scholarly journals MODELING PARTICIPANT TOWARD SELF-CARE DEFICIT ON SCHIZOPHRENIC CLIENTS

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 41
Author(s):  
Ah Yusuf ◽  
Hanik Endang Nihayati ◽  
Krisna Eka Kurniawan

Introduction: Scizophrenia is a disease which affect of brain, causing impaired perception, thought, emotion, movement, and behavior, such as self care deficit. Self-care deficit is an impaired ability to bathing, dressing, eating and toileting. Modeling participant is a technique required to address the problem of self-care deficit where clients are taught and trained to meet the needs of self-care. The purpose of this study was to analyze the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Method: This study used quasi experimental design. Sampling was carried out with total sampling to all affordable population comprising 20 respondents in Dr Radjiman Wediodiningrat Mental Hospital, Lawang. This study analyzed by Wilcoxon Signed Rank Test and Mann-Whitney Test with significance level of p < 0.05. Result: The results showed the influence of participants modeling on self-care ability in schizophrenic clients with self-care deficit. Wilcoxon Signed Rank Test in treatment group showed p = 0.005 and control group showed p = 0,206. Mann-Whitney Test showed p = 0.030. Modeling participant improved self-care ability in schizophrenic clients with self-care deficit. Analysis: Modeling participant will improve cognitive, self-confidence and motivation of schizophrenic clients so that their ability to bathing, dressing, eating and toileting will increase. Discussion: Modeling participant can be applied as a technique to improve self-care ability in schizophrenic clients with self-care deficit. For further research can be explored further implementation of the modeling of participants in the group activity theraphy.

2019 ◽  
Vol 22 (1) ◽  
pp. 19-26
Author(s):  
Muhtar Muhtar ◽  
Abdul Haris ◽  
Aniharyati Aniharyati

Latar Belakang: Penyakit TB merupakan masalah kesehatan masarakat di seluruh dunia dan menjadi penyebab kematian ketiga terbesar setelah penyakit kardiovaskuler dan penyakit saluran pernafasan, dan merupakan nomor satu terbesar dalam kelompok penyakit infeksi. Penerapan discharge planning terstruktur melalui 5 (lima) tahap langkah kegiatan dapat meningkatkan pengetahuan, kesadaran dan perilaku perawatan diri (self care) penderita TB paru selama menjalani pengobatan TB yang biasanya berlangsung sampai 6 bulan. Tujuan : Penelitian ini bertujuan untuk membuktikan pengaruh penerapan model discharge planning terstruktur dan home care dalam meningkatkan self care penderita tuberkulosis paru di Rumah Sakit Umum Daerah Bima. Metode: Menggunakan randomized control group pretest posttest design, penelitan ini melibatkan dua kelompok subjek yaitu kelompok perlakuan dan kelompok kontrol yang dilakukan randomisasi. Populasi dalam penelitan ini adalah semua penderita TB paru yang menjalani rawat inap di RSUD Bima selama tahun 2017 yang tersebar di dua ruangan yaitu ruangan penyakit dalam dan ruangan perawatan isolasi. Pengambilan sampel menggunakan tehnik non probability sampling yaitu purposive sampling. Analisis data menggunakan statistik non parametris  Wilcoxon sign rank test dan Mann-Whitney test, hipotesis alternatif diterima bila nilai p ≤ 0,05. Hasil: Self care demand dan self care agency penderita TB paru mengalami peningkatan, uji Wilcoxon Signed Rank Test dan uji Mann-Whitney Test menunjukan nilai p<0,05, yang berarti ada pengaruh penerapan model discharge planning terstruktur dan home care dalam meningkatkan self care penderita tuberkulosis. Kesimpulan: ada pengaruh penerapan model discharge planning terstruktur dan home care terhadap self care demand penderita TB paru di Rumah Sakit Umum Daerah Bima.


2021 ◽  
Vol 3 (3) ◽  
pp. 235
Author(s):  
Daranindra Dewi Saraswati ◽  
Atika Atika ◽  
Dwi Purwanti

Abstrak Latar Belakang: Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode kontrasepsi dengan efektivitas tinggi terdiri dari IUD, implan dan kontrasepsi mantap. Penggunaan MKJP yang rendah menyebabkan berbagai upaya dilakukan pemerintah untuk meningkatkan penggunaan MKJP. Konseling kontrasepsi merupakan salah satu upaya dalam meningkatkan penggunaan MKJP pasca persalinan. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan konseling kontrasepsi dengan Alat Bantu Pengambilan Keputusan (ABPK) dan konseling lisan terhadap pengetahuan ibu hamil trimester III mengenai MKJP. Metode: Penelitian ini merupakan penelitian quasi experimental terdiri dari 2 kelompok, kelompok perlakuan berupa konseling kontrasepsi dengan ABPK dan kelompok kontrol berupa konseling secara lisan. Pengambilan sampel menggunakan accidental sampling masing-masing kelompok 35 orang, total responden 70 orang. Variabel independen pada penelitian ini yaitu konseling kontrasepsi; variabel terikat adalah pengetahuan tentang MKJP. Analisis data menggunakan analisis univariat dan bivariat (Wilcoxon Signed Rank Test dan Mann-Whitney Test). Hasil: Nilai pengetahuan mengalami peningkatan yang signifikan pada kelompok perlakuan (74,3%) pada kategori baik, sementara kelompok kontrol (62,9%) pada kategori baik. Pengaruh intervensi terhadap pengetahuan didapatkan dengan Mann-Whitney Test signifikansi p=0,000 (p<0,05). Kesimpulan: Terdapat perbedaan pengetahuan yang bermakna pada kelompok perlakuan dan kontrol antara pretest-posttest. Ada perbedaan bermakna antara konseling ABPK dan lisan terhadap pengetahuan ibu hamil tentang MKJP, sehingga pemberian konseling dengan ABPK lebih efektif dibanding konseling secara lisan.Abstract Background: Long Acting and Permanent Contraceptive Method (LPAMs) is a highly effective contraceptive method consisting of IUDs, implants, tubectomy, and vasectomy. The low use of LPAMs has caused various efforts made by the government to increase the use of LPAMs. Contraceptive counseling is an effort to improve the use of postpartum LPAMs. Objective: This study aim to determine the differences in contraceptive counseling with Contraception Decision Making Tool (CDMT) and verbal counseling on the knowledge of third trimester pregnant women regarding LPAMs. Method: This study was a quasi experimental study consisting of 2 groups, the treatment group in the form of contraceptive counseling with LPAMs and the control group in the form of verbal counseling. Sampling used accidental sampling each group of 35 people, a total of 70 respondents. The independent variable in this study was contraceptive counseling; the dependent variable were knowledge regarding LPAMs. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann-Whitney Test). Results: The value of knowledge experienced a significant increase in the treatment group (74.3%) in the good category, while the control group (62.9%) in the good category. The effect of intervention on knowledge was obtained by Mann-Whitney test of significance p = 0,000 (p <0.05). Conclusion: There were significant differences in knowledge in the treatment and control group between the pretest-posttest. There was a significant difference between CDMT and verbal counseling in knowledge of pregnant women about LPAMs, so that counseling with CDMT was more effective than verbal counseling.


2019 ◽  
Vol 1 (1) ◽  
pp. 35
Author(s):  
Erlysa Diah Pangestuti ◽  
Sriyono Sriyono ◽  
Ferry Efendi

Lack of self-care independence is a phenomenon that appears on an outpatient at the sumberglagah hospital, Mojokerto. Most of the patients have less independence in self-care efforts in leprosy, causing a faster rate of patients to the disability process. The data explained that the demonstration method can improve self-care independence. This research was aimed to analyze the influence of health education with demonstration method in self care independent for disability 2nd  grade of leprosy. Design used in this research was quasy experimental pre post test designed. The sampling technique used was purposive sampling. Samples were taken from those suitable with inclusion criteria, with total samples were 16 people. The independent variable was intervention of health education with demonstration method and the dependent variable was self care independence on leprosy measured by questioner and observation instrument of independence. Data were analyzed by Wilcoxon signed rank test and Mann Whitney test significance a < 0,05. Result showed that treatment group has significance level p=0.016 and control group has significance level p=0.102 and the result of Mann whitney test showed p 0.001. This study describes the demonstration method can improve the level of self-care independence of disabled leprosy patients in 2nd grade. Demonstration method can help leprosy patients in terms of habit and routine care for themselves independently, to prevent further disability. This method can also be offered at the hospital sumberglagah to keep providing health education demonstration method in outpatient leprosy patients. It can also be a solution to decrease amount of disabled leprosy patients in Indonesia.


2020 ◽  
Vol 2 (1) ◽  
pp. 38
Author(s):  
Novilia Qurotun Nisbah ◽  
Harmayetty Harmayetty ◽  
Lingga Curnia Dewi

Pendahuluan: Diabetes Mellitus merupakan salah satu penyebab stres pada penyakit kronis. Stres mempengaruhi kontrol glukosa darah, kepatuhan, biaya perawatan, dan kematian. Dzikir merupakan salah satu alternatif terapi yang dapat digunakan untuk menurunkan stress dan kadar gula darah. Tujuan dari penelitian ini yaitu Menganalisa pengaruh pemberian dzikir terhadap stress dan gula darah acak pada pasien diabetes mellitus.Metode: Penelitian menggunakan pendekatan quasi- eksperimental pre posttest with control group design dengan jumlah sampel 60 pasien Diabetes Mellitus yang, berusia 40-60 tahun, dibagi menjadi dua kelompok yaitu kelompok perlakuan 30 orang dan intervensi 30 orang dan menggunakan metode purposive sampling.  independen yaitu dzikir dan variable dependen terdiri dari stres dan kadar gula darah acak. Penelitian ini menggunakan kuesioner Diabetes Distress Scale (DDS) untuk mengukur stress serta glucometer untuk mengukur kadar gula darah acak. Uji statistik yang digunakan Wilcoxon Signed Rank Test dan Mann Whitney Test dengan signifikansi α ≤ 0,05.Hasil: Hasil penelitian menunjukan tingkat stress setelah intervensi (Wilcoxon signed rank test p=0,000, Mann Whitney test p=0,000) dan nilai gula darah acak setelah diberikan intervensi (Wilcoxon signed rank test    p=0,000, Mann Whitney test p=0,047).Kesimpulan: Dzikir dan doa mengurangi stress dan kecemasan dengan cara membantu individu membentuk persepsi yang lain selain ketakutan yaitu keyakinan bahwa stressor apapun dapat di hadapi dengan baik dengan bantuan Tuhan. Dzikir mempengaruhi stres dan gula darah pada pasien dengan diabetes mellitus. Namun selain zikir, penerimaan penyakit dan kepatuhan terhadap pengobatan akan memaksimalkan perawatan yang sedang dijalani. ABSTRACTIntroduction: Diabetes Mellitus is one of the causes of stress on chronic diseases. Stress affects blood glucose control, compliance, treatment costs, and death. Dhikr is one of the therapeutic alternatives that can be used to reduce stress and blood sugar levels. The purpose of this study is to analyze the effect of dzikir on stress and random blood sugar in patients with diabetes mellitus.Method: The study used a quasi-experimental pre-test approach with control group design with a sample of 60 Diabetes Mellitus patients aged 40-60 years, divided into two groups of treatment group 30 people and intervention 30 people and using methods Purposive sampling. Variables consist of dhikr, stress and random blood sugar levels. This research uses Diabetes Distres Scale (DDS) Questionnaire instruments as well as glucometers to measure random blood sugar levels. The statistical test used was the Wilcoxon Signed Rank Test and the Mann Whitney Test with a significance of α ≤ 0.05.Results:  The results showed that the level of stress before and after the administration of Dhikr in the treatment group had a difference in value with significance p = 0.000. Whereas on blood sugar levels random group treatment acquire significance value P = 0,047.Conclusion: Dhikr and prayer reduce stress and anxiety by helping individuals form perceptions other than fear that is the belief that any stressor can be dealt with well with the help of God. Dhikr affects stress and blood sugar in patients with diabetes mellitus. But in addition to dhikr, acceptance of diseases and compliance with treatment will maximize the treatment that is being lived


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Lono Wijayanti ◽  
Ghady Anggun M

The type of sport suggested for Diabetes Mellitus patient is Diabetes Gym, but most societies, especially diabetes mellitus patients are lazy to do it. On diabetes mellitus type 2, diabetes gym acts as glycemic control which manages and control blood sugar rate. This research purposes to know diabetes gym influence toward the decrease of blood sugar rate on Diabetes Mellitus patient type 2 in Puskesmas Pakis Surabaya. This research used quasy experiment design. Total of the population of all Diabetes Mellitus patients type 2 is 28 respondents taken by probability sampling - simple random sampling technique; 14 respondents in control group and 14 respondents in treatment group. The independent variable is Diabetes Gym and the dependent variable is the decrease of blood sugar rate. Data are collected by using Glucometer, striptest, needle and observation sheet. Data are analyzed by using Wilcoxon signed rank test with α < 0.05. The result of this research shows that almost all of the respondents in the treatment group have a good category of blood sugar decrease after performing gym, meanwhile almost all of the respondents in control group that do not perform gym have an adequate category of blood sugar decrease. Then, the result is analyzed by Wilcoxon signed rank test and obtained ρ (0,019) < α (0,05) so H0 is refused. It means that there is an influence of diabetes gym to the decrease of blood sugar on the Diabetes Mellitus patients type 2 in Puskesmas Pakis Surabaya. Performing Diabetes Gym influences in decreasing blood sugar rate. Therefore, nurse can take a part in leading diabetes patients to perform diabetes gym so it can be used as the therapy in controlling and decreasing blood sugar rate.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 340
Author(s):  
Tintin Sukartini ◽  
Candra Panji Asmoro ◽  
Nandani Alifah

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.


2005 ◽  
Vol 49 (8) ◽  
pp. 3373-3381 ◽  
Author(s):  
Gene D. Morse ◽  
Susan Rosenkranz ◽  
Michael F. Para ◽  
Yoninah Segal ◽  
Robin DiFrancesco ◽  
...  

ABSTRACT Adult AIDS Clinical Trials Group 5043 examined pharmacokinetic (PK) interactions between amprenavir (APV) and efavirenz (EFV) both by themselves and when nelfinavir (NFV), indinavir (IDV), ritonavir (RTV), or saquinavir (SQV) is added. A PK study was conducted after the administration of single doses of APV (day 0). Subjects (n = 56) received 600 mg of EFV every 24 h (q24h) for 10 days and restarted APV with EFV for days 11 to 13 with a PK study on day 14. A second protease inhibitor (PI) (NFV, 1,250 mg, q12h; IDV, 1,200 mg, q12h; RTV, 100 mg, q12h; or SQV, 1,600 mg, q12h) was added to APV and EFV on day 15, and a PK study was conducted on day 21. Controls continued APV and EFV without a second PI. Among subjects, the APV areas under the curve (AUCs) on days 0, 14, and 21 were compared using the Wilcoxon signed-rank test. Ninety-percent confidence intervals around the geometric mean ratios (GMR) were calculated. APV AUCs were 46% to 61% lower (median percentage of AUC) with EFV (day 14 versus day 0; P values of <0.05). In the NFV, IDV, and RTV groups, day 21 APV AUCs with EFV were higher than AUCs for EFV alone. Ninety-percent confidence intervals around the GMR were 3.5 to 5.3 for NFV (P < 0.001), 2.8 to 4.5 for IDV (P < 0.001), and 7.8 to 11.5 for RTV (P = 0.004). Saquinavir modestly increased the APV AUCs (GMR, 1.0 to 1.4; P = 0.106). Control group AUCs were lower on day 21 compared to those on day 14 (GMR, 0.7 to 1.0; P = 0.042). African-American non-Hispanics had higher day 14 efavirenz AUCs than white non-Hispanics. We conclude that EFV lowered APV AUCs, but nelfinavir, indinavir, or ritonavir compensated for EFV induction.


Author(s):  
Chilyatiz Zahroh ◽  
Siti Nurjanah ◽  
Ninin Khumairoh Siti Widyarti

Hypertension is a significant risk factor for heart disease and stroke. This study was conducted to determine the effect of abdominal breathing on blood pressure in a hypertensive patient using the non-pharmacological treatment. This study used a pre-experimental method, which comprises of the one-group pre-test/post-test design. A total of 39 hypertensive respondents taken from a population in Wonokromo, Surabaya were chosen by using simple random sampling technique. Data was analyzed by Wilcoxon Signed-Rank Test, with an assigned significance level of ɑ=0.05. The results of this study showed that before abdominal breathing, the systolic blood pressure was 146.41 mmHg, whereas the diastolic blood pressure was 117.43 mmHg. After performing abdominal relaxation, it was 135.64 mmHg and 87.95 mmHg, respectively. Moreover, the results of the Wilcoxon Signed-Rank Test showed a p-value of 0.000, illustrating that the results of blood pressure measurement were different before and after conducting the abdominal breathing. Therefore, abdominal breathing is suspected of having the ability to decrease the blood pressure.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sefti Rompas ◽  
Lenny Gannika

Abstract : The Aromatherapy of orange (Citrus) is one of the relaxation measures to reduce dismenore, also improves mood and reduces anger. Limeone is one of the ingredients of The orange aromatherapy’s oil which can inhibit the prostaglandin so it can reduce dismenore. The purpose of this study is to know The Influence of Orange’s aromatherapy against dismenore in Sam Ratulangi University’s Nursing Students, Manado. Design of this study is using a pre-experimental one-group-pre-test-post-test-design. Sampel of this study consisted of 26 respondents with the sampling method using a non probability sampling with saturation sampling technique. The results of this study using the Wilcoxon Signed Rank Test at a significance level of 95%, obtained that the value ρ - 0,000, value is smaller than the significant value of 0.05. Conclution in this study there is influence of Orange’s aromatherapy (Citrus) on decrease dismenore in Sam Ratulangi University’s Nursing Students, ManadoKeywords: Aromatherapy,Lemon,DismenoreAbstrak : Aromaterapi lemon (Citrus) merupakan salah satu relaksasi untuk menurunkan nyeri menstruasi. Aromaterapi lemon juga meningkatkan mood dan mengurangi rasa marah. Limeone merupakan salah satu kandungan minyak aromaterapi lemon yang dapat menghambat sistem kerja prostaglandin sehingga dapat mengurangi nyeri. Tujuan penelitian ini adalah mengetahui pengaruh Aromaterapi Lemon (Citrus) terhadap Penurunan Nyeri Menstruasi pada mahasiswi Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Rancangan Menggunakan pre eksperimen one-group-pre-test-post-test-design. Sampel terdiri dari 26 responden dengan metode pengambilan sampel menggunakan pendekatan non probability sampling dengan teknik saturation sampling. Hasil menggunakan uji Wilcoxon Signed Rank Test pada tingkat kemaknaan 95%, didapatkan nilai ρ – Value 0,000 lebih kecil dari nilai signifikan 0,05. Kesimpulan ada pengaruh aromaterapi lemon (Citrus) terhadap Penurunan nyeri menstruasi pada mahasiswi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado.Kata Kunci : Aromaterapi, lemon, Nyeri Menstruasi


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