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Correlation between Disclosure Status and Stress in Men who Have Sex with Men with HIV Edianto Edianto; Agung Waluyo; Sri Yona; Ina Martiana
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.v23i3.1101

Abstract

Men who have sex with men living with HIV (MSM-LWH) experience psychological and social issues, including depression, anxiety, fear of infecting others, frustration, and social isolation. They may also experience problems in their relationships due to a fear of social stigma, such as marital issues, family conflicts, a lack of family support, economic difficulties, and social rejection by the family. This research aimed to assess the relationship between HIV status disclosure and stress in MSM-LWH in Medan, Indonesia. Here, a cross-sectional design and the convenience sampling technique were used. A total of 176 respondents who were MSM, HIV positive, and residents of Medan City were included in this work. Data were collected by means of HIV Status Disclosure questionnaires and a Perceived Stress Scale (PSS). Overall, 70.9% respondents reported disclosing their status to others and approximately half revealed experiencing stress. Moreover, HIV status disclosure was significantly associated with stress (p= 0.025). This study reveals that HIV status disclosure may result in negative effects on MSMLWH, represent a barrier to medical treatment, and increase internal stress. Abstrak Hubungan antara Status Disclosure dengan Stres pada Lelaki yang Berhubungan Seks dengan Lelaki dengan HIV. Lelaki yang berhubungan Seks dengan lelaki (LSL) yang hidup dengan HIV mengalami masalah psikologis dan sosial termasuk depresi, kecemasan, ketakutan menulari orang lain, frustasi dan isolasi sosial. Selain itu juga mengalami masalah dalam hubungan sosial karena takut akan stigma, konflik dalam keluarga, kurangnya dukungan keluarga, kesulitan ekonomi dan penolakan oleh keluarga. Penelitian ini bertujuan untuk mengetahui hubungan antara status disclosure HIV dengan stress pada LSL yang hidup dengan HIV di Medan, Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan teknik convenience sampling. Sebanyak 176 responden LSL dengan HIV positif dan tinggal di wilayah kota Medan. Data dikumpulkan dengan menggunakan HIV Status Disclosure Questionare dan Perceived Stress Scale (PSS). Hasil penelitian menemukan bahwa sebanyak 70,9% responden memiliki status disclosure HIV rendah, sementara itu sebanyak 55,1% resonden mengalami stress yang tinggi. Status disclosure HIV secara ber-makna dikaitkan dengan stress (p= 0,025). Penelitian ini mengungkapkan bahwa status disclosure HIV dapat mem-berikan efek negatif pada LSL yang hidup dengan HIV dan menjadi penghalang untuk perawatan medis dan mening-katkan stress internal.Kata Kunci: HIV, lelaki yeng berhubungan seks dengan lelaki, status disclosure, stres
Nurses’s Burnout and Anxiety about Risk of Infection toward Quality of Life during the COVID-19 Outbreak Ina Martiana; Hendra Dwi Cahyono
Poltekita : Jurnal Ilmu Kesehatan Vol. 16 No. 3 (2022): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v16i3.1258

Abstract

The novel coronavirus disease (COVID-19) is a global pandemic in all over countries. Nurses as frontline worker who taking care of infected patients and have high risk of being infected by COVID-19. This pandemic affects physical and psychological conditions of nurses. The aim of this study was to identify the correlation between nurse’s burnout and risk of infection anxiety toward quality of life. This study used descriptive cross-sectional design. A total of 102 participants joined this research. The participants were nurses who work in COVID-19 isolation room. The data collecting process has done by online. The participants filled informed consent and questionnaire by online questionnaire. The study was assessed by Professional Quality of Life-5 (ProQOL-5), C-19ASS (COVID-19 Anxiety Syndrome Scale), and CBI (Copenhagen Burnout Inventory). This study was analyzed using non-parametric Kruskal Wallis. The results of the study were 56.9% of respondents had a high level of anxiety, 50% of them experienced burnout. There is a significant relationship between length of work and quality of life of CS (p value = 0.048). There is also a relationship between burnout and STS quality of life (p value = 0.033). The pandemic situation is being fluctuated and people adapted to it. The anxiety and burnout feeling was also change anytime. The more nurses being prepared, the lower burnout, and having good quality of life. The good teamwork to support and feeling of being appreciate give good quality of life for nurses.  
Eksplorasi Respon, Koping Dan Adaptasi Pasien Kanker Yang Sedang Menjalani Kemoterapi Selama Masa Pandemi Covid-19 : Studi Fenomenologi Hendra Dwi Cahyono; Ina Martiana
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 13 No 2 (2022): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v13i2.738

Abstract

Background: The pandemic condition poses two main health risks for cancer, namely interrupted care (treatment process, radiotherapy, surgery) and increased cancer susceptibility to COVID 19. In primary care facilities, there are delays in diagnosis, and cancer. Reluctance to refer suspected cancer to secondary care. Purpose: taking an in-depth picture of the response, decision making and adaptation of patients who are undergoing the Covid-19 pandemic Method: a phenomenological approach, to explore respondent information about the response, coping and adaptation of patients who are undergoing the Covid-19 pandemic. This research was conducted in the Chemotherapy Unit room at Baladhika Husada Hospital Jember in December 2021 with a total of 11 respondents who were selected through purposive sampling. Data was collected by means of semi-structured interviews which were recorded using a voice recorder. Results: four themes, namely obstacles in treating patients that have an impact on treatment, respondents' expectations in dealing with cancer experienced and the covid-19 pandemic, Dilemmas against Covid-19, and Anxiety if respondents do not do chemotherapy. Conclusion: Adjustment of cancer care during the COVID-19 pandemic requires a solid collaboration in order to jointly solve the Covid-19 problem. Expectations are always the respondent's reinforcement, played by environmental and family factors as an adaptive support system.
Correlation between Disclosure Status and Stress in Men who Have Sex with Men with HIV Edianto Edianto; Agung Waluyo; Sri Yona; Ina Martiana
Jurnal Keperawatan Indonesia Vol 23 No 3 (2020): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i3.1101

Abstract

Men who have Sex with Men Living with HIV (MSM-LWH) experience psychological and social problems including depression, anxiety, fear of infecting others, frustration, and social isolation. In addition there are also problems in relationships due to fear of social stigma such as problems in marriage, conflict in the family, lack of family support, economic difficulties, and social rejection by the family. This research aims to assess the relationship between HIV status disclosure with stress in Men who have Sex with Men (MSM) living with HIV in Medan, Indonesia. This a cross-sectional study with convenience sampling technique were used. 176 respondents were MSM, HIV positive, and live in Medan city area. Data was collected by means of HIV Status Disclosure Questionnaires, and Perceived Stress Scale (PSS). In this research find that few 70.9% respondents had disclosed their status and about half reported stress. The disclosure of HIV status was significantly associated with Stress (P= 0,025). This study conclusions were HIV status disclosure can give negative effect for MSM living with HIV and becomes barrier to medical treatment and grow toward internal stress. Abstrak Hubungan antara Status Disclosure dengan Stres pada Lelaki yang Berhubungan Seks dengan Lelaki dengan HIV di Medan, Indonesia. Lelaki yang berhubungan seks dengan lelaki (LSL) yang hidup dengan HIV mengalami masalah psikologis dan sosial termasuk depresi, kecemasan, ketakutan menulari orang lain, frustasi dan isolasi sosial. Selain itu juga mengalami masalah dalam hubungan sosial karena takut akan stigma, konflik dalam keluarga, kurangnya dukungan keluarga, kesulitan ekonomi dan penolakan oleh keluarga. Penelitian ini bertujuan untuk mengetahui hubungan antara status disclosure HIV dengan stress pada LSL yang hidup dengan HIV di Medan, Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan teknik convenience sampling. Sebanyak 176 responden LSL dengan HIV positif dan tinggal di wilayah kota Medan. Data dikumpulkan dengan menggunakan HIV Status Disclosure Questionare dan Perceived Stress Scale (PSS). Hasil penelitian menemukan bahwa sebanyak 70,9% responden memiliki status disclosure HIV rendah, sementara itu sebanyak 55,1% resonden mengalami stress yang tinggi. Status disclosure HIV secara bermakna dikaitkan dengan stress (p= 0,025; α= 0,05). Dapat disimpulkan bahwa status disclosure HIV dapat memberikan efek negatif pada LSL yang hidup dengan HIV dan menjadi penghalang untuk perawatan medis dan meningkatkan stress internal. Kata Kunci: HIV, status disclosure, lelaki yeng berhubungan seks dengan lelaki, stres
A Secondary Analysis of Peer Support and Family Acceptance Among Homosexual Living with HIV and Antiretroviral Therapy: Quality of Life Perspectives Ina Martiana; Agung Waluyo; Sri Yona; Edianto Edianto
Jurnal Keperawatan Indonesia Vol 24 No 1 (2021): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i1.1095

Abstract

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results showed that peer support was positively correlated with QOL (p= 0.023; OR= 2.070), and also, family acceptance was significantly related to QOL (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important factors affecting the well-being and QOL of MSM living with HIV and ART. This finding can be used for the improvement of QOL in people living with HIV. Abstrak Dukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup Homoseksual dengan HIV dan Terapi Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Menilai kualitas hidup (QOL) pada LSL mungkin berbeda dari populasi lainnya. Penelitian ini merupakan analisis sekunder dari penelitian sebelumnya. Kami menguji apakah dukungan sebaya dan penerimaan keluarga berdampak pada kualitas hidup pada LSL dengan HIV dan ART (terapi antiretroviral). Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data kuesioner yang sudah terisi komplit, akan dilakukan analisa. Hasil penelitian menunjukkan bahwa dukungan sebaya berhubungan positif dengan kualitas hidup (p= 0,023; OR= 2,070) dan juga penerimaan keluarga secara signifikan berhubungan dengan kualitas hidup (p= 0,001; OR= 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ART. Temuan ini dapat digunakan untuk peningkatan QOL pada orang dengan HIV. Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga
Faktor-faktor yang Mempengaruhi Kepatuhan Kemoterapi pada Pasien dengan Kanker Ina Martiana; Hendra Dwi Cahyono
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i2.969

Abstract

Kanker adalah penyakit global yang banyak diderita baik pada laki-laki maupun perempuan. Terapi adjuvant dengan kemoterapi adalah satu-satunya penatalaksanaan yang efektif untuk membunuh sel kanker. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang mempengaruhi kepatuhan kemoterapi pada kanker. Metode yang digunakan adalah cross sectional study dengan consecutive sampling. Total responden yang mengikuti penelitian sebanyak 55 orang. Hasil penelitian menunjukkan mayoritas 88,3% responden patuh menjalani kemoterapi. Faktor yang berhubungan signifikan dengan kepatuhan adalah jenis kelamin (p value 0,033) dan jumlah kemoterapi yang sudah dijalani (p value 0,042). Hal ini menjadi acuan untuk tenaga kesehatan agar lebih detail dalam memberikan informasi tentang mekanisme kemoterapi kepada pasien dan efek apabila tidak melaksanakan kemoterapi sesuai sesi yang sudah dijadwalkan.
Relationship Of Knowledge, Attitude, And Practice To Incidence Of Hepatitis A Virus Infection In Nursing Students In Jember Hendra Dwi Cahyono; Ina Martiana
Jurnal Kesehatan dr. Soebandi Vol 9 No 2 (2021): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v9i2.282

Abstract

Introduction: Hepatitis A virus (HAV) can cause inflammation in the liver. Indonesia is one of the countries with a high prevalence rate of hepatitis. The hepatitis A outbreak is an indicator of the lack of student’s concern in maintaining the food, drinks, or environment hygiene. Objective: The aim of the study was to determine the relationship between knowledge, attitude, and practice towards incidence of hepatitis A virus infection in nursing students. Methods: This research was a quantitative study with a descriptive analytical correlation design using a cross-sectional approach. The sampling technique used cluster sampling and 200 participants were obtained from nursing students in several colleges in Jember. The data collection process used an online google form for the questionnaires, because of the pandemic situation. The data analysis was carried out in univariate and bivariate analysis using Chi-square test. Results: The research results showed that there was a relationship between knowledge with incidence of hepatitis A infection which is significantly associated with alpha of 0.046 (<0.05) and OR of 1.140. There was no relationship between attitude and incidence of hepatitis A infection with alpha = 0.489 (> 0.05), as well as the relationship between practice and incidence of hepatitis A infection (p=0.489). High knowledge level has an important role in preventing the hepatitis A infection risk. Conclusion: Student’s attitude and practice are not significantly associated, because even the nursing students knew what to do for prevention of infection risk, they still didn’t do it in their daily activity.
The Usability Study Of A Newly Developed Mobile Application Guided Imagery In Indonesian (Gianesia) For Preoperative Patients Ina Martiana; Achmad Sya'id
Jurnal Kesehatan dr. Soebandi Vol 10 No 1 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i1.326

Abstract

Patients were commonly feel anxiety before surgical procedure. The anxiety caused by the lack of knowledge or experience in the surgical procedure or safety threats. Guided imagery was a therapy using imagination to overcome the anxiety. Most of the similar apps were provide in English. The aim of this study was to evaluate a mobile app ‘guided imagery in Indonesian (GIANESIA)’ for ease of providing therapy to patients. This study was a quantitative study using descriptive analytical. A total of 6 experts and 41 users were participated in this study. A consecutive sampling was used in this study by criteria inclusion. The experts were given a form to evaluate and users were given a modified questionnaire of system usability scale (SUS). The results shows 97.6% of users was satisfied using the app (mean+SD=83+15.69). All of experts were considered the language in therapy, the appearance of the app, the ease of use, and the content were good. The experts gave suggestions for unseen buttons, lack of information for scoring, unbalanced audio, and confusing in satisfaction message. This GIANESIA app was useful for users with total SUS score >68 which means this app can be used for wider audience. 83.3% of the experts also conclude high satisfaction score >68, so the app and the therapy deserves to be implemented in preoperative patients. This application can be the latest breakthrough to support nursing interventions to make it easier for Indonesia nurses to work. The application improvements need to be made for better quality.