scholarly journals PENGARUH PEMBERIAN TERAPI GENERALIS DALAM MENGATASI ANSIETAS KELUARGA PASIEN HEMODIALISA

2018 ◽  
Vol 1 (2) ◽  
pp. 105
Author(s):  
Qurrotul Aeni ◽  
Riani Pradara Jati

THE EFFECT OF GENERALIST THERAPY IN OVERCOMING FAMILY ANXIETY OF HEMODIALYSIS PATIENTS ABSTRACTHemodialysis is an act of renal replacement therapy that has been damaged, which is to move the patient's blood from his body through a dialiser which occurs by diffusion and ultrafiltration. Patients who undergo activities continuously can experience some psychological problems including anxiety. The study aimed to determine the effect of generalist therapy in overcoming family anxiety of hemodialysis patients in Dr.H Hospital. Soewondo Kendal before and after giving anxiety generalist therapy. The research method used quasi experiment with pre post test without control group. Using the DASS questionnaire (Depression Anxiety Stress Scale) consisting of 14 questions related to anxiety. The research sample amounted to 60 families. Research results Respondents' characteristics were the majority of respondents in the age range 26-60 years, female, with the education level of the respondents mostly high school and the majority of respondents did not work. Relationships between clients and families are more dominated by relationships with spouses. Family ability in an effort to overcome the anxiety pretest mean 9.32 (SD 5.53) while at post test 11.28 mean (SD 5.61) with a value of p = value 0.002, which indicates that there is a change in the ability of families to overcome anxiety through anxiety generalist therapy. Suggestions for all families in particular to be able to apply generalist therapy that has been taught to help overcome anxiety in family members undergoing hemodialysis therapy.

2019 ◽  
Vol 7 (3) ◽  
pp. 247
Author(s):  
Qurrotul Aeni ◽  
Novi Indrayati ◽  
Dwi Haryanti ◽  
Istioningsih Istioningsih

Bayi berat lahir rendah  atau BBLR  adalah bayi yang lahir dengan berat badan lahir kurang dari 2.500 gram tanpa memandang masa kehamilan. Kondisi BBLR dan kebutuhan bayi akan perawatan khusus, dapat menimbulkan gangguan psikologis bagi bayi dan orangtua, hal ini terjadi karena secara psikologis orang tua belum siap untuk menghadapi kondisi bayinya. Kelahiran BBLR dan perawatan bayi diruang intensive merupakan kejadian yang tidak diharapkan orangtua dan dapat  menimbulkan kecemasan. Tujuan penelitian ini adalah untuk membuktikan keefektifan intervensi keperawatan dalam mengatasi ansietas orangtua yang memiliki BBLR melalui pemberdayaan orangtua (parent empowerment). Jenis penelitian yang gunakan pada penelitian ini adalah quasi eksperimen dengan pre post test without control group. Populasi dan sampel dalam penelitian ini adalah semua orangtua yang memiliki bayi BBLR dengan jumlah 40 orangtua dengan  menggunakan teknik total accidental.  Alat ukur penelitian yang digunakan pada penelitian ini untuk mengukur ansietas orangtua dengan kuesioner Depression Anxiety Stress Scale yang terdiri 14 pertanyaan terkait ansietas,  dikembangkan oleh Lovibond pada tahun 1995 dengan dengan hasil uji cronbach alpha 0.9483. Analisis univariat pada penelitian ini menggunakan distribusi frekuensi, sedangkan analisis bivariat menggunakan uji Wilcoxon. Hasil analisis uji statistik didapatkan p value 0,016, hal ini menunjukan bahwa ada perbedaan tingkat ansietas orangtua yang mempunyai BBLR di ruang Perinatologi RS Se-Kabupaten Kendal sebelum dan sesudah pemberdayaan orangtua Kata kunci: ansietas, BBLR, perberdayaan  orangtua NURSING INTERVENTION OF LBW IN EFFORT TO OVERCOME ANXIETY OF PARENTS THROUGH EMPOWERMENT OF PARENTS ABSTRACTLow birth weight babies or LBW are babies born with birth weight less than 2,500 grams regardless of pregnancy. LBW conditions and the baby's need for special care, can cause psychological disorders for babies and parents, this happens because psychologically parents are not ready to deal with the condition of their babies. LBW births and baby care in the intensive room are events that are not expected by parents and can cause anxiety. The purpose of this study is to prove the effectiveness of nursing interventions in overcoming anxiety (anxiety) of parents who have LBW through parent empowerment. This type of research used in this study is a quasi-experimental with pre-post test without control group. The population and sample in this study were all parents who had LBW babies with a total of 40 parents using total accidental sampling techniques. The research measuring instrument used in this study to measure parental anxiety is the DASS (Depression Anxiety Stress Scale) questionnaire consisting of 14 anxiety-related questions developed by Lovibond in 1995 with the results of the Cronbach alpha 0.9483 test. The univariate analysis in this study uses the frequency distribution, while the bivariate analysis uses the Wilcoxon test. The results of the statistical test analysis obtained P value 0.016, this shows that there are differences in the level of anxiety of parents who have LBW in the Perinatology Room of Kendal District Hospital before and after parent empowerment. Keywords: anxiety, low birth weigh, parent empowerment


2020 ◽  
Vol 11 (1) ◽  
pp. 1-5
Author(s):  
Setiyawan Setiyawan

Latar Belakang: Depresi pada lansia merupakan gangguan mental yang ditandai dengan munculnya gejala penurunan mood, kehilangan minat terhadap sesuatu, dan penurunan konsentrasi. Salah satu penanganan non farmakologis depresi yaitu dengan pemberian terapi kreativitas. Terapi kreativitas merupakan kemampuan seseorang berfikir dan bertingkah laku. Tujuan: Mengetahui pengaruh terapi kreativitas terhadap depresi pada lansia di Panti Wredha Griya Sehat Bahagia Karanganyar. Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian pre and post test without control group. Sampel dalam penelitian adalah 23 responden dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner Depression Anxiety Stress Scale (DASS) dan analisa data bivariat menggunakan Uji Wilcoxon. Hasil: Terdapat perubahan tingkat depresi pada lansia yang signifikan sebelum dan setelah dilakukan pemberian terapi kreativitas dengan p-value 0,00 (p<0.05). Kesimpulan: Ada pengaruh pemberian terapi kreativitas terhadap depresi pada lansia. Saran: Terapi kreativitas dapat digunakan sebagai alternatif dalam menurunkan depresi pada lansia yang berada di Panti Wredha. Kata kunci : Terapi Kreativitas, Depresi, Lansia


2018 ◽  
Vol 5 (1) ◽  
pp. 78-87
Author(s):  
Nurul Faidah ◽  
Dewa Ayu Dwita Indriani ◽  
M. Fairuz Abadi

Pendahuluan : Stres merupakan perasaan tertekan, cemas dan tegang. Stres merupakan respon adaptif terhadap situasi yang dirasakan menantang atau mengancam kesehatan seseorang. Untuk menurunkan stres yang di alami oleh lansia berkaitan dengan harapan hidupnya maka terapi Reminiscence tepat untuk di jadikan intervensi sebagai memulihkan kembali perasaan yang menyenangkan atau mengingat kembali memori pada masa lalu seseorang. Tujuan penelitian ini untuk mengetahui pengaruh terapi reminiscence terhadap tingkat stress pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Metode : Metode penelitian ini menggunakan desain penelitian ini menggunakan jenis penelitian Pra-eksperiment dengan rancangan penelitian One-group pre-test post-test design. Teknik sampling yang digunakan non probability sampling dengan teknik purposive sampling didapatkan sampel sejumlah 20 orang. Instrument pengumpulan data menggunakan DASS 42 Psychometric Properties Of The Depression Anxiety Stress Scale. Hasil penelitian rata-rata tingkat stress pada lansia pre-test 59,20 dan post-test 41,20 di dapatkan nilai p value =0,000<α=0,05 menunjukkan ada Pengaruh Terapi Reminiscence terhadap tingkat stres pada lanjut usia yang berarti adanya pengaruh yang signifikan. Diskusi : Terapi Reminiscence berpengaruh secara signifikan menurunkan tingkat stres pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Di sarankan agar terapi reminiscence di jadikan metode alternatif tindakan keperawatan yang dapat dilaksanakan di keperawatan gerontik guna membantu lansia dalam menurunkan stres. Kata Kunci :Lanjut Usia, Stres, Terapi Reminiscence ABSTRACT Introduction : Stress is a feeling of depression, anxiety and tense. Stress is a form of adaptive response to situations that are felt as challenge or threaten someone's health. To lessen the stress that was experienced by the elderly with regards to their life expectancy, Reminiscence therapy is considered appropriate to be created as intervention for restoring back a pleasant feeling or recalling memory in someone's past. The purpose of this study is to determine the influence of Reminiscence therapy toward stress levels in elderly at Banjar Tangkas within healthcare coverage of Tegallalang community health center 1. Method: This research method is designed to use Pre-experimental research type with One-group pre-test post-test design. The sampling technique used is a non probability sampling with purposive sampling technique that produces sample of 20 people. Data collection instrument uses DASS 42 Psychometric Properties of the Depression Anxiety Stress Scale. Result: The result shows the average stress level of elderly in pre-test is 59,20 and in post-test is 41,20 which resulted p value = 0,000 <α=0,05 indicate that there is influence of Reminiscence therapy toward stress level in elderly which means that there issignificant influences. reminiscence therapy significantly influences lower stress level in elderly in Banjar Tangkas With in Health care Coverage of Tegallalang Community Health Center 1. It is recommended that Reminiscence therapy to be madeasan alternative method of nursing act that can be implemented in gerontic nursing to help elderly in reducing their stress. Keywords: Elderly, Stress, Reminiscence Therapy


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Heri Nuryanto ◽  
Frans E. N. Wantania ◽  
B. J. Waleleng

Abstract: Central obesity is considered as a risk factor that strongly associated with several chronic diseases. Men with waist circumference ≥ 90 cm and women with waist circumference ≥80 cm are stated as central obesity. This study aimed to determine the effect of brisk walking on liver function in central obesity. This was an experimental field study with a non-randomized pre-post one group test and control group. This study used consecutive sampling method. There were 30 samples divided into two groups; 15 samples were given intervention and 15 samples as the control group. Data were analyzed with Wilcoxon signed ranks test.   The results showed that brisk walking for 1 month decreased the SGPT and SGOT levels, however, statistically there was no significant difference before and after intervention with a p value >0.05. Conclusion: There was no significant influence of brisk walking on liver function in central obesity. Keywords: central obesity, liver function, brisk walking  Abstrak: Obesitas sentral dianggap sebagai faktor risiko yang berkaitan erat dengan beberapa penyakit kronis. Laki-laki dengan lingkar pinggang ≥90 cm atau perempuan dengan lingkar pinggang ≥80 cm dinyatakan sebagai obesitas sentral. Penelitian ini bertujuan untuk mengetahui pengaruh brisk walking (jalan cepat) terhadap fungsi hati pada obesitas sentral.  Metode penelitian ini yaitu eksperimental lapangan dengan rancangan non – randomized pre-post test with control. Sampel ditentukan dengan teknik pengambilan sampel konsekutif sampling. Terdapat 30 sampel yang dibagi menjadi 2 kelompok yakni 15 sampel yang diberi perlakuan dan 15 sampel sebagai kontrol. Data dianalisis dengan SPSS 20 dan uji Wilcoxon Signed Ranks Test. Hasil penelitian memperlihatkan terjadi penurunan kadar enzim hati SGPT dan SGOT pada sampel yang melakukan brisk walking selama 1 bulan tetapi secara statistik tidak ada perbedaan bermakna sebelum dan sesudah mendapatkan perlakuan dengan nilai p > 0,05.  Simpulan: Tidak terdapat pengaruh bermakna dari brisk walking (jalan cepat) terhadap fungsi hati pada obesitas sentral. Kata kunci: obesitas sentral,  fungsi hati,  brisk walking


Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina

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


2020 ◽  
Vol 7 (2) ◽  
pp. 140
Author(s):  
Dinda Puspita ◽  
Dwi Yati

Nyeri yang disebabkan oleh sectio caesarea pada umumnya akan terasa hingga beberapa hari. Rasa nyeri tersebut biasanya dirasakan meningkat pada hari pertama post operasi sectio caesarea dan akan semakin terasa apabila pengaruh dari analgesik hilang. Manajemen untuk mengatasi nyeri dapat dilakukan dengan cara non-farmakologi menggunakan aromaterapi. Tujuan Penelitian  mengetahui pengaruh aromaterapi lavender terhadap nyeri post partum sectio caesarea. Metode penelitian merupakan kuantitatif menggunakan desain quasi experiment dengan pendekatan pre test and post test non equivalent control group design yang dilakukan dari bulan Agustus–September 2020. Teknik pengambilan sampel secara consecutive sampling dengan jumlah 22 ibu postpartum sectio caesarea di Ruang Alamanda 3 RSUD Panembahan Senopati Bantul. Uji statistik menggunakan Chi-Square. Hasil: Sebagian besar ibu postpartum sectio caesarea memiliki tingkat nyeri sebelum diberikan aromaterapi lavender pada kategori sedang (4-6) sebanyak 12 orang (54.5%). Setelah dilakukan pemberian aromaterapi lavender memiliki tingkat nyeri ringan (1-3) sebanyak 16 orang (72.7%). Terdapat perbedaan rerata tingkat nyeri ibu postpartum sectio caesarea sebelum dan setelah pemberian aromaterapi lavender dengan nilai mean 0.121, standar deviasi 0.568 dan nilai p-value sebesar 0,000 (p value<0,05).Kesimpulan: Ada pengaruh sebelum dan setelah pemberian aromaterapi lavender terhadap nyeri postpartum sectio caesareadi Ruang Alamanda 3 RSUD Panembahan Senopati Bantul. Kata Kunci: nyeri  postpartum; sectio caesarea; aromaterapi lavender.LAVENDER AROMATERAPY EFFECT ON POSTPARTUM SECTIO CAESAREA PAIN AT PANEMBAHAN SENOPATI HOSPITAL OF BANTUL   ABSTRACT Pain caused by section caesarea are generally felt for several days. The pain is usually felt on the first day of post caesarean section surgery and will be more painful when the effect of analgesic has gone. One of the ways in pain management is non-pharmacological therapy using lavender aromatherapy. This study aim was to determine the effectiveness of lavender aromatherapy on postpartum sectio caesarea mother at  Panembahan Senopati General Hospital of  Bantul. The study used a quasi experimental design with pre test and post test approach non equivalent control group design. This research was conducted from August until September 2020. The research sampling methods used consecutive sampling with a total of 22 postpartum sectio caesarea mothers in the Alamanda 3 room of Panembahan Senopati General Hospital of Bantul. Data analysis used chi square test. Most of the postpartum sectio Caesarea mothers had a level of pain before being given aromatherapy (pre test) in a moderate category (4-6) as much as 12 people (54.5%). After being given lavender aromatherapy had a mild category (1-3) as much as 16 people (72.7%). There is an influence between the level of pain in postpartum mother with section caesarea before and after giving lavender aromatherapy with a mean value of 0.121, standard deviation of 0.568 and a p-value of 0.000 (p value< 0,05). There is an effetiveness before and after being given lavender aromatherapy on postpartum sectio caesarea pain in the Alamanda 3 room at Panembahan Senopati General Hospital of Bantul. Keyword : Postpartum pain; sectio caesarea; lavender aromatherapy


2019 ◽  
Vol 11 (2) ◽  
pp. 82
Author(s):  
Sofi Siti Selviyanti ◽  
Ichwanuddin Ichwanuddin ◽  
Judiono Judiono ◽  
Suparman Suparman ◽  
Dife Nur Tiara

School children are the most rapid growth period after toddlers. Knowledge of nutrition plays an important role in determining the degree of public health. So to increase knowledge, nutrition counseling is needed with interesting media, one of them is flashcard. The purpose of this study was to determine the effectiveness of nutritional counseling using flashcard media on the knowledge of the general message of balanced nutrition in fifth grade students of SDN Cikoneng 1 and SDN H. Agus Salim. The research design used was quasi experiment with a pre-test and post-test control group design. The study was conducted on fifth grade students of Cikoneng 1 Elementary School as a treatment group, amounting to 23 people and SDN H. Agus Salim as a control group of 46 people. The sampling technique is total sampling. Counseling was carried out for 30 minutes then given flashcard games in the treatment group and the control group using leaflets. Analysis of the data used is the t-Dependent test and Man Whitney test. The results of the study in the treatment and control groups showed significant differences in the value of knowledge before and after counseling with each p value (p = 0,000). Flashcard media is more effective in increasing knowledge in students (p = 0,000). Schools are expected to be able to forward the flashcard media and disseminate information about the General Message of Balanced Nutrition. Keywords: Extension, Flashcard, General Message Balanced Nutrition


2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


2019 ◽  
Vol 4 (2) ◽  
pp. 81-88
Author(s):  
Akhmad Rifai ◽  
Sugiyarto Sugiyarto

Background: Airway management is the most important thing in resuscitation and requires special skills in the management of emergencies, therefore the first thing that must be assessed is the smoothness of the airway, which includes airway examinations that can be caused by foreign bodies. The lack of oxygen is a cause of rapid death. Research Objectives The general objective of this research is to improve the ability of airway management skills ordinary people in Kateguhan, Sawit, Boyolali. Methods: This research is an experimental study with a Pre-Test-Post Test one Group control design approach. through testing research hypotheses. The population of this research is the cloud community of 50 respondents which are divided into two groups,  25 respondents in the intervention group and 25 respondents as a control group. Statistical test in the paired group uses the nonparametric Wilcoxon test and the non-paired uses Mann-Whitney. Results: Based on the results of the Wilcoxon analysis test it can be concluded that the 25 respondents who conducted training in simulation measures by way of air way management training specifically airway obstruction can be drawn the conclusion that the majority of ordinary people have good knowledge in terms of emergency handling abilities, especially in air way management measures p value 0.001 which means that there are significant differences between before and after training. In the control group there were also significant differences with a P value of 0.001. Based on the Mann-Whitney test analysis, there were significant differences between the intervention and control groups with a p value of 0.001. Conclusion: Airway management education and training courses for lay people continue to be held to improve the ability of the action skills.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah

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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