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Indonesian Free of Stocks for Mental Illness the Family – Care Giver, Need of Support
Get PDFMental disorder is still become a stigma in society, even until now. Problems emerge is due to maladaptive thought and behavior. Family who have family member with mental disorder can experience serious conflict, become an objective and subjective burden, blame each other, get involved in hostility among family members. Various negative effect faces by family can cause serious stress, ineffective family coping and failure of taking care of patient with mental disorder at home.
Family with one of their family member have a Schizophrenic desease, the family will appear of burden. There are two kind burden for falimy, related to subjective and objective burden. Objective burden related to sign and symptom of Schizophrenic desease that attack in patient, low of motivation, mood, afect and psychomotor. The patient not fullfillness in activity daily living routine, deficit in personal hygiene, required too long time to sleep, not working activity and other. The patient require to eat but not clean in plate after eat, bowl and urinary in any place, sleep a long time in any place and other. This condition make the family member feeling in objective burden with the patinet condition.
The subjective burden related to shame there are a family members with Schiziphrenia, stigma in group and community, and not positive progress in treatment. That ways make a family and ther family members shame, have a negative perception about Schizophrenia, negative health beleive, impairment of supports and interaction between family members. All of this conditions, make increasly stress in family, not support to the patient, wrong way to health seeking behaviors and give the patient miss treatment. This is the objective conditions in some of people in Indonesia with family member have a Schizophrenic desease
THE INFLUENCE OF NURSE’S INTERPERSONAL RELATIONSHIP ON PERIOPERATIVE PATIENT’S FAMILY UNCERTAINTY BASED ON HILDEGARD PEPLAU’S THEORY
Get PDFNurse who is able to develop positive relationship with client can help to reduce uncertainty directly
associated with high emotional distress, anxiety and depression by providing opportunity to patient
to develop alliance, communication and acceptance. The purpose of the study was to analyze the
influence of nurse’s interpersonal relationship on perioperative patient's family uncertainty. The
study used analytical design with cross sectional approach and involved 42 respondents of total
family members who underwent perioperative’s procedures using simple random sampling
technique. The study conducted in Central Surgical Installation Unit (CSIU) at District Hospital in
Jombang, East Java, from May to July 2015. The independent variable of the study was nurse’s
interpersonal relationship while the dependent variable was perioperative patient's family
uncertainty. The result of the study showed that nurse’s interpersonal relationship has been in good
criteria (52,4%) and perioperative patient's family uncertainty has been in mid level (50%). The
result of regression analysis showed the value of probablity 0,000 which was smaller than the value
of alpha (a) 0,05 meant there was significant influence between nurses’s interpersonal relationship
on perioperative patient's family uncertainty with regression model formed as follows, uncertainty
(y) = 96.316-2,231 x interpersonal relationship (x). The percentage influence of interpersonal
relationship on uncertainty was 38,9%. The conclusion of the study stated there was significant
influence between nurses’s interpersonal relationship on perioperative patient's family uncertainty with regression model formed as follows, uncertainty (y) = 96.316-2,231 x interpersonal relationship (x)
Effectiveness of Diabetes Self Management Education Against Type 2DM patients Independence in Managing Diet Disease In General Hospital Jombang
Get PDFDiabetes mellitus has been the cause of 4.6 million deaths. In addition, health expenditure for diabetes mellitus has reached 465 billion USD. Complications experienced by patients with type 2 diabetes mellitus that causes the sufferer to experienced independence in regulating dietary patterns. Ketidakmandirian patients in managing the diet due to a lack of knowledge and lack of motivation in self-care. This study aims to identify the effectiveness of Diabetes Self-Management Education to independence type 2 diabetic patients in managing the diet.This research is an experimental Pre. Research Design One group pre-post-test design. The sampling technique used was simple random sampling with 30 samples. Statistical analysis using the Wilcoxon Signed Rank Test with a significance value ofα=0.05. Pre-test results showed that almost all respondents (80%) or 24 samples in the category of partial care. While the post-test results showed that the majority (56.7%) or 17 respondents in the category of minimal care. Statistical analysis showed Wilcoxonp = 0.000 The conclusion of this research that the effects of Diabetes Self Management Education on patient autonomy in managing type 2 diabetes diet
PEER GROUP SUPPORT INCREASE PSYCHOLOGICAL RESPONSES CHANGES FROM PUBLIC SERVANT IN RETIREMENT PREPARATION PHASE
Get PDFIntroduction :Retirement is separation process of individual from their work that is being paid from their position or occupation. Retirement may change psychological responses. The aimed of this study was to analyze the influence of peer group support in psychological responses changes from public servant in retirement preparation phase. Method : This study was used an quasy experimental pre-post test purposive sampling design. Population were 18 respondents who will retire on 2009 and 2010 in Mardiwaluyo General Hospital Blitar. Sample were 16 respondents divided into 8 respondents each for treatment and control group. The independent variable was peer group support and dependent variable was psychological responses. Data were collected by using questionnaire before and after peer group support intervention. Data then analyzed by using Mann Whitney U Test and Wilcoxon Signed Rank Test with significance level α≤0.05. Result: The result showed that peer group support didn’t have an influenced in denial respons (p=0.301), anger respons (p=0.317), bargaining respons (p=0.079) and depression respons (p=0.300). Otherwise peer group support have an influenced in acceptance respons (p=0.049). Discussion: The result of this study has enlightened the important of retirement preparation phase to provide positive psychological responses. Further studies are recommended to extend this recearch with considering biological and spiritual responses
ANALYSIS OF THE INFLUENCE OF MGSO4 INJECTION ON PRE ECLAMPSIA DELIVERY IN PRE-REFERRAL JOMBANG HOSPITAL TOWARDS PREVALENCE ECLAMPSIA INCIDENT
Get PDFIntroduction: Eclampsia become one of the major causes of maternal mortality in Indonesia.
Number of patients in hospitals Preeklampsi weight Jombang in 2015 as many as 78 people,
while in January to May 2016 has reached 74 people. In order to prevent eclampsia, MgSO4
must be given immediately after the diagnosis of severe preeclampsia. Nevertheless, based on
the study still found pendahululan pre-referral health facilities that do not provide MgSO4
therapy on maternal pre eclampsia. Method: This research is an analytic study using a
retrospective cohort design. Based on estimates of the samples, it takes 74 mothers of the total
population 119 mothers. Sampling was done by simple random sampling. Test analysis to see
the effect of MgSO4 on maternity severe preeclampsia to eclampsia, used chi square test and
Fisher's exact test. While the chances of exposure to risk factors was assessed using the Relative
Risk (RR). Result: The results of the analysis proved that χ2 = 1.014; p = 0.000, which means
there is the effect of MgSO4 in a reference to the prevalence of pre-eclampsia. Further analysis
of the results obtained by the value of relative risk (RR) of 1.03 is the meaning contained 1.03
times greater risk of eclampsia occur in the group not given pre-referral MgSO4 in place
compared to mothers who were given MgSO4. Conclusion: The results of this study can be
used as a reference to create the target program in place pre-referral health services associated
with handling severe preeclampsia so as to reduce maternal mortality and infant.
Keywords: MgSO4, Weight Preeclampsia, Eclampsi
CADRE SKILLS TOWARDS ROLLING MASSAGE
Get PDFIntroduction: Breast milk is a source of nutrients that are needed by the baby. Breast milk production
can be increased by breast care, one of them with a rolling massage. Health cadres as the spearhead
of health services have an important role in improving knowledge for postpartum mothers in the
rolling massage. The aim of this study was to determine the effectiveness of rolling massage training
towards cadre skill at Puskesmas Multi Wahana Palembang 2016. Method: The study used preexperimental
with pre-posttest only design and conduct at Puskesmas Multi Wahana Palembang on
October 2016. Total population was all cadres and obtained 38 samples by using total sampling.
Independent variable was rolling massage training and dependent variable was cadre skill. Instrument
used observation sheet and analysis with Wilcoxon Signed Rank Test. Result: The result showed
there was influence of rolling massage training towards cadre skill (p=0.000). Discussion: Rolling
massage training can have a positive impact on the smooth of breast milk, so for health cadres who
are trained in the rolling massage can disseminate to postpartum mothers. Other researchers can be
combining the rolling massage therapy with other therapies.
Keywords: Rolling Massage, Skills, Cadr
IMPROVE FAMILY READINESS TO TREAT POST DEPRIVED MENTAL DISORDERS BY FAMILY PSYCHOEDUCATION
Get PDFIntroduction: Mental disorders are disturbances in thinking, volition, emotion, action. The set
of circumstances that are not normal, either related to the physical, and the mental. From the
results of the preliminary study found the low families readiness in caring for post ODGJ
healthy deprived in Pondok X Bangkalan. This study was to analyze the readiness of families
in caring for people with mental disorders after deprived before and after the family
psychoeducation in healthy Pondok X Bangkalan. Methods: The method used is Preexperimental
approach to one-group pre-post test design, family psychoeducation therapy
independent variables and the dependent variable is family preparedness in caring for people
with mental disorders post-deprived. The population of as many as 32 families with mental
disorders in healthy Pondok X Bangkalan instrument in gathering data using questionnaires.
Result: The results of the data analysis are presented in a frequency distribution table.
Statistical test in the study using the Wilcoxon Sign Rank Test α = 0.05. Based on the results,
before being given a family readiness family psychoeducation with the results after a mean
21.6 and family psychoeducation with the results given mean of 29.1 using the Wilcoxon test
showed ρvalue = 0.001 <α = 0.05 that concluded there is a difference in the care of family
readiness people with mental disorders before and after the family psychoeducation.
Conclusion: Solutions that can be given to the family of this study are expected to be input for
the family members of patients who experience a mental disorder on the importance of
knowledge and information about mental illness on family preparedness in treating patients
with mental disorders.
Keywords: Mental Disorders, psychoeducation, Family Readiness, Knowledg
EFFECT OF COOPERATIVE PLAY TO SIBLING RIVALRY DIRECT REACTION IN CHILDREN AGES 8-12 YEARS IN SDN BLEGA 03 BANGKALAN
Get PDFIntroduction: Sibling rivalry was jealousy and hate experienced by a child. Results of
preliminary studies conducted on school children in SDN Blega 03, found 8 out of 10
respondents experienced sibling rivalry. The purpose of this study to analyze the effect of
cooperative play on the incidence of sibling rivalry in school age children 8-12 years. Method:
The study design used was quasy Experiment with sibling rivarly approach dependent variable
and independent variables cooperative play. Population study were 55 students who had a sister,
a large sample of 18 respondents were divided into two groups: the treatment group (therapy
cooperativ play) and the control group (get individual play), sampling with purposive sampling
techniques, analysis of data using pairedt t test and independent samples test with α: 0.05.
Result: The results showed that sibling rivalry given cooperative play 9 respondents (100%)
change, while the sibling rivalry given individual game 2 of the respondents (20%) experienced
a change. Conclusion: Based on the statistics by using Independent Samples Test showed 0.009
value ρ <α: 0.05, which means that there is a difference after the cooperative play. Cooperative
play can be recommended as one of the interventions for parents who have children who are at
risk of sibling rivalry.
Keyword: Sibling rivalry, cooperative pla
THE SELF-CONCEPT OF CHRONIC RENAL FAILURE PATIENTS WHO UNDERGOING HEMODIALYSIS IN DR SOERADJI TIRTONEGORO HOSPITAL
Get PDFIntroduction: Chronic Kidney Disease (CKD) is a health problem that is increased every year.
All stages of CKD are related to the increased risk of cardiovascular morbidity, premature
mortality and the decreased quality of life (Hill, NR, Fatoba, ST, Oke, JL, Hirst, JA,
O’Callaghan, CA, Laseserson, JS, Hobbs, FDR 2016). People who experience chronic kidney
disease(CKD) will require renal replacement therapy, and one of treatment for patient with
CKD is hemodialysis. Patients undergoing hemodialysis will experience psychological,
sociological, spiritual, biological, and physical change that result in the changes of self-concept.
The Purpose of this research was to describe self-concept of chronic renal failure patients who
undergoing hemodialysis in dr Soeradji Tirtonegoro Hospital Klaten. Method: This research is
descriptive survey research design. The sampling technique is purposive sampling of 30
respondents using inclusion and exclusion criteria. Instrument of self-concept used modified
questionnaire from The Tennessee Self Concept Scale (TSCS) (Fitts, WH & Warren, WC 1996)
and Musyanawati (2015). Results: The result showed that 30 respondents (100%) had adaptive
self concept, but respondents showed symptoms that risk on changing self concept. Body image
of respondents are in the positive and negative ranges. Ideal self of respondent was in the
realistic and unrealistic ranges. Self esteem of respondents is in the high and low range. Role
of respondents are in the performance unsatisfactory and satisfactory. Identity respondents are
in the range of clear identity to negative range. Discussion: Overall, the self consept in patients
undergoing hemodialysis are in the adaptive ranges, but respondents showed symptoms that
risk on changing self concept.
Keywords: Chronic Renal Failure, Hemodialysis, Self Concep