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"Makna hidup merupakan hal yang esensi yang seharusnya dapat dihayati oleh setiap manusia. Dalam prakteknya makna hidup tidak dapat dilepaskan dari tujuan-tujuan hidup untuk dapat mengarahkan seseorang agar dapat memenuhi taraf kehidupan bermakna (Bastaman, 2007). Jika seseorang dapat mencapai taraf kehidupan bermakna, maka Frankl (1969) menyatakan seseorang yang telah menemukan dan mencapai makna hidupnya, dapat menghayati rasa bahagia. Kanker serviks yang pada saat ini merupakan penyakit yang menjadi penyebab mortalitas nomor satu pada wanita di Indonesia (Marzuki, 2004), merupakan salah satu bentuk penderitaan yang dapat menghilangkan makna hidup.Pada penelitian ini, peneliti mengangkat topik mengenai dinamika para penderita kanker serviks dalam meraih kembali kebermaknaan hidup melalui berbagai tahapan sikap yang dikemukakan oleh dr. Kubler Ross serta teori logoterapi dan sumbersumber nilai makna hidup yang dapat membantu seseorang dalam mencapai tahap penerimaan diri. Sampel penelitian adalah tiga orang wanita dewasa madya yang mengidap penyakit kanker serviks. Berdasarkan hasil analisis yang diperoleh melalui wawancara mendalam, maka dapat disimpulkan bahwa ketiga sampel penelitian berhasil memenuhi tahap penerimaan diri dan menemukan makna hidup.

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Meaning of life is essential that should be sensed by everyone. In practice meaning of life could not be separated from the goals of life to help in direct people, so could achive a meaningful life. Frankl (1969) suggested that, If someone successfully achive that state, she or he could sense happiness in his or her life. Cervical cancer as one of the tragical event that could be found in life, nowdays have been the highest terminal illness that cause of mortality in Indonesia (Marzuki, 2004) could lose meaning of someone's life.

In this research, researcher is interested to know the dynamic of the patients of cervical cancer to have a meaning of life back through the attitude stage theory which suggested by dr. Kubler Ross, theory of logotherapy, and values of meaning of life that could help people in suffering to achieve acceptance stage. The samples of this research are three middle-adulthood women who suffer from cervical cancer. Based on the analysis by depth interview, researcher concluded that those three samples have already achived the highest stage of the fifth of attidtude stage and have found meaning of life."

"Ansietas merupakan salah satu gangguan mental emosional yang dapat disebabkan karena pengalaman traumatis seperti bencana alam di Kabupaten Klaten. Melalui logoterapi diharapkan dapat membangkitkan optimisme seseorang dalam menghadapi masa depan.Tujuan penelitian adalah menjelaskan pengaruh logoterapi kelompok terhadap ansietas penduduk pascagempa. Penelitian dilakukan terhadap 42 responden kelompok intervensi dan 42 responden kelompok kontrol. Metode penelitian yaitu quasi experimental pre-post test with control group dengan teknik simple random sampling. Analisis yang digunakan adalah uji chi squere, dependent, independent sample t-test, regresi linier ganda.Hasil uji statistik menunjukkan self evaluasi dan observasi terdapat perbedaan yang bermakna terhadap respon yang ditimbulkan dari ansietas (p= 0,00, α= 0,05). Rekomendasi penelitian diutamakan kepada Puskesmas agar memfasilitasi penerapan logoterapi kelompok dalam mengatasi ansietas.

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Anxiety is one of the emotional mental disorders can be caused by traumatic experiences such as natural disasters in Klaten regency. The therapy arrouses their optimism about the future with any obstacles.

The research`s goal was to explain the effect of group logotherapy to minimize clients anxiety post disasters. They were 42 respondents as intervention group and the others control group. The research?s method used quasi experimental pre-post test with control group and sampling was simple random. Analyze by Chi-square, dependent and independent sample t-test, and double linear regression.

The results showed that based on self evaluation and observation there was significance anxiety responses caused by anxiety (p= 0.00, α= 0.05). This research recommended that the public health should facilitate the application of group logotherapy to reduce anxiety."

"Pandemi COVID-19 berdampak pada kehidupan masyarakat termasuk mahasiswa profesi ners terutama karena perubahan sistem pembelajaran. Perubahan ini memengaruhi kesehatan jiwa mahasiswa yang mengikuti pembelajaran klinik di Rumah Sakit, Puskesmas, dan Komunitas. Mahasiswa mengalami kecemasan dan keterbatasan kemampuan koping untuk mengatasinya. Tujuan penelitian untuk mengetahui pengaruh logoterapi paradoxical intention terhadap tingkat ansietas dan kemampuan koping mahasiswa profesi ners di masa pandemi COVID-19. Metode penelitian kuantitatif dengan desain quasy experimental one group pre-posttest digunakan dalam penelitian ini. Sebanyak 21 mahasiswa profesi ners direkrut menggunakan convenience sampling procedure. Pengumpulan data menggunakan kuesioner skala skrining ansietas yang telah dimodifikasi oleh Tobing et al (2014) dari Hospital Anxiety and Depression Scale (HADS-A) dan Ways of Coping Questionnaire yang dikembangkan oleh Folkman dan Lazarus (1988) dan diterjemahkan ke dalam Bahasa Indonesia serta telah dimodifikasi oleh Novitasari dan Hamid (2020). Analisa data menggunakan uji chi square untuk tingkat ansietas dan kemampuan koping. Hasil penelitian menunjukkan logoterapi paradoxical intention memengaruhi tingkat ansietas mahasiswa profesi ners (p<0.05) dan kemampuan koping mahasiswa profesi ners (p<0.05). Kesimpulan penelitian, logoterapi paradoxical intention menurunkan ansietas dan meningkatkan kemampuan koping mahasiswa profesi ners di masa pandemi COVID-19. Rekomendasi penelitian ini yaitu perawat jiwa perlu menggunakan teknik logoterapi paradoxical intention ini untuk menerapkan strategi dalam meningkatkan kesehatan mental mahasiswa khususnya menurunkan ansietas dan meningkatkan kemampuan koping mahasiswa profesi ners di masa pandemi COVID-19. Staf pendidik perlu menyiapkan mahasiswa dengan mengajarkan pada mahasiswa untuk mengelola stress, antara lain dengan logoterapi paradoxical intention untuk menurunkan ansietas dan meningkatkan kemampuan koping, sehingga dapat menyerap pembelajaran dengan lebih baik.

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The COVID-19 pandemic has an impact on people's lives, including professional students, mainly due to changes in the learning system. This change affects the mental health of students who take clinical learning at hospitals, health centers, and communities. Students experience anxiety and limited coping skills to overcome them. The purpose of this study was to determine the effect of paradoxical intention logotherapy on the level of anxiety and coping abilities of nursing professional students during the COVID-19 pandemic. Quantitative research methods with a quasy experimental one group pre-posttest design were used in this study. A total of 21 nursing professional students were recruited using a convenience sampling procedure. Data collection used an anxiety screening scale questionnaire that has been modified by Tobing et al (2014) from the Hospital Anxiety and Depression Scale (HADS-A) and the Ways of Coping Questionnaire developed by Folkman and Lazarus (1988) and translated into Indonesian and has been modified by Novitasari and Hamid (2020). Data analysis used chi square test for anxiety level and coping ability. The results showed that paradoxical intention logotherapy affected the anxiety level of nursing professional students (p<0.05) and nursing profession students' coping abilities (p<0.05). The conclusion of the study, paradoxical intention logotherapy reduces anxiety and improves the coping abilities of nursing professional students during the COVID-19 pandemic. The recommendation of this research is that mental nurses need to use this paradoxical intention logotherapy technique to implement strategies in improving students' mental health, especially reducing anxiety and increasing the coping abilities of nursing professional students during the COVID-19 pandemic. Teaching staff need to prepare students by teaching students to manage stress, including paradoxical intention logotherapy to reduce anxiety and improve coping skills, so that they can absorb learning better."

"Kekerasan dalam rumah tangga merupakan salah satu pemicu terjadinya masalah gangguan jiwa pada perempuan yang mengakibatkan terjadinya penurunan harga diri. Tindakan keperawatan Ners dan Ners spesialis cognitive therapy (CT) diberikan pada klien agar dapat mengubah pikiran otomatis negatif menjadi positif dan logotherapy merupakan terapi yang dapat digunakan untuk menemukan makna hidup klien. Tujuan penulisan karya ilmiah ini adalah untuk mengetahui pengaruh CT dan logotherapy terhadap tanda dan gejala harga diri rendah kronis pada klien yang mengalami kekerasan dalam rumah tangga (KDRT). Metode yang digunakan berupa laporan kasus pada 4 klien perempuan korban KDRT yang mengalami harga diri rendah kronik (HDRK) dengan menggunakan pendekatan Model Transisi Meleis. Hasil analisa menunjukkan bahwa keempat klien mengalami penurunan tanda dan gejala HDRK pada semua aspek serta peningkatan kemampuan setelah mendapatkan tindakan keperawatan CT dan logotherapy. Kombinasi CT dan logotherapy sangat relevan dan tepat dilakukan pada klien perempuan korban KDRT dengan HDRK.

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Domestic violence is one of the trigger problems of mental disorders in women which resulted in low self-esteem. General nursing intervention and specialist therapy of nurses such as cognitive therapy (CT) given to the client in order to change from the negative into positive automatic thoughts and logotherapy is therapy can be used to discover the meaning of the client's life. The aim of this study was to determine the effect of CT and logotherapy on signs and symptoms of chronic low self-esteem in clients who experience domestic violence. the method used in this paper was a case report on four women clients who were victims of domestic violence who experienced chronic low self-esteem using Meleis Transition Model approach. The result showed that the four clientshad a decrease signs and symptoms of low self-esteem in all aspects as well as had an increase capacity after getting CT and logotherapy as nursing interventions actions. the combination of CT and logoherapy is very relevant and appropriate for women victims of domestic violence with low self-esteem

 

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"ABSTRAKAnsietas merupakan salah satu gangguan mental emosional dengan tanda dangajala yang dimanifestasikan dalam bentuk respon fisiologis, respon kognitif,respon perilaku dan respon emosional. Ansietas dapat disebabkan oleh karenapengalaman traumatis seperti peristiwa bencana alam, Klaten adalah salah satuKabupaten di Propinsi Jawa Tengah yang mengalami bencana gempa bumi.Bencana tersebut meluluhlantakkan harta benda dan merenggut korban jiwa yangtidak sedikit sehingga menimbulkan dampak psikologis. Terapi yang dapatmeminimalkan ansietas yang dirasakan oleh penduduk yaitu dengan logoterapikelompok. Melalui logoterapi diharapkan dapat membangkitkan optimismeseseorang dalam menghadapi masa depan betapapun kendala yang dihadapisangatlah besar. Tujuan penelitian adalah menjelaskan pengaruh logoterapikelompok terhadap ansietas penduduk pasca gempa. Penelitian dilakukan diKabupaten Klaten Propinsi Jawa Tengah terhadap 84 responden, yaitu 42respnden sebagai kelompok intervensi dan 42 responden sebagai kelompokkontrol. Metode penelitian yang digunakan adalah quasi experimental pre-posttest with control group dengan teknik simple random sampling. Analisis yangdigunakan adalah uji chi squere,dependent dan independent sample t-test sertaregresi linier ganda. Hasil uji statistik menunjukkan bahwa berdasarkan selfevaluasi dan observasi terdapat perbedaan yang bermakna terhadap respon yangditimbulkan dari ansietas (p-value < 0,5). Hasil penelitian menjelaskan jika dariself evaluasi ternyata faktor usia, pendidikan, pekerjaan berkontribusi terhadapansietas. Sedangkan dari observasi hanya pendidikan yang memiliki kontribusiterhadap ansietas. Rekomendasi penelitian ini diutamakan kepada pelayanankesehatan di Puskesmas agar memfasilitasi penerapan logoterapi kelompok dalammengatasi ansietas khususnya pada daerah yang mengalami peristiwa becana.

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ABSTRACTAnxiety is one of mental emotional disorders manifested by hysiological, cognitive, behavior and emotional responses. The most caused of anxiety is traumatic experience such as disaster, Klaten is the regency of Central Jawa have earthquake. The disaster often have great damage on human beings and good materials as well as psychological impact. To reduce the anxiety, group logotherapy could be implemented. The therapy arrouses their optimism about the future with any obstacles. The research’s goal was to explain the effect of group logotherapy to minimize clients anxiety post disasters. The research took place in Klaten regency, Central Java, with 84 respondents. They were 42 respondents as intervention group and the others control group. The research’s method used quasi experimental pre-post test with control group and sampling was simple random. The analyze by chi square, dependent and independent sample t-test, and double linear regression. The results showed that based on self evaluation and observation there was significance anxiety responses caused by anxiety (p-value < 0,05). By it is means evaluation, it explained that age, education, job, and group logotherapy gave contribution to the anxiety. On the other hand, by observation, education contributed the anxiety. Recommended that the public health should facilitate the application of group logotherapy to reduce anxiety clients especially in disaster region."

"Ketidakberdayaan dimanifestasikan melalui respon verbal, emosional, partisipasi dalam aktivitas sehari-hari dan tanggung jawab dalam diri.Tujuan Penelitian ini untuk mengetahui pengaruh terapi generalis dan logoterapi individu terhadap respon ketidakberdayaan klien DM di Rumah Sakit Provinsi Sulawesi Utara. Metode penelitian adalah quasi experiment dengan desain pre-post test with control group. Sampel penelitian diperoleh secara purpossive sampling dengan jumlah 70 responden terdiri dari 35 responden untuk kelompok intervensi dan 35 responden untuk kelompok kontrol. Hasil penelitian didapatkan bahwa respon ketidakberdayaan klien DM menurun secara signifikan pada kelompok intervensi dan kelompok kontrol setelah diberikan terapi generalis dan logoterapi individu (p-value = 0,00 ; α < 0,05). Terapi generalis dan logoterapi individu terbukti menurunkan respon ketidakberdayaan pada klien DM dan direkomendasikan untuk diterapkan sebagai terapi perawatan dalam merawat klien DM dengan respon ketidakberdayaan.

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Diabetes Mellitus included chronic disease that caused of the problems of powerlessness. The powerlessness is manifestation verbal and emotional respons, participation in activities of daily living and involvement in learning about care responsibilities. This aim of this study was to investigate the influence of individual logotherapy and general therapy upon the powerlessness response of the DM in the Hospital of North Sulawesi Province. The research method was quasi experimental pre-post test with control group. The data was gathered at before and after giving the individual logotherapy and general therapyto the clients with DM of the problems of powerlessness. The amount of samples were 70 respondents which were 35 respondents of intervention group and 35 respondents of control group. The difference of the powerlessness response is the analyzed with t-test.

The result of this study showed that the powerlessness response of DM given the general therapy and individual logotherapy significantly decreases to intervention group (p-value < 0,05) compared to the group which is not treated with the individual logotherapy. The general therapy and individual logotherapy are proven to be able to decrease the powerlessness response upon the DM clients and are recommended to be applied as a nurturing therapy in looking after the DM clients with powerlessness response."

"Penyalahgunaan narkotika setiap tahunnya mengalami peningkatan. Kondisi tersebut menimbulkan masalah psikologis harga diri rendah. Logotherapy bertujuan meningkatkan harga diri melalui proses penemuan makna hidup. Tujuan penelitian adalah untuk menganalisis pengaruh logotherapy terhadap harga diri narapidana perempuan dengan narkotika di Lembaga Pemasyarakatan kelas IIA Palembang. Desain penelitian quasi experimental pre-post test with control group. Penelitian dilakukan terhadap 56 responden yaitu 28 orang kelompok intervensi dan 28 orang kelompok kontrol. Hasil penelitian menunjukkan bahwa terdapat perbedaan harga diri (kognitif, perilaku, afektif) yang signifikan pada kelompok intervensi sebelum dan sesudah diberikan logotherapy. Rekomendasi hasil penelitian adalah perlunya pelaksanaan logotherapy dalam program pembinaan mental.

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Abuse case of narcotics each year has increased. These conditions led to psychological problems of low self-esteem. Logo therapy was aimed to raise self esteem through the discovery process of the meaning of life. The research objective was to analyze the influence of logo therapy for the dignity of women prisoners with a drug in the class IIA Palembang Penitentiary. Design of this research used ?Quasi experiment by using pre post test with control group? on 56 samples. The consist of samples were 28 peoples for intervention group and 28 peoples for control group. The results showed that there were significantly different in self-esteem (cognitive, behavioral, affective) aspects in the intervention group before and after logo therapy. It was recommended that there was a need for implementation of logo therapy in mental health program."

"Prevalensi depresi pada lansia di Indonesia sebesar 30% (Komnas lansia, 2011). Penelitian ini bertujuan untuk mengetahui pengaruh logoterapi lansia dan psikoedukasi keluarga terhadap penurunan depresi, harga diri rendah, ketidakberdayaan, keputusasaan, isolasi sosial dan peningkatan kemampuan memaknai hidup pada lansia di Kelurahan Katulampa Bogor Timur. Desain penelitian quasi eksperimental pre test-post test with control group. Sampel berjumlah 72 orang, 36 orang kelompok intervensi dan 36 orang kelompok kontrol.Hasil penelitian menunjukkan lansia yang diberikan logoterapi lansia dan psikoedukasi keluarga mengalami penurunan lebih besar bermakna terhadap depresi, harga diri rendah, ketidakberdayaan, keputusasaan, isolasi sosial dan peningkatan kemampuan memaknai hidup dibandingkan dengan lansia yang hanya diberikan psikoedukasi keluarga (p value < α 0.05). Logoterapi lansia dan psikoedukasi keluarga direkomendasikan pada lansia depresi dengan diagnosa keperawatan harga diri rendah, ketidakberdayaan, keputusasaan dan isolasi sosial.

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Depression is a major problem for elderly, and the prevalence rate of depression among elderly in Indonesia is around 30% (Komnas Lansia, 2011). The aim of this study was to determine the effect of logotherapy and family psychoeducation on depression, low self-esteem, powerlessness, hopelessness, social isolation, and the ability to look upon the meaning of life among elderly in Katulampa village of East Bogor. The research design was quasi-experimental pre-post test with control group. The sample of this research are 72 respondents, 36 respondents in the intervention group and 36 respondents in the control group.

The results showed a significant decrease of depression, low self-esteem, powerlessness, hopelessness, social isolation, and an increase in meaning life ability among the elderly who receive logotherapy and family psychoeducation compared to the elderly only receive a family psychoeducation (p value < α 0.05). Therefore, the logotherapy and family psychoeducation are recommended for the elderly with depression who are diagnosed with low self-esteem, powerlessness, hopelessness and social isolation."