Pemberian Terapi Klenengan Gending Jawa Pada Penderita Stroke Di Desa Bandar Agung Bandar Sribawono Lampung Timur

2021 ◽  
Vol 4 (1) ◽  
pp. 31-36
Author(s):  
Sri Haryani ◽  
Umi Romayati Keswara ◽  
Dessy Hermawan ◽  
Aryanti Wardiyah ◽  
Eka Trismiyana ◽  
...  

Abstrak  Dampak psikologis penderita stroke adalah perubahan mental. Setelah stroke memang dapat terjadi gangguan pada daya pikir, kesadaran, konsentrasi, kemampuan belajar, dan fungsi intelektual lainnya. Semua hal tersebut dengan sendirinya memengaruhi kondisi psikologis penderita. Tujuan  Asuhan  Keperawatan Komprehensif Pada Klien Stroke  Dengan Terapi Komplementer Klenengan Gending Jawa Di Desa Bandar Agung Bandar Sribawono Lampung Timur Tahun 2020. Metode yang di lakukan dengan Pemberikan terapi musik mendengarkan musik kleningan gending jawa klasik memiliki tempo lambat antara 60-100 bpm (beats per menite), frekuensi 8-13 per menit, harmoni yang lambat, warna nada yang konsisten dan pitch yang rendah dengan tape recorder atau CD Player selama 10 – 15 menit sebanyak 2 kali pada waktu longgar atau istirahat. Kegiatan ini dilakukan selama 6 (enam) hari berturut – turut. Hasil asuhan keperawatan tenaga kesehatan memberikan efek yang dapat mengurangi kecemasan pada lansia dengan hipertensi  dengan kedatangan tenaga kesehatan sangat membantu dalam penurunan kecemasan karena pasien merasa diperhatikan atau merasa lebih nyaman dan senang. Evaluasi pada Keluarga  dengan masalah stroke teratasi dengan terapi Klenengan Gending Jawa dengan hasil efektif pada kedua pasien hanya saja kadar penurunan kecemasan dan waktu penurunan berbeda diantara kedua pasien dikarenakan intensitas nyeri antara kedua pasien, dan kadar tekanan darah kedua pasien yang berbeda, motivasi yang berbeda. Kata kunci : Stroke, Hipertensi, Terapi Musik Abstract The psychological impact of stroke sufferers is mental changes. After a stroke can indeed occur disturbances in the power of thought, awareness, concentration, learning ability, and other intellectual functions. All of these things naturally affect the psychological condition of the patient. The Purpose of Comprehensive Nursing Care for Stroke Clients with Complementary Therapy of Javanese Gending in Bandar Agung Village, Bandar Sribawono, East Lampung in 2020. The method used by providing music therapy listening to classical Javanese gending music has a slow tempo between 60-100 bpm (beats per menite ), frequency 8-13 per minute, slow harmony, consistent tone and low pitch with a tape recorder or CD player for 10-15 minutes 2 times during loose or rest periods. This activity is carried out for 6 (six) consecutive days. The results of health care nursing provide effects that can reduce anxiety in the elderly with hypertension with the arrival of health workers is very helpful in reducing anxiety because patients feel cared for or feel more comfortable and happy. Evaluation of families with stroke problems is resolved with Javanese Klenengan Gending therapy with effective results in both patients only the level of anxiety reduction and the time of decrease differ between the two patients due to the intensity of pain between the two patients, and the blood pressure levels of the two patients are different, different motivations.  Keywords: Stroke, Hypertension, Music Therapy

Author(s):  
Arif Nurma Etika ◽  
Sri Haryuni ◽  
Wiwin Sulistya

Depression is an unfavorable condition for the elderly. When depression goes untreated, elderly can isolate themselves even allowed to end his life. Spiritual Emotional Freedom Technique (SEFT) and Keroncong music allegedly can be used as complementary therapy for elderly depression. This study aimed to determine the difference effect of Spiritual Emotional Freedom Technique (SEFT) and Keroncong music on elderly depression at Jombang geriatric service unit in Pare Kediri. The method used was a quasi-experimental, with a pretest and posttest design. In this study, respondents were grouped into two groups, SEFT intervention group (n=10) and Keroncong music Intervention  group (10). In both groups was given four  therapy sessions, within four weeks, each session is given therapy for 30 minutes. In this study it was found that the decrease of score depression between pretest and posttest at SEFT therapy (p = 0,008) and keroncong music therapy (p = 0,01). By unpaired t test, posttest obtained, the p value (p=0,760) >0.05 so that there is no significant difference between the posttest score in the SEFT Therapy group and thekeroncong music therapy  group. It can be concluded that SEFT and keroncong music  reduce depression in elderly, but no more effective between SEFT and keroncong music reduce depression in elderly.Keywords: Depression, Elderly, SEFT, Keroncong Music


1970 ◽  
Vol 5 (2) ◽  
pp. 09
Author(s):  
Arif Nurma Etika ◽  
Sri Haryuni ◽  
Wiwin Sulistya

Depression is an unfavorable condition for the elderly. When depression goes untreated, elderly can isolate themselves even allowed to end his life. Spiritual Emotional Freedom Technique (SEFT) and Keroncong music allegedly can be used as complementary therapy for elderly depression. This study aimed to determine the difference effect of Spiritual Emotional Freedom Technique (SEFT) and Keroncong music on elderly depression at Jombang geriatric service unit in Pare Kediri. The method used was a quasi-experimental, with a pretest and posttest design. In this study, respondents were grouped into two groups, SEFT intervention group (n=10) and Keroncong music Intervention  group (10). In both groups was given four  therapy sessions, within four weeks, each session is given therapy for 30 minutes.. In this study it was found that the decrease of score depression between pretest and posttest at SEFT therapy (p = 0,008) and keroncong music therapy (p = 0,01). By unpaired t test, posttest obtained, the p value (p=0,760) >0.05 so that there is no significant difference between the posttest score in the SEFT Therapy group and the keroncong music therapy  group. It can be concluded that SEFT and keroncong music  reduce depression in elderly, but no more effective between SEFT and keroncong music reduce depression in elderly.


2021 ◽  
Vol 2 (1) ◽  
pp. 11-16
Author(s):  
M. Noor Ifansyah ◽  
Elok Faiqotul Himmah ◽  
Melinda Restu Pertiwi

Introduction: As humans get older, a degenerative aging process occurs which will have an impact on changes in humans. The changes that occur in the elderly can cause various kinds of disorders, one of which is sleep disturbance  or insomnia. The aim of this systematic review is to gain a deeper understanding of complementary therapies to improve sleep quality in the elderly. Method: The design used by systematic review is that the reviewer looks for several articles through an electronic database, namely Scopus and ScienceDirect, the keywords used are "Therapy", "Sleep Quality" and "Elderly". Result: 16 selected articles, research conducted in Taiwan, Brazil, China, Singapore, Hong Kong, Korea, Japan and Iran found that the most widely used complementary therapy for improving the quality of sleep in the elderly is music therapy. Conclusion: The results of his study showed that the quality of sleep in the elderly improved with complementary therapy. For this reason, it is necessary to assess and provide complementary therapies such as music therapy regularly to improve sleep quality in the elderly.


2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to 50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= - 1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: anxiety, preoperative, music therapy


Author(s):  
Kanda Sornkayasit ◽  
Amonrat Jumnainsong ◽  
Wisitsak Phoksawat ◽  
Wichai Eungpinichpong ◽  
Chanvit Leelayuwat

The beneficial physiological effects of traditional Thai massage (TTM) have been previously documented. However, its effect on immune status, particularly in the elderly, has not been explored. This study aimed to investigate the effects of multiple rounds of TTM on senescent CD4+ T cell subsets in the elderly. The study recruited 12 volunteers (61–75 years), with senescent CD4+ T cell subsets, who received six weekly 1-h TTM sessions or rest, using a randomized controlled crossover study with a 30-day washout period. Flow cytometry analysis of surface markers and intracellular cytokine staining was performed. TTM could attenuate the senescent CD4+ T cell subsets, especially in CD4+28null NKG2D+ T cells (n = 12; p < 0.001). The participants were allocated into two groups (low < 2.75% or high ≥ 2.75%) depending on the number of CD4+28null NKG2D+ T cells. After receiving TTM over 6 sessions, the cell population of the high group had significantly decreased (p < 0.001), but the low group had no significant changes. In conclusion, multiple rounds of TTM may promote immunity through the attenuation of aberrant CD4+ T subsets. TTM may be provided as a complementary therapy to improve the immune system in elderly populations.


Author(s):  
Friederike Barbara Haslbeck ◽  
Lars Schmidli ◽  
Hans Ulrich Bucher ◽  
Dirk Bassler

Developmental problems in extremely preterm (EP) infants and the associated longitudinal burden for their families are major health issues worldwide. Approaches to social-emotional support such as family-integrating Creative Music Therapy (CMT) are warranted. We aimed: (1) to explore parental perspectives on the use of CMT with EP infants in the neonatal hospitalization period and (2) to examine the possible longitudinal influence of CMT. A qualitative design was used to examine the perspective of six families from various backgrounds. Semi-structured interviews were carried out when the infants reached school age. We used an inductive–deductive thematic analysis to identify three main themes, each with three sub-themes: (1) the positive impact of CMT on the infants, the parents, and bonding; (2) the attitude toward CMT, from being open-minded to recommending it as complementary therapy; and (3) the experience of overall healthy infant development despite unique developmental delay issues. The findings elucidate the positive and formative impact of CMT on both infants and parents in the stressful NICU setting and beyond. CMT may empower positive transformation in the parents through individualized early nurturing musical interactions, capacity building, and positive reinforcement. Further research may help to identify and implement potentially modifiable factors for improving health care in this vulnerable group through early family-integrating, resource-based approaches such as CMT.


2021 ◽  
pp. 107385842098410
Author(s):  
Muhammad Ali Haidar ◽  
Hussam Jourdi ◽  
Zeinab Haj Hassan ◽  
Ohanes Ashekyan ◽  
Manal Fardoun ◽  
...  

SARS-CoV-2 infects cells through angiotensin-converting enzyme 2 (ACE2), a ubiquitous receptor that interacts with the virus’ surface S glycoprotein. Recent reports show that the virus affects the central nervous system (CNS) with symptoms and complications that include dizziness, altered consciousness, encephalitis, and even stroke. These can immerge as indirect immune effects due to increased cytokine production or via direct viral entry into brain tissue. The latter is possible through neuronal access via the olfactory bulb, hematogenous access through immune cells or directly across the blood-brain barrier (BBB), and through the brain’s circumventricular organs characterized by their extensive and highly permeable capillaries. Last, the COVID-19 pandemic increases stress, depression, and anxiety within infected individuals, those in isolation, and high-risk populations like children, the elderly, and health workers. This review surveys the recent updates of CNS manifestations post SARS-CoV-2 infection along with possible mechanisms that lead to them.


Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 704
Author(s):  
James Chung-Wai Cheung ◽  
Eric Wing-Cheong Tam ◽  
Alex Hing-Yin Mak ◽  
Tim Tin-Chun Chan ◽  
Will Po-Yan Lai ◽  
...  

Wandering is a common behavioral disorder in the community-dwelling elderly. More than two-thirds of caregivers believe that wandering would cause falls. While physical restraint is a common measure to address wandering, it could trigger challenging behavior in approximately 80% of the elderly with dementia. This study aims to develop a virtual restraint using a night monitoring system (eNightLog) to provide a safe environment for the elderly and mitigate the caregiver burden. The eNightLog system consisted of remote sensors, including a near infra-red 3D time-of-flight sensor and ultrawideband sensors. An alarm system was controlled by customized software and algorithm based on the respiration rate and body posture of the elderly. The performance of the eNightLog system was evaluated in both single and double bed settings by comparing to that of a pressure mat and an infrared fence system, under simulated bed-exiting scenarios. The accuracy and precision for the three systems were 99.0%, 98.8%, 85.9% and 99.2%, 97.8%, 78.6%, respectively. With higher accuracy, precision, and a lower false alarm rate, eNightLog demonstrated its potential as an alternative to physical restraint to remedy the workload of the caregivers and the psychological impact of the elderly.


KWALON ◽  
2020 ◽  
Vol 25 (3) ◽  
Author(s):  
Julie Vanderlinden ◽  
Sabine Lambers ◽  
Reninka De Koker ◽  
Liza Musch

Mixed methods to measure movement and sleep in the elderly Movement and sleep are both crucial for the elderly in terms of healthy ageing. Staying physically active as people age is positively associated with better sleep and health outcomes. But despite the growing attention to healthy ageing, the elderly don’t always keep up with the applicable guidelines in terms of movement. Furthermore, health workers don’t always know how to measure movement and sleep in elderly in order to advise and help them to better adhere to guidelines. Literature lacks a summary of accessible objective and subjective ways to measure movement and sleep in the elderly. This study combines both objective and subjective measuring methods and elaborates on the practical aspects of their use. This paper highlights the advantages of mixed methods when measuring movement and sleep in elderly people and aims to inform health workers who want to evaluate their patients’ movement and sleep in order to guide them towards a healthier lifestyle.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ajeng Fitria ◽  
Leonardo Lubis ◽  
Ambrosius Purba

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-? levels in the elderly. Research design with experimental method, pre-test and post-test design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-? levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (p-value = 0.019, p <0.05) and the frequency of 5x / mg can increase the strength of attractive shoulder muscles. (p-value = 0.033, p <0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-? protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p <0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.


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