scholarly journals Meditasi dengan suara alam dapat menurunkan stres pada mahasiswa keperawatan

2019 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Wahyu Rochdiat Murdhiono ◽  
Santi Damayanti ◽  
Ni Luh Komang Sri Ayunia

Mahasiswa keperawatan memiliki risiko yang lebih tinggi untuk mengalami stres dibandingkan  mahasiswa kesehatan lainnya. Belum pernah ada peneltian yang menggabungkan terapi meditasi dengan terapi musik suara alam untuk menurunkan stres pada mahasiswa keperawatan di Yogyakarta. Tujuan penelitian ntuk mengetahui pengaruh meditasi dengan suara alam pada mahasiswa keperawatan. Penelitian ini merupakan penelitian quasi-experiment dengan pendekatan pre dan post-test nonequivalent control group. Sampel dipilih menggunakan teknik consecutive sampling dan dibagi menjadi dua kelompok, masing-masing berjumlah 30 orang. Instrumen penelitian menggunakan DASS-42. Median skor stres pada kelompok perlakuan sebesar 11,00 pada pre-test sedangkan post-test sebesar 7,00. Di kelompok kontrol, median skor stres pre-test sebesar 10,00 dan median skor stres post-test sebesar 9,50. Uji Wilcoxon untuk menganalisis perbedaan skor stres pre dan post-test menghasilkan nilai p 0,000 di kelompok perlakuan dan pada kelompok kontrol menunjukkan nilai p 0,137. Meditasi menggunakan musik suara alam dapat menurunkan stres dan dapat menjadi terapi komplementer alternatif yang dapat dilakukan perawat. Kata kunci: meditasi, musik suara alam, stres, mahasiswa keperawatan MEDITATION WITH SOUND OF NATURE CAN REDUCE STRESS IN NURSING STUDENTSABSTRACTNursing students have a higher risk to experience stress than other medical students. Previously, there has never been any research regarding meditation using the sound of nature to reduce stress in nursing students in Yogyakarta.Research objective to determine the influence of meditation with the sound of nature to reduce stress in nursing students. This is quasi-experiment research with a pre and post-test nonequivalent control group design. The samples were selected using consecutive sampling and divided into two groups, each was 30 respondents. The research instrument used was DASS 42. The pre-test median stress score in the intervention group was 11.00, and the post-test score was 7.00. In the control group, the pre-test median score was 10.00, and the post-test score of 9.50. Wilcoxon test used to analyze the difference of stress score in the intervention group (p-value = 0.000), and the difference in stress score in the control group (p-value = 0.137). Meditation using the sound of nature can reduce stress in nursing students and can be an alternative complementary therapy for nurses. Keywords: meditation, the sound of nature, stress, nursing students

2020 ◽  
pp. 362-373
Author(s):  
Venny Vidayanti ◽  
Mae Sri Hartati Wahyuningsih ◽  
Akhmadi Akhmadi

Penundaan rawat gabung, rendahnya frekuensi menyusui dan kesulitan dalam posisi menyusui pada ibu pasca bedah cesar dapat menyebabkan keterlambatan laktogenesis II. Hal ini menyebabkan ketidaklancaran produksi ASI pada hari-hari pertama pasca pembedahan. Intervensi pijat punggung menggunakan Virgin Coconut Oil (VCO) merupakan terapi komplementer yang dapat membantu meningkatkan kelancaran produksi ASI pasca bedah cesar. Penelitian ini bertujuan untuk mengidentifikasi perbedaan kelancaran produksi ASI ibu pasca bedah cesar dengan intervensi pijat punggung menggunakan Virgin Coconut Oil. Desain penelitian menggunakan”quasi experiment post test-only with control group design”. Teknik pengambilan sampel menggunakan consecutive sampling yang melibatkan 50 ibu pasca bedah cesar dalam kelompok intervensi dan kelompok kontrol. Analisis yang digunakan dalam penelitian adalah uji chi-square untuk mengetahun perbedaan kelancaran produksi ASI dan uji regresi logistik berganda untuk mengidentifikasi variabel dominan yang berhubungan dengan kelancaran produksi ASI. Hasil uji chi-square menunjukkan bahwa terdapat perbedaan kelancaran produksi ASI pada kelompok intervensi dibandingkan dengan kelompok kontrol (p-value 0.023; OR=3.85). Hasil analisis regresi logistik menunjukkan frekuensi menyusui (p=0.028;OR=5.74) merupakan variabel dominan bersama dengan pijat punggung (p=0.030;OR=4.47) dan paritas (p=0.060;OR=3.59) dalam mempengaruhi kelancaran produksi ASI. Intervensi pijat punggung bersama dengan frekuensi menyusui dan paritas berpeluang meningkatkan kelancaran produksi ASI pada ibu pasca bedah cesar. Ibu yang diberikan intervensi pijat punggung menggunakan Virgin Coconut Oil berpeluang 3.85 kali mengalami kelancaran produksi ASI. Edukasi untuk ibu dalam meningkatkan frekuensi menyusui juga penting dalam upaya peningkatan produksi ASI pada ibu pasca bedah cesar.


2018 ◽  
Vol 13 (3) ◽  
Author(s):  
Santi Damayanti, Nazwar Hamdani Rahil

Latar Belakang : Ulkus kaki diabetik  merupakan salah satu komplikasi  diabetes melitus (DM).Untuk mencegah komplikasi, pilar utama penatalaksanaan DM yaitu edukasi. Diabetes Self Management Education (DSME) adalah  memberikan  pengetahuan  kepada  pasien mengenai  aplikasi  strategi  perawatan  diri  secara  mandiri  untuk  mengoptimalkan kontrol metabolik, mencegah komplikasi, dan memperbaiki kualitas hidup pasien DM.  Sampai saat ini puskesmas Ngaglik I belum menerapkan edukasi dengan metode DSME, tetapi masih menggunakan edukasi konvensional.Tujuan:  mengetahui kefektifan DSME terhadap kejadian kaki diabetik non ulkus di puskesmas Ngaglik I Sleman Yogyakarta.Metode  : Jenis penelitian Quasi Experiment dengan rancangan nonequivalent control group design.Teknik pengambilan sampel yaitu consecutive sampling. Analisis statistik yang digunakanWilcoxon Signed Ranks Testdan mann-whitneyU.Hasil : Hasil analisis beda mean kejadian kaki diabetic non ulkus pre tes dan post test pada kelompok intervensi dengan p value 0,009, sedangkan pada kelompok kontrol p value 0,069. Hasil analisis beda mean kejadian kaki diabetic non ulkus sesudah DSME pada kelompok intervensi dan control dengan P value 0.003Simpulan : DSME efektif menurunkan kejadian kaki diabetik non ulkus di Puskesmas Ngaglik I Sleman Yogyakarta. Kata kunci : DSME, Kaki diabetik non ulkus


2018 ◽  
Vol 2 (4) ◽  
pp. 141
Author(s):  
Elfina Natalia

Chronic Kidney Desease was a progressive and irreversible kidney function disorder, usually treated with hemodialysis, a frequent complaint in hemodialysis patients is fatigue. The aim of this study was to see the effect of Based Self Care Education On level fatigue in Patient With Chronic Kidney Desease during Hemodialysis. The research was a quantitative study with quasi-experimental with control group pre test-post test design was used in this studi. The study was conducted at RSUD A. Wahab Sjahranie during May to June 2017. The total samples of 111 patients hemodialysis selected by purposive sampling. The subjects was divided into the interventions group consist of 83 patient who were given based self care education and the control group 28 patients. The results of the research were obtained after 6 weeks intervention, the Non-Parametric Test showed that Asymp Sig (2 tailed) = .00 or p-value <.05 the difference fatigue level between the intervention group to the control group, Odd Ratio was showed that self care-based education intervention group has a tendency to experience fatigue change rate of 1.22 times greater than control group. The ordinal logistic analyse result was showed that p = .00 or p-value <.05 there was a significant effected of Based Self Care Education intervention given to changes in fatigue. Conclusions of Based Self Care Education research have an influenced on decreased fatigue. The study has been recommended on intervention could be applied as one of the education given to patients during hemodialysis therapy.


2020 ◽  
Vol 5 (2) ◽  
pp. 130
Author(s):  
Sherkia Ichtiarsi Prakasiwi

Dismenore merupakan masalah ginekologis yang paling umum dialami wanita, khususnya remaja. Prevalensi dismenore primer di Indonesia cukup tinggi yaitu 60-70% dan 15% diantaranya mengalami nyeri hebat yang umumnya terjadi pada usia remaja. Solusi non farmakologis dipandang lebih aman, salah satunya adalah peregangan yang bertujuan untuk membuat otot dan persendian menjadi fleksibel dan elastis. Hal ini disebabkan karena meningkatnya kadar endorphin, epinephrine, dopamine dan serotonin yang dihasilkan oleh otak akibat olahraga. Tujuan Penelitian: Menganalisis pengaruh peregangan terhadap penurunan tingkat nyeri dismenore pada santri putri di Pondok Pesantren As Salafiyyah Yogyakarta. Metode Penelitian : Penelitian ini menggunakan jenis quasi experiment dengan design Two Group Pre-test and Post-test. Sampel penelitian adalah santri putri berjumlah 30 responden pada kelompok kontrol dan 30 responden pada kelompok intervensi. Teknik pengambilan sampel yaitu purposive sampling, teknik analisis univariat menggunakan uji statistik distribusi frekuensi, analisis bivariat menggunakan uji statistik Mann Whitney dan multivariat menggunakan uji statistik regresi linier dengan menggunakan software SPSS. Hasil : Ada pengaruh peregangan terhadap penurunan nyeri dismenore dengan nilai p value = 0,00 < ɑ (0,05) dan dimana nilai rata-rata sebelum diberikan peregangan rata-ratanya 5,13±3,99 dan setelah diberikan peregangan rata rata nyerinya turun menjadi 0,13 ± 1,60, hal ini menunjukkan bahwa terdapat perbedaan tingkat nyeri dismenore sebelum dan setelah diberikan peregangan.  Kesimpulan: Peregangan terbukti dapat menurunkan nyeri dismenore hingga 4,597 kali.Dysmenorrhea is the most common gynecological problems that women especially adolescent. The prevalence of primary dysmenorrhea in Indonesia is quite high, 60-70% and 15% of them experienced severe pain that usually occurs in adolescence. Non-pharmacological solutions is considered more secure, one of them is stretching, so that in any exercise aimed at making the muscles and joints become flexible and elastic. This is due to increased levels of endorphins, epinephrine, dopamine dan serotonin produced by exercise induced brain. Objective: To analyze influence of stretching on decrease pain on dysmenorrhea in women students in Pondok Pesantren As Salafiyyah Yogyakarta. Methods: This study used a quasi-experiment with design types two group pre-test and post-test. Samples were female students were 30 respondents in the control group and 30 respondents in the intervention group. The sampling technique is purposive sampling, analytical techniques univariate statistical test frequency distribution, bivariate analysis using statistical test Mann Whitney and multivariate linear regression using statistical tests using SPSS software. Results: There influence of stretching on decrease pain on dysmenorrhea with p value = 0.00 <ɑ (0.05) and the average value before being given stretch averaged 5.13 ± 3.99 and after given stretch of average pain decreased to 0.13 ± 1.60, it indicates that there are differences in the level of pain of dysmenorrhea before and after a given stretch. Conclusion: Stretching is proven to decrease the pain of dysmenorrhea up to 4,597 times.


Author(s):  
Wahyu Rochdiat M ◽  
Erika Hestu ◽  
Endang Lestiawati

Introduction: Study showed that 53% of health sciences students experience stress during the learning process. There has never been any previous research that focused on measuring the effect of Dhikr as a part of independent nursing intervention: Spiritual Support to reduce stress in health sciences students. Aim of this study was to measure stress decreased in health sciences students who were treated using Dhikr. Methods: This research used quasi experimental with pre and post test nonequivalent control group design. We chose Moslem students in health sciences faculty and used quota sampling technique before divided them into two groups: 20 respondents in each of control and intervention groups. Dhikr was given to the treatment group for two sessions, while the control group did not get any therapy. Paired T-Test was used to see stress scores differences in pre and post test of each group, while Mann Whitney test was used to see differences in stress scores deviation between both group. Results: The results showed that Dhikr could decreased stress intervention group (p value 0.000). Stress score mean in pre test was 18.60, while in post test was 11.10 or decreased by 7.5 points. Stress score mean in the control group increased by 3.1 points (p value 0.024). Conclusions: We conclude that Dhikr therapy can be part of independent nursing intervention: Spiritual Support to health sciences students in Indonesia who are predominantly Moslem.


2021 ◽  
Vol 4 (2) ◽  
pp. 383-396
Author(s):  
Evi Supriatun ◽  
Uswatun Insani

This study aims to determine the effect of health coaching on knowledge and attitudes about the prevention of tuberculosis transmission in patients who are still undergoing routine tuberculosis treatment in Tegal Regency. The research design used was a quasi-experiment with pre and post-test with the control group. The results of the bivariate analysis showed that in the intervention group that had been given health coaching for 4 (four) sessions, it had a significant effect on the knowledge and attitudes of the respondents compared to the control group that was not given health coaching. This can be seen from the difference in values ​​before and after being given health coaching treatment in the intervention group. Also, the results of the bivariate analysis using the independent t-test showed a p-value of 0.000 <0.05. In conclusion, there is an effect of the implementation of health coaching on knowledge and attitudes about the prevention of transmission of tuberculosis in tuberculosis patients in Tegal Regency.   Keywords: Health Coaching, Prevention of Tuberculosis Transmission, Knowledge, Attitude


2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Nelly Karlinah ◽  
Joserizal Serudji ◽  
Iskandar Syarif

Abstrak Pengelolaan nyeri persalinan membutuhkan asuhan sayang ibu. Diperlukan suatu manajemen nyeri dalam persalinan dengan metode non farmakologi, salah satunya akupresur dan Transcutaneous Electrical Nerve Stimulation (TENS) dengan tujuan meningkatkan rasa aman dan nyaman pada ibu bersalin.Tujuan penelitian ini adalah menentukan pengaruh tehnik akupresur dan TENS terhadap intensitas nyeri persalinan kala I fase aktif. Penelitian dilakukan diwilayah kerja Puskesmas Kampar Kiri Tengah dan Puskesmas Perhentian Raja. Jenis penelitian eksperimental dengan post test only control group desain dengan pengambilan sampel secara consecutive sampling. Jumlah sampel 20 responden setiap kelompok total sampel 60 responden. Data dianalisis univariat dan bivariatmenggunakan uji chi-square. Proporsi intensitas nyeri dengan kategori sedang pada kelompok intervensi akupresur lebih besar dari pada kelompok kontrol pada pembukaan serviks 4 cm.  Berdasarkan uji statistik terdapat pengaruh bermakna dimana nilai p=0,011 (<0,05). Terdapat pengaruh yang bermakna antara kelompok intervensi TENS dankontrol pada pembukaan serviks 8 cm dengan nilai p=0,011 (<0,05). Kesimpulan pengaruh akupresur lebih baik digunakan pada pembukaan 4 cm, sedangkan pengaruh TENS lebih baik digunakan pada pembukaan 8 cm.Kata kunci: intensitas nyeri, akupresur, TENS Abstract Management of pain labor pain needs safe motherhood. It needs a pain management in labor by using nonpharmacological methods, such as acupressure and Transcutaneous Electrical Nerve Stimulation (TENS) that may increase safety and comfortable in childbirth. The objective of this study was to determine the effect of acupressure and TENS techniques on pain intensity first stage of labor active phase. This study had been done in Kampar Kiri Tengah and Perhentian Raja health care centres. It was an experimental research study with post test only control group design by using consecutive sampling method. Each group consist of 20 respondents so total sample of 60 respondents. The data analyzed by using univariate and chi-square  test for bivariate analysis. The proportion of the pain intensity with medium category in the acupressure intervention group is better than control group at 4 cm cervical dilation. Statistically, there are significant effect whith a p value= 0,011 (<0,05). There is a significant effect between TENS intervention group and control groups at 8 cm cervical dilation with p value= 0,011 (<0,05).It can be concluded that effect of acupressure is better used at the of 4 cm cervical dilation, while the effect of TENS is better used at 8 cm cervical dilationKeywords: pain intensity, accupressure, TENS


2018 ◽  
Vol 13 (2) ◽  
pp. 192-202
Author(s):  
Dewa Agus Gede Agung Agus Setiana ◽  
Cristin Wiyani ◽  
Rizky Erwanto

The objective of research to identify the effects of art therapy on stress in elderly at BPSTW Yogyakarta Unit Budi Luhur. This method of research employed quantitative type of quasi experiment with pre test and post test method nonequivalent control group. The sampel size of 36 responden. Measurement of stress levels using DASS 42. The research conducted for 8 days. The first day of measure pre test, and second day art therapy began until day 8, and post test measure after art therapy was given on the last day. The effect of art therapy on stress of elderly was analyzed bivariate using t test paired & t test independent. The result using t test-paired in the intervention group indicated p value = 0,000 (p value<0,05), and the control group indicated p value 0,067 (p value<0,05). The result using t test-independent in post test of both groups in indicated p value = 0,000 (p value<0,05). Conclusion there is influence art therapy (drawing therapy) to stress at elderly in BPSTW Yogyakarta Unit Budi Luhur.


2018 ◽  
Vol 1 (1) ◽  
pp. 22-30
Author(s):  
Nia Rosliany

Pasien fraktur sering mengalami penurunan mobilitas. Pencegahan konstipasi diperlukan untuk mengurangi komplikasi dari imobilisasi. Penelitian ini bertujuan untuk mengetahui pengaruh minum air putih 2000 ml secara teratur dan terjadwal untuk mencegah terjadinya konstipasi. Penelitian ini menggunakan desain quasi experiment dengan post test only non equivalent control group. Sampel penelitian adalah 28 orang, diambil dengan consecutive sampling. Kelompok intervensi diberikan minum sebanyak 1 gelas (250 ml) dalam 8 kali waktu pemberian. Hasil analisis statistik menunjukkan terdapat perbedaan yang signifikan kejadian konstipasi diantara kelompok intervensi dan kelompok kontrol dengan nilai p = 0,023 dan konsistensi feses dengan nilai p = 0,009 (p value < 0,05). Kesimpulan: minum air putih 2000 ml per hari yang teratur dan terjadwal dapat mencegah terjadinya konstipasi dan menghasilkan konsistensi feses yang ideal. Diperlukan penelitian lanjutan dengan jumlah sampel yang lebih besar dan tipe fraktur yang homogen.


2019 ◽  
Vol 10 (2) ◽  
pp. 893-901
Author(s):  
Tetti Seriati Situmorang ◽  
Riska Susanti Pasaribu

Latar Belakang:Pada periode emas sangat urgen dan efektif untuk dilakukannya optimalisasi berbagai aspek tumbuh kembang guna membentuk SDM berkualitas. Pada periode ini otak mengalami perkembangan paling cepat dalam sejarah kehidupannya yaitu hingga 80%. ASI adalah makanan terbaik di awal kehidupan. Keberhasilan ASI Eksklusif berawal dari terlaksananya proses IMD. Lamanya waktu ASI keluar pada kali pertama menyusu menjadi penyebab terbesar kegagalan ASI Eksklusif. Diperburuk lagi dengan persepsi keluarga bahwa penyebab bayi menangis adalah karena ASI tidak keluar/tidak cukup sehingga perlu diberikan susu formula.Tujuan:Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi berbasis keluarga terhadap pelaksanaan IMD.Metode:Desain penelitian menggunakan quasi experiment, pre test and post test with control group design. Diawali dengan melakukan pre test pada kedua kelompok responden, selanjutnya pada kelompok intervensi dilakukan edukasi berbasis keluarga (melibatkan suami/1 orang anggota keluarga lainnya) tentang IMD sebanyak 3 kali pertemuan. Tahap ketiga melakukan post test pada kedua kelompok. Jumlah responden sebnayak 40 orang masing-masing kelompok 20 ibu hamil. Analisis data menggunakan Wilcoxon test dan Mann whitney test.Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap pelaksanaan IMD (p value = 0.004). Secara alamiah bayi baru lahir sehat dapat melakukan proses IMD, pengetahuan dan sikap ibu dan kelaurga perlu ditingkatkan.Simpulan:Disarankan penerapan edukasi berbasis keluarga terhadap pelaksanaan IMD untuk peningkatan pencapaian ASI EksklusifKata Kunci: Edukasi berbasis keluarga, IMD Background: In the golden period it was very urgent and effective to optimize various aspects of growth and development in order to form quality human resources. In this period the brain experiences the fastest development in its life history, which is up to 80%. Breast milk is the best food in early life. The success of the exclusive ASI began with the implementation of the IMD process. The length of time that milk comes out the first time is the biggest cause of failure. To make matters worse, the family's perception that the cause of the baby crying is because the milk is not coming out / not enough so formula milk needs to be given.Objective: This study aims to identify the effect of family-based education on the implementation of IMD.Methods: The study design used a quasi experiment, pre test and post test with control group design. It starts with a pre-test for the two groups of respondents, then in the intervention group a family-based education (involving husband / 1 other family member) about IMD is held 3 times. The third stage is to do a post test on both groups. The number of respondents was 40 people in each group of 20 pregnant women. Data analysis using Wilcoxon test and Mann Whitney test.Results: The results showed that there was a significant effect between family-based education on the implementation of IMD (p value = 0.004). Naturally a healthy newborn can do the IMD process, knowledge and attitudes of the mother and family need to be improved.Conclusion: It is recommended the application of family-based education to the implementation of IMD to increase the achievement of exclusive breastfeedingKeywords: Family-based education, IMD


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