scholarly journals Pengaruh Dukungan Spiritual Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operasi Di Ruang Bedah RSUD Depati Bahrin Kabupaten Bangka

2021 ◽  
Vol 3 (1) ◽  
pp. 19-28
Author(s):  
Kgs M. Faizal ◽  
Kartini Eka Putri

ABSTRACK: THE EFFECT OF SPIRITUAL SUPPORT ON DECREASING LEVELS OF ANXIETY OF PRE OPERATING PATIENTS IN SURGERY ROOM RSUD DEPATI BAHRIN OF BANGKKA REGENCY HOSPITAL IN 2019 Background : Operation is a potential and actual threat to the integrity of a person who can evoke physiological and psychological stress reactions, and is a difficult experience for almost all patients. Various bad possibilities can occur that will endanger the patient. So do not be surprised if often patients and families show excessive attitude with anxiety experienced. One of the nursing interventions that can be done is spiritually. Based on data from operating patients from the Depati Bahrin Regional Hospital in Bangka Regency, data was obtained in 2016 there were 1.317 patients, in 2017 there were 1.290 patients, data in 2018 there were 1.028 patients operating.Purpose : The purpose of this study was to determine the effect of spiritual support on reducing anxiety levels in preoperative patients in the Depati Bahrin of Bangka Regency Hospital Surgery Room in 2019.Method : The study was conducted using a simple quasi experimental research design with pre-poest intervention. Samples were taken by non probability sampling method, namely 36 respondents divided into two groups, 18 respondents in the intervention group and 18 respondents in the control group. The statistical test analysis used in this study was the independent t-test and dependent t-test or paired t-test.Result : The results showed that there were differences in the level of anxiety obtained p value = 0,000 in the intervention group, while the control group obtained a value of p = 0.210, it can be concluded that there is a significant difference between the level of anxiety before and after the intervention and control groups.Conclusion : Suggestions researchers should hospitals take a policy about the implementation of meeting the spiritual needs of patients preoperatively by involving spiritual teachers. Keywords: Support, Spiritual, Anxiety, Patient, Preoperative       INTISARI: PENGARUH DUKUNGAN SPIRITUAL TERHADAP PENURUNAN TINGKAT KECEMASAN PASIEN PRE OPERASI DI RUANG BEDAH RSUD DEPATI BAHRIN KABUPATEN BANGKA  Pendahuluan : Tindakan pembedahan merupakan ancaman potensial maupun aktual pada integritas seseorang yang dapat membangkitkan reaksi stress fisiologis maupun psikologis, dan merupakan pengalaman yang sulit bagi hampir semua pasien. Berbagai kemungkinan buruk bisa terjadi yang akan membahayakan bagi pasien. Maka tidak heran jika sering kali pasien dan keluarga menunjukkan sikap yang berlebihan dengan kecemasan yang dialami. Salah satu intervensi keperawatan yang bisa dilakukan adalah dengan spiritual. Berdasarkan data pasien operasi dari RSUD Depati Bahrin Kabupaten Bangka diperoleh data pada tahun 2016 terdapat 1.317 orang pasien, data tahun 2017 tedapat 1.290 orang pasien, data pada tahun 2018 terdapat 1.028 pasien operasi. Tujuan : Untuk mengetahui pengaruh dukungan spiritual terhadap penurunan tingkat kecemasan pada pasien pre operasi di Ruang Bedah RSUD Depati Bahrin Sungailiat Tahun 2019.Metode : Penelitian dilakukan dengan menggunakan desain penelitian quasi eksperiment sederhana dengan pre-poest intervensi. Sampel diambil dengan  metode non probability sampling yaitu 36 responden yang terbagi dua kelompok, 18 responden kelompok intervensi dan 18 responden kelompok kontrol. Analisis uji statistik yang digunakan dalam penelitian ini adalah uji Independen t-test dan dependen t-test atau paired t-test.Hasil Penelitian : Hasil penelitian diketahui ada perbedaan tingkat kecemasan didapatkan nilai p = 0,000 pada kelompok intervensi, Sedangkan kelompok kontrol didapatkan nilai p = 0,210 maka dapat disimpulkan bahwa ada perbedaan yang signifikan antara tingkat kecemasan sebelum dan sesudah pada kelompok intervensi dan kontrol.Kesimpulan : Saran peneliti sebaiknya rumah sakit mengambil kebijakan tentang penerapan pemenuhan kebutuhan spirituak pasien pre operasi dengan cara melibatkan guru spiritual. Kata Kunci : Dukungan, Spiritual, Kecemasan, Pasien, Pre Operasi

2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.


2021 ◽  
Vol 9 (B) ◽  
pp. 492-496
Author(s):  
Noerma Shovie Rizqiea ◽  
Septy Nur Aini ◽  
Ratih Dwilestari Puji Utami ◽  
Ratnawati Ratnawati ◽  
Khairunisa Wardani

BACKGROUND: Asphyxia delivery results in hypoxic-ischemic encephalopathy and multiorgan failure. The organ most affected by hypoxia is the cardiovascular system. Newborns with asphyxia have a lack of oxygen (hypoxia) and have an increased heart rate (tachycardia). Giving baby positions, such as supination position, pronation, right lateral, left lateral, and head elevation, are expected to improve the hemodynamic of newborns with asphyxia. AIM: This study was to determine the difference in effect between left lateral position and the head elevation position on the heart rate of newborns with asphyxia in the perinatology room of RSUD Dr. Soediran Mangun Sumarso Wonogiri. METHODS: This research is a quasi-experimental quantitative study with a pre- and post-test non-equivalent control group design. Sampling using non-probability sampling technique with consecutive sampling. The sample was divided into two groups, namely, the intervention group with 30 respondents who got the left lateral position and the control group with 30 respondents who got the head elevation position. Data analysis was performed using the Statistical Package for the Social Sciences parametric test with paired t-test and independent t-test. RESULTS: The results of paired t-test analysis in the intervention group obtained p = 0.003 (p < 0.05) and in the control group obtained p < 0.001 (p < 0.05), which means that both have a significantly on changes in the heart rate of newborns with asphyxia. The results of the independent t-test analysis obtained p = 0.191 (p < 0.05), which means that there is no significant difference in the heart rate of newborns with asphyxia in the intervention and control groups. CONCLUSION: Both interventions, giving the left lateral position and the head elevation position, have a significantly effect on changes in the heart rate of newborns with asphyxia.


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.


2021 ◽  
Vol 19 (2) ◽  
pp. 97-109
Author(s):  
Dian Pratiwi ◽  
Djauhar Ismail ◽  
Mufdlilah Mufdlilah ◽  
Panyada Cholsakhon

The number of low-birth-weight babies (LBW) who returned to the hospital after returning home had increased from 2015 to 2016. The results of the interview revealed that mothers who had LBW did not thoroughly understand providing care for LBW after returning from the hospital. This study aims to determine the effect of health education on a mother's knowledge, attitude and behaviour in providing care to LBW. This study is quasi-experimental with a pre-posttest approach non-equivalent to the control group, with 66 respondents fulfilling the inclusion criteria. The inclusion criteria in this study were post-partum mothers on the second day who had babies with a birth weight of 1500 grams-2499 grams and were willing to be respondents. The sampling technique was purposive sampling. The statistical test employed independent t-test, paired t-test, and chi-square. Knowledge scores before and after treatment were significantly different in the intervention group and control group, with a p-value in the intervention group 0.00, while the knowledge and attitude scores in the control group were 0.00 and the behavioural scores were 0.11. There was a significant difference in the increase in knowledge, attitudes and behaviour scores in both groups. The p-value of knowledge and attitudes is 0.00, and the p-value of behaviour is 0.01. Hence, there is an increase in mothers' knowledge, attitudes, and behaviour after being provided with health education using a booklet.


2018 ◽  
Vol 25 (11) ◽  
pp. 1774-1779
Author(s):  
Brekhna Jamil ◽  
Shamilah Hafizi

Objectives: To determine the effect of guided and minimally guided teachingmethods in acquiring practical skills in anatomy in Peshawar Medical College. Study Design:A randomized control trial. Setting: Peshawar Medical College, Peshawar. Period: March 2016to August 2016. Methods: 80 students of 2nd year MBBS who gave consent to participate in thestudy. Students were divided into control & intervention group. Each of the group consisted of40 students, respectively. OSPE was used as the tool of assessment in this study. Students ofboth groups appeared in Pre-test OSPE after which controlled group was given 2 weeks timeand were minimally guided for the selected anatomy dissection topics, however, interventiongroup spent 2 weeks under direct instruction and guidance of their teacher who was teachingthem in dissection classes the same topics. Post- test was carried out after the completion of the2 weeks time for both the groups. Cross over of the groups was done to minimize bias. Results:There were 20 males and 20 females in the intervention group that were matched according togender and academic performance with the control group. Pre-test scores of the control groupand the intervention groups were 6.15±2.69 and 5.05±1.75 respectively. The post test scoresof control and the intervention groups were (18.95±2.64 SD) and (19.20±2.25SD) respectively.Independent sample t test was applied to academic scores of OSPE of both the groups. Pvalue of 0.351 depicts that there was no significant difference between academic scores of boththe groups taught by guided and minimally guided teaching respectively. Thereby deducingthat guided and minimally guided are both good teaching and learning strategies. Further,paired sample t test was applied within respective groups to find out the difference in academicperformance between pre and post OSPE test scores, p value of <0.007 & 0,031 was obtainedrespectively which was signifying & further proving that both teaching methodologies werecomparable. Conclusion: It is concluded that guided and minimally guided teaching strategiesare equally effective in small group anatomy classes.


2019 ◽  
Vol 11 (3) ◽  
pp. 199-208
Author(s):  
Rina Herni Yanti ◽  
Hema Malini ◽  
Netrida Netrida

Gangguan jiwa berat atau skizofrenia setiap tahunnya mengalami peningkatan.Kondisi tersebut dapat menimbulkan masalah perilaku kekerasan.Tujuan penelitian untuk mengetahui pengaruh terapi murottal terhadap perubahan perilaku kekerasan pada klien skizofrenia. Desain penelitian adalah Pre Test and Post Test control Group Design, dengan rancangan QuasyExperimental. Penelitian dilakukan terhadap 46 responden yaitu 23 orang kelompok intervensi dan 23 orang kelompok kontrol. Teknik sampling yang digunakan dalam penelitian ini adalah non probability sampling dengan carapurvosive sampling.Kelompok intervensi mendapatkan terapi murottal 15 menit dalam sehari selama 7 hari.Hasil penelitian terdapat perbedaan yang signifikan antara perilaku kekerasan klien skizofrenia sebelum dan sesudah pemberian terapi murottal (p value 0,000).Ada perbedaan yang signifikan antara perilaku kekerasan klien skizofrenia sebelum dan sesudah kelompok kontrol (p value 0,000). Ada perbedaan yang bermakna antara perilaku kekerasan pada kelompok intervensidengan kelompok kontrol(p value 0,000).Dimana perbedaan perilaku kekerasan lebih besar terjadi pada kelompok intervensi dibanding kelompok kontrol.   Kata kunci :skizofrenia, perilaku kekerasan, terapi murottal THE EFFECT OF MUROTTAL THERAPY ON CHANGES IN VIOLENCE BEHAVIOR IN SCHIZOPHRENIC CLIENTS   ABSTRACT Severe mental disorder or schizophrenia increased gradually. These conditions can lead to violent behavior problems. The objective of the study was to investigate the effect of murottal therapy on changes in violent behavior on schizophrenic clients. The research design Pre Test and Post Test control of Group Design, with Quasy Experimental design. The study was conducted on 46 respondents that is 23 people intervention group and 23 control group. The sampling technique used in this research is non probability sampling by purvosive sampling. The intervention group received murottal therapy 15 minutes a day for 7 days. The results of the study there were significant differences between the violent behavior of schizophrenic clients before and after the intervention murottal (p value 0,000). There is a significant difference between the violent behavior of schizophrenic clients before and after the control group (p value 0,000). There was a significant difference between violent behavior in the intervention group with control group (p value 0,000). Eventhough, in control group there is significant devrence of violent behavior still in intervention group the fifferances is lisher.   Keywords:schizophrenia, violent behavior,murottal therapy


2018 ◽  
Vol 10 (1) ◽  
pp. 45
Author(s):  
Ulfah Agus Sukrillah

Research backgroud: Kinds of methodsin health promotion to address the spread and transmission of HIV/AIDS has been applied to the society. The focus of today's HIV-AIDS is housewifes. Method of sociodrama about the transmission of HIV/AIDS aims to provide an understanding, appreciation and develop their ability to solve the problem of HIV/AIDS through role play. The purpose ofthis research: is to determine the effect sociodrama in health promotion methods about transmission of HIV/AIDS towards housewives. Research method: The methodused is quasie xperimental with pre and post-test with control group design, where it measures the difference between before and after intervention using control groups. The differences between before and after the intervention are assumed to bethe effect of the intervention. The result of reserach: based on paired t test and independent t test both intervention group and control group before and after the treatment has p value (0,000) < a (0,05). It means that there was significant different in term of knowledge level between two groups. Conclusion : there is significant difference between sociodrama method with the use of audio- visual media in the delivery of health promotion about the transmission of HIV / AIDS on housewife.


Author(s):  
Nurhayati Nurhayati ◽  
St. Hadriyanti Hamang

Long term DMPA usage causes impaired estrogen protection as vasoprotective molecules that can increase production. This study aims to determine the effect of long-term DMPA on NO levels on White Rats (Ratus norvegicus) female wistar. The research was conducted at Animal Entomology Laboratory Faculty of Medical Hasanuddin University. The research designed was Posttest Only Control Group Design with the 12 rats as samples in the study taken with non-probability sampling technique i.e. Quota Sampling. Female rats were given intramuscular injected with DMPA (doses of 2.7 mg) every week and the nitric oxide level was measured analysis used to tes average differences of nitric oxide (NO) content was concentration of DMPA was Independent sample T-Test. There was significant difference of NO serum levels between control group and DMPA groupat week 8 with p value of 0.018, also NO plasma levels between control group and DMPA administration at week 8 with p value 0.044. It can be concluded that there is significant difference between nitric oxide (NO) in rats given DMPA and those which were not given DMPA for 8 weeks. Keywords: long term DMPA; estrogen; nitric oxide; female rat ABSTRAK Penggunaan DMPA jangka panjang menghambat perlindungan estrogen sebagai molekul vasoprotektif yang dapat meningkatkan produksi NO di vaskuler. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian DMPA jangka panjang terhadap kadar NO pada Tikus Putih (Ratus norvegicus) Wistar Betina. Penelitian dilakukan di Laboratorium Entomologi Hewan Fakultas Kedokteran Universitas Hasanuddin. Desain penelitian Posttest Only Control Group Design dengan jumlah sampel yaitu 12 ekor tikus dipilih dengan tekhnik non-probability sampling yaitu secara Quota Sampling. Setiap minggu tikus diberikan injeksi DMPA secara intramuscular (dosis 2,7 mg) dan dilakukan pengukuran kadar nitric oxide setelah 8 minggu pemberian DMPA dan dilakukan Analisis yang untuk menguji perbedaan rerata kadar Nitric Oxide antara kelompok kontrol dan DMPA yaitu menggunakan Independent sample T-Test. Hasil penelitian menunjukkan terdapat perbedaan bermakna rerata kadar NO serum antara kelompok kontrol dan kelompok pemberian DMPA pada minggu ke-8dengan nilai p 0.018 juga kadar NO plasma pada kelompok kontrol dan pemberian DMPA pada minggu ke-8 dengan nilai p 0.044. Disimpulkan bahwa ada perbedaan bermakna antara kadar nitric oxide (NO) pada tikus yang diberikan DMPA dan tidak diberikan DMPA selama 8 minggu. Kata kunci: DMPA jangka panjang; estrogen; nitric oxide; tikus betina


2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Adang Bachtiar ◽  
Heni Dwi Windarwati ◽  
Budi Anna Keliat ◽  
Raden Irawati Ismail ◽  
Niken Asih Laras Ati ◽  
...  

Background: Stigma is one of the main factors causing pasung (physical restraint or confinement in Indonesian terms) in schizophrenia patients. It is the main obstacle to reducing the number of pasung throughout the world. Thus, there is a need for appropriate interventions to reduce stigma in schizophrenia patients who go through pasung. This study aims to identify multilevel stigma interventions in people with schizophrenia who go through pasung (physical restraint and confinement). It can be applied and adapted to various cultural contexts. Design and Methods: Quasi-experimental research with pretest and post-test analysis consists of 82 people with schizophrenia who go through pasung. Respondents were divided into the intervention group and the control group. A multilevel stigma intervention was given to the intervention group for three months.Results: There was a significant difference in the average stigma score in the control group (moderate category stigma) and the intervention group (mild category stigma) after multilevel stigma intervention (p-value = 0.04). The average stigma score of schizophrenia patients in the intervention group decreased by 8.2%, while the average stigma score in the control group increase of 20.4%.Conclusions: Multilevel stigma interventions are effective in reducing stigma in people with schizophrenia who go through pasung. We underline that multilevel stigma interventions through collaboration from various parties can provide great opportunities in stigma reduction programs in people with schizophrenia who go through pasung.


2020 ◽  
Vol 37 (4) ◽  
pp. 405-415
Author(s):  
Samaneh Jouya ◽  
Nahid Golmakani

Women experience a high level of anxiety and negative emotional responses during colposcopy, which results in women's' unwillingness to return for follow-up. Transcutaneous auricular stimulation may be useful in reducing anxiety. Therefore, the aim of this study was to determine the effect of transcutaneous auricular stimulation on anxiety before colposcopy. This randomized controlled clinical trial study was performed on 65 female candidates for colposcopy who were referred to Ghaem Hospital, Mashhad, Iran, in 2017. Women were randomized into one of the two groups. In the intervention group, a pointer Excel device was used for forty minutes before colposcopy; electrical stimulation at 4 points (Shenmen, relaxation, tranquillizer and endocrine) was performed on ears, with the frequency of 2 Hz for 30 seconds at each point. Women received routine care in the control group. The anxiety level was assessed by Spielberger Questionnaire before intervention and also 40 minutes after intervention. Data analysis was performed using the t-test, paired t-test, and MannWhitney test in SPSS software, version16. P value less than 0.05 was considered significant. After intervention, the state anxiety score was 43.9 ± 9.19 in the control group and 54.3 ± 9.07 in the intervention group, and the difference between the two groups was statistically significant (P = 0.00), while there was no significant difference in the level of trait anxiety in the two groups (P = 0.21). Regarding the reduction of state anxiety level after intervention, transcutaneous auricular stimulation is recommended as a suitable method to reduce anxiety of patients who are candidates for colposcopy.


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