PENGARUH TERAPI SUPPORTIF KELOMPOK TERHADAP KETERBUKAAN DIRI ORANG DENGAN HIV/AIDS DI KECAMATAN TUREN KABUPATEN MALANG

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Galuh Kumalasari

PLWHA (People Living with HIV / AIDS) have a feeling of being afraid of being stigmatized and discriminatory treatment related to their illness so that they tend to hide their status from others (non self disclosure), and trigger mental emotional disorders. Factors that are very influential on Self Disclosure of PLWHA are social support, then Group Supportive Therapy can be applied as a solution to this problem. The purpose of this study was to analyze the effect of Supportive Group Therapy on PLWHA self disclosure in area of Turen Health Center in Malang Regency. The design of this study was Quasi experimental a pretest-posttest approach with control group. Involving 24 PLWHA in Turen District Malang Regency as a treatment group and PLWHA in Kepanjen District as a control group. The treatment group was given supportive therapy covering 4 sessions. Measurement of self-disclosure PLWHA by using the instrument Revised Self Disclosure Scale (RSDS). The results of this study showed that in both groups treatment and control groups there were significant differences in the value of self-disclosure before and after the treatments were analyzed using the Wilcoxon test. In the treatment group, p value = 0.001 (<0.05) and in the control group p value = 0.014 (<0.05). The results of the analysis of differences in self disclosure before and after treatment between the treatment group and the control group used Mann Whitney test showed that the results were p = 0.001 (<0.05). This can be interpreted that there were a significant effect of the application of supportive group therapy on Self Disclosure. Supportive group therapy was an effective for increasing self-disclosure of PLWHA so that the risk of mental emotional disorders can be minimized. Keywords : Self Disclosure, Group Supportive Therapy, PLWHA Abstrak : ODHA(Orang dengan penyakit HIV/AIDS) memiliki perasaan takut mendapat stigma dan perlakuan diskriminatif terkait penyakitnya sehingga cenderung menyembunyikan statusnya dari orang lain,sehingga dapat memicu munculnya gangguan mental emosional. Faktor yang sangat berpengaruh terhadap keterbukaan diri ODHA yaitu dukungan sosial, maka Terapi Supportif Kelompok dapat diaplikasikan sebagai solusi dari permasalahan ini.Tujuan penelitian ini untuk menganalisis pengaruh Terapi Supportif Kelompok terhadap keterbukaan diri ODHA di wilayah kerja Puskesmas Turen Kabupaten Malang. Desain penelitian ini adalah Quasi eksperimental dengan pendekatan pretest–posttest with control group. Melibatkan 24 ODHA di Kecamatan Turen Kabupaten Malang sebagai kelompok perlakuan dan 20 ODHA di Kecamatan Kepanjen sebagai kelompok kontrol. Kelompok perlakuan diberi terapi supportif meliputi 4 sesi. Pengukuran keterbukaan diri ODHAdengan menggunakan instrument Revised Self Disclosre Scale (RSDS). Hasil penelitian ini menunjukkan baik di kelompok perlakuan maupun kontrol terdapat perbedaan yang bermakna dari nilai keterbukaan diri sebelum dan setelah diberikan perlakuan yang dianalisis menggunakan uji Wilcoxon. Pada kelompok perlakuan didapatkan nilai p=0,001 (<0,05) dan pada kelompok kontrol didapatkan nilai p=0,014 (<0,05). Meskipun keduanya sama-sama mengalami kenaikan, namun selisih pada nilai kelompok perlakuan menunjukkan nilai yang lebih besar dari kelompok kontrol. Dibuktikan dengan uji analisis uji Mann Whitney didapatkan hasil yaitu p=0,001 (<0,05). Kesimpulan pada penelitian ini membuktikan bahwa penerapan terapi supportif kelompok efektif dalam meningkatkan keterbukaan diri ODHA sehingga risiko gangguan mental emosional dapat diminimalkan. Kata kunci : Keterbukaan diri, Terapi Supportif Kelompok, ODHA

2017 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Liyanovitasari Liyanovitasari ◽  
Noor Hamdani ◽  
Asti Melani Astari

Schizophrenia is a psychiatric illness that causes the burden and maladaptive coping mechanism on the family. The burden and maladaptive coping mechanisms have an impact on the quality of family life and the ability of families to care for schizophrenic patients. The purpose of this study was to prove the effect of supportive group therapy on the burden and coping mechanisms in caring for family members who suffer schizophrenia. The design of this research was a pretest-posttest quasi-experimental study with control group design. The number of samples was 14 in the treatment group and 15 in the control group with purposive sampling. Variable of burden was measured with the Zarit Burden Interview (ZBI) and the coping mechanism was assessed by using Brief COPE Inventory (BCI). This supportive therapy was performed in 4 sessions with a total of 6 meetings. The results showed that there were significant differences on burden values and coping mechanisms before and after supportive therapy in the treatment group (p-value= 0.000). In the control group, there was a significant difference on the value of burden before and after health counseling (p-value =0.010), but there was no difference of coping mechanism value before and after health counseling (p-value=0.225). There were significant differences on the burden value (p-value=0.002) and coping mechanisms (p-value= 0.001) between treatment and control group. dr Rehatta Hospital is expected to facilitate the formation of peer support group in the psychiatry clinic so mental health in the family can be achieved.


2019 ◽  
Vol 11 (2) ◽  
pp. 82
Author(s):  
Sofi Siti Selviyanti ◽  
Ichwanuddin Ichwanuddin ◽  
Judiono Judiono ◽  
Suparman Suparman ◽  
Dife Nur Tiara

School children are the most rapid growth period after toddlers. Knowledge of nutrition plays an important role in determining the degree of public health. So to increase knowledge, nutrition counseling is needed with interesting media, one of them is flashcard. The purpose of this study was to determine the effectiveness of nutritional counseling using flashcard media on the knowledge of the general message of balanced nutrition in fifth grade students of SDN Cikoneng 1 and SDN H. Agus Salim. The research design used was quasi experiment with a pre-test and post-test control group design. The study was conducted on fifth grade students of Cikoneng 1 Elementary School as a treatment group, amounting to 23 people and SDN H. Agus Salim as a control group of 46 people. The sampling technique is total sampling. Counseling was carried out for 30 minutes then given flashcard games in the treatment group and the control group using leaflets. Analysis of the data used is the t-Dependent test and Man Whitney test. The results of the study in the treatment and control groups showed significant differences in the value of knowledge before and after counseling with each p value (p = 0,000). Flashcard media is more effective in increasing knowledge in students (p = 0,000). Schools are expected to be able to forward the flashcard media and disseminate information about the General Message of Balanced Nutrition. Keywords: Extension, Flashcard, General Message Balanced Nutrition


Author(s):  
Lutfatul Latifah ◽  
Dian Ramawati

Introduction: Every woman who undergo Sectio Caesaria (SC) surgery for delivery their babies often complain about pain after the surgery and it become very distrubing. The effect of the pain cause mobilisation limitation, interrupting bonding attachment between mother and child, and postponning breastfeeding inititation. This study conduct EFT or tapping as the pain management in women post SC surgery.The aim of this study is to identify the effect of EFT or tapping for reducing pain after SC surgery. Methods: Quasy experimental with pre-post non randomized control group design was used in this study. The data been colleted using Numeric Rating Scale (NRS) to measure the pain in participants before and after EFT or tapping treatment. The number of participants was 30 mothers with 15 women in control and treatment group respectively. The t-test was used to analize the effect of the EFT. Results: The mean of pain scale before treatment in control group was 5.20 dan 6.20 for the treatment group. The pain scale after treatment in control group was 5.00 and 4.27 in treatment group. There was a significant difference between the reducing pain scale in treatment group with p value = 0,000 (α = 0.05). Discussion: EFT or tapping can be one of many non farmacologic treatment as complementer therapy to reduce pain after SC surgery. Keywords: post SC pain, EFT, pain scale decline, non farmacologic therapy


Author(s):  
Laila Nuranna ◽  
Kartiwa H Nuryanto ◽  
Andriansyah Andriansyah ◽  
Sylvia D Elvira ◽  
Bambang Sutrisna

Objective: To prove the success of supportive psychotherapy thatwas provided as a distress therapy on advanced cervical cancer.Knowing the prevalence of distress type of depression in patientwith epithelial cervical cancer, proving the benefits of psychotherapysupportive for distress can decreasing cortisol level in cervicalcancer patient, can assess distress thermometer score, HAM-D17score and scoring incident predictors of distress with depressiontype.Methods: There were 32 subjects from 71 advanced cervical cancerpatients had mild-moderate depression. Then randomizationblocking was performed to determine a subject who entered thetreatment group (n = 16) who got supportive psychotherapy orcontrol group who got common psychotherapy (n = 16). All ofparticipants assessed the distress level with cortisol value, distressthermometer score, and HAM-D17 score before and after they gotsupportive psychotherapy.Results: After the intervention of psychotherapy in the treatmentgroup decreased HAM-D17 score, the average decline 7.53 (SB 3.34).The mean decreasing in the control group was 3.98 (SB 2.85). Thereis a significant difference in mean reduction in HAM-D17 scores ontreatment and control groups with p = 0.003 (p <0.005). There wasdecreasing blood cortisol level in the treatment group amounted to39.43, while the control group there was a drop of 1.59. The reductionof cortisol level in the treatment group and the control has a pvalue0.302. After got supportive psychotherapy, found a decreasingthe average value of the thermometer distress in the treatmentgroup 3.02 and the control group 2.51, with a p value more than0.492.Conclusion: There were 45% of cervical cancer patients in the clinicexperiencing distress disorder with depressive type. The bloodcortisol level could be decreased by giving supportive psychotherapywith a mean decrease of 39.43 nmol/l. There was a significantreduction in the level of depression (HAM-D17 score) of 7.53 pointsand distress thermometer impairment by 3 points after givensupportive psychotherapy. Obtained scoring predictors for theoccurrence of distress type of depression in patients with advancedcervical cancer with a sensitivity of 46.15% and a specificity of89.47%.[Indones J Obstet Gynecol 2018; 6-3: 179-187]Keywords: cervical cancer, cortisol, distress, distress thermometer,HAM-D17 score


2019 ◽  
Vol 4 (1) ◽  
pp. 324
Author(s):  
Vita Triani Adi Puteri ◽  
Syarief Taufik ◽  
Melyana Nurul

Abstract Background: Baby Spa is a series of stimulation of growth and development of children by combining baby gym services, baby swimming and baby massage. In the Kedungmundu District Health Center, it was found that the incidence of infants who had poor nutrition were 6 babies, malnutrition were 3 infants and those who suffered from growth disorder were 15 infants. Objective: This research was aimed to find out the influence of baby spa techniques on motor development and increase in baby's weight. Method: this study used Quasi Experiment method with Pre and Post test with control group design, data analysis used Dependent T Test and Independent T test. Results: There were differences in motor development before and after the treatment, it obtained p Value of 0.001in the treatment group and p value of 0.041 in the control group. There were differences in infant weight gain before and after baby spa (P Value 0,000) in the treatment group and no difference increase in baby’s weight (P Value 0.061) in the control group, there is the influence of giving Baby Spa techniques and baby massage to baby’s motor development in the two groups (P Value 0.021), there is the influence of Baby Spa techniques and baby massage on baby’s weight in the second group (P Value 0.04). Conclusions: There are differences in motor development and increase of baby weight in both groups, and there are effects of Baby Spa techniques and baby massage on motor development and baby’s weight increase in baby aged 4-12 months in each group.   Keywords : Baby Spa, Motor Development, and increasing of baby’s weight   Abstract Baby spa merupakan rangkaian stimulasi tumbuh kembang anak dengan memadukan layanan senam bayi (baby gym), berenang (baby swim) dan pijat bayi (baby massage). Hasil survey pendahuluan yang dilakukan di puskesmas kedungmundu semarang didapatkan hasil bayi yang mengalami kurang gizi sebanyak 6 bayi, gizi buruk sebanyak 3 bayi dan yang mengalami keterlambatan perkembangan motorik sebanyak 15 bayi. The Aim Of Research : Mengetahui pengaruh tekhnik baby spa terhadap perkembangan motorik dan kenaikan berat badan bayi. Research Methode : Jenis penelitian menggunakan quasi eksperimental design dengan rancangan penelitian menggunakan pretest - posttest with control group design. Sampel yang diambil dalam penelitian ini adalah bayi usia 4 – 12 bulan yang berjumlah 30 bayi. Analisa data menggunakan dependent sample t – test. The Result : Ada pengaruh pemberian teknik baby spa pada kelompok perlakuan dan pijat bayi pada kelompok kontrol terhadap perkembangan motorik bayi dengan hasil nilai P value 0,021 dan ada pengaruh pemberian teknik baby spa pada kelompok perlakuan dan pijat bayi pada kelompok control terhadap kenaikan berat badan bayi dengan hasil nilai P value 0,04. Conclusion: Ada pengaruh teknik baby spa terhadap perkembangan motorik dan kenaikan berat badan bayi.   Keywords : Teknik Baby Spa, Perkembangan motorik bayi, Kenaikan berat badan bayi


Author(s):  
Mardelia Astriani ◽  
Nelly Maryam

Primigravida yang merupakan ibu hamil pertama kali cenderung mengalamai kecemasan pada masa kehamilan nya, terutama pada trimester tiga. Kecemasan pada ibu hamil apabila tidak ditangani dengan baik akan membawa dampak terhadap keadaan fisik dan psikologis, baik pada ibu maupun janin. Dalam pedoman pelaksanaan pemeriksaan kehamilan Antenatal Care (ANC) oleh Kementerian Kesehatan pada trimester tiga yaitu salah satunya adanya temu wicara atau konseling. Pelaksanaannya belum maksimal sehinga diperlukan tambahan pelaksanaan konseling secara berkelompok dan berkesinambungan. Terapi tersebut yang bisa digunakan salah satunya yaitu dengan Supportive Group Therapy (SGT). Tujuan pemberian terapi ini untuk menurunkan tingkat kecemasan pada ibu hamil primigravida TM III. Analisis Data menggunakan Quasy Experiment dengan desain nonequivalent control group design. Sampel penelitian diambil secara purposive sampling. Besar sample 26 ibu hamil primigravida TM III dibagi menjadi 2 kelompok, kelompok intervensi dan kelompok kontrol. Dengan hasil penelitian pada kelompok intervensi p-value <0,005 yaitu pemberian Asuhan standar pemerikasaan kehamilan ditambah dengan SGT efektif dalam menurunkan tingkat kecemasan pada Ibu hamil primigravida TM III. SGT sangat direkomendasikan dilakukan berkesinambungan dan berkelanjutan.


2020 ◽  
Vol 5 (1) ◽  
pp. 16
Author(s):  
Joyeti Darni ◽  
Eva Agustina

Background: Communication, Information and Education (IEC) of nutrition for school children can shape children's eating habits from an early age in order to achieve a better individual situation in the future. Comics are able to display simple stories and writing in colloquial so that they are easy to understand. Research Methods. This is a quasi experimental study with control group pretest-posttest design. Subjects were taken with a simple random sample of 60 students who were divided into two groups, the first group was given education with comic Isi Piringku and the second group was given education without comic Isi Piringku. The carbohydrate and protein intake data in two groups were analyzed using the paired t-test. Research Result. The analysis showed that the highest protein intake enhancement occurred in the treatment group with a delta of 16.7 g, while the control group was 6.2 points. The carbohydrate intake before treatment was 191,9 g and increased after given comic Isi  Piringku by 193,4 g. The results of different test showed that there were significant differences in the enhancement of protein intake before and after the provision of nutrition education between the control group and the treatment group with  p value <0.05, carbohydrate intake was not significantly different before and after treatment.


2021 ◽  
Vol 13 (02) ◽  
pp. 128
Author(s):  
Roikatul Miskiyah ◽  
Friska Realita

ABSTRAKLatar Belakang : Hipertensi adalah The Silent Disease sehingga seseorang tidak akan mengetahui jika dirinya menderita hipertensi atau tekanan darah tinggi. Meningkatnya tekanan darah sistolik lebih besar dari 120 mmHg dan diastolik lebih besar dari 80 mmHg pada dua kali pengukuran dengan selang waktu 5 menit dalam keadaan cukup istirahat disebut dengan Hipertensi, Hal tersebut timbul karena adanya banyak faktor interaksi resiko yang dimiliki seseorang. Tujuan : Penelitian ini bertujuan untuk menganalisis efektivitas buah mengkudu dalam menurunkan hipertensi. Metode : Pencarian artikel nasional ini dilakukan dengan basis data seperti google scohlar. Dengan kata kunci: “hipertensi”.”ekstrak buah mengkudu”. Dan penulis menemukan 7 artikel yang relevan 2014-2018. masing-masing mewakili efektivitas buah mengkudu terhadap penurunan hipertensi terhadap semua sampel.  Hasil  : Tujuh artikel yang di dapat, Menunjukkan hasil uji statistik  p Value 0,015 (p<0,05). berarti ada pengaruh antara tekanan darah siastolik maupun diastolik penderita hipertensi sebelum dan sesudah diberikan air perasan buah mengkudu. Kesimpulan : tekanan darah pada kelompok perlakuan sesudah intervensi buah mengkudu mengalami penurunan tekanan darah dibandingkan dengan kelompok control, efektivitas buah mengkudu ialah salah satu pengobatan non farmakologis.Kata kunci: Hipertensi, Ekstrak Buah MengkuduTHE EFFECTIVENESS OF NONI FRUIT (MORINDA CITRIFOLIA L.)    TO REDUCE HYPERTENSIONABSTRACTBackground : Hypertension is The Silent Disease so that a person will not know if he has hypertension or high blood pressure. Increased systolic blood pressure greater than 120 mmHg and diastolic greater than 80 mmHg in two measurements with an interval of 5 minutes in a state of sufficient rest is called Hypertension. This arises because there are many risk interaction factors that a person has. Objective : This study aims to analyze the effectiveness of noni fruit in reducing hypertension. Methods : This national article search was carried out using databases such as Google Scohlar. With keywords: "hypertension", "noni fruit extract". And the author found 7 relevant articles 2014-2018. each represents the effectiveness of noni fruit in reducing hypertension in all samples. Results : Seven articles were obtained, showing the results of the statistical test p Value of 0.015 (p <0.05). This means that there is an influence between systolic and diastolic blood pressure in patients with hypertension before and after being given noni juice. Conclusion : blood pressure in the treatment group after the noni fruit intervention decreased blood pressure compared to the control group, the effectiveness of noni fruit is one of the non-pharmacological treatments.Keywords: Hypertension, Mengkudu Fruit Extract.


Author(s):  
Arif Helmi Setiawan ◽  
Siti Nurjannah ◽  
Nur Muji Astuti

Introduction: Clinical learning is a very important component for nursing students to integrate theoritical with skills in real settings. However, the reality revealed that the achievement of student competency is still not fulfilled yet; this is due to the unstructured interaction between students and mentors. The purpose of this study was analyzed the competence of the clinical learning module on the competency achievement of nursing student. Methods: This research is a quasi-experiment with the pretest-posttesttwogroup research design. Research samples of students in two nursing school in Surabaya who met the criteria of 50 respondents as a treatment group and 50 respondents as a control group. The research instrument used questionnaires and clinical learning modules as well as competency achievement books. Data analysis used Wilcoxon sign ranks test and Mann Whitney test with α ≤ 0,05.Results: The results of statistical tests in the control group obtained P value 0.14 showed there were differences in achievement of competencies before and after, in the treatment group obtained P value 0.000 which means that there were differences in achievement of competencies before and after using the learning module, and the results of Mann Whitney Test obtained P 0.000 , means there is an influence of the clinical learning module on the achievement of the competence of nursing students.Conclusions: Nursing clinic learning requires interaction between students and mentors so that with this clinical learning module can effectively improve the achievement of the competence of nursing students.


2019 ◽  
Vol 10 (2) ◽  
pp. 224
Author(s):  
Purwati Purwati ◽  
Rohayati Rohayati

<p><span lang="IN">Female teenager is one of the vulnerable groups to suffer anemia. Anemia prevalence of female teenager belongs to a public health problem. The objective of this research was to find out the influences of the healthy menu to female teenager Hb level improvement in the Roudhlatul Qur’an Islamic Boarding School in Metro in 2018. This research used </span><em>quasi-experiment pretest and posttest with control group</em><span data-preserver-spaces="true"> design by comparing two groups with the intervention of healthy menu package administration to a treatment group and giving no treatment to control group. The population was 60 female teenagers in Roudhlatul Qur’an Islamic Boarding School. Data were collected by conducting Hb examination by using Haemock before and after treatment. Data were processed and analyzed by using </span><em>an independent t-test</em><span data-preserver-spaces="true">. The average result of Hb level of respondents having health menu package treatment was 14.76gr% with standard of deviation of 1.37 and 13.56gr% in control group respondent with a standard of deviation of 1.05. The statistic test result derived p-value 0.000 with an alpha of 5%, and this indicated that there was a significant difference in Hb level average between treatment group and control group. There is an effect of healthy menu packages on Improvement Young Women HB Levels.</span></p>


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