexuality so that the elderly can gain an understanding of sexuality to improve their quality of life.

Penurunan Tingkat Depresi pada Pasien dengan Intervensi Minfulness Spiritual Islam Asiah, Asiah; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 3 (2019): November 2019
Publisher : Universitas Muhammadiyah Semarang

Gangguan depresi salah satu masalah kejiwaan yang sering ditemukan, menyebabkan gangguan kualitas hidup yang berat hingga dapat membuat penderitanya melakukan percobaan bunuh diri.Intervensi mindfulness spiritual islam merupakan suatu latihan yang melibatkan Allah SWT dalam setiap proses dengan tujuan membantu individu untuk secara sadar memahami kondisi atau pengalaman yang dihadapi bukan sebagai kebetulan tetapi peristiwa dibuat oleh Allah SWT. Tujuan dari penelitian ini untuk menganalisis pengaruh mindfulness spiritual islam terhadap tingkat depresi pada pasien di RSJ. Quasi experimental with control group pre test -post testdesign. Populasi 195, purposive sampling dengan kriteria inklusi dan ekslusi, jumlah sampel 50 responden. Pengukuran tingkat depresi dengan BDI, Kelompok Intervensi menggunakan SOP mindfulness spiritual islam sebanyak 6 kali. Analisa bivariate menggunakan uji statistik Mann Witney U Test. Pada uji Mann-Whitney Test terdapat perbedaan tingkat depresi sesudah diberikan intervensi (p = 0,000 < 0,05), sehingga ada pengaruh intervensi Mindfulness dalam menurunkan tingkat depresi pada pasien diRSJ. Kata kunci: mindfulness spiritual islam, depresi REDUCE DEPRESSION LEVEL IN PATIENTS WITH ISLAMIC SPIRITUAL MINFULNESS INTERVENTION ABSTRACTDepressive disorder is one of the psychiatric problems that is often found, causing severe quality of life disorders that can make sufferers carry out suicide attempts. Islamic spiritual mindfulness interventions are exercises that involve Allah SWT in every process intending to help individuals to consciously understand the conditions or experiences encountered not as coincidences but events created by Allah SWT. The purpose of this study was to analyze the influence of Islamic spiritual mindfulness on the level of depression in patients at the Mental Hospital. Quasi-experimental with control group pre-post test design. Population 195, purposive sampling with inclusion and exclusion criteria, sample of 50 respondents. Measuring the level of depression using the BDI questionnaire, the Intervention Group used the Standard Operating Procedure of Islamic spiritual mindfulness 6 times. Research at Dr. Amino Gondohutomo Mental Hospital, Central Java Province in 2019. The results of the study were analyzed using the Mann-Whitney test, there were differences in the degree of depression after being given an intervention (p = 0,000 <0.05), there was an influence of the Mindfulness intervention in reducing the level of depression in patients at the Mental Hospital. Keywords: islamic spiritual mindfulness, depression

Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia Astuti, Halimah Wenny Yulina; Agustin, Murti; Sari, Sri Padma; Wijayanti, Diyan Yuli; Sarjana, Widodo; Locsin, Rozzano C.
Nurse Media Journal of Nursing Vol 10, No 2 (2020): (August 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i2.28775

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests.Â Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30Â±2.50 and 9.04Â±2.15, respectively) as well as in the mean of recovery (86.78Â±4.00 and 73.56Â±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.Â

Hubungan konsep diri dengan prestasi akademik mahasiswa keperawatan Pambudi, Prabawati Setyo; Wijayanti, Diyan Yuli
Jurnal Keperawatan Soedirman Vol. 07 No. 2 (2012)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2012.7.2.361

All forms of belief, feeling, and judgment of individuals believed about him and process of social interaction with their surroundings. ItÃ¢â‚¬â„¢s influences academic achievement. Students with less self-concept will tend to lose motivation and interest, which in turn impact the academic achievement. This research to determine the relationship between self-concept with academic achievement among students who achieved School of Nursing Diponegoro University. This study used a non-experimental quantitative. A number of sampling are 65 respondents was collected by questioners. The results of chi square test was p-value = 0.001 so there was a correlation between self-concept and academic achievement. It means that if the self-concept is good, the academic achievement is also good. Otherwise, if the self-concept is less, so the academic achievement is also bad. Educational institutions should consider the self-concept of students in the learning process.

MENINGKATKAN KEMAMPUAN PETUGAS RUMAH SINGGAH IZI DALAM â€œTARGET SEHAT MANDIRIâ€ MELALUI MINDFULNESS SPIRITUAL ulliya, Sarah; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli; Muin, Muhammad; Sulisno, Madya
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 9 No 1 (2022): Januari
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v9i1.2209

Mindfulness merupakan kesadaran individu terhadap pengalaman yang dialami, dengan memberi perhatian yang penuh, dan menerima tanpa memberikan penilaian. Hanya berfokus terhadap apa yang sedang di kerjakan oleh individu sebagai upaya untuk dapat menolong dan menyelesaikan masalahnya sendiri secara mandiri (selfcare). Mindfulness sehat mandiri ini dapat dilakukan oleh pasien dengan masalah Kesehatan yang kronis, seprti pasien kanker dan leukemi. Pasien dirumah Singgah IZI merupakan pasien yang sebagian terdiagnosis cancer dan leukemia yang tidak mempunyai biaya dalam pengobatan dirumah sakit.. Target sehat mandiri adalah keterampilan atau skill yang seharusnya dimiliki oleh pasien misalnya cara mengatasi rasa sakit, cara mengatasi rasa marah, cara mengatasi kesedihan, cara mengatasi gangguan makan dan tidur termasuk cara bersosialisasi dengan orang lain. Diperlukan ketrampilan tambahan bagi pegawai /caregiver di rumah singgah dalam menghadapi pasien di rumah singgah IZI, sehingga dapat menolong atau mendukung kesembuhan pasien. Tujuan pelaksanaan pengabdian ini untuk meningkatkan kemampuan caregiver dalam mengelola keluhan pasien. Metode pelaksanaan dengan memberikan latihan target sehat mandiri sebanyak 3 kali pertemuan. Pelaksanaan kegiatan dilaksanakan di Rumah Singgah IZI dengan melibatkan pegawai dan caregiver Rumah Singgah IZI. Hasil dari pengabdian ini adalah peserta pelatihan merasakan manfaatnya, merasa nyaman, tenang selama mempraktikan mindfulness spiritual. Evaluasi praktik mindfulness; terdapat beberapa respon emosi, fisik dan spiritual yang dirasakan oleh peserta. Rencana Tindak lanjut adalah caregiver dan petugas dapat mengajarkan dan memandirikan pasien di rumah singgah dengan mindfulness target sehat mandiri, sehingga pasien dengan masalah Kesehatan kronik dapat melakukan secara mandiri

Using Calming Beds to Reduce PANNS-EC Scores in Patients with Violent Behaviors Dwidiyanti, Meidiana; Kandar, Kandar; Suerni, Titik; Wimala, Dina; Wijayanti, Diyan Yuli
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Background: Patients with violent behaviors have the potential to harm themselves, others, and their environment. The management of patients with violent behavior needs to consider various aspects, one of which is patients’ spiritual aspect. Combining a spiritual therapy of listening to Qur’an recitation, acupressure, and using a new innovation of a calming bed during the intervention is expected to increase the effect of relaxation and patients’ comfort to optimize the intervention outcomes, namely to reduce aggression level in patients with violent behaviors. Objective: This study aimed to determine the effect of the combined intervention of listening to Qur’an recitation (murottal), acupressure, and using a calming bed on reducing the Positive and Negative Syndrome Scale - Excited Component (PANSS-EC) scores in patients with violent behaviors. Methods: This study used a pre-post test quasi-experimental design without a control group. A total of 50 respondents who agreed to participate in the therapy entirely were randomly recruited. The therapy was given four times with a duration of 30 minutes each. The paired t-test was performed to find out the effect of the intervention. Results: The results showed a significant effect of the intervention on reducing the PANSS-EC score among patients with violent behavior (p=0.000). Conclusion: The combination intervention of listening to Qur’an recitation, acupressure, and use of calming beds can reduce symptoms of violent behaviors by decreasing the PANSS-EC scores. This study suggests using spiritual intervention to help patients with violent behaviors reduce their aggression. Abstrak: Latar Belakang: Pasien dengan perilaku kekerasan berpotensi membahayakan diri sendiri, orang lain, dan lingkungannya. Penanganan pasien dengan perilaku kekerasan harus memperhatikan berbagai aspek, salah satunya adalah aspek spiritual. Kombinasi terapi spiritual dengan mendengarkan murrotal dan acupressure, serta inovasi terbaru penggunaan calming bed selama pemberian intervensi diharapkan mampu meningkatkan efek relaksasi dan kenyamanan pasien sehingga dapat mengoptimalkan hasil intervensi yang diberikan yaitu untuk menurunkan tingkat agresi pada pasien dengan perilaku kekerasan. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas intervensi kombinasi antara mendengarkan murottal dan acupressure serta penggunaan calming bed dalam menurunkan PANSS-EC skor. Metode: Penelitian ini merupakan penelitian dengan pre dan post-test intervensi tanpa kelompok kontrol. Sampling yang digunakan adalah randomized control trial dengan 50 responden yang bersedia mengikuti terapi dari awal sampai akhir. Terapi diberikan sebanyak 4 kali dengan durasi 30 menit per intervensi. Analisis yang digunakan adalah paired t-test untuk mengetahui pengaruh intervensi. Hasil: Hasil penelitian menunjukkan adanya pengaruh yang signifikan dari pemberian intervensi spiritual kolaborasi dengan acupressure dan calming bed terhadap penurunan perilaku kekerasan dilihat dari skor PANSS-EC (p=0,000). Kesimpulan: Intervensi kolaborasi yang diberikan dapat menurunkan gejala perilaku kekerasan dengan penurunan skor PANSS-EC sesudah intervensi. Dalam pelayanan kesehatan disarankan adanya terapi spiritual dalam membantu menurunkan tingkat agresi pada pasien.

Online Nurse: Incorporating Islamic Spiritual Mindfulness to Decrease Anxiety during Online Learning among Nursing Students Santoso, Agus; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli; Ulliya, Sarah; Munif, Badrul; Karota, Evi; Tanjung, Dudut
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Background: Online learning during the COVID-19 pandemic has significantly impacted the physical and psychological health of most college students in Indonesia, especially nursing students. The major psychological impacts that students experience may include increased stress levels and anxiety. Islamic spiritual mindfulness through Online Nurse application is an exercise for emotional regulation with spiritual approach that is carried out online for students to control the situation and choose to accept so that they can reduce their anxiety or stress related to online learning during the COVID-19 pandemic. Objective: This study aimed to determine the effect of Islamic spiritual mindfulness through Online Nurse on reducing anxiety in students undertaking online learning. Methods: This study used a pre-post test quasi-experimental design with a control group. The samples were students undertaking online learning, consisting of 40 students from Qomarul Huda Badaruddin University (UNIQHBA) as the intervention group and 40 students from North Sumatra University (USU) as the control group. Results: There was an effect of Online Nurse on decreasing anxiety levels among students with a p-value of 0.000. Conclusion: Online Nurse can be applied to decrease anxiety among students in certain triggering situations, such as COVID-19 and online learning. Islamic spiritual mindfulness is needed in reducing anxiety. Abstrak: Latar Belakang: Pembelajaran daring di masa pandemi COVID-19 berdampak signifikan terhadap kesehatan fisik dan psikis sebagian besar mahasiswa di Indonesia, khususnya pada mahasiswa keperawatan. Dampak psikologis utama yang dialami mahasiswa adalah meningkatnya tingkat stres dan kecemasan. Mindfulness Spiritual Islam (MSI) melalui Online Nurse merupakan latihan pengaturan emosi melalui aspek spiritual yang dilakukan melalui program online bagi mahasiswa untuk dapat mengendalikan keadaan dan memilih untuk menerima, sehingga dapat mengurangi kecemasan atau stres yang dialami selama menjalani pembelajaran daring di masa pandemi COVID-19. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh MSI melalui Online Nurse terhadap penurunan kecemasan pada mahasiswa yang sedang melakukan pembelajaran online. Metode: Metode penelitian ini adalah penelitian eksperimen semu dengan pre-test post-test control group. Sampel penelitian adalah siswa yang mengikuti pembelajaran online, meliputi kelompok intervensi yang terdiri yang dari 40 siswa dari Universitas Qomarul Huda Badaruddin (UNIQHBA), dan kelompok kontrol yang terdiri dari 40 siswa dari Universitas Sumatera Utara (USU). Hasil: Ada pengaruh MSI melalui Online Nurse terhadap tingkat kecemasan dengan nilai p=0,000. Kesimpulan: Online nurse bisa dipakai untuk menurunkan kecemasan mahasiswa pada saat mengalami situasi tertentu yang memicu kecemasan, misalnya COVID-19 dan kuliah daring. Untuk menurunkan tingkat kecemasan mahasiswa, intervensi MSI mungkin diperlukan.

Concept analysis of emotion control among schizophrenia Rahman, Ainun Najib Febrya; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli; Rahmawati, Ashri Maulida
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Emotional control in schizophrenia patients is closely related to the patient's ability to control his negative emotions. Negative emotions in question are feelings of anger, fear and sadness. In the United States about 1.5 million crime cases occur each year. These events are mostly carried out by schizophrenic patients due to their inability to control negative emotions. The purpose of this article is to describe the methodological analysis used to clarify the concept of emotional control in schizophrenia patients. The concept analysis procedure from Walker and Avant is used in this paper. Literature review is carried out using online databases such as Google Scholar, Science Direct, and EBSCHO with keywords of concept analysis, emotional control, and schizophrenia. Antecedents of the concept of emotional control in schizophrenia: self control, mental boundaries, and self determination. Concept attributes: situation selection, situation modification, attentional deployment, cognitive change, and response modulation. The consequences of the concept: success in controlling emotions, happiness, positive results, and leadership effectiveness. Abstrak: Kontrol emosi pada pasien skizofrenia sangat berkaitan dengan kemampuan pasien dalam mengontrol emosi negatifnya. Emosi negatif yang dimaksud adalah perasaan marah, takut dan sedih. Di Amerika Serikat sekitar 1,5 juta kasus kejahatan terjadi setiap tahunnya. Kejadian tersebut banyak dilakukan oleh pasien skizofrenia akibat dari ketidakmampuan dalam mengontrol emosi negatifnya. Tujuan dari artikel ini adalah untuk menggambarkan analisis metodologi yang digunakan untuk memperjelas konsep kontrol emosi pada pasien skizofrenia. Prosedur analisis konsep Walker dan Avant digunakan dalam penulisan ini. Literature review dilakukan menggunakan database online seperti Google Scholar, Science Direct, dan EBSCHO dengan kata kunci analisis konsep, kontrol emosi, dan skizofrenia. Antecedent dari konsep kontrol emosi pada skizofrenia: pengendalian diri, batas mental, dan self determination. Atribut konsep: situation selection, situation modification, attentional deployment, cognitive change, dan response modulation. Konsekuensi dari konsep: keberhasilan mengontrol emosi, kebahagiaan, hasil positif, dan efektifitas kepemimpinan.

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