Pengaruh video edukasi kesehatan terhadap self esteem pada narapidana remaja dan remaja yang berhadapan dengan hukum

Tiara Royani, Sri Warsini, S.Kep., Ns., M.Kes., Ph.D ; 5. Dr. Ibrahim Rahmat, S.Kp., S. Pd., M.Kes

2025 | Tesis | S2 Magister Keperawatan

Latar Belakang : Narapidana remaja sering mengalami tekanan psikologis, kehilangan kebebasan, dan stigma sosial yang dapat menurunkan self esteem, sehingga video edukasi kesehatan menjadi upaya menarik dan mudah dipahami dalam meningkatkan self esteem. Meskipun penelitian mengenai pengaruh intervensi terhadap self esteem pada narapidana remaja masih sangat terbatas.

Tujuan : Mengetahui pengaruh video edukasi kesehatan terhadap perubahan self esteem narapidana remaja di LPKA Yogyakarta.

Metode : Penelitian kuantitatif dengan desain quasy-eksperimen menggunakan repeated measures non-equivalent control group design. Kelompok intervensi (n=17) di LPKA mendapatkan video edukasi dan penugasan diary reflektif, sedangkan kelompok kontrol (n=28) di BPRSR menonton video setelah post test kedua. Penelitian dilaksanakan pada Mei–Juni 2025. Pengukuran self esteem dilakukan sebelum, sesaat setelah intervensi, dan dua minggu pasca intervensi, menggunakan kuesioner Rosenberg Self Esteem Scale (RSES). Analisis data menggunakan repeated ANOVA, independent t-test, dan regresi linear.

Hasil : Hasil analisis rerata dan standar deviasi pada kelompok intervensi pre test (27,65±2,26), post test 1 (28,82±2,67) dan post test 2 (29,88±2,23) dengan p value 0,005. Sementara kelompok kontrol pre test (26,57±2,39), post test 1 (26,36±2,72) dan post test 2 (27,39±2,14) dengan p value 0,024. Selisih rerata skor self esteem antara post test 2 dan pre test pada kelompok intervensi (2,24±2,02) secara signifikan lebih tinggi dibanding kontrol (0,82±1,61) dengan p value <0>effect size 1,78. Analisis multivariat menunjukkan video edukasi berkontribusi terhadap self esteem sebesar 30,3% (p value 0,002).

Kesimpulan : Video edukasi berkontribusi meningkatkan self esteem remaja di LPKA dan menjadi strategi pembinaan yang mendukung rehabilitasi secara holistik dan berkelanjutan.

Background: Adolescent inmates often experience psychological pressure, loss of freedom, and social stigma that lower their self-esteem. Health education videos become an engaging and easy-to-understand approach to improve self-esteem. Although educational interventions have been widely implemented, research on the effect of health education videos on the self-esteem of adolescent inmates remains very limited.

Objective: This study aims to determine the effect of health education videos on self-esteem changes among adolescent inmates at the Special Child Development Institution (Indonesian: Lembaga Pembinaan Khusus Anak; LPKA) Yogyakarta.

Method: This research used a quantitative quasi-experimental method with a repeated measures non-equivalent control group design. The intervention group (17 respondents) at the Special Child Development Institution (LPKA) was provided with an educational video and assigned to complete a reflective diary documenting their daily activities, whereas the control group (28 respondents) the Adolescent Protection and Social Rehabilitation Center (Indonesian: Balai Perlindungan dan Rehabilitasi Sosial Remaja; BPRSR received the same video after the second post-test during May–June 2025. Self-esteem was measured at three time points: before the intervention, immediately after, and two weeks post-intervention. The instrument used was a self-esteem questionnaire. Data were analyzed using repeated ANOVA, independent t-test, and linear regression test.

Results: The analysis showed that the mean and standard deviation in the intervention group were as follows: pretest (27,65?±?2,26), posttest 1 (28,82?±?2,67), and posttest 2 (29,88?±?2,23), with a p-value of 0,005. In the control group, the mean and standard deviation were: pretest (26,57?±?2,39), posttest 1 (26,36?±?2,72), and posttest 2 (27,39?±?2,14), with a p-value of 0,024. The mean difference in self-esteem scores in the intervention group (2,24±2,02) was significantly higher than that in the control group (0,82±1,61), with a p-value <0>

Conclusion: This indicates that educational videos contribute to the improvement of self-esteem. This study shows that video-based educational interventions can be used as an alternative strategy for psychosocial development to support a more holistic and sustainable adolescent rehabilitation process

Kata Kunci : narapidana remaja, self esteem, video edukasi