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Background: Return migration is a complex, challenging phenomenon and to date it remains a concept that is not well understood. A concept analysis would help to clarify what is meant by return migration. This paper aims to report on an analysis of the concept of return migration of nurses. Design: Concept analysis using the Walker and Avant approach. Data Sources: Google Scholar, Pubmed, EBSCO, JSTOR and Web of Science databases were searched without a timeframe. Twenty-one articles meeting the inclusion criteria were included. Method: This study employs eight steps of Walker and Avant’s method to conduct the concept analysis. Results: Return migration of nurses can be defined by five attributes: the motivation and decisions of migrant nurse, return as human right, resource mobilisation, reintegration and return itineraries. Antecedents of return migration include the economic, social, geographical, political, family and life cycle that comprise the cause and eRect framework. With regards to return migration, the consequences are beneficial or detrimental depend on the point of view migrant nurses, source country, receiving country, nursing profession and country health system. Empirical referents have been identified and support potential area to undertake a research on return migration. Conclusion: This concept analysis has clarified current understandings and enhance the clarity of return migration concept. It recognises the centrality of return as a component in migration stage that needs a comprehensive approach.

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: 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.Methods: 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.Results: The result showed that guava juice gave a significant effect to cholesterol level of elderly with hypertension (p = 0.000).Conclusion: 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.

Background:Various efforts have been made by the Indonesian government to improve mental healthservices. In 2014, the government established Law no 18, which is about mental health and the treatmentof people with mental illness covered by the universal health coverage. However, many people stillexperience difficulty in accessing mental health services. In Indonesia, family plays the role of a caregiverto people with mental illness.Objective:This study aims to identify the perceived barriers on mental health services by families whosemembers suffers from mental illness.Methods:This study is a qualitative research study with a phenomenological approach. Sampling wasconducted by purposive sampling with a sample size of 12 participants. Data were collected usingsemistructured in-depth interviews. Thematic analysis was performed using Colaizzi steps.Results:The obtained results presented three themes. Theme 1, mental health service affordability;theme 2, mental health service availability; and theme 3, negative attitudes (stigma).Conclusion:Families whose members suffered from mental illness still experienced barriers in relation tomental health services even with universal health coverage. Improved mental health services are relatedto the health insurance coverage, affordability, availability of mental health services and stigma reductionin the health professionals and wide community.©2017 Chinese Nursing Association. Production and hosting by Elsevier B.V. This is an open access articleunder the CC BY-NC-ND license

Introduction: Decision for cesarean section may lead to the stress for women in delivery. Stress respons e require s longer recovery time in post cesarean section patient s . Most of p atient s wh o 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 t his study was to analyze correlation between stress and wound healing phase in post cesarean section patient s . Method: A cross sectional design was used in t his 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 3 rd 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 th at correlation value r=0 . 675 with p=0 . 000. Discussion: It can be conclu ded that there was strong significant correlation between stress and wound healing phase in post cesarean section patient s . It is important to give this information to the patient s with cesarean section in order to prevent stress and delay in wound healing phase.

Introduction: Prison is societal implementer unit which accommodate care and develop the delinquent children. It wa s recorded that 57% of children at Blitar C hild P rison undergo some self concept problems such a s low self esteem. This wa s 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 child ren may fell useless, disable to control their self and re crime when they are back to society. T he objective of this study was to analyze the influence of GAT (Group Activity Therapy) perception stimulation in increasing the child ren 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 i s mean there wa s no self esteem change before and after GAT perception stimulation was given. Whe reas treatment group ha s 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 s howed p=0 . 000 which means was accepted. Discussion: It can be concluded that perception stimulation can increase the chil dren self esteem at prison. Further studies are recommended to study the effect of GAT perception stimulation modified by skill therapy in increasing child ren self esteem in prison.

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

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). 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: 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.Methods: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). Conclusion: 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. The Benefit of Family Nursing Care in Improve Knowledge and Prevent the Deformity of Leprosy 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.Methods: 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.Results: 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).Conclusion: 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.

Community resilience is the adaptive capacity of a community to respond to and recover from adversities. Through communities, psychiatric patients can recover and improve their emotional, social and thinking skills needed in everyday life. The purpose of this study is to describe the results of a meta-study of community resilience as a method for recovery process in psychiatric patients. The method in this study used several approaches of meta-study and was guided by Thorne (2006). Meta-analysis was used to compare the studies, based on 125 data sources: Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing and Allied Health Source, Proquest Psychology Journals and Proquest Science Journals from 2007 to 2017. Subsequently three common themes emerged: ‘vulnerability in the community’, ‘protecting each other’ and ‘high spirituality within community’. The first of these comprised several subthemes including feeling sad, isolated and going through hardship in life. The second theme included social resilience, economic reliance and resilience of all dimensions. The latter theme included self-protection, self-reliance and spirituality growth. Resilient communities could support a recovery process among psychiatric patients. It is recommended that health professionals in a community could promote the development of community resilience to increase wellbeing.

The recognition seekers, family nurses, providers, educators, and promoters have a family role that is one of the efforts to improve the adaptability of ODGJ family members. The purpose of this research was to analyze a model of potentially strengthening the family roles to improve the ability of adapted ODGJ family members. The design of this study was observational with a cross sectional approach. Exogenous variables are family potential strengthening, whereas the endogen variables are family role and client adaptability. The population was 55 families with 49 family samples using a cluster sampling method. The analysis used AMOS software. The family potential strengthening affected the family role, the family role affected the client's adaptability, and family potential strengthening did not affect the client's adaptability. This suggests that family potential strengthening will increase the family role, and the family role will increase client adaptability. The potential strengthening and family role model improves the ability of adapted ODGJ family members. Potential strengthening benefits the family by enhancing its role to improve adaptation of ODGJ family members.

After the life of the schizophrenia, post-Restrain is a person who has been free from restraining, but stress reaction on the client family schizophrenia post-Restrain has not been said to end the role in family factors. The aim of the study was to investigated stress reaction and family experiences in primary care post restrain schizophrenia and to explain the stress reaction and experience of families who have people with schizophrenia post-restrain. Material and Method: Atotal of 135 families who have people with schizophrenia post-restrain October to December 2018. This research Mix Method: Sequential Explanatory design, the research instrument used was The Kempe Family Stress Inventory with The sensitivity of the KFSI was calculated at 80%. The specificity was 89.4%. the positive predictive value was 52.5%. Negative predictive value was 96.8%. The results of the study illustrated that the total mean score of a stress reaction in families normal was 43.48 [S.D=5.6], Mild was 34.33 [S.D=4.7], Severe was 56.45 [S.D=4.45]. The psychological burden was expressed by families in the form of fear and worry, the results showed a reaction to high stress and family experience lacking in primary care of people with post-restrain mental disorders. Conclusions: Most of the stress on families who have schizophrenia post-restrain in East Java is still showed revealed that the overall family stress reaction parent beaten of deprived schizophrenia and A majority parent has substance abuse history and Multiple stress.

Pendahuluan: masih banyak perawat yang belum berpengalaman dalam merawat anak dengan gangguan psikiatri serta belum memiliki keterampilan yang memadai dalam melakukan asuhan keperawatan pada kasus jiwa anak dan remaja.Metode: Metode yang digunakan dalam program pengabdian masyarakat ini adalah dengan memberikan pelatihan keterampilan perawat dalam memberikan asuhan pada kasus psikiatri anak dan remaja.Hasil: Hasil kegiatan pelatihan didapatkan peningkatan pengetahuan tentang asuhan jiwa pada anak dan remaja.Kesimpulan: Implikasi dari hasil pengabdian masyarakat ini adalah perlunya dilakukan pelatihan terkait pengetahuan dan keterampilan perawat dalam melakukan asuhan keperawatan jiwa pada anak dan remaja dengan mempertimbangkan aspek dukungan finansial dari tempat kerja untuk mendorong stafnya mengikuti training atau workshop asuhan keperawatan jiwa pada anak dan remaja terutama pada perawat yang bekerja di unit anak dan remaja.

Pendahuluan: Keluarga sebagai caregiver penderita ODGJ mengalami beban berupa gangguan fisik, emosional dan finansial karena perilaku abnormal pasien, disfungsi sosial serta ketidakmampuan untuk menghidupi dirinya sendiri. Akibat beban yang mereka alami, caregiver ODGJ menunjukkan gejala stress dan kecemasan yang tinggi hingga mempengaruhi pola interaksi. Metode: Rancangan penelitian ini adalah cross sectional . Sampel sejumlah 123 caregiver keluarga penderita ODGJ yang berkunjung di Poliklinik kesehatan jiwa RSJ Menur Surabaya dan didapatkan dengan menggunakan teknik konsekuetive sampling. Data diperoleh dari kuesioner Zarit Caregiver Burden Questionaire dan kuesioner pola interaksi kemudian dianalisis dengan uji statistik korelasi Spearman Rho. Hasil: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara beban pengasuhan dengan pola interaksi (p=0,032) pada nilai signifikansi < 0,05. Koefisien korelasi r=-0,194. Hal ini menunjukkan bahwa terdapat hubungan yang rendah dengan arah negatif, sehingga semakin tinggi beban pengasuhan yang dirasakan semakin rendah pola interaksi yang dialami oleh caregiver keluarga penderita ODGJ. Kesimpulan : Terdapat hubungan yang rendah dan bermakna antara beban pengasuhan dengan pola interaksi caregiver keluarga penderita ODGJ dengan arah negatif, yang berarti semakin tinggi beban pengasuhan yang dirasakan oleh caregiver, maka pola interaksinya semakin rendah. ABSTRACT Introduction: Families as caregivers their family with mental disorder experience the burden of physical, emotional and financial disturbances due to the patient's abnormal behavior, social dysfunction and inability to support themselves. Due to the burden they experience, caregivers show symptoms of high stress and anxiety to affect patterns of interaction. Method: The design of this study was cross sectional. A sample of 123 family sufferers of mental disorder member who visited the mental health polyclinic at the Menur General Hospital in Surabaya was obtained using a consistent sampling technique. Data were obtained from the Zarit Caregiver Burden Questionaire and the interaction pattern questionnaire was then analyzed using the Spearman Rho correlation test. Results: The results showed that there was a significant relationship between the burden of caregiving with interaction patterns (p = 0.032) at a significance value

Pendahuluan: Game online memberikan pengaruh besar pada penggunanya. Pengguna game online cenderung mangalami kecanduan (addiction) pada permainan yang disukainya, ditandai dengan bermain > 4-5 jam perhari, selalu memikirkan game online meskipun tidak bermain game, dan selalu mengutamakan bermain game online dari pada aktivitas yang lain. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecanduan game online dengan komunikasi interpersonal dan interaksi sosial remaja.Metode: Rancangan penelitian dengan pendekatan Cross-Sectional. Besar sampel pada penelitian ini adalah 210 siswa. Teknik sampling yang digunakan adalah simple random sampling. Data dianalisis dengan menggunakan analisis spearman rho’s dengan derajat signifikansi α=0,05.Hasil: Hasil penelitian menunjukan bahwa komunikasi interpersonal (p = 0,027 dan r = - 0,152), dan interaksi sosial (p = 0,000 dan r = 0,248 berhubungan dengan kecanduan game online.Kesimpulan: Kecanduan game online memiliki hubungan dengan komunikasi interpersonal, semakin tinggi kecanduan game online maka semakin rendah komunikasi interpersonal yang dihasilkan. Kecanduan game online memiliki hubungan dengan interaksi sosial, semakin tinggi kecanduan game online maka semakin rendah interaksi sosial yang dihasilkan. Introduction: Online games have a big influence on users. Users of online games tend to experience addiction in the game they like, marked by playing> 4-5 hours per day, always thinking of online games even if they don't play games, and always prioritize playing online games rather than other activities. The purpose of this study was to determine the relationship of online game addiction with interpersonal communication and social interaction in adolescents.Method: Research design with Cross-Sectional approach. The total sample is 210 respondents. The sampling technique uses simple random sampling. Data were analyzed using spearman rho's analysis with a significance level of p

Pendahuluan : Kejadian bencana dapat menimbulkan kerugian baik dari aspek fisik, psikologis, properti dan lingkungan. Bencana mempengaruhi kesejahteraan psikologis dan kesehatan mental individu, baik orang dewasa maupun anak-anak dan remaja. Diperlukan proses adaptasi pasca bencana untuk mencapai respon yang adaptif bagi remaja sehingga stress pasca trauma tidak menjadi patologis. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman adaptasi remaja pasca bencana gempa di Lombok Nusa Tenggara Barat tahun 2018. Metode: penelitian ini menggunakan metode penelitian kualitatif fenomenologi dengan teknik wawancara mendalam kepada 18 orang remaja terdampak bencana gempa di Lombok Nusa Tenggara Barat, Analisis data yang digunakan mengacu pada sembilan langkah teknik analisis data collaizi. Hasil: hasil dari penelitian ini diperoleh 11 tema: 1) Perubahan cara bersosialisasi, 2) Perubahan peran, 3) Menggali kemampuan lain 4) Respon terhadap gempa, 5) Upaya mengatasi dampak bencana, 6) Sumber Dukungan, 7) Jenis Dukungan, 8) Makna kejadian bencana, 9) Harapan untuk Lombok, 10) Harapan pada diri sendiri, 11) Harapan pada pihak berwenang. Kesimpulan: Upaya menghadapi dampak gempa atau Strategi koping yang digunakan remaja berupa perubahan spiritual dan distraksi. Mendekatkan diri kepada tuhan dengan melakukan berbagai bentuk ibadah sesuai dengan agama yang di anut memiliki peranan penting untuk dapat beradaptasi dengan dampak yang ditimbulkan oleh bencana gempa pada remaja. ABSTRACT Introduction: Disaster events can cause harm from physical, psychological, property and environmental aspects. Disasters affect the psychological well-being and mental health of individuals, both adults and children and adolescents. Post-disaster adaptation process is needed to achieve an adaptive response for adolescents so that post-traumatic stress does not become pathological. The purpose of this study was to explore the experiences of adolescent adaptation after the earthquake disaster in Lombok West Nusa Tenggara in 2018. Method: This study used phenomenological qualitative research methods with in-depth interviews with 18 adolescents affected by the earthquake disaster, Analysis of data used refers to nine steps colaizzi data analysis techniques. Results: the results of this study obtained 11 themes: 1) changes in how to socialize, 2) changes in roles, 3) Exploring other abilities 4) Response to earthquakes, 5) Efforts to overcome the impact of disasters, 6) Sources of Support, 7) Types of Support, 8) Meanings of disasters, 9) Expectations for Lombok, 10) Expectations for oneself, 11) Expectations for authorities. Conclusion : Efforts to deal with the effects of earthquakes or coping strategies used by adolescents in the form of spiritual changes and distractions. Get closer to God by doing various forms of worship in accordance with the religion that is followed has an important role to be able to adapt to the impact caused by the earthquake disaster in adolescents.

Basic Health Research stated that the prevalence of schizophrenia in the Indonesian population in 2018 showed schizophrenia was seven per mile; previously only 1.7 permil. The aim of the study was to explain the stress reaction and experience of families who have people with schizophrenia post-restrain. The Methods A total of 135 families who have people with schizophrenia post-restrain October to December 2018. This research was Mix Method employed Sequential Explanatory design. the research instrument used was The Kempe Family Stress Inventory (KFSI) and using in-depth interview. The results of the study illustrated that the total mean score of a stress reaction in families normal was 43.48 (S.D=5.6),mild was 34.33 (S.D=4.7) whilesevere was 56.45 (S.D=4.45). The psychological burden was expressed by families in the form of fear and worry. The results showed a reaction to high stress and family experience lacking in self-care of people with post-restrain mental disorders.

Pendahuluan: Remaja memiliki ketertarikan yang lebih besar terhadap penggunaan smartphone, hal ini membuat remaja lebih rentan mengalami smartphone addiction. Prestasi akademik di Indonesia masih tergolong rendah hal ini dipengaruhi oleh beberapa faktor yaitu faktor internal contohnya self-efficacy dan faktor eksternal adalah penggunaan smartphone. Tujuan penelitian ini menganalisis hubungan smartphone addiction dan self-efficacy dengan prestasi akademik berdasarkan teori Bandura. Metode: Jumlah sampel adalah 219 siswa dengan menggunakan cluster sampling. Variabel independen adalah smartphone addiction dan self-efficacy. Variabel dependen adalah prestasi akademik. Data dikumpulkan menggunaakan kuesioner dan analisis dengan uji Spearman α < 0,05. Hasil: Smartphone addiction dapat menurunkan self-efficacy (p = 0,009) arah korelasi negatif (r = -0,177). Smartphone addiction juga dapat menurunkan prestasi akademik (p=0,046) arah korelasi negatif (r = -0,135). Self-efficacy tidak memiliki hubungan dengan prestasi akademik (p = 0,262). Kesimpulan: Smartphone addiction dapat membuat remaja mengalami resah apabila tidak menggunakan smartphone, sedangkan self-efficacy dapat dipengaruhi oleh perilaku cemas dan resah. Perawat perlu melakukan pendidikan kesehatan terhadap orangtua maupun siswa terkait kecanduan smartphone dan hubungannya dengan self-efficacy dan prestasi akademik siswa. ABSTRACT Introduction: Adolescents have a greater interest in smartphone use, this makes teens more vulnerable to experiencing smartphone addiction. Academic achievement in Indonesia is still relatively low, this is influenced by several factors, internal factor like self-efficacy and the external factor includes are smartphone use. The purpose of this study was to analyze the relationship between smartphone addiction and self-efficacy with academic achievement based on Bandura's theory. Method: The number of samples was 219 students by using cluster sampling. The independent variable is smartphone addiction and self-efficacy. The dependent variable is academic achievement. Data were collected using questionnaires and analysis with the Spearman test α

Pendahuluan: Remaja berusaha berpenampilan semenarik mungkin guna memperoleh pengakuan serta daya tarik (Engkus dan Hikmat, 2017). Media sosial merupakan candu bagi remaja, semakin aktif di media sosial akan semakin keren dan gaul (Secsio et al., 2016). Tindakan mengunggah foto atau video dengan intensitas sering mengganggu tercapainya perkembangan diri optimal. Penggunaan media sosial berlebihan memicu timbulnya cyberbulying, berupa kata merendahkan, menekan dan bernada kekerasan yang membahayakan self-esteem. Self-esteem merupakan faktor yang berhubungan terhadap kecenderungan narsistik dan aktualisasi diri seseorang.Metode: Desain penelitian cross- sectional dengan menggunakan simple random sampling. Variabel independen adalah intensitas penggunaan media sosial. Variabel dependen adalah kecenderungan narsisme menggunakan instrumen versi pendek dari narcissistic personality inventory-40 dengan hasil uji relaibilitas didapatkan Cronbach’s Alpha 0,625, dan aktualisasi diri menggunakan instrumen Short Index of Self Actualization (SISA) dengan hasil uji reliabilitas didapatkan Cronbach’s Alpha 0,898. Instrumen penelitian menggunakan kuesioner dan dianalisis dengan menggunakan uji Kendall’s tau.Hasil: Ada hubungan antara intensitas penggunaan media sosial dengan kecenderungan narsisme (p=0,005) dan ada hubungan antara intensitas penggunaan media sosial dan aktualisasi diri (p=0,001).Kesimpulan: Intensitas penggunaan media sosial yang tinggi akan berpengaruh pada kecenderungan narsisme dan aktualisasi diri. Perlu adanya pengawasan dan peningkatan kualitas pendidikan kesehatan untuk menghindari penggunaan media sosial yang berlebihan dan mengoptimalkan potensi individu agar tercapai aktualisasi diri yang optimal. ABSTRACTIntroduction: Teens try to look as attractive as possible in order to gain recognition and attractiveness. Social media offers a variety of facilities so that users feel free and happy to save various experiences. The use of excessive social media triggers the emergence of cyberbulying, in the form of degrading, pressing and violent words that endanger self-esteem. Self-esteem is a factor that is related to narcissistic tendencies and one's self-actualizationMethod: The study design was cross-sectional using simple random sampling. The independent variable is the intensity of social media use. The dependent variable is the tendency of narcissism with the results of the reliability test obtained by Cronbach's Alpha 0.625, and self-actualization with the results of the reliability test obtained by Cronbach's Alpha 0.898. The research instrument used a questionnaire and was analyzed using the Kendall's test.Result: There is a relationship between the intensity of social media use and narcissistic tendencies (p = 0.005) and there is a relationship between the intensity of social media use and self-actualization (p = 0.001).Conclusion: The high intensity of social media use will affect the tendency of narcissism and self-actualization. It is necessary to supervise and improve the quality of health education to avoid excessive use of social media and optimize individual potential to achieve optimal self-actualization.

Introduction: Intensive care unit is a unit with a complex case and a stressor strainer. When patients enter intensive care families have a variety of stressors such as rapid decision making and costs are not small. The role of nurse as educator is very important in reducing family anxiety with patients treated in intesive units. Mothers of intensive care babies feel a great deal of anxiety over their child's condition, so there needs to be a good system support for the healing of her and her baby. Various ways nurses do in reducing stress experienced by the patient's family such as good communication between nurses and families of patients with intensive care. This review aims to get a picture of stress management that can be done on the family of intensive care patients. Method s : A literature review was conducted in the fields of ebscho, sience direct, elseiver, sage journals, scopus, and proquest, limited the range of the last 10 years from 2007-2017. The final sample included 18 articles. Results : The literature found that the causes of family stressors include rapid decision-making, fear of family emergency conditions, maintenance costs and length of care. Good communication and good information and skill support can decrease the stress experienced by intensive care patients' families. Conclussions : Intensive care is a unit with high complexity, unstable conditions and sophisticated technology. Conditions that require rigorous monitoring not only cause stressors for the patient, but become a stressor for the patient's family.

Cancer clients undergoing chemotherapy require stimulation from cognitive aspects to turn negative perceptions into positive ones. Utilization of a book as a media therapy is called bibliocare. This study is aimed to analyze the effect of bibliocare to change depression level in cancer client with chemotherapy. This study was Quasi-Experiment, population in chemotherapy center of Dr. Mohammad Hoesin Hospital, Palembang, sample size 36 patient, taken by simple random sampling. The independent variable was the implementation of bibliocare. The dependent variable was depression level. Data were taken by using Hamilton Depression Rating Scale (HDRS) questionnaire then analyzed by Wilcoxon Signed Rank Test and Mann-Whitney U test. The result showed a significant effect of bibliocare implementation on depression in the treatment group with Mann-Whitney U test, p=0,000. Sixteen respondents experienced a decrease in the level of depression, two people remained the same and no one experienced an increase in depression. It showed a significant difference between pretest and posttest bibliocare implementation. It could be concluded that the implementation of bibliocare could change depression level in cancer client with chemotherapy. Keywords: Bibliocare, Depression, Cancer, Chemotherapy

Depression is a common comorbid condition among patients with heart failure (HF). Depression in HF is associated with poor health outcomes, increased risk of mortality, readmission, and decrease in functional status. The aim of this study was to explore the experience of HF patients related to symptoms of depression. The study was conducted at a government hospital in East Java, Indonesia and used a phenomenological approach. The population of this study was inpatients with HF who were obtained through a purposive sampling technique. Eighteen HF patients were recruited as participants. Data collection took place from February to May 2016 by interview and field notes. Collected data was analyzed through thematic analysis. There were three main themes that emerged from the data: cognitive function, emotional, and somatic responses to disease. HF patients reported impaired cognitive functions, especially in decision making and perception of disease. They also had several emotional responses including sadness, guilt, hopelessness, suicide, crying, and anger. There were also somatic responses including energy loss, fatigue, disruption of sleep patterns, decreased appetite and sexual interest. Understanding the description of depressive symptoms in HF patients can help nurses and other health professionals provide appropriate interventions to reduce depression. Keywords: heart failure, depression, symptom, qualitative, patient’s experience

Stress can be experienced by anyone including the elderly people. Stress can occur at any time and daily occurrence in life. Stress conditions can be reflected in the activity of the human brain. Horticulture therapy is one alternative to handling stress with the use of plants as a means of therapy. This study aims to analyze the differences in the qualitative picture of brain waves or brain mapping about stress in elderly people before and after administration of horticulture therapy to plant flowers. This study uses a quasy experimental design, with the design of the pre-post-test test control group design, which is conducting research using treatment groups and control groups) that were measured before and after the research intervention in the form of Horticultural therapy. The research sample was determined by purposive sampling, with a sample size of 14 elderly people divided into 2 groups of 7 people each. The research was conducted in Batu City, East Java in 2008. The research instrument used was an EEG (electroencephalogram) examination tool. Data from the research results were processed descriptively for QEEG (Quantitative electroencephalogram). The results showed that QEEG examination showed 42.9% of the stress condition improved. It was concluded that horticultural therapy to plant flowers had a positive effect on stress levels in the elderly. Based on these conclusions, it is recommended that horticultural therapy be applied to elderly people who experience stress.

The common problem of elderly physical changes is a postural balance which can increase the incidence of fall. Balance exercise is an exercise program to increase the postural balance of elderly. This study aims to analyze the effect of a balance exercise that increases elderly postural balance. This study was a quasi-experimental design. The samples were 28 respondents from Wana Seraya Denpasar Nursing home based on inclusion criteria and divided into treatment group and control group containing 14 respondents in each group. The variable was elderly postural balance with balance exercise as the intervention. The participants were evaluated using the Berg Balance Scale. This study used the Wilcoxon Signed-Rank Test and Mann Whitney Test. The results showed that there was an increase in the postural balance in the treatment group (p=0.014), but, in the control group, there was no change (p = 1.00). There was a significant effect of balance exercise in increasing elderly postural balance with the value of p=0,001. A positive effect of the balancing exercise in the postural balance in institutionalized elderly subjects was found. This study recommends balance exercise for providing elderly postural balance that helps to decrease fall incidence among the elderly. Keywords: balance exercise, postural balance, elderly

The high burden of stigma received by the family as a result of leper family members requires resources, support, and resilience so that the family will be able to perform its role in caring for the leper family members and reducing the stigma. The Spiritual based family is an important component of the value system and trust for family life in strengthening family resilience. This spiritual factor will be very influential on coping, support, family acceptance of leprosy patients and the process of treatment and family stigma.

The existence of schizophrenia affects family systems and the ability to care. The study aimed to determine the relationship between family burden and the familial ability to treat schizophrenic patients. The design used was descriptive analysis with a cross-sectional approach. The population consisted of the family of schizophrenic patients in Menur Mental Hospital, Surabaya, Indonesia. In total, 21 respondents were obtained throughconsecutive sampling. The independent variable was the family burden and the dependent variable was the ability of the family to care for schizophrenic patients. The data was collected using a questionnaire and the results were analyzed using the Spearman Rho correlation test. The results showed that burden has a moderate relationship with the family ability (p = 0.008) (r = 0.656). The subjective burden was greater than the objectiveone. A lower burden felt by the family will improve their caring abilities. The families should be able to manage their existing and objective goals so then they can treat schizophrenia patients well.

The high turnover caused the non-fulfillment of thr number 0f nurses. The purpose thisstudy was to develop the model of intention to stay (ITS) of nurses in hospitol.The research inluded quantitative research with cross sectional study design, ising survey method Research sites too place in four private hospitals and one public hospital. The polation was all nurses with non permanent employyees amaunted to 214 people the number of samples was 171 respondent. The results showed that ITS was influinced directly and indiretly by organizational identity (OI). Directly and indiretly affected by perceived internal respect (PIR), also directly and indiretly influenced by job satisfationn (JS). ITS was directlu influenced by organesation commitment (OC) with the greatest path coefficient and directly influenced by job security (JSe)and indiretly effected by perceved external prestige (PEP)PIR had the greatest total effect on ITS and was the main determinant of ITS. The novelty found that ITS nurses were comprehensively influiced directly by PIR, OC, JS,OI, and JSe. Indirectly influenced by per through OC.OC was directly influenced by JS,PER, and PIR, PER and PIR directly affected OI the implementation of model can be done are involving all parties in preparing a programed and sustainable nursing polisy

Worldwide, the number of people aged 60 years and over has rapidly increased along with the increase in life expectancy. An aging population faces challenges in relation to improving self-care ability and quality of life. This study has aimed to identify the influence of self-help group therapy on the self-care ability and quality of life of elderly people in Bali, Indonesia. We employed a quasi experimental analysis using a pre-test and post-test. A total of 25 retired military officers participated in the study. Two questionnaires (WHO-BREF and WHOQOL-OLD) were adopted to compare the self-care ability and the quality of life results before and after the self-help group therapy was implemented. The data was analysed using an independent t-test. The results showed that the self-help group therapy had a significant effect on the improved self-care ability among the elderly with a mean difference of 0.2, t = 2.449 and p-value of 0.02. The self-help group therapy also significantly improved quality of life with a mean difference of 11.7, t= -8.476, and p-value of 0.00. Empowering the elderly and their families as well as the community is strongly recommended in order to establish effective self-help group therapy for the elderly.

Misbehaviour phenomenon in elementary school children can be caused by lack of moral development of children. The number of children with negative moral behaviour increases year by year both in quantity and quality. Internal and external factors can be the main effects of inadequate moral development of children. The aim of this study is to explain the effect of picture and picture method against moral development of children aged 10-11 years. Pre-experimental research with one-group pre-post test. Population of the research consisted of 165 children in Tanah Kalikedinding IV Elementary School. Sampling was conducted by using purposive sampling technique (n=117 respondents). The independent variable is the picture and picture method, while the dependent variable is the moral development. Collecting samples using observatory sheet and analysis using Wilcoxon Signed Rank Test with significant level of α = 0,05. There was an increasing percentage from pre test and post test. Picture and picture method can be used as an alternative for developing children behaviour. For the future research, it is expected to use control group to examine which factors inuence moral development of children

People with mental disorders have complex disabilities which make them need other people’s assistance in doing their daily living activities. Community resilience is one of the capacities which is needed to make a healthy environment for mental disorder patients. This study aims to describe how community resilience can be a supporting system in the care of people with mental disorders. A literature review was conducted in order to obtain 98 reference sources. Only 15 articles were eligible to be reviewed. The community resilience’s supporting system consists of providing social, physical and economical infrastructures through employment opportunities or financial support and a decent life. Interactions between community members and people with mental disorders become a positive relationship, helping people with mental disorders to carry out their activities and to become independent. It also has an impact on decreasing the symptoms of relapse as well as reducing the level of dependency that cause them to continue to be a burden on their families, communities and global society.

In Madura, a lot of infan-ts have incomplete immunization status in which one of the areas with low immunization coverage is Burneh sub-district. The coverage of complete basic immunization in Burneh only 64% in 2015. The aim of this study was to analyze factors related to vaccination in Madurese, using cross sectional design. The sample were 97 mothers with babies 0-1 years old in Burneh sub-district. Data were collected using questionnaires, then analyzed using Chi square test. The results showed the correlation between knowledge (p = 0.027), condence (p = 0.000), attitude (p = 0.003), culture (p = 0.000), access to health care (p = 0.013), family support (p = 0.034), and support of health professionals (p = 0.021) with the basic immunization status. Meanwhile, the support of community leaders (p = 0.054) had no correlation with the basic immunization status.

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

To compare suxamethonium with atracurium using the priming principle, for rapid sequence orotracheal intubation assessing onset time, time to successful laryngoscopy and intubation and quality of intubating conditions.A prospective double-blind, randomised study was performed in 90 ASA physical status I and II patients aged between 18 and 64 years undergoing elective surgery requiring endotracheal intubation between October 2002 and June 2003 in a university teaching hospital . All patients were premedicated with 5-10mg oral diazepam and randomly assigned to one of two groups to receive either suxamethonium as a bolus dose (group A) or atracurium (priming with 0.05 mg/kg followed by 0.55 mg/kg after induction of anaesthesia) (group B). In both groups, the trachea was intubated when there was maximal muscle relaxation, determined clinically by jaw muscle relaxation. Muscle paralysis using a PNS, quality of intubating conditions, and occurrence of muscle weakness due to the priming dose of atracurium, time to laryngoscopy and onset time were all noted.Onset time was 87.1 +/- 25.60s and 135.8 +/- 46.23s in groups A and B respectively (P0.05). Group A had a laryngoscopy time of 73.6 +/- 25.22s compared to 107.7 +/- 41.32s in group B (P0.05). Intubating conditions were significantly better in group A compared to group B (P0.05). The frequency of muscle weakness from the priming dose of atracurium was 6.6%.Atracurium, using the priming principle, is an option in our environment for modified rapid sequence induction when suxamethonium is contraindicated.

Background: Mental health is a major that often gets bad perception. Bad perceptions of mental health often occur in special populations (students). It is necessary to measure student perceptions to describe their perceptions regarding mental health Objective : To describe student perceptions (aspects of cognition, aspects of affection and aspects of conation) about mental health. Method: This study uses quantitative method with descriptive approach. The sample of this study are 100 college students of Public health major in UIN Alauddin, Makassar, Result: In general, cognitive aspect of respondents is positive, as well as psychomotoric and affection aspect. Conclusion : Students’ perceptions related to mental health after measurement tend to be good for all three aspects (cognition, affection and conation) without one statement having the largest negative percentage.