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Papers by DEDI KURNIAWAN

Research paper thumbnail of Association Between Source of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic

Nurse Media Journal of Nursing, 2024

Background: Nursing students have a higher risk of depression due to their already high academic ... more Background: Nursing students have a higher risk of depression due to their already high academic burden, social isolation, pandemic loneliness, abrupt online learning, and financial difficulties during the COVID-19 pandemic lockdown. Although the disruption of social network patterns during the pandemic has been observed in previous studies, it is still not fully understood which source of social support is associated with depression among nursing students.

Purpose: This study aimed to assess the correlations between sources of social support and depression among nursing students during the COVID-19 pandemic lockdown.

Methods: An online cross-sectional study was conducted between May-September 2021. Nursing students (n=734) from seven universities across four provinces in Indonesia were recruited as participants using convenience sampling methods. Data were obtained through online questionnaires consisting of the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support, and the Patient Health Questionnaire-9 (PHQ-9) to assess depression. Spearman-Rank correlation tests were used to examine the correlations between sources of social support and depression.

Results: Most of the nursing students (85.1%) were female with a mean age of 19.94 years (SD=1.42). Many nursing students (n=313; 42.6%) experienced depression. Most of the students (n=465; 63.4%) perceived high family support, moderate friends (n=415; 56.5%) and significant others' support (n=437; 59.5%). Of the three sources of social support (family, friends, and significant others), only family support had a significant inverse correlation with depression (Rho=-0.492, p<0.001).

Conclusion: Family support had a significant inverse and moderate correlation with depression among nursing students during the COVID-19 pandemic. Our findings provided information to nursing educators to incorporate a strategy to maintain robust family support and regular depression assessments as part of the online learning curriculum. Therefore, it can be used to ameliorate depression among nursing students.

Research paper thumbnail of Mental Health Nursing

All about my mental health nursing articles

Research paper thumbnail of Association Between Self-Efficacy and Psychological Distress with Readiness for Online Learning Among Nursing Students

JANUARY 2023

Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become... more Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become an important strategy in the implementation of nursing education, in order to prevent the SARS-CoV-2 transmission in the education sector. This study aimed to assess: (i) the correlation between self-efficacy and psychological distress; (ii) the correlation between self-efficacy and online learning readiness; and (iii) the correlation between psychological distress and online learning readiness among nursing students in Indonesia. Methods: The cross-sectional study was conducted from October until December 2020, and involved 500 nursing students from 3 universities in Yogyakarta, Indonesia who were recruited using consecutive sampling methods. The instruments used in this study were: 1) the 10-item Kessler Psychological Distress Scale (K-10) to assess the psychological distress, 2) Online Learning Self-Efficacy Scale (OLSES) to assess online learning self-efficacy, and 3) Student Online...

Research paper thumbnail of Association Between Self-Efficacy and Psychological Distress with Readiness for Online Learning Among Nursing Students

Malaysian Journal of Medicine and Health Sciences, 2023

Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become... more Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become an important strategy in the implementation of nursing education, in order to prevent the SARS-CoV-2 transmission in the education sector. This study aimed to assess: (i) the correlation between self-efficacy and psychological distress; (ii) the correlation between self-efficacy and online learning readiness; and (iii) the correlation between psychological distress and online learning readiness among nursing students in Indonesia. Methods: The cross-sectional study was conducted from October until December 2020, and involved 500 nursing students from 3 universities in Yogyakarta, Indonesia who were recruited using consecutive sampling methods. The instruments used in this study were: 1) the 10-item Kessler Psychological Distress Scale (K-10) to assess the psychological distress, 2) Online Learning Self-Efficacy Scale (OLSES) to assess online learning self-efficacy, and 3) Student Online Learning Readiness (SOLR) to assess online learning readiness. Spearman's rank test was used to analyze the correlation between online learning self-efficacy, psychological distress, and online learning readiness. Results: Most of the nursing students (70.6%) had psychological distress ranging from mild to severe distress. The self-efficacy had an inverse correlation with psychological distress (Rho=-0.488, p=0.001). Contrarily, self-efficacy was positively correlated with online learning readiness (Rho=0.708, P=0.001). Psychological distress was inversely correlated with online learning readiness (Rho=-0.423, p=0.001). Conclusion: Online learning self-efficacy and psychological distress are significantly correlated with online learning readiness. Strategies to increase self-efficacy and ameliorates psychological distress, such as appropriate online learning training, adequate technical assistance, and psychological support were required to improve students' online learning readiness.

Research paper thumbnail of Cardiovascular Disease Risk Profiles in Indonesian Athletes

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: Notwithstanding how physical exercise lessens cardiovascular and all-cause mortality,... more BACKGROUND: Notwithstanding how physical exercise lessens cardiovascular and all-cause mortality, young and active athletes might have cardiovascular risk factors or fundamental cardiovascular diseases (CVDs), putting them at increased risk for sudden cardiac death during times of strenuous exercise. AIM: The study aimed to assess the cardiovascular risk profile possessed by Indonesian athletes. METHODS: This research was a quantitative study using a cross-sectional design, involving 234 Indonesian athletes (163 men and 71 women) from three sports, including football, basketball, and swimming. Data were collected between December 2020 to March 2021 using the Jakarta Cardiovascular Risk Score instrument adapted from the Framingham risk score. Descriptive statistics were utilized to dissect data information for frequency distribution, percentage, mean, and standard deviation. RESULTS: Most of the participants in this study had excessive weekly exercise duration (more than 255 minutes/...

Research paper thumbnail of Faktor Yang Mempengaruhi Terjadinya Kesenjangan Antara Pengetahuan Dan Praktik Klinik Mahasiswa Keperawatan DI Rumah Sakit

Gap atau kesenjangan antara teori dan praktik saat ini masih menjadi salah satu masalah yang seri... more Gap atau kesenjangan antara teori dan praktik saat ini masih menjadi salah satu masalah yang sering terjadi pada pembelajaran klinik keperawatan. Hal tersebut terjadi tentunya dipengaruhi oleh beberapa faktor. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi terjadinya kesenjangan antara pengetahuan dan praktik klinik mahasiswa keperawatan di Rumah Sakit. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan cross sectional kepada 64 mahasiswa praktik klinik keperawatan di rumah sakit. Hasil analisis data menunjukkan bahwa faktor individual (p=0,23) dan faktor lingkungan (p=0,48) memiliki korelasi yang signifikan (p=<0.05) terhadap terjadinya kesenjangan. Sementara itu faktor kurikulum keperawatan (p=0,62) tidak menunjukkan korelasi yang signifikan terhadap terjadinya kesenjangan. Faktor individual, lingkungan dan kurikulum pembelajaran keperawatan menjadi tiga faktor utama yang mempengaruhi terjadinya kesenjangan antara ...

Research paper thumbnail of Association between Online Learning Predictors and Psychological Distress among Nursing Students during the COVID-19 Pandemic

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia ... more BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia to implement online learning. The association between online learning variables and psychological distress among nursing students is not fully understood. AIM: This study aimed to assess psychological distress among nursing students and the association between online learning variables and psychological distress. MATERIALS AND METHODS: A cross-sectional study was conducted from November 2020 to February 2021. Six hundred and thirty-five nursing students from four universities in Indonesia participated in this study and were recruited through a consecutive sampling method. The measurement of psychological distress used the 10-item Kessler Psychological Distress Scale. Ordinal logistic regression was used to analyze the association between online learning predictors and psychological distress. RESULTS: Most of the respondents had severe psychological distress (n = 194; 30.6%). Older age wa...

Research paper thumbnail of Cardiovascular Disease Risk Profiles in Indonesian Athletes

Research paper thumbnail of Association between Online Learning Predictors and Psychological Distress among Nursing Students during the COVID-19 Pandemic

Open Access Macedonian Journal of Medical Sciences, 2022

BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia ... more BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia to implement online learning. The association between online learning variables and psychological distress among nursing students is not fully understood. AIM: This study aimed to assess psychological distress among nursing students and the association between online learning variables and psychological distress. MATERIALS AND METHODS: A cross-sectional study was conducted from November 2020 to February 2021. Six hundred and thirty-five nursing students from four universities in Indonesia participated in this study and were recruited through a consecutive sampling method. The measurement of psychological distress used the 10-item Kessler Psychological Distress Scale. Ordinal logistic regression was used to analyze the association between online learning predictors and psychological distress. RESULTS: Most of the respondents had severe psychological distress (n = 194; 30.6%). Older age was found to act as a protective factor against psychological distress (adjusted odds ratio [aOR] =-0.159, p = 0.035; 95% confidence interval [CI]: (-0.307)-(-0.011)). Contrarily, not living at their own home during lockdown (aOR = 1.019, p = 0.001; 95% CI: 0.657-1.382), always feeling that online learning is expensive (aOR = 1.387, p = 0.001; 95% CI: 0.645-2.130), always experienced poor Internet connection during online learning (aOR = 3.380, p = 0.001; 95% CI: 1.935-4.826), and having no motivation toward online learning (aOR = 3.154, p = 0.001; 95% CI: 2.372-3.936) acted as risk factors for having psychological distress. CONCLUSION: Cost and Internet access barriers as well as low motivation during the abrupt shift to implementation of online learning in the current pandemic situation acted as risk factors for psychological distress among nursing students.

Research paper thumbnail of Studi Fenomenologi: Pengalaman Kader Desa Siaga Sehat Jiwa (DSSJ) DI Wilayah Kerja Puskesmas Kecamatan Bantur Malang

Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Communitybased psych... more Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Communitybased psychiatric services, sehingga pelayanan tidak hanya berfokus terhadap upaya kuratif tetapilebih menekankan upaya proaktif yang berorientasi pada upaya pencegahan (preventif) danpromotif (WHO, 2013). Salah satu upaya dalam menangani masalah kesehatan jiwa masyarakatyaitu melalui pengembangan Desa Siaga Sehat Jiwa (DSSJ) sebagai program kesehatan mentalberbasis masyarakat (Keliat et al., 2011). Terwujudnya DSSJ tentunya membutuhkan peran sertakader (Marchira, 2014). Tujuan dari penelitian inimengeksplorasibagaimana pengalaman kaderDesa Siaga Sehat Jiwa (DSSJ) di wilayah kerja puskesmas kecamatan Bantur Malang. Desainpenelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretif.Pengumpulan data dengan menggunakan metode wawancara mendalam dengan panduanwawancara semi terstruktur yang melibatkan enam orang partisipan dan dianalis dengan Interpretifphenomenologi analysis. Penelitian ini menghasilkan empat tema meliputi:senang mempunyaikesempatan untuk membantu sesama semampunya, prihatin akibat belum optimalnya dukungansemua pihak, puas melihat upayanya membuahkan hasil yang baik, dan merasa iba dengankondisi yang dialami pasien. masyarakat yang memiliki stigma negatif terhadap klien gangguanjiwa cenderung menghindari dan tidak mau memberikan bantuan terhadap orang yang menderitagangguan jiwa sehingga mempersulit dalam proses penyembuhan. Kesimpulan dalam penelitianini ialah niat tulus dan rasa tanggung jawab tinggi yang dimiliki kader menjadi kunci kegigihankader melaksanakan tugas untuk membantu pasien dan keluarga, sehingga terwujudnya DSSJ diwilayah kerja Puskesmas Kecamatan Bantur.

Research paper thumbnail of THE EFFECT OF SELF-SELECTED INDIVIDUAL MUSIC THERAPY (SeLIMuT) ON HEMODYNAMIC STATUS CHANGES IN PATIENT WITH CANCER TAKING PALIATIVE CARE IN RSUP DR. SARDJITO YOGYAKARTA

Research paper thumbnail of Implementasi Walking Programme Dalam Upaya Meningkatkan Durasi Berolahraga Pada Lansia Penderita Hipertensi

Hipertensi menjadi masalah kesehatan yang paling banyak terjadi pada lansia. Salah satu faktor ya... more Hipertensi menjadi masalah kesehatan yang paling banyak terjadi pada lansia. Salah satu faktor yang mempengaruhi terjadinya hal tersebut adalah semakin bertambahnya usia, fungsi fisiologis mengalami penurunan akibat proses penuaan dan masalah degeneratif dapat menurunkan daya tahan. Aktivitas fisik seperti olahraga menjadi salah satu alternatif mengurangi resiko tersebut. Keterbatasan dalam mempertahankan durasi berolahraga menjadi masalah paling sering dialami oleh lansia. Desain penelitian quasy experimental dengan one group pre-test and post-test design, menggunakan teknik purposive sampling pada 63 lansia di wilayah Kota Malang untuk mengetahui pengaruh implementasi walking programme dalam upaya meningkatkan durasi berolahraga pada lansia penderita hipertensi. Hasil uji statistik menunjukkan perbedaan yang signifikan antara durasi berolahraga sebelum dan sesudah intervensi walking programme dengan nilai signifikansi p 30 menit mengalami peningkatan setelah pemberian intervensi. ...

Research paper thumbnail of Hubungan Efikasi Diri Dan Isolasi Sosial Terhadap Kepatuhan Pengobatan Antiretroviral (Arv) Pada Odha DI Kecamatan Turen Malang

Introduction: Antiretroviral therapy is the best treatment for HIV / AIDS currently. People livi... more Introduction: Antiretroviral therapy is the best treatment for HIV / AIDS currently. People living with hiv/aids (PLWHA) medication adherence is the most problem during ARV treatment process. Stigma is one of the main obstacles to the success of adherence to ARV therapy in PLWHA. The problem of self-efficacy and social isolation are negative emotional responses that often appeared due to stigma. Method: An analytic observational design with cross sectional approach in this study. A total of 44 people were taken by total sampling in the Turen District Health Center. Data analysis using Pearson test. Result: Pearson test results show that self-efficacy (p = 0,000; r = 0.356) and social isolation (p = 0,000; r = -0,684) have a significant relationship with ARV medication adherence. Discussion: Self-efficacy in PLWHA can reflect the confidence to be involved and adhere to treatment. Social isolation makes PLWHA avoided from the social environment and information about the disease, thus...

Research paper thumbnail of Pengalaman Mood Swing Pada Perokok Remaja DI Usia 15-18 Tahun

Fisiologis dan psikologis menjadi faktor umum yang mempengaruhi mood swing pada remaja. Dalam hal... more Fisiologis dan psikologis menjadi faktor umum yang mempengaruhi mood swing pada remaja. Dalam hal ini usia perokok 15-18 tahun sangat mempengaruhi mood remaja. Penelitian ini bertujuan untuk mengeksplorasi pengalaman mood swing pada remaja merokok. Penelitian ini menggunakan analisis kualitatif. Pengumpulan data melalui wawancara mendalam dengan 26 peserta remaja. Populasi penelitian adalah semua remaja pria (15-18 tahun) di Desa Kedok 03-05, Kecamatan Turen, Kabupaten Malang. Teknik pengambilan sampel purposive, yang ditentukan sesuai dengan kriteria yang ditentukan. Remaja (15-18 tahun) banyak menjadi perokok, dan hal ini akan sangat mempengaruhi mood swing. Ada empat tema yang ditemukan melalui analisis, yaitu 1) ajakan teman, 2) coba-coba, 3) harga rokok terjangkau, 4) remaja yang putus asa. Perubahan suasana hati sangat berpengaruh pada remaja. Ketika remaja, rentan dipengaruhi oleh ajakan teman negatif, dan pada remaja kebiasaan merokok di rumah yang mengalami broken home sang...

Research paper thumbnail of Identifikasi Faktor Yang Mempengaruhi Pertumbuhan Balita Pendek (Stunting)

Jurnal Kesehatan Mesencephalon

Stunting pada balita sejak golden periods anak perlu menjadi perhatian khusus yang nantinya dapat... more Stunting pada balita sejak golden periods anak perlu menjadi perhatian khusus yang nantinya dapat menghambat perkembangan fisik dan mental anak. Balita stunting memiliki risiko mengalami penurunan kemampuan intelektual, produktivitas, dan peningkatan risiko menderita penyakit degeneratif di masa mendatang. Tujuan penelitian untuk mengidentifikasi faktor–faktor yang mempengaruhi stunting. Case Control Study with Comparison Group dengan purposive samplingmerupakan pendekatan yang didunakan pada penelitian ini. Responden dibagi dalam kelompok kasus (n=60) yang merupakan ibu dengan anak stunting dan kelompok kontrol (n=60) yang merupakan ibu dengan anak tidak stunting (normal). Kedua kelompok dilakukan penilaian observasi dan studi dokumentasi yang selanjutnya dianalisa menggunakan uji regresi logistik binear. Hasil penelitian menunjukan bahwa dari analisa statistik lima variabel yaitu tinggi badan ibu, tingkat pendidikan ibu, pemberian ASI eksklusif, berat badan lahir balita dan pember...

Research paper thumbnail of PENGARUH SELF-SELECTED INDIVIDUAL MUSIC THERAPY (SeLIMuT) TERHADAP PERUBAHAN STATUS HEMODINAMIK PASIEN KANKER PALIATIF DI RSUP Dr. SARDJITO YOGYAKARTA

Jurnal Kesehatan Mesencephalon

Research paper thumbnail of "WHAT DOES THE BARRIERS OF BEING A LAYPERSON IN COMMUNITY AND MENTAL HEALTH MEAN?" A PHENOMENOLOGICAL APPROACH

Indonesian Journal of Health Care Management, 2021

The treatment of mental health problems has changed over from hospital-Barrier, based to communit... more The treatment of mental health problems has changed over from hospital-Barrier, based to community-based psychiatric services. They focused not only on Layperson, medication but also emphasized more on prevention and promotion. This Community empowerment, strategy was carried out not only by health workers but also by laypersons Mental health from community empowerment. Laypersons have experienced difficult conditions and problems, such as the possibility of experiencing role conflict, fatigue, physic, and verbal abuse. Those a challenge and pressure that often affects laypersons as a pioneer of the mental health community. The purpose of this study was to explore the barriers of laypersons in the mental health community in Malang, Indonesia. The research design used was qualitative with an interpretive phenomenological approach. The data collecting using indepth interviews with semi-structured interview guides involving twelve laypersons who participated in this study. Laypersons were interviewed individually and asked this single question: What does the barriers experience of being a layperson of community mental health empowerment mean? Participant's descriptions were analyzed using Interpretive Phenomenology Analysis (IPA). Six categories emerged from data analysis: (i) moral and material community support; (ii) limited facilities and infrastructure; (iii) sense of belonging; (iv) feel exploited; (v) sense of purpose and (vi) tough. The findings suggest that each individual has unique barriers' experiences of being laypersons in the community. In conclusion, the layperson's lack of motivation and sense of responsibility was a big barrier to improving mental health services in the community, it is tougher when they have less support from all community sectors.

Research paper thumbnail of IDENTIFIKASI FAKTOR YANG MEMPENGARUHI PERTUMBUHAN BALITA PENDEK (STUNTING

Jurnal Kesehatan Mesencephalon, 2021

Stunting in toddlers since the child's golden period needs special attention, which in turn can h... more Stunting in toddlers since the child's golden period needs special attention, which in turn can hinder the child's physical and mental development. Toddlers with stunting have a risk of experiencing decreased intellectual abilities, productivity, and an increased risk of suffering from degenerative diseases in the future. The aim of this study was to identify the factors that influence stunting. Case-Control Study with Comparison Group with purposive sampling is the approach used in this study. Respondents were divided into cases (n = 60) who were mothers with stunted children and control groups (n = 60) who were mothers with non-stunting children (normal). Both groups were subjected to an observational assessment and documentation study were analyzed with Biner Logistic Regression. The results showed that from the statistical analysis of five variables, namely maternal height, mother's education level, exclusive breastfeeding, birth weight for children under five, and giving complementary foods, it was found that three variables had a significant relationship with the incidence of stunting: mother's education level (p = 0.004. OR = 10.7), exclusive breastfeeding (p = 0.003 OR = 7.8) and birth weight of children under five (p = 0.028 OR = 4.5). Statistically, the mother's education level is the most dominant factor relate to the incidence of stunting, followed by exclusive breastfeeding and under-five birth weight, respectively.According to this study, nurses and other health providers have to increase mothersknowledge about child parenting, exclusive breastfeeding and fulfillment of nutritional needs during pregnant to prevent low birth weight under five, so this effort could prevent stunting.

Research paper thumbnail of Perceived Barriers in Online Learning among Nursing Students during the COVID-19 Pandemic in Indonesia

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: In March 2020, nursing schools in Indonesia were forced to abruptly shift from face-t... more BACKGROUND: In March 2020, nursing schools in Indonesia were forced to abruptly shift from face-to-face learning to fully online learning due to the COVID-19 pandemic. Before the pandemic, fully online learning was still not widely used in Indonesian nursing education. AIM: This study aimed to identify barriers in online learning among Indonesian nursing students during the COVID-19 pandemic. METHODS: This study used a cross-sectional design and involved 530 undergraduate nursing students from five universities in Indonesia participated in this study. The authors sent an online self-administered questionnaire to nursing students from October to December 2020. The questionnaire consisted of four sections to obtain the following data: (1) Sociodemographic characteristic, (2) information about online learning, (3) platform used for online learning, and (4) perceived barriers in online learning. Descriptive statistics were used to analyze data with frequency distribution, percentages, m...

Research paper thumbnail of IDENTIFIKASI FAKTOR YANG MEMPENGARUHI PERTUMBUHAN BALITA PENDEK (STUNTING

Jurnal Kesehatan Mesencephalon, 2020

Stunting in toddlers since the child's golden period needs special attention, which in turn can h... more Stunting in toddlers since the child's golden period needs special attention, which in turn can hinder the child's physical and mental development. Toddlers with stunting have a risk of experiencing decreased intellectual abilities, productivity, and an increased risk of suffering from degenerative diseases in the future. The aim of this study was to identify the factors that influence stunting. Case-Control Study with Comparison Group with purposive sampling is the approach used in this study. Respondents were divided into cases (n = 60) who were mothers with stunted children and control groups (n = 60) who were mothers with non-stunting children (normal). Both groups were subjected to an observational assessment and documentation study were analyzed with Biner Logistic Regression. The results showed that from the statistical analysis of five variables, namely maternal height, mother's education level, exclusive breastfeeding, birth weight for children under five, and giving complementary foods, it was found that three variables had a significant relationship with the incidence of stunting: mother's education level (p = 0.004. OR = 10.7), exclusive breastfeeding (p = 0.003 OR = 7.8) and birth weight of children under five (p = 0.028 OR = 4.5). Statistically, the mother's education level is the most dominant factor relate to the incidence of stunting, followed by exclusive breastfeeding and under-five birth weight, respectively.According to this study, nurses and other health providers have to increase mothersknowledge about child parenting, exclusive breastfeeding and fulfillment of nutritional needs during pregnant to prevent low birth weight under five, so this effort could prevent stunting.

Research paper thumbnail of Association Between Source of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic

Nurse Media Journal of Nursing, 2024

Background: Nursing students have a higher risk of depression due to their already high academic ... more Background: Nursing students have a higher risk of depression due to their already high academic burden, social isolation, pandemic loneliness, abrupt online learning, and financial difficulties during the COVID-19 pandemic lockdown. Although the disruption of social network patterns during the pandemic has been observed in previous studies, it is still not fully understood which source of social support is associated with depression among nursing students.

Purpose: This study aimed to assess the correlations between sources of social support and depression among nursing students during the COVID-19 pandemic lockdown.

Methods: An online cross-sectional study was conducted between May-September 2021. Nursing students (n=734) from seven universities across four provinces in Indonesia were recruited as participants using convenience sampling methods. Data were obtained through online questionnaires consisting of the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support, and the Patient Health Questionnaire-9 (PHQ-9) to assess depression. Spearman-Rank correlation tests were used to examine the correlations between sources of social support and depression.

Results: Most of the nursing students (85.1%) were female with a mean age of 19.94 years (SD=1.42). Many nursing students (n=313; 42.6%) experienced depression. Most of the students (n=465; 63.4%) perceived high family support, moderate friends (n=415; 56.5%) and significant others' support (n=437; 59.5%). Of the three sources of social support (family, friends, and significant others), only family support had a significant inverse correlation with depression (Rho=-0.492, p<0.001).

Conclusion: Family support had a significant inverse and moderate correlation with depression among nursing students during the COVID-19 pandemic. Our findings provided information to nursing educators to incorporate a strategy to maintain robust family support and regular depression assessments as part of the online learning curriculum. Therefore, it can be used to ameliorate depression among nursing students.

Research paper thumbnail of Mental Health Nursing

All about my mental health nursing articles

Research paper thumbnail of Association Between Self-Efficacy and Psychological Distress with Readiness for Online Learning Among Nursing Students

JANUARY 2023

Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become... more Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become an important strategy in the implementation of nursing education, in order to prevent the SARS-CoV-2 transmission in the education sector. This study aimed to assess: (i) the correlation between self-efficacy and psychological distress; (ii) the correlation between self-efficacy and online learning readiness; and (iii) the correlation between psychological distress and online learning readiness among nursing students in Indonesia. Methods: The cross-sectional study was conducted from October until December 2020, and involved 500 nursing students from 3 universities in Yogyakarta, Indonesia who were recruited using consecutive sampling methods. The instruments used in this study were: 1) the 10-item Kessler Psychological Distress Scale (K-10) to assess the psychological distress, 2) Online Learning Self-Efficacy Scale (OLSES) to assess online learning self-efficacy, and 3) Student Online...

Research paper thumbnail of Association Between Self-Efficacy and Psychological Distress with Readiness for Online Learning Among Nursing Students

Malaysian Journal of Medicine and Health Sciences, 2023

Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become... more Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become an important strategy in the implementation of nursing education, in order to prevent the SARS-CoV-2 transmission in the education sector. This study aimed to assess: (i) the correlation between self-efficacy and psychological distress; (ii) the correlation between self-efficacy and online learning readiness; and (iii) the correlation between psychological distress and online learning readiness among nursing students in Indonesia. Methods: The cross-sectional study was conducted from October until December 2020, and involved 500 nursing students from 3 universities in Yogyakarta, Indonesia who were recruited using consecutive sampling methods. The instruments used in this study were: 1) the 10-item Kessler Psychological Distress Scale (K-10) to assess the psychological distress, 2) Online Learning Self-Efficacy Scale (OLSES) to assess online learning self-efficacy, and 3) Student Online Learning Readiness (SOLR) to assess online learning readiness. Spearman's rank test was used to analyze the correlation between online learning self-efficacy, psychological distress, and online learning readiness. Results: Most of the nursing students (70.6%) had psychological distress ranging from mild to severe distress. The self-efficacy had an inverse correlation with psychological distress (Rho=-0.488, p=0.001). Contrarily, self-efficacy was positively correlated with online learning readiness (Rho=0.708, P=0.001). Psychological distress was inversely correlated with online learning readiness (Rho=-0.423, p=0.001). Conclusion: Online learning self-efficacy and psychological distress are significantly correlated with online learning readiness. Strategies to increase self-efficacy and ameliorates psychological distress, such as appropriate online learning training, adequate technical assistance, and psychological support were required to improve students' online learning readiness.

Research paper thumbnail of Cardiovascular Disease Risk Profiles in Indonesian Athletes

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: Notwithstanding how physical exercise lessens cardiovascular and all-cause mortality,... more BACKGROUND: Notwithstanding how physical exercise lessens cardiovascular and all-cause mortality, young and active athletes might have cardiovascular risk factors or fundamental cardiovascular diseases (CVDs), putting them at increased risk for sudden cardiac death during times of strenuous exercise. AIM: The study aimed to assess the cardiovascular risk profile possessed by Indonesian athletes. METHODS: This research was a quantitative study using a cross-sectional design, involving 234 Indonesian athletes (163 men and 71 women) from three sports, including football, basketball, and swimming. Data were collected between December 2020 to March 2021 using the Jakarta Cardiovascular Risk Score instrument adapted from the Framingham risk score. Descriptive statistics were utilized to dissect data information for frequency distribution, percentage, mean, and standard deviation. RESULTS: Most of the participants in this study had excessive weekly exercise duration (more than 255 minutes/...

Research paper thumbnail of Faktor Yang Mempengaruhi Terjadinya Kesenjangan Antara Pengetahuan Dan Praktik Klinik Mahasiswa Keperawatan DI Rumah Sakit

Gap atau kesenjangan antara teori dan praktik saat ini masih menjadi salah satu masalah yang seri... more Gap atau kesenjangan antara teori dan praktik saat ini masih menjadi salah satu masalah yang sering terjadi pada pembelajaran klinik keperawatan. Hal tersebut terjadi tentunya dipengaruhi oleh beberapa faktor. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi terjadinya kesenjangan antara pengetahuan dan praktik klinik mahasiswa keperawatan di Rumah Sakit. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan cross sectional kepada 64 mahasiswa praktik klinik keperawatan di rumah sakit. Hasil analisis data menunjukkan bahwa faktor individual (p=0,23) dan faktor lingkungan (p=0,48) memiliki korelasi yang signifikan (p=<0.05) terhadap terjadinya kesenjangan. Sementara itu faktor kurikulum keperawatan (p=0,62) tidak menunjukkan korelasi yang signifikan terhadap terjadinya kesenjangan. Faktor individual, lingkungan dan kurikulum pembelajaran keperawatan menjadi tiga faktor utama yang mempengaruhi terjadinya kesenjangan antara ...

Research paper thumbnail of Association between Online Learning Predictors and Psychological Distress among Nursing Students during the COVID-19 Pandemic

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia ... more BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia to implement online learning. The association between online learning variables and psychological distress among nursing students is not fully understood. AIM: This study aimed to assess psychological distress among nursing students and the association between online learning variables and psychological distress. MATERIALS AND METHODS: A cross-sectional study was conducted from November 2020 to February 2021. Six hundred and thirty-five nursing students from four universities in Indonesia participated in this study and were recruited through a consecutive sampling method. The measurement of psychological distress used the 10-item Kessler Psychological Distress Scale. Ordinal logistic regression was used to analyze the association between online learning predictors and psychological distress. RESULTS: Most of the respondents had severe psychological distress (n = 194; 30.6%). Older age wa...

Research paper thumbnail of Cardiovascular Disease Risk Profiles in Indonesian Athletes

Research paper thumbnail of Association between Online Learning Predictors and Psychological Distress among Nursing Students during the COVID-19 Pandemic

Open Access Macedonian Journal of Medical Sciences, 2022

BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia ... more BACKGROUND: The global coronavirus disease-2019 pandemic has forced nursing schools in Indonesia to implement online learning. The association between online learning variables and psychological distress among nursing students is not fully understood. AIM: This study aimed to assess psychological distress among nursing students and the association between online learning variables and psychological distress. MATERIALS AND METHODS: A cross-sectional study was conducted from November 2020 to February 2021. Six hundred and thirty-five nursing students from four universities in Indonesia participated in this study and were recruited through a consecutive sampling method. The measurement of psychological distress used the 10-item Kessler Psychological Distress Scale. Ordinal logistic regression was used to analyze the association between online learning predictors and psychological distress. RESULTS: Most of the respondents had severe psychological distress (n = 194; 30.6%). Older age was found to act as a protective factor against psychological distress (adjusted odds ratio [aOR] =-0.159, p = 0.035; 95% confidence interval [CI]: (-0.307)-(-0.011)). Contrarily, not living at their own home during lockdown (aOR = 1.019, p = 0.001; 95% CI: 0.657-1.382), always feeling that online learning is expensive (aOR = 1.387, p = 0.001; 95% CI: 0.645-2.130), always experienced poor Internet connection during online learning (aOR = 3.380, p = 0.001; 95% CI: 1.935-4.826), and having no motivation toward online learning (aOR = 3.154, p = 0.001; 95% CI: 2.372-3.936) acted as risk factors for having psychological distress. CONCLUSION: Cost and Internet access barriers as well as low motivation during the abrupt shift to implementation of online learning in the current pandemic situation acted as risk factors for psychological distress among nursing students.

Research paper thumbnail of Studi Fenomenologi: Pengalaman Kader Desa Siaga Sehat Jiwa (DSSJ) DI Wilayah Kerja Puskesmas Kecamatan Bantur Malang

Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Communitybased psych... more Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Communitybased psychiatric services, sehingga pelayanan tidak hanya berfokus terhadap upaya kuratif tetapilebih menekankan upaya proaktif yang berorientasi pada upaya pencegahan (preventif) danpromotif (WHO, 2013). Salah satu upaya dalam menangani masalah kesehatan jiwa masyarakatyaitu melalui pengembangan Desa Siaga Sehat Jiwa (DSSJ) sebagai program kesehatan mentalberbasis masyarakat (Keliat et al., 2011). Terwujudnya DSSJ tentunya membutuhkan peran sertakader (Marchira, 2014). Tujuan dari penelitian inimengeksplorasibagaimana pengalaman kaderDesa Siaga Sehat Jiwa (DSSJ) di wilayah kerja puskesmas kecamatan Bantur Malang. Desainpenelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretif.Pengumpulan data dengan menggunakan metode wawancara mendalam dengan panduanwawancara semi terstruktur yang melibatkan enam orang partisipan dan dianalis dengan Interpretifphenomenologi analysis. Penelitian ini menghasilkan empat tema meliputi:senang mempunyaikesempatan untuk membantu sesama semampunya, prihatin akibat belum optimalnya dukungansemua pihak, puas melihat upayanya membuahkan hasil yang baik, dan merasa iba dengankondisi yang dialami pasien. masyarakat yang memiliki stigma negatif terhadap klien gangguanjiwa cenderung menghindari dan tidak mau memberikan bantuan terhadap orang yang menderitagangguan jiwa sehingga mempersulit dalam proses penyembuhan. Kesimpulan dalam penelitianini ialah niat tulus dan rasa tanggung jawab tinggi yang dimiliki kader menjadi kunci kegigihankader melaksanakan tugas untuk membantu pasien dan keluarga, sehingga terwujudnya DSSJ diwilayah kerja Puskesmas Kecamatan Bantur.

Research paper thumbnail of THE EFFECT OF SELF-SELECTED INDIVIDUAL MUSIC THERAPY (SeLIMuT) ON HEMODYNAMIC STATUS CHANGES IN PATIENT WITH CANCER TAKING PALIATIVE CARE IN RSUP DR. SARDJITO YOGYAKARTA

Research paper thumbnail of Implementasi Walking Programme Dalam Upaya Meningkatkan Durasi Berolahraga Pada Lansia Penderita Hipertensi

Hipertensi menjadi masalah kesehatan yang paling banyak terjadi pada lansia. Salah satu faktor ya... more Hipertensi menjadi masalah kesehatan yang paling banyak terjadi pada lansia. Salah satu faktor yang mempengaruhi terjadinya hal tersebut adalah semakin bertambahnya usia, fungsi fisiologis mengalami penurunan akibat proses penuaan dan masalah degeneratif dapat menurunkan daya tahan. Aktivitas fisik seperti olahraga menjadi salah satu alternatif mengurangi resiko tersebut. Keterbatasan dalam mempertahankan durasi berolahraga menjadi masalah paling sering dialami oleh lansia. Desain penelitian quasy experimental dengan one group pre-test and post-test design, menggunakan teknik purposive sampling pada 63 lansia di wilayah Kota Malang untuk mengetahui pengaruh implementasi walking programme dalam upaya meningkatkan durasi berolahraga pada lansia penderita hipertensi. Hasil uji statistik menunjukkan perbedaan yang signifikan antara durasi berolahraga sebelum dan sesudah intervensi walking programme dengan nilai signifikansi p 30 menit mengalami peningkatan setelah pemberian intervensi. ...

Research paper thumbnail of Hubungan Efikasi Diri Dan Isolasi Sosial Terhadap Kepatuhan Pengobatan Antiretroviral (Arv) Pada Odha DI Kecamatan Turen Malang

Introduction: Antiretroviral therapy is the best treatment for HIV / AIDS currently. People livi... more Introduction: Antiretroviral therapy is the best treatment for HIV / AIDS currently. People living with hiv/aids (PLWHA) medication adherence is the most problem during ARV treatment process. Stigma is one of the main obstacles to the success of adherence to ARV therapy in PLWHA. The problem of self-efficacy and social isolation are negative emotional responses that often appeared due to stigma. Method: An analytic observational design with cross sectional approach in this study. A total of 44 people were taken by total sampling in the Turen District Health Center. Data analysis using Pearson test. Result: Pearson test results show that self-efficacy (p = 0,000; r = 0.356) and social isolation (p = 0,000; r = -0,684) have a significant relationship with ARV medication adherence. Discussion: Self-efficacy in PLWHA can reflect the confidence to be involved and adhere to treatment. Social isolation makes PLWHA avoided from the social environment and information about the disease, thus...

Research paper thumbnail of Pengalaman Mood Swing Pada Perokok Remaja DI Usia 15-18 Tahun

Fisiologis dan psikologis menjadi faktor umum yang mempengaruhi mood swing pada remaja. Dalam hal... more Fisiologis dan psikologis menjadi faktor umum yang mempengaruhi mood swing pada remaja. Dalam hal ini usia perokok 15-18 tahun sangat mempengaruhi mood remaja. Penelitian ini bertujuan untuk mengeksplorasi pengalaman mood swing pada remaja merokok. Penelitian ini menggunakan analisis kualitatif. Pengumpulan data melalui wawancara mendalam dengan 26 peserta remaja. Populasi penelitian adalah semua remaja pria (15-18 tahun) di Desa Kedok 03-05, Kecamatan Turen, Kabupaten Malang. Teknik pengambilan sampel purposive, yang ditentukan sesuai dengan kriteria yang ditentukan. Remaja (15-18 tahun) banyak menjadi perokok, dan hal ini akan sangat mempengaruhi mood swing. Ada empat tema yang ditemukan melalui analisis, yaitu 1) ajakan teman, 2) coba-coba, 3) harga rokok terjangkau, 4) remaja yang putus asa. Perubahan suasana hati sangat berpengaruh pada remaja. Ketika remaja, rentan dipengaruhi oleh ajakan teman negatif, dan pada remaja kebiasaan merokok di rumah yang mengalami broken home sang...

Research paper thumbnail of Identifikasi Faktor Yang Mempengaruhi Pertumbuhan Balita Pendek (Stunting)

Jurnal Kesehatan Mesencephalon

Stunting pada balita sejak golden periods anak perlu menjadi perhatian khusus yang nantinya dapat... more Stunting pada balita sejak golden periods anak perlu menjadi perhatian khusus yang nantinya dapat menghambat perkembangan fisik dan mental anak. Balita stunting memiliki risiko mengalami penurunan kemampuan intelektual, produktivitas, dan peningkatan risiko menderita penyakit degeneratif di masa mendatang. Tujuan penelitian untuk mengidentifikasi faktor–faktor yang mempengaruhi stunting. Case Control Study with Comparison Group dengan purposive samplingmerupakan pendekatan yang didunakan pada penelitian ini. Responden dibagi dalam kelompok kasus (n=60) yang merupakan ibu dengan anak stunting dan kelompok kontrol (n=60) yang merupakan ibu dengan anak tidak stunting (normal). Kedua kelompok dilakukan penilaian observasi dan studi dokumentasi yang selanjutnya dianalisa menggunakan uji regresi logistik binear. Hasil penelitian menunjukan bahwa dari analisa statistik lima variabel yaitu tinggi badan ibu, tingkat pendidikan ibu, pemberian ASI eksklusif, berat badan lahir balita dan pember...

Research paper thumbnail of PENGARUH SELF-SELECTED INDIVIDUAL MUSIC THERAPY (SeLIMuT) TERHADAP PERUBAHAN STATUS HEMODINAMIK PASIEN KANKER PALIATIF DI RSUP Dr. SARDJITO YOGYAKARTA

Jurnal Kesehatan Mesencephalon

Research paper thumbnail of "WHAT DOES THE BARRIERS OF BEING A LAYPERSON IN COMMUNITY AND MENTAL HEALTH MEAN?" A PHENOMENOLOGICAL APPROACH

Indonesian Journal of Health Care Management, 2021

The treatment of mental health problems has changed over from hospital-Barrier, based to communit... more The treatment of mental health problems has changed over from hospital-Barrier, based to community-based psychiatric services. They focused not only on Layperson, medication but also emphasized more on prevention and promotion. This Community empowerment, strategy was carried out not only by health workers but also by laypersons Mental health from community empowerment. Laypersons have experienced difficult conditions and problems, such as the possibility of experiencing role conflict, fatigue, physic, and verbal abuse. Those a challenge and pressure that often affects laypersons as a pioneer of the mental health community. The purpose of this study was to explore the barriers of laypersons in the mental health community in Malang, Indonesia. The research design used was qualitative with an interpretive phenomenological approach. The data collecting using indepth interviews with semi-structured interview guides involving twelve laypersons who participated in this study. Laypersons were interviewed individually and asked this single question: What does the barriers experience of being a layperson of community mental health empowerment mean? Participant's descriptions were analyzed using Interpretive Phenomenology Analysis (IPA). Six categories emerged from data analysis: (i) moral and material community support; (ii) limited facilities and infrastructure; (iii) sense of belonging; (iv) feel exploited; (v) sense of purpose and (vi) tough. The findings suggest that each individual has unique barriers' experiences of being laypersons in the community. In conclusion, the layperson's lack of motivation and sense of responsibility was a big barrier to improving mental health services in the community, it is tougher when they have less support from all community sectors.

Research paper thumbnail of IDENTIFIKASI FAKTOR YANG MEMPENGARUHI PERTUMBUHAN BALITA PENDEK (STUNTING

Jurnal Kesehatan Mesencephalon, 2021

Stunting in toddlers since the child's golden period needs special attention, which in turn can h... more Stunting in toddlers since the child's golden period needs special attention, which in turn can hinder the child's physical and mental development. Toddlers with stunting have a risk of experiencing decreased intellectual abilities, productivity, and an increased risk of suffering from degenerative diseases in the future. The aim of this study was to identify the factors that influence stunting. Case-Control Study with Comparison Group with purposive sampling is the approach used in this study. Respondents were divided into cases (n = 60) who were mothers with stunted children and control groups (n = 60) who were mothers with non-stunting children (normal). Both groups were subjected to an observational assessment and documentation study were analyzed with Biner Logistic Regression. The results showed that from the statistical analysis of five variables, namely maternal height, mother's education level, exclusive breastfeeding, birth weight for children under five, and giving complementary foods, it was found that three variables had a significant relationship with the incidence of stunting: mother's education level (p = 0.004. OR = 10.7), exclusive breastfeeding (p = 0.003 OR = 7.8) and birth weight of children under five (p = 0.028 OR = 4.5). Statistically, the mother's education level is the most dominant factor relate to the incidence of stunting, followed by exclusive breastfeeding and under-five birth weight, respectively.According to this study, nurses and other health providers have to increase mothersknowledge about child parenting, exclusive breastfeeding and fulfillment of nutritional needs during pregnant to prevent low birth weight under five, so this effort could prevent stunting.

Research paper thumbnail of Perceived Barriers in Online Learning among Nursing Students during the COVID-19 Pandemic in Indonesia

Open Access Macedonian Journal of Medical Sciences

BACKGROUND: In March 2020, nursing schools in Indonesia were forced to abruptly shift from face-t... more BACKGROUND: In March 2020, nursing schools in Indonesia were forced to abruptly shift from face-to-face learning to fully online learning due to the COVID-19 pandemic. Before the pandemic, fully online learning was still not widely used in Indonesian nursing education. AIM: This study aimed to identify barriers in online learning among Indonesian nursing students during the COVID-19 pandemic. METHODS: This study used a cross-sectional design and involved 530 undergraduate nursing students from five universities in Indonesia participated in this study. The authors sent an online self-administered questionnaire to nursing students from October to December 2020. The questionnaire consisted of four sections to obtain the following data: (1) Sociodemographic characteristic, (2) information about online learning, (3) platform used for online learning, and (4) perceived barriers in online learning. Descriptive statistics were used to analyze data with frequency distribution, percentages, m...

Research paper thumbnail of IDENTIFIKASI FAKTOR YANG MEMPENGARUHI PERTUMBUHAN BALITA PENDEK (STUNTING

Jurnal Kesehatan Mesencephalon, 2020

Stunting in toddlers since the child's golden period needs special attention, which in turn can h... more Stunting in toddlers since the child's golden period needs special attention, which in turn can hinder the child's physical and mental development. Toddlers with stunting have a risk of experiencing decreased intellectual abilities, productivity, and an increased risk of suffering from degenerative diseases in the future. The aim of this study was to identify the factors that influence stunting. Case-Control Study with Comparison Group with purposive sampling is the approach used in this study. Respondents were divided into cases (n = 60) who were mothers with stunted children and control groups (n = 60) who were mothers with non-stunting children (normal). Both groups were subjected to an observational assessment and documentation study were analyzed with Biner Logistic Regression. The results showed that from the statistical analysis of five variables, namely maternal height, mother's education level, exclusive breastfeeding, birth weight for children under five, and giving complementary foods, it was found that three variables had a significant relationship with the incidence of stunting: mother's education level (p = 0.004. OR = 10.7), exclusive breastfeeding (p = 0.003 OR = 7.8) and birth weight of children under five (p = 0.028 OR = 4.5). Statistically, the mother's education level is the most dominant factor relate to the incidence of stunting, followed by exclusive breastfeeding and under-five birth weight, respectively.According to this study, nurses and other health providers have to increase mothersknowledge about child parenting, exclusive breastfeeding and fulfillment of nutritional needs during pregnant to prevent low birth weight under five, so this effort could prevent stunting.

Research paper thumbnail of STUDI FENOMENOLOGI: PENGALAMAN KADER DESA SIAGA SEHAT JIWA (DSSJ) DI WILAYAH KERJA PUSKESMAS KECAMATAN BANTUR MALANG

Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Community based psyc... more Penanganan masalah kesehatan jiwa telah bergeser dari Hospital based menjadi Community based psychiatric services, sehingga pelayanan tidak hanya berfokus terhadap upaya kuratif tetapi lebih menekankan upaya proaktif yang berorientasi pada upaya pencegahan (preventif) dan promotif (WHO, 2013). Salah satu upaya dalam menangani masalah kesehatan jiwa masyarakat yaitu melalui pengembangan Desa Siaga Sehat Jiwa (DSSJ) sebagai program kesehatan mental berbasis masyarakat (Keliat et al., 2011). Terwujudnya DSSJ tentunya membutuhkan peran serta kader (Marchira, 2014). Tujuan dari penelitian inimengeksplorasibagaimana pengalaman kader Desa Siaga Sehat Jiwa (DSSJ) di wilayah kerja puskesmas kecamatan Bantur Malang. Desain penelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretif. Pengumpulan data dengan menggunakan metode wawancara mendalam dengan panduan wawancara semi terstruktur yang melibatkan enam orang partisipan dan dianalis dengan Interpretif phenomenologi analysis. Penelitian ini menghasilkan empat tema meliputi:senang mempunyai kesempatan untuk membantu sesama semampunya, prihatin akibat belum optimalnya dukungan semua pihak, puas melihat upayanya membuahkan hasil yang baik, dan merasa iba dengan kondisi yang dialami pasien. masyarakat yang memiliki stigma negatif terhadap klien gangguan jiwa cenderung menghindari dan tidak mau memberikan bantuan terhadap orang yang menderita gangguan jiwa sehingga mempersulit dalam proses penyembuhan. Kesimpulan dalam penelitian ini ialah niat tulus dan rasa tanggung jawab tinggi yang dimiliki kader menjadi kunci kegigihan kader melaksanakan tugas untuk membantu pasien dan keluarga, sehingga terwujudnya DSSJ di wilayah kerja Puskesmas Kecamatan Bantur. Kata kunci : Kader Jiwa, gangguan jiwa, Kesehata jiwa komunitas