Farmers' Mental Health and the Need for Agro-Nursing-Based Nursing Interventions in the Agricultural Area of Jember District
Abstract
The agricultural sector faces with various challenges that can affect the psychological condition of farmers. These challenges include crop yield uncertainty, extreme weather, market price fluctuations, debt, and high workloads. This pressure can cause stress, anxiety, and even depression among farmers, who often receive little attention from the health system, including nursing. Objective: This research aims to identify farmers' mental health and the need for agro-nursing-based nursing interventions. Method: This research is descriptive research with a survey method. Respondents were determined using cluster random sampling, and a sample of 227 respondents was obtained. The research instrument to measure farmers' mental health uses the SRQ-20 and the need for nursing intervention uses an instrument prepared by researchers based on the Indonesian Nursing Intervention Standard (SIKI) guidelines. Results: The research results showed that 30.5% of farmers were at risk of mental health problems (SRQ score >=6). The most common symptom of anxiety experienced was not sleeping soundly (45.9%). The most common cognitive symptom experienced was difficulty making decisions (35.1%). The most common somatic symptom experienced was headache (40.5%). The most common symptom of depression experienced was loss of interest in various things (43.3%). Nursing interventions required by farmers include the need for psychological education (72%), therapeutic support (81%), and advanced therapy (43%). Conclusions: Farmers often face social and economic challenges, including income uncertainty, social isolation in rural areas, and limited access to mental health services. Farmers usually work in remote areas, making it difficult for them to accessexisting mental health facilities. Agro-nursing-based nursing can develop intervention programs in local communities, helping farmers and their families easily access mental health support. Farmers are one of the professions that are at risk of experiencing mental health problems due to the demands of their work, so they require mental nursing intervention.
References
Acharibasam, J. W., & Anuga, S. W. 2018. Psychological distance of climate change and mental health risks assessment of smallholder farmers in Northern Ghana: Is habituation a threat to climate change? Climate Risk Management, 21.
Aldunce. P, et al. (2015). Resilience for Disaster Risk Management in a Changing Climate: Practitioners Frames and Practices. Global Environmental Change 30 (2015) 1-11
Alonso J, Liu Z, Evans-Lacko S, et al. Treatment gap for anxiety disorders is global: results of the World Mental Health Surveys in 21 countries. Depress Anxiety 2018; 35: 195–208.
Amaliyah, Rina. 2024. Konstruksi Gender pda Masyarakat Petani di Desa Mujur Lor Kabupaten Cilacap. Skripsi
Andini, Rochmawati, Susanto. 2023. Hubungan Antara Tingkat Stres dengan Kejadian Insomnia pada Mahasiswa FIK yang Akan Menjelang Ujian Akhir Semester. Jurnal Ilmiah Sultan Agung Universitas Islam Sultan Agung Semarang ISSN: 2963-2730
Badan Pusat Statistik. Publikasi Sensus Pertanian 2023 - Badan Pusat Statistik https://sensus.bps.go.id diakses pada tanggal 13 Januari 2024
Brew, B., Inder, K., Allen, J., Thomas, M., & Kelly, B. 2016. The health and wellbeing of Australian farmers: A longitudinal cohort study. BMC Public Health, 16(1).
Brigance, C., Soto Mas, F., Sanchez, V., & Handal, A. J. 2018. The Mental Health of the Organic Farmer: Psychosocial and Contextual Actors. Workplace Health and Safety, 66(12).
Cezar-Vaz, M. R., Bonow, C. A., & Silva, M. R. S. da. 2015. Mental and Physical Symptoms of Female Rural Workers: Relation between Household and Rural Work. Int J Environ Res Public Health., 12(9). https://doi.org/10.3390/ijerph120911037
Corral, S. A., de Angel, V., Salas, N., Zúñiga-Venegas, L., Gaspar, P. A., & Pancetti, F. 2017. Cognitive impairment in agricultural workers and nearby residents exposed to pesticides in the Coquimbo Region of Chile. Neurotoxicology and Teratology, 62.
EH Kurniyawan, dkk. 2022. Farmer Resilience After Floods and Landslides. Nursing and Health Sciences Journal. Vol (2), Number: 1
Elyas, dkk. 2021. Kesehatan Mental Petani Selama Masa Pandemi COVID-19 di Kabupaten Bondowoso. Jurnal Penelitian Kesehatan Suara Forikes. Volume 12 Nomor Khusus, November 2021
EW Wuryaningsih, TM Holivia, EH Kurniyawan. 2019. Hubungan Resiliensi Dengan Distres Psikologis Pada Petani Tembakau Di Kecamatan Kalisat Kabupaten Jember. Jurnal Keperawatan. Vol 10; No.2
EW Wuryaningsih, TM Holivia, EH Kurniyawan. 2018. Gambaran Masalah Kesehatan Jiwa Mahasiswi Pondok Pesantren Al Husna Jember. Prosiding Konferensi nasional keperawatan Kesehatan Jiwa. Vol 3 Nomor 3 Thn 2018. Hal 1 - 338
Fauziyah L. 2020. Peran Gabungan Kelompok Tani (GAPOKTAN) dalam Pembangunan Desa Studi Desa Balairejo Kecamatan Kalirejo Kabupaten Lampung Tengah. Socioreligia, Vol 1, No 1 (2020)
Fenderin B, Putri Pratiwi AA, Nurjannah I. 2021. Pengaruh Pendidikan Kesehatan Mental Se-Jiwaku terhadap Kecemasan dan Perilaku Impulsif Siswa pada Salah Satu SMA di Yogyakarta: Studi Retrospektif. Jurnal Keperawatan Klinis dan Komunitas: Vol 5 (2) Juli 2021.
Feng D, Ji L, Xu L. Effect of subjective economic status on psychological distress among farmers and nonfarmers of rural China. 2015;(February):215–20
Gao, J., et al. (2021). The impact of climate change on the mental health of rural farmers: Evidence from a multi-country analysis. Environmental Research, 200, 111234.
Gunn KM, Kettler LJ, Skaczkowski GLA, Turnbull DA. Farmers’ stress and coping in a time of drought. 2012;1–16.
Hanklang, S., Kaewboonchoo, O., Morioka, I., & Plernpit, S.-A. 2016. Gender Differences in Depression Symptoms among Rice Farmers in Thailand. Asia-Pacific Journal of Public Health, 28(1).
Iqsa WN & Alpian Y. 2022. Konseling dan Psikoedukasi Coping Stress pada Masyarakat Desa Dawuan Timur di Masa COVID 19. Prosiding Konferensi Nasional Penelitian Dan Pengabdian Universitas Buana Perjuangan Karawang: Vol 2 No 1
Jones-Bitton, A., Best, C., MacTavish, J., Fleming, S., & Hoy, S. (2019). Stress, anxiety, depression, and resilience in Canadian farmers. Social Psychiatry and Psychiatric Epidemiology.
Kallioniemi, M. K., A. Simola, J. Kaseva, and H.-R. Kymäläinen. 2016. “Stress and Burnout among Finnish Dairy Farmers.” Journal of Agromedicine 21(open in a new window) (3(open in a new window)): 259–268.
Kamilna, dkk, 2022. DOUBLE BURDEN PETANI PEREMPUAN DALAM KELUARGA DI DESA CUT REUBEE DELIMA KABUPATEN PIDIE, Journal of Political Sphere (JPS). Volume 3, Issue 1, Juni 2022
Kementerian Pertanian Republik Indonesia. (2020). Laporan tahunan kesejahteraan petani. Jakarta: Kementerian Pertanian.
Kunde, L., Kõlves, K., Kelly, B., Reddy, P., & De Leo, D. 2017. Pathways to suicide in Australian farmers: A life chart analysis. International Journal of Environmental Research and Public Health, 14(4).
Lisdiana. 2014. Regulasi Kortisol Pada Kondisi Stres Dan Addiction. Maghfiroh, Intan, dkk. 2017. Hubungan Stres Dan M Biosaintifika 4 (1):1826. otivasi Kerja Dengan Hasil Kerja Operator Jahit PO. Seventeen Glory Salatiga. Jurnal Kesehatan Masyarakat (eJournal), 5(3): 278285. [serial online] https://ejournal3.undip.ac.id/index.php/jkm/arti cle/viewFile/17237/16494 diakses pada 20 Februari 2019
Logstein, B. (2016). Farm-Related Concerns and Mental Health Status Among Norwegian Farmers. Journal of Agromedicine, 21(4).
Ludwiwin L. 2024. Gambaran Kesehatan Mental Pada Petani Di Desa Wakomenge Kecamatan Bajawa. UPT Perpustakaan Undana: Kupang., 2024http://skripsi.undana.ac.id/index.php?p=show_detail&id=22116&keywords= diakses pada tanggal 24 Februari 2024
Marcom, R. T., Grafft, L., Wilson, E., Bruce, J., Jayaratne, K. S. U., & Roberson, G. 2018. Behavioral Health Issues of NC Farmers What Can’t be Fixed with Tape and Twine. North Caroline Medical Journal, 79.
Maulana, dkk. 2022. Feminisasi Pertanian dan Dekontruksi Gender Pada Pertanian Perhutanan Malang Selatan. Jurnal Ekonomi Pertanian dan Agribisnis (JEPA) Volume 6, Nomor 3 (2022): 1206-1215
Mawaddah N, Mujiadi, Rahmi. 2020. Penerapan Model Komunikasi Terapeutik Peplau pada Pasien Penyakit Fisik dengan Ansietas. Indonesian Journal for Health Sciences Vol. 4, No. 1, Maret 2020, Hal. 16-24
Natasubagyo OS, Kusrohmaniah S. 2019. Efektivitas Psikoedukasi untuk Peningkatan Literasi Depresi. Gadjah Mada Journal of Professional Psychology (GAMAJPP). Vol. 5, No. 1, 2019: 26-35
Nugroho ARBP, Azizah N, Budiyono A. 2022. Komunikasi Terapeutik dalam Pendekatan Mindfulness Based Stress Reduction (MBSR) di Rumah Sakit. Proceeding of International Conference on Islamic Guidance and Counseling Vol. 2, (2022), pp. 341-359
Rosidin, Sumpena D, & Tamkin A. 2022. Gabungan Kelompok Tani (GAPOKTAN) Memiliki Peran Dalam Memajukan Ekonomi Masyarakat. Jurnal Pengembangan Masyarakat Islam Volume 7, Nomor 1, 2022, 75-92
Safitri & Widodo. 2024. Analisis Validitas Self Reporting Questionnaire (SRQ) Terhadap Kesehatan Mental Pada Remaja. Jurnal Kesehatan Tambusai Volume 5 Nomor 1, 2024,
Salmond, S. W., & Echevarria, M. 2017. Healthcare Transformation and Changing Roles for Nursing. Orthop Nurs., 12(25). https://doi.org/10.1097/NOR.0000000000000308
SA Saragih, A Menanti, Z Budiman. 2020. Hubungan antara Self-Efficacy dan Dukungan Sosial dengan Coping Stress pada Petani Hortikultura dalam Mengelola Usaha Tani di Saribudolok. Tabularasa. Jurnal Ilmiah Magister Psikologi. Vol 2. No. 1
Septiani, AN. 2019. Gambaran Distres Psikologis Pada Petani Tembakau Di Kecamatan Kalisat Kabupaten Jember. Skripsi Universitas jember: tidak dipublikasikan
Serrano-Medina, A., Ugalde-Lizárraga, A., Bojorquez-Cuevas, M. S., Garnica-Ruiz, J., González-Corral, M. A., García-Ledezma, A., … Cornejo-Bravo, J. M. (2019). Neuropsychiatric disorders in farmers associated with organophosphorus pesticide exposure in a rural village of Northwest México. International Journal of Environmental Research and Public Health, 16(5).
Sulistyono RE, Tristiana D. 2019. Masalah Kesehatan Mental pada Petani dan Peran Caring Perawat Kesehatan Agrikultural di Komunitas: Review Literatur (farmers mental health problem and caring roles of agricultural health nurses in community setting: A Literature Review). Prosiding Poster Presentation_27 Oktober 2019_1
Susanto, T., & Purwandari, R. 2016. Model kesehatan keselamatan kerja berbasis agricultural nursing: Studi analisis masalah kesehatan petani. Jurnal Ners, 11(1), 45–50. Retrieved from http://e-journal.unair.ac.id/JNERS/article/view/1468
Yazd SD, Wheeler SA, Zuo A. Key Risk Factors A ff ecting Farmers’ Mental Health: A Systematic Review.
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
