scholarly journals Efektivitas Konseling dengan Pendekatan Motivational Interviewing Terhadap Penurunan Depresi pada Pasien Post Stroke Depression

2018 ◽  
Vol 1 (2) ◽  
pp. 55
Author(s):  
Baiq Nurainun Apriani ◽  
Irwan Hadi ◽  
Anwar Wardi Warongan ◽  
Nana Supriyatna

Background : Stroke is a serious global health problem, strokes can be threatening and result in morbidity and mortality and increase the length of days of treatment that cause maintenance costs to increase, stroke prevalence increases every year, followed by increased post-stroke depression. Motivational interviewing (MI) is a patient-focused counseling technique designed to help individuals explore and overcome ambivalence in behavior.Purpose : This study aims to determine the effectiveness of counseling with a motivational interviewing approach to reducing depression in post-stroke depression patients in NTB Province Hospital.Method : Quasi Experiment Pre-test design Post-test control group design with a sample of 32 respondents selected by purposive sampling technique.Results: The results of bivariate analysis with paired t test there were significant differences in post-stroke depression in the control group and the intervention group with a value of 0.028, in the intervention group the average depression was 2.25 with a value of 0.000 < α (0.05).Conclusion: Counseling with a motivational interviewing approach is effective in decreasing depression in post stroke depression patients at NTB Hospital. Suggestions for the next researchers can research with different places with more samples and qualitative and quantitative methods (mixed methods) so that research results are more optimal.

2020 ◽  
Vol 10 (3) ◽  
pp. 361-375
Author(s):  
Fitria Handayani ◽  
Setyowati Setyowati ◽  
Dwi Pudjonarko ◽  
Dian Ratna Sawitri

Background: There are several factors that contribute to Post Stroke Depression (PSD). Since a single intervention is proven ineffective to deal with PSD, an intervention which includes biological, psychological, social, and spiritual aspects (“SELF-HELP Packages”), therefore, needs to be established.Purpose: The purpose of the study was to investigate the effect of “SELF HELP Packages” intervention on PSD among ischemic stroke survivors after three months from onset and its effect after confounding variables were controlled.Methods: This study was a pre and post quasi-experiment with a control group involving 34 ischemic stroke survivors each group. The inclusion criteria were survivors after three months from ischemic stroke, no aphasia, having a good hearing, and having Mini Mental Status Examination (MMSE) score of ≥ 22. GRID-HAMD 17, Multidimensional Scale of Perceived Social Support (MSPSS), and Barthel-Index were used to measure PSD, social support, and functional status respectively. “SELF-HELP Packages” intervention was delivered in three sessions, namely information delivery, discussion and activity. Statistical analyses were conducted using McNemar test, Chi-square and logistic regression.Results: The result showed that “SELF-HELP Packages” considerably decreased PSD in the intervention group (p=0.004). There were also significant differences in PSD after the intervention between two groups (p=0.008). Logistic regression showed that ‘SELF-HELP Package” had no effect on PSD when other confounding variables were controlled (p=0.075, OR=0.288, 95% CI 0.073 – 1.135).Conclusion: SELF-HELP Packages” should be applied in providing the nursing intervention among stroke ischemic survivors in clinical setting. A longer period of time for the intervention is also recommended for the next study in order to obtain a more robust result.   


2021 ◽  
Vol 9 (F) ◽  
pp. 1-5
Author(s):  
Intan Liana ◽  
Arnela Nur ◽  
Anwar Arbi ◽  
Andriani Andriani ◽  
Sisca Mardelita ◽  
...  

BACKGROUND: Oral health problems are ones that must be considered by the elderly. Dental and oral health in the elderly is essential and closely related to general health. Overcoming this problem needs necessary to optimize the elderly’s ability to maintain dental and oral hygiene by providing information and skills. AIM: The purpose of this study is to analyze the effect of self-empowerment-based education packages on knowledge and oral hygiene of the elderly in the Darul Imarah district of Aceh Besar. METHODS: This study’s design was a quasi-experimental design with a pretest-posttest design with control group design. This research is located in the village of Darul Imarah District, Aceh Besar. A sample of 80 older adults who were divided into two groups. Each group numbered 40 people. The criteria for this sampling were inclusion and exclusion criteria. Data analysis used univariable, bivariable, and multivariate using paired samples test and independent t-test. RESULTS: The results showed a difference in mean knowledge from post-test I to post-test II (P = 0.002). The results of the multivariate analysis of the knowledge, attitude, and behavior variables on the maintenance of dental and oral hygiene had a significant effect on the periodontal health status of pre-elderly (p = 0.001). The statistical test results showed that there was an effect of self-empowerment-based education on the knowledge of the elderly, p = 0.001. The results showed that there was no difference in knowledge in the control group in the post-test I and post-test 2 with a value of p = 0.72, and there was a difference in knowledge in the intervention group in the post-test I and post-test 2 with a value of p = 0.002. There were differences in dental and oral hygiene in the control group, and there were differences in dental and oral hygiene after being given the intervention with a value of p = 0.003. CONCLUSION: There is a significant effect of providing a self-empowerment-based education package to the elderly on the level of knowledge and oral hygiene status of the elderly in Darul Imarah District, Aceh Besar (p <0.05).


Author(s):  
Sriyatin S

Anxiety in pregnant women is due to pregnancy physical changes, preparing labor, and caring for children after childbirth. One intervention to overcome anxiety is smile therapy. Smiling is one of the easiest ways to reduce stress and make friendships. Smiling is not only an important nonverbal indicator of happiness but also as a medicine to deal with life's stress. This study aimed to determine the effect of smile therapy on reducing anxiety levels in Prim gravid women aged 4-8 months in the PHC in Cirebon City. This research was a quantitative study using a quasi-experimental design with a nonrandomized Pretest-Posttest Control Group Design. The number of samples in the study was 44 pregnant women. Data were analyzed by paired sample test with a significance level of 5% (0.05). The results showed a value of p = 0.009, there was a difference in anxiety level scores between the intervention group and the control group after smile therapy intervention. The intervention of effective therapy to reduce the anxiety of prim gravid women during pregnancy, there is a needs further application of this therapy to other maternal phases such as labor or post-partumKeywords: Anxiety, pregnancy education, prim gravid, smile therapy


2019 ◽  
Vol 1 (2) ◽  
pp. 314-323
Author(s):  
Eko Riyanti ◽  
Irna Nursanti ◽  
Natsir Hugroho

The purpose of this study was to determine the effect of the package of warning signs of bleeding pregnant women (tabahanmil) on the knowledge, attitudes and skills of pregnant women in preventing bleeding in Bayan District, Purworejo Regency. The type of quantitative research with Quasi experimental research design, pretest-posttest with control group design. The results of bivariate analysis found that the intervention group after being given a tabahanmil package significantly affected compared to the control group that was not given a tabahanmil package on knowledge, attitudes, and skills, each of which has a p value = 0,000 less than 0.05. Conclusion, there is a significant difference from the average value of knowledge, attitudes, and skills of pregnant women in preventing bleeding in the intervention group and the control group.   Keywords: Pregnant Women, Skills, Preventing Bleeding, Knowledge, Attitudes


2018 ◽  
Vol 1 (1) ◽  
pp. 42
Author(s):  
Yenni Yenni ◽  
Reni Reni

<p><em>The aims of this study to determine the effect of secondary prevention on the motivation of hypertension clients in controlling blood pressure. Conducted from February to March 2018 in the Neurology Room and Internation of RSUD Prof. Dr. MA. Hanafiah Batusangkar BC Tanah. This type of research was an experiment with a Quasi Experiment Design Nonequivalent Control Group design. The study population was moderate hypertension patients aged 18-59 years, taken by purposive sampling as many as 10 intervention groups and 10 control groups. Bivariate analysis using the Mann-Whitney test. Statistical tests show there is a secondary prevention effect on the motivation of hypertensive clients in controlling blood pressure. p value = 0.012 (p value &lt;0.05). The average value of the motivation of the intervention group was 69.0, SD 8.313,  Mean Rank 13.8 and the control group 58.70, SD 3.683,  Mean Rank 7.20. It can be concluded that there is an effect of the secondary prevention implementation on the motivation of hypertensive clients in controlling blood pressure. It is expected that nurses in hospitals and health centers to be able to use secondary prevention as one strategy in increasing the motivation of clients to control blood pressure.</em></p><p><strong><em>Keywords: motivation, secondary prevention, blood pressure</em></strong></p>


2019 ◽  
Vol 7 (16) ◽  
pp. 2619-2622
Author(s):  
Reni Asmara Ariga

BACKGROUND: The anxiety is an emotional and subjective experience without any specific object so that people feel a feeling of worry as if something bad will happen and generally accompanied by autonomic symptoms lasting some time. Like students who will carry out the OSCE exam at the end of each semester as a form of evaluation of the extent to which nursing students have mastered the learning outcomes that have been set during the OSCE examination during the OSCE examination all students are required to display cognitive, affective and psychomotor skills quickly, precisely complete. This is what generally can cause anxiety in students. AIM: We aimed to determine the decrease in student anxiety about the OSCE exam by relaxing deep breathing. MATERIAL AND METHODS: This study was a quasi-experiment; pre-post test with control group design. The 40 undergraduate nursing program students with random sampling were divided into two, namely the control group and the intervention group. The instrument uses a questionnaire. RESULTS: The independent t-test test results with a value of t count 3.743 with a value of p = 0.031 < 0.05, which that there was a decrease in student anxiety about the OSCE exam with deep breath relaxation. CONCLUSION: It is expected that all students who will carry out the exam can apply this technique to carry out the exam in calm conditions and satisfying results.


2020 ◽  
Vol 2 (1) ◽  
pp. 37-45
Author(s):  
Susianti Susianti ◽  
Arifa Usman

Oxytocin massage is performed to stimulate the oxytocin reflex or let down reflex. By doing this massage, the mother will feel relaxed, so that the hormone oxytocin comes out the breast milk quickly. The purpose of this study was to determine the effect of oxytocin massage on breast milk production in post sectio secarea mothers. This research method used a quasi-experimental method (Quasi Experiment) with Post Test Only design with control group design. The sampling technique with non-probability sampling was consecutive sampling with the number of respondents as many as 50 samples, namely 25 samples for the intervention group and 25 people with the control group. Data analysis applied the Chi-Square test. The results of the bivariate analysis showed that the p-value in each measurement was 0.039, 0.003, 0.002, which means that there were differences in the proportions of the smoothness of breast milk in the intervention group and the control group. Conclusion: There is a difference in the proportion of smoothness of breast milk in the intervention group and the control group, and there is no relationship between oxytocin massage with age, education, occupation, and parity.


Author(s):  
Nadya Puspita Adriana ◽  
Dhimas Herdhianta

The purpose of this study was to determine the effect of health promotion with social media and booklets on students' knowledge and attitudes about HIV/Aids. This research uses Quasi Experimental method with pretest-posttest control group design. The sampling technique used is random sampling, and analyzed by t-test with the Stata 13 program. The population in this study were students of Kusuma Husada University Surakarta batch 2019 of the Bachelor of Nursing Study Program. The sample in this study used random sampling, with only 17 people randomized per class. Then from the total, a total of 102 sampling subjects were taken. Data collection in this study was carried out using a questionnaire instrument used to guide the interview. Questionnaires are data collection tools used in interviews containing a list of well-structured and matured questions. Questionnaires in uni research include, knowledge, attitudes. The data that has been obtained from filling out the questionnaire is then processed and analyzed using SPSS version 23 software. Based on the results of the bivariate analysis with the following results students' knowledge of HIV after the intervention for the intervention group was 51 people (Mean 27.88; SD 3.59) students' knowledge about HIV after the intervention for the control group was 51 people (Mean 22.50; SD 3.30) with a significant value of knowledge students about HIV after the intervention was (p < 0.001) with an effect size value (ES = 1.55). Bivariate analysis with the results of student attitudes about HIV after the intervention for the intervention group as many as 51 people (Mean 63.43 SD: 6.89) student attitudes about HIV after the intervention for the control group as many as 51 people (mean 44.01 SD 8.58) with a significant value of student attitudes about HIV after the intervention of (p<0.001) with an effect size value (ES=2.39).


2021 ◽  
pp. 108482232110357
Author(s):  
Elly Lilianty Sjattar ◽  
Irna Megawati ◽  
Andi Masyitha Irwan ◽  
Sintawati Majid

The purpose of this pilot study was to assess of home care intervention on post-stroke related outcome of range of motion and muscle strength. Sample in 40 participants were divided into the intervention group and control group and included in this study according to the following criteria: post-stroke period of <12 months with hemiparesis, age of ≥18 years, and willingness to participate in the study. The intervention was carried out by nurses by providing education for 2 consecutive days and mentoring for 5 consecutive days, while the control group was given standard care and measured using a grip track, handheld dynamometer, and goniometer examination on June to September 2019. For the intervention group, paired t-test analysis confirmed a significant increase in the mean upper extremity muscle strength before (35.770 ± 46.063) and after (51.073 ± 50.866) the 7 day intervention ( p = .002), whereas the control group showed a value 36.570 ± 33.684 and then 31.400 ± 31.760 p = .256 and lower extremity strength before (3.627 ± 1.585) and after (4.365 ± 1.698) the 7-days intervention ( p = .000), whereas the control group showed a value 3.657 ± 1.671 and then 4.043 ± 1.849 p = .013. Almost all the items assessed from Range of Motion (ROM) in the upper and lower extremities showed a significant increase ( p < .05). Supportive-educative ROM exercise significantly contributed to an increase in the average muscle strength and ROM in post-stroke patients.


2020 ◽  
Vol 10 (2) ◽  
pp. 72-79
Author(s):  
Tety Tety Novianty

Dysmenorrhea is menstruation accompanied by pain or cramps in the lower abdominal area when approaching menstruation. One way to reduce dysmenorrheal pain is to use non-pharmacological therapy with dysmenorrhea exercises. Dysmenorrhea is a relaxation technique for reducing dysmenorrheal pain, when exercise is done regularly and the movement is appropriate then the muscles are tense to relax and reduce the intensity of dysmenorrhoeal pain during contractions. The purpose of this research is to know Influence of Dysmenorrhea Gymnastic on Change of Pain Level on Diploma Nursing Student at STIKes WijayaHusada Bogor in 2016. This research type is Quasi Eksperimen with Non Random Pretest &Postest Control Group Design design. Sampling method in this research use Purposive Sampling technique with sample number 32 responden. Data collection was obtained through observation with pain scale observation sheet and gymnastics with standard operational procedure of dysmenorrhenal exercises. The result of bivariate analysis using Wilcoxon test, in the intervention group obtained value (ρ =, 001 or ρ <0,05) and in the control group got value (ρ = 1,000 or ρ> 0,05). The results of the analysis of differences in decreased levels of dysmenorrhea pain in both groups with Mann-Whitney test showed an average value of the difference in the decrease in the scale of dysmenorrhea pain before and after intervention (ρ = 000 or ρ <0.05). This indicates that there is a difference in decreasing the scale of dysmenorrheal pain in the intervention group and control group which means there is a significant influence between the two variables. There is Influence of Dysmenorrhea Gymnastic on Change of Pain Level On Diploma Nursing Student at STIKes Wijaya Husada Bogor, 2016.


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