Meidiana Dwidiyanti
Departemen Keperawatan Universitas Diponegoro Semarang

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THE EFFECTIVENESS OF MINDFULNESS APPLICATION "SI-SIWATA (SISTEM INFORMASI SEHAT JIWA DENGAN CINTA) TO INCREASE THE SPIRITUALITY OF SCHIZOPHRENIA PATIENTS: EXPERIMENTAL STUDY Agustriyani, Feri; Dwidiyanti, Meidiana; Suerni, Titik
Jurnal Aisyah : Jurnal Ilmu Kesehatan Article in Press
Publisher : STIKes Aisyah Pringsewu Lampung

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Spiritualitas merupakan aspek penting dalam kehidupan manusia, tidak terkecuali individu dengan skizofrenia dimana masalah spiritualitas pasien skizofrenia dapat ditangan dengan psikoterapi mindfulness spiritual yang saat ini mulai dikembangkan dengan berbasis aplikasi android. Tujuan penelitian ini untuk mengetahui pengaruh intervensi mindfulness spiritual melalui aplikasi android SI-SIWATA terhadap spiritualitas pasien skizofrenia. Penelitian ini merupakan penelitian quasi-eksperimental dengan tehnik pengambilan sampel menggunakan purposive sampling. Sampel pada penelitian ini berjumpal 46 pasien skizofrenia yang dibagi dalam kelompok intervensi dan kelompok kontrol. Intervensi mindfulness spiritual dilakukan selama enam kali dan dilakuakn pre-test dan post-test menggunakan kuesioner Daily Spiritual Experience Scale dan dianalisis menggunakan paired sample t test. Hasil uji statistic menunjukan nilai p = 0,001 (p kurang dari 0,05) artinya ada pengaruh intervensi mindfulness spiritual terhadap spiritualitas pasien skizofrenia.  Adanya peningkatan spiritualitas pasien berhubungan dengan penekanan tahapan intervensi mindfulness yaitu tahapan muhasabah dan tahap target sehat mandiri, sehingga pasien secara sadar mampu memahami kondisi yang dialami, menerima proses pengobatan dan melakukan target sehat mandiri dalam beribadah. Kemandirian spiritualitas sangat penting dalam membantu pasien menumbuhkan keyakinan kepada Allah SWT dalam menjalani proses perawatan.
INTERVENSI KEPERAWATAN HOLISTIK PROGRAM SOWAN MELALUI TARGET SEHAT MANDIRI PADA PASIEN TB PARU Dwidiyanti, Meidiana
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

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Penyakit TB di dunia termasuk Indonesia sejak tahun 1993 hingga sekarang masih merupakan masalah yang belum teratasi, hal ini berkaitan dengan masalah sosial ekonomi yang berbeda antara Negara.  Program self mangement dari Lorig, 2003 yang bertujuan untuk meningkatkan individu dan keluarga untuk mampu memanajemen gejala, perawatan dan perubahan pola hidup, dampak psikologi, budaya dan spiritual dalam kondisi kesehatan khususnya dalam kondisi penyakit kronik. Dengan cara 5A yaitu assis, advise, agree, assist, arrange .Program ini yang telah diteliti dengan outcome penurunan jumlah pasien COPD yang datang ke rumah sakit sebanyak 39,8% (p=0,01), pasien yang melalui instalasi gawat darurat menurun menjadi 41,0% (p=0,02) dan kunjungan ke dokter yang tidak terjadwal menjadi 58,9% (p=0,03) (Bourbeu, 2003). Dari penelitian tersebut dapat diambil kesimpulan bahwa self management mampu menurunkan prevalensi kejadian kasus dengan pasien COPD. Tujuan penelitian ini adalah untuk menganalisis pengaruhintervensi keperawatan holistic program SOWAN terhadap kemandirian pasien TB paru. Hasil : Intervensi keperawatan Holistik Program SOWAN berpengaruh efektif untuk kemandirian pasien TB paru baik secara fisik,psikologi,sosial dan spiritual. Kartu sehat mandiri merupakan kartu monitoring untuk melihat masalah pasien secara holistic. Saran:Pelayanan kesehatan yang komprehensif atau Holistik sangat di butuhkan pasien TB Paru, maka di butuhkan pelayanan yang sesuai dengan masalah pasien.
IMPROVING SELF-EFFICACY AND PHYSICAL SELF-RELIANCE OF PATIENTS WITH PULMONARY TUBERCULOSIS THROUGH MINDFULNESS Noorratri, Erika Dewi; Margawati, Ani; Dwidiyanti, Meidiana
Nurse Media Journal of Nursing Vol 6, No 2 (2016): (DECEMBER 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (308.631 KB) | DOI: 10.14710/nmjn.v6i2.12585

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Background: Patients with pulmonary tuberculosis (TB) have a low level of medication adherence due to long care terms, side effects of medication and self-awareness. This awareness can be promoted by practicing mindfulness.Purpose: The study aimed to analyze the improvement of self-efficacy and self-reliance of patients with pulmonary TB through mindfulness intervention.Methods: This study employed a quasi-experiment with pre-post-test group design. The sampling technique was purposive sampling with 19 patients in the intervention group and 19 patients in the control group. The intervention given was mindfulness. The data were analyzed using the Wilcoxon and delta tests.Results: The study showed an increase of self-efficacy and physical self-reliance in patients in the intervention group with a p-value of <0.05. In the intervention group, there were differences in the activities of taking medication, eating, sleeping, preventing infection, practicing and coping with physical symptoms before and after the intervention. Furthermore, the patients in the intervention group also showed differences in their increased confidence to recover. Mindfulness intervention provided good effects on the patients in the intervention group as it helped them develop more awareness. Conclusion: Mindfulness intervention improved the self-efficacy and physical self-reliance of the patients with pulmonary TB. This study recommends that nurses should apply mindfulness to promote the awareness of the patients. 
TEKNIK RELAKSASI MENINGKATKAN KONTROL EMOSI PADA PENDERITA DENGAN PENYAKIT KRONIS : LITERATUR REVIEW Namuwali, Domianus; Mendrofa, Fery Agusman; Dwidiyanti, Meidiana
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 7, No 3 (2016): Juli 2016
Publisher : FORIKES

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Latar belakang : Faktor risiko terjadinya gangguan mental adalah penyakit fisik yang bersifat kronis. Hasil penelitian yang dilakukan oleh Besral dan Widakdo tahun 2013 menyebutkan bahwa penyakit kronis seperti hepatitis dan stroke mengalami gangguan mental emosional masing-masing sebesar 47% dan 42%, kemudian diikuti oleh penderita penyakit jantung dan TBC (34%) dan penderita penyakit diabetes mellitus, tumor, atau kanker (24%). Kontrol emosi merupakan kecenderungan untuk menyembunyikan dan meredam emosi negatif seperti marah, depresi atau kecemasan. Relaksasi merupakan salah satu intervensi keperawatan untuk mengatur emosi dan menjaga keseimbangan emosi sehingga emosi pasien tidak berlebihan dan tidak terjadi pada tingkat intensitas tinggi. Tujuan : mengidentifikasi pengaruh teknik relakasi terhadap kontrol emosi pada penderita dengan penyakit kronis. Metode : Metode penelitian yang digunakan adalah literatur review terhadap hasil penelitian yang berkaitan dengan teknik relaksasi terhadap kontrol emosi pada penderita penyakit kronis yang dipublikasi pada pangkalan data (data base) EBSCO, Medline dan Google search. artikel yang dipilih merupakan artikel bahasa Inggris yang terbit sejak tahun 2010 sampai tahun 2015. Hasil : artikel yang ditemukan secara signifikan menunjukan bahwa teknik relaksasi dapat meningkatkan kontrol emosi pada penderita penyakit kronis. Simpulan : Teknik relaksasi meningkatkan kontrol emosi pada penderita dengan penyakit kronis Kata kunci : Relaksasi, kontrol emosi, penyakit kronis.
DEEP BREATHING RELAXATION TECHNIQUES IMPROVE EMOTIONAL CONTROL ON TUBERCULOSIS PATIENTS Namuwali, Domianus; Mendrofa, Fery Agusman; Dwidiyanti, Meidiana
International Journal of Public Health Science (IJPHS) Vol 5, No 3: September 2016
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v5i3.4803

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Tuberculosis is an infectious disease caused by Tuberculosis Mycobacterium. Based on  WHO report in 2014, the world population suffering from tuberculosis were 9.6 million people while in Indonesia it was amounted 324 539 people. Tuberculosis patients have a tendency to experience emotional disturbance due to the illness. A deep breathing relaxation is a nursing action for controlling emotions of tuberculosis patients. The study design is quasi-experimental design with one group pre-test-post-test. Data were collected by using a questionnaire adapted from Gross and John (2003). Data were analyzed using paired t test. The results of this research is deep breathing relaxation technique is effective to control emotions of tuberculosis patients with p value = 0,001.
Gambaran Risiko Gangguan Jiwa pada Korban Bencana Alam Gempa di Lombok Nusa Tenggara Barat Dwidiyanti, Meidiana; Hadi, Irwan; Wiguna, Reza Indra; Ningsih, Hasanah Eka Wahyu
Holistic Nursing and Health Science Volume 1, Nomor 2 (2018): (Oktober 2018)
Publisher : Master Of Nursing Faculty of Medicine, Diponegoro University

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Background: Earthquake is known as a disaster causing considerable health problems requiring immediate post trauma rehabilitation. Prominent health problem emerging after a disaster is psychiatric and mental health problem.Purpose: The study aimed to identify mental health risk and other significant problems growing among the victim’s post-earthquake in Lombok, West Nusa Tenggara, Indonesia.Method: Mix method approach, which was used throughout the study, is a strategy to obtain the data from the disaster victims of 88 people in Lombok. This study collected the data using Psychiatric and Mental Health Disorder Detection Questionnaire and symptom documentation form after practicing Mindfulness Spiritual.  Results:  The result showed that victims experienced neurosis symptom (85,2%), psychotic symptom (25,9%), PTSD symptom (64,7%) and 13 people did not experience mental health disorder risk. The qualitative study result showed that the earthquake victims grievance was afraid and feeling anxiety to enter the house due to earthquake incident, family relationship and economy problems, ghost issue and numerous diseases.Conclusion: Earthquake lead to psychiatric and mental health disorder and problems including mental health, economy, spiritual and physic aspects among people in Lombok, West Nusa Tenggara.  It is essential for the future research to conduct a research about the description of mental health disorder after practicing mindfulness spiritual and planning the intervention that had been agreed by the respondent.
EFFECT OF SPIRITUAL BASED MINDFULLNESS INTERVENTION ON EMOTIONAL CONTROL IN ADULT PATIENTS WITH PULMONARY TUBERCULOSIS Sadipun, Donatus Korbianus; Dwidiyanti, Meidiana; Andriany, Megah
Belitung Nursing Journal Vol 4, No 2 (2018): March-April 2018
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.942 KB) | DOI: 10.33546/bnj.357

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Background: Emotions have an impact on the healing process as it affects the body's defense system. The work that can be done to control the emotions of pulmonary TB patients is mindfulness with a spiritual approach.Objective: To examine the effect of spiritual based mindfulness intervention on the emotional control in adult patients with  pulmonary TB.Methods: This was a pre-experimental study with one group pre-post test design with a total of 45 adult patients with pulmonary TB recruited purposively in the public health centers. A questionnaire of emotional regulation was used for data analysis. Paired t-test was used for data analsyis.Results: This study showed that there was a significant difference in emotional control between before and after given spiritual based mindfulness intervention with p = 0.000 (<0.05).Conclusion: The spiritual based mindfulness intervention has a significant effect to  improve the emotional control of adult patients with pulmonary TB. This can be used as one of the efforts to control the emotions of pulmonary TB patients as well as as to speed the healing process. 
Keyakinan Lansia Tentang Seksualitas pada Masa Lanjut Usia Agung Pambudi, Hubertus; Dwidiyanti, Meidiana; Yuli Wijayanti, Diyan
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 1 (2018): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

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Seksualitas terbayangkan berkaitan dengan kecantikan fisik atau adanya sedikit daya tarik. Kedua hal ini sebagian besar menghilang bersamaan dengan semakin lanjutnya usia karena adanya perubahan pada kulit serta susunan jaringan ikat dan lemak. Tujuan penelitian ini untuk mengetahui keyakinan lansia tentang seksualitas pada masa lanjut usia di masyarakat RW 01 Kelurahan Pedalangan wilayah kerja Puskesmas Padangsari Banyumanik Semarang. Penelitian ini menggunakan desain penelitian kualitatif dengan pendekatan fenomenologi hermeneutic, suatu pendekatan yang mengasumsikan temuan-temuan risetnya tidak murni hasil deskripsi, tetapi lebih interprestasi peneliti. Adanya keyakinan yang menyatakan bahwa hubungan seksual dengan intensitas yang tinggi dapat membuat seseorang menjadi awet muda, namun hal ini tidak sepenuhnya dipercaya oleh partisipan. Partisipan lebih meyakini bahwa usia akan terus bertambah dan setiap orang akan tetap menjadi tua, namun melalui hubungan seksual suami istri adalah wujud atau bentuk kasih sayang terhadap pasangan, yang tentunya akan berimplikasi terhadap harmonisnya keluarga. Keyakinan lansia terhadap seksualitas pada masa lanjut usia adalah bukan untuk menjadi awet muda melainkan untuk menjaga keharmonisan keluarga.
Effects of Mindfulness with Gayatri Mantra on Decreasing Anxiety in the Elderly Ketut Candrawati, Sang Ayu; Dwidiyanti, Meidiana; Widyastuti, Rita Hadi
Holistic Nursing and Health Science Volume 1, Nomor 1 (2018): (Juli 2018)
Publisher : Master Of Nursing Faculty of Medicine, Diponegoro University

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Background: Anxiety is one of the psychological problems which can develop in the elderly. If left untreated, it can decrease the productivity and quality of life. Mindfulness with Gayatri mantra is such a complementary therapy which is effective to reduce anxiety in the elderly.  Objective: The purpose of this study was to determine the effects of mindfulness with Gayatri mantra on decreasing anxiety in the elderly Hindus in Bali, Indonesia. Methods: This study employed a one group pre and posttest quasi-experimental design and involved 34 elderly people recruited using a purposive sampling technique. Anxiety was measured using the Geriatric Anxiety Scale (GAS). A t-test statistical analysis was used to analyze the data.   Results: Results showed that there were significant effects of mindfulness with Gayatri mantra on decreasing the anxiety in the elderly Hindus in Bali with a p-value of 0.000 (α-value = 0.05). Conclusion: Mindfulness with Gayatri mantra could decrease anxiety in the elderly Hindus. This therapy can be used as an alternative to prevent the recurrence of anxiety in the elderly.
Roles of Infection Prevention and Control Nurses (IPCNs) in Preparing for Emerging Infectious Diseases Fitriyah, Erna Tsalatsatul; Dwidiyanti, Meidiana; Dwiantoro, Luky
Holistic Nursing and Health Science Volume 1, Nomor 1 (2018): (Juli 2018)
Publisher : Master Of Nursing Faculty of Medicine, Diponegoro University

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Background: Infectious diseases have become one of the world’s serious problems including in Indonesia. Infectious diseases can originate from the community and hospital environment. Health workers performing inappropriate medical procedures could also be a cause of transmission of infectious diseases. Infection prevention and control nurses (IPCNs) as the pioneers of prevention and infection control in hospitals have not optimally played their roles.   Purpose: This study aimed to explore the roles of IPCNs and their constraints in preparing for emerging infectious diseases. Methods: The present study employed a qualitative design with the hermeneutic phenomenological approach. The samples were seven IPCNs for the primary participants, and two Infection Prevention and Control Officers (IPCOs) and 13 Infection Prevention and Control Link Nurses (IPCLNs) as the triangulation participants. The data were collected using in-depth semi-structured interviews analyzed using a content analysis technique.   Results: The results identified two themes: (1) IPCNs played roles as clinical practitioners, activity coordinators, administrators, and educators, and (2) the roles of IPCNs had not been optimal due to the lack of support from the hospital management, insufficient infrastructure, weak monitoring and evaluation, and the unavailability of appropriate rewards and  punishment.Conclusion: The majority of participants in this study agreed that IPCNs had tried well to play their roles. However, various obstacles were encountered, which hindered the IPCNs in performing their roles.