COGNITIVE BEHAVIOUR THERAPY PADA SKIZOFRENIA

Cognitive Behaviour Therapy (CBT) in the first schizophrenia was developed to provide additional treatment for residual symptoms arising and also used in patients experiencing anxiety and depression. Rapid progress will gain from the CBT session when trust has built-in several meeting sessions through increasing mutual understanding and doing reality tests as in CBT, need to develop. The stages do run slowly following the cognitive deficits and ongoing symptoms such as hallucinations or sedentary. This article discusses the history and development of cognitive behavior therapy, depictions, procedures, and techniques of CBT and its processes in the treatment of schizophrenia.

EFEKTIVITAS SELF-CONCORDANCE KELUARGA PENGAWAS MINUM OBAT PADA PENCEGAHAN PENULARAN TUBERCULOSIS DI PUSKESMAS DELI TUA

The study aims to analyze the effectivity of self-concordance of family members, health officers, teachers, and community leaders as the supervision of taking medication causes tuberculosis. This type of research is research quasi-experiment without control. Participants grouped into four drug-taking supervision groups, namely family, health officers, teachers, and public figures. At the beginning of the program, each amounted to 40 patients. Supervisors who qualified in the sample are those who have registered at the Deli Tua Public health center with tuberculosis patients undergoing a minimum of six months of treatment. Data analyzed by illustration ANOVA (one way). The results of the study showed self-concordance of different meaningless treatments between family and teachers and community leaders. Self-Concordance control of the environment shows a meaningful difference between family with health officers, teachers, and community leaders. Self-concordance control cough or sneezing in this study found to be different meaningful between families with health officers, teachers, and public figures. Recommended to the Health office of Deli Serdang provide training of core family members as a supervisor to take medication from the family in the prevention of transmission tuberculosis

PENGARUH PEMBERIAN BELIMBING DAN MENTIMUN TERHADAP PENDERITA HIPERTENSI DI DESA LAU KERSIK KECAMATAN GUNUNG SITEMBER KABUPATEN DAIRI

Hypertension is a disease that is not uncommon in the community, including the Bukit Lau Kersik village. People with hypertension often do not show long-term symptoms and can be life-threatening. However, one of the management of hypertension that can be used as non-pharmacological therapy is consuming starfruit juice and cucumber which is quite easy to find in the Bukit Lau Kersik village. This combination of juices contains potassium which can reduce blood pressure in patients with hypertension. This study used Equivalent Time Sample Design with 14 subjects with hypertension in the Bukit Lau Kersik Village, Gunung Sitember Subdistrict, Dairi District. The technique of this research sample used Non-Probability Sampling with Saturated Sampling. The instrument used was a sphygmomanometer and a stethoscope. Bivariate data analysis in this study was the Wilcoxon statistical test. Based on the data analysis performed, the value of p = 0.011 (p= < 0.05) was obtained, meaning that there was a significant relationship between giving star fruit juice and cucumber to hypertensive patients. Then it can be concluded that there is an influence between giving star fruit and cucumber juice to blood pressure reduction in hypertensive patients in Bukit Lau Kersik Village Gunung Sitember Subdistrict, Dairi District in 2019. Suggestion: The factors that affect blood pressure in hypertensive patients and checking blood pressure before drinking star fruit juice and cucumber.

HUBUNGAN MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST OPERASI SECTIO CESARIA

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.

PENGARUH TEKNIK MASSAGE BACK-EFFLEURAGE TERHADAP PENGURANGAN RASA NYERI PERSALINAN KALA I DI KLINIK BERSALIN KURNIA KECAMATAN DELITUA KABUPATEN DELI SERDANG

This study aims to determine the effect of Back-Effleurage Massage Technique on Reduction of First-Stage Labor Pain in Kurnia Maternity Clinic, Delitua District, Deli Serdang Regency. This study uses a Quantitative Analytical Method with a Quasy-Experimental research design with the One Group Pretest-Posttest approach. Data collection techniques using observation sheets. This Back-Effleurage Massage Technique is carried out for 20 minutes / hour during a contraction. The population in this study were 25 pregnant women entering Trimester III. The sampling technique used is the Total Sampling Method. Data analysis using Paired Sample T Test. The results of this study were obtained that the administration of Back-Effleurage Massage Technique on the abdomen at the Kurnia Maternity Clinic can reduce labor pain from mothers who experience moderate pain to mild pain and mothers who experience severe pain to moderate pain with p value = 0,000 (p < 0.05). It can be concluded that there is a significant effect with the giving of the Back-Effleurage Massage Technique on the reduction of Stage I labor pain. Keywords: First Stage of Labor, Childbirth Pain, Back-Effleurage Massage Technique

FAKTOR PSIKOLOGIS DAN PSIKOSOSIAL YANG MEMPENGARUHI POST PARTUM BLUES DI RUANG NIFAS HIBRIDA RSU SEMBIRING

Post partum blues is a mild effective syndromic disorder that occurs at the beginning of postpartum. Signs of symptoms that arise are sad reactions, crying, irritability, anxiety, self-blame, disturbances in sleep patterns and appetite disorders. Post partum blues symptoms are a multi-factorial mechanism consisting of hormonal factors, physical activity factors and psychosocial factors. This type of research is observational with cross sectional design. The population was all postpartum postpartum second day postpartum mothers in the postpartum Sembiring General Hospital Delitua sub-district in 2019 which was conducted on June 1-30, 2019. The sampling technique was done by total sampling which received 89 respondents and analyzed by chi square test significance level p = 0.05 . Independent variables are psychological and psychosocial factors and the dependent variable is post partum blues. The results of this study indicate that 66.3% of postpartum mothers experience post partum blues. From the variables obtained, each value of p = 0,000 (p<0.05), namely stress coping, self-adjustment, education and income, showed a significant relationship to the occurrence of post partum blues. The conclusions that can be drawn from this study are the psychological and psychosocial factors which most cause post partum blues are low economic factors. Therefore, to reduce the rate of occurrence of post partum blues, it is necessary to improve economic status.

HUBUNGAN MOTIVASI KADER POSYANDU DENGAN UPAYA PENINGKATAN KUNJUNGAN BALITA DI WILAYAH KERJA PUSKESMAS PAMATANG SILIMAHUTA TAHUN 2019

Motivation is defined as strength, encouragement, needs, enthusiasm, pressure, or psychological mechanisms that encourage someone or a group of people to achieve certain achievements in accordance with what people want. Integrated service post is one form of health services organized by the community for the community with technical support from local health workers. The purpose of this study was to determine the relationship between the motivation of integrated service postcadres and efforts to increase children under five year visits in the area in the Pamatang Silimahuta Community Health Center work area. The sample was 73 respondents using random sampling techniques. The design of this study used analytic survey research, using the Cross Sectional approach and data collected from respondents using questionnaire sheets. The results showed a relationship between integrated service post cadre motivation and efforts to increase children under five year visits in the Pamatang Silimahuta Community Health Center work area with p value = 0.007 smaller than 0.05. It was suggested to the relevant parties to give awards to cadres so that it could motivate integrated service postcadres to be more active so that it can increase children under five year visit to the integrated service post.

PENGARUH PEMBERIAN MAKANAN TAMBAHAN PEMULIHAN TERHADAP PERUBAHAN STATUS GIZI BALITA GIZI BURUK DI TFC-FAJAR UPTD PUSKESMAS SAIGON KOTA PONTIANAK TAHUN 2018

Background: The best indicator to measure the nutritional status of the community is through the nutritional status of children under five. In an effort to overcome the problem of malnutrition in infants, the Ministry of Health of the Republic of Indonesia established a comprehensive policy, including prevention, promotion or education and management of malnutrition toddlers. The prevention efforts are carried out through growth monitoring in integrated service posts while malnourished children under five are treated with supplementary recovery feeding programs. Method: This research is a Quasi Experiment study with one group pretest and posttest design. The sampling technique was a total sampling with a sample of 32 patients. Univariate analysis was presented in the frequency distribution table and bivariate analysis using Spearman Rank Correlation test. Result: There was a significant influence on the nutritional status of children under five before and after PMT-P based on the weight-for-height index and weight-for-age. For the height-for-age index there was no significant influence on the nutritional status of children under five before and after PMT-P which means there was no correlation of the height-for-age index against PMT-P. Conclusion: There is a significant influence on the nutritional status of children under five based on the weight-for-height index and weight-for-age before and after PMT-P, but it is not related to the nutritional status of children under five based on the height-for-age index.

HUBUNGAN MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST OPERASI SECTIO CESARIA

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.

PENGARUH PEMBERIAN BELIMBING DAN MENTIMUN TERHADAP PENDERITA HIPERTENSI DI DESA LAU KERSIK KECAMATAN GUNUNG SITEMBER KABUPATEN DAIRI

Hypertension is a disease that is not uncommon in the community, including the Bukit Lau Kersik village. People with hypertension often do not show long-term symptoms and can be life-threatening. However, one of the management of hypertension that can be used as non-pharmacological therapy is consuming starfruit juice and cucumber which is quite easy to find in the Bukit Lau Kersik village. This combination of juices contains potassium which can reduce blood pressure in patients with hypertension. This study used Equivalent Time Sample Design with 14 subjects with hypertension in the Bukit Lau Kersik Village, Gunung Sitember Subdistrict, Dairi District. The technique of this research sample used Non-Probability Sampling with Saturated Sampling. The instrument used was a sphygmomanometer and a stethoscope. Bivariate data analysis in this study was the Wilcoxon statistical test. Based on the data analysis performed, the value of p is 0.011 < 0.05 was obtained, meaning that there was a significant relationship between giving star fruit juice and cucumber to hypertensive patients. Then it can be concluded that there is an influence between giving star fruit and cucumber juice to blood pressure reduction in hypertensive patients in Bukit Lau Kersik Village Gunung Sitember Subdistrict, Dairi District in 2019. Suggestion: The factors that affect blood pressure in hypertensive patients and checking blood pressure before drinking star fruit juice and cucumber.