Holistic Nursing and Health Science
Published by Universitas Diponegoro
ISSN : -     EISSN : 26224321
Holistic Nursing and Health Science Journal (HNHS) (E-ISSN: 2622-4321) is an open access journal (e-journal). HNHS provides a forum for original research and scholarships relevant to nursing and other health-related professions. HNHS journal is published by Department of Master Nursing, Faculty of Medicine, Diponegoro University.
Articles 20 Documents
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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Abstract

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

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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.
The Influence of Mindfulness on the Decreasing Anxiety in Nursing Students to Support Academic Learning: A Literature Review Wiguna, Reza Indra; Dwidiyanti, Meidiana; Sari, Sri Padma
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 and stress in nursing students has been shown to result in a lack of concentration, reduced learning productivity, and unfavorable physiological effects. This can cause a bad risk to the academic process of nursing students. A positive coping mechanism to reduce anxiety can be performed through various mindfulness training to support the academic success of nursing students.Purpose: This literature review study aimed to describe the influence of mindfulness on decreasing anxiety in nursing students to support academic learning, from various literature studies. Method: This study is a literature review. Data were collected through the online databases of EBSCO, PubMed, and ScienceDirect. The articles used in this study were determined published in 2010 to 2017. The key words used in searching for the articles were mindfulness, mindfulness in nursing students, nursing student anxiety, and nursing student achievement.Results: The results of this literature indicate that mindfulness is a holistic intervention that significantly improves mental health in nursing students. It can support students’  learning productivity to improve their academic achievement. The focus of mindfulness training program is to develop a better way to observe and concentrate, which in turn will facilitate a reduction in suffering and increased inner peace. Mindfulness will create relaxed attitudes and facilitates an open acceptance of experiences, thoughts, and learning.Conclusion: Mindfulness therapy with various types of exercises would be a good alternative for nursing students to reduce anxiety. Future studies should explore the long-term effects of mindfulness on the students’ learning productivity and academic achievement
Efektivitas Konseling dengan Pendekatan Motivational Interviewing Terhadap Penurunan Depresi pada Pasien Post Stroke Depression Apriani, Baiq Nurainun; Hadi, Irwan; Warongan, Anwar Wardi; Supriyatna, Nana
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 : Stroke is a serious global health problem, strokes can be threatening and result in morbidity and mortality and increase the length of days of treatment that cause maintenance costs to increase, stroke prevalence increases every year, followed by increased post-stroke depression. Motivational interviewing (MI) is a patient-focused counseling technique designed to help individuals explore and overcome ambivalence in behavior.Purpose : This study aims to determine the effectiveness of counseling with a motivational interviewing approach to reducing depression in post-stroke depression patients in NTB Province Hospital.Method : Quasi Experiment Pre-test design Post-test control group design with a sample of 32 respondents selected by purposive sampling technique.Results: The results of bivariate analysis with paired t test there were significant differences in post-stroke depression in the control group and the intervention group with a value of 0.028, in the intervention group the average depression was 2.25 with a value of 0.000 < α (0.05).Conclusion: Counseling with a motivational interviewing approach is effective in decreasing depression in post stroke depression patients at NTB Hospital. Suggestions for the next researchers can research with different places with more samples and qualitative and quantitative methods (mixed methods) so that research results are more optimal.
Pelatihan Sistem Informasi Sehat Holistik (SI-SEHO) untuk Pemberdayaan Kader Kesehatan Dwidiyanti, Meidiana; Sari, Sri Padma; Wijayanti, Diyan Yuli; Ningsih, Hasanah Eka Wahyu; Wiguna, Reza Indra; Fahmi, Akhmad Yanuar
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: Public health services today require community empowerment so that services become affordable in every village in the community. Health cadres are existing non-professional health workers who are trained to be able to support patients or the community in addressing health problems faced. Health cadres as non-professionals who are directly dealing with the community are required to increase their ability continuously according to the changes that occur in the community.Purpose: The purpose of this study is that health cadres can improve their understanding holistically about health, through the SI-SEHO application tool so that health cadres can monitor the health of patients in the community.Method: The research used is descriptive using a qualitative approach obtained from the results of empowerment and cadre training activities using the SI-SEHO application. Data analysis is based on the objectives of the training on the use of the SI-SEHO application.Results: The results of this research activity are that health cadres can understand the meaning of health holistically that is inseparable from several dimensions of understanding holistic health. As stated by SP respondent 4 "Holistic health is comprehensive health, such as body and mind health." The ability of cadres to help individuals, families and communities increase with cadres saying "now we can help others in the community by registering through applications". Other results were obtained from research subjects as several people had been detected with physical illness and some people were detected at risk for mental disorders.Conclusion: The use of information technology is able to improve the knowledge and ability of health cadres in monitoring sick individuals or patients in the community. The development of health information systems is currently needed in the development of health services in todays digital era, such as empowering health cadres through information system training. 
The Effect of Ruqyah Syar’iyyah Therapy on Anxiety, Stress and Depression Among Health Science Students Arifuddin, Yusuf Waliyyun; Fahmi, Akhmad Yanuar
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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Backgroud: University student is one of the community groups that are vulnerable to mental health problems. Loads of course are likely to be high, demanding students must meet the target that has been charged by the university. Especially, the faculty or department does require the seriousness and the achievement of learning objectives in a timely manner, for example the faculty of medicine, nursing, midwifery and others. Therefore, students have a high propensity to suffer anxiety disorder, stress and depression. Many ways have been made to reduce these anxiety, stress and depression. Among of them are ruqyah syar’iyyah (incantation) is alternatively offered as the Islamic treatment. The initial phase of this therapy is problems diagnose (or counselling as known in psychology). The second phase is tauziyah (advice) with materials that are relevant to the problem (or problem solving if termed in psychology). The third phase is listening to the verses of Al-Qur’an and or be coincided with taking prophet medicines such as honey, black seed oil, zam - zam water, olive oil, and sidr leaves.Purpose: The purpose of this study was to determine whether the therapy of ruqyah syariyyah effects in reducing the levels of anxiety disorders, stress and depression among health science students.Method: The research method used is a quasi-experimental pre-post test design with a total sample of 54 respondents that refer to the scale DASS 42 (Depression Anxiety and Stress Scale). Sampling was done with a purposive sampling. Each of the mentioned disorders was 18 samples (9 treated samples and 9 untreated samples).Results: Based on the statistical test method of Wilcoxon Signed Ranks Test with its significance level α (0.05), it can be concluded that there is a significant effect of ruqyah syariyyah treatment in decreasing the levels of anxiety, stress and depression among health students.Conclussion: For further research, it is high recommended to examine respondents with controlled disorders as in a mental hospital, or rehabilitation places that service for anxiety disorders, stress and depression.
Hubungan Antara Dukungan Sosial dengan Harga Diri pada Tunanetra Dewasa Mantan Awas di Kota Semarang Savitri, Vivi; Hartati, Elis
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: Visually impaired people is one of the most common disabilities in Indonesia. The number of visually impaired people in Semarang City based on the data of Central Bureau of statisic 2015 was 806 people. Sudden blindness can lead to depression, improper self-perception, decreased levels of motivation, and low self-esteem. The existence of Sosial support is one of the ways to help blind people spared from those impacts. Sosial support helps to deal the blind people with problems that relate to physically, psychologically, and sosially.Purpose: The purpose of this study is to analyze the relationship between sosial support and self-esteem in the former blind adult in Semarang.Method: The research uses non experiment quantity method with correlation method. The sampling technique use 50 correspondent of total sample. Data collection using a sosial support questionnaire and Coopersmith Self Esteem Inventory (CSEI). Results: The results showed that there was a correlation between sosial support and self-esteem of blind adults in Semarang with positive direction. Sosial support has an important role to increase self-esteem, the higher sosial support given the higher self-esteem of the blinds people get. The community is expected to be a provider of sosial support for fellow community members to increase self-esteem of the former visually impaired.
Perbedaan Tingkat Caregiver Burden Yang Merawat Lansia Demensia Di Panti Wreda Triyono, Heru Ginanjar; Dwidiyanti, Meidiana; Widyastuti, Rita Hadi
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: The prediction of the number of elderly people in Indonesia will increase along with changes in Indonesias demographic status. Elderly people who feel that at home less socialize with elderly people choose to live in a nursing home, this is an alternative for the elderly, elderly degenerative diseases are very diverse one of which is elderly dementia with dementia will require a level of dependence beyond the elderly who do not have dementia. Caregivers who treat the elderly with dementia will be very vulnerable to burden in treating elderly dementia.Purpose: The purpose of this study was to analyze the difference in the level of caregiver burden who care for elderly dementia at a nursing home.Method: This research method uses "Quasy experiment pre and posttest with control group". Number of samples 34 from each group. Data were analyzed using the Mann Whitney test with the help of SPSS 22.0 for Windows.Results: Research in the control group has a higher level of burden caregivers compared to intervention groups, this is because the control group respondents have lower wages than the city minimum wage, besides that the elderly characteristics carried out by nursing care have more severe dementia than the intervention group.Conclusion: The results of this study can be used as a reference in developing services for the elderly and elderly caregiver, especially the elderly who suffer from dementia.

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