Papers by Lilik Ma'rifatul Azizah

The aging process is a degenerative process that will have an impact on physical, cognitive, spir... more The aging process is a degenerative process that will have an impact on physical, cognitive, spiritual, and psychosocial changes. Changes that arise are psychological stressors in the elderly which result in psychological problems in the form of depression. The purpose of this study was to determine the effect of laughter therapy on the level of depression in the elderly at Local Goverment Pesanggrahan Majapahit Mojokerto. The research design used was a pre-experimental design with a One-Group Pre-Post Test Design. The total population of elderly living in the orphanage is 30 people so a sample of 12 elderly people is obtained which is taken by purposive sampling. The independent variable is laughter therapy and the dependent variable is the level of depression in the elderly. Data were collected using a questionnaire used before and after laughter therapy. After all the data was collected, data processing was carried out and continued with the Wilcoxonsigntest statistical test with the help of SPSS, the results of the study showed an asymp.sig (2-tailed) value of 0.003 and α of 0.05. Because of the value of asymp.sig (2-tailed) < α 0.05, H0 is rejected and H1 is accepted, which means there is a difference in the decrease in the level of depression in the elderly after giving laughter therapy. In some elderly depression is a psychological problem that will affect their quality of life. The elderly often need psychological intervention to treat depression. Laughter therapy is an effective therapy because by giving laughter therapy the elderly can develop communication skills and increase intimacy in relationships with fellow elderly.

A prisoner needs spiritual and family support to keep his pride as if he were in the Penitentiary... more A prisoner needs spiritual and family support to keep his pride as if he were in the Penitentiary. Changes in a prisoner's life can make prisoner experience psychological disorders such as low self-esteem. The purpose of this study is to know the spiritual relationship with prisoners' selfesteem, the relationship of support to prisoners' self-esteem and spiritual relationships and family support with prisoners' self-esteem at the Mojokerto Class II B Penitentiary. The research design uses cross sectional. The population of all prisoners in the Mojokerto Class II B Penitentiary was 334 people, a sample of 84 respondents with sampling techniques using simple random sampling. The independent variable is spiritual and family support, and dependent variable is self-esteem. This study uses a logistic regression test with the help of SPSS version 16.0. Research results (p= 0.001) for spiritual self-esteem, meaning there is a spiritual relationship with prisoners' self-esteem, a family support for prisoners' self-esteem (p= 0.001) means there is a relationship of family support with prisoners' self-esteem, there is a spiritual relationship and family support with prisoner self-esteem (p=0,000) and there is no significant difference (p= 0.929) between spiritual and family support for prisoners' self-esteem when viewed from EXP (B) the relationship of family support with self-esteem is greater than the value of EXP (B) spiritual relationship with self-esteem is 0.878 for family support and 0.846 for spiritual, meaning that family support has more effect on prisoners' self-esteem. compared to spiritual. The high spirituality and good family support will be able to increase the self-esteem of prisoners even though they are in the Penitentiary.

Life in a prison that is shackled and confined to freedom is a physical, psychological, and socia... more Life in a prison that is shackled and confined to freedom is a physical, psychological, and social pressure. Prisoners in prisons cannot interact with the outside world. The purpose of this study is to determine the relationship between the length of the sentence and the level of stress on inmates at the Class IIB Penitentiary in Mojokerto City. The design of this study is a cross sectional approach. The population is 334 prisoners in Lapas IIB, Mojokerto City. Take 51 inmates in a random / random way. The sampling technique used is random sampling. The instrument is a questionnaire to determine the relationship with the results of the Spearman Rho Correlation test to get 50% results with the most normal stress levels with a length of sentence of more than 3 years. The results of the test using SPSS statistical test Spearman Rho correlation obtained p = 0.022 <α (0.05) which means that H0 is accepted so that there is a long relationship between the sentence and the level of stress of prisoners at the Class II B Penitentiary in Mojokerto. The longer the penalty period, the level of stress on prisoners is within normal limits because they are increasingly able to adapt and can accept the punishment they are undergoing. Seen in a man almost never pay attention to any problems or do not think too seriously about the problem that happen, so the level of stress on them almost entirely do not experience severe stress.

Indonesian Journal of Community Health Nursing, Jul 4, 2021
Introduction: Coronavirus disease 2019 (Covid-19) is an acute respiratory syndrome with a variety... more Introduction: Coronavirus disease 2019 (Covid-19) is an acute respiratory syndrome with a variety of specific symptoms that can lead to fatal death, causing public anxiety about contracting this disease and uncertainty of health status. The purpose of this study was to determine the path analysis of the effect of social support on anxiety for people at risk of Covid-19 during the pandemic. Method: The design was an explanatory study with a population of all Covid-19 People at Risk in Kemlagi District, Mojokerto Regency, with a sample of 150 respondents by random sampling. The exogenous variable was social support which is measured using the Social Support Questionnaire (SSQ). The endogenous variable was anxiety measured by the GAD-7 (Generalized Anxiety Disorder-7) questionnaire which consists of 7 questions about signs and symptoms of normal/appropriate affective, cognitive, and physical behavior. The analysis with Structural of Equation Model (SEM) with Partial Lease Square (PLS) approach with theory-based model development and path diagram development. Result: The level of anxiety of people at risk in facing the Covid-19 outbreak is directly affected by emotional support (path coefficient of 0.516 and statistical T value of 8.289), and information support about Covid-19 with a path coefficient of 0.286 and statistical T value of 3.868. Instrumental support has an indirect effect on anxiety (significance probability (P) 0.385> 0.05). The findings in this study are that social support (emotional and informational) can reduce the level of anxiety of people at risk of Covid-19 during the pandemic. Conclusion: When people are at risk of facing the Covid-19 outbreak, social support helps improve people's ability to the interpretation of stressors during the pandemic properly, and utilize the resources used in solving problems, and good coping efforts, so that the level of anxiety during the pandemic decreased.

Perubahan yang terjadi pada lanjut usia akibat dari aging process seringkali dianggap sebagai str... more Perubahan yang terjadi pada lanjut usia akibat dari aging process seringkali dianggap sebagai stressor yang dapat mempengaruhi kualitas hidup lanjut usia. Pada saat mengalami peristiwa yang menimbulkan stress, orang akan kembali mengingat Tuhan sebagai tempat memohon pertolongan. Tujuan penelitian untuk membuktikan pengaruh spiritualitas terhadap kualitas hidup lanjut usia berbasis model transactional stress and coping. Penelitian analitik explanatory dengan desain cross-sectional study. Populasi seluruh lanjut usia di wilayah kerja puskesmas di kota Mojokerto yang berusia 60 – 74 tahun, tidak tuna wicara dan tuna rungu, serta tinggal dengan keluarganya dipilih secara random sampling untuk 150 orang responden. Penelitian dilaksanakan bulan Nopember 2015 sampai Juni 2016. Variabel penelitian spiritualitas, primary appraisal, secondary appraisal, coping effort dan kualitas hidup yang diukur dengan kuesioner dan observasi dengan Indeks Barthel. Analisis model persamaan struktural dengan Partial Least Square (PLS). Hasil penelitian menunjukkan spiritualitas secara signifikan berpengaruh positif terhadap primary appraisal (p = 0.000 dan = 0.516), spiritualitas berpengaruh terhadap peningkatan secondary appraisal lanjut usia (p = 0.000 dan = 0.286). Spiritualitas kurang signifikan dalam pemilihan coping effort (p = 0.385 dan = 0.050), tetapi berpengaruh signifikan terhadap peningkatan kualitas hidup lanjut usia (p = 0.000 dan = 0.359). Primary appraisal berpengaruh terhadap secondary appraisal (p = 0.000 dan = 0.552) dan secondary appraisal berpengaruh signifikan terhadap coping effort lanjut usia (p = 0.000 dan = 0.715). Coping effort berpengaruh positif dan signifikan terhadap peningkatan kualitas hidup lanjut usia (p = 0.000 dan = 0.520). Spiritualitas dan coping effort mempengaruhi kualitas hidup lanjut usia secara langsung, sedangkan primary appraisal dan secondary appraisal berpengaruh tidak langsung terhadap peningkatan kualitas hidup. Pengalaman spiritualitas sehari-hari mampu menurunkan stress kehidupan, meningkatkan self efficacy, perceived social support, dan kualitas hidup dengan coping religion.

Changes in the elderly due to the aging process caused decrease physical abilities and health con... more Changes in the elderly due to the aging process caused decrease physical abilities and health conditions. These natural changes may cause depression and lower quality of life in the elderly. Spiritual experience may improve appraisal, reduce depression, and enhance the quality of life. This study aimed to estimate the relationship between spiritual experience, appraisal, depression, and quality of life in the elderly. A randomly selected sample of 100 elderly from 18 villages in Mojokerto East Java. An interview-based questionnaire was used to obtain information about spiritual experience, appraisal, psychological well-being and social relationships. The Index Barthel has used measure activities daily living among elderly. The rate of depression was measured by Geriatric Depression Scale. The relationships among variables were estimated using Structural Equation Model (SEM) run in AMOS program. Spiritual experience had the negative effect of depression (p=0.004). The appraisal was n...
JournalNX - A Multidisciplinary Peer Reviewed Journal, Jun 17, 2020

Journal of Scientific Research, Education, and Technology (JSRET)
Patients in critical or life-threatening conditions who require quick and appropriate help in the... more Patients in critical or life-threatening conditions who require quick and appropriate help in the emergency room (IGD) with uncertainty about the situation and patient safety, families often experience anxiety. Therapeutic hypnosis five fingers can help mengatatasi anxiety. Five- finger hypnosis therapy is a form of self-hypnosis that can cause a high relaxation effect, so it will reduce tension and anxiety from one's mind. The purpose of this study was to prove the effect of five-finger hypnosis therapy on the level of family anxiety in the emergency department (IGD) RSUD RA Basoeni Mojokerto. The research method used was pre-experimental design with one group pre-test-post-test design. The population of all patients' families in the emergency department (IGD ) RSUD RA Basoeni Mojokerto amounted to 129 . The sampling technique used in this research is Concecutive sampling. so that the sample obtained as many as 17 respondents . The instrument in this study was a questionna...
Indomedia Pustaka, 2016
xviii, 656 hl

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS), 2017
The decline in cognitive function in the elderly, which is part of the aging process can result i... more The decline in cognitive function in the elderly, which is part of the aging process can result in long-term memory problems and information processes, so it is often regarded as a stressor that causes stress and perceived as an adverse threat. Brain gym can improve memory, decreased emotional stress and the clearer mind. The aim of the study analyzed the effectiveness of brain gym in improving cognitive function and decreased the level of stress of elderly. Pre-experimental study of one group pretest-posttest design with 35 samples selected by simple random sampling. The frequency of Brain Gym exercise twice a week with duration of every 15 minutes and done in four weeks. Measurement of stress level using DASS, while Cognitive function with MMSE. Data analyzed using Wilcoxon signed rank test. The results showed improvement of cognitive function in elderly and decreased stress level after brain gym (p = 0.001 and p = 0.009 at α = 0.05). Brain gyms are more effective at lowering stre...

Life in custody makes space for inmates restricted and isolated from society. Separated from fami... more Life in custody makes space for inmates restricted and isolated from society. Separated from family, long sentences, and negative public stigma often create prisoner stress. Individual coping responses often occur spontaneously and naturally are emotionally focused coping. But often these efforts was not enough to cause an individual effort to fail to reduce stress. This study aims to prove the effect of stress management on decreasing stress level and emotional focused coping of prisoners in Class II B Correctional Institution Mojokerto. In this research the design used is pre experiment with one group pre and post test design approach. A sample of 30 people was taken with simple random sampling. The group is given counseling about stress management. Data collection of prisoner stress using DASS 42 scale with physical, emotional and behavioral indicator with cronbach za sensitivity value 0.756, while emotional focused coping with self-control indicator, distancing, positive reappraisal, accepting responsibility, and escape with value of reactivity coefficient α cronbach 0.837. The influence analysis with the Signed-Rank wilcoxon test showed that stress management was able to decrease the stress level of prisoners with р (0,000) <α (0.05), and stress management was able to decrease the use of emotionally focused coping prisoners with р (0.011) <α (0, 05). inmates at Class II B Correctional Institution B Mojokerto. Several factors affecting the stress of prisoners in Class II B Mojokerto Penitentiary include: the perception of prisoners to the Penitentiary neighborhood, the length of crime that must be lived, the lack of entertainment and activities that can be done in the Penitentiary, the lack of opportunities to meet with the family.

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS), 2018
Life in custody makes space for inmates restricted and isolated from society. Separated from fami... more Life in custody makes space for inmates restricted and isolated from society. Separated from family, long sentences, and negative public stigma often create prisoner stress. Individual coping responses often occur spontaneously and naturally are emotionally focused coping. But often these efforts are not enough to cause an individual effort to fail to reduce stress. This study aims to prove the effect of stress management on decreasing stress level and emotional focused coping of prisoners in Class II B Correctional Institution Mojokerto. In this research the design used is pre experiment with one group pre and post test design approach. A sample of 30 people was taken with simple random sampling. The group is given counseling about stress management. Data collection of prisoner stress using DASS 42 scale with physical, emotional and behavioral indicator with cronbach za sensitivity value 0.756, while emotional focused coping with self-control indicator, distancing, positive reappra...
Indian Journal of Public Health Research & Development, 2018

Jurnal Ilmiah Kesehatan Rustida, 2020
One health problem that often arises in the old population is a decline in cognitive function. Ef... more One health problem that often arises in the old population is a decline in cognitive function. Efforts to improve cognitive function in the old are brain exercises. Brain gym with edu K exercises or training and kinesis (movement) throughout the brain through renewal of certain motion patterns to open previously obstructed or closed parts of the brain. The purpose of this study was to determine the effect of brain gymnastics on improving cognitive function of old. The design used in this research is experimental pra experimental type with pretest-post test one group design approach. The population in this study were all old people who decreased cognitive function in the Majapahit Nursing Home Mojokerto District in July 2018 as many as 22 people. The sampling technique of this research is purposive sampling. The sample size were 13 persons. Independent variable was brain gym while the cognitive function as dependent variable. The instrument used is MMSE questionnaire and brain gymnas...

BACKGROUND: Elderly experience physical infirmity, brain devolution, slow metabolic rate, slow ce... more BACKGROUND: Elderly experience physical infirmity, brain devolution, slow metabolic rate, slow cell replacement, which eventually have inadvertent impact on cognitive capability, emotional stability, and social interaction. These natural changes may cause depression in the elderly. Spiritual experience may improve coping strategy, lower depression, and enhance quality of life. This study aimed to estimate the relationship between spiritual experience, depression, and quality of life in the elderly. SUBJECT AND METHODS: This was a cross sectional study, conducted in Mojokerto, East Java. A sample of 100 elderly was selected by random sampling from 18 villages in Mojokerto. The exogenous variable in this study was spiritual experience, which was measured by a set of questionnaire. The endogenous mediating variable was the rate of depression, which was measured by Geriatric Depression Scale (GDS). The quality of life in the elderly was measured by Index Barthel. Psychological wellbeing and social relationship were measured by a structured questionnaire. The relationships among variables were estimated using Structural Equation Model (SEM) run in AMOS. RESULTS: The spiritual experience had negative effect on depression, and it was statistically significant (p=0.004). Larger spiritual experience reduced depression level. In turn depression level had negative effect on quality of life, and it was statistically significant (p=0.003). Deeper depression reduced quality of life. CONCLUSION: Spiritual experience can reduce depression and enhance quality of life in the elderly.

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indone... more Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indonesia, physical restraint and reduction in people with mental illness (called pasung in indonesia), still found in indonesia, government program †indonesia free of pasung†still can not erase indonesia from pasung. Design/methodology/approach -The approach to literature study causes the escape especially social stigma that occurs to make the case of the pipe still continues to exist Findings -The findings of many literature studies suggest that social stigma is a cause of social restraint in patients with severe psychiatric disorders Originality/value -The value of this study envolve Empowering people with mental disorders through social intervention can reduce the side effects of antipsychotic drugs and simultaneously help self-stigma in people with mental disorders
Kemajuan ekonomi, perbaikan lingkungan hidup dan majunya pengetahuan dan teknologi terutama ilmu ... more Kemajuan ekonomi, perbaikan lingkungan hidup dan majunya pengetahuan dan teknologi terutama ilmu kedokteran, promosi kesehatan, pencegahan penyakit dan pelayanan kesehatan mengakibatkan meningkatnya umur harapan hidup manusia (life expectancy). Akibatnya jumlah orang lanjut usia akan bertambah dan ada kecenderungan akan meningkat dengan cepat ( Nugroho, 1995).
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Papers by Lilik Ma'rifatul Azizah