scholarly journals Pengaruh Penerapan Kombinasi Self Help Group dan Penggunaan Mobile Messaging Apps terhadap Kualitas Hidup Klien Gagal Ginjal Kronik di Ruang Hemodialisa RST dr. Reksodiwiryo Padang

Author(s):  
Yanti Nopita ◽  
Susmiati Susmiati ◽  
Emil Huraini

Hemodialysis is a kidney replacement therapy for clients with chronic renal failure. Hemodialysis therapy helps the client's survival, but on the other hand the client will experience various problems including psychosocial problems, which ultimately affect the client's quality of life. Self Help Group is a social support therapy and the Mobile Messaging Apps (WhatsApp) application can be used in Self Help Group. The purpose of this study was to determine the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with chronic kidney failure. The research design was quasy experiment with pre and post test design with control group, the sampling technique was simple random sampling. The research sample consisted of 42 people, consisting of 21 respondents in the control group and 21 in the intervention group. The test results showed the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with p value < 0.05. It is recommended that Self Help Group and the use of WhatsApp be implemented as part of nursing interventions in nursing care. Keywords: mobile messaging apps; quality of life; self help group ABSTRAK Hemodialisa merupakan salah satu terapi pengganti ginjal bagi klien gagal ginjal kronik. Terapi hemodialisa membantu kelangsungan hidup klien, namun di sisi lain klien akan mengalami berbagai masalah termasuk masalah psikososial, yang pada akhirnya mempengaruhi kualitas hidup klien. Self Help Group adalah salah satu terapi dukungan sosial dan aplikasi Mobile Messaging Apps (WhatsApp) aplikasi yang dapat digunakan dalam Self Help Group. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien gagal ginjal kronik. Desain penelitian yang digunakan yaitu quasy experiment dengan rancangan pre and post test with control group, teknik pengambilan sampel yaitu simple random sampling. Sampel penelitian berjumlah 42 orang terdiri dari 21 responden kelompok kontrol dan 21 kelompok intervensi. Hasil uji menunjukkan adanya pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien dengan p value < 0,05. Direkomendasikan Self Help Group dan penggunaan WhatsApp diterapkan sebagai bagian intervensi keperawatan dalam asuhan keperawatan. Kata kunci: mobile messaging apps; kualitas hidup; self help group

Author(s):  
Ni K. Kardiyudiani ◽  
Apri N. Wulandari ◽  
Brigitta A. D. Susanti

Background: The therapy of cancer treatment for patient affects the significant of physic, psychology, and information and social, so that it needs to support the adequate care. The supporting for adequate care is the way to improve the quality life of patients. One of the cares that given is self-help group therapy (SHG), it is a group treatment to share about the experiences of each other for cancer patient. This research is conducted to know the influences of self-help group therapy towards the quality of life of cancer patients that have a palliative care.Methods: The research uses a quantitative approach with quasi-experimental method with pre-test and post-test with control group design. The sample of this research is 14 respondents in control group and 14 respondents in intervention group.Results: There was significant difference value of quality of life pre-test rather than post-test in the intervention group, p=0.033, and there was no significant difference in the control group before and after intervention, p=0.190. The comparison between post-test intervention and post-test control group showed that there was significant difference of quality of life value. P value in intervention group was 0.002, while p value for the control group was 0.221.Conclusions: There was influence by giving self-help group (SHG) therapy towards the quality of life of cancer patients that have palliative treatment. The patient can expand the social networking, to accept the information, get the emotional supporting from their own group.


2015 ◽  
Vol 11 (3) ◽  
Author(s):  
Ambar Relawati ◽  
Mohammad Hakimi ◽  
Titih Huriah

Chronicrenalfailure patientsare requiredtoperformhemodialysis (HD)to replace ofkidney functionhas beendamaged. Hemodialysishas side effectsthatwillaffect the qualityof life of patients. Independentnursingactionsto support improvedquality of life forhemodialysispatientscouldbegroups therapy, one of which is aSelf HelpGroup (SHG). This studyaimed to examinethe influence ofself-help group actionagainst thequality of life ofhemodialysispatientsinPKU MuhammadiyahYogyakarta  hospital. Thisresearchdesignusingquasy experiment withpretest-posttest control group design.The sample selection in this study using total sampling technique. Respondentscontrol groupof 16 peopleandthe intervention groupare 15 people. The respondents in the control group received the standard treatment of the hospital, and the intervention group receive self-help group meeting 8 times Analysis ofthe data usedindependentt-test. Results from the analysis data obtained significant value mean difference test between control group and intervention group before being implemented SHG p value is 0.404, it is means that there is no significant difference quality of life HD patients before implementation SHG.The significant value of the mean difference testbetweenintervention group and control group is p value <0.001, it is means that there are significantly differences quality of life between intervention group and control group. Combination ofHDandselfhelp groupinrenal failurepatients with undergoingHDcan improve thequality of life ofpatients. Selfhelp groupcouldbe appliedtopatients suffering fromchronicdiseasessuch as kidney failureas asupportive therapy. Keywords: Quality of Life, hemodialisys, self help group


2019 ◽  
Vol 9 (3) ◽  
pp. 219-224
Author(s):  
Nieniek Ritianingsih

Penyakit gagal ginjal kronis atau disingkat GGK, saat ini diakui sebagai prioritas kesehatan masyarakat di seluruh dunia. Pasien GGK akan mengalami  gangguan fisik dan psikologis sehingga mempengaruhi kualitas hidupnya. Teknik konservasi energi dengan pemberdayaan diri dapat diberikan pada pasien GGK dengan tujuan dapat meningkatkan energi, mengurangi fatigue dan kualitas hidup dapat meningkat. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan teknik konservasi energi dengan pemberdayaan diri terhadap kualitas hidup pasien gagal ginjal kronik.Hipotesis penelitian ini adalah teknik konservasi energydengan pemberdayaan diridapat meningkatkan kualitas hidup pasien GGK.   Responden penelitian ini berjumlah 47 orang untuk kelompok intervensi dan untuk kelompok kontrol 47 orang responden. Penelitian ini merupakan penelitian kuantitatif menggunakan metoda kuasi eksperimental dengan pendekatan pre test – post test control group design. Hasil uji statistik didapatkan nilai p value 0,000 maka dapat disimpulkan ada perbedaan yang signifikan antara  kualitas hidup  kelompok kontrol dengankualitas hidup kelompok intervensi setelah dilakukan penerapan teknik konservasi energy. Perawat agar menerapkan tehnik konservasi energy sebagai suatu program terstruktur dari intervensi keperawatan bagi pasien GGK   Kata kunci : teknik konservasi energi, kualitas hidup, GGK   THE EFFECT OF THE APPLICATION OF ENERGY CONSERVATION TECHNIQUES WITH SELF-EMPOWERMENT TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL FAILURE   ABSTRACT Chronic kidney failure or abbreviated CRF, is currently recognized as a public health priority throughout the world. GGK patients will experience physical and psychological disorders that affect their quality of life. Energy conservation techniques with self-empowerment can be given to CRF patients with the aim of increasing energy, reducing fatigue and quality of life can be increased. This study aims to determine the effect of the application of energy conservation techniques with self-empowerment to the quality of life of patients with chronic renal failure. The hypothesis of this study is conservation techniques of energy with empowerment can improve the quality of life of patients with CRF. The respondents of this study were 47 people for the intervention group and for the control group 47 respondents. This research is a quantitative research using a quasi-experimental method with a pre test - post test control group design approach. The statistical test results obtained p value 0,000, it can be concluded that there is a significant difference between the quality of life of the control group and the quality of life of the intervention group after the application of energy conservation techniques. The nurse is to apply energy conservation techniques as a structured program of nursing interventions for CRF patients   Keywords: energy conservation techniques, quality of life, CRF


2020 ◽  
Vol 9 (2) ◽  
pp. 260-268
Author(s):  
Endang Caturini ◽  
Insiyah Insiyah

Introduction: People who experience mental disorders who experience various problems, with different symptoms, generally they have characteristics with some combination of abnormal thoughts, emotions, behavior and relationships with other people that manifest in the form of a series of symptoms and / or changes in behavior which is meaningful and can cause suffering and obstacles in carrying out people's functions as humans (UU Kesehatan no 18 tahun  2014; WHO, 2017; &  WHO, 2018). This is a serious health problem, which usually has problems with poor quality of life. They are associated with feelings of distress, lack of control over symptoms and life in general, negative perceptions of self, stigmatization and rejection, reduced activity and difficulty with daily functioning, and negative outlook. (Connell, J, Brazier, J, O'Cathain, A, Jones, M.L. & Paisley, S., 2012). Group interventions carried out by nurses such as group activity therapy, supportive therapy and self-help groups to help individuals improvement in  their quality of life. Group therapy, one of the self help group, is a group where each member has the same desire to overcome mental disorders or increase the level of cognitive or emotional well-being among group members (Sulistyowati., E.C. & Sulistyowati D, 2018). Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual reinforcement which has an impact on improving the quality of life. This study aims to determine the improvement of the quality of life of people with mental disorders (ODGJ) with the self help group in the city of Surakarta. Methods: This was a quasi-experimental study with a pre-post test control group design. Data were taken before and after giving the intervention of self-help groups of schizophrenia patients in the intervention group. The total sample was 160 clients divided into  2 groups, namely 80 respondents for group 1 at Griya PMI and 80 respondents for group 2 at RSJD Dr Arif Z Surakarta, each group consisting of 40 respondents for intervention and 40 respondents for the control group. This study measures the quality of life with a research instrument using a life quality questionnaire. Data were analyzed using Paired t-test, Wilcoxon signed ranks test, independent t-test and Mann Whitney-test. Results: The study proved that there was a statistically significant difference in the quality of life before and after giving the self help group (p value, 0.000) between the intervention group and the control group, both at Griya PMI with a mean difference of 20.23 and at RSJD Dr. Arif Z. self help group with a mean difference of 10.85. Conclusion: self help group which is used for intervention is considered effective to improve quality of life. Suggestion: self help group is used as a mental nursing group intervention in caring for mentally ill patients.


2021 ◽  
Vol p6 (1) ◽  
pp. 3179-3185
Author(s):  
Roopa M.R ◽  
Vasudev A Chate ◽  
Shreevathsa Shreevathsa ◽  
Mohan Kumar G

Introduction: Shwasa is said as Shigrapranahara Roga. It occurs as the main disease and also a symptom in various diseases. Shwasakruchrata is a common symptom that occurs in Hrudroga. Acharya Charaka mentioned the unique classification of drugs based on their action. Shwasahara Dashemani is one among them. It is containing 10 herbal drugs which are specially indicated in Shwasa Roga. Hence to evaluate the efficacy of Shwasahara Dashemani in Lakshana Roopi Shwasa in L.V.F (Cardiac Asthma) has taken for the study. Aim and Objective: The objective is to assess the efficacy of Shwasahara Dashemani in L.V.F with dyspnea (Cardiac Asthma). Method: The present study is a controlled comparative, open-label, clinical trial with pre and post-test design. A total of 40 subjects of a diagnosed case of L.V.F with dyspnea (Cardiac Asthma) were selected by using a simple random sampling method. Control group subjects were intervened with standard treatment of L.V.F and intervention group subjects were intervened with standard treatment of L.V.F along with Shwasahara Dashemani Ghana Vati, for the duration of 30 days. Its efficacy was assessed before treatment (0th day) and after treatment (31st day) by using BDI (Baseline Dyspnea Index Scale). Results: The P-value of dyspnea of the control group is 1.000 and the P-value of dyspnea of the intervention group is 0.105. This shows that the results of both groups are statistically not significant. But as compared to the control group, the intervention group is clinically significant because after the intervention 35% of subjects had shown improvement in the intervention group. Conclusion: As compared to the control group, in the intervention group Shwasahara Dashemani Ghanavati is clinically significant in relieving cardiac asthma when used with standard treatment of L.V.F. Keyword: Shwasahara Dashemani. Cardiac Asthma, L.V.F, Dyspnea


2021 ◽  
Vol 4 (3) ◽  
pp. 35-44
Author(s):  
Makanjuola J.O. ◽  
Chiejina E.N. ◽  
Umunnah J.O.

The quality of life (QoL) of patients with schizophrenia is impaired compared to the general population. This study aimed to evaluate the effect of Cognitive Behavioural Therapy (CBT) on the quality of life of people with schizophrenia in selected Neuropsychiatric Hospitals in South-West Nigeria. A quasi-experimental research design was adopted in the study, 60 participants with schizophrenia were selected purposely, 30 participants to the intervention group and another 30 participants to the control group. Eight sessions of CBT were given to each participant in the intervention group. Data were collected with the use of the WHO Quality of life Bref questionnaire. Data collected were summarized using frequency, percentages, mean score, and standard deviation to answer research questions. The hypotheses were tested using the Mann-Whitney U Test and Wilcoxon Test at 0.05 level of significance. The outcome revealed that there was an overall post-intervention improvement in the Quality of life among the participants in the intervention group with a mean value of 3.63 ± 0.89, Z-value 3.72, p-value <0.001, unlike the control group with a mean value of 2.90 ± 0.85, Z-value= 1.77, p-value=0.08. CBT intervention with pharmacological management was effective in improving the quality of life in schizophrenic patients. CBT should be integrated into routine care given to schizophrenic clients in nursing interventions.


2020 ◽  
Vol 12 (4) ◽  
pp. 118
Author(s):  
Agustina Boru Gultom ◽  
Indrawati Indrawati

The survival of cancer patients is often short despite receiving therapy, but it really depends on various things including those that play an important role is the ability of patients to improve their life status in dealing with illnesses and therapy through increased self-efficacy because self-efficacy of cancer patients often experience reduction due to cancer and the therapy it undergoes. The pre&ndash;test and&nbsp; the first post -test and also&nbsp; the second post-test research design in the form of self-efficacy training of cancer patients undergoing chemotherapy used&nbsp; a quasi-experimental design without a control group. Data analysis used dependent t test and repeat ANOVA test. There were significant effects and differences in self-efficacy training on the quality of life of cancer patients undergoing chemotherapy with the&nbsp; p value dependent test was 0,000 and the repeat ANOVA test was p value 0,000. The uses of structured self-efficacy training be one of the considerations of nursing interventions to improve the quality of life of cancer patients undergoing chemotherapy.


2017 ◽  
Vol 6 (1) ◽  
pp. 82
Author(s):  
Ifa Roifah

Leprosy is one of the infectious diseases that cause a very complex problem, not only from a medical point of view. In addition there is a negative stigma from the community tends to cause the quality of life of people with leprosy decline. Quality of life is the concept of individual ability analysis to get a normal life associated with individual perceptions of goals and expectations, one of the measures to improve the quality of life of leprosy is by doing Self Help Group (SHG) therapy. This study aims to determine the quality of life in people with leprosy. The design of this research using pra experiment with pretest-posttest design approach. The samples were taken with the techniques of cluster random sampling as much as 15 respondents. Tool used WHOQOL-BREF questionnaire containing 26 questions. Patients with leprosy prior to being given Self Help Group (SHG) from 15 respondents mostly experience poor quality of life 7 people (46,7%), leprosy patient after given Self Help Group (SHG) that from 15 respondents mostly experience quality of life is 5 people (33.3%). The test used is using Wilcoxon Signed Rank Test. p value = 0,007 and α = 0,05 so Ha is accepted, it  means there is influence Self Help Group therapy (SHG) to quality of life in leprosy patients in tanjungkenongo village sumberglagah kec. Pacet kab. Mojokerto. Self Help Group (SHG) is a group or peer where each member share the same physical or emotional issues or specific issues where they work together to share problems and choose what will be the focus of solving group members, helping each other in motivating to create a sense of prosperity.


2020 ◽  
Author(s):  
Toshimi Takano ◽  
Ayako Matsuda ◽  
Noriko Ishizuka ◽  
Yukinori Ozaki ◽  
Koichi Suyama ◽  
...  

Abstract Background: A self-help workbook is expected to support cancer patients to cope with physical and psychosocial distress, to facilitate communication with medical staff, and to improve quality of life (QOL). We conducted a randomized controlled trial to evaluate the effectiveness of a self-help workbook intervention on QOL and survival. Methods: From June 2014 to March 2015, patients with breast, colorectal, gastric, and lung cancer receiving outpatient chemotherapy were randomized into an intervention group (n = 100) or control group (n = 100). Intervention group participants received workbooks originally made for this study, read advice on how to cope with distress, and filled out questionnaires on the workbooks periodically. EORTC QLQ-C30 was evaluated at baseline, at 12 weeks, and at 24 weeks. The primary endpoint was Global Health Status / QOL scale (GQOL). Results: No significant interaction was observed between the intervention and time in terms of GQOL or any of the functional scales. Among the 69 patients who continued cytotoxic chemotherapy at 24 weeks, the intervention was significantly associated with improved emotional functioning scores (P = 0.0007). Overall survival was not significantly different between the two groups. Conclusions: Self-help workbook intervention was feasible in cancer patients receiving chemotherapy. Although the effect of the intervention was limited, the intervention may improve emotional functioning among patients who receive long-term cytotoxic chemotherapy.Trial registration: UMIN Clinical Trials Registry, UMIN000012842. Registered 14 January 2014, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015002


2020 ◽  
Vol 16 (1) ◽  
pp. 55-66
Author(s):  
Yeni Nur Rahmayanti ◽  
Suhartono Suhartono ◽  
Bambang Edy Warsito

Kepuasan perawat ini sangat dipengaruhi oleh kepemimpinan dari kepala ruang. Kepemimpinan efektif yang digunakan oleh kepala ruang untuk memimpin bawahannya. Tujuan dari penelitian ini adalah untuk pengetahui pengaruh pelatihan kepemimpinan efektif kepala ruang terhadap kepuasan perawat di ruang rawat inap RSUD Karanganyar. Rancangan penelitian yang digunakan kuantitatif, bersifat quasi experimental dengan bentuk pre-post test with control group. Jumlah sampel sebanyak 18 responden pada kelompok intervensi dan 18 responden pada kelompok kontrol yang diambil dengan teknik simple random sampling. Hasil analisis menunjukkan adanya perbedaan kepuasan perawat antara sebelum dan setelah dilakukan pelatihan kepemimpinan efektif kepala ruang (p value = 0,000). Penelitian ini menyimpulkan adanya pengaruh kepemimpinan efektif terhadap kepuasan perawat.


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