scholarly journals THE IMPLEMENTATION OF RELAXATION AND DISTRACTION TECHNIQUES ON ADOLESCENTS EXPERIENCING ANXIETY IN EARTHQUAKE PRONE AREAS

2019 ◽  
Vol 2 (3) ◽  
pp. 9-15
Author(s):  
Yunita Astriani Hardayati ◽  
Mustikasari Mustikasari
Keyword(s):  
Rating Scale ◽  
Signs And Symptoms ◽  
Nursing Intervention ◽  
Relaxation Techniques ◽  
Adolescent Students ◽  
Breathing Exercises ◽  
Related Information ◽  
Prone Area ◽  
Hamilton Anxiety Rating Scale

Adolescents are a vulnerable group mental health problem development after frequently being exposed to disaster-related information. Some studies show that adolescent living in earthquake-prone areas experience anxiety. Adolescents’ untreated anxiety possibly causes mood disorders, eating disorders, and even anxiety disorder. Nursing intervention conducted to reduce anxiety consists of relaxation and distraction techniques. Relaxation techniques consist of deep breathing exercises and five-finger relaxation techniques. This case study aims to describe the change signs and symptoms of anxiety on adolescent in earthquake prone area that giving relaxation and distraction techniques. The subjects of this study were four high-school-adolescent-students suffering from moderate anxiety about earthquake and were measured by Hamilton Anxiety Rating Scale (HARS). The results reveal that anxiety levels of all subjects decreases with average HARS score is 11,5. It is concluded that relaxation and distraction techniques can use as one of theraphy to reduce anxiety on middle adolescent in earthquake- prone area. This case study is considered as an important reference material for practitioners who find a similar case in the pratice setting.

scholarly journals Reduction of Anxiety Levels in Schizophrenia Patients Using Progressive Muscle Relaxation

2021 ◽  
Vol 3 (2) ◽  
pp. 90
Author(s):  
Yanah Kuscianah Kuswa
Keyword(s):  
Rating Scale ◽  
Common Mental Disorder ◽  
Muscle Relaxation ◽  
Nursing Intervention ◽  
Progressive Muscle Relaxation ◽  
Relaxation Techniques ◽  
Patient Anxiety ◽  
Schizophrenic Patients ◽  
Anxiety Levels

Anxiety neurosis is the most common mental disorder in society. Progressive muscle relaxation is an independent nursing intervention that can be chosen to reduce anxiety in schizophrenia patients. This case study aims to prove that progressive muscle relaxation can help reduce anxiety levels in schizophrenic patients. The study design is descriptive in the form of a case study with a nursing process approach, applying progressive muscle relaxation techniques to schizophrenic patients who experience problems with anxiety levels. The sample was two adult schizophrenic patients who experienced anxiety in Eredah Complex Mental Health Hospital. The patient's anxiety was measured by the Zung-Self Anxiety Rating Scale. The progressive muscle relaxation procedure is performed 2 times over two days with a duration of 20-30 minutes each session. Hemodynamic measurements and anxiety levels were performed pre-post progressive muscle relaxation. The results of the case study showed that progressive muscle relaxation interventions affected reducing patient anxiety levels. The mean score of the patient's anxiety decreased by 30.34% after being given progressive muscle relaxation. Progressive muscle relaxation is effectively applied to schizophrenic patients with anxiety disorders in nursing service settings.

scholarly journals Risperidone or Aripiprazole Can Resolve Autism Core Signs and Symptoms in Young Children: Case Study

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 318
Author(s):  
Hamza A. Alsayouf ◽  
Haitham Talo ◽  
Marisa L. Biddappa ◽  
Emily De Los Reyes
Keyword(s):  
Young Children ◽  
Behavioral Interventions ◽  
Rating Scale ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Autism Spectrum ◽  
Standard Test ◽  
Pharmacological Intervention ◽  
Retrospective Case

Risperidone and aripiprazole are approved by the USA Food and Drug Administration for the treatment of irritability and aggression in children from the ages of 5 and 6 years, respectively. However, there are no approved medications for the treatment of autism spectrum disorder (ASD) core signs and symptoms. Nevertheless, early intervention is recognized as key to improving long-term outcomes. This retrospective case study included 10 children (mean age, 2 years 10 months) with ASD who presented with persistent irritability and aggression before 4 years of age that was unresponsive to behavioral interventions and sufficiently severe to consider pharmacological intervention with risperidone or aripiprazole combined with standard supportive therapies. Besides ameliorating comorbid behaviors, improvement was observed in ASD core signs and symptoms for all patients, with minimal-to-no symptoms observed in 60% of patients according to the Childhood Autism Rating Scale 2-Standard Test and Clinical Global Impression scales. Excessive weight gain in two patients was the only adverse effect observed that required intervention. This is the first study to suggest that ASD can potentially be treated in very young children (<4 years). Clinical trials are urgently required to validate these findings among this pediatric population.

scholarly journals The Effects of Humanized Psychological Nursing Model in General Surgery Nursing

2021 ◽  
Vol 5 (4) ◽  
pp. 98-102
Author(s):  
Guifeng Xue ◽  
Huafang Yi ◽  
Ping Xue ◽  
Wenmin Sun
Keyword(s):  
Patient Satisfaction ◽  
General Surgery ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Control Group ◽  
Study Group ◽  
Clinical Effects ◽  
Analog Scale ◽  
Nursing Services ◽  
Hamilton Anxiety Rating Scale

Objective: To analyze and comprehensively study the clinical effects of humanized psychological nursing model in general surgery nursing. Methods: The study period was from January 2018 to December 2020. A sample of 200 patients who were admitted to The Second People’s Hospital of Taizhou City for general surgery were selected. Random lottery grouping was used to divide the subjects into a study group and a control group. The sample within each group was n=100. The patients in the control group were provided with conventional general surgery nursing plan whereas the patients in the study group received the same nursing plan but with addition of the humanized psychological nursing model. The indicators of the two groups were compared and analyzed. Results: Comparing the scores from Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) after nursing intervention, postoperative visual analog scale (VAS), hospital stay, and patient satisfaction with the nursing services between the two groups, the study group was better (P < 0.05). Conclusion: The implementation of humanized psychological nursing model in general surgery nursing had a significant effect in which there were improvements in regard to the patients’ mental state and their satisfaction with the nursing services. Hence, it is worthy of promotion.

scholarly journals KOMUNIKASI TERAPEUTIK PERAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN DI RUANG INTENSIVE CARE UNIT

2017 ◽  
Vol 4 (1) ◽  
pp. 30
Author(s):  
Ismi Maulida Rezki ◽  
Dhian Ririn Lestari ◽  
Anggi Setyowati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rating Scale ◽  
Nursing Intervention ◽  
Anxiety Level ◽  
P Value ◽  
Therapeutic Communication ◽  
Coefficient Corrélation ◽  
Hamilton Anxiety Rating Scale ◽  
Hamilton Anxiety

ABSTRAKKomunikasi terapeutik adalah alat dasar yang digunakan untuk membentuk hubungan antara perawat dan keluarga pasien. Keluarga pasien merasa interaksinya dengan perawat merupakan kesempatan menyampaikan perasaan yang mengganggu sehingga sangat diperlukan untuk mengatasi kecemasan. Tujuan penelitian adalah Menganalisis hubungan komunikasi terapeutik perawat dengan tingkat kecemasan keluarga pasien. Metode penelitian ini adalah observasional analitis dilakukan pada 30 keluarga pasien di ruang Intensive Care Unit (ICU) Rumah Sakit Umum Daerah (RSUD) Ratu Zalecha Martapura. Instrumen yang digunakan yaitu kuesioner komunikasi terapeutik perawat dan Hamilton Anxiety Rating Scale (HARS). Hasil penelitian didapatkan komunikasi terapeutik perawat baik sebanyak 83,4%, komunikasi terapeutik perawat cukup sebanyak 16,7%. Tidak terdapat kecemasan sebanyak 33,3%, kecemasan ringan sebanyak 33,4%, kecemasan sedang sebanyak 16,6%, kecemasan berat 16,7%. Hasil uji korelasi spearmandidapatkan p value= 0,000 dan koefisien korelasi spearman (r)= -0,816. p value 0,000 <0,05. Komunikasi terapeutik perawat berhubungan dengan tingkat kecemasan keluarga pasien. Komunikasi terapeutik perawat dapat dijadikan intervensi keperawatan oleh perawat kepada keluarga pasien di ruang ICU.Kata-kata kunci: komunikasi terapeutik perawat, kecemasan keluarga pasien.ABSTRACTTherapeutic communication is a base tool used for making correlation between nurse and patient family. Patient family feels that their interaction with nurse is oppurtunity to explain feel which disturb so need for anxiety solving. Aim of this research to analyze correlation therapeutic communication of nurse with patient family anxiety level. Method of This research observational analysis with total respondent were 30 patients family in Intensive Care Unit (ICU) General Hospital (RSUD) Ratu Zalecha Martapura between 28 November to 7 December 2015. This research instruments used Therapeutic Communication of Nursing questionnaire and Hamilton Anxiety Rating Scale (HARS) questionnaire. Results of this research is communication of nurse good were 83,4%, therapeutic comunication of nurse enough were 16,7. There were no anxiety 33,3%, low anxiety were 33,4%, middle anxiety were 16,6%, high anxiety were 16,7%. Result of corelation spearman statistic p value= 0,000 and coefficient correlation spearman (r)= -0,816. p value 0,000<0,05. Communication therapeutic of nurse related with patient family anxiety level. Communication therapeutic of nurse can be used as nursing intervention by nurse to patient family in ICU.Keywords: communication therapeutic of nurse, patient family anxiety.

scholarly journals Pengaruh Teknik Relaksasi Benson Terhadap Penurunan Nyeri Pada Pasien Post Operasi Sectio Caesarea di RSUD Dr. Achmad Mochtar Bukittinggi

2020 ◽  
Vol 5 (2) ◽  
pp. 106
Author(s):  
Kriscillia Molly Morita ◽  
Rini Amelia ◽  
Diana Putri
Keyword(s):  
Cesarean Section ◽  
Rating Scale ◽  
Sampling Technique ◽  
Pain Reduction ◽  
Nursing Intervention ◽  
Sectio Caesarea ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Pharmacological Management

Cesarean delivery is increasingly in demand by pregnant women in developed and developing countries, this is because advances in science and technology are constantly developing, especially in the field of health. Physiologically, cesarean section surgery can have a post-operative effect that is pain. Pain management in postoperative cesarean section consists of pharmacological and non-pharmacological management. One technique that can be used to reduce pain scale in a non-pharmacological way is Benson's relaxation. The purpose of this study was to determine the effect of Benson's Relaxation Techniques on Pain Reduction in Post Sectio Caesarea Patients in Dr. Achmad Mochtar Bukittinggi in 2019. This study uses Quasi Experimental with the control group. The population in this study were all post-sectio caesarea patients in the Midwifery Room of RSUD Dr. Achmad Mochtar Bukittinggi. The sample of this study was 15 intervention groups and 15 control groups taken with the Non Probality Consecutive sampling technique. Performed in April - Juli 2020. The instrument in this study uses the Numeric Rating Scale (NRS). From the 20 respondents obtained the Independent Sample T-Test parametric test results p value 0.001 (p<0.005). This means that there is an effect of Benson's Relaxation Technique on Pain Reduction in Post Sectio Caesarea Patients at RSUD Dr. Achmad Mochtar Bukittinggi in 2020. With the knowledge of the Effect of Benson Relaxation is expected to be a nursing intervention in reducing pain in post cesarean sectio patients.

scholarly journals Pengaruh Senam Rematik Terhadap Penurunan Nyeri Pada Pasien Rheumatoid Arthritis

2021 ◽  
Vol 1 ◽  
pp. 2084-2089
Author(s):  
Vanesa Tri Novana ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah
Keyword(s):  
Rheumatoid Arthritis ◽  
Joint Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Alternative Therapy ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Pain Scale ◽  
Numerical Rating

Abstract Rheumatoid arthritis is an autoimmune disease when a person’s immune system attacks the body’s cells. Signs and symptoms of rheumatoid arthritis include joint inflammation and joint deformity. In most cases, patients with rheumatoid arthritis experience joint pain. Rheumatic Gymnastics is an alternative therapy that has been proven to reduce joint pain in rheumatic patients. The purpose of this case study is to describe the use of rheumatic exercise therapy in arthritic patients. The purpose of this case study is to examine therapeutic gymnastic in reducing pain among patients with rheumatoid arthritis. Two patients were taught to exercise therapeutic gymnastic. The research instrument is a pain scale observation sheet (Numerical Rating Scale). Two patients reported that there was a decreasing intensity of joint pain after doing exercise. This study concludes this particular exercise may reduce joint pain. Nurses are suggested to implement therapeutic gymnastics exercise in reducing pain among patients with Rheumatoid arthritis.Keywords : rheumatoid arthritis; pain; therapeutic gymnastics exercise Abstrak Rematik merupakan penyakit auto imun ketika sistem imun pada tubuh seseorang menyerang sel-sel tubuhnya sendiri. Gejala rematik yaitu inflamasi, deformitas, dan nyeri sendi yang paling dirasakan oleh penderita rematik. Senam Rematik merupakan terapi alternative yang sudah terbukti dapat menurunkan nyeri sendi pada pasien rematik. Tujuan studi kasus ini adalah untuk menggambarkan penggunaan terapi senam rematik pada pasien rematik. Metode yang digunakan adalah asuhan keperawatan dengan menerapkan terapi senam rematik. Instrumen penelitian berupa lembar observasi skala nyeri (Numerical Rating Scale). Hasil yang didapatkan pada klien 1 maupun 2 yaitu mengalami penurunan nyeri. Kesimpulan pada studi kasus ini bahwa senam rematik dapat menurunkan skala nyeri. Saran bagi perawat diharapkan dapat menerapkan tindakan senam rematik untuk menurunkan skala nyeri pada pasien rematik.Kata kunci : Rematik, nyeri, senam rematik

scholarly journals Gambaran Tingkat Kecemasan pada Warga yang Tinggal di Daerah Rawan Longsor di Kelurahan Ranomuut Kota Manado

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Nikhita F. A. Mamesah ◽  
Hendri Opod ◽  
Lydia David
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Anxiety Level ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Prone Area ◽  
Hamilton Anxiety Rating Scale ◽  
Physical Changes ◽  
Severe Anxiety ◽  
Hamilton Anxiety

Abstract: Anxiety is a normal reaction that helps human to deal with danger or tough situation. Anxious people feel afraid, worry, and have physical changes such as increased blood pressure. This condition can happen especially among people who live in the landslide-prone area. They always feel worried and anxious when rain as well as earthquake or any condition that can trigger landslide occurs. This study was aimed to determine the anxiety level among residents living in the landslide prone-area Ranomuut Manado. This was a descriptive study with a cross sectional approach. Samples were obtained by using the purposive sampling technique. Respondents were residents of Ranomuut Lingkungan IV Manado. The anxiety level was measured with Hamilton Anxiety Rating Scale (HAR-S) questionnaire. The results showed that there were 43 respondents who participated in this study; 22 females (51.1%) and 21 males (48.9%). The anxiety levels were mild anxiety in 11 respondents (25.6%), moderate anxiety in 22 respondents (51.1%), severe anxiety in 8 respondents (18.6%), and no anxiety in 2 respondents (4.7%). Conclusion: Most residents in landslide prone-area had anxiety, and the most common anxiety was moderate anxiety.Keywords: anxiety, landslide prone-area, Hamilton Anxiety Rating Scale (HAR-S) Abstrak : Kecemasan adalah reaksi normal yang membantu manusia menghadapi situasi yang berbahaya atau sulit. Kecemasan merupakan suatu perasaan yang sifatnya umum, dimana seseorang merasa ketakutan, memiliki pikiran yang khawatir, dan perubahan fisik seperti tekanan darah yang meningkat. Keadaan ini dapat terjadi khusunya bagi orang yang tinggal di daerah rawan longsor yang akan selalu waspada dan juga merasa cemas disaat hujan, gempa atau hal-hal yang dapat memicu terjadinya longsor. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan pada warga yang tinggal di daerah rawan longsor di Kelurahan Ranomuut, Kota Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Teknik pengambilan sampel menggunakan purposive sampling. Responden penelitian ialah warga Kelurahan Ranomuut Lingkungan IV. Tingkat kecemasan diukur menggunakan kuesioner Hamilton Anxiety Rating Scale (HAR-S). Hasil penelitian mendapatkan bahwa responden yang mengikuti penelitian berjumlah 43 orang, terdiri dari perempuan 22 orang (51,1%) dan laki-laki 21 orang (48,9%). Tingkat kecemasan yang didapatkan ialah kecemasan ringan sebanyak 11 orang (25,6%), kecemasan sedang sebanyak 22 orang (51,1%), kecemasan berat sebanyak 8 orang (18,6%), dan yang tidak memiliki kecemasan sebanyak 2 orang (4,7%). Simpulan: Sebagian besar masyarakat yang berdiam di daerah rawan longsor mengalami kecemasan, terutama kecemasan sedang.Kata kunci: kecemasan, daerah rawan longsor, Hamilton Anxiety Rating Scale (HAR-S)

scholarly journals LITERATUR REVIEW TERAPI PIJAT REFLEKSI KAKI PADA PASIEN KANKER DENGAN KECEMASAN

2021 ◽  
Author(s):  
Ashar Prima ◽  
Amzal Mortin Andas ◽  
Syifa Hanifah
Keyword(s):  
Literature Review ◽  
Cancer Patients ◽  
Full Text ◽  
Rating Scale ◽  
Sleep Problems ◽  
Nursing Intervention ◽  
Anxiety Scale ◽  
Google Scholar ◽  
Hamilton Anxiety Rating Scale ◽  
Hamilton Anxiety

ABSTRACTPatients with cancer will experience limitations in meeting their daily needs and face physical problems (pain, fatigue, sleep problems, coughing, etc.), psychological problems, spiritual problems, and financial problems. Therefore karerna nursing intervention is needed to overcome these problems, one of them with foot reflexology massage. Study of this literature aims to determine the effectiveness of foot reflexology massage in cancer patients with anxiety problems. The design in this scientific paper is literature review, searches are carried out in Pubhmed and Google Scholar. The key word in searching is cancer and anxiety and foot reflexology. With the criteria of the last 10 years of publication, full text, international or national, articles do not pay. The results have been found 3 articles, namely 2 articles from Google Scholar and 1 article from Pubhmed. The inclusion criteria used were using intervention journals to overcome anxiety problems with cancer problems that can be accessed full text. The journal year that is used is limited from 2010-2020. Based on literature review in 3 journals, it is found that foot reflexology therapy can be given to cancer patients by doing massage on the foot using tools in accordance with SOP reflexology foot massage. Anxiety scale assessment can use the HARS (Hamilton Anxiety Rating Scale) questionnaire. The results of the literature review indicate that foot reflexology massage therapy can reduce the anxiety scale in cancer patients.Keywords : Cancer, Foot Reflexyology, AnxietyABSTRAKPasien dengan kanker akan mengalami keterbatasan dalam memenuhi kebutuhan hariannya dan menghadapi masalah fisik (nyeri, kelelahan, masalah tidur, batuk, dan lain-lain), masalah psikologis, masalah spiritual, dan masalah financial. Oleh karerna itu dibutuhkan intervensi keperwatan untuk mengatasi masalah tersebut, salah satunya dengan pijat refleksi kaki, Telaah literatur ini bertujuan untuk mengetahui efektifitas pijat refleksi kaki pada pasien kanker dengan masalah kecemasan. Desain dalam karya tulis ilmiah ini adalah literature review, pencarian dilakukan dalam pubhmed dan google scholar. Kata kunci dalam melakukan pencarian adalah cancer and anxiety and foot reflexology. Dengan kriteria 10 tahun terakhir publikasi, full text, internasional atau nasional, artikel tidak berbayar. Hasil telah ditemukan 3 artikel yaitu 2 artikel dari google scholar dan 1 artikel dari pubhmed. Kriteria inklusi yang digunakan yaitu menggunakan jurnal intervensi untuk mengatasi masalah kecemasan dengan permasalahan kanker yang dapat diakses full text. Tahun jurnal yang digunakan dibatasi dari 2010-2020.Berdasarkan telaah literatur pada 3 jurnal didapatkan bahwa terapi pijat refleksi kaki dapat diberikan kepada pasien kanker dengan cara melakukan pemijatan pada bagian kaki menggunakan alat sesuai dengan SOP pijat refleksi kaki. Penilaian skala kecemasan dapat menggunakan kuesioner HARS (Hamilton Anxiety Rating Scale). Hasil telaah literatur menunjukkan bahwa terapi pijat refleksi kaki dapat mengurangi skala kecemasan pada pasien kanker.Kata kunci : Kanker, Pijat Refleksi Kaki, Cemas.

AAC Collaboration Using the Self-Anchored Rating Scales (SARS): An Aphasia Case Study

2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox
Keyword(s):  
Augmentative And Alternative Communication ◽  
Rating Scales ◽  
Rating Scale ◽  
Therapeutic Process ◽  
Family Counseling ◽  
The Self ◽  
Alternative Communication ◽  
Her Family ◽  
Solution Focused

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.

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