scholarly journals Efektivitas Psikoedukasi Keluarga dalam Menurunkan Beban Keluarga pada Keluarga Pasien Ulkus Diabetes Melitus

2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Aisyah Dzil Kamalah ◽  
Ahsan Ahsan ◽  
Heri Kristianto

Ulkus diabetes mellitus merupakan komplikasi dari penyakit diabetes mellitus yang digolongkan dalam penyakit luka kronik sehingga biaya yang digunakan dalam penyembuhan relatif banyak. Kondisi pasien ulkus yang tidak stabil menyebabkan masalah psikososial pada keluarga, seperti beban pada keluarga. Beban keluarga dapat mempengaruhi keluarga dalam merawat pasien ulkus DM. Penelitian ini bertujuan untuk mengetahui efektifitas psikoedukasi keluarga dalam menurunkan beban keluarga dalam merawat pasien ulkus DM. Desain penelitian ini adalah quasi experimental pre-post test with control group. Cara pengambilan sampel pada penelitian ini adalah dengan purposive smpling. Jumlah sampel sebanyak 30 caregiver yang terbagi dalam kelompok perlakuan dan kelompok kontrol. instrumen yang digunakan adalah The Burden Scale untuk mengukur beban keliarga. Hasil uji validitas dan reliabilitas menunjukkan r tabel (0,361) r hitung (0,765) dan r alpha / koefisien reliabilitas (0,907). Psikoedukasi keluarga dilakukan dalam 5 sesi. Hasil penelitian menunjukkan p value (0,000) < α (0,05) baik. Psikoedukasi efektif dalam menurunkan beban keluarga. Kata kunci: beban keluarga, pasien ulkus diabetes mellitus, psikoedukasi keluarga THE EFFECTVENESS OF FAMILY PSYCHOEDUCATION IN REDUCES FAMILY BURDEN IN THE FAMILY WITH ULCERS DIABETIC PATIENTS  ABSTRACTUlcers Diabetes Mellitus is a complication of Diabetes Mellitus which is classified in wound chronic, it needs a lot of cost to recovery a. Unstable physical and emotional condition of a patient can make psychosocial problems such as burden family. Burden can affect the family in taking care of patients with diabetic ulcers. This study aimed to determine the effectiveness of family psychoeducation in reducing  family  burden when taking care of patients with diabetic ulcers in Malang. This design of study was quasi – experimental pre – post test with control group. The sampling method used was purposive sampling with 30 caregiver as total sample and divided into treatment group and control group. The instruments of this research were The Burden Scale to measure the family burden . The results of the validity and reliability test show r table (0.361) r count (0.765) and r alpha / reliability coefficient (0.907). Family psychoeducation was conducted in five sessions. The results showed the p value (0.000) < α (0.05) in burden family. Psychoeducation is effective in reducing family burden.  Keywords: burden family, patients with ulcer diabetes mellitus, family psychoeducation.

Author(s):  
Dewi Wijayanti

Education is one of the basic factors that can condition a person to be able to improve their abilities, knowledge, skills and attitude. The process of understanding patients with diabetes mellitus can occur through health education, by providing information, so there will be an awareness of individuals to behave in accordance with the knowledge they have. This study aims to analyze the effect of foot gymnastics education on self care in patients with diabetes mellitus at Panembahan Senopati Hospital, Yogyakarta. This quasi-experimental study used pre-test and post-test with control group design. The results showed that foot gymnastics education affected self care in patients with diabetes mellitus, with a p-value = 0.000. Keywords: diabetes mellitus; foot gymnastics education; self care ABSTRAK Edukasi merupakan salah satu faktor dasar yang dapat mengkondisikan seseorang untuk dapat meningkatkan kemampuan, pengetahuan, ketrampilan dan sikap diri. Proses pemahaman pasien diabetes mellitus dapat terjadi melalui pendidikan kesehatan, dengan memberikan informasi, sehingga akan timbul kesadaran pada individu untuk berperilaku sesuai dengan pengetahuan yang dimilikinya. Penelitian ini bertujuan menganalisis pengaruh edukasi senam kaki terhadap self care pada pasien diabetes mellitus di Rumah Sakit Panembahan Senopati, Yogyakarta. Penelitian eksperiment kuasi ini menggunakan pre-test and post-test with control group design. Hasil penelitian menunjukkan bahwa edukasi senam kaki berpengaruh terhadap self care pada pasien diabetes mellitus, dengan p-value = 0,000. Kata kunci: diabetes mellitus; edukasi senam kaki; self care


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Adelheid Riswanti Herminsih ◽  
Wisnu Barlianto ◽  
Rinik Eko Kapti

Abstract : Schizophrenia is a disease process that affects perceptions, emotions, social behavior and the ability to accept reality correctly. Families with schizophrenics often feel anxiety and burdens associated with client care. The problem can be solved by giving FPE therapy. This study aims to explain the effect of Family Psychoeducation (FPE) therapy on anxiety and family burden in caring for family members with schizophrenia. This research uses quasi experiment research pre-post test with control group. The number of respondents in this study were 18 respondents for the control group and 18 respondents for the treatment group. The study was conducted in District Bola from 24 May to 28 June 2017. Giving therapy done by the researchers themselves who have obtained a license from nurse specializing in mental health nursing. Data analysis used in this research is dependent t test and independent t test. The result of dependent t test of anxiety and load test was obtained significance value <0,05, this result showed significant decrease of anxiety and load after FPE therapy. While the results of independent t test showed that the significance of anxiety and family burden <0.05 which means that there is a significant difference in reducing anxiety and family burden between the treatment and control group after being given FPE therapy, that is, with an average decrease in anxiety and burden For the treatment and control groups of 10.11 and 3.5, respectively. This means that FPE is more effective in reducing family anxiety. Thus it is expected that FPE can be applied as an alternative therapy in reducing the anxiety of families who care for people with schizophrenia.Keywords : family psychoeducation,  anxiety, family burden Abstrak : Skizofrenia merupakan proses penyakit yang mempengaruhi persepsi, emosi, perilaku sosial dan kemampuan menerima realita dengan benar. Keluarga dengan penderita skizofrenia seringkali merasakan kecemasan dan beban yang berkaitan dengan perawatan klien. Masalah tersebut dapat diatasi dengan pemberian terapi FPE. Penlitian ini bertujuan menjelaskan pengaruh terapi Family Psychoeducation (FPE) terhadap kecemasan dan beban keluarga dalam merawat anggota keluarga dengan skizofrenia. Penelitian ini menggunakan desain penelitian quasi experiment pre-post test with control group. Jumlah responden dalam penelitian ini 18 responden untuk kelompok kontrol dan 18 responden untuk kelompok perlakuan. Penelitian dilakukan di Kecamatan Bola mulai tanggal 24 Mei-28 Juni 2017. Pemberian terapi dilakukan oleh peneliti sendiri yang telah mendapatkan lisensi dari perawat spesialis jiwa. Analisis data yang digunakan dalam penelitian ini adalah dependent t test dan independen t test. Hasil analisis dependent t test kecemasan dan beban didapatkan nilai signifikansi< 0,05, hasil ini menunjukkan penurunan kecemasan dan beban secara bermakna setelah diberikan terapi FPE. Sedangkan hasil analisis independent t test menunjukkan bahwa nilai signifikansi kecemasan dan beban keluarga < 0,05 yang berarti bahwa ada perbedaan yang bermakna dalam menurunkan kecemasan dan beban kelurga antara kelompok perlakuan dan kontrol setelah diberikan terapi FPE, yaitu dengan rata-rata penurunan kecemasan dan beban untuk kelompok perlakuan dan kontrol masing-masing yakni 10,11 dan 3,5. Hal ini berarti bahwa FPE lebih efektif dalam menurunkan kecemasan keluarga. Dengan demikian diharapkan bahwa FPE bisa diaplikasikan sebagai alternative terapi dalam menurunkan kecemasan keluarga yang merawat penderita skizofrenia.Kata Kunci : family psychoeducation, kecemasan, beban keluarga


2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.


2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


2021 ◽  
Vol 5 (1) ◽  
pp. 10-15
Author(s):  
Rendi Editya Darmawan ◽  
Untung Sujianto ◽  
Nana Rochana

Background: a higher rate of recommended chest compression is needed for neo automatic code (NAC)-guided cardiopulmonary resuscitations (CPR) to obtain high-quality chest compressions. High-quality chest compressions could improve ROSC. Purpose: the study aim to analyze the effects of CPR using NAC on the ROSC in-hospital cardiac arrest in Indonesia. Methods: this study used a quantitative, post-test quasi-experimental design with a control group. The samples were 74 cardiac arrest patients in two hospitals in Surakarta and Klaten, Indonesia, who were selected using a purposive sampling technique. The data were analyzed by the Mann-Whitney test. Results: the incidence of ROSC in the control group was 30%, and in the treatment group was 35%. The result of statistical analysis showed that there were differences in the ROSC in the intervention and control group with a p-value of 0.003. Conclusion: NAC assisted cardiopulmonary resuscitations increased ROSC. It is recommended that Code Blue Teams should use NAC to improve the quality of chest compressions for the better result of ROSC.


2020 ◽  
Vol 8 (4) ◽  
Author(s):  
Hidayatul Rahmi ◽  
Hema Malini ◽  
Emil Huriani

AbstrakPenderita Diabetes Mellitus (DM) sering mengalami masalah psikologis yang berhubungan langsung dengan beban dan kekhawatiran karena tuntutan penyakit. Diabetes distress merupakan kekhawatiran pasien tentang manajemen diri, dukungan keluarga, beban emosional dan akses keperawatan. Dukungan keluarga diperlukan dalam mengatasi kekhawatiran dan beban emosional pasien diabetes mellitus. Tujuan: Menganalisis peran dukungan keluarga terhadap penurunan tingkat diabetes distress pada pasien diabetes mellitus tipe 2 di Puskesmas Kota Padang tahun 2019. Metode: Desain penelitian ini adalah quasi experimental dengan pre dan post test control group. Pengambilan sampel secara simple random sampling untuk mendapatkan 64 orang (32 orang tiap kelompok). Data dikumpulkan menggunakan Diabetes Distress Scale (DDS-17). Hasil: Analisis data menggunakan Wilcoxon test menunjukan terdapat pengaruh dukungan keluarga terhadap Diabetes Distress (p=0,000). Simpulan: Dukungan keluarga berupa dukungan emosional/rasa empati dan dukungan penghargaan membuat pasien merasa lebih baik, diperhatikan dan dimengerti, merasa dimiliki dan dicintai sehingga pasien memiliki motivasi dan memperoleh kembali keyakinannya dalam menghadapi kekhawatiran karena penyakitnya. 


Author(s):  
M.Elyas Arif Budiman ◽  
Said Mardijanto ◽  
Ah. Yusuf

Diabetes mellitus is a chronic disease that requires the individual ability of patients to approve the process of disease management. Individuals with DM must take great responsibility for the care of themselves in the treatment of their illness. Empowerment of individuals to control independent life and make choices about self empowerment. Self empowerment in DM patients can be improved through the approach of the health action process approach which is a concept of a patient that is believed to be done by increasing the intention through the motivational phase to realize the intention to action. The purpose of this study was to determine the increase in self empowerment of people with type II diabetes mellitus with a health action approach. This study used a pre-experimental study using a control-group pre-test-post-test design. The population was 64 with type 2 diabetes mellitus patients. The sample were 32 people in the experimental group and 32 people in the control group, selected by purposive sampling. Self empowerment using diabetes empowerment scale (DES) questionnaire in accordance with the characteristics of the research subjects. Data analysis was performed with the Wilcoxon statistical test signing the rank test and Mann-Whitney with the result of p value of 0.000 < 0.05 so that there were differences between the experimental and control groups. The results in this study were DM clients who have a good increase in self empowerment are clients who have the motivation and ability to recover from illness. Keywords: diabetes mellitus; self empowerment; health action process approach ABSTRAK Diabetes mellitus merupakan salah satu penyakit kronis yang memerlukan kemampuan individu dari klien untuk mematuhi penatalaksanaan proses penyakit. Individu dengan penyakit DM mempunyai tanggung jawab yang besar untuk mengatur dirinya sendiri dalam melakukan perawatan pada penyakitnya. Kemampuan individu untuk mempunyai kontrol atas hidup mereka sendiri dan menentukan pilihan mengenai kesehatan disebut self empowerment. Self empowerment pada klien DM dapat ditingkatkan melalui pendektan Health Action Process Approach yang merupakan suatu konsep pendekatan terhadap klien yang meyakini bahwa untuk mengubah perilaku seseorang dapat dilakukan dengan cara meningkatkan niat melalui motivational phase untuk membentuk niat menjadi action. Tujuan penelitian ini adalah untuk mengetahui peningkatan self empowerment klien diabetes militus tipe II dengan pendekatan Health action proces approach. Penelitian ini menggunakan pre-eksperiment dengan pendekatan control-group pre-test-post-test design. Populasinya adalah klien diabetes mellitus tipe 2 dengan jumlah 64 responden. Ukuran sampel adalah 32 orang pada kelompok eksperimen dan 32 orang pada kelompok kontrol dengan pengambilan sampel menggunan teknik purposive sampling. Self empowerment diukur menggunakan kuesioner Diabetes Empowerment Scale (DES) yang dimodifikasi sesuai dengan karakteristik subjek penelitian. Analisis data dilakukan dengan uji statistik Wilcoxon signed rank test dan Mann-Whitney dengan hasil p value signifikansi 0,00 < 0,05 sehingga ada perbedaan antara kelompok eksperimen dan kelompok kontrol. Hasil dalam penelitian ini adalah bahwa klien DM yang memiliki peningkatan self empowerment yang baik adalah klien yang memiliki motivasi dan kemaun untuk sembuh dari penyakit. Kata Kunci: diabetes mellitus; self empowerment; health action proces approach


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Christiana Arin Proborini ◽  
Anggorowati Anggorowati ◽  
Muhammad Rofii

Tujuan penelitian untuk mengetahui penerapan discharge planning dengan pendekatan SNARS terhadap kepuasan pasien Penyakit Paru Obstruktif Kronis (PPOK) di RSUD Karanganyar. Rancangan penelitian yang digunakan quasi experimental dengan desain penelitian pre-post test with control group. Jumlah sampel 29 responden kelompok kontrol dan 29 responden kelompok intervensi dengan teknik random sampling. Hasil analisis menunjukkan adanya perbedaan kepuasan pasien PPOK antara sebelum dan setelah dilakukan pelatihan discharge planning dengan pendekatan SNARS (p value = 0,031). Peneliti menyimpulkan adanya pengaruh penerapan discharge planning dengan pendekatan SNARS terhadap kepuasan pasien PPOK.


2020 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Susanti Niman ◽  
Achir Yani S Hamid ◽  
Ice Yulia W

The prevalence of CHF is increasing every year. The impact of a psychosocial condition requiring comprehensive treatment for CHF in all aspects. One contributing factor to success is the involvement of the family. Purpose: This study aimed to determine the differences of social support towards clients with CHF who were receiving family psychoeducation.  Method: This study used a Quasi -experimental pre-post test without a control group”.  A sample of  25 respondents and sample retrieval techniques with a purposive sampling procedure. The instrument used was an ISSB questionnaire for measuring social support. The intervention group was provided with family psychoeducation that performed 5 sessions. Result and conclusion: The finding this study showed was a significant change before and after the family support family psychoeducation (p-value 0.00<α).  Characteristics of the family and the client is not associated with social support. Family psychoeducation research way recommended developed in a public hospital.


2021 ◽  
Vol 8 (4) ◽  
pp. 315
Author(s):  
Desak Made Ari Dwi Jayanti ◽  
Ni Kadek Yuni Lestari

<p><em>Family psychoeducation is a family therapy that combines clinical interventions to increase family understanding in order to improve the health of people with mental disorders. The purpose of this study<strong> </strong>was to determine the effect of family psychoeducation on the role of the family caring for people with mental disorders. This study used a Quasi Experiment design: pre-test and post-test Control Group Design. The sample was taken by using purposive sampling. The sample was 20 people in the control group and 20 people in the treatment group. The analysis test used was the Wilcoxon sign test (intra-group) and the Mann Whitney (inter-group) test. The  intra-group analysis test in the pre and post-test for the control group obtained p value = 0.517 which means there is no difference, while the treatment group obtained p value = 0.004 which means there is a difference. Inter-group analysis test of the treatment group and the control group obtained p value = 0.008, which means that there is an effect of family psychoeducation on the role of families in caring for people with mental disorders. Family psychoeducation can be applied to families with mentally disorders people.</em></p>


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