Studi Fenemonolegi: Strategi Koping Orang Tua Dalam Merawat Anak Autism Spectrum Disorder (Asd)

Coping strategies are important predictors of psychosocial adaptation among parents of children with ASD. This study aimed to explore coping strategies used by parents of children with ASD. This descriptive phenomenology study used in-depth semi-structured interviews to explore parents experiences. Six participants were recruited from Pusat Layanan Autis Kota Malang by using purposive sampling. The interviews were digitally recorded and transcribed verbatim. The thematic were analyzed using Colaizi's phenomenological method. Eight themes were extracted according to the spesific purposes: (1) caring demand; (2) social stigma; (3) level of ASD severity; (4) life stressor of parent as a caregiver; (5) constructive coping strategies: seeking for information, formal support, spiritual approach, relaxation, and positif thinking (6) destructive coping strategies: physical and verbale action; (7) positive life meaning: change of the way of thinking and behavior, and (8) negative life meaning: stress feeling of having ASD children. It can be concluded that both constructive and destructive coping strategies were used by parents when dealing with children with ASD. Futher investigation with parents living in rural areas is needed to explore their constructive coping strategies using phenomenology study design

Psychological Well Being in Type 2 Diabetes Mellitus Patients in Mulyorejo Public Health Center Surabaya

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