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Penerapan Behavior Therapy (Token Ekonomi) terhadap Risiko Kecanduan Game Online: Case Study Hasibuan, Shinta Yuliana; Daulima, Novy Helena Catharina
MAHESA : Malahayati Health Student Journal Vol 3, No 8 (2023): Volume 3 Nomor 8 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.753 KB) | DOI: 10.33024/mahesa.v3i8.10792

Abstract

ABSTRACT Internet gaming addiction is an excessive gaming behavior. One of the negative behaviors arising from game addiction is that clients become unproductive and one way to change negative behavior into positive behavior is to provide behavior therapy. The purpose of this article is to explain the application of behavior therapy (token economy) to clients at risk of internet gaming addiction. The method used in this article is a case study. After being given therapy for four sessions, clients can change negative behaviors in playing games into positive behaviors and clients can become more productive. Behavior therapy (token economy) can change negative behavior into positive behavior, in addition to behavior therapy, other therapies such as cognitive behavior therapy can also be given in this case, because in addition to changing behavior, it can also change negative thoughts into positive ones. Keywords: Behavior Therapy, Token Economy, Internet Game Addiction  ABSTRAK Kecanduan game internet adalah perilaku bermain game yang dilakukan secara berlebihan. Salah satu perilaku negatif yang ditimbulkan dari kecanduan game adalah klien menjadi tidak produktif dan salah satu cara untuk mengubah perilaku negatif menjadi perilaku positif adalah dengan memberikan terapi perilaku. Tujuan dari artikel ini adah untuk menjelaskan penerapan terapi perilaku (token ekonomi) pada klien yang berisiko mengalami kecanduan game internet. Metode yang digunakan pada artikel ini merupakan studi kasus. Setelah diberikan terapi selama empat sesi, klien dapat mengubah perilaku negatif dalam bermain game menjadi perilaku positif dan klien dapat menjadi lebih produktif. Terapi perilaku (token ekonomi) mampu merubah perilaku negatif menjadi perilaku yang positif, selain diberikan terapi perilaku, terapi lain seperti cognitive behavior therapy juga dapat diberikan pada kasus ini, karena selain dapat mengubah perilaku, juga dapat mengubah pikiran negatif menjadi positif. Kata Kunci: Terapi Perilaku, Token Ekonomi, Kecanduan Game Internet
Exploring family emotions in do-not-resuscitate (DNR) decision-making for hospitalized patients: A systematic review Siagian, Nur Aima; Putri, Yossie Susanti Eka; Daulima, Novy Helena Catharina; Chandra, Yudi Ariesta; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.988

Abstract

Background: End-of-life decision-making, particularly Do-Not-Resuscitate (DNR) decisions for critically ill patients in hospital care, is an extremely difficult and often traumatic issue. This process has a profound impact on the mental health of families, causing anxiety, depression, stress, and even post-traumatic stress disorder (PTSD). There is currently little literature that thoroughly explores the diverse and profound emotional landscape, such as fear, optimism, well-being, and challenges experienced by families during the DNR decision-making process. Purpose: To examine the various emotions experienced by family members during the DNR decision-making process for patients hospitalised in hospital. Understanding these emotional experiences is crucial for improving support interventions, reducing conflict, and avoiding adverse psychological effects on families and healthcare providers. Method: A systematic review (SR) design was used in this study to evaluate and synthesise existing qualitative evidence on the emotional experiences of families. This design was chosen because it provides a better understanding of the family situation. To ensure its relevance to current clinical practice, this review used the PRISMA guidelines and the PICO framework. The publications included were published between 2020 and 2025 and were retrieved from electronic databases such as PubMed, SAGE, and Clinicalkey Nursing. Nine studies in the qualitative synthesis included 28 primary studies that were evaluated, most of which were qualitative or used mixed methods, conducted in several countries (such as the US, Australia, Taiwan, and Chile). The focus of the analysis was to find patterns, similarities, and differences in emotional experiences. Results: Families' experiences with DNR decisions are characterised by significant psychological stress. When families are faced with discussions about Goals of Care (GoC), they often feel unprepared, confused, and shocked. This situation is often exacerbated by time pressure. Families experience the deepest emotions, namely guilt and fear of making the wrong decision, with the family's main goal being to ‘do everything right so there are no regrets’. Conclusion: The DNR process is complex, dynamic, and emotional. This study shows that healthcare professionals must not only provide medical information but also acknowledge, validate, and assist families in coping with their emotional issues. To improve the quality of end-of-life care, clinical practice must shift to a more family-centred and friendly communication model that explicitly addresses the complex emotional dynamics that families face during difficult times in their lives.
Efektivitas Pemberian Terapi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Stres Pada Perawat : Systematic Review Linda Mandasari; Novy Helena Catharina Daulima; Mustikasari Mustikasari; Yossie Susanti Eka Putri
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42754

Abstract

Nurses are at the forefront of health services so they can influence the physical and psychological condition of nurses. Psychological disorders that can occur include work stress on nurses which must be studied and solutions found so that nurses' performance remains good and of high quality. To overcome work stress conditions in nurses, there are various solutions that can be done, one of which is progressive muscle relaxation. Progressive muscle relaxation therapy can have an effect on reducing stress and anxiety levels in nurses. Literature search using databases namely ProQuest, Sciencedirect and Clinicalkey Nursing within the last 10 years. There are 3 articles that use a Randomized Control Trial. Providing progressive muscle relaxation therapy can be effective in reducing stress levels in nurses.
Comprehensive approaches to suicide prevention in undergraduate students: A scoping review of psychological, social, and institutional strategies Soeli, Yuniar Mansye; Daulima, Novy Helena Catharina; Mustikasari, Mustikasari; Martha, Evi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2763

Abstract

Background: Diabetic foot ulcers (DFUs) remain a significant clinicalchallenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation. Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes. Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index. Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID’s superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs. Keywords: diabetic foot ulcer; sensitivity, specificity, wound classification, wound healing prediction
Co-Authors Abdul Wakhid Achir Yani S Hamid Achir Yani S. Hamid Agus Setiawan Alber Tanjung Basmanelly Basmanelly Berlian Nurtyashesti Kusumadewi Budi Anna Keliat Cahyani, Eliza Chandra, Yudi Ariesta Deborah Ferdinanda Lumenta Denny Paul Ricky Dewi Eka Putri Dewi, Apri Rahma Dwi Heppy Rochmawati Dwi Suratmini Eka Malfasari Eka, Angelina Eka, Angelina Roida Eli Saripah Emi Wuri Wuryaningsih Eni Hidayati Evi Martha Fandy Yoduke Giur Hargiana Hargiana Hargiana, Giur Hasibuan, Shinta Yuliana Hening Pujasari Herni Susanti I Ketut Suada Ice Yulia Wardani Ida Ayu Putri Wulandari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Junaiti Sahar Junardi Junardi Keksi Girindra Swasti Kellyana Irawati Lina Iffata Fauziya Linda Mandasari Livana PH Livana Ph, Livana Manumba, Ruliyani mariyati mariyati Misesa Misesa Moch. Bahrudin Mustikasari Mustikasari Naedi Naedi Novitasari, Prihatini Dini Pasaribu, Jesika Puji Mentari Ria Utami P Ria Utami Panjaitan Robby Prihadi Aulia Erlando Rr Tutik Sri Hariyati Rudi Abas Safra Ria Kurniati Sambodo Sriadi Pinilih Sawab Sawab Setyowati Setyowati Siagian, Nur Aima Sri Endriyani Subu, Muhammad Arsyad Suratmini, Dwi Susila, Wahyu Dini Candra Sutanto Priyo Hastono Sutanto Priyo Hastono Sutejo Sutejo Syisnawati Syarif Titik Suerni Tri Budiati Triaswati, Rusmai Usraleli Usraleli Wahyu Reknoningsih Wanda , Dessie Wardhani, Ice Yulia Wardhani, Ice Yulia Winahayu, Neng Esti Winda Ratna Wulan Yanuar Fahrizal Yoduke, Fandy Yossie Susanti Eka Putri Yuniar Mansye Soeli Yunita Astriani Hardayati