AbstrakIndonesia bebas pasung bagi pasien gangguan jiwa merupakan program prioritas yang harus dicapai pemerintah pada tahun 2019. Saat ini upaya bebas pasung telah dilaksanakan dengan baik, permasalahan baru muncul setelah masa pengobatan selesai dan harus kembali kepada keluarga dan masyarakat. Keluarga tidak menghendaki pasien kembali kepada keluarga, diabaikan, kembali kambuh atau menjadi gelandangan psikotik. Penelitian ini bertujuan untuk memperoleh gambaran dukungan keluarga terhadap pasien gangguan jiwa pasca pasung. Penelitian ini menggunakan desain kualitatif fenomenologi, jumlah partisipan sebesar 9 orang dipilih dengan purposive sampling, pengumpulan data dilakukan dengan wawancara mendalam, data dianalisis secara tematik. Hasil penelitian menunjukkan dukungan keluarga terhadap pasien gangguan jiwa pasca pasung diperoleh 2 (dua) tema besar yaitu; fenomena pasung terhadap pasien gangguan jiwa dan dukungan keluarga. Fenomena pasung meliputi; alasan, keputusan, metode, pembebasan dan dampak pemasungan. Dukungan keluarga meliputi; dukungan penilaian, instrumental, informasional dan dukungan emosional. Dukungan keluarga dibutuhkan pasien untuk dapat mencapai penyembuhan dan mencegah kekambuhan. Pengetahuan yang kurang terhadap cara perawatan pasien gangguan jiwa pasca pasung menyebabkan dukungan keluarga yang diberikan terhadap pasien tidak optimal. Pandangan keluarga dan masyarakat yang keliru terhadap pasien gangguan jiwa mempengaruhi penanganan yang tepat terhadap pasien gangguan jiwa.Kata kunci: Dukungan keluarga, gangguan jiwa, pasung. Grasped Phenomena and Family Support on Post Grasped Psychiatric Patients AbstractA priority program to be achieved by the Government in 2019 is free grasp for psychiatric patients. Today, the effort to achieve the goal has been well implemented, new problem appear after treatment period is over and they must return to the family and society. Families do not want patients to return to them, ignored, relapse or become psychotic homeless. This research aims to gain describe of family support on post grasped psychiatric patients. This research uses phenomenology qualitative design with 9 participants that have been chosen by purposive sampling, in other hand collecting data has been done by using deep interview and thematic analysis. The result of the research shows that family support on post grasped psychiatric patients gain two big themes: grasped phenomena on psychiatric patients and family support. Grasped phenomena encompass reason, decision, method, liberation and effect of deprivation. Family support includes support assessment, instrumental, informational and emotional support. Family support is needed for patients to heal and prevent recurrence. The lack of knowledge about the procedure of treatment on post grasped psychiatric patients caused non optimal support of family. Misrepresentation of family and community views on psychiatric patients affects the proper treatment of psychiatric patients.

Introduction: Leprosy is an infectious disease that still causes complex problems. The problem in question is not only in medical and physical terms, such as disability, but extends to social, economic, and cultural problems. This study aims to explore the experience of leprosy sufferers with disabilities to achieve resilience. Methods: A descriptive qualitative research design with a phenomenological approach was used. The number of participants was eleven people affected by leprosy with grade 1 and 2 disabilities in Sumenep Regency obtained by a purposive sampling technique. Data collection used in-depth interviews with interview guides and field notes; the results of data collection were analyzed with theme analysis. Results: This study produced five main themes about the experience of leprosy patients in the process of achieving resilience, namely: 1) self-stigma as a stressor experienced by lepers, 2) psychosocial problems that arise in response to stressors, 3) active coping as a method of resolving stress, 4) positive adaptation as a form of self-adjustment, 5) characteristics of strong individuals. Conclusion: Lepers with disabilities identify self-stigma as a stressor that triggers the emergence of psychosocial problems. Individuals can form tough characteristics, such as responding positively to unexpected conditions, becoming more productive, and showing helping others behavior after overcoming stressors through the stages of active coping and positive adaptation.

<span>Basic Health Research stated that the prevalence of schizophrenia in the Indonesian population in 2018 showed schizophrenia was </span><span lang="IN">seven</span><span> per mile</span><span lang="IN">;</span><span> 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<strong><em> </em></strong>A total of 135 families who have people with schizophrenia post-restrain October to December 2018. This research</span><span lang="IN"> was</span><span> Mix Method</span><span lang="IN"> employed </span><span>Sequential Explanatory design. the research instrument used was The Kempe Family Stress Inventory</span><span lang="IN"> (KFSI)</span><span> 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 (<em>S.D</em>=5.6)</span><span lang="IN">,</span><span lang="IN">m</span><span>ild was 34.33 (<em>S.D</em>=4.7)</span><span lang="IN"> while</span><span lang="IN">s</span><span>evere was 56.45 (<em>S.D</em>=4.45). The psychological burden was expressed by families in the form of fear and worry. </span><span lang="IN">T</span><span>he results showed a reaction to high stress and family experience lacking in self-care of people with post-restrain mental disorders.</span>

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

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.

Introduction: Leprosy is an infectious disease that still causes very complex problems. The problem is not only from the medical, physical and psychological aspects of the sufferer but it also extends to social problems such as the community acceptance of people affected by leprosy, culture and the economy related to income sources and employmentMethod: We searched for articles within the following databases: Scopus, Google Scholar, Science Direct, PubMed and Proquest. Fifteen articles were reviewed. There are 6 coping strategies in leprosy patients that affect stress including reading books, social awareness programs, stigma, acceptance, social support and knowledge.Result: From the results of the analysis, these can be applied to provide support for people affected by leprosy to change their coping mechanisms to allow them to be more adaptive.Conclusion:  These strategies need to be considered to determine the level of coping of an individual in dealing with stress stimulation in patients with leprosy originating from themselves, others and the environment.

ABSTRAKPendahuluan: 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.ABSTRACTIntroduction: 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 <0.05.Result: Smartphone addiction can reduce self-efficacy (p = 0,009) direction of correlation negative (r = -0,177). Smartphone addiction can also reduce academic achievement (p = 0.046) direction of correlation negative (r = -0.135). Self-efficacy has no relationship with academic achievement (p = 0.262).Conclusion: Smartphone addiction can make teenagers experience restlessness when not using a smartphone, while self-efficacy can be influenced by anxious and restless behavior. Nurses need to do health education for parents and students related to smartphone addiction and its relationship with student self-efficacy and academic achievement.

Ex-leprosy is a leprosy patient who has undergone treatment and is declared cured from a medical examination. The ex-leprosy have psychological and social problems due to disability and community stigma, caused them difficulty in re-socializing with the community. The aim is to identify the psychosocial experiences of ex leprosy in living their social life. This research is a phenomenological descriptive qualitative research method. The number of participants in this study were twelve using purposive sampling. Data collection using in-depth interviews  and field notes, analyzed by the Collaizi method. This study produced six main themes, Social stigma, Support system, Able to do activities, Response to stress, Coping strategies, and Social support. Participants' social activity after recovering from leprosy has increased although there is still a stigma in some communities. Support from family and community is needed as well as good coping mechanisms for ex leprosy patients.