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Efektifitas Cognitive Behavioral Stress Management (Cbsm) Terhadap Penurunan Kadar Kortisol Pada Pasien Kusta: Literature Review Alivian, Galih Noor; Pratama, Koernia Nanda
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.483 KB) | DOI: 10.20884/bion.v1i1.2

Abstract

Latar Belakang. Pada tahun 1984, Ramanathan melaporkan 55% pada pasien kusta mengalami psychiatric disorders. Chaterjee et al (1989) menemukan 64,7% pasien kusta mengalami psychiatric disorders. Leekassa et al (2004) melakukan studi pada pasien kusta di rumah sakit khusus kusta di Ethiopia dan menemukan 52,4% pasien mengalami gangguan psikiatri. Gangguan psikiatri pada pasien kusta yang sering terjadi yaitu berupa depresi serta kecemasan (shale MJ, 2000), dan di Indonesia dukungan psikososial pada penderita kusta belum banyak dilakukan di fasilitas kesehatan. Stressor yang dialami pasien kusta berupa malu, menarik diri dengan bersembunyi di dalam rumah serta keluarga dan masyarakat yang menganggap jijik terhadap kondisi yang dialami oleh klien (Susanto, 2010). Cognitive Behavioral Stress Management (CBSM) telah digunakan secara luas serta terbukti efektif untuk mengelola stress pada pasien HIV, kanker payudara, kelelahan kronik, penyakit kardiovaskuler, dan kanker prostat (Penedo FJ, Antoni MH, schneiderman N, 2006).Tujuan. Menggambarkan pengaruh Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan reaksi kusta.Metode. Sumber artikel yang digunakan didapat dari pencarian melalui Google Scholar, Doaj, Ebscho, dan Pro Quest mulai tahun 2000 sampai dengan 2013. Setelah didapatkan, kemudian dilakukan penilaian artikel sampai tahap pembuatan literature review.Hasil. Review ini menghasilkan efektivitas dari Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan stress.Kesimpulan. Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol ternyata berpengaruh pada pasien dengan stress terhadap kondisi penyakitnya. 
Analisis Faktor Dalam Pemanfaatan Layanan Voluntery Counseling And Testing (VCT) Pada Pelanggan Wanita Pekerja Seks (WPS) Di Lokalisasi Lorong Indah Kabupaten Pati Wicaksono, Aditya; Isworo, Atyanti; Alivian, Galih Noor
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.761 KB) | DOI: 10.20884/bion.v1i1.11

Abstract

Background: The key population groups, female sex worker (FSW) customers, are still low in utilizing voluntary counseling and testing (VCT) services. This study aims to determine the factors that influence FSW customer behavior in utilizing VCT services.Methodology: This study used a cross sectional design. The samples were 95 FSW customers with accidental sampling technique. The instrument of this study used a questionnaire. The analytical methods were univariate analysis and bivariate analysis using Chi Square.Research Results: The results of this study indicate that the majority of respondents aged 36-45 years have education with a senior high school / university level and most work as entrepreneurs. There was a significant relationship between self-fear factor and the use of VCT with a p-value of 0.016 and other people's support factors with the use of VCT services with p-value 0.001. However, there was no significant relationship between the knowledge factor and the use of VCT services with p-value 0.052.Conclusion: There are a significant relationship between the factors of self-fear and the support of others with the use of VCT services.
Hubungan Tingkat Pendidikan dan Pengetahuan Dengan Sikap Ibu Terhadap Skrining Hipotiriod Kongenital (SHK) Di BKMIA Kartini Purwokerto Deriyatno, Gus; Sumarwati, Made; Alivian, Galih Noor
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.231 KB) | DOI: 10.20884/bion.v1i1.9

Abstract

Background: The number of SHK is only a small number, there are probably factors that influence it. It is important to conduct research which can become the basic data for further research. Objective: To determine the relationship between education level and knowledge with maternal attitudes toward congenital hypothyroid screening. Methodology: This study used a cross sectional design method approach. The sampling technique was purposive sampling amounted to 46 respondents. The statistical test used Somers'D correlative. Results: Based on the characteristics, the majority of respondents had an elementary / junior high school level of 45.6% (21 people), medium knowledge was 45.6 (21 people) and had a sufficient attitude of 6.96% (32 people). The correlative test results of the relationship between the level of education and maternal attitudes towards SHK was obtained r=0,287 and p=0.057, the relationship between knowledge and maternal attitudes toward SHK resulted r=0,400 and  p=0.005. Conclusion: The level of education is not related  with maternal attitudes towards SHK but knowledge has a positive correlation with the mother's attitude towards SHK.
Efektifitas Terapi Akkupuntur Terhadap Keberhasilan Rehabiltasi Pasien Pasca Stroke: Literature Review Pratama, Koernia Nanda; Alivian, Galih Noor
Journal of Bionursing Vol 1, No 2 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.538 KB) | DOI: 10.20884/bion.v1i2.23

Abstract

Introduction. Stroke is a sortie that occurs in the brain that involves blood vessels in the brain (blockage or cracked) and finally manifests in a various of symptoms (starting from paralysis, interference of swallowing and speaking, etc.). This disease is differentiated into ischemic-infarct strokes and hemorrhagic strokes. In Indonesia, this disease has increased from 7% to 10.9%. It indicates that stroke is a disease that is quite dangerous and needs an appropriate handling or rehabilitation.Objective. This study aims to collect and analyze articles relating to the effectiveness of acupuncture therapy as a stroke management.Method. Search for journal articles is done electronically by using several databases, namely DOAJ, PubMed and Google Scholar with the keywords "Acupunture for post stroke" for international journals, whereas for national journals using the Google Scholar search engine with the keyword "Acupuncture therapy in post-stroke patients", the journal sought is an intervention journal with PICO frame work criteria (Patient, Intervention, Comparison, Outcome). From the results of the review there were 5 journals that were relevant to the topic. The journal consists of 3 international journals and 2 national journals, the next step is to review the five journals.Results. Acupuncture therapy is effective for improving post-stroke rehabilitation. This therapy is giving a puncture to Meridian Yang Ming to facilitate the flow of the Ci-Meridian. In this meridian there is a complicated connection system called acupoints (acupuncture points) that binds or relates to various functions of the body and organs. In stroke patients, due to some nerve pathways have been closed it is difficult to maintain the opened circulation. With stimulation of acupuncture at some acupuncture points, it opens the blood vessels and improves the blood flow. Based on the results obtained from the research, acupuncture is quite effective in handling the rehabilitation of stroke patients. In order to feel the results optimally, stroke patients are recommended not only to do the acupuncture therapy. But also the other therapeutic activities.Discussion. The results of this test provide a general picture in the intervention group, that acupuncture therapy interventions can open up blood vessels so that the various effects or complications of stroke disease can be decreased.Conclusion. Acupuncture thrapy is effective for the successful rehabilitation of post-stroke patients.. 
Training manajemen demam di rumah untuk meningkatkan pengetahuan dan ketrampilan ibu/pengasuh Purwandari, Haryatiningsih; Purnamasari, Meivita Dewi; Alivian, Galih Noor
Jurnal Keperawatan Soedirman Vol. 10 No. 3 (2015)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2015.10.3.597

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Demam merupakan masalah yang umum terjadi pada balita dan dapat menimbulkan masalah serius pada anak. Fakta di lapangan menunjukkan pengetahuan dan ketrampilan orangtua dalam penatalaksanaan demam masih terbatas. Penelitian ini bertujuan untuk mengidentifikasi pengaruh training manajemen demam di rumah untuk meningkatkan pengetahuan dan ketrampilan ibu dalam perawatan demam pada anak. Penelitian menggunakan desain pra eksperimen dengan pre and posttest pada satu kelompok. Sampel adalah ibu/ pengasuh balita dengan riwayat demam dan mengikuti kegiatan di Posyandu Kencanasari I, Desa Kutasari, Kecamatan Baturraden, Kabupaten Banyumas. Sampel diambil secara purposive sampling sejumlah 30 responden. Instrumen yang digunakan kuesioner dan lembar observasi. Analisa data menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya perbedaan pengetahuan dan ketrampilan sebelum dan setelah mengikuti training manajemen demam (p=0, 00; p=0, 00). Pengetahuan responden meningkat 11.5 atau 15, 1%, dan ketrampilan meningkat sebesar  36.13 atau 137.5%. Hasil penelitian ini diharapkan dapat menjadi salah satu alternatif metode pelatihan kesehatan yang dapat dipilih oleh Puskesmas atau tenaga kesehatan.
Phenomenological Study of Muslim Nurses’ Experience During End-Of-Life Decision Making Hidayat, Arif Imam; Kongsuwan, Waraporn; Nilmanat, Kittikorn; Siwi, Adiratna Sekar; Alivian, Galih Noor
Jurnal Keperawatan Soedirman Vol 16, No 3 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.3.1716

Abstract

ABSTRACTObjectives: This study examines the significance of Muslim nurses' lived experiences in the Intensive Care Unit (ICU) when it comes to End-of-Life (EOL) decisions (ICU)Methods: The research was carried out at an intensive care unit (ICU) of a government hospital in Central Java, Indonesia. Fourteen nurses were chosen as participants after meeting the inclusion criteria: Muslims with at least three years of experience in the ICU and experienced to involved in end of life decision making process in an ICU. Data were gathered using in-depth interview. The result the transcribed and analyzed by using van Manen’s hermeneutic phenomenological approach. Trustworthiness was established following Lincoln and Guba's criteria.Results: Four theme themes emerged from nurses' engagement in EOL decision-making. Feeling dilemma, being in uncertain time, receiving overwhelming role, and evading the process. Van Manen's four lived world of body, time, relation, and space are reflected in these subjects.Conclusion: The purpose of this study was to illustrate the meaning of Muslim nurses' EOL decision-making in the ICU and to affect nursing policy addressing EOL decision-making education in ICU settings.
Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients Purnawan, Iwan; Hidayat, Arif Imam; Sutrisna, Eman; Alivian, Galih Noor; Wirakhmi, Ikit Netra
Jurnal Keperawatan Soedirman Vol 16, No 3 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.3.1567

Abstract

Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.
Training Manajemen Nyeri Punggung (Low Back Pain) Pada Lansia Dengan Mc Kenzie Exercise Di Kelurahan Mersi Purwokerto Timur Alivian, Galih Noor; Alaludin, Sidik; Hidayat, Arif Imam
Jurnal of Community Health Development Vol 2 No 1 (2021): Journal Of Community Health Development terbitan bulan Januari 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (651.321 KB) | DOI: 10.20884/1.jchd.2021.2.1.3540

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Latar Belakang: Low back pain (LBP) merupakan rasa nyeri yang dirasakan pada punggung bawah yang sumbernya adalah tulang belakang daerah spinal (punggung bawah), otot, saraf, atau struktur lainnya di sekitar daerah tersebut. Faktor lain yang berhubungan dengan kejadian LBP meliputi karakteristik individu misalnya usia. Usia merupakan salah satu faktor penyebab terjadinya nyeri punggung pada lansia. Latihan peregangan metode Mc Kenzie merupakan suatu teknik latihan dengan menggunakan gerakan badan terutama kebelakang/ekstensi, biasanya digunakan untuk penguatan dan peregangan otot-otot ekstensor dan fleksor sendi lumbosacralis dan dapat mengurangi nyeri. Tujuan: Melalui program penerapan IPTEK ini diharapkan para kader posyandu lansia mengalami peningkatan pengetahuan dan keterampilan tentang latihan peregangan metode Mc Kenzie dan meningkatkan pengetahuan kader tentang nyeri punggung/ low back pain, ditunjukkan dengan peningkatan nilai skor pengetahuan saat dilakukan pre test dan post test. Metode: Program penerapan IPTEK ini dilakukan melalui pendidikan kesehatan berbasis kebutuhan melalui metode penyuluhan, diskusi, dan demonstrasi tentang latihan peregangan metode Mc Kenzie dan tentang nyeri punggung/ low back pain. Jumlah peserta yang mengikuti kegiatan penyuluhan adalah 30 orang yang terdiri dari beberapa kader posyandu lansia di kelurahan Mersi Kecamatan Purwokerto Timur. Hasil: Kegiatan penyuluhan meningkatkan pengetahuan para kader posyandu lansia, skor pengetahuan di ukur sebelum dan sesudah pemberian edukasi, nilai rata- rata pre test skor pengetahuan kader posyandu lansia adalah (53,33), sedangkan nilai rata- rata post test skor pengetahuan kader posyandu lansia (80.67). Hasil analisa tersebut menunjukkan bahwa ada perbedaan yang bermakna antara nilai skor pengetahuan kader posyandu lansia kelurahan Mersi Kecamatan Purwokerto Timur terhadap pemahaman tentang latihan peregangan metode Mc Kenzie dan tentang nyeri punggung/ low back pain. Kesimpulan: Program PKM penerapan IPTEK telah berjalan dengan lancar dan menghasilkan jasa berupa pemberian penyuluhan oleh para ahli di bidang kesehatan tentang latihan peregangan metode Mc Kenzie dan tentang nyeri punggung/ low back pain.
SOSIALISASI DISASTER PLAN DAN KESIAPSIAGAAN BENCANA MELALUI VIDEO ANIMASI BAGI PERAWAT PUSKESMAS SE KABUPATEN BANYUMAS Kamaluddin, Ridlwan; Rahayu, Eva; Wahyu K, Dhadhang; Alivian, Galih Noor
Jurnal of Community Health Development Vol 3 No 1 (2022): Journal Of Community Health Development terbitan bulan Januari 2022
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (748.451 KB) | DOI: 10.20884/1.jchd.2022.3.1.4819

Abstract

Nurses are one of the front lines in handling the COVID-19 pandemic in the health sector. Nurses need adequate knowledge and ability in dealing with disasters. Community nurses in Banyumas Regency are embodied in the INNA Leadership Council Commissariat (DPK) of the Banyumas Regency Health Office. The number of community nurse members is 500 people spread over 40 Puskesmas in Banyumas Regency. Based on the results of the study, as many as 91.2% of community nurses have never attended disaster preparedness training, 52.4% have not had a preparedness plan in the workplace and the level of disaster preparedness of community nurses is at a moderate level. Through this research-based community service program, it is hoped that nurses at Puskesmas throughout Banyumas Regency will gain knowledge regarding the Disaster Plan Health Center as part of disaster risk reduction in their area. This program is carried out through the socialization of the Community Health Center Disaster Plan in the form of virtual animation videos. This online socialization activity consisted of a pre-test of nurses' knowledge about the Community Health Center Disaster Plan, provision of materials, a question and answer discussion and ended with a post test. Animated video socialization activities can increase nurses' knowledge related to the Disaster Plan Health Center. The average value of the pre-test on the puskesmas disaster plan obtained was 68.33, while the post-test score for knowledge about the Puskesmas Disaster Plan obtained an average value of 87.45. Based on the results of the paired t test analysis, it is known that the value (p = 0.00). The results of the analysis indicate that there is a significant relationship or difference between the knowledge scores of nurses at the Puskesmas in Banyumas Regency and the understanding of the Puskesmas Disaster Plan. This Research-Based PKM program has been running smoothly and has resulted in services in the form of providing counseling by experts in the health sector about its functions, components, the process of preparing the Health Center Disater Plan and intellectual property rights, animated videos and publications. Keywords: nurse; disaster preparedness; health center disaster plan
The effectiveness of Audiovisual Education and Spiritual Support Intervention on Anxiety Reduction and Hemodynamic Parameter Stabilization in Pre-Esophago Gastro Duodenoscopy (EGD) Patients: A Pre-Intervention Study Hidayat, Arif Imam; Mulyaningrat, Wahyudi; Purnawan, Iwan; Awaludin, Sidik; Alivian, Galih Noor; Alfianto, Candra; Siwi, Adiratna Sekar; Walohtae, Fa-is
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.14555

Abstract

Background: Pre-procedural anxiety in esophagogastroduodenoscopy (EGD) patients can negatively impact cooperation and physiological stability, increasing procedural risks. This study evaluated the AVOGADO intervention, integrating audiovisual education and spiritual support, to reduce anxiety and stabilize hemodynamic parameters. Methods: A Pre-Intervention Study was conducted on a 45-year-old male with chronic dyspepsia and moderate-to-severe anxiety (HAM-A > 25). The intervention was administered two days prior to the procedure. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A), and hemodynamic parameters, including blood pressure, heart rate, and oxygen saturation, were measured at four time points: three days, two days, one day before, and on the day of the procedure. Result: Anxiety decreased significantly, with HAM-A scores dropping from 26 (moderate-to-severe) to 10 (mild). Hemodynamic parameters improved, with blood pressure reduced from 150/90 mmHg to 130/82 mmHg and heart rate from 98 bpm to 80 bpm. Oxygen saturation remained stable. Conclusion: The AVOGADO intervention effectively reduced anxiety and improved physiological stability in a pre-EGD patient. This simple, holistic approach offers promise for broader application in reducing anxiety in medical procedures. Further research with larger samples is recommended.