Teknik Assertiveness Training dalam Penurunan Perilaku Kekerasan pada Pasien Skizoprenia di RS. Jiwa Prof. Dr. Muhammad Ildrem Medan

2021 ◽  
Vol 6 (1) ◽  
pp. 74
Author(s):  
Purwaningsih Purwaningsih ◽  
Ade Irma Khairani ◽  
Tio Elisa Marlina Lubis
Keyword(s):  
Violent Behavior ◽  
Daily Activities ◽  
Behavioral Training ◽  
Real Patient ◽  
Assertiveness Training ◽  
Training Techniques ◽  
Training Technique ◽  
Interpersonal Situations ◽  
Assertive Training

Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.

scholarly journals TEKNIK PELATIHAN ASERTIF UNTUK MENINGKATKAN ASERTIVITAS TERHADAP PERILAKU SEKSUAL DALAM BERPACARAN

2020 ◽  
Vol 15 (3) ◽  
pp. 475-481
Author(s):  
Wardati Humaira
Keyword(s):  
Sexual Behavior ◽  
Mean Value ◽  
Control Group ◽  
Control Group Design ◽  
Assertiveness Training ◽  
Training Techniques ◽  
Post Test ◽  
The Mean ◽  
Assertive Training ◽  
Test Control

One technique that can be applied to increase assertiveness is assertiveness training. This study aims to determine the effect of assertive training techniques to increase assertiveness on sexual behavior in dating by using a pre-experimental approach with pre-test and post-test Control Group Design as well as non-probability sampling techniques and then analyzed by bivariate and multivariate analysis. The results of the independent sample t test for the level of assertiveness showed that the value of p = 0.001 with a test value of t = 7.394, which means that there is an effect of assertive technique training on the assertiveness level of adolescents in sexual behavior. The mean value in the provision of assertive technique training is known to be 4.09 and the mean value to the control is 0.36, this means that there is a change in the value of the assertiveness level of assertiveness towards sexual behavior in dating.

scholarly journals Pengaruh latihan asertif dalam memperpendek lama perawatan dan menurunkan gejala risiko perilaku kekerasan

2019 ◽  
Vol 3 (3) ◽  
pp. 91
Author(s):  
Budi Priyanto ◽  
Iman Permana
Keyword(s):  
Violent Behavior ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Assertiveness Training ◽  
Length Of Treatment ◽  
Significant Difference ◽  
Post Test ◽  
Physical Response ◽  
Assertive Training

Violent behavior cause of mental disorder can occur to yourself or others, with more prevalence experienced by men than women. Assertive training can be believed that decrease of violent behavior risk. The study aims to determine the effect of assertiveness in shortening the length of treatment and reducing the risk of violent behavior symptoms in maintenance room at RSUD Banyumas. The method used was Quasi experiment pre-post test with control group with assertive training treatment. The research sample was 34 patients with risk of violent behavior, 17 respondents from the intervention group and 17 respondents from the control group by consecutive sampling. The instrument in this study used a questionnaire data of respondent demography, observation of behavior response, observation of social respond, questionnaire of cognitive respond, and observation of physic respond in the form of likert scale. Differences in risk of violent behavior are analyzed by t test. The results showed that there was no significant difference in the effect of assertive training in shortening the length of treatment (p value > 0,05), but there was a decrease in behavioral response by 6,06 in the intervention group while 2,64 in the control group, a decrease in social response by 5,35 in the intervention group while 2,24 in the control group, cognitive response was 5,59 in the intervention group while 2,71 in the control group, and the decrease in physical response in the intervention group was 3,65 while 2,47 in the control group was significantly (p value < 0,05) after assertiveness training. There is no effect of assertive training in shortening the length of treatment, but assertive training has proven to be effective in reducing the risk symptoms of violent behavior.

scholarly journals Effect of Behavioral Counseling with Shaping Techniques and Assertive Exercises on Student Self Affiliation

2017 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
I Gede Krisna Yoga ◽  
Ketut Gading ◽  
I Ketut Dharsana
Keyword(s):  
Mean Value ◽  
Behavioral Counseling ◽  
Training Techniques ◽  
Treatment Techniques ◽  
Training Technique ◽  
Group I ◽  
Class Viii ◽  
The Mean ◽  
The Difference ◽  
Assertive Training

The purpose of this study is to determine the effect of Behavioral Counseling With Shaping And Assertive Training Techniques To Self Affiliation and to know the difference of influence between behavioral counseling shaping techniques and assertive training techniques to self-affiliation of students of Class VIII SMP LAB UNDIKSHA.Desain design used is Pretes- Posttest Control GroupDesign. Data analysis method used is t-test. The result of this research is experiment group I shows thitung> t table (5,503> 1,997). Furthermore, treatment techniques of shaping and assertive training techniques show that t count> t table (3.16> 1.99). This proves that, there is a difference between shaping techniques with assertive training techniques against self-affiliation students. From the result of calculation average, obtained 127,57 <119,69, meaning that the mean value of shaping technique count is greater than assertive training technique. For that the third hypothesis that there are differences in the influence of behavioral counseling shaping techniques with assertive training techniques to self-affiliation class VIII students SMP LAB UNDIKSHA.

scholarly journals Improved gastrointestinal profile with diroximel fumarate is associated with a positive impact on quality of life compared with dimethyl fumarate: results from the randomized, double-blind, phase III EVOLVE-MS-2 study

2021 ◽  
Vol 14 ◽  
pp. 175628642199399 ◽  
Author(s):  
Annette Wundes ◽  
Sibyl Wray ◽  
Ralf Gold ◽  
Barry A. Singer ◽  
Elzbieta Jasinska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Use ◽  
Dimethyl Fumarate ◽  
Daily Activities ◽  
Phase Iii ◽  
Symptomatic Medication ◽  
Gi Symptoms ◽  
Symptom Intensity ◽  
The Impact

Background: Diroximel fumarate (DRF) is a novel oral fumarate approved for relapsing forms of multiple sclerosis (MS). DRF demonstrated significantly improved gastrointestinal (GI) tolerability versus dimethyl fumarate (DMF) with fewer days of Individual Gastrointestinal Symptom and Impact Scale (IGISIS) scores ⩾2, GI adverse events (AEs), and treatment discontinuations due to GI AEs. Our aim was to evaluate the impact of GI tolerability events on quality of life (QoL) for patients with relapsing–remitting MS who received DRF or DMF in EVOLVE-MS-2. Methods: A post hoc analysis was conducted in patients who were enrolled in the randomized, blinded, 5-week, EVOLVE-MS-2 [ClinicalTrials.gov identifier: NCT03093324] study of DRF versus DMF. Patients completed daily IGISIS and Global GISIS (GGISIS) eDiary questionnaires to assess GI symptom intensity and interference with daily activities and work. Results: In total, 504 patients (DRF, n = 253; DMF, n = 251) received study drug and 502 (DRF, n = 253; DMF, n = 249) completed at least one post-baseline questionnaire. With DRF, GI symptoms were less likely to interfere ‘quite a bit’ or ‘extremely’ with regular daily activities [IGISIS: DRF, 9.5% (24/253) versus DMF, 28.9% (72/249)] or work productivity [GGISIS: DRF, 6.1% (10/165) versus DMF, 11.3% (18/159)]. DRF-treated patients had fewer days with ⩾1 h of missed work (DRF, 43 days, n = 20 versus DMF, 88 days, n = 26). DMF-treated patients reported highest GI symptom severity and missed work at week 2–3 shortly after completing the titration period, which coincided with the majority of GI-related treatment discontinuations [58.3% (7/12)]. GI tolerability AEs [DRF, 34.8% (88/253); DMF, 48.2% (121/251)], concomitant symptomatic medication use [DRF, 19.3% (17/88) versus DMF, 30.6% (37/121)], and GI-related discontinuations (DRF, 0.8% versus DMF, 4.8%) were lower with DRF versus DMF. Conclusions: The improved GI tolerability with DRF translated into clinically meaningful benefits to QoL, as patients experienced less impact on daily life and work and required less concomitant symptomatic medication use. Trial registration: [ClinicalTrials.gov identifier: NCT03093324]

scholarly journals Relationship between Emotional Intelligence and Violence Exerted, Received, and Perceived in Teen Dating Relationships

2021 ◽  
Vol 18 (5) ◽  
pp. 2284
Author(s):  
Cordelia Estevez-Casellas ◽  
Mª Dolores Gómez-Medina ◽  
Esther Sitges
Keyword(s):  
Emotional Intelligence ◽  
Social Relationships ◽  
Violent Behavior ◽  
Critical Role ◽  
Dating Relationships ◽  
Significant Relation ◽  
Violent Behaviors ◽  
Teen Dating ◽  
The Relationship

Emotional intelligence plays a critical role in adolescence since it involves a change towards psychological, social, and sexual maturity; a stage in which the foundations of intimate social relationships are established. Emotional competences regulate the quality of these relationships in adolescence and can provide protection against or facilitate the use of violence within them. Based on the above, this study aims to analyze the relationship between emotional intelligence and violence exercised, received, and perceived by adolescents in dating relationships. A sample of 254 subjects (43.1% men and 56.9% women) between 12 and 18 years old was analyzed through the Emotional Intelligence Questionnaires of BarOn ICE:NA and Violence Exercised Perceived and Received by Adolescents VERA. The results of the research have shown that there is a significant and inverse relation between the dimensions of emotional intelligence and the violence exercised by adolescents in their dating relationships, and a positive and significant relation between emotional intelligence and the perception of violent behavior. For this reason, the importance of educating people about emotional intelligence from childhood within both the academic and family sphere is highlighted. This is fundamental to preventing the appearance of such violent behaviors and promoting an adequate adaptation to the environment.

The importance of sarcopenia and frailty in the management of cirrhosis

2021 ◽  
Vol 75 (2) ◽  
pp. 102-109
Author(s):  
Petra Vrbová ◽  
Tomáš Koller
Keyword(s):  
Liver Transplantation ◽  
Functional Status ◽  
Early Identification ◽  
Nutritional Support ◽  
Patient Management ◽  
Daily Activities ◽  
Disease Stage ◽  
Practical Reasons ◽  
Risk Of Falls

At present, we have enough tools for quick and accurate assessment of the muscle strength and functional status of a patient with cirrhosis. In recent years, the diagnostic criteria for sarcopenia and frailty are gradually merging into one, primarily for practical reasons. Both of them are equally negative predictors of disease development in hospitalized patients with cirrhosis regardless of the decision on the indication of liver transplantation, but also in patients on the waiting list, and in those after liver transplantation. Sarcopenia and frailty are strong and disease stage-independent predictors of mortality. Undiagnosed and untreated sarcopenia or frailty also increase the risk of falls and fractures, impair the natural ability to perform daily activities, and increase the degree of dependence on others. They are associated with a reduced cognitive function, higher risk of complications, reduced quality of life and prolonged hospitalization. Their early identification will enable the optimization of patient management with the immediate use of nutritional support and pre-habilitation in order to prevent further deterioration of functional status and avoid adverse consequences of the disease.

scholarly journals Surgical-prosthetic treatment of large mandibular cysts

2003 ◽  
Vol 60 (3) ◽  
pp. 365-368
Author(s):  
Ljubisa Dzambas ◽  
Asen Dzolev
Keyword(s):  
Quality Of Life ◽  
Soft Tissue ◽  
Bone Defect ◽  
Tissue Regeneration ◽  
Disease Patient ◽  
Daily Activities ◽  
Bone Tissue Regeneration ◽  
Tissue Loss ◽  
Mandibular Bone

This paper presents a combined surgical-prosthetic procedure of reconstructing mandibular bone defect in a 53 year old patient, following enucleation of a mandibular cyst (Cystectomy Partsch II). After a thorough diagnostic evaluation, a surgical procedure was planned with the particular attention to the nature of the disease, patient?s condition, size and extension of the cyst, tissue loss, and the possibilities of prosthetic management of a mandibular bone defect with partial postresection dental prosthesis. It is of great importance to point to the significance of teamwork of a maxillofacial surgeon and a specialist in prosthodontics. This kind of cooperation provided very effective and less risky soft tissue, as well as bone tissue regeneration (osteogenesis). The patient?s recovery was fast, and he could return to his daily activities and work without significant changes regarding quality of life after surgery and prosthetic treatment.

scholarly journals Tajwid, Gramatika Bahasa Arab, dan Adaptasi Kebiasan Baru dalam Peribadatan Sehari-Hari

Bakti Budaya ◽  
2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Siti Aminah ◽  
Uswatun Hasanah ◽  
Imam Wicaksono
Keyword(s):  
Community Service ◽  
Daily Activities ◽  
Protocol Implementation ◽  
Morning Prayer ◽  
Self Protection ◽  
And Training

The Covid-19 pandemic has brought a new life order which is commonly known as a health protocol implementation. Efforts to deal with the Covid-19 pandemic can be made physically or spiritually. Physical efforts are carried out by applying health protocols in a disciplined manner, while spiritual efforts are carried out by increasing the quality of worship of God. These two efforts must be combined with maintaining the quality of worship in health protocols. In this case, the quality of worship can be improved by deepening the understanding and application of Arabic tajwid and grammar in reciting verse and prayer recitations. In addition, it is necessary to practice morning and evening prayers as self-protection and maintain mental stability. To achieve this goal, this team carried out a community service by compiling two pocketbooks. The first one is related to the application of health protocols in daily worship and another pocketbook containing tajwid material and morning prayer, which was equipped with exposure and training on recitation and reading the morning prayer and evening prayers. These exposures are presented in outreach videos and tutorials. The result shows that people are increasingly aware of implementing health protocols in their daily activities, especially in Islamic worship. In addition, the community's mentality has become more robust, and people have become calmer in living their lives during the pandemic since some people have practiced morning and evening prayers. In addition, they also apply tajwid and Arabic grammar in a better way so that their worship activities become much more solemn. ===== Pandemi Covid-19 membawa manusia kepada tatanan kehidupan baru dengan menerapkan protokol kesehatan. Salah satu hal yang dapat dilakukan dalam mengahadapi pandemi Covid-19 dan terhindar dari penularan virus dapat dilakukan secara jasmani maupu rohani. Upaya jasmaniah dilakukan dengan menerapkan protokol kesehatan secara disiplin, sedangkan upaya rohani dilakukan dengan mendekatkan diri kepada Tuhan dengan meningkatkan kualitas peribadatan. Hal tersebut dapat dilakukan dengan tetap melakukan ibadah dengan menerapkan protokol kesehatan, diikuti dengan pemahaman dan penerapan tajwid dan gramatika Arab dengan benar dalam melafalkan bacaan ayat dan doa. Selain itu, diperlukan pula pengamalan doa pagi dan petang untuk menjaga diri dan meningkatkan kesehatan mental. Untuk mencapai tujuan tersebut, tim  melaksanakan pengabdian dengan menyusun buku saku penerapan protokol kesehatan dalam peribadatan sehari-hari dan buku saku yang berisi materi tajwid dan doa pagi-petang yang diikuti dengan penyuluhan dan pelatihan penerapan tajwid dan membaca doa pagi dan petang yang dilakukan dengan membuat video penyuluhan dan tutorial. Hal ini menunjukkan hasil bahwa masyarakat semakin sadar untuk menerapkan protokol kesehatan dalam setiap aktivitas sehari-hari, khususnya dalam peribadatan Islam. Selain itu, mental masyarakat menjadi semakin kuat dan masyarakat menjadi lebih tenang dalam menjalani kehidupan selama pandemi. Hal ini karena sebagian masyarakat telah mengamalkan doa pagi dan petang, serta menerapkan tajwid dan gramatika Arab dengan lebih baik sehingga aktivitas ibadah mereka menjadi semakin khusyu’.

scholarly journals Clinical, Radiological, Pedobarographic, and Quality of Life Outcomes of the Ponseti Treatment for Clubfoot: A Prospective Study from Iran

2021 ◽  
Author(s):  
Kamyar Vahidi ◽  
Ahmad Shamabadi ◽  
Mohammad Hossein Nabian ◽  
Fardis Vosoughi ◽  
Ramin Zargarbashi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Standard Treatment ◽  
Daily Activities ◽  
Life Outcomes ◽  
Long Term Outcomes ◽  
First Metatarsal ◽  
Talipes Equinovarus ◽  
A Prospective Study

Abstract Background: Talipes equinovarus, also known as clubfoot, is a congenital anomaly that affects one newborn per 1000 live births. Its standard treatment strategy is the Ponseti casting management. This study aims to report the long-term outcomes of the Ponseti treatment in Iran.Methods: A prospective cohort study was enrolled to evaluate clinical outcomes, radiological results, pedobarographic measurements, and quality of life after the Ponseti treatment in patients with clubfoot who were followed for at least five years.Results: In this study, 25 clubfeet of 18 patients were included. Significant reductions in Pirani, Dimeglio, and CAP scores, improved ankle dorsiflexion, and acceptable pedobarographic indices were observed in this study. From the radiological evaluation indices, the calcaneal pitch and lateral talus-first metatarsal angles were significantly reduced. The quality of life of patients after five years of treatment was favorable, which was better in females. This study showed that the results of the Ponseti treatment remained acceptable after five years.Conclusions: The Ponseti management for clubfoot in the long term appears to maintain significant improvements. However, the rate of recurrence – albeit without disruption to daily activities - cannot be ignored.

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