The lockdown situation during the COVID-19 pandemic was a substantial pressure for housewives, especially in terms of the psychological effects. Before the pandemic, housewives in Indonesia took care of their husbands and children as a mother and as a wife. During the pandemic, that role increased: they had to be a teacher for their kids and with the husband they needed to think about the economic factors of income. To maintain their mental health, they needed to have strategies of coping mechanisms. This research aimed to examine the mental health of housewives in Sungai Bawang Culture Village and the process of adaptation from the cultural perspective of Dayak Kenyah Tribe. The researchers used mixed methods approaches. Interviews were conducted with 10 respondents to understand about the cultural perspectives, and the DASS-21 questionnaire and Ways of Coping questionnaire were used to measure the level of stress and coping mechanisms used by 50 housewives. The results of Fisher’s exact test showed that culture had an impact on the coping strategies used by the housewives. Most of the housewives used coping strategies to focus on their problems (to overcome the core of the problems or try to reduce the negative effect due to the problems) and most of them did not have stress. Keywords: COVID-19, mental health, cultural perspective, coping strategies
Background: The existence of lockdown regulation during the COVID-19 pandemic has an impact on the psychological pressure of housewives. Their role becomes more extensive as they have to be a teacher for their children and also have to get over the economic problems. Housewives are required to adapt by using appropriate coping strategies so that they do not undergo stress problem and remain mentally healthy. This study aims to describe the mental health and coping strategies of housewives in Sungai Bawang Culture village and analyze the adaptation process from the cultural perspective of the Dayak Kenyah tribe. Methods: This study was a descriptive study using standard instruments such as the Depression, Anxiety and Stress Scales (DASS-21) questionnaire to measure stress levels and the Ways of Coping Questionnaire to describe the coping strategies used. Structured interviews were conducted by researchers to find cultural perspectives that affect the adaptation process. Results: The results showed that the majority of housewives in Sungai Bawang culture village used problem focus coping strategies and the majority did not experience stress. Researchers also obtained data on the existence of cultural links that support the use of these coping strategies. Conclusion: Although the strategy used was focused on the problems. Further studies are necessary to find solutions to overcome these problems or find solutions to reduce the impact of the problems.
Chronic Kidney Disease merupakan gangguan fungsi ginjal yang progresif dan ireversibel, salah satu penanganannya dengan hemodialisa, keluhan yang sering pada pasien hemodialisa adalah kelelahan. Tujuan penelitian ini melihat pengaruh edukasi berbasis self care terhadap perubahan tingkat kelelahan pada pasien hemodialisa, merupakan penelitian kuantitatif dengan metode kuasi eksperimen pre post test design di RSUD A. Wahab Sjahranie periode Mei-Juni 2017, pengambilan sampel dilakukan dengan cara purposive sampling melibatkan 111 responden yang dibagi menjadi 2 kelompok intervensi edukasi berbasis self care 83 orang dan kelompok kontrol 28 orang. Hasil penelitian ini didapatkan setelah dilakukan intervensi selama 6 minggu, Uji Beda Berpasangan Non Parametrik Independent menunjukan bahwa nilai Asymp Sig (2 tailed) = 0,000 atau p-value < 0,05 ada pebedaan tingkat kelelahan antara kelompok intervensi terhadap kelompok kontrol, nilai OR menunjukkan kelompok intervensi edukasi berbasis self care memiliki kecenderungan mengalami perubahan tingkat kelelahan 1,22 kali lebih besar dibandingkan dengan kelompok kontrol. Pada analisis uji logistik ordinal hasil menunjukkan nilai p = 0,00 atau p-value <0,05 ada pengaruh yang signifikan intervensi edukasi berbasis self care yang diberikan terhadap perubahan tingkat kelelahan. Simpulan penelitian edukasi berbasis self care mempunyai pengaruh terhadap perubahan tingkat kelelahan dan direkomendasikan intervensi ini dapat diaplikasikan sebagai salah satu edukasi yang diberikan pada pasien menjalani hemodialisa
Latar Belakang: Kanker merupakan kumpulan pertumbuhan sel tidak teratur, penyebaran sel tidak terkontrol dapat menyebabkan berbagai keluhan dan mengancam jiwa. Pasien kanker menjalani kemoterapi dapat mengalami keluhan fatigue (kelelahan), kelemahan, rambut rontok, mual, muntah, mulut kering, cemas, stress dan depresi. Tujuan: Penelitian ini bertujuan untuk menganalisis efektivitas massage effleurage terhadap fatigue pasien kanker Di RSUD Abdul Wahab Sjahranie Samarinda. Metode: Penelitian ini merupakan penelitian menggunakan quasi eksperimental design dengan randomized pretest-posttest control group design untuk mengetahui efektivitas massage effleurage terhadap fatigue pada pasien kanker yang menjalani kemoterapi. Sebelum dilakukan perlakuan, kelompok intervensi dan kelompok kontrol dilakukan pengukuran fatigue menggunakan kuesioner Brief Fatigue Inventory sebanyak 14 pertanyaan. Setelah dilakukan pengukuran fatigue, kelompok intervensi diberikan latihan 3 kali seminggu dalam waktu 10 menit selama 2 minggu. Setelah itu dilakukan lagi pengukuran fatigue. Sedangkan kelompok kontrol diberikan intervensi keperawatan rutin. Hasil uji beda Wilcoxon signifikan ada perubahan fatigue sebelum dan sesudah intervensi (pvalue 0.00;<0.05). Intervensi massage effleurage secara simultan berpengaruh terhadap penurunan fatigue sebesar 73.4 %. Disimpulkan massage effleurage merupakan teknik memanipulasi rangsangan, ekonomis dan terbukti efektif menurunkan fatigue pada pasien kanker yang menjalani kemoterapi. Peneliti merekomendasikan protap massage effleurage sebagai tindakan mandiri perawat dalam memberikan asuhan pada pasien kanker yang menjalani kemoterapi dan penelitian lebih lanjut mengkombinasikan massage effleurage dan muscle relaksasi untuk mengatasi fatigue pada pasien kanker yang menjalani kemoterapi serta pada penderita kanker sejenis.
Background: The "New Normal" policy has several challenges that arise related to its implementation in society, namely the challenge of various understandings in society regarding "New Normal", there is no public awareness to implement behavior in the new normal life order. The implementation of the "New Normal" policy has been carried out throughout Indonesia, one of which is in the Sungai Bawang Cultural Village. However, the implementation of the "New Normal" policy is not always as expected. Nursing intervention is needed to support government programs to socialize and educate Covid-19 based on nursing diagnoses, namely readiness to increase knowledge, including through health education and increasing learning readiness. The purpose of this study was to determine the Behavior of Readiness to Increase Community Knowledge in Facing Covid-19 and New Normal Life. Methods: this study used an analytic observational design with a cross sectional approach. Overall the number of samples in this study is 30 respondents. Data were analyzed using the Chi Square test. Results: respondents have moderate knowledge of Covid-19 30% and 70% high. Knowledge of the new normal is low 20%, moderate 50% and high 30%. Behavior facing the new normal is lacking 13.3%, 33.4% sufficient and 53.3% good. This study shows that there is a significant relationship between knowledge about Covid-19 and behavior in facing the new normal with a value of p = 0.001 <0.05. Conclusion: there is a significant relationship between knowledge and behavior towards New Normal Life, the higher the public's knowledge, the more likely they are to behave well in adapting to a new life after the Covid-19 pandemic. Suggestion: The public must understand that knowledge is the most important prerequisite for behavior change in New Normal Life to implement health protocols which are a series of actions to prevent the spread of COVID-19.
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