scholarly journals PENGARUH TERAPI KOGNITIF DAN TERAPI PSIKOEDUKASI KELUARGA TERHADAP TINGKAT ANSIETAS KLIEN KANKER

2021 ◽  
Vol 7 (1) ◽  
pp. 24-28
Author(s):  
Madepan Mulia

Introduction: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells that can lead to death. The physical impact caused by cancer will affect a person's psychological condition, causing psychosocial problems. Purpose: This study aims to determine the effect of cognitive therapy and family psychoeducation therapy on the anxiety level of cancer clients at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province. Methods: This study used a quasi-experimental design with pre-post test control group with a total sample of 35 people for each group. The instrument used was hamilton anxiety rating scale (HARS). The analytical test used was repeated ANOVA test and independent t-test. Results: The results showed that cancer client anxiety decreased significantly (p value <0.05) after receiving nurse nursing action, but after being given cognitive therapy and family psychoeducation therapy, it decreased significantly than after receiving nurse nursing action. Conclusion: The implication of this research is that cognitive therapy and family psychoeducation therapy reduce the anxiety level of cancer clients, so that the hospital can add interventions related to psychosocial problems, especially for cancer clients who experience anxiety at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province.

2020 ◽  
Vol 2 (2) ◽  
pp. 211-218
Author(s):  
Diah Evawanna Anuhgera ◽  
Wilda Wahyuni Siregar ◽  
Nikmah Jalilah Ritonga ◽  
Desikawali Pardede

Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor. Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor.


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.


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.


2018 ◽  
Vol 1 (1) ◽  
pp. 59-66
Author(s):  
Rizky Rahma Nova ◽  
Roxsana Devi Tumanggor

Patient with breast cancer is experienced a psychological pressure with cancer diagnosis. This condition leads to anxiety and hopeless feeling toward life. One of the therapies which found effective to minimize anxiety is progressive muscle relaxation. The objective of the reasearch was to find the influence of progressive muscle relaxation therapy as the nursing intervention in reducing the anxiety level of the patient with breast cancer. The research applied quasi experiment method with pre-test and post-test control group design. The samples involved are 26 patients with breast cancer, which consist of 13 patients with intervention and 13 patient without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The research conducted at RSUP Haji Adam Malik Medan from May to June,2016. Progressive muscle relaxation theraphy was carried out in 3 days with the frequency of 6 times exercise. The result of the research showed that t-value was -4.275 and p-value=0.000 or p-value < 0.05 (0,000) which indicated that there was the influence of progressive muscle relaxation therapy on the decrease in the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients. Patient with breast cancer mostly experienced  psychological pressure . This condition leads to anxiety and hopeless feeling toward life. One of the therapies which regarded effective to minimize anxiety is progressive muscle relaxation. The objective of this study was to determine the effects of progressive muscle relaxation therapy as  intervention in reducing the anxiety level of the patient with breast cancer. This study employed quasi experiment method with a pre-test and post-test control group design. The sample was composed of 26 breast cancer patients; 13 patients with intervention and 13 patients without intervention. The research instrument used to assess the anxiety level was HRS-A (Hamilton Rating Scale-Anxiety) questionnaire. The study was conducted in Haji Adam Malik Hospital Medan from May to June, 2016. Progressive muscle relaxation theraphy was carried out for 3 days, with a frequency of 6  exercises  The results showed that t-value was -4.275 and p-value=0.000  indicating that there was an effect of progressive muscle relaxation therapy in reducing the level of anxiety of breast cancer patients. Therefore, nurse can use progressive muscle relaxation as non-pharmacological in coping with breast cancer patients.


2017 ◽  
Vol 3 (4) ◽  
pp. 383-389
Author(s):  
Ary Astuti ◽  
Anggorowati Anggorowati ◽  
Andrew Johan

Background: Patients with chronic kidney disease undergoing hemodialysis suffer changes in lifestyle, which cause physical and psychosocial problems, particularly anxiety. Progressive Muscular Relaxation is considered as an intervention to reduce anxiety.Objective: This study aims to examine the effect of progressive muscular relaxation in in reducing anxiety in patients with chronic kidney disease undergoing hemodialysis.Methods: This study used a quasi-experimental design involved 78 respondents, with 38 randomly assigned in the intervention and control group. The progressive muscular relaxation was performed on 14 muscle groups for 4-week period. Hamilton Anxiety Rating Scale was used to measure anxiety. Univariate, bivariate and multivariate analyses were performed for data analyses.Results: The results showed a statistically significant difference in anxiety values between the intervention and control group with p-value 0.000 (<0.05).Conclusion: There was a significant effect of progressive muscular relaxation in reducing anxiety in patients with chronic kidney disease undergoing hemodialysis. The results of this study is expected to be one reference in making the  progressive muscular relaxation as a nursing intervention in reducing anxiety in patients undergoing hemodialysis. 


2017 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Tri Ramadhani ◽  
Bondan Fajar Wahyudi

<p><em>Dengue vector control has been done in various ways, however, has not been able to obtain optimal </em><em>results. Ovirap use to determine the presence of Aedes sp in a region is often done, but the application </em><em>of lethal ovitrap for population control Aedes sp still rarely done. This study was aimed to assess the </em><em>effect of LO applications on populations of Aedes sp. </em></p><p><em></em><em>This research includes quasi experimental design with a pretest-posttest control group without </em><em>randomization. Research sites in dengue in endemic areas in Banyumas district, with a total sample of </em><em>100 homes in each treatment and control areas. Insecticides used on ovistrip is cypermethrin at a dose </em><em>of 12.5 mg ai/strip. Populations of Aedes sp measured each week for three weeks prior to the </em><em>intervention and twelve weeks during the intervention. The mean density of Aedes sp compared before </em><em>and after intervention and between treatment and control areas.</em><br /><em>The study showed the difference of mosquito densities before and after the intervention in the </em><em>experimental group was 0,07 ( p-value 0.044), whereas the control group was 0.037 (p-value 0.341). </em><em>LO use with the addition of insecticide active ingredient cypermetrin on ovistrip impact on the decline </em><em>density of Aedes sp.</em></p>


2021 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Lusianah Meinawati

  Introduction: Feeding difficulties in children are at high risk of becoming malnourished with age. Parents overcome children's feeding difficulties by giving them a multivitamin without paying attention to the cause. Recently it has been developed from a baby massage technique, namely the Tui Na massage. Objective: To analyze the effect of Tui Na massage on picky eaters. Purpose: Analyzing the effect of Tui Na massage on picky eaters. Method: Quasi experimental research design design. In this study, the experimental group was treated by giving tui na massage and for the control group by giving a multivitamin. The population of this study were all children under five in the working area of ​​the practicing midwife, Lilis Suryawati, totaling 286 children under five. Samples were taken by consecutive sampling method and obtained a total sample size of 50 respondents with a ratio of 1: 1 where the Tuina massage group was 25 people, and the group that was given multivitamins was 25 people. Result: Based on the results of the Wilcoxon statistical test, the p-Value is 0,000. From the p-value of 0.000 (<0.005), it shows that there is an effect of Tui Na massage on increasing appetite for children aged 1 to 5 years. Conclusion: Giving Tui Na massage to toddlers aged 1 to 5 years is more effective in overcoming feeding difficulties than giving multivitamins with a p-value (p = 0.000). Discuss: Parents, especially mothers, can apply Tui Na massage to their toddlers in order to avoid eating difficulties, and toddlers can grow and develop optimally.   Key Word: Tui Na Massage, Picky Eater, Toddler


2019 ◽  
Author(s):  
Shanti Rosmaharani ◽  
I Noviana ◽  
A Susilowati

Background:Children with Mental retardation have intellectual limitations which cause dependency. The limitation of mentally retarded children becomes a stressor for the family which can affect the family’s ability to provide care. So that adaptive coping is needed, so families can provide optimal care. Family psychoeducation is a way that can optimize family coping. Objective: This study aims to determine the effect of family psychoeducation on coping in treating children with mental retardation. Methods: The design of this study was quasi experimental pre-post test with control group of family psychoeducation intervention. The family population who had mental retardation children in Jombang was 277. While the sample was taken using a simple random sampling technique as many as 140 families with a distribution of 70 families as the control group and 70 families as the treatment group. The independent variable was family psychoeducation and the dependent variable was family coping in treating children with mental retardation. This study used the Wilcoxon statistical test in the treatmentgroup0.001whichfollowedbyaMannWhitneydifferencetestwhichshowed the results of ρ value (0.000)<α (0.05). Result: The results showed that there was an effect of family psychoeducation on family coping in treating children with mental retardation. Family psychoeducation provided information through a psychological approach to the care of children. Conclusion/implication: Families are expected not only understand the care of children with mental retardation but also improve family coping mechanisms so that psychosocial problems in the family are resolved properly.


2015 ◽  
Vol 1 (2) ◽  
pp. 36-43
Author(s):  
Hesti Wahyuni ◽  
Setyawati Setyawati ◽  
Iin Inayah

ABSTRAK Pendahuluan: Sirkumsisi merupakan tindakan yang memerlukan persiapan, salah satunya tindakan anestesi. Selama sirkumsisi, rasa nyeri akan dirasakan hanya pada saat penyuntikan anestesi. Perawat sering kesulitan melakukan prosedur penyuntikan anestesi sirkumsisi karena anak sering menolak dilakukan tindakan keperawatan yang akan menimbulkan rasa nyeri. Salah satu manajemen non farmakologi untuk menurunkan nyeri pada anak adalah terapi slow deep breathing sambil bermain meniup baling-baling. Tujuan: mengidentifikasi pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi. Metode: Penelitian ini menggunakan quasi eksperimental dengan control group post test. Populasi penelitian ini adalah seluruh anak yang dilakukan penyuntikan anestesi sirkumsisi di Klinik Khitan Kencana Medika. Sampel yang digunakan berjumlah 36 anak, 18 anak kelompok intervensi dan 18 anak kelompok kontrol. Respon nyeri diukur menggunakan Faces Pain Rating Scale. Hasil: penelitian dianalisis menggunakan uji Mann-Whitney menunjukkan  ada perbedaan yang signifikan antara kelompok intervensi dan kontrol dengan p-value < 0,001 dan nilai signifikansi alpha £ 0,05. Kesimpulan penelitian ada pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi.   Kata kunci: anak, nyeri, penyuntikan anestesi sirkumsisi, slow deep breathing   ABSTRACT Introduction: Circumcision is treatment which needed preparation, one of them is anesthesia treatment. As long as circumcision treatment, pain will be feel only at the time anesthesia circumcision injection. Nurses often have difficult to make action procedure of anesthesia circumcision injection because children often refuse to procedures which will occurs pain feeling. One of non pharmacology managements to reduce pain on children by giving children breath is playing with a blow vane. Objective: The purpose of study to identify the effect of slow deep breathing therapy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Methods: This study used a quasi experimental design by control group post test. Populations were all children who had been performed anesthesia circumcision injection in Kencana Medika Circumcision Clinic. Used 36 samples consist of 18 samples were in intervention and control group. Pain response was measured by Faces Pain Rating Scale. Result: The results were analyzed using the Mann-Whitney showed there are significant differencebetweenthe interventionandcontrolgroups with ap-value of0.000 and α £ 0.05. The conclusioniseffect of slow deep breathing theraphy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Keywords: anesthesia circumcision injection, children, pain, slow deep breathing Full printable version: PDF


2018 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Trisna Vitaliati

ABSTRAKTujuan penelitian: Penelitian ini bertujuan untuk mengidenfikasi pengaruh relaksasi religius terhadap penurunan tingkat insomia di PSLU Bondowoso. Metode: Metode penelitian yang digunakan ialah quasi experimental dengan pendekatan pre-post test control group design menggunakan instrumen Insomnia Rating Scale, dilakukan pada kelompok intervensi (n=31) dan kelompok kontrol (n=31). Analisis data dilakukan secara univariat dan bivariat. Hasil: Hasil penelitian menunjukkan skor rerata perubahan tingkat insomnia pada kelompok intervensi maupun kelompok kontrol. Pada hasil uji Mann Whitney didapatkan nilai p-value=0,021 sehingga dapat disimpulkan bahwa terapi relaksasi religius berpengaruh secara signifikan terhadap penurunan tingkat insomnia pada lansia. Diskusi: Relaksasi religius akan membuat seseorang merasa tenang sehingga kemudian menekan kerja saraf simpatis dan mengaktifkan kerja sistem saraf parasimpatis. Perlakuan relaksasi religius cukup efektif untuk memperpendek waktu dari mulai merebahkan tubuh hingga tertidur dan mudah memasuki tidur. Hal ini membuktikan bahwa relaksasi religius yang dilakukan dapat membuat lebih relaks sehingga kesulitan ketika mengawali tidur dapat diatasi dengan perlakuan ini. Kesimpulan: Teknik relaksasi religius efektif menurunkan tingkat insomnia pada lansia sehingga program ini disarankan dapat diterapkan pada lansia sebagai bagian dari program kesehatan lansia.Kata Kunci: insomnia, lansia, relaksasi religius.EFFECT OF RELIGIUS RELAXATION ON DECREASING INSOMNIA LEVEL IN THE ELDERLY AT PSLU BONDOWOSOABSTRACTObjective: This study aims to identify the effect of religious relaxation on decreasing insomnia level at PSLU Bondowoso. Methods: This study was quasi-experimental with pre-posttest control group design using Insomnia Rating Scale and was conducted on intervention group (n=31) and control group (n=31). Data were analyzed using univariate and bivariate. Results: The results of the study indicated the average score of changes in insomnia levels in intervention group and control group. The results ofMann-Whitney test indicated p-value=0.021 so it could be concluded that religious relaxation therapy significantly affected the decrease in insomnia levels in the elderly. Discussion: Religious relaxation will make a person feel calm, which will then press the work of sympathetic nervous and activate the work of the parasympathetic nervous system. The treatment of religious relaxation is effective to shorten the time from lying down to falling asleep and easily entering into sleep. This proves that religious relaxation can make a person more relaxed so that difficulty when initiating sleep can be overcome by this treatment. Conclusion: Religious relaxation technique is effective in decreasing insomnia levels in the elderly so that this program is recommended to be applied in the elderly as a part of elderly health program.Keywords: insomnia, elderly, religious relaxation


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