scholarly journals Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome

2021 ◽  
Vol 8 (4) ◽  
pp. 419-427
Author(s):  
Kelana Kusuma Dharma ◽  
Dedi Damhudi ◽  
Nelly Yardes ◽  
Suhana Haeriyanto
Keyword(s):  
Family Caregivers ◽  
Psychological Health ◽  
Discharge Planning ◽  
Intervention Group ◽  
Control Group ◽  
Stroke Patients ◽  
Control Group Design ◽  
Post Test ◽  
Adaptation Model ◽  
Empowerment Program

Abstract Objective Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients, including physical and financial burdens. The physical and psychological health of family caregivers determines the quality of care they provide to patients. The purpose of this study was to identify the effectiveness of the Caregiver Empowerment Program Based on the Adaptation Model (CEP-BAM) in increasing the family caregiver's coping ability against various problems and reducing their burden while caring for the stroke patient. Methods This research was a quasi-experimental study with pre- and post-test control group design. The intervention group received CEP-BAM, while the control group received a conventional intervention in the form of a discharge planning program for family caregivers in the hospital. The samples were caregivers who care for and facilitate the recovery of stroke patients during their convalescence at home. We selected the samples from the population using the stratified random sampling method. The number of samples completed in the study was 40 in the intervention group and 40 in the control group. Measurement of outcome variables (coping and caregiver burden) was carried out 4 times including pre-test before the intervention, post-test 1 at 4 months after the intervention, post-test 2 at 5 months after the intervention, and post-test 3 at 6 months after the intervention. Results There were significant differences in caregiver's coping (P = 0.016) and caregiver's burden (P = 0.009) in measurements between the two groups. Conclusions The CEP-BAM interventions were effective in increasing adaptive coping strategies and reducing the burden of caregivers 4 months and continuing 6 months after the intervention.

The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients

2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Rating Scale ◽  
Discharge Planning ◽  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
Planning Program ◽  
Stroke Patients ◽  
Central Java

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. 

Pengaruh Endorphin Massage terhadap Nyeri Haid Mahasiswi Tingkat Akhir S1 Keperawatan Universitas Nahdlatul Ulama Surabaya

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Yurike Septianingrum ◽  
Nety Mawarda Hatmanti
Keyword(s):  
Nursing Students ◽  
Design Research ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Control Group ◽  
Research Subjects ◽  
Menstrual Pain ◽  
Control Group Design ◽  
Vas Score ◽  
Post Test

Introduction: Menstrual pain or dysmenorrhea is a common problem that is often complained of by women during menstruation. Menstrual pain can interfere learning activities, especially final year students in completing their thesis. The purpose of this study were to analyze the effect of endorphin massage on menstrual pain in final year nursing students of UNUSA. Method: This study using an experimental with pre-test and post-test control group design. Research subjects of this study was recruited using simple random sampling who was included inclusion and exclusion criteria. Research subjects in this study was of 46 students who were then divided into two groups, 23 students into intervention group and 23 students into control group. Data were collected by using observation with VAS. Data were analyzed by using Wilcoxon and Mann-Whitney U test. Result and Analysis: The results showed that: 1) There was difference VAS score between pre test and post test in intervention group (p= 0,000), 2) There was difference VAS score between intervention and control group (p= 0,017). Conclusion: Endorphin massage could reduce menstrual pain in final year nursing student of UNUSA. Further research, is expected that endorphin massage can be compared with music therapy to reduce menstrual painKeywords: endorphin massage, menstrual pain, primary dysmenorrhea

scholarly journals Kesiapan pulang Pasien Penyakit Jantung Koroner Melalui Penerapan Discharge Planning

2012 ◽  
Vol 15 (3) ◽  
pp. 151-158
Author(s):  
Aria Wahyuni ◽  
Elly Nurrachmah ◽  
Dewi Gayatri
Keyword(s):  
Heart Disease ◽  
Discharge Planning ◽  
Control Group ◽  
Planning Program ◽  
Control Group Design ◽  
Group Design ◽  
Post Test ◽  
Patient’S Perception ◽  
Quasi Experiment

AbstrakPenyakit Jantung Koroner (PJK) adalah suatu bentuk gangguan pembuluh darah koroner yang termasuk dalam ketegoriarterosklerosis. Ketidaksiapan pasien PJK pulang dari rumah sakit akan berdampak terhadap rawatan ulang sebagai akibat daripelaksanaan program discharge planning yang belum efektif selama dirawat. Penelitian ini bertujuan untuk mengetahui pengaruhpenerapan discharge planning terhadap kesiapan pulang pasien penyakit jantung koroner. Penelitian ini menggunakandesain quasi experiment dengan pendekatan non-equivalent post test only control group design. Jumlah sampel 32 orang yangterbagi atas 16 orang kelompok kontrol dan 16 orang kelompok intervensi dan dilakukan di tiga rumah sakit di Kota Bukittinggi.Hasil penelitian didapatkan adanya pengaruh penerapan discharge planning terhadap kesiapan pulang pasien penyakit jantungkoroner yang terdiri dari status personal, pengetahuan, kemampuan koping, dan dukungan (p= 0,001; α= 0,05). Penelitian inimerekomendasikan discharge planning yang baik dapat dilakukan untuk meningkatkan kualitas asuhan keperawatan dan kualitashidup pasien penyakit jantung koroner.Kata Kunci: discharge planning, kesiapan pulang, penyakit jantung koronerAbstractCoronary Heart Disease (CHD) is a form of blood vessel disorder that belongs to the category of coronary atherosclerosis. Anunreadiness of patients with CHD to go home from the hospital will have an impact on readmission as a result of ineffectivedischarge planning program during hospitalized. The purpose of this study was to examine the effect of the implementation ofdischarge planning program on the readiness to be discharged from the hospital. A quasi experiment with non-equivalent posttest only control group design was employed. The participant of the study was 32 respondents devided into control andintervention groups, each had 16 respondents who were taken from three hospitals in Bukittingi. The result showed thatdischarge planning program has significance influence on patient’s perception of their readiness to be discharged from thehospital, it consisting of personal status, knowledge, coping ability, and support (p= 0.001; α= 0.05). This study recommendsthat a good discharge planning program can be implemented to improve the quality of nursing care, to reduce the risk ofreadmission to the hospital and the quality of life of patients with coronary heart diseases.Keywords: coronary heart disease, discharge planning, readiness to be discharged

scholarly journals PENGARUH PENERAPAN TEKNIK KONSERVASI ENERGI DENGAN PEMBERDAYAAN DIRI TERHADAP KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK

2019 ◽  
Vol 9 (3) ◽  
pp. 219-224
Author(s):  
Nieniek Ritianingsih
Keyword(s):  
Quality Of Life ◽  
Energy Conservation ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Post Test ◽  
Test Control

Penyakit gagal ginjal kronis atau disingkat GGK, saat ini diakui sebagai prioritas kesehatan masyarakat di seluruh dunia. Pasien GGK akan mengalami  gangguan fisik dan psikologis sehingga mempengaruhi kualitas hidupnya. Teknik konservasi energi dengan pemberdayaan diri dapat diberikan pada pasien GGK dengan tujuan dapat meningkatkan energi, mengurangi fatigue dan kualitas hidup dapat meningkat. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan teknik konservasi energi dengan pemberdayaan diri terhadap kualitas hidup pasien gagal ginjal kronik.Hipotesis penelitian ini adalah teknik konservasi energydengan pemberdayaan diridapat meningkatkan kualitas hidup pasien GGK.   Responden penelitian ini berjumlah 47 orang untuk kelompok intervensi dan untuk kelompok kontrol 47 orang responden. Penelitian ini merupakan penelitian kuantitatif menggunakan metoda kuasi eksperimental dengan pendekatan pre test – post test control group design. Hasil uji statistik didapatkan nilai p value 0,000 maka dapat disimpulkan ada perbedaan yang signifikan antara  kualitas hidup  kelompok kontrol dengankualitas hidup kelompok intervensi setelah dilakukan penerapan teknik konservasi energy. Perawat agar menerapkan tehnik konservasi energy sebagai suatu program terstruktur dari intervensi keperawatan bagi pasien GGK   Kata kunci : teknik konservasi energi, kualitas hidup, GGK   THE EFFECT OF THE APPLICATION OF ENERGY CONSERVATION TECHNIQUES WITH SELF-EMPOWERMENT TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL FAILURE   ABSTRACT Chronic kidney failure or abbreviated CRF, is currently recognized as a public health priority throughout the world. GGK patients will experience physical and psychological disorders that affect their quality of life. Energy conservation techniques with self-empowerment can be given to CRF patients with the aim of increasing energy, reducing fatigue and quality of life can be increased. This study aims to determine the effect of the application of energy conservation techniques with self-empowerment to the quality of life of patients with chronic renal failure. The hypothesis of this study is conservation techniques of energy with empowerment can improve the quality of life of patients with CRF. The respondents of this study were 47 people for the intervention group and for the control group 47 respondents. This research is a quantitative research using a quasi-experimental method with a pre test - post test control group design approach. The statistical test results obtained p value 0,000, it can be concluded that there is a significant difference between the quality of life of the control group and the quality of life of the intervention group after the application of energy conservation techniques. The nurse is to apply energy conservation techniques as a structured program of nursing interventions for CRF patients   Keywords: energy conservation techniques, quality of life, CRF

scholarly journals CRITICAL REFLECTION AND FEEDBACK FOR MEDICAL STUDENTS: A COMPARATIVE STUDY

2018 ◽  
Vol 7 (1) ◽  
pp. 84
Author(s):  
Imelda Ritunga ◽  
Gandes Retno Rahayu ◽  
Yoyo Suhoyo
Keyword(s):  
Medical Students ◽  
Transformative Learning ◽  
Critical Reflection ◽  
Intervention Group ◽  
Simple Random Sampling ◽  
Control Group ◽  
Control Group Design ◽  
Post Test ◽  
Giving Feedback ◽  
And Control

Background: The physician who reflects critically will interpret the experience, aware of its limitations, and will become life long learner. When implementing reflection learning in medical education, it is necessary to assess the ability of learners to help improve the ability of reflection. The objective of the research is to know the students 'reflection ability by giving feedback and different of reflection ability between intervention group and control group.Method: Research using pre and post control group design. The subjects of the study were 62 students medical students of Faculty of Medicine UGM year II who had collected narrative reflection to Gamel (n = 176 students) and willing to participate, divided into 2 groups with simple random sampling. Intervention of treatment group are giving feedback based on the result of narrative reflection from Gamel followed by narrative reflection assignment. The subjects' narrative reflection was assessed using the REFLECT rubric, and analyzed by Wilcoxon and Mann-Whitney tests.Results: The results showed that students' pre and post test reflection ability is in the reflection stage. Giving feedback once does not increase the ability from  reflection stage to the critical reflection stage. This result may be due to several things: critical reflection does not occur without significant / dramatic experience that shifts perspective resulting in transformative learning, feedback is given regularly, lack of trustworhty to instructors who are not university lecturers. Another result of a decrease in the ability of reflection in general after 6 months indicates the need to do reflection activity / assignment in each semester to maintain and improve the ability of reflection. Conclusion: Increased reflection ability from reflection stage to critical reflection stage does not occur with single feedback. If reflection is not done regularly, it can cause a decrease in reflection ability.

scholarly journals Pop Up Toys as Story Play Therapy on the Level of Anxiety on General Anesthesia Surgery among Children around 6-12 Years Old

2020 ◽  
Author(s):  
Ni Ketut Mendri ◽  
◽  
Atik Badi’ah ◽  
Mohammad Najib ◽  
◽  
...  
Keyword(s):  
General Anesthesia ◽  
Play Therapy ◽  
Intervention Group ◽  
Moderate Level ◽  
School Age Children ◽  
Control Group ◽  
School Age ◽  
Control Group Design ◽  
Number Of Children ◽  
Post Test

ABSTRACT Background: Children who are first hospitalized may experience higher anxiety levels than children who have been hospitalized. The preliminary study in 2018 showed that when general surgery was to be done, as many as 90%school-age children were scared and nervous. It is important to provide play therapy to children who are going to undergo surgery. In addition to reading and seeing through photos, pop-up toy story books will also be offered to school-age children. This study aimed to examine the relationship between pop up toys as story play therapy on the level of anxiety on general anesthesia surgery among children around 6-12 years old. Subjects and Method: This was an experimental study with pre-post test with control group design. This study was conducted in Yogyakarta Province hospital. Study subjects were children around 6-12 years old and will performed general anesthesia surgery. The data were collected using questioner and in-depth interview. The data were analyzed using Mann-Whitney test. Results: There was a decrease number of children with moderate level of anxiety after the intervention group using pop up toys as story play therapy from 30 children (81.1%) to 6 children (16.2%). While in the control group, a total of 25 children had moderate level of anxiety (87.6%) before the theraphy, and after therapy a total of 2 children also had moderate level of anxiety (5.4%), and they were statistically significant. Conclusion: Playing pop up toys story therapy has an effect on the level of anxiety among children around 6-12 years old and will performed general anesthesia surgery. Keywords: pop up toys story therapy, anxiety level, general anesthesia, school age children Correspondence: Ni Ketut Mendri. School of Health Sciences, Yogyakarta. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.29

scholarly journals PSYCHOEDUCATION INTERVENTION INCREASE ON THE ABILITY OF THE PRE-SENILE HYPERTENSION MANAGEMENT

Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina
Keyword(s):  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Physical Changes ◽  
And Behavior ◽  
The City

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension

scholarly journals The Effect of the Implementation of the Education on the Knowledge and Status of Dental Cleanliness in Elderly in Darul Imarah Aceh Besar District, Indonesia

2021 ◽  
Vol 9 (F) ◽  
pp. 1-5
Author(s):  
Intan Liana ◽  
Arnela Nur ◽  
Anwar Arbi ◽  
Andriani Andriani ◽  
Sisca Mardelita ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Control Group Design ◽  
Paired Samples ◽  
A Value ◽  
Post Test ◽  
Quasi Experimental

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).

scholarly journals Intervensi media video berpengaruh pada pengetahuan dan sikap remaja putri dalam mencegah kurang energi kronik

2019 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Waryana Waryana ◽  
Almira Sitasari ◽  
Danissa Wulan Febritasanti
Keyword(s):  
Intervention Group ◽  
Average Score ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Teenage Girls ◽  
Video Intervention ◽  
Post Test ◽  
Knowledge And Attitude ◽  
Food Model

Community-based interventions to overcome chronic energy malnutrition among women of childbearing age and pregnant women can be done with communication, education, and information. Video can be useful for education purpose. The goal of this study was to determine whether video may have different effect to knowledge and attitude on preventing energy malnutrition among teenage girls compared to food model intervention. The Research a quasi experiment with pre-post test with control group design was conducted in Tridadi Village, Sleman in May 2018. Teenage girls in intervention group were asked to view video specifically developed for the study. Knowledge and attitude on energy malnutrition was assessed right after the intervention. Data were analyzed using paired and independent t-test. The results a total of 54 teenage girls completed the study. The pretest average score on knowledge was 7,09 in the control group, and 7,70 in the intervention group. The pretest average score of attitudes was 24,11 in the control group and 25,00 in the intervention group. While the post test average score on knowledge was 7,37 in the control group and 8,44 in the intervention group. The average post test score of attitude was 26,70 in the control group and 28,38 in the treatment group. The results showed that video intervention has different effect on knowledge (p= 0,00) and attitude (p= 0,01) on chronic energy malnutrition prevention compared to education with food model. Conclusion, there are difference knowledge and attitude between video intervention group and food model education group on chronic energy malnutrition prevention among teenage girls. Intervensi melalui pendekatan komunitas untuk penanggulangan kekurangan energi kronis (KEK) pada wanita usia subur dan ibu hamil dapat dilakukan melalui komunikasi, informasi, dan edukasi. Intervensi video dapat menjadi alternatif pemecahan masalah tersebut khususnya untuk meningkatkan pengetahuan dan sikap pencegahan KEK pada remaja putri. Penelitian bertujuan untuk mengetahui  perbedaan  pengetahuan dan sikap remaja putri  dalam pencegahan kurang energi kronik (KEK)  antara yang diintervensi penyuluhan dengan media  video dan dengan   food model. Penelitian ini adalah eksperimen semu dengan menggunakan rancangan pre-post test with control group design. Penelitian dilaksanakan pada bulan Mei 2018. Remaja putri pada kelompok intervensi diberikan perlakuan menonton video yang sebelumnya telah dikembangkan untuk studi ini. Pengetahuan dan sikap dinilai setelah proses menonton video Analisis data menggunakan independent sample t- test. Hasil penelitian menunjukkan adanya pengaruh pemberian media video terhadap perubahan pengetahuan (p= 0,00) namun tidak pada sikap pencegahan kurang energi kronis (p= 0,01). Kesimpulan, terdapat perbedaan pengetahuan dan sikap remaja putri antara grup media  video dan grup media food model dalam edukasi tentang pencegahan kurang energi kronik pada remaja putri.

scholarly journals Pengaruh kompres hangat terhadap nyeri leher pada penderita hipertensi esensial di wilayah Puskesmas Depok I, Sleman Yogyakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah
Keyword(s):  
Essential Hypertension ◽  
Neck Pain ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Headache Pain ◽  
And Control

Hypertension is increased blood pressure in the artery. Signs and indication arise from this disease are a dizzy, headache, pain in the nape of the neck (neck pain), easily angered, and hard to breathe. This neck pain can offend essential hypertension in daily patient activities. One of the non-pharmacological actions to decrease or overcome the neck pain is by a warm compress. The warm compress is giving a sense of warm/heat in a certain area. This research is purposed to find out the influence of warm compress towards neck pain in essential hypertension patients. This research is carried out in Puskesmas Depok I area, Sleman, Yogyakarta. Type of this research is quasi-experiment with pre-test post-test with control group design. Several samples consist of 40 respondents and divided into two groups, which are 20 respondents of the intervention group and 20 respondents of the control group. Statistic test used in this research is Wilcoxon and Mann Whitney tests. Before applying pre-test, 12 respondents (60%) are having moderate pain, and after giving warm compress (post-test), 17 respondents (75%) are having minor pain. There is a significant scale of neck pain before and after the warm compress treatment (p-value = 0,003) as well as contrast scale of neck pain between intervention group and control group (p-value = 0,000). There is the influence of warm compress towards neck pain in essential hypertension patients in Puskesmas Depok I area, Sleman, Yogyakarta.

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