Meidiana Dwidiyanti
Departemen Keperawatan Universitas Diponegoro Semarang

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INTERVENSI KEPERAWATAN HOLISTIK PROGRAM SOWAN MELALUI TARGET SEHAT MANDIRI PADA PASIEN TB PARU Dwidiyanti, Meidiana
PROSIDING SEMINAR NASIONAL Vol 2, No 1 (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.
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. 
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.
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

Abstract

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.
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 Volume 1, Nomor 1 (2018): (Juli 2018)
Publisher : Master Of Nursing Faculty of Medicine, Diponegoro University

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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.