scholarly journals The The Indonesian Version of Montreal Cognitive Assessment (MoCA-Ina): The Difference Scores Between Male Schizophrenia Prescribed by Risperidone and Adjunctive of Donepezil in Public Hospital of Dr Pirngadi Medan, Indonesia

2019 ◽  
Vol 7 (11) ◽  
pp. 1762-1767
Author(s):  
Novita Linda Akbar ◽  
Elmeida Effendy ◽  
Vita Camellia

BACKGROUND: Prescribing donepezil as an addition in reducing the cognitive dysfunctions among schizophrenia patients that have been given by antipsychotic (risperidone and olanzapine) is commonly used. Also, to determine the presence of the dysfunctions, an assessment is conducted by Montreal Cognitive Assessments based on Indonesian version (MoCA-Ina) to provide a more understandable test. AIM: To determine the score differences of MoCA-Ina between male patients of schizophrenia prescribed with only risperidone, and those with the addition of Donepezil within a certain interval of times. SETTINGS AND DESIGN: It is a pre-post-test experimental design with non-probability of consecutive sampling. METHODS: The study involved 48 of schizophrenia patients who have been prescribed fixed dose risperidone for 4 mg/day orally, and 24 people who were the intervention group were prescribed with the additional of 5 mg of donepezil per day started from the first until sixth week, followed by the increased dosages to 10 mg until twelfth week. These patients were recruited from the Public Hospital of Dr Pirngadi Medan, Indonesia, under the Department of Psychiatry. Then, the statistical data were analysed by Mann Whitney U, Friedman, and Wilcoxon, followed by analysing of SPSS version 21. RESULTS: The addition of five mg of Donepezil increased the MoCA-Ina score significantly compared to those who only prescribed with risperidone during all weeks of observation. CONCLUSION: Based on the results, the addition of donepezil increased the score level of the MoCA-Ina in the intervention group.

2019 ◽  
Vol 2 (2) ◽  
pp. 189-200
Author(s):  
Yestiani Norita Joni ◽  
Busjra M Nur ◽  
Fitrian Rayasari

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM)


2020 ◽  
Vol 1 (4) ◽  
pp. 229-235
Author(s):  
St. Rahmawati Hamzah ◽  
Hamzah B

Abstrak: Kasus stunting di Indonesia masih tergolong tinggi dengan menyentuh angka 30,8%. Angka ini masih jauh dari standar WHO yaitu 20%. Angka prevalensi stunting di Sulawesi Utara sebesar 25,5%, meskipun angka stunting Sulawesi Utara di bawah angka nasional (30,8%) namun masih ada empat daerah dengan angka prevalensi stunting yang cukup tinggi termasuk kabupaten Bolaang Mongondow sebesar 30,6%. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan masyarakat Desa Muntoi Kecamatan Passi Barat Kabupaten Bolaang Mongondow tentang pencegahan stunting. Metode yang digunakan adalah ceramah interaktif dan tanya jawab. Hasil penyuluhan menunjukkan bahwa rata-rata skor pengetahuan masyarakat tentang stunting pada saat pre-test adalah 10,43 dan pada saat post-test meningkat menjadi 19,60. Dampak pengabdian ini adalah meningkatnya pengetahuan masyarakat tentang pencegahan stunting dengan perbedaan nilai rata-rata skor pengetahuan peserta penyuluhan pada saat pre-test dan post-test dengan angka 9,17. Untuk itu disarankan kepada masyarakat khususnya pada ibu untuk melakukan pencegahan stunting dengan pemenuhan asupan gizi selama hamil, melahirkan dan anak sebelum usia 2 tahun.Abstract: Stunting cases in Indonesia are still high, touching 30.8%. This figure is still far from the WHO standard of 20%. The stunting prevalence rate in North Sulawesi is 25.5%, although North Sulawesi's stunting rate is below the national rate (30.8%), there are still four regions with a fairly high stunting prevalence rate including Bolaang Mongondow district of 30.6%. The purpose of this service is to increase the knowledge of the people of Muntoi Village, Passi Barat District, Bolaang Mongondow Regency about the prevention of stunting. The methods used are interactive lectures and question and answer. The results showed that the average score of public knowledge about stunting at the pre-test was 10.43 and at the time of the post-test it increased to 19.60. The impact of this service is an increase in public knowledge about stunting prevention with the difference in the mean score of knowledge of the extension participants during the pre-test and post-test with a figure of 9.17. For this reason, it is recommended to the public, especially mothers, to prevent stunting by fulfilling nutritional intake during pregnancy, childbirth and children before the age of 2 years.


2018 ◽  
Vol 7 (2) ◽  
pp. 60-65
Author(s):  
Ichtiarfi Waryanuarita ◽  
Induniasih Induniasih ◽  
Yustiana Olfah

Pre operative anxiety occur in patients that undergoing anesthesia procedure and elective surgery. Music therapy is one of distraction technique , because music can reduce physiological pain, stress, and anxiety. Music therapy pushed down sympathy nerve system that reduce body stress respons. Music cause the brain release endorphine, increase dopamine level, and help rise up safety feeling. Find out the effect of music therapy to anxiety in pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital. This study uses a quasy experimental which aims to see the difference in pre anesthesia anxiety before and after given music therapy in intervention and control group. This study uses quasy experimental design here takes group pre test and post test with control sort design. Patients is given pre test and post test with APAIS scale, in intervention group with treatment. Samples in this study amounted to 20 respondents of control group and 20 respondents of intervension group. Data collection is done on May to June 2017. The result of collected data were processed using Wilcoxon test with significant α = 0,05. There is a difference of anxiety before and after in the intervention group using music therapy. Wilcoxon test results obtained Sig. 0,000 (<0.05) so that H1 is accepted or rejected H0. There is a significant effect of music therapy to anxiety on pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital.


2019 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Wahyu Rochdiat Murdhiono ◽  
Santi Damayanti ◽  
Ni Luh Komang Sri Ayunia

Mahasiswa keperawatan memiliki risiko yang lebih tinggi untuk mengalami stres dibandingkan  mahasiswa kesehatan lainnya. Belum pernah ada peneltian yang menggabungkan terapi meditasi dengan terapi musik suara alam untuk menurunkan stres pada mahasiswa keperawatan di Yogyakarta. Tujuan penelitian ntuk mengetahui pengaruh meditasi dengan suara alam pada mahasiswa keperawatan. Penelitian ini merupakan penelitian quasi-experiment dengan pendekatan pre dan post-test nonequivalent control group. Sampel dipilih menggunakan teknik consecutive sampling dan dibagi menjadi dua kelompok, masing-masing berjumlah 30 orang. Instrumen penelitian menggunakan DASS-42. Median skor stres pada kelompok perlakuan sebesar 11,00 pada pre-test sedangkan post-test sebesar 7,00. Di kelompok kontrol, median skor stres pre-test sebesar 10,00 dan median skor stres post-test sebesar 9,50. Uji Wilcoxon untuk menganalisis perbedaan skor stres pre dan post-test menghasilkan nilai p 0,000 di kelompok perlakuan dan pada kelompok kontrol menunjukkan nilai p 0,137. Meditasi menggunakan musik suara alam dapat menurunkan stres dan dapat menjadi terapi komplementer alternatif yang dapat dilakukan perawat. Kata kunci: meditasi, musik suara alam, stres, mahasiswa keperawatan MEDITATION WITH SOUND OF NATURE CAN REDUCE STRESS IN NURSING STUDENTSABSTRACTNursing students have a higher risk to experience stress than other medical students. Previously, there has never been any research regarding meditation using the sound of nature to reduce stress in nursing students in Yogyakarta.Research objective to determine the influence of meditation with the sound of nature to reduce stress in nursing students. This is quasi-experiment research with a pre and post-test nonequivalent control group design. The samples were selected using consecutive sampling and divided into two groups, each was 30 respondents. The research instrument used was DASS 42. The pre-test median stress score in the intervention group was 11.00, and the post-test score was 7.00. In the control group, the pre-test median score was 10.00, and the post-test score of 9.50. Wilcoxon test used to analyze the difference of stress score in the intervention group (p-value = 0.000), and the difference in stress score in the control group (p-value = 0.137). Meditation using the sound of nature can reduce stress in nursing students and can be an alternative complementary therapy for nurses. Keywords: meditation, the sound of nature, stress, nursing students


Author(s):  
Bayu Fandhi Achmad ◽  
Muhammad Zafrullah Arifin ◽  
Aan Nuraeni

Background: Aspiration is common complication of dysphagia stroke due to cranial nerve damage, especially cranial nerves V, VII, IX, X and XII. Existing therapies to prevent aspiration is the compensation strategy therapy and semisolid nutritional therapy, but each of these therapies is still have a weakness, so it needs a new therapeutic method namely swallowing therapy which combine the advantages and reduce the weaknesses of each of the therapy. Aim of the study is to determine the effect of swallowing therapy on aspiration prevention in patients with dysphagia stroke.Methods: This research was a quasi-experimental research involving 16 respondents in the intervention group and 16 respondents in the control group who obtained through consecutive sampling techniques. Data was collected from February-March 2016 at the Stroke Unit RSUD Dr. Harjono Ponorogo through observations using Gugging Swallowing Screen (GUSS) instruments. Data analysis used in this research was wilcoxon test to determine the difference of swallowing therapy effect before and after intervention. Mann-Whitney test was also used to determine the difference of swallowing therapy effect between intervention group and control group after intervention.Results: There was a differences of swallowing therapy effect between pre-test and post-test in the intervention group (p = 0.002). In addition, there was no differences between pre-test and post-test in the control group (p = 0.157).Conclusions: Swallowing therapy have a positive effect against aspiration prevention in patients with dysphagia stroke, so it can be recommended as an acute care intervention in stroke patients at stroke unit.


2018 ◽  
Vol 2 (4) ◽  
pp. 141
Author(s):  
Elfina Natalia

Chronic Kidney Desease was a progressive and irreversible kidney function disorder, usually treated with hemodialysis, a frequent complaint in hemodialysis patients is fatigue. The aim of this study was to see the effect of Based Self Care Education On level fatigue in Patient With Chronic Kidney Desease during Hemodialysis. The research was a quantitative study with quasi-experimental with control group pre test-post test design was used in this studi. The study was conducted at RSUD A. Wahab Sjahranie during May to June 2017. The total samples of 111 patients hemodialysis selected by purposive sampling. The subjects was divided into the interventions group consist of 83 patient who were given based self care education and the control group 28 patients. The results of the research were obtained after 6 weeks intervention, the Non-Parametric Test showed that Asymp Sig (2 tailed) = .00 or p-value <.05 the difference fatigue level between the intervention group to the control group, Odd Ratio was showed that self care-based education intervention group has a tendency to experience fatigue change rate of 1.22 times greater than control group. The ordinal logistic analyse result was showed that p = .00 or p-value <.05 there was a significant effected of Based Self Care Education intervention given to changes in fatigue. Conclusions of Based Self Care Education research have an influenced on decreased fatigue. The study has been recommended on intervention could be applied as one of the education given to patients during hemodialysis therapy.


2017 ◽  
Vol 3 (6) ◽  
pp. 677-685
Author(s):  
Rati Purnama Sari ◽  
Noor Pramono ◽  
Sri Wahyuni ◽  
Muchlis Achsan Udji Sofro ◽  
Melyana Nurul Widyawati

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.Methods: A Quasy experimental study with randomized control group pre-post test design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for 6 weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethohemoglobin. Paired t test and independent t test were used for data analyses.Results: The mean increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the mean increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. Increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation. 


2019 ◽  
Vol 5 (1) ◽  
pp. e000584 ◽  
Author(s):  
Sabine Hoja ◽  
Petra Jansen

ObjectivesMindfulness-based interventions in the context of sports have been shown to result in higher mindfulness scores and improved physiological and psychological parameters. The goal of this pilot study was to investigate the effects of a newly developed seven-session mindfulness-based intervention, mindful emotions, on German tennis players.MethodsThe study was conducted in a pre–post test design with an intervention and a control group. Before and after the mindfulness-based stress reduction training the following dependent measurements were assessed: athletic performance (serve accuracy) and psychological performance indicators (mindfulness, stress and competition anxiety).ResultsThe results indicate a better performance of the intervention group for the difference scores between post-test and pre-test in one of the sport-related anxiety factors, the concentration disturbances index.ConclusionIn order to further investigate the effects of this mindfulness-based intervention in competitive sports, additional studies with a larger number of participants have to follow.


2018 ◽  
Vol 4 (3) ◽  
pp. 264
Author(s):  
Mónica A. Pinos-Ortiz ◽  
Mariory P. Orbe-Guaraca

<p style="text-align: justify;">The present study investigates the effects the method of teaching language through reading and storytelling (TPRS) in the acquisition of English vocabulary has in second level students in the Catholic University of Cuenca, extension Cañar; and the perceptions that students have when they are taught through this method. The teaching of language through reading and storytelling is a method that uses different resources for language teaching, providing comprehensible input information in imaginary or real situations derived from students' social context and their cognitive and affective needs. 56 students of the second level of the aforementioned university were randomly selected. A group of 30 students formed the experimental group and 26 students the control group. The data was obtained through the Cambridge vocabulary test in the pre and post-test phases to establish the difference between the groups. Additionally, a survey was applied to the students of the intervention group to know their perspectives on the method. The independent t-statistic test was used for the data analysis. The results show that the students of the treatment group obtained better results than the students in the control group in the measures of vocabulary acquisition. Additionally, the results of the survey showed that the students perceive that the strategies derived from the method were of great support to acquire vocabulary in English.</p>


2021 ◽  
Vol 4 (2) ◽  
pp. 383-396
Author(s):  
Evi Supriatun ◽  
Uswatun Insani

This study aims to determine the effect of health coaching on knowledge and attitudes about the prevention of tuberculosis transmission in patients who are still undergoing routine tuberculosis treatment in Tegal Regency. The research design used was a quasi-experiment with pre and post-test with the control group. The results of the bivariate analysis showed that in the intervention group that had been given health coaching for 4 (four) sessions, it had a significant effect on the knowledge and attitudes of the respondents compared to the control group that was not given health coaching. This can be seen from the difference in values ​​before and after being given health coaching treatment in the intervention group. Also, the results of the bivariate analysis using the independent t-test showed a p-value of 0.000 <0.05. In conclusion, there is an effect of the implementation of health coaching on knowledge and attitudes about the prevention of transmission of tuberculosis in tuberculosis patients in Tegal Regency.   Keywords: Health Coaching, Prevention of Tuberculosis Transmission, Knowledge, Attitude


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