Accessible summary What is known on the subject? Internalized stigma in people diagnosed with mental illness has several negative outcomes; however, it remains unclear in an Indonesian context. The human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of the existing stigma against mental illness and deficiencies in the country's mental healthcare services. What the paper adds to existing knowledge? To the best of our knowledge, this is the first study to examine the level of internalized stigma and related factors among Indonesians diagnosed with schizophrenia. Almost one‐third of the subjects had moderate‐to‐severe levels of internalized stigma, among which discrimination was the strongest type. Specifically, younger and unemployed people with more psychotic symptoms had higher levels of internalized stigma. What are the implications for practice? The provision of adequate pharmacological and psychosocial treatments to help people manage their psychotic symptoms is extremely important to ameliorate stigma. Vocational rehabilitation and employment support for unemployed people may potentially reduce their internalized stigma and promote recovery. Abstract IntroductionThe human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of societal stigma associated with mental illness and deficiencies in the country's mental healthcare services. Knowledge about internalized stigma among people diagnosed with schizophrenia in lower middle‐income Muslim countries is also scarce. AimTo identify the level of internalized stigma and related factors among people diagnosed with schizophrenia in Indonesia. MethodA cross‐sectional survey was conducted with a purposive sample of 300 people diagnosed with schizophrenia from an urban Indonesian psychiatric hospital. ResultsAlmost one‐third of the subjects had moderate‐to‐severe levels of internalized stigma, among which discrimination was the strongest type. Younger age, unemployment status and having psychotic symptoms significantly increased the risk of internalized stigma when analysed in a multivariable ordinal logistic regression. DiscussionThe present study firstly identified the high levels of internalized stigma among Indonesian individuals diagnosed with schizophrenia. Implications for practiceMental health nurses are suggested to provide early anti‐stigma illness management and family psychoeducation interventions to people diagnosed with schizophrenia and their family caregivers, helping them to develop an optimistic understanding about the concept of schizophrenia and mitigating the negative consequences of public and internalized stigma.

: BODY IMAGE AND DAY‐TO‐DAY SOCIAL INTERACTION  IN PATIENTS WITH PULMONARY TUBERCULOSIS, LAMPUNG-INDONESIABackground: Tuberculosis (TB) is a contagious disease caused by TB (Mycobacterium tuberculosis), most germs invade the lungs, but can also attack other organs. Pre-survey results conducted on October 30, 2017 on 10 families whose family members suffered from Pulmonary TB obtained as many as 7 people (70%) less interacting with the social environment because of changes in body posture, so ashamed to interact with others.Purpose: Knowing that the relationship of self-image with social interaction among patients with tuberculosis at Public Health Services Negeri Agung Waykanan 2018.Methods: This research was a quantitative research and used cross sectional approach. The population in this research was the patient with tuberculosis and the sample of 36 respondents. Data collection using questionnaire sheet. Analysis of data with univariate (average) and bivariate using test (Chi Square).Results : Finding that 25 (69.4%) had a poor self-image, of 27 (75.0%) of respondents had poor social interaction.  The correlation of self-image with social interaction with p-values of 0.012 and OR 8.800.Conclusion: There was correlation between self-image with social interactions among patient with tuberculosis at Public Health Services  Negeri Agung Waykanan 2018. Suggested to the management of Public Health Services (Puskesmas) to be held counseling about tuberculosis to prevent isolation patient in his self.Keywords : Self-image, social interaction, tuberculosisPendahuluan: Tuberkulosis (TBC) merupakan penyakit menular langsung yang disebabkan oleh kuman TBC (Mycobacterium tuberculosis), sebagian besar kuman menyerang ke paru, tetapi dapat juga menyerang organ tubuh lainnya. Hasil pra survey yang dilakukan tanggal 30 Oktober 2017 pada 10 keluarga yang anggota keluarganya menderita TB Paru didapatkan sebanyak 7 orang (70%) kurang berinteraksi dengan lingkungan social karena perubahan dari bentuk tubuhnya yang menjadi sangat kurus, sehingga malu untuk berinteraksi dengan orang lain, sedangkan sebanyak 3 orang (30%) tetap berinteraksi dengan lingkungan disekitarnya.Tujuan: Diketahui  hubungan gambaran diri dengan interaksi social pada penderita TB Paru di wilayah kerja UPT Puskesmas Negeri Agung Kabupaten Way Kanan tahun 2017.Metode : Penelitian ini merupakan penelitian kuantitatif menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah penderita penyakit TB Paru sebanyak 96 orang, sampel 36 responden. Pengumpulan data menggunakan lembar kuesioner. Pengolahan data editing, coding, entri data, melakukan teknika alisis. Analisis data dengan secara univariat (rata-rata) danbivariat menggunakan uji (Chi Square).Hasil: Didapatkan 25 (69,4%) memiliki gambaran diri buruk dan sebanyak 11 (30,6%) memiliki gambaran diri yang baik,  27 (75,0%) responden  buruk dalam berinteraksi sosial dan sebanyak 9 ( 25,0%) responden baik dalam berinteraksi sosial, dengan p-value 0,012 dan OR 8,800.Simpulan: Ada hubungan gambaran diri dengan interaksi sosial pada penderita Tuberkulosis Wilayah kerja UPT Puskesmas Negri Agung Kabupaten Waykanan tahun 2018. Disarankan kepada manajemen Pelayanan Kesehatan Masyarakat (Puskesmas) untuk diadakan penyuluhan tentang tuberkulosis untuk mencegah pasien isolasi dalam dirinya.

The purpose of the blood donation social devotion program were: 1) to assisted the Blood Donor Unit of The Indonesian Red Cross (UTD-PMI) increased blood reserves to fulfil the blood needs in Palangka Raya city, 2) to socialized blood donation activities on the Universitas PGRI Palangka Raya (UPP) for the communities in and around the campus. Blood donation social activities were attended by 99 participants from students of police school (SPN), students, UPP Lecturers, university student organisation board (BEM), student regiment (Menwa), and the general public. By sex participants of this activity were dominated by men (73 people) and the women (26 people). The amount of blood bags that can be collected during this activity were 69 blood bags. Blood donation activities that are attractively packaged, publicized, and involving organizations/institutions can increase the level of community participation.

Background: Feeling anxious due to lack of attention from the surroundings can be solved by providing a good caring performance from the health workers. The nursing experts place caring as the core principle of a nurse in performing his work. Caring behavior refers to giving attention to patients, respecting others, and showing empathy so that a nurse should maintain the relationship with the patients by having this the patients can commit and be responsible with them.Purpose: Knowing nursing caring behavior on anxiety level of hospitalized patients.Methods: This study was a quantitative study. The design was analytical with cross sectional approach. The population of the study consisted of 262 adult patients in average registered at Ryacudu General Hospital, Kotabumi Lampung. The elder and pediatric inpatients were excluded. The samples were 79 respondents. The sampling technique was accidental sampling.Results: Based on the statistical analysis, the p value was 0.487 or the p value > 0.05, there wasn’t nursing caring behavior on anxiety level of hospitalized patients.Conclusion: The health practitioners should improve their nursing quality by following nurse training about therapeutic communication. It is expected that health workers can increase caring so that patient anxiety can be reduced and can improve the quality of health services by providing training to all nursing staff on good and correct therapeutic communication.

: THE RELATIVES' KNOWLEDGE ABOUT SCHIZOPHRENIA AND RECURRENCES AMONG PATIENTS WITH SCHIZOPHRENIA AT LAMPUNG MENTAL HOSPITALBackground: Based on the prevalence of people with schizophrenia in Indonesia is 0.3-1 percent of Indonesia's population or about 2 million people suffering from schizophrenia. Based on data obtained from Lampung Province Mental Hospital in 2015 there were 27,490 patients, and 19,907 patients had been recurrences. The results of pre-survey conducted on 10 patients’s family, obtain of 7 (70%) patients’ families do not know how to prevent recurrence, the patients with schizophrenia Purpose: Knowing that the relationship of relatives' knowledge about schizophrenia and recurrences among patients with schizophrenia at Lampung Mental Hospital-Province of Lampung 2018.Methods: The type of this research was quantitative and Analytic Survey design with cross sectional approach, population and sample was all families who have family members with schizophrenia. The sample technique in this research was an accidental sampling, and the sample recruited as 236 respondents. The research conducted at Mental Hospital of Lampung Province with questionnaire and statistic test using Chi square test. Results: Knowledge known relatives of schizophrenic patients in poor category of 121 (51.3%) respondents, and patients experienced of relapse 120 (50.8%) respondents, with a p-value = 0.000.Conclusion: There was the relationship between of relatives' knowledge and relapse among patients with schizophrenia at Lampung Mental Hospital-Province of Lampung 2018. It is suggestion to management hospital to be improve in health education especially to family who is taking care to the patients and consideration to prevent patients become relapse.Keywords: Knowledge, family, schizophrenia, relapsePendahuluan : Berdasarkan Prevalensi penderita skizofrenia di Indonesia adalah 0,3-1 persen penduduk Indonesia atau sekitar 2 juta jiwa  menderita skizofrenia. Berdasarkan data yang diperoleh dari Rumah Sakit Jiwa Provinsi Lampung tahun 2015 tercatat 27.490 kunjungan pasien jiwa, dan terdapat 19.907 pasien mengalami kekambuhan. Hasil pra survey yang dilakukan terhadap 10 keluarga pasien didapat 7 (70%) orang keluarga pasien yang kurang memahami, bagaimana mencagah kekambuhan pada pasien tersebut.Tujuan: Diketahui Hubungan Pengetahuan Keluarga Dengan Kekambuhan Pasien Skizofrenia Di Rumah Sakit Jiwa Provinsi Lampung Tahun 2018Metode : Jenis penelitian ini adalah kuantitatif, dengan Rancangan penelitian menggunakan desain Survei Analitik dengan pendekatan cross sectional, jumlah populasi dan sampel adalah seluruh keluarga yang memiliki anggota keluarga dengan skizofrenia di RS Jiwa Daerah Provinsi Lampung, teknik sampel dalam penelitian ini adalah accidental sampling, dengan jumlah sampel sebanyak 236 responden, dengan instrument penelitian kuisioner dan uji statistic menggunakan uji Chi square.Hasil : Diketahui Pengetahuan keluarga pasien skizofrenia adalah kurang baik yaitu sebesar 121 (51.3%) responden. Sebagian besar pasien skizofrenia mengalami kekambuhan yaitu sebesar 120 (50.8%) responden, dengan nilai p-value = 0.000.Simpulan : Ada hubungan pengetahuan keluarga dengan kekambuhan pasien skizofrenia di Rumah Sakit Jiwa Provinsi Lampung Tahun 2018. Disarankan kepada manajemen rumah sakit untuk meningkatkan pendidikan kesehatan terutama untuk keluarga yang merawat pasien dan pertimbangan untuk mencegah pasien menjadi kambuh.Kata Kunci          : Pengetahuan, keluarga, skizofrenia, kekambuhan