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Introduction: : Families of schizophrenia patients need to obtain information from health services about how to care for them. Limited information and understanding of responsibilities in caring are still obstacles to becoming an empowered family in caring for patients with schizophrenia. The study aimed to explore family needs regarding information from health services and family responsibilities when caring for patients with schizophrenia. Methods: This study used a descriptive qualitative design. The study involved families who cared for patients with schizophrenia in Surabaya, Indonesia. Twenty participants were obtained using purposive sampling techniques and the sample size was determined by data saturation. Data were collected using in-depth interviews, field notes and interview question guides. The data were processed with content analysis. Results: The results showed eight themes. Families need information about patient conditions, medication, routine control, and counseling for patient conditions as well as for families. The family describes the responsibilities carried out for the patient as providing support for patient treatment, fulfilling daily needs, helping with social skills, and providing activities in spare time. Conclusions: Adequate information from health services regarding both the patient's condition and family counseling can help to meet the demands of care, which stimulates families to be more empowered to carry out care responsibilities and has an impact on the ability to care better Keywords: counseling, empowerment, family, mental disorder, responsibility, schizophrenia

Introduction: Suicide is a health phenomenon that is currently increasing, especially in young adults aged 15-29 years. The spiritual aspect in the form of belief in God is one way to prevent suicide. This study was conducted to determine the effect of web-based spiritual problem solving on the prevention of suicide risk in college students. Methods: The research design used a pre-experimental one-group pre-post-test. The sample was 59 respondents using the purposive sampling technique. The independent variable was web-based spiritual problem solving, and the dependent variable was suicide risk prevention. The intervention was delivered via the web using PowerPoint media, inspirational videos, and counseling for approximately one month with four sessions. Data were collected using a questionnaire and analyzed using the Wilcoxon sign rank test. Results: Web-Based Spiritual Problem Solving significantly decreases suicide risk with a p-value of 0.000 (p

Introduction: Smartphones and teenagers in the age of technology are two very close things. Uncontrolled use of smartphones can create serious problems for teenagers, namely addiction. This research aims to build a safe smartphone use model for teenagers using a health promotion theory. Methods: This study was an explanatory study with a cross-sectional approach. The study population was 11-18 year old teenagers in Surabaya, Indonesia who use smartphones actively. The respondents were 185 teens recruited by simple random sampling. Variables include teenager factors, technology factors, environmental factors, teenagers’ thinking, self-control, commitment, and the level of smartphone use. The instrument used was an on-line questionnaire distributed through social media and then analyzed with partial least squares. The statistical afforded material for focus group discussion followed by 15 teenagers, 15 parents and 5 health workers in order to improve the model. Results: The results showed that the level of smartphone use was affected by self-control (t=2.303; p=0.022) and commitment (t=2.967; p=0.003). Self-control is influenced by adolescent factors (t=3.065; p=0.002), environmental factors (t=2.934; p=0.004) and teenagers’ thinking (t=2.522; p=0.012), also self-control affects teenagers’ commitment for using smartphones (t=3.953; p=0.000). Conclusion:The model formed emphasizes the importance of establishing self-control through adolescent thinking and environment factors so that they can commit to using smartphones safely

Introduction: Schizophrenia is a serious mental illness that affects the thinking, emotions, relationships, and decision-making. One of the positive effects of treating schizophrenia in patients is family health. The family welfare management strategies provide help for coping, care preparation, organizing meetings, and mentoring. This study focuses on family coping strategies for improving the health of members living with schizophrenia. Methods: A cross-sectional design was used by choosing 160 respondents randomly. The inclusion criteria were family members accompanying control schizophrenia patients to the Public Health Center, with a minimum age of 18. The independent variable was family coping, which consist of two sub-variables (problem-focused coping mechanism and emotion-focused coping mechanism), while the dependent variable was family health, which consists of three sub-variables (efficient, satisfaction, and happiness). The SMART PLS (2.0 Version) was used to prove the impact of the variables. Results: The results indicated that family coping had a significant impact on the health of the family. The hypothesis was taken from the value of the T-test on the structural model analysis, which shows T- statistics (13.966) > T-critical (1.96). The impact of family coping on the health is equal to 0.682 (OR). This means that if family coping is given one-unit value, it will increase the family health by 0.682 times. Conclusion: The implementation of the family coping strategy will improve the capacity of the family to clarify health issues encountered, resolve family behaviors effectively and minimize risk factors. Furthermore, the coping mechanisms chosen by families in facing stress will have an impact on the reduction of illness symptoms in the members with schizophrenia.

Introduction: Mental health knowledge is a substantial part of mental health literacy. Many psychosocial problems are transient and are often not noticed. This study aimed to analyze the factors related to student self-awareness in conducting psychosocial screening. Methods: This study used a descriptive-analytic design with cross-sectional approach. The study was conducted at the Faculty of Nursing, Universitas Airlangga Surabaya. A total of 160 respondents was chosen using simple random sampling techniques. The instrument used was a questionnaire. The dependent variable in this study was students’ awareness in conducting psychosocial problems screening. The independent variables in this study were knowledge, social interaction, family support, perceived vulnerability, perceived severity, perceived benefits, perceived barriers, and self-confidence. Analysis used multiple linear regression statistical tests. Results: The results showed there was a relationship between social interaction (p=0.00), perceived vulnerability (p=0.00), perceived benefits (p=0.001) and self-confidence (p=0,000) with students’ self-awareness in conducting psychosocial screening. There was no relationship between knowledge (p=0.555), family support (p=0.720), perceived severity (p=0.070), perceived barriers (p=0.748) with students’ self-awareness in conducting psychosocial screening. Conclusion:Mental health awareness in nursing student should be enhanced and strengthened with health education. Self-awareness of mental health is important for students. This can prevent mental disorders in the future

Introduction: Managing Cancer and Living Meaningfully (CALM) is a supportive-expressive psychotherapy designed to address such barriers and to facilitate communication of mortality-related concerns in patients facing advanced disease and their primary caregivers. The study was meant to review the benefits of the CALM psychotherapy on patients with advanced or metastatic cancer and caregivers. Methods: This study was done through a systematic review with The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. It broadly used Scopus, Science Direct, and ProQuest database. The search utilized the Boolean phrases “cancer”, “living meaningfully”, and “psychotherapy” throughout the title, abstract, or keywords. The consideration criteria in the literature study were: an original article, the source from journals, article in English, and available in full text. We obtained 97 articles, and 11 were considered relevant for this systematic review. Results: The findings from the results of this study are that CALM has several psychological benefits for patients with advanced cancer, including: can reduce anxiety and depression, relieve distress, promote psychological growth and well-being, and improve quality of life. Based on these findings, it can be concluded that the CALM psychotherapy has many benefits for patients with advanced cancer and their caregivers and can be used as additional therapy to improve the quality of life to face the end-of-life. Conclusion: CALM may be a feasible intervention to benefit patients with advanced cancer. It may help them overcome obstacles in communication and alleviate death-related distress.

Introduction: A growing body of literature has shed light on occupational therapy (OT) interventions and outcomes in relation to mental illness. The purpose of this article is to provide an overview of the OT interventions used with patients with schizophrenia or mental illness and their documented outcomes in relation to functional level, well-being and quality of life. Methods: The databases searched were Scopus, Proquest, Sage, and Pubmed and the time of publication was in the last ten years. This was limited by the journal source type. The search terms, truncated when relevant, were "schizophrenia," "mental illness," “work training,” “occupational therapy” and “vocational therapy”. Results: Thirteen peer-reviewed intervention studies targeting adults with mental illness or schizophrenia were reviewed and analyzed. There are 6 categories related to the occupational interventions that emerged: skill training, cognitive-based occupational treatment, psychosocial-based occupational therapy, cognitive behavior therapy-based occupational therapy, creative occupational therapy, and peer group support-based occupational intervention. Conclusion: Most of the previous literature states that there were significant effects from the occupational therapies on the level of functioning, well-being or quality of life of the patients with schizophrenia or mental illness.

Introduction: Smartphone addiction often occurs in adolescents. The purpose of this systematic review was to identify the predictors of smartphone addiction in adolescents. Methods: The method used in this systematic review consisted of 5 stages: (1) the identification of the instruments used in the literature (database search); (2) the identification of the relevant literature based on the title and abstract; (3) the inclusion and exclusion criteria; (4) getting the full-text literature and (5) grading based on the literature component and the analysis of the selected instruments. The databases used in the literature search were Scopus, PubMed, Science Direct and Springer Link from 2013 - 2018. The criteria for the included articles were that they used a cross-sectional design and involved adolescents as the sample. Results: 17 of 829 articles met the inclusion criteria. The predictors of smartphone addiction were broadly divided into 3, namely personal factors, interpersonal factors and behavioral factors. These 3 factors are related to one another. Conclusion: It is necessary to do further research within a case-control study to strengthen this systematic review.

Background: Nowadays juvenile delinquency is increasing in terms of number and type. Delinquency and criminality among teenagers are generally categorized as deviant behavior in society and can be interpreted as a form of teenage resistance to normative rules and values that apply in society. Many risk factors are related to deviant behavior. This study aimed to analyze the risk factors that influence the occurrence of juvenile delinquency. Method: This study used a cross-sectional design and a simple random sampling technique. The calculation results involved 295 samples. The independent variables were individuals, families, school environments, peer groups, coping mechanisms, lifestyles, and technologies. The dependent variable was juvenile delinquency. The data was collected using a questionnaire. The analysis used a multiple linear regression test with a significance level of α≤0.05. Results: Of the seven variables, six of them significantly influence juvenile delinquency. Technology is the variable that has the greatest influence on the occurrence of teenager wear. Conclusion: Technology is the most influential factor. These results indicate a significant shift in the causes of juvenile delinquency from family and peer factors to technological factors. This is quite reasonable because technology is a major need and is a trend for teenagers at this time.

Introduction: Taking care of schizophrenia patients is challenging and causes stress for the family involved. The study was conducted to identify the predictors of family stress present when taking care of a patient with schizophrenia. The ABCX Stress Theory of Hill was used as the theoretical framework. Methods: This study used a correlational design. The sample was 137 families who were caring for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The data was collected by a questionnaire and analysed by multiple regression to determine the relationship of the family’s structure, family knowledge, the burden of care, stigma, social support, the patient's illness duration, the patient’s frequency of relapse and the patient's severity level with family stress. Results: The results showed that the family’s stress was predicted by the family’s structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the patient’s frequency of relapse (p=0.005). The burden of care was the strongest predictor of family stress (Beta= 0.619). Conclusion: The patient's frequency of relapse and stigma were other kinds of family stressor. The stressors stimulated a negative perception, called the care burden. Limited adequacy of the family structure-function will inhibit the family in using other resources, creating family stress. Nurses may develop an assessment format that consists of the family stress predictors in order to create a nursing care plan specific to reframing the techniques of family stress management.

Introduction: Attention deficit is one of three main problems of children with Attention Deficit Hyperactivity Disorder (ADHD). Children experience difficulty of paying attention and concentrating to one or more things or objects. As a results these children cannot perform the task well. Crossword puzzle is one of games that may increase attention and concentration. The aim of this study was to analyze the effect of crossword puzzle to increase attention of children with ADHD. Method: Pre-experimental design was employed in this study. The population was ADHD students in Cakra Autisme Therapy. Seven students were recruited by means of purposive sampling. The independent variable was crossword puzzle and the dependent variable was the increase of attention. Data were collected using observation sheet and analyzed using Wilcoxon Signed Rank Test with level of significance of α≤ 0.05. Result: Result showed that crossword puzzle could increase attention. Respondent’s attention improved from less to good attention, particularly in playing activities (p=0.014). Analysis: This finding suggests that there was differences of attention between pre and post-test. It can be concluded that crossword puzzle can increase attention of the students with ADHD. Discussion: It is recommended for teachers and parents of ADHD children to give them crossword puzzle game everyday at school or at home. Further studies should involve larger sample size and employs another game not only to increase attention, but also reduce hyperactivity and impulsivity of ADHD child.

Introduction: Menopause woman has higher depression level than pre and postmenopause woman. Many woman who are getting menopause will feel lonely and don’t have any friends to talk, if this situation continue it can cause menopausal depression. Peer group support is one of group therapy which gives opportunity to menopause woman to get mutual support and help them to face the problem. This aimed of this study was to analyze the effect of peer group support in the menopause woman depression level. Method: A quasy experimental pre-post test design was used in this study. There were 16 menopause women taken from Cepokomulyo Kepanjen. The independent variable was peer group support and the dependent variable was the depression level. Data were analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with the significance level α

Introduction: Decision for cesarean section may lead to the stress for women in delivery. Stress response requires longer recovery time in post cesarean section patients. Most of patients who experience stress before and after surgical is associated with wound healing delay. When this condition continues, the wound will have a higher risk of infection. The objective of this study was to analyze correlation between stress and wound healing phase in post cesarean section patients. Method: A cross sectional design was used in this study. The population were women with cesarean section, both elective or emergency, in Delivery Room I RSU Dr. Soetomo Surabaya. Samples were recruited by using purposive sampling, with 28 samples who met to the inclusion criterias. The observed variables were stress and wound healing phase in post cesarean section patient. Stress data were collected by interview and wound healing measurement done by observation on the 3rd day post cesarean section. Result: The result showed that women with stress experience wound healing delay. The characteristic of wound healing delay was prolonged on inflammation phase, nevertheless there was presence of granulation tissue. Spearman’s rho correlation showed that correlation value r=0.675 with p=0.000. Discussion: It can be concluded that there was strong significant correlation between stress and wound healing phase in post cesarean section patients. It is important to give this information to the patients with cesarean section in order to prevent stress and delay in wound healing phase.

Introduction: Aging is a natural process in individuals. Most of the elderly have problems in dealing with this natural process. Lost of occupation, friends and loneliness may result in depression in this age group. Cognitive therapy changes pessimistic idea, unrealistic hopes and excessive self evaluation may result and justify depression. Cognitive therapy may help elderly to recognize the problem in life, to develop positive objective of life and to create more positive personality. The aimed of this study was to analyze the effect of cognitive therapy to reduce the level of depression. Method: This study was used a pre experimental pre post test design. Sample were 10 elderly people who met to the inclusion criteria. The independent variable was cognitive therapy and dependent variable was the level of depression in elderly. Data were collected by using Geriatric Depression Scale (GDS) 15, then analyzed by using Wilcoxon Signed Rank Test with significance levelα≤0.05. Result: The result showed that cognitive therapy has an effect on reducing depression with significance level p=0.005. Discussion: It can be concluded that cognitive therapy was effective in reducing depression level in elderly. Further studies are recommended to analyze the effect of cognitive therapy on decreasing anxiety in elderly by measuring cathecolamin.

Introduction: The main problem that experienced by child of mental retardation was slowness development of socialization ability especially the ability to cooperate. This disability happened because less of stimulation activity and because of the extraordinary school give more lessons to increase intelligence ability. Group Activity Therapy (GAT) Socialization is a therapy given to child of mental retardation to train their cooperate in playing group and increased their socialization ability (cooperate). Method: This study used Quasy Experimental design. The population was the students of 1-5 class at Karya Bhakti extraordinary school. The sample was recruited with purposive sampling consist of 20 respondents according the inclusions criteria and divided into treatment and control groups. The Independent variable was GAT Socialization session 6 and the dependent variable was the increased of socialization ability (cooperate). Data were collected with observation sheet and analyzed with Wilcoxon Signed Rank Test and Mann Whitney U Test with level of significance p

Introduction : Autism is a behavioral dissorder which can be identified by three factors i.e.: communication, socialize and stereotyping. Lovaas method was a structural method, having a well-composed material which can be implemented one on one with very clear instructional steps. This study was aimed to explain the correlation of lovaas method implementation with the obedience in children with autism. Method : This study used cross sectional design involved 15 respondents for children with autism and 15 respondents of therapist who met inclusion criteria, taken by accidental sampling. The independent variable was lovaas method and the dependent variable was the obedience. Data were collected by using observation and questionaire. Data were analyzed using Gamma and Somers’d test with level of significance α ≤ 0.05. Result : Results showed that there was moderate correlation between lovaas method implementation with the obedience in children with autism (p = 0.026). Analysis : It can be concluded that lovaas method has correlation with the obedience in children with autism. Discussion : Lovaas method can shape obedience with reinforcement when children can respond order from therapist which is having more authority in giving rewards. For further studies the implementation of lovaas method should be intended to reveal other possible capacity in children with autism.

Introduction: Psychological well-being is one of an important part on the positive aging process for elderly. Many older people face stressful situation such as death of family, deterioration of health, decrease of physical ability and psychological problem like loneliness, low self esteem, useless, isolation or difficulty in relationship. Religious relaxation: dzikir is one of the group therapy to fill up psychological necessary by filled up spiritual necessary so they could say thanks to God for everything what they have had now. The aimed of this study was to analyze the effect of religious relaxation: dzikir to increase the level of psychological well being of the elderly. Method: This study was used a quasy experimental pre post test design. There were 20 respondents which taken by using purposive sampling. The independent variable was religious relaxation: dzikir and the dependent variable was elderly psychological well being. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U-Test with significance level a≤0.05. Result: The result showed that religious relaxation: dzikir has an effect on increasing the level of psychological well being of the elderly with Wilcoxon Signed Rank Test p=0.004 in treatment group, p=1.000 in control group and the result of Mann Whitney U-Test revealed p=0.000. Discussion: It can be concluded that religious relaxation: dzikir can increase psychological well-being. Religious relaxation: dzikir help the elderly to develop self acceptance, autonomy, positive relation with others, environmental mastery, purposive in life and personal growth. Researcher suggests the institutional to practice relaxation religious: dzikir to help elderly people to raise psychological well-being.

Introduction: Prison is societal implementer unit which accommodate care and develop the delinquent children. It was recorded that 57% of children at Blitar Child Prison undergo some self concept problems such as low self esteem. This was caused by some factors such as society’s stigmatization toward criminals, development pattern and education, and less support from family. If the self esteem problem is not being overcome soon, the children may fell useless, disable to control their self and recrime when they are back to society. The objective of this study was to analyze the influence of GAT (Group Activity Therapy) perception stimulation in increasing the children self esteem at prison. Method: A quasy experimental pre post control design was used in this study. Samples were recruited by using total sampling and there were 22 samples as on inclusion criteria. The independent variable was GAT perception stimulation and the dependent variable was increasing self esteem of these childen. Data were collected by using questionnare and analyzed by using Wilcoxon Signed Ranks Test and Mann Whitney U Test with the significance level α≤0.05.Result: The result showed that controlled group has significance level was p=0.654, it is mean there was no self esteem change before and after GAT perception stimulation was given. Whereas treatment group has significance level was p=0.001, it revealed that there was self esteem change before and after GAT perception stimulation was given. The result of Mann Whitney U Test showed p=0.000 which means was accepted. Discussion: It can be concluded that perception stimulation can increase the children self esteem at prison. Further studies are recommended to study the effect of GAT perception stimulation modified by skill therapy in increasing children self esteem in prison.

Introduction: Autism is social interaction disorder in children. They were seemingly living in their own world. ABA method was a technique to decrease behaviour disorder or social interaction in autism children. The aimed of this research was to evaluate correlation between ABA method implementation and parents role with social interaction development in children with autism. Method: This research was used a cross sectional with purposive sampling. There were 22 respondents who met to the inclusion criteria. The independent variable was ABA methode and the dependent variable was social interaction development. Data were collected by using questionnaire and observation, then analyzed by using Spearman Rho Correlation with significance level α≤0.05. Result: The result showed that there was a correlation between ABA method and social interaction development in autism children with p

Introduction: Scizophrenia is a disease which affect of brain, causing impaired perception, thought, emotion, movement, and behavior, such as self care deficit. Self-care deficit is an impaired ability to bathing, dressing, eating and toileting. Modeling participant is a technique required to address the problem of self-care deficit where clients are taught and trained to meet the needs of self-care. The purpose of this study was to analyze the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Method: This study used quasi experimental design. Sampling was carried out with total sampling to all affordable population comprising 20 respondents in Dr Radjiman Wediodiningrat Mental Hospital, Lawang. This study analyzed by Wilcoxon Signed Rank Test and Mann-Whitney Test with significance level of p < 0.05. Result: The results showed the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Wilcoxon Signed Rank Test in treatment group showed p = 0.005 and control group showed p = 0,206. Mann-Whitney Test showed p = 0.030. Modeling participant improved self-care ability in schizophrenic clients with self-care deficit. Analysis: Modeling participant will improve cognitive, self-confidence and motivation of schizophrenic clients so that their ability to bathing, dressing, eating and toileting will increase. Discussion: Modeling participant can be applied as a technique to improve self-care ability in schizophrenic clients with self-care deficit. For further research can be explored further implementation of the modeling of participants in the group activity theraphy.

Introduction: Schizophrenia is a severe mental disorder that is characterized by impaired reality (hallucinations and delusions), inability to communicate, affect unnatural or blunt, cognitive disorders (not capable of abstract thinking) and had difficulty doing daily activities. Normally, the family is most affected by the presence of people with schizophrenia in their families. The purpose of this study was to develop an adaptation model of the caregiver in caring for family members with schizophrenia in Kediri. Methods: This study used cross-sectional design with nature explanatory research. Data were collected using a questionnaire on 135 respondents in nine health centers in the city of Kediri region. The sampling technique used simple random sampling. For data analysis and test, the feasibility used a test model of SEM with AMOS program 19. Results: The results showed self esteem caregiver (-0.25 0.05) , caregiver coping effort (12:17

Introduction: Mental disorder remains a stigma in society, even until now. A family who have a member with mental disorder, will experience continues objective and subjective burden, experience serious stress for a lifetime, which may cause ineffective coping. Method: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, has been taking care there twice, in minimum, lived in Surabaya. The samples were chosen by allocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test. Result: Results in this study showed that there was significant change in total of family coping (p = 0.040), maintaining family integration, cooperation and an optimistic definition of the stuation (p = 0.009), maintaining social support, self esteem, and psychological stability (p = 0.230), understanding the medical situations through communication with other parents and concultation with medical staff (p = 0.025). Discussion: The provision of family therapy with spiritual approach (DOA) can increase family coping in taking care of patient with mental disorder.

Introduction: One of school age children may developing task is learning to interact with their peer groups. The introvert have problem with their social interaction. One ways that can increase the social skill is play activities with social situation. So social play activities: cooperative play can be one of alternative solution to increase social interaction of children with introvert symptom. This study was aimed to explain effect of social play activities: cooperative play on social interaction of children with introvert symptom. Method: Quasy experiment design was used in this study. The population was school aged children with introvert symptom in SDN Kendangsari III/278 Surabaya. Total sample was 23 respondents consist of 12 respondents as treatment group and 11 respondents as controlled group. The independent variable was social play activities: cooperative play. The dependent was social interaction of children with introvert symptom. The Data was analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with level significance ofα ≤ 0.005. Result: Result showed that social play activities: cooperative play had significant effect on social interaction of children with introvert symptom (increased). Wilcoxon Signed Rank Test showed treatment group had p = 0.002 and controlled group had p = 1.00. Mann Whitney U Test showed p = 0.002. Discussion: It concluded that social play activities: cooperative play can be one way to change social interaction of children with introvert symptom. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.

Introduction: Hypertensive disease is closely related to high cholesterol level, which may act as one of causes of death in elderly. The objective of this study was to analyze the effect of guava juice on the reduction of cholesterol level of hypertensive elderly at Community Health Center, Pacar Keling, Surabaya. Method: Quasy–experimental was used in this study. Sample comprised of 14 respondents who met the inclusion criteria. The independent variable was guava juice and the dependent variable was cholesterol level. Data were collected using questionnaire and observation. Data were analyzed by Paired t–Test and Independent t–Test with signi fi cance level of α < 0.05. Result: The result showed that guava juice gave a significant effect to cholesterol level of elderly with hypertension (p = 0.000). Discussion: It can be concluded that guava juice can reduce cholesterol level in elderly with hypertension. The reduction of cholesterol level may result from vitamin C, pectin, and potassium contained in guava juice, which have effect on cholesterol regulation in the body. Guava juice can be provided as daily diet for elderly. Further studies are suggested to investigate other variables, such as diet consumed, age, activity, and obesity.

Introduction: Diabetic treatment need a very long time that make most of patient doesn’t obey. One of the methods can be used to improve patient’s compliance is nursing care model Behavioral System by Dorothy E. Johnson with its interventions are motivation and education. The objective of this study was to analyze the differences between knowledge, attitude, practice, blood sugar fasting and 2 hours post prandial (PP) of diabetic patients. Method: This experimental research using randomized control group pretest posttest design. Sample used 30 persons divided into 2 groups. Motivation and education are given 4 times in period of 1 month by visiting to the patient’s house. Data were collected by questionnaires and observation then analyzed by wilcoxon with α < 0.05. Result: Results showed that after intervention, treatment group who haved good knowledge were 15 persons (100%), good attitude were 8 persons (53.3%), moderate were 7 persons (46.7%), good practice were 11 persons (73.3%), moderate were 3 persons (20%) and less was 1 person (6.7%). Blood sugar fasting and 2 hours post prandial (PP) decreased were 13 persons (86.7%). Analysis using wilcoxon showed that result was significant. Discussion: It can be concluded that motivation and education can improve knowledge, attitude, practice, decrease blood sugar fasting and 2 hours post prandial (PP). It was suggested to optimalized education and giving motivation due to improving support and awareness of patient to implement diabetes mellitus treatment.

Introduction: Schizophrenia is the problem with kognitive, mal-adaptive thought and behavior. Family who have a member with mental disorder can experience serious conflict, become an objective and subjective burden, blame each other, get involved in hostility among family members. Various negative effect faced by family can caused by wrong family’s health belief model about Schizophrenia, hence the failure on choosing the treatment and taking care of patient at home. Someone with severe stress will seek comfort and strength from God. But so far, the most effective spiritual models to improve the health belief model of the family in caring for patients with schizophrenia has not been found. Method: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, chosen by alocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test. Results: There were significant changes in total of family’s health belief model (p=0,004), there was significantly change in aspects of (1) perceptions about bene fi ts (p=0,009), (2) perception about barriers (p=0,035) and perception about self efficacy (p=0,002). There were no significant changing in perception about susceptibility and severity (p=0,052). Discussion: Family believes that all events experienced by the patient and the family is God's will, hoping the patient can be more independent, and believe mental disorders can be changed for the better. The conclusion of this study is that family therapy with a spiritual approach can improve the health belief model of the family in caring for patients with mental disorders.

Introduction: Patient with nasopharynx cancer may experience emotional distres. Emotional distres and anxiety may lead to decrease self-efficacy. Clients with a negative perception of the health or low self-efficacy would become apathetic and disability in soluns problem as compensation of getting that disease. The purpose of this study was the relaxation affirmations techniques in order to increase self-efficacy patient with nasopharynx cancer. Methode: This study used pra-experiment pre-post test design. Population was taken from patient with nasopharynx cancer of Ear Nose and Throat (ENT) Patient Departement Dr. Soetomo Hospital at Surabaya. Sample comprised of 19 respondents who selected based on inclusion criteria. Independent variable was the relaxation affirmations. Dependent variable was self efficacy of nasopharyngeal cancer patients. Data were collected using the observation sheet. Result: The results showed that there was a significant influence of relaxation affirmation in increased self-effi cacy patient with nasopharynx cancer, with p = 0.008. Discussion: Based on that results, it can be concluded that relaxation affirmations help patients nasopharyngeal cancer in THT Patient Departement Dr. Soeotomo Hospital at Surabaya in improving self-efficacy so that they would have ability to accept reality and belief in health pattern for optimalizing quality of life. Relaxation affirmations techniques including diaphragma breathing and affirmation decrease sympatic nerve activity and increase positive firm belief in patient.

Introduction: The degradation of cognitive function present early dementia in elderly. Brain gym is one of the alternative implementation to improve the cognitive function of elderly. The objective of this study was to analyze the effect of brain gym to the improvement of cognitive function in elderly. Method: This study used Quasy Experimental design. The populations were elderly in Social Service Unit Tresna Werdha Lamongan. The samples were recruited using purposive sampling, consist of 30 respondents, taken according to the inclusion criteria. Samples then divided into 2 groups, experimental groups and control groups. The independent variable of research this study was brain gym and the dependent variable was cognitive function at elderly. Data were collected by using MMSE score and then analyzed using Wilcoxon Signed Rank Test and Mann Whitney Test with level of significance α ≤ 0.05. Result: Result showed that there is an effect of brain gym to the improvement of cognitive function in elderly (p = 0.001). The difference of cognitive function also seen between experimental groups and control groups (p = 0.001). Discussion: The conclusion of this research is brain gym improve cognitive function in elderly. The simple movement of brain gym able to coordinate the brain function so the brain activity become more optimal hence the improvement of memory function, recall and concentration.

Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients. Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis. Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life. Discuss and conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM. Keywords: psychological well being, type 2 Diabetes mellitus, qualitative

Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies. This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD). Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi . The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction Keyword: Nurse, Competencies, Mental Disorder

Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that infects cells of the immune system, destroying or damaging the function of cells of the immune system. This makes the immune system becomes weaker, and people become more liable to infection. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge in dealing the number of transmission performed comprehensive care of patients and their family empowerment and peer support groups. The aimed of this study was to develop the ability of a family of Indonesian Workers who are infected with HIV and Peer Support Group in independence of care. Methods: This study was used an explanatory design and quasy-experimental. Population in this study were the closest family who care for patients infected with HIV during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable was the peer group and family support, the dependent variable is the level of independence of care on the respondent. Data were collected using a questionnaire that has been tested for validity and reliability and results were tested using the Wilcoxon Signed Rank Test with alpha ≤0.05. Results: The results showed that this method can improve the independence of the family of the HIV-infected client care during labor as migrant workers abroad with a significance value of p=0.004. Conclusion: Empowerment of family and peer group support can be used to increase the independence of families and patients in the treatment of HIV-infected patients during work abroad as migrant workers. Future studies are expected to use a larger sample. Keywords: empowerment of the family, peer group support, independence treatment, TKI (Indonesian Labor), Human Immunodeficiency Virus (HIV)

The objective of this study was to examine the effect of modified Group Activity Therapy (GAT) perception stimulation on auditory halucination controlling in schizophrenia. Modification means using only 3 sessions in GAT. A quasi-experimental pre post test design was used in this study. Eighteen samples with auditory halucination at male third’s class wards Menur Mental Hospital Surabaya were used in this study and divided into 2 groups. Observation was applied to measure patient’s responses and data were analyzed by Wilcoxon Signed Rank test and Mann Whitney test with significance level of α

The objective of this study was to examine the correlation between parenting and social environtment with sexual behavior for adolescence (14–21 years) who lived in Putat Jaya prostitution area Surabaya. Design used in this study was cross sectional design. The population were all adolescence who lived around in Putat Jaya prostitution area Surabaya. Total sample were 104 respondents, taken according to inclusion criteria. The independen variables were parenting and social environtment and the dependent variable was sexual behavior in adolescence (14–21 years). Data were collected by using structured questionaires with multiple choice and several open questions. Data were then analyzed by using Spearman’s Rho Correlation with level of significance p=0.05 and content analyse. Result showed that parenting had a strong correlation with sexual behavior in adolescence (p=0.000 and ρ=0.691) and the social environtment had a strong correlation with sexual behavior in adolescence (p=0.000 and ρ= –0.773). Conclution: parenting and social environtment has correlation with sexual behavior in adolescence and the most factors that have strong relationship in those correlations is living in prostitution area nearby. It is recommended for nurse, parent and publics to modified the social environtment to be more condusiveness.