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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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Abstract

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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Abstract

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

Abstract

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. 
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 | Full PDF (449.162 KB) | DOI: 10.11591/ijphs.v5i3.4803

Abstract

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 Vol. 1, No. 2 (2018): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.2.2018.82-91

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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. 
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 Vol. 1, No. 1 (2018): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.1.2018.35-45

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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 Vol. 1, No. 1 (2018): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.1.2018.46-54

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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.
The Effect of Hypnotherapy using Induction Hanung Technique on the Level of Cigarette Dependence and Carbon Monoxide in Exhaled Breath among Active Smokers Margiyati, Margiyati; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli
Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.1.2018.12-23

Abstract

Background: Smoking is a habit that causes many health problems. Nicotine substances in cigarettes cause addiction and carbon monoxide inhaled is poisonous. Hypnotherapy using induction hanung technique is an alternative which can be used to change someone’s smoking behaviors. This therapy is performed by giving hypnotic suggestions combined with a massage at acupuncture points of neguan, yintang, and taiyang. Purpose: This study aimed to analyze the effects of hypnotherapy using induction hanung technique on the level of cigarette dependence and carbon monoxide in exhaled breath among active smokers in Kesdam IV/ Diponegoro College of Nursing, Semarang.Methods: The present study employed a true-experimental pretest-posttest control group design. A total of 40 students were recruited as samples and randomly assigned to the intervention group (n=20) and control group (n=20). The intervention in the form of hypnotherapy using induction hanung technique was given for six times in two weeks. The instruments used were Fagerstorm Test for Cigarette Dependence (FTCD) and smokerlyzer. Data were analyzed with the Mann-Whitney test and independent t-test.Results: The results showed a decrease in the score of cigarette dependence level in the intervention group by 1.25 after the intervention was given with pretest mean value of 1.45 (SD=1.132). The result of Mann-Whitney test showed a significant difference in the cigarette dependence score between the intervention and control groups with a pvalue of 0.028. The level of carbon monoxide in the exhaled breath also decreased by 8.80 ppm after the intervention from the pretest mean values of 12.55 (SD=6.669). The independent sample t-test result also showed a significant difference in the carbon monoxide level between the two groups with a p-value of 0.000.Conclusion: The present findings showed that hypnotherapy using induction hanung technique affected the level of cigarette dependence and carbon monoxide in exhaled breath among the active smokers. Based on the findings, this therapy is recommended as an alternative to nursing intervention for the smoking cessation programs.
Effectiveness of Mindfulness on Decreasing Stress in Health Professional Students: A Systematic Review Fahmi, Akhmad Yanuar; Dwidiyanti, Meidiana; Wijayanti, Diyan Yuli
Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.1.2018.1-11

Abstract

Background: Stress in health professional students is increasing every year. Therefore it is necessary to implement stress management for the students. Mindfulness is an alternative which can be used to deal with stress.  Purpose: The purpose of this systematic review is to describe the effectiveness of mindfulness on decreasing stress in health professional students. Methods: This systematic review was conducted by searching relevant articles published in online databases EBSCO, Science Direct, PubMed, and Google. The search was restricted to the full-text articles published in 2010-2017 and employed the RCTs and non-RCTs research designs with a mindfulness intervention.Results: Of the ten articles reviewed, it was found that mindfulness could decrease stress in professional health students with a very significant p-value. The types of mindfulness administered to the health professional students included yoga therapy, MBSR therapy, and meditation therapy. In average, MBSR therapy is used for health professional students. This intervention is practiced through meditation which lasts for 5-35 minutes for 3-6 weeks. Conclusion: The study reported that, in average, the intervention to decrease stress in health professional students is performed by using MBSR with a meditation of 5-35 minutes. The intervention is done for 3-6 weeks. Results found that MBSR mindfulness could decrease stress. Further research is needed to explore the effectiveness of mindfulness on other subjects such as students who get scholarships.
Co-Authors Agung Pambudi, Hubertus Agus Santoso Agustina, Clara Agustriyani, Feri Aisah, Nur Aas Ani Margawati Ardi, Wandria Robi Ardinata, Ardinata Asiah Asiah Atmanto, Arif Puji Diel, M. Martono Diyan Yuli Wijayanti Dwiantoro, Luky Dwiantoro, Luky Elis Hartati Elmonita, Yudhanoorsanti Erika Dewi Noorratri, Erika Dewi fahmi, akhmad yanuar Fahmi, Akhmad Yanuar Febrya Rahman, Ainun Najib Fery Agusman Mendrofa, Fery Agusman Fitria Handayani Fitriyah, Erna Tsalatsatul Hasan, Muhamad Ibnu Indra Wiguna, Reza Irwan Hadi, Irwan Ketut Candrawati, Sang Ayu Kitu, Irene Febriany Mamo Kurniasari, Cecilia Indri Kusumawati, febriana Tri Madya Sulisno Mare, Agustina Chriswinda Bura Margiyati, Margiyati Megah Andriany Mu'in, Muhammad Muchlis Achsan Udji Sofro Muin, Muhammad Mulianingsih, Misroh Namuwali, Domianus Ni’mah, Maftukhatun Ningsih, Hasanah Eka Wahyu Ningsih, Hasanah Eka Wahyu Nurkholis Nurkholis Nurmayani, Winda Padmasari, Sri Pambudi, Hubertus Agung Pamungkas, Akhmad Yanuar Fahmi Prasetya, Rikhan Luhur Puspitasari, Nur Wahyu Rahmawati, Ashri Maulida Rita Hadi Widyastuti Rokhyati, Rokhyati Rokhyati, Rokhyati Sadipun, Donatus Korbianus Sarah Ulliya Saraswati, Niken Sri Padma Sari, Sri Padma Sulistiyaningsih Sulistiyaningsih Suparjo Suparjo Thoyibah, Zurriyatun Titik Suerni Trirahayu, Kastuti Endang Triyani, Feri Agus Triyono, Heru Ginanjar Uliya, Sarah umah, khoiroh Utama, Medika Wahyuningsih, Fefi Eka Widodo Sarjana, Widodo Widodo, Yessy Pramita Wiguna, Reza Indra Wiguna, Reza Indra Yuli Wijayanti, Diyan Zuhri, Mohammad