scholarly journals PENGARUH MANAJEMEN STRES TERHADAP KESIAPAN PASIEN STROKE DAN KELUARGA DALAM MERENCANAKAN PERILAKU ADAPTIF PASCA PERAWATAN DI RUMAH SAKIT

2014 ◽  
Vol 8 (1) ◽  
pp. 13-17
Author(s):  
Rr. Tutik Sri Hariyati ◽  
Made Sumarwati ◽  
Hanny Handiyani

AbstrakSerangan stroke di masyarakat sering dianggap bencana karena menimbulkan kegagalan fungsi tubuh. Hal ini berdampak pada kehidupan biologi, psikologi, sosial, ekonomi, dan spiritual. Stres juga dapat muncul pasca serangan akut stroke berupa penolakan diri, rendah diri, marah, depresi, dan dihantui bayang-bayang kegagalan fungsi atau kematian. Stres pada pasien dan keluarga umumnya disebabkan karena kecemasan dan ketidaktahuan tentang kondisi penyakitnya. Penelitian ini bertujuan mengidentifikasi pengaruh manajemen stres terhadap kesiapan pasien stroke dan keluarga dalam merencanakan perilaku adaptif pasca perawatan di rumah sakit. Desain penelitian adalah eksperimental dengan post test control group di mana pasien dan keluarga mendapatkan manajemen stres yang dikembangkan dalam penelitian dan dinilai perencanaan perilaku adaptif pascaperawatan di rumah sakit. Data primer diperoleh dari 84 responden (42 pasien dan 42 keluarga) melalui kuisioner, pengkajian fisik, dan wawancara. Hasil penelitian menunjukkan 93,1% partisipasi keluarga dan pasien saat perawatan di rumah sakit nilainya baik, hanya 6,9 % yang mempunyai partisipasi sedang, dan 0 % partisipasi kurang. Perencanaan perilaku adaptif menunjukan 50% mempunyai perencanaan yang baik dan sisanya punya perencanaan yang cukup serta 73,35% responden punya perilaku yang baik dalam mengantisipasi kekambuhan. Perbandingan koping terhadap stres pada kondisi sebelum dilakukan manajemen stres dengan kondisi setelah diberikan manajemen stres dari 78,9 % meningkat menjadi 88,9 %. Responden juga melaksanakan perencanaan perilaku adaptif sesuai dengan kondisinya. AbstractStroke attact is considered to be a serious problem since it affects human biology, psychology, social, economic, and spirituality. Stress after acute attack can be manifested by depression, self-rejection, low self confident, and anger. Many stroke client feel afraid of loss of their functional ability and death. Anxiety and lack of knowledge abaout the disease is a common source of stress. This study investigated the impact of stress management to readiness of client and family in order to plan adapting behaviors after hospitalization. The experimental design with posttest conrol group was chosen. Primary data were collected through questionnaire, interview, and physical assesment from 84 respondent (42 clients and 42 families). Finding indicate that the quality of clients and families paticipation are 93,1% good, 6,9% moderate and none low quality. Half of respondent develop a good plan of adaptive behavior and the rest of them are fair. Majority of respondents (73,3%) constructed a good plan in anticipating stroke recurrent. Coping stress ratio before and after intervention increase from 78,9% to 88,9%. Respondents implement their adaptive behavior plan according to their condition.

2019 ◽  
Vol 1 (2) ◽  
pp. 32-39
Author(s):  
Rr.Tutik Sri Hariyati ◽  
Krisna Yetti Malawat ◽  
Retno Purwandari ◽  
Effy Afifah

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation. Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39%  (43,00 to 49,00) after used of a system.   Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care. Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.  


2019 ◽  
Vol 14 (2) ◽  
pp. 149
Author(s):  
Nining Prastiwi ◽  
Zahroh Shaluhiyah ◽  
Farid Agushybana

Background: Cleanliness of tourist area is managers and visitors responsibilities to maintain the beauty of tourist destinations. Disposing of trash in its place becomes very important in maintaining the cleanliness of tourist sites. The role of health promotion media to improve awareness and behavior of tourist in maintaining cleanliness is necessary to be conducted. The purpose of this study was to analyze the effect of providing garbage disposal posters towards the utilising trash bin in tourist sites.Method: This study employs a quantitative method with a quasy experimental approach, non randomized control group pretest posttest design. It was carried out in four tourist sites which consist of two tourist sites as intervention area and the others as control. Sample of this study was consisted of 15 bins/each site which met the criteria of sanitation standards and selected purposively so that the total sample was 30 bins in the intervention and 30 bins in the control areas. The variables included the volume of waste in each trash bin, the quality of trash bin distributed and the number of visitors before and after intervention. Measurements were conducted for 14 days.Results: The volume of waste was increased significantly after providing posters in the intervention sites compared to controls’. Likewise, the quality of trash bin distributed at tourist sites was also increased significantly in the intervention areas compared to controls. The number of visitors at four destinations was increased significantly after intervention because post-test was conducted at long vacation period. That would directly effect to waste volume in the trash bin at 4 tourist destinations. This study recommends to managers to put interesting poster or other instagramable media to promote healthy behaviour related to the cleanliness and beauty at tourist areas.


2018 ◽  
Vol 6 (2) ◽  
pp. 323
Author(s):  
Sri Wahyuni ◽  
Dini Kurniawati ◽  
Hanny Rasni

Bounding attachment is very important for newborn to be adapted to the new environment. Mother’stouch can help babies adapt to environmental differences between inside the womb and outside thewomb. How to improve the bounding attachment is early breastfeeding initiation, rooming in,kangaroo mother care for premature, and baby massage. The purpose of this research is todetermine the impact of baby massage to bounding attachment. The method of research was quasiexperimental with design of research pretest-post test with control group. This research is in Dahliaroom in dr. Soebandi general Hospital, with samples as 40 respondent with 20 people forexperimental group and 20 people for control group. The research use standard operationalprocedure of baby massage and quality of bounding attachment questionnaire. Take the sample bypurposive sampling. The results of research is give difference in average pretest-post test on theexperimental group of -7,35 whereas on the control group of -2,55. Statistic test result obtained the pvalue 0.001, this mean on the alpha 5% can be expressed there is influence of baby massage forbounding attachment. There are several factors that influence to the bounding attachment that isemotional health of parent, family support, the proximity and match of the parents and baby. Theresult of this research are recommended as the nursing treatment and to the public especiallymother postpartum.Keywords : baby massage, bounding attachment


Author(s):  
Yu-ke Qin ◽  
Jie Zeng ◽  
Li Peng

ABSTRACT To explore the impact of functional training on completion quality of body difficulty, 24 rhythmic gymnasts aged 10-11 years old were randomly and averagely divided into functional training and control group and trained 2h/day for 1 month. Body difficulty – including balance, rotation, and leap difficulties – was measured before and after training. The results showed that the total score, the score of 360° passé pivot and the score of split leap for the functional training group was respectively 1.87, 0.77, and 0.42 points higher than those for the control group (P<0.05) after 1 month of training. Therefore, it can be concluded that functional training based on Functional Movement Screen (FMS) can clearly improve completion quality of body difficulty in juvenile rhythmic gymnastics within a short period of time.


2014 ◽  
Vol 7 (2) ◽  
pp. 41-47
Author(s):  
Ratna Sitorus

AbstrakPeningkatkan mutu asuhan keperawatan di rumah sakit memerlukan restructuring, reengineering, dan redesigning sistem pemberian asuhan keperawatan melalui implementasi Model Praktik Keperawatan Profesional (MPKP). Tujuan penelitian ini ialah untuk menilai dampak implementasi MPKP terhadap mutu asuhan keperawatan di rumah sakit. Disain penelitian adalah kuasi eksperimen dalam bentuk pre and post test with control group. Uji statistik yang digunakan adalah uji Chi-square dan uji t. Hasil penelitian menunjukkan bahwa pada kelompok intervensi (MPKP) terdapat peningkatan kepuasan klien dan keluarga (OR=114,24) yang lebih besar dibandingkan dengan peningkatan kepuasan klien dan keluarga pada kelompok kontrol (OR=3,78). Demikian juga terdapat peningkatan kepatuhan perawat terhadap standar yang lebih tinggi pada kelompok intervensi (OR=235,5) dibandingkan dengan kelompok kontrol (OR=0). Lama hari rawat lebih pendek pada kelompok intervensi. Angka infeksi nosokomial juga lebih rendah pada kelompok intervensi dibandingkan dengan kelompok kontrol. Penelitian ini menyimpulkan bahwa implementasi MPKP dapat meningkatkan mutu asuhan keperawatan di rumah sakit. Berdasarkan hasil tersebut, untuk memicu implementasi MPKP di berbagai rumah sakit, disarankan agar implementasi MPKP menjadi salah satu kriteria penilaian pada akreditasi rumah sakit khususnya pelayanan keperawatan AbstractIn order to improve the quality of nursing care in the hospital, nursing care delivery system need restructuring, reengineering, and redesigning through the implementation of Professional Nursing Practice Model (PNPM). The study was aimed to evaluate the impact of the PNPM on the quality of nursing care in the hospital. The design used was quasi experiment in pre and post test with control group. The statistic used are Chi-square and t-test. The result showed that in the intervention group, the improvement of client/family satisfaction with nursing care (OR = 114,28) was higher than the improvement in the control group (OR = 3,78). It was founded there was an improvement of the compliance of nurses to the standard was higher in the intervention group (OR = 235,5) compare to control group (OR = 0). The length of stay shorter in the intervention group, and also the nosocomial infection rate is lower in the intervention group compare to control group. The study concluded that the implementation of the PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service.


2020 ◽  
Vol 1 (2) ◽  
pp. 7-12
Author(s):  
Firmawati Firmawati ◽  
Andi Nur Aina Sudirman

In general, bullying is a school tradition carried out by seniors if they don't follow their rules, although there is also a lot of peer bullying. Victims of bullying are usually reluctant to complain to other parties, including parents because they are worried that they will get worse treatment. This study aims to determine the effect of bullying victim psychoeducation intervention on reducing the anxiety of high school adolescents in the Gorontalo Regency. This research method is a qualitative study with a pre-test and post-test design without a control group. The population in this study were high school adolescents. The sample in this study were 16 respondents. Data obtained through observation, questionnaires, interviews, and primary data obtained through data obtained from families and sufferers and related research. The results showed that there was a decrease in students' anxiety levels before and after the intervention. When viewed from the mean and standard deviation as well as the score in assessing the level of anxiety after being given psychoeducation to students who experience bullying at school, there is a decrease in the signs and symptoms of adolescent anxiety towards a better direction. Psychoeducation therapy in this research is in the form of cognitive strengthening, discussion, repeated counseling, anxiety management. In this study, interventions were given to respondents through bullying-related psychoeducation so that the anxiety level of adolescents decreased.


Author(s):  
Hamed Ghaemi ◽  

The present article reports a study carried out to investigate whether or not awareness of ST culture has any impact on the translation quality of translator trainees. 20 Iranian graduated from English translation took part in this study. They were divided into two groups, one experimental and one control groups. After homogenizing the participants through a TOEFL test, a translation pre-test was given to them and then cultural backgrounds of ST were taught to the experimental group who were later required to use the taught material in their classroom translation practice during one academic semester. The control groups were run traditionally as widely practiced in Iranian graduated translation classes. A translation post-test was given to all the groups at the end of the semester. The statistical results demonstrate a significant difference between the pre- and post- tests in the experimental group as compared with the control group.


2021 ◽  
Vol 13 (11) ◽  
pp. 6331
Author(s):  
Jianfen Wu ◽  
Manlin Zhang ◽  
Wenqi Lin ◽  
Yunpeng Wu ◽  
Hui Li

Emotional competence (EC) is important for children’s social adjustment and sustainable development. The present study designed a school based emotional competence learning (ECL) program and examined its effectiveness with 56 Chinese preschoolers aged 5–6. A quasi-experimental design was employed to examine the impact of the ECL program on young children’s EC. Two upper Kindergarten classes (Daban) for children aged 5–6 were randomly assigned as experimental group (n = 31, 42% girls, Mage = 68.31 months, SD = 3.75) and control group (n = 25, 44% girls, Mage = 68.16 months, SD = 3.77). The experimental group was engaged in a 15-week ECL program, whereas the control group had similar duration courses without emotional competence training. All the children were administered the Test of Emotion Comprehension, Expression Identification Task, and Emotion Regulation Strategy Inventory before and after the intervention. The results indicated no significant differences between the experimental and control groups in the pre-test. In contrast, the experimental group outperformed the control group in most EC components in the post-test. Meanwhile, the experimental group demonstrated greater increases in EC components. The findings suggest that this ECL program has strong potential as a school-based, structured program for enhancing children’s emotional competence. The educational implications of these findings are discussed.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xuepei Li ◽  
Jianqiang Lin ◽  
Zidong Chen ◽  
Guangming Jin ◽  
Danying Zheng

Purpose. To determine the changes in vision-related quality of life and psychological distress after cataract surgery in monocular patients and to compared these with a control group of age- and gender-matched binocular patients. Methods. We enrolled 40 monocular patients and 40 binocular patients who underwent cataract surgery from August 2017 to December 2018. All participants undertook eye examinations and answered questionnaires (the National Eye Institute Visual Function Questionnaire, Self-rating Anxiety Scale, and Self-rating Depression Scale) before and after cataract surgery. Result. The monocular patients had significantly worse mean CDVA than the binocular patients before and after surgery. However, there was no significant difference between the increases gained by the two groups. Mean composite VFQ-25 scores of the monocular group were significantly lower than those of the binocular group before and after surgery, but the improvement experienced by the monocular group was statistically larger than the binocular group (37.20 ± 12.84 vs. 19.11 ± 5.13, P < 0.001 ). Mean standard SAS scores of monocular patients were significantly higher than those of binocular controls before and after surgery, while monocular patients experienced a significant greater decline of SAS scores (−9.41 ± 5.39 VS −3.84 ± 1.61, P < 0.001 ). Mean standard SDS scores of the monocular group were significantly higher than those of the control group before and after surgery, but the monocular group experienced a significantly greater decline of SDS scores following cataract surgery (−11.91 ± 6.38 VS −4.78 ± 1.79, P < 0.001 ). There was a significant correlation between the preoperative logMAR CDVA and both the postoperative logMAR CDVA (r = 0.63, P < 0.001 ) and the changes in the logMAR CDVA (r = −0.881, P < 0.001 ) for monocular patients. Linear regression analyses suggested that higher postoperative VFQ-25 scores had significant associations with better preoperative CDVA and the absence of systemic comorbidity (both P < 0.05 ). Age and ocular comorbidity were significantly associated with postoperative SAS scores (both P < 0.05 ). Age and systemic comorbidity remained significant impact factors for SDS scores (both P < 0.05 ). Conclusion. Monocular patients reported greater improvement in vision-related quality of life and greater decline in the level of anxiety and depression than binocular control subjects, despite having similar CDVA gains after cataract surgery. We argue that it is not a better choice for monocular patients to delay cataract surgery until the cataract is very advanced. A clear understanding of the impact of cataract surgery on vision-related quality of life and psychological distress in monocular patients is needed by ophthalmologists when making surgery decision.


2021 ◽  
Vol 12 ◽  
Author(s):  
Bin Zuo ◽  
Qi Wang ◽  
Yalan Qiao ◽  
Yu Ding ◽  
Fangfang Wen

Currently due to the COVID-19 pandemic, young people are experiencing a decrease in self-efficacy and an increase in mental illness. Though previous studies have shown that self-efficacy and divergent thinking training are positively related, little is known about the impact of divergent thinking training on self-efficacy and emotions. Therefore, our study seeks this answer to support teenagers injured psychologically during disastrous periods. We randomly assigned 70 students to a 2 (time: pretest, post-test) × 2 (groups: divergent thinking training, controlled) mixed design. Participants in the experimental group were given a 9-day divergent thinking training with the theme of “writing down 10 novel functions of the mask,” while those in the control group spent 10 min each day recording what they ate. The self-efficacy, anxiety, depression, and stress of two groups were measured before and after training. Results showed that, compared to the control group, self-efficacy ceased decreasing while anxiety decreased for the experimental group. These findings confirm the positive effect of divergent thinking on teenagers. Implications and limitations are discussed.


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