Persatuan Perawat Nasional Indonesia: PPNI Jawa Tengah Journal
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APPLICATION OF COGNITIVE BEHAVIOUR THERAPY (CBT) AND FAMILY PSUCHOEDUCATION (FPE) IN PATIENTS AT RISK OF SUICIDE: PENERAPAN COGNITIVE BEHAVIOUR THERAPY (CBT) DAN PSIKOEDUKASI KELUARGA PADA PASIEN DENGAN RISIKO PERILAKU BUNUH DIRI
No full textSkizofrenia merupakan penyakit jiwa berat yang menyebabkan gangguan pada fungsi kognitif, emosi, bahasa, perilaku dan gerak. Salah satu dampak gangguan jiwa berat adalah bunuh diri. Data menunjukkan bahwa setiap 40 detik, seseorang kehilangan nyawanya karena bunuh diri. Keadaan pikiran negatif pasien yang berisiko bunuh diri biasanya berupa distorsi kognitif. Tujuan dari penulisan ilmiah ini adalah untuk memberikan gambaran penerapan terapi perilaku kognitif (CBT) dan psikoedukasi keluarga pada pasien risiko bunuh diri dengan pendekatan model Tidal. Tindakan Keperawatan dilakukan pada 6 pasien berisiko bunuh diri. Metode yang digunakan adalah case series. Hasil penelitian menunjukkan bahwa pemberian terapi perilaku kognitif (CBT) dan psikoedukasi keluarga dengan pendekatan model Tidal dapat menurunkan skor bunuh diri, mengurangi tanda dan gejala serta meningkatkan kemampuan keluarga dan pasien berisiko bunuh diri dengan skizofrenia. Terapi perilaku kognitif (CBT) dan psikoedukasi keluarga dianjurkan dilakukan oleh perawat psikiatri untuk mengatasi risiko tersebut.Kata Kunci: Terapi Perilaku Kognitif, Psikoedukasi Keluarga, Risiko Bunuh Diri, Skizofrenia
AbstractSchizophrenia is a severe mental illness that causes disturbances in cognitive function, emotion, language, behavior and movement. One of the effects of severe mental disorders is suicide. Data shows that every 40 seconds, someone loses their life by suicide. The negative state of mind of patients at risk of suicide is usually a cognitive distortion. The purpose of this scientific paper is to provide an overview of the application of cognitive behavior therapy (CBT) and family psychoeducation to patients at risk of suicide using the Tidal model approach. Nursing actions were performed on 6 patients at risk of suicide. The method used is case series. The results show that giving cognitive behavior therapy (CBT) and family psychoeducation with the Tidal model approach can reduce suicide scores, reduce signs and symptoms and increase the ability of families and patients at risk of suicide with schizophrenia. Cognitive behavior therapy (CBT) and family psychoeducation are recommended to be carried out by psychiatric nurses to overcome the risk of suicide. Keywords: Cognitive Behaviour Therapy, Family Psychoeducation, Suicide Risk, SchizophreniaSchizophrenia is a severe mental illness that causes disturbances in cognitive function, emotion, language, behavior and movement. One of the effects of severe mental disorders is suicide. Data shows that every 40 seconds, someone loses their life by suicide. The negative state of mind of patients at risk of suicide is usually a cognitive distortion. The purpose of this scientific paper is to provide an overview of the application of cognitive behavior therapy (CBT) and family psychoeducation to patients at risk of suicide using the Tidal model approach. Nursing actions were performed on 6 patients at risk of suicide. The method used is case series. The results show that giving cognitive behavior therapy (CBT) and family psychoeducation with the Tidal model approach can reduce suicide scores, reduce signs and symptoms and increase the ability of families and patients at risk of suicide with schizophrenia. Cognitive behavior therapy (CBT) and family psychoeducation are recommended to be carried out by psychiatric nurses to overcome the risk of suicid
Implementasi Terapi Musik Klasik dan Kompres Hangat dengan Aromaterapi Lemon pada Ibu Post Sectio Caesaria
No full textIbu dengan post section caesaria merasakan nyeri akibat sayatan jaringan saat operasi.Terapi tambahan yang diberikan untuk mengurangi nyeri adalah terapi musik klasik dankompres hangat dengan aromaterapi lemon. Tujuan artikel ini adalah untukmengeksplorasi penerapan terapi yang diidentifikasi. Metode yang digunakan adalahstudi kasus atau laporan kasus. Hasil penelitian menunjukkan bahwa tindakan nonfarmakologi musik klasik dan kompres hangat dengan aromaterapi lemon berada padatahap evaluasi setelah 48 jam intervensi, keluhan nyeri pasien menurun dari skala 4menjadi 2 dengan tanda vital stabil, dan pasien tampak santai. Terapi musik klasik dankompres hangat dengan aromaterapi lemon dapat digunakan untuk meningkatkanrelaksasi otot guna mengurangi nyeri dan menurunkan kecemasan. Terapi inidirekomendasikan sebagai intervensi tambahan untuk mengurangi nyeri pada ibu postsection caesaria.Kata kunci: Musik klasik, kompres hangat, aromaterapi lemon, nyeri, operasi caesarABSTRACTMothers with post sectio caesaria feel pain due to tissue incisions during surgery.Additional therapy given to reduce pain is classical musik therapy and warm compresseswith lemon aromatherapy. The purpose of article is to explore the application of theidentified therapy. The method used is a case study or case report. The results showed thatthe non-pharmacological measures of classical musik and warm compresses with lemonaromatherapy were in the evaluation stage after 48 hours of intervention, the patient\u27spain complaints decreased from a scale of 4 to 2 with stable vital signs, and the patientseemed relaxed. Classical musik therapy and warm compresses with lemon aromatherapycan be used to increase muscle relaxation to reduce pain and reduce anxiety. This therapyis recommended as an additional intervention to reduce pain in post sectio caesariamothers.Keywords: Classical musik, warm compresses, lemon aromatherapy, painful, cesareansectionIbu dengan post sectio caesaria merasakan nyeri karena terjadi sayatan jaringan selama operasi. Terapi tambahan yang diberikan untuk mengatasi rasa nyeri yaitu dengan terapi musik klasik dan kompres hangat dengan aromaterapi lemon. Tujuan penulisan ini untuk mengetahui penerapan terapi yang sudah ditentukan. Metode yang digunakan adalah studi kasus atau case report. Hasil didapatkan bahwa tindakan nonfarmakologi musik klasik dan kompres hangat dengan aromaterapi lemon dalam tahap evaluasi setelah dilakukan intervensi selama 48 jam keluhan nyeri pasien menurun dari skala 4 menjadi 2 dengan tanda vital yang stabil, dan pasien tampak rileks. Terapi musik klasik dan kompres hangat dengan aromaterapi lemon dapat digunakan untuk meningkatkan relaksasi otot untuk mengatasi rasa sakit dan kecemasan. Terapi ini direkomendasikan sebagai intervensi tambahan untuk mengatasi rasa nyeri pada ibu post sectio caesaria.
Kata kunci: Musik klasik; kompres hangat; aromaterapi lemon; nyeri; sectio caesari
TINGGINYA INTENSITAS PENGGUNAN MEDIA SOSIAL DAPAT BERAKIBAT DEPRESI PADA REMAJA
No full textRemaja terbiasa dengan tingginya intensitas penggunaan media sosial dapat memicu dampak negatif yang salah satunya adalah gangguan kesehatan mental terutama depresi. Penelitian ini bertujuan untuk menganalisis hubungan intensitas penggunaan media sosial dengan tingkat depresi pada remaja di platform media sosial Twitter. Metode Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional. Sampel pada penelitian ini diambil dengan menggunakan teknik purposive sampling yang berjumlah 128 responden remaja pada Januari 2023 di platform media sosial: Twitter. Instrumen yang digunakan adalah Social Networking Time Use Scale (SONTUS) sebagai alat ukur intensitas penggunaan media sosial dan Beck Depression Inventory (BDI-II) sebagai alat ukur tingkat depresi. Hasil penelitian menunjukkan responden berusia rata-rata 21 tahun, mayoritas berjenis kelamin perempuan (75,8%), berlatar belakang pendidikan sarjana/sederajat (61,7%), intensitas penggunaan media sosial tinggi (43,8), dan depresi berat (50%). Analisis data bivariat menggunakan uji statistic chi square dengan hasil p value < 0,05 menyakatan bahwa terdapat hubungan bermakna antara intensitas penggunaan media sosial dengan tingkat depresi pada remaja di platform media sosial Twitter
THE EFFECT OF OXYTOCIN MASSAGE AND AROMATHERAPY ON REDUCING ANXIETY AMONG PRIMIPARA POSTPARTUM
No full textPost partum is a critical period, especially for primiparous mothers. Mothers are faced with various changes, both physically and psychologically and in their social life. In the post partum phase, the mother will experience fatigue, changing roles, changing moods such as feelings of sadness and anxiety. Most postpartum mothers feel very anxious in adapting to their post-partum life. Previous research has shown that oxytocin massage can increase milk production and make mothers relax so that the feeling of tension is reduced. Aromatherapy also affects the level of anxiety of post partum mothers in milk production. This study aims to determine the effect of oxytocin massage and aromatherapy on reducing anxiety in primiparous postpartum mothers. This study uses a quasi-experimental design in the form of a pre-posttest design with a control group. The population of this study were all primiparous post partum patients who were in the inpatient room. The sampling technique used in this research is purposive sampling. The sample in this study were primiparous post partum patients on the first day (24 hours post partum), totaling 60 respondents, consisting of 30 respondents in the control group and 30 respondents in the intervention group. Based on statistical tests using the Wilcoxon test, the results were p = 0.000 <0.05, namely there was a difference in anxiety in primiparous postpartum mothers in the intervention group before and after being given the oxytocin massage and aromatherapy intervention. given the intervention (p = 0.000 < 0.05) with the mean rank of the intervention group (24.17) smaller than the mean rank of the control group (36.83) and there was a difference between the intervention group and the control group (p = 0.000 < 0 0.05) with the mean rank of the intervention group (39.43) greater than the mean rank of the control group (15.57). The conclusion obtained is that oxytocin massage and aromatherapy are effective in reducing anxiety in primiparous postpartum mothers.
Key words :
anxiety, oxytocin massage, aromatherapy, post partum, primipar
HUBUNGAN PENGETAHUAN DENGAN PERILAKU IBU HAMIL DALAM MENGKONSUMSI TABLET FE DI PUSKESMAS KALASAN YOGYAKARTA
No full textBackground: Anemia case is still concerning in DIY since it increased from 14.85% in 2015 to 16.09% in 2016. Knowledge is correlated with the behavior of an individual because knowledge is an essential domain in shaping a certain behavior.Objectives: To find the correlation between knowledge and behavior of pregnant women in consuming Fe Tablet in the Community Health Centre of Kalasan YogyakartaMethod: This study is an analytical study of correlation with a cross-sectional approach. The subjects were trimester II and III pregnant women. This study employed consecutive sampling as the sampling technique. The instrument was questionnaire. The sample of this study was 56 respondents. The researcher used Kolmogorov-Smirnov in analyzing the data.Results: Most of the pregnant women (55.4%) possessed a sufficient level of knowledge and most of the pregnant women (69.6%) were at a good level of behavior in consuming Fe Tablet. The result of the Kolmogorov-Smirnov Test showed 0.000Conclusion: Statistically there is a significant correlation between knowledge and behavior of pregnant women in consuming Fe Tablet because the p-value was less than 0.0
THE RELATIONSHIP OF PHYSICAL ACTIVITY WITH BLOOD GLUCOSE LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE HOSPITAL GENERAL MITRA MEDIKA MEDAN IN 2021
No full textType II diabetes mellitus has become one of the health problems of almost all walks of life in the world. One of the factors influencing the development of type II DM is that modern lifestyle behavior is characterized by a lack of physical activity in a sedentary time. The lack of knowledge and awareness of Type II DM patients about the importance of physical activity is what can cause the condition of sugar levels in the blood to go out of control. The purpose of this research is to find out the relationship between activity and blood glucose levels in type II diabetes mellitus patients at Mitra Medika General Hospital Medan in 2021. The research design used in this study used an analytical survey method with a cross-sectional approach. The population in this study were patients with type II diabetes mellitus totaling 235 respondents. The sampling used was consecutive sampling, where all subjects who came and metthe selection criteria were included in this study until the required number of subjects were met, namely 51 respondents. Based on the results of the chi- square test showing a p-value value (0.002 < α 0.05), this proves that there is a relationship between physical activity and blood glucose levels in type II diabetes millitus patients at Mitra Medika Hospital Medan in 2021. There is a relationship between physical activity and blood glucose levels in type II diabetes millitus patients at Mitra Medika General Hospital in 2021. It is recommended to patients with type II diabetes millitus to improve and increase physical activity in order to maintain the patient\u27s blood glucose levels.
Key words:Blood Sugar Levels, PhysicalActivity, Type II DiabetesMellitu
THE RELATIONSHIP BETWEEN SPIRITUAL ABILITY AND ANXIETY LEVEL IN PREOPERATIVE PATIENTS
No full textAnxiety problems of patients who will undergo surgery such as fear of pain after surgery, fear of physical changes, becoming ugly and not functioning normally. Spiritual needs are basic needs needed by every human being. If someone is sick, then the relationship with God is even closer, considering that someone in a sick condition becomes weak in every way, no one is able to revive him from healing, except the Creator. This study aims to determine the relationship between spiritual abilities and anxiety levels in preoperative patients in the surgical room at the general hospital Tgk. Chik Ditiro Sigli. The type of research used in this study was analytic with a cross-sectional approach, the sampling technique in this study was accidental sampling with 67 respondents. Based on the results of the study it can be concluded that the majority of respondents had moderate spiritual abilities, namely as many as 34 respondents (50.7%), the majority of respondents had severe preoperative anxiety, namely as many as 53 respondents (79.1%) and there was a relationship between spiritual abilities and anxiety level in preoperative patients, (P-Value = 0.041 ≤ 0.05). Conclusion There is a significant relationship between the patient\u27s spiritual ability and the level of anxiety in preoperative patients. It is suggested to the employees in the operating room to provide information and input for health workers as to the need for preoperative patient education
PELAKSANAAN KELOMPOK DUKUNGAN SEBAYA PADA WARGA BINAAN PEMASYARAKATAN DENGAN HUMAN IMMUNODEFICIENCY VIRUS DI LEMBAGA PEMASYARAKATAN JAWA TENGAH
No full textHIV problems in prisons can continue to grow due to various factors such as individual and environmental factors. Correctional nurses as health workers contribute to health care practices, one of which is HIV/AIDS control by carrying out PSG for prisoners with HIV. So far PSG activities have only been carried out with unclear main tasks and functions, monitoring and evaluation that have not been equal between correctional institutions. This study aims to explore the implementation of PSG for inmates with HIV by correctional nurses in Central Java. This research was conducted using qualitative methods in seven correctional areas. The criteria for participants are correctional nurses, prisoners with HIV, NGOs who have carried out peer support group (PSG) activities. The number of participants until the data saturation occurred was seven correctional nurses, five prisoners with HIV, three NGOs. Data collection techniques with semi-structured interviews. Data analysis was performed using content analysis. Researchers get five themes. First, the role of the nurse as a counselor and facilitator. Second, PSG is carried out routinely and flexibly, but monotonously. Third, PSG was influenced by the interest of prisoners with HIV to disclose their status. Fourth, HIV status has not been disclosed, limited resources, and the movement of prisoners with HIV is an obstacle for PSG. Fifth, obstacles are overcome by approaching prisoners with HIV, leaders, and stakeholders. The conclusion from the research results is that the implementation of PSG for inmates with HIV by correctional nurses provides a very interesting picture. The theme obtained needs to get the attention of all parties to maintain the quality of care services and correctional nurses in carrying out PSG for prisoners with HIV
Manajemen Diri Terhadap Kesehatan Dan Keselamatan Kerja Pada Pekerja Tambang
No full textKecelakaan kerja di industri pertambangan masih sering terjadi disetiap tahunnya. Untuk menghindari bertambahnya jumlah korban kecelakaan industri, diperlukan manajemen yang menjamin keselamatan para penambang sebagai penanggulangan resiko. Berdasarkan fenomena yang didapat, maka disusunlah systematic review tentang keselamatan pekerja tambang yang bertujuan untuk mengetahui bagaimana cara melakukan manajemen diri terhadap kesehatan dan keselamatan kerja pekerja tambang. Sumber data yang didapat berasal dari database Pubmed, Scopus dan ScienceDirect yang dipilih dengan adanya kriteria inklusi dan eksklusi : Jurnal terkait kesehatan dan keselamatan kerja pekerja tambang, tahun publikasi artikel antara tahun 2018-2023 dan artikel selain systematic review/literature review. Setelah pencarian artikel berdasarkan kriteria yang ditentukan, selanjutnya dilakukan tahap evaluasi artikel dengan critical appraisal dan didapat sebanyak 8 artikel. Hasil menjelaskan bahwa terdapat unsur dari stres kerja, kelelahan, perlindungan diri, pengetahuan/pengalaman, perilaku serta pelatihan kesehatan dan keselamatan kerja menjadi manajemen dalam pengendalian terjadinya resiko cedera pada para pekerja tambang. Dari unsur tersebut sejalan dengan penelitian sebelumnya yang telah dilakukan sehingga hal ini perlu adanya peran dari manajer perusahaan pertambangan untuk meninjau program pelatihan agar angka cedera dapat berkurang dan lingkungan kerja menjadi lebih aman
Pengurangan Risiko Bencana Kekeringan Melalui Peningkatan Kapasitas Remaja di Lingkungan Sekolah
No full textKekeringan merupakan fenomen alam yang tidak dapat dielakkan dan menjadi variasi normal dari cuaca yang perlu mendapat perhatian. Kekeringan menyebabkan beberapa wilayah di Kebumen mengalami keterbatasan air minum. Dampak kekeringan sangat luas dan dapat mempengaruhi sektor lain seperti ekonomi, Kesehatan, sosial dan Pendidikan. Tujuan kegiatan pengabdian masyarakat ini untuk meningkatkan kapasitas remaja dalam perannya mengambil bagian program penguranan bencana di lingkungan sekolah. Kegiatan ini terdiri dari persiapan, pelaksanaan dan evaluasi. Kegiatan diikuti oleh 38 peserta yaitu siswa SMA Muhammadiyah Gombong, yang dilaksanakan pada Oktober - November 2022. Metode yang digunakan yaitu edukasi dengan pre-post test untuk mengetahui perubahan pengetahuan setelah dilakukan edukasi. Kuesioner terdiri dari 20 pertanyaan yang berisi tentang pengurangan risiko bencana kekeringan. Hasil pengabdian masyarakat didapatkan peningkatkan pengetahuan rata-rata mencapai 74% dengan rata nilai post test 90,78. Konsep pengurangan risiko bencana yang dilakukan kepada remaja bisa memberikan kesadaran dan dampak untuk ikut berperan serta dalam mengatasi bencan