54 research outputs found
Ansietas Menghadapi Ujian Nasional pada Siswa SMP dan SMA
Get PDFUjian nasional (UN) yang diadakan pemerintah setiap tahun menimbulkan masalah ansietas bagi para siswa SMP dan SMA. Penelitian ini bertujuan mengidentifikasi gambaran tingkat ansietas siswa menghadapi ujian nasional pada siswa SMP dan SMA. Desain penelitian deskriptif dengan melibatkan 83 siswa SMPN dan 80 siswa SMAN yang akan menghadapi UN. Instrumen yang digunakan adalah modifikasi wetside test anxiety scale. Hasil penelitian didapatkan 11% siswa SMPN ansietas tingkat sedang sampai dengan berat dan 39,2% siswa SMAN ansietas pada tingkat sedang sampai dengan berat. Perawat sekolah perlu melakukan intervensi untuk mengurangi ansietas siswa di sekolah terutama menjelang UN. Diharapkan pihak sekolah dan orang tua dapat meningkatkan perhatiannya terhadap masalah psikologis siswa.
Abstract
The Anxiety of Junior High School and Senior High School Students Toward National Exam. National Exam held by government evoked anxiety problem among students. Junior and Senior High School students are the majority participant who shows anxiety problem. This research is aimed to identify the description of student’s level anxiety who will encounter the National Exam in SMPN and SMAN at Depok. This study used description survey involving 83 Junior School students and 80 Senior School students. To measure the level of anxiety among students was used Wetside test anxiety scale. The result shows 11% of Junior School students identified anxiety in moderate to severe scale, and 39.2% Senior School students shows anxiety level from moderate to panic scale. This result indicates despite the majority result of student’s level of anxiety in mild scale, nursing intervention is required to reduce the level of anxiety among students, especially for students who will encounter National Exam and being identified in the level of anxiety at moderate to panic scale. The teachers and parents is expected to provide more attention to student’s psychological problems.
Key words: anxiety, national final exam, student
Changes Of Symptoms And The Ability Of Anxiety Patients After Exercise Of Thought Stopping And Family Psychoeducation
No full textPatients with degenerative disease were hospitalized may experience an anxiety psychological problem affecting the condition of the illness. The handling of this case aims to determine the change of symptom signs and ability of anxiety patients after exercise thought stopping and family psychoeducation. The design was case study with 25 participants. The analysis was performed on symptoms and abilities of patients and families before and after nursing intervention, thought stopping and family psychoeducation. The case handling on the same topic has been done before, but that distinguishes the author using Peplau's interpersonal theory approach. This makes its different and important to do. The result of the case handling shows the age of 18-60 years, female 13 people, men 12 people, Sundanese and the decreased signs of anxiety symptoms, also the increased the ability of families in caring for family members who experienced anxiety. Nursing intervention, thought stopping and family psychoeducation are recommended as nursing therapy for patients anxiety with degenerative diseases
HUBUNGAN ANTARA BEBAN KELUARGA DENGAN KEMAMPUAN KELUARGA MERAWAT PASIEN PERILAKU KEKERASAN DI POLIKLINIK RUMAH SAKIT MARZOEKI MAHDI BOGOR
Get PDFSkizofrenia menduduki peringkat keempat sebagai penyakit yang membebankan di seluruh dunia. Salahsatu manifestasi klinik dari skizofrenia adalah perilaku kekerasan. Beban berat yang dirasakan keluargadapat menurunkan kemampuan keluarga merawat pasien dengan perilaku kekerasan. Tujuan penelitianadalah mengidentifikasi hubungan beban dengan kemampuan keluarga merawat pasien perilaku kekerasan di Poliklinik Rumah Sakit Marzoeki Mahdi Bogor. Desain penelitian adalah analitikdengantehnik purposive sampling terhadap 103 responden. Hasil penelitian menunjukkan terdapat hubungan signifikan antara beban dengan kemampuan keluarga dalam merawat pasien perilaku kekerasan (P value<0,05). Peningkatan kemampuan keluarga merawat pasien perilaku kekerasan perlu dilakukan agarbeban yang dirasakan keluarga menjadi berkurang
Stres dan Tingkat Kecemasan saat Ditetapkan Perlu Hemodialisis Berhubungan dengan Karakteristik Pasien
Get PDFStres dan kecemasan merupakan kondisi psikologis yang umumnya dirasakan pasien penyakit ginjal kronis. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik pasien penyakit ginjal kronis dengan tingkat stres dan kecemasan saat ditetapkan mendapatkan terapi hemodialisis. Penelitian ini menggunakan metode survei analitik cross sectional dengan melibatkan 32 pasien yang baru ditetapkan mendapatkan terapi hemodialisis. Untuk mengetahui tingkat stres dan kecemasan digunakan Depression Anxiety and Stress Scale. Dengan menggunakan uji kai kuadrat, didapatkan kesimpulan terdapat hubungan antara tingkat stres dengan usia dan tingkat pendidikan, sedangkan tingkat kecemasan berhubungan dengan usia, jenis kelamin, status perkawinan, dan status bekerja (p value ≤ 0,05). Hasil ini menunjukkan bahwa stres dan tingkat kecemasan saat ditetapkan mendapatkan terapi hemodialisis berhubungan dengan karakteristik pasien penyakit ginjal kronis. Hal ini memunculkan suatu kebutuhan akan adanya asuhan keperawatan untuk mengurangi stres dan kecemasan yang disesuaikan dengan karakteristik pasien.
Abstract
Relationship between the Characteristics of Chronic Kidney Disease Patient and the Level of Stress and Anxiety when was Diagnosed to Acquire Hemodialysis therapy in RSUP Fatmawati. Stress and anxiety are psychological conditions that generally occurred on chronic kidney disease patients. This study aimed to determine the relationship between the characteristics of chronic kidney disease patients and the levels of stress and anxiety when was diagnosed to acquire hemodialysis therapy. This study used cross sectional survey method which evaluated 32 patients who were newly assigned to get hemodialysis therapy. To determine the level of stress and anxiety, it was used Depression Anxiety and Stress Scale. Using the chi-square test, it was concluded there was a relationship between the level of stress with age and educational level and the level of anxiety with age, gender, marital status, and work status (p value ≤ 0.05). These results indicated that the differences in levels of stress and anxiety when was diagnosed to acquire hemodialysis therapy was associated with the characteristics of chronic kidney disease patients. So it would cause a necessity of nursing care plan to reduce stress and anxiety based on patients’ characteristics.
Keywords: anxiety, hemodialysis, stres
KUALITAS HIDUP PASIEN SKIZOFRENIA DIPERSEPSIKAN MELALUI STIGMA DIRI
Get PDFSkizofrenia merupakan sekumpulan gejala atau sindrom yang dapat menyebabkan masalah kejiwaan yang sangat serius. Stigma diri muncul akibat efek negatif penilaian orang lain terhadap pasien Skizofrenia sehingga mengakibatkan penurunan kemampuan kerja, fungsi sosial, harga diri, dan harapan. Kualitas hidup pasien Skizofrenia erat kaitannya dengan disabilitas yang dialaminya berupa perubahan kognitif dan persepsi dalam menjalani kehidupan. Penelitian ini bertujuan untuk mengidentifikasi kualitas hidup pasien skizofrenia melalui stigma diri. Desain penelitian ini adalah descriptive corelative dengan pendekatan cross sectional, sampel 92 responden yang dipilih menggunakan teknik consecutive sampling. Analisis uji statistik menggunakan correlation test. Hasil dari penelitian adalah ada hubungan antara stigma diri dengan kualitas hidup pasien Skizofrenia dengan korelasi negatif (r= -0,568, p= 0,00). Level stigma diri termasuk kedalam klasifikasi stigma tinggi dan klasifikasi kualitas hidup yang rendah. Penelitian ini merekomen-dasikan pelaksanaan intervensi keperawatan yang berorientasi pada pasien berupa pencegahan stigma negatif dan peningkatan kualitas hidup.
Abstract
Quality of Life Schizophrenia Patients Treated Through Self Stigma. Schizophrenia is a syndrome that could induce seriously psychology problems. Self stigma can induce because of consequence of negative stereotype in patients with Schizophrenia with the result that diminished ability to work, social function, self-esteem and hope. Quality of life in patients with Schizophrenia related to disability because of impaired cognitive and perception in their life. This study was conducted to correlation between self stigmawith quality of life in patients Schizophrenia. Methodology use descriptive correlative with cross sectional study, used 92 patients with a diagnosis of Schizophrenia and used consecutive sampling. Statistical analysis test using correlation test. Result this study, there is significance correlation between self stigma and quality of life (p= 0.00 < 0.005) (r= -0.865). The level of self stigma of patients with schizophrenia was determined to be high, and the self stigma had a negative impact on the quality of life. This study recommends the implementation of patient oriented nursing interventions in the form of prevention of negative stigma and improvement of quality of life
Keywords: internalized stigma, quality of life, Schizophreni
Stress Management Application on Expressed Emotions of Families with Schizophrenia in Online Family Psychoeducation: Case Report
No full textThe family is the individual who is closest to the patient so that it is considered to have the most influence on the life of the sufferer. Stress management is one of the sessions in family psychoeducation (FPE). In the Covid-19 pandemic situation which has a very rapid spread of the virus, online care remains a powerful solution and is potentially needed so that online family psychoeducation is the right choice in this situation. The purpose of providing this therapy was to determine to the effectiveness of stress management in FPE sessions in reducing Expressed Emotion (EE) in families with schizophrenia. The writing of this scientific paper was a case report. The intervention was carried out for 6 weeks with a frequency of once a week and an average duration of 45-60 minutes per session. The assessment used was a family questionnaire to assess the level of EE in the family. The final evaluation of the implementation of stress management in the online FPE session given showed a decrease in EE owned by the family. This case report recommends implementing stress management in FPE sessions to reduce EE which can also work well in online implementation
Reducing the Violent Behavior in Schizophrenia Patient Through Online Clinical Practice During the Covid-19 Pandemic
Get PDFOnline clinical practice is an alternative in providing mental health services during the COVID-19 pandemic. Online clinical practice is useful in preventing relapse that is at risk of occurring during a pandemic in people with serious mental disorders such as schizophrenia. One of the schizophrenia relapse symptoms is a change in behavior that is distorted so that it creates a risk of violent behavior. Violence is a maladaptive response indicated by injuring oneself, others, or the environment. The patient’s ability to control violent behavior can be used as a means of preventing violent behavior. Nursing interventions based on mental health nursing care standards are carried out to prevent or control violent behavior in patient. The purpose of providing nursing care is to reduce symptoms and increase the patient’s ability to control violent behavior. The research method used case study analysis. The instrument used was an evaluation sheet of symptoms and the ability to control violent behavior. The final evaluation of the nursing care provided showed a decrease in symptoms and an increase in patient’s ability to control violent behavior. Promotion and prevention of health problems in patient with a risk of violent behavior can be done by implementing online nursing care based on mental health nursing care standards, as well as collaborating with clinical nurse specialist and related communities
Penerapan Standar Asuhan Keperawatan Jiwa Ners untuk Menurunkan Intensitas Waham Pasien Skizofrenia
Get PDFSkizofrenia merupakan gangguan jiwa yang kompleks. Gejala yang paling sering ditemui adalah waham. Waham dialami oleh 60% penderita skizofrenia dengan intensitas yang lebih berat dibandingkan dengan gangguan jiwa yang lain. Pasien waham memiliki kecenderungan untuk memunculkan reaksi agresif karena adanya upaya konfrontasi dari lingkungan terkait pemikiran dan keyakinannya yang tidak realistis. Kecenderungan tersebut merupakan efek dari besarnya intensitas waham yang dialami pasien. Salah satu cara untuk mengontrol perilaku agresif tersebut adalah melalui latihan deeskalasi. Penanganan yang komprehensif perlu diberikan berdasarkan standar asuhan keperawatan (SAK) jiwa dan pemberian latihan deeskalasi secara adekuat pada pasien dengan gangguan proses pikir waham. Penulisan karya ilmiah akhir ners ini bertujuan untuk menggambarkan penerapan asuhan keperawatan jiwa ners dan latihan deeskalasi terhadap agresifitas pasien untuk menurunkan intensitas waham. Metode yang dilakukan adalah berupa analisis kasus pada pasien yang dirawat di RS Dr. H. Marzoeki Mahdi Bogor, dengan diagnosis keperawatan gangguan proses pikir waham kebesaran. Hasil dari pemberian intervensi selama 8 hari adalah pasien mengalami penurunan intensitas waham dari skor 16 dengan kategori berat menjadi skor 11 dengan kategori sedang. Kesimpulannya terdapat penurunan intensitas waham dengan menerapkan standar asuhan keperawatan jiwa ners dan latihan deeskalasi terhadap agresifitas pada pasien skizofrenia. Kata kunci: deeskalasi, skizofrenia, standar asuhan keperawatan, waham APPLICATION OFPSYCHIATRIC NURSING CARE STANDARDS TO REDUCE THE INTENSITY OF DELUTION SCHIZOPHRENIA ABSTRACTSchizophrenia is a complex mental disorder. The most common symptom is delusions. Estimated 60% of schizophrenics have more severe intensity compared to other mental disorders with the same diagnose. Patients with delusions tend to elicit aggressive reactions because of attempts at confrontation from the environment related to unrealistic thoughts and beliefs. The tendency is the effect of the amount of delusions experienced by patients. One way to control aggressive behavior is through de-escalation exercises. Comprehensive treatment needs to be given based on psychiatric nursing care standards and the provision of adequate de-escalation exercises to patients with delusional thought processes. The writing of this final scientific work aims to illustrate the application of nursing care and de-escalation exercises to the aggressiveness of patients to reduce the intensity of delusions. The method used is a case analysis in patients treated at Dr. H. Marzoeki Mahdi Bogor, with a nursing diagnosis of oversized thought processes. The result of giving generalist therapy for 8 days is that the patient experienced a decrease in delusions intensity from a score of 16 with a severe category to a score of 11 with a moderate category. In conclusion, there is a decrease in the intensity of delusions by applying psychiatric nursing care standards and de-escalation training on aggressiveness in schizophrenic patients. Keywords: de-escalation, delution, psychiatricnursing care, schizophreni
Dukungan Sosial dengan Stres, Kecemasan dan Depresi Remaja SMA Dimasa Pandemi Covid-19
No full textDimasa pandemi COVID-19 menimbulkan berbagai permasalahan yang salah satunya berdampak pada pendidikan sekolah. Dampak tersebut mempengaruhi proses pembelajaran yang dialami siswa seperti pada remaja SMA. Remaja SMA yang tidak mampu beradaptasi dengan kondisi tersebut kemungkinan akan mengalami stres, kecemasan dan bahkan depresi. Remaja membutuhkan support system seperti dukungan sosial yang menjadikan remaja mampu bertahan dan beradaptasi di kondisi pandemi COVID-19. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional yang bertujuan mengidentifikasi hubungan dukungan sosial dengan stres, kecemasan dan depresi remaja SMA dimasa pandemi COVID-19. Penelitian ini melibatkan 412 remaja SMAN 4 Bekasi, SMAN 10 Bekasi dan SMAN 14 Bekasi. Teknik sampling yang digunakan yaitu purposive sampling. Instrumen yang digunakan yaitu Social Provision Scale (SPS) dan Depression Anxiety Stress Scale-21 (DASS-21). Analisis data yang digunakan yaitu analisis univariat dan analisis bivariat dengan uji sommers’d. Hasil penelitian menunjukkan ada hubungan yang signifikan antara dukungan sosial dengan stres, kecemasan dan depresi pada remaja (p value <0,05). Penelitian ini merekomendasikan kepada institusi pendidikan bahwa diperlukannya program secara terstruktur untuk meningkatkan masalah kesehatan mental pada remaja seperti melakukan bimbingan konseling dan meningkatkan dukungan sosial pada remaja
PENGARUH TERAPI KELOMPOK SUPORTIF TERHADAP KUALITAS HIDUP LANSIA YANG MENGALAMI DIABETES MELITUS DI KOTA BANDA ACEH
No full textDiabetes Melitus adalah salah satu penyakit kronis yang sering dialami oleh lanjut usia dan berdampak terhadap kesehatan secara keseluruhan terutama pada fungsi fisik, psikologis dan sosial serta mempengaruhi semua dimensi kehidupan lansia sehingga mempengaruhi kualiatas hidup. Tujuan penelitian mengetahui pengaruh terapi kelompok suportif terhadap kualitas hidup lansia yang mengalami Diabetes Melitus di Kota Banda Aceh. Desain penelitian yang digunakan adalah quasi experimental. Responden penelitian berjumlah 78 lansia yang terdiri 39 lansia kelompok intervensi dan 39 lansia kelompok kontrol. Alat ukur yang digunakan kuesioner WHOQOL-Bref. Analisis menggunakan uji paired t-test dan independent t-test. Hasil penelitian menunjukkan ada perbedaan signifikan kualitas hidup dimensi fisik, psikologis, hubungan sosial dan lingkungan sebelum dan setelah mendapat terapi kelompok suportif (p value 0,05). Rekomendasi ini ditujukan kepada lansia yang mengalami diabetes melitus dalam upaya meningkatkan kualitas hidup.Kata kunci: terapi kelompok suportif, kualitas hidup, diabetes melitus.ABSTRACTDiabetes mellitus is a chronic disease that is often experienced by the elderly and has an impact on overall health, especially on physical, psychological and social functions and affects all dimensions of the life of the elderly, which affects the quality of life. The aim of the study was to determine the effect of supportive group therapy on the quality of life of elderly people who had diabetes mellitus in Banda Aceh City. The research design used was quasi experimental. The research respondents were 78 elderly consisting of 39 elderly intervention groups and 39 elderly control groups. The measuring instrument used by the WHOQOL-Bref questionnaire. Analysis using paired t-test and independent t-test. The results showed that there were significant differences in quality of life in physical, psychological, social and environmental dimensions before and after receiving supportive group therapy (p value 0.05). This recommendation is addressed to the elderly who have diabetes mellitus in an effort to improve the quality of life.Keywords: supportive group therapy, quality of life, diabetes mellitus
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