PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

2021 ◽  
Vol 2 (1) ◽  
pp. 17-21
Author(s):  
Nidya Comdeca Nurvitriana ◽  
Setiana Andarwulan

Background of research on mother's knowledge of toddlers in providing feeding schedules, especially snacks. Giving snacks that are not right on schedule will have an influence on the growth and development of infants. Through the Emotional Demontration method, eating schedule for snacking can be controlled. Emotional Demonstration is the provision of education not only through lectures but also through games so that the key messages conveyed can be remembered by mothers of toddlers in Posyandu V Mulyorejo Surabaya. The Emo Demo method is one solution to reduce the stunting rate. In 2017 the stunting rate in Indonesia reached 22.2%. Based on the results of the survey conducted through interviews with nutritionists, it was explained that there were 16 stunting toddlers in Posyandu V Surabaya. Quantitative Research Methodology, a quasi-experimental research design method with one group pretest posttest approach. The population in this study were all mothers of children under five in Posyandu V Mulyorejo Surabaya as many as 36 people, samples as many as 36 mothers of toddlers. With a total sampling technique. Analyze data with Paired T-test. The results showed the mean value of the pre test was 6.06, the mean value after the post test reached 8.16. While the significance value of p value = 0,000 with α = 0.05 through the Paired T-test. The conclusion is that there are differences in the knowledge of pre and post test among mothers of children under five in Posyandu V Mulyorejo Surabaya, p value = 0,000 with α = 0.05. Suggestions for health workers to continue to make improvements in practicing emotional demonstration to participants because it is very useful in increasing knowledge to prevent increased stunting rates.


2016 ◽  
Vol 2 (2) ◽  
pp. 51
Author(s):  
Wahyuni Wahyuni ◽  
Winda Irwanti ◽  
Sofyan Indrayana

<p>Hemodialysis is a static treatment to substitute kidney function. Without a substitute therapy for kidney, a death as a results of metabolic abnormality can occur rapidly. Common issues on clients undergoing hemodialysis are gaining body weight in between two times dialysis which can affect the quality of life of patients if it is not get the good treatment. This research aimed to identify corelations weight gain in between the two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul. This was a descriptive correlation study with cross-sectional design, samples were taken with accidental sampling technique consisted of 61 people. Data were analized by Kendal Tau Test(τ). The results of the statistics kendal tau (τ) indicated its value pearson kendal tau (-0,009) with p value 0,938, the fi gures were larger than standard significance α: 0.05, thats mean the hypothesis of this research was rejected. Conclusion, there was no a signifi cant corelation weight gaining in between two time of dialysis to the quality of life of patients with chronic renal failure who underwent hemodialysis in RSUD Panembahan Senopati Bantul.</p>


2020 ◽  
Vol 11 (2) ◽  
pp. 1288-1293
Author(s):  
Gomathi B ◽  
Anuchitra R ◽  
Ruchira Nautiyal

Pregnancy-induced hypertension is a high-risk affecting almost all the vessels, particularly those of uterus, kidney, placental bed and brain result in the symptoms called Vascular Symptoms. Thus, it, directly and indirectly, have an effect on the physical and psychological QOL of pregnant women. The aim of this study was to assess the effect of Vascular Symptom Management Package (VSMP) on the Quality of Life (QOL) of pregnant women with PIH. A quantitative approach with the true experimental design was adopted. One hundred twenty women with PIH were selected for study by using a purposive sampling technique. Subjects were randomly assigned to an experimental and control group by using Sequentially Numbered, Opaque Sealed Envelops (SNOSE) (60 in Experimental group & 60 in Control group). The data analyzed by using descriptive and inferential statistics.  Paired 't' test used to compare the pre-test and post-test QOL scores within the group. The inferential statistics results revealed that the post-test QOL score is decreased in the control group and increased in the experimental group significantly. Independent sample ‘t’ test used to compare the pre and post-test QOL scores between experimental and control groups. The mean post-QOL score of the experimental group was higher than that of the mean post QOL score of the control group. This shows a significant increase in the QOL score in the experimental group. Hence it can be interpreted that VSMP is effective in improving the QOL. PIH is a life-threatening condition. The findings of this study show the effectiveness of VSMP improves the QOL. So VSMP is a nurse-led intervention that can be implemented to effectively reduce the vascular symptoms and improve the QOL of pregnant women with PIH.


Author(s):  
Parellangi Andi ◽  
Kelana Kusuma Dharma ◽  
Edi Purwanto ◽  
Rivan Firdaus ◽  
Rina Loriana

This research aims to find the effect of Brain Gym interventions in improving the quality of life in the elderly after controlling with the confounding variables are age, sex, and education. This research is experimental research with pre and post-test group design and randomizes design. The sample determination based on the inclusion criteria. The sample is 66 people, divided into two groups of 33 respondents respectively. The determination of the group by using the randomize table, then conducted a pre-test in both groups by using the WHOQOL-BREF's questionnaire. Group 1 was given 10 minutes gym/exercise with the frequency of three times a week and physical activity, while group 2 was a control. The brain gym and physical activity interventions were given for a month and then conducted a post-test. The research data were analyzed by using a paired sample t-test independent sample t-test, ANCOVA, Chi-Square, and Kolmogorov-Smirnov. The result showed that p = 0,000 <0,05 and the mean quality of life improvement in group gym for 10 minutes/exercise with the frequency of three times in a week were 9.48 ± 3.104 while in group 2 as the control was 2.15 ± 1.372. The brain gym for 10 minutes/exercise with the frequency of three times a week affects improving the quality of life in the elderly.


2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.


2018 ◽  
Vol 68 ◽  
pp. 01009
Author(s):  
Virna Widora Saputri ◽  
Rico Januar Sitorus ◽  
H. M. Zulkarnain

The purpose of this study was to determine the factors that affect the quality of life of CRF patients in Hemodialysis Unit at Pringsewu District General Hospital. This study was conducted from February to May 2018 with cross sectional study design. The sampling technique using total sampling technique. Measurement of quality of life using KDQOL-SFTM version 1.3. The results found that quality of life scores were quite low in some domains and subscales. The mean of total score was 55.70 ± 21.30 with mean of Physical Health Composite (PHC) = 38.85 ± 9.26 and mean of Mental Health Composite (MHC) = 36.13 ± 7.08. Regarding the targeted area of ESRD, the scale of renal disease burden and occupational status scale resulted in the lowest score. The sleep quality scale score was 56.18 ± 20.72. Only 61 patients responded to questions of sexual activity with a score of 55.53 ± 27.44 on the scale of sexual function. In the 36-item health survey, the mean total score was 45.90 ± 21.95. The lowest score represented the limitations of roles caused by physical and emotional health problems. The result of statistical test showed that the variables significantly related to the quality of life of CRF patients were age, income, duration of hemodialysis and family support. Thus, family support was the variable that had the greatest impact on determining the quality of life of CRF patients. The CRF patients who lacked family support were 4.6 times more likely to lead poorer life compared to CRF patients who received good family support after being controlled by age, income, duration of hemodialysis, gender, working status, and diabetes mellitus variables.


2019 ◽  
Vol 19 (3) ◽  
pp. 529
Author(s):  
Yofa Anggriani Utama

Cancer is one of the causes of death in both developed and developing countries, cancer is increasing in developing countries due to increasing lifestyle, breast cancer is a cancer that causes death in women in the world, breast cancer is the highest contributor to mortality in women in the world, 43.3 per 100,000. The purpose of this study was to determine the relationship of family support to the quality of life of breast cancer patients. The research design used was observational analytic with cross sectional approach. The sampling technique used purposive sampling technique, the study sample amounted to 63 breast cancer patients. The results show that there is a relationship between family support and the quality of life of breast cancer patients with a p value of 0.032. shows there is a relationship between family support for the quality of life of patients with breast cancer. Suggestions that nurses can improve the quality of nursing services, and provide motivation to patients and families of breast cancer in carrying out breast cancer treatment.


2019 ◽  
Vol 9 (3) ◽  
pp. 219-224
Author(s):  
Nieniek Ritianingsih

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


2020 ◽  
Vol 5 (1) ◽  
pp. 41-47
Author(s):  
Rina Kurnia

Abstract Background: Musculoskeletal complaints are discomforts to the pain experienced by someone that is triggered by a body that receives statistics, or performs activities in a less ergonomic position repeatedly for a long time. One result of musculoskeletal is a decrease in quality of life. Efforts that can be made to improve the quality of life with musculoskeletal complaints are a combination of low-impact aerobics with routine stretching exercises. This study aims to determine the effectiveness of Aerobic Low Impact with Stretching Exercise on the Quality of Life of Mothers with Musculoskeletal Complaints in Ngegot Selokaton Gondangrejo Karanganyar Hamlet. Method: The design of this study was a pretest-posttest experimental design. Sampling was done by purposive sampling technique. Quality of life complaints data was taken using the WHOQOL-BREF instrument. Results: The results of research through the Wilcoxon statistical test and paired t-test on the domain of quality of life obtained the same results, namely p value = 0.001. Conclusion: The combination of low impact aerobics with stretching exercises is effective to improve the quality of life of mothers with musculoskeletal complaints about Ngegot Selokaton village. Gondangrejo Karanganyar sees from 4 domains of quality of life on the WHOQOL-BREF instrument (health, psychological, social, social, and social)   Keywords: Low impact aerobics, stretching exercises, quality of life


2020 ◽  
Vol 5 (2) ◽  
pp. 62-70
Author(s):  
Endang Sri Wahyuni ◽  
Wa Ode Diana Harisa

Backgrounds: Intellectual Disability students must be able to master the practice of personal hygiene during menstruation skills. However, to teach this skill to them is not easy. They need certain methods to learn these skills to get effective results. Video-Based Instruction is one method to teach these skills. This study aims to determine whether there is an effect of Video-Based Instruction on the practice of personal hygiene during menstruation on Intellectual Disability students. Methods: This is quantitative research with pre-experimental type and one group pretest-posttest design. The data collection tool is a "personal hygiene" questionnaire. The data analysis method uses a paired sample t-test with the help of SPSS version 25. This research conducted at SLB Negeri 3 Central Jakarta with a total sample is 20 respondents selected by the purposive sampling technique. Results: Most respondents were 14 years old (20%), 7th grade (30%), get menarche at 12 and 13 years (25%). The mean score for the practice of personal hygiene during menstruation pre-test is 41.30 and post-test is 53.20. Paired sample t-test results showed that sig. (2-tailed) <0.001. Conclusion: The results showed that it received Ha, which means that there is an effect of Video-Based Instruction on the practice of personal hygiene during menstruation on Intellectual Disabilities students. The results also showed that there are mean score differences of the pre-test and post-test results, which is an increase in the mean score of the post-test results by 11,90.


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