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Ismoyowati, Tri Wahyuni
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PENGARUH ACCEPTANCE AND COMMITMENT THERAPY TERHADAP PERUBAHAN KECEMASAN DAN SELFEFFICACY PADA PASIEN DENGAN HEMODIALISA DI RS SINT CAROLUS JAKARTA Ismoyowati, Tri Wahyuni
Jurnal Kesehatan Vol 5 No 2 (2018): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v5i2.95

Abstract

Background: According to the US Renal Data System at the end of 2013 a total of 441,051 patients were treated with CKD. According to Riskesdas (2013), is ranked the 10th disease that not contagious. Thenumber of CKD patients hemodialysis at Sint Carolus Hospital Jakarta increased in 2016. Patients who has lived with the hemodialysis therapy experience anxiety and decreased self-effcacy. Acceptance andCommitment therapy (ACT) therapy was one of the most ?exible and effcient therapies for dealing with anxiety and self-effcacy. Objective: This study aims to determined an the effect of ACT on changes in anxietyand Self-Effcacy in patients live with hemodialysis in Sint Carolus Hospital. Methods: The research design conducted with quasi experimental design pre-post measured. An amount of the sample were 99 respondentswith purposive sampling technique. Results: The different within test results showed signifcant changes in Anxiety and Self-Effcacy before and after intervention p = 0.000. The result of different between test havesignifcant Anxiety and Self-Effcacy changes between the ACT intervention group and the control group p = 0.000. Intervention ACT simultaneously gives effect to 25% anxiety change and Self Effcacy change25.5%. The result of Odds Ratio analysis shows that ACT intervention has an effect on decreasing Anxiety by 3 times while has been increased self effcacy by 4 times in patients having live with the hemodialysis.Conclusion: This means ACT affected the changes in anxiety and Self-Effcacy of patients that were have lived hemodialysis. Suggestion: This study has been recommended the need for further research as anindependent nurse nursing intervention in nursing care.Keywords: Acceptance and Commitment therapy (ACT) – Anxiety - Self Effcacy - Hemodialysis.
PENGARUH BRIDGING EXERCISE TERHADAP PERUBAHAN KEKUATAN OTOT PADA PASIEN STROKE DI RS BETHESDA YOGYAKARTA Ismoyowati, Tri Wahyuni
Jurnal Kesehatan Vol 7 No 1 (2019): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v7i1.138

Abstract

Latar belakang: Stroke merupakan penyebab kecacatan pertama dan penyebab kematian ketiga setelah penyakit jantung coroner dan kanker. Gejala sisa stroke banyak menyebabkan kecacatan permanen (Hinkle & Cheever, 2014). Lewis, et, al (2011) menyatakan bahwa stroke dapat mengakibatkan hilangnya fungsi motorik. Fungsi motorik tersebut dapat ditingkatkan dengan adanya latihan aktif dari pasien (Smith, 2008), salah satu bentuk latihan ini adalah bridging exercise. Tujuan penelitian ini adalah menganalis pengaruh latihan Bridging Exercise terhadap perubahan kekuatan otot pada pasien Stroke. Metode Penelitian: menggunakan quasi eksperimental design dengan pretest-posttest control group design. Populasi dalam penelitian ini adalah 30 pasien Stroke di RS Bethesda yang dirawat pada bulan Oktober 2018, terdiri dari kelompok intervensi Bridging Exercise 15 responden dan kelompok kontrol 15 responden. Hasil Penelitian: uji beda two related samples t-test didapatkan p=0,000 , artinyaBridging Exercise memberikan pengaruh yang lebih baik terhadap perubahan kekuatan otot. Latihan Bridging Exersice (BE) yang dilakukan pada pasien stroke 1 kali sehari dengan 8 kali repetisi dilakukan selama satu minggu. Penelitian ini diharapkan dapat pengembangan pelayanan pada pasien stroke di Indonesia dan menjadi dasar dalam penyusunan Standard Operating Procedure (SOP). Kata Kunci : Bridging Exercise, stroke, kekuatan otot ABSTRACT Background: stroke is the first cause of disability and the third leading cause of death after coronary heart disease and cancer. The sequelae of stroke cause permanent disability. (Hinkle & Cheever, 2014). Lewis, et, al (2011) states that a stroke can result in loss of motor function. Motor function can be improved by active exercise from the patient ( Smith, 2008 ), one form of he exercise is bridging exercise. The goal of this research is to analyze the effect of bridging exercise on changes in muscle strength in stroke patients. Research methods: with quasi eksperimental, pretest-posttest control group design. The population in this research was 30 stroke patients at the Bethesda Hospital who were treated in October 2018, consist of a bridging exercises intervention group of 15 respondents and a control group of 15 respondents. Research result: different test two related samples t-test obtaining p=0,000 , that means bridging exercises give out the better result on changes in muscle strength. Bridging Exercises ( BE ) performed on stroke patients once a day with 8 repetitions performed for a week. This research is expected to be able to develop services in stroke patients in Indonesia and become the basis for the preparation of Standard Operating Procedure. Keyword: Bridging Exercise, stroke, muscle strength
Manajemen Nyeri untuk Congestive Heart Failure Tri Wahyuni Ismoyowati; Imelda Sri Desisi Teku; Jen Christin Banik; Rineke Anitya Oryza Sativa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 1 (2021): Januari
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12126

Abstract

Congestive Heart Failure (CHF) is a health problem that continues to grow in the world. CHF is the inability of the heart to pump blood to meet the tissue's needs for oxygen and nutrients, resulting in various clinical symptoms, namely chest pain. This paper is a literature review from several data bases, namely Pubmed (NCBI, NIH & AHA) Google Scholar, Proques, Elsiver. The search for articles was limited from 2010-2020 using the keywords “CHF pain therapy”, “Congestive Heart Failure management”, “Congestive Heart Failure pain management”, “Congestive Heart Failure”, “Pain Management Congestive Heart Failure”, “Pain Therapy Congestive Heart Failure ”. The search results obtained are 4 domestic journals and 96 international journals. Based on the results of the analysis, it can be concluded that pain management for patients with CHF obtained several non-pharmacological techniques, namely Watch Distraction Technique, Deep Breath Relaxation Technique, Guided Imaginery Technique, Virtual Reality, Meditation Technique, Murottal Technique, Walking Therapy, Streching and use of hot and cold media. However, the researchers concluded that Deep Breath Relaxation Techniques and Watch Distraction Technique were more effective in reducing pain in patients with CHF (p-value 0,000). Further research is needed to see the effectiveness of pain management in CHF patients using appropriate methods. Keywords: congestive heart failure; management; pain ABSTRAK Congestive Heart Failure(CHF) merupakan masalah kesehatan yang terus berkembang di dunia. CHF adalah ketidakmampuan jantung untuk memompa darah dalam memenuhi kebutuhan jaringan akan oksigen dan nutrisi, akibatnya menimbulkan berbagai gejala klinis yaitu nyeri dada. Tulisan ini merupakan tinjauan literatur dari beberapa database yaitu Pubmed (NCBI, NIH & AHA) Google Scholar, Proques, Elsiver. Penelusuran artikel dibatasi dari tahun 2010-2020 dengan menggunakan kata kunci “terapi nyeri CHF”, “manajemen Congestive Heart Failure”, “manajemen nyeri Congestive Heart Failure”, “Congestive Heart Failure”, “Pain Management Congestive Heart Failure”, “Pain Therapy Congestive Heart Failure”. Hasil penelusuran yang diperoleh adalah 4 jurnal dalam negeri dan 96 jurnal international. Berdasarkan hasil analisis dapat disimpulkan bahwa manajemen nyeri untuk pasien dengan CHF didapatkan beberapa teknik non farmakologis yaitu Teknik Distraksi Menonton,Teknik Relaksasi Napas Dalam, Teknik Guided Imaginery, Virtual Reality, Teknik Meditasi, Teknik Murottal, Walking Therapy, Streching dan penggunaan media panas dingin. Namun peneliti menyimpulkan bahwa terapi Teknik Relaksasi Napas Dalam dan Distraksi Menonton lebih efektif untuk menurunkan nyeri pada pasien dengan CHF (p-value 0,000). Diperlukan penelitian lebih lanjut untuk melihat keefektifan manajemen nyeri pada pasien CHF dengan menggunakan metode yang tepat. Kata kunci: congestive heart failure; manajemen; nyeri
Manajemen Hipotermia pada Cedera Kepala Tri Wahyuni Ismoyowati; Ceacilia Nika Candra Kusuma; Mega Agape Timisela
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus November-Desember 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk409

Abstract

Head injury is a serious health problem. Mortality and morbidity in patients with head injuries are mostly due to increased intra-cranial pressure (ICP). This is increases ischemia and brain herniation. This paper discusses about hypothermia management in head injury patients. This paper discusses about hypothermia management in head injury patients. The search was performed using the following keywords: "head injury management", "hypothermia management", "hypothermia therapy in head injuries" on data base searching engine such as Pubmed, Google Scholar, NIH, dan NCBI. Publication from last 10 years 2010-2019, with full text ans writen in Indonesian (17 articles) and English language (90 articles). A comprehensive review of the hypothermia Management for Head Injury was performed. Ten articles were optained for analysis. Hypotermia manajement has proven its effectiveness to decrease Cerebral metabolic rate for oxygen (CMRO2), excitotoxicity, glutamate release, the formation of free radicals, edema, Ca influx, intracranial pressure, and serum TNF-a. It's alsostabilize membranes and adenosin. Moreover to inhibite serum MMP-9. Some study also mention the effect of hypotermia manajement such as pneunomia and cardiac arrest. Further study related the effectiveness of hypothermia therapy in traumatic brain injury (TBI) by using different methods is suggested to other researcher. Keywords: head injury management; hypothermia management ABSTRAK Cedera kepala merupakan masalah kesehatan yang serius. Mortalitas dan morbiditas pada pasien dengan cedera kepala terutama terjadi karena peningkatan tekanan intra kranial (TIK). Peningkatan TIK ini menimbulkan iskemia dan herniasi otak. Tulisan ini bertujuan untuk mengidentifikasi pengaruh manajemen hipotermia pada pasien cedera kepala. Tulisan ini merupakan tinjauan literatur dari beberapa data base yaitu Pubmed, Google Scholar, NIH, dan NCBI. Penelusuran artikel dibatasi dari tahun 2010 sampai tahun 2019 dengan menggunakan kata kunci “manajemen cedera kepala”, “manajemen hipotermia”, “terapi hipotermi pada cedera kepala”. Hasil penelusuran yang diperoleh adalah 107 jurnal, terdiri dari 17 jurnal Bahasa Indonesia dan 90 jurnal Bahasa Inggris. Berdasarkan hasil analisis dapat disimpulkan bahwa manajemen hipotermi dapat mengurangi kebutuhan metabolik/cerebral metabolic rate for oxygen (CMRO2), eksitotoksisitas, menurunkan pelepasan glutamat, menurunkan pembentukan radikal bebas, mengurangi pembentukan edema, stabilisasi membran, memelihara adenosine triphosphate (ATP), menurunkan influx Ca, menurunkan tekanan intrakranial, meningkatkan skor GCS, menurunkan kadar TNF-α serum, serta menghambat peningkatan MMP-9 serum. Akan tetapi, terapi ini masih kontroversial. Beberapa penelitian menunjukkan adanya efek samping dari terapi hipotermi, seperti: pneumonia dan henti jantung. Masih diperlukan penelian lebih lanjut untuk melihat keefektifan terapi hipotermi pada cedera kepala/otak dengan menggunakan metode yang tepat, mempertimbangkan populasi subyek terapi, waktu pemberian terapi, metode, suhu/temperatur, serta bagaimana rewarming yang tepat. Kata kunci: manajemen cedera kepala; manajemen hipotermia
Tingkat Kecemasan Perawat terhadap Penularan Covid 19 dan Tingkat Kenyamanan Perawat dalam Penggunaan Alat Pelindung Diri Selama Merawat Pasien dengan Covid-19 Tri Wahyuni Ismoyowati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 3 (2021): Juli 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i3.1189

Abstract

The Covid-19 mortality rate in Indonesia is 8.9%, this figure is the highest in Southeast Asia. Data as of March 31, 2020 shows that there are 1,528 confirmed cases and 136 deaths, including health workers, some of whom are nurses who are at the forefront of handling Covid-19. The purpose of this study was to describe the level of anxiety of nurses against Covid-19 transmission and the level of comfort of nurses in using personal protective equipment while treating patients with Covid-19. This type of research was descriptive quantitative. This research was conducted from September to October 2020. The population in this study were nurses who had treated Covid-19 patients in the DIY Province. Sampling was done by accidental sampling technique, so that 70 respondents were obtained. Anxiety levels were measured using the HARS questionnaire and comfort was measured using the IFRC questionnaire which had been modified by the researcher. The results showed that the majority of respondents aged 31-35 years (31.5%), female (91.5%), educated Diploma-3 Nursing (65.7%), had an anxiety level in the mild category (55.7%), and feel comfortable using personal protective equipment (78.6%). Furthermore, it is recommended to conduct research related to the factors that affect the level of anxiety of nurses against the transmission of Covid-19 and the level of comfort of nurses in using personal protective equipment while treating patients with Covid-19.Keywords: nurse; anxiety; comfort; Covid-19 patient ABSTRAK Mortalitas Covid-19 di Indonesia adalah 8,9%, angka ini merupakan yang tertinggi di Asia Tenggara. Data pada tanggal 31 Maret 2020 menunjukkan bahwa ada 1.528 kasus yang terkonfirmasi dan 136 kasus kematian, di antaranya adalah tenaga kesehatan, yang sebagian dari mereka adalah perawat yang berada pada gris terdepan dalam penanganan Covid-19. Tujuan dari penelitian ini adalah untuk menggambarkan tingkat kecemasan perawat terhadap penularan Covid-19 dan tingkat kenyamanan perawat dalam menggunakan alat pelindung diri selama merawat pasien dengan Covid-19. Jenis penelitian ini adalah deskriptif kuantitatif. Penelitian ini dilaksanakan pada bulan September sampai Oktober 2020. Populasi pada penelitian ini adalah perawat yang pernah merawat pasien Covid-19 di Provinsi DIY. Pengambilan sampel dilakukan dengan teknik accidental sampling, sehingga didapatkan 70 responden. Tingkat kecemasan diukur menggunakan kuesioner HARS dan kenyamanan diukur menggunakan kuesioner IFRC yang telah dimodifikasi oleh peneliti. Hasil penelitian menunjukkan bahwa mayoritas responden berusia 31-35 tahun (31,5%), berjenis kelamin perempuan (91,5%), berpendidikan Diploma-3 Keperawatan (65,7%), memiliki tingkat kecemasan dalam kategori ringan (55,7%), dan merasa nyaman menggunakan alat pelindung diri (78,6%). Selanjutnya direkomendasikan dilakukan penelitian yang berkaitan dengan faktor-faktor yang mempengaruhi tingkat kecemasan para perawat terhadap penularan Covid-19 dan tingkat kenyamanan perawat dalam menggunakan alat pelindung diri selama merawat pasien dengan Covid-19.Kata kunci: perawat; kecemasan; kenyamanan; pasien Covid-19
Intervensi Keperawatan untuk Menurunkan Kecemasan Pasien Dengan Acute Myocardial Infarction Tri Wahyuni Ismoyowati; Bernadeta Kristanti; Brilian Yudistira Nugraha; Theresia Rini Yuwanti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 4 (2020): Oktober
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11413

Abstract

Acute Myocardial Infarction (AMI) is also known as a heart attack, coronary occlusion, or just coronary, which is a life-threatening condition characterized by the formation of local necrotic areas within the myocardium. One that is very influential on the psychological state of patients with heart problems that will be able to change the coping patterns of patients in dealing with the disease and live their lives is the emergence of anxiety. This paper is a literature review / literature review from several data bases namely Google Schoolar, ScienceDirect, NCBI and PubMed. Search articles are limited from 2010 to 2020. The author uses the keywords "anxiety" and "Acute myocardial infarction / Myocardial infarction". The results of the research from four data bases obtained 102 articles 43 from Indonesian language articles and 59 English articles. Based on the facts that occur in the condition of patients with AMI, anxiety is one of the conditions that can cause changes in physical, or psychological. Anxiety that appears can have a negative effect on the success of treatment and treatment, it is necessary to have appropriate pharmacological and nonpharmacological therapy. Non-pharmacological therapy, namely psychological therapy and complementary therapy. Complementary therapy has been recognized and accepted as a form of nursing care. The results of the analysis of several studies showed that independent nursing interventions that were proven effective in reducing anxiety were by giving aromatherapy namely aromatherapy Geranium, Lemon, and Lavender. Aromatherapy is a method that uses essential oils to improve physical and emotional health. Aroma therapy has a positive effect because it is known that a fresh, fragrant aroma stimulates sensory, receptors and ultimately affects other organs so that it can have a powerful effect on emotions. The results of this study can be considered giving nursing interventions to reduce anxiety in AMI patients by giving aromatherapy Keywords: anxiety; acute myocardial infarction; aromatherapy ABSTRAK Acute Myocardial Infarction (AMI) juga di kenal sebagai serangan jantung, oklusi koroner, atau hanya koroner, yang merupakan kondisi mengancam jiwa yang ditandai dengan pembentukan area nekrotik lokal di dalam miokardium. Salah satu yang sangat berpengaruh pada keadaan psikologis pasien dengan gangguan jantung sehingga akan dapat merubah pola koping pasien dalam menghadapi penyakit maupun menjalani hidupnya adalah timbulnya kecemasan. Tulisan ini merupakan tinjauan literatur/literature review dari beberapa data base yaitu Google schoolar, ScienceDirect, NCBI dan PubMed. Penelusuran artikel dibatasi dari tahun 2010 sampai dengan tahun 2020. Penulis menggunakan kata kunci “kecemasan” dan “akut miokard infark/ miokard infark”. Hasil penelitian dari empat data base diperoleh 102 artikel 43 dari artikel bahasa Indonesi dan 59 artikel Bahasa Inggris. Berdasarkan fakta-fakta yang terjadi pada kondisi pasien dengan AMI, kecemasan merupakan salah satu keadaan yang dapat menimbulkan adanya perubahan keadaan fisik, maupun psikologis. Kecemasan yang muncul dapat memberikan efek negatif bagi keberhasilan perawatan dan pengobatan, maka diperlukan terapi farmakologi maupun non-farmakologi yang tepat. Terapi non farmakologi yaitu terapi psikologis dan terapi komplementer. Terapi komplementer telah diakui dan diterima sebagai bentuk asuhan keperawatan. Hasil analisis beberapa penelitian menunujukkan intervensi keperawatan mandiri yang terbukti efektif menurunkan kecemasan adalah dengan pemberian aromaterapi yaitu aromaterapi Geranium, Lemon, dan Lavender. Aromaterapi adalah metode yang menggunakan minyak atsiri untuk meningkatkan kesehatan fisik dan emosi. Aroma terapi mempunyai efek positif karena diketahui bahwa aroma yang segar, harum merangsang sensori, reseptor dan pada akhirnya mempengaruhi organ yang lainnya sehingga dapat menimbulkan efek kuat terhadap emosi. Hasil studi ini dapat dipertimbangkan pemberian intervensi keperawatan untuk menurunkan kecemasan pada pasien AMI dengan pemberian aromaterapi Kata kunci: kecemasan; akut miokard infark; aromaterapi
Efektivitas Cylindrical Grip terhadap Kekuatan Otot Ekstremitas Atas pada Pasien Stroke Tri Wahyuni Ismoyowati; Fransisca Winandari; Desty Irlani; Dewi Setia Rini; Yenny Dwiutami
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus November 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i0.1604

Abstract

Stroke is a blockage of blood flow that results in reduced or no blood flow to the brain. Blockage of the middle cerebral artery causes muscle weakness and contralateral spasticity, as well as sensory deficits (hemianesthesia) due to damage to the precentral and postcentral lateral gyrus. Muscle weakness in stroke patients will affect muscle contraction, reduced muscle contraction is caused by reduced blood supply to the hindbrain and midbrain, so that it can inhibit the main pathways between the brain and spinal cord. This study is a literature review from several databases Pubmed, Google Scholar, NIH, NCBI, Research Gate, Microsoft Academia, Sience Direct and Proquest which aims to determine the effectiveness of Cylindrical Grip on upper extremity muscle strength in stroke patients.The search for articles is limited from 2011 to 2021. The author uses the keywords "Cylindrical Grip". The results of the study from eight databases obtained 106 articles then reduced by screening and obtained 5 relevant articles. After going through the study, it can be concluded that one of the symptoms in stroke is muscle weakness. One of the symptoms in stroke is muscle weakness or decreased muscle strength, muscle strength that occurs in stroke patients can be increased by several exercises, one of which is theExercise Range of Motion Cylindrical Grip. Cylindrical Grip is a functional hand exercise by grasping a cylindrical object, this movement will provide a modular sensory stimulus of fine touch and pressure on the end receptors of the organs that are responded to in the extremities. The existing stimulus will elicit a rapid response in the nerves to act on the stimulus, this mechanism is called feedback. This exercise can improve grip strength in the short term, and increase muscle strength in the long term. The results of this study can be considered for providing nursing interventions to increase muscle strength in stroke patients by providing exercises Range of Motion Cylindrical Grip.Keywords: cylindrical grip; stroke; muscle strengthABSTRAKStroke merupakan penyumbatan aliran darah yang mengakibatkan berkurang atau tidak mengalirnya darah ke otak. Penyumbatan pada arteri serebri media menyebabkan kelemahan otot dan spastisitas kontralaterla, serta defisit sensorik (hemianestesia) akibat kerusakan girus lateral presentralis dan postsentralis. Kelemahan otot pada pasien stroke akan mempengaruhi kontraksi otot, kontraksi otot yang berkurang disebabkan karena berkurangnya suplai darah ke otak belakang dan otak tengah, sehingga dapat menghambat hantaran jaras-jaras utama antara otak dan medula spinalis. Studi ini merupakan tinjauan literatur/literature review dari beberapa database Pubmed, Google Scholar, NIH, NCBI, Research Gate, Microsoft Academia, Sience Direct dan Proquest yang bertujuan untuk mengetahui efektivitas Cylindrical Grip terhadap kekuatan otot ekstremitas atas pada pasien stroke. Penelusuran artikel dibatasi dari tahun 2011 sampai dengan tahun 2021. Peneliti menggunakan kata kunci “Cylindrical Grip” dan “Stroke”. Hasil Studi literatur dari delapan database diperoleh 106 artikel kemudian diperkecil dengan screening dan diperoleh 5 artikel yang relevan. Setelah melalui penelaahan dapat disimpulkan bahwa salah satu gejala dalam stroke adalah kelemahan otot atau menurunnya kekuatan otot, kekuatan otot yang terjadi pada pasien stroke dapat ditingkat dengan beberapa latihan salah satunya dengan Latihan Range of Motion Cylindrical Grip. Cylindrical Grip adalah latihan fungsional tangan dengan cara menggenggam sebuah benda berbentuk silindris, gerakan ini akan memberi stimulus sensorik modular dari sentuhan halus dan tekanan pada reseptor akhir dari organ yang direspon di ekstremitas. Stimulus yang ada akan memunculkan respon yang cepat pada saraf untuk bertindak atas stimulus tersebut, mekanisme ini disebut umpan balik. Latihan ini dapat meningkatkan kekuatan genggaman dalam jangka pendek, dan meningkatkan kekuatan otot dalam waktu lama. Hasil studi ini dapat dipertimbangkan pemberian intervensi keperawatan untuk meningkatkan kekuatan otot pada pasien stroke dengan pemberian latihan Range of Motion Cylindrical GripKata kunci: cylindrical grip; stroke; kekuatan otot
Studi Korelasi Self Awareness dengan Tingkat Pemahaman Materi Kuliah Selama Pembelajaran Daring dalam Masa Pandemi Covid-19 pada Mahasiswa STIKes Bethesda Yakkum Yogyakarta Tri Wahyuni Ismoyowati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 3 (2021): Juli 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i3.1149

Abstract

The success of online learning during the Covid-19 pandemic depends on the discipline of all parties. Educational institutions need to create a scheme by developing good management in regulating the online learning system. The purpose of this study was to determine the relationship between self-awareness and the level of understanding of lecture material during online learning during the Covid-19 Pandemic in STIKes Bethesda Yakkum Yogyakarta students. This study uses a correlation study method with a cross-sectional approach. The population in the study were students of STIKes Bethesda YAKKUM Yogyakarta, Diploma 3 Study Program Levels I and II, and Bachelor of Nursing Study Program totaled 172 students. The measuring instrument in this study is a self-awareness and level of understanding questionnaire. Validity test showed r > 0.444 and reliability showed 0.459 to 0.953. Majority 21-25 years old 84.9%, female 81.4%, undergraduate nursing 71.5%. Self Awareness majority is 92.4%, the level of understanding is 55.2%. The p value (0.023) is that there is a relationship between self-awareness and the level of understanding of lecture material during online learning during the Covid-19 pandemic. So the assumption of the researcher is that the higher the self-awareness, the higher the level of student understanding of the material obtained by the online learning method. Keywords: self awareness; online; understanding; Covid-19 pandemic ABSTRAK Kesuksesan pembelajaran daring selama masa pandemi Covid-19 tergantung pada kedisiplinan semua pihak. Institusi pendidikan perlu membuat skema dengan menyusun manajemen yang baik dalam mengatur sistem pembelajaran daring. Tujuan dalam penelitian ini adalah untuk mengetahui hubungan antara self awareness dengan tingkat pemahaman terhadap materi kuliah selama pembelajaran daring dalam masa Pandemi Covid-19 pada mahasiswa STIKes Bethesda Yakkum Yogyakarta. Penelitian ini menggunakan metode studi korelasi dengan pendekatan cross-sectional. Populasi pada penelitian mahasiswa STIKes Bethesda YAKKUM Yogyakarta Prodi Diploma 3 Tingkat I dan II, serta Prodi Sarjana Keperawatan berjumlah 172 mahasiswa. Alat ukur dalam penelitian ini adalah kuesioner self awareness dan tingkat pemahaman. Uji validitas menunjukkan r >0,444 dan reliabilitas menunjukkan 0,459 sampai 0,953. Mayoritas 21-25 tahun 84,9%, perempuan 81,4%, sarjana keperawatan 71,5%. Self Awareness mayoritas sedang 92,4%, tingkat pemahaman sedang 55,2%. Nilai p value (0,023) yaitu terdapat hubungan self awareness dengan tingkat pemahaman materi kuliah selama pembelajaran daring dalam masa pandemi Covid-19. Sehingga asumsi peneliti adalah semakin tinggi self awareness, semakin tinggi tingkat pemahaman mahasiswa tentang materi yang didapatkan dengan metode pembelajaran daring. Kata kunci: self awareness; daring; pemahaman; pandemi Covid-19
Stimulasi Auditori pada Pasien Cedera Kepala dengan Penurunan Kesadaran Tri Wahyuni Ismoyowati; Emiliana Binarti; Restu Mahanani; Silas Silas
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus April 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12nk232

Abstract

Head injury is a disease that can decrease a person's level of consciousness. Based on the results of the 2018 Basic Health Research, the comparison of the incidence of head injuries in Indonesia in 2013 reached 8.2% of the population and in 2018 increased to 9.2%. Providing sensory stimulation in the form of auditory stimulation as early as possible is very important for survival, quality of life, and long-term prognosis in head injury patients because hearing is the last sense function that functions in decreased consciousness. This study aimed to determine the effect of auditory stimulation in head injury patients with decreased consciousness. This study utilized a literature review method. Some databases used such as ProQuest, NCBI, PubMed, and Google Scholar with the keywords “Cedera Otak Trauma”, “Stimulasi Pendengaran”, “Pasien Koma”, “Tingkat Kesadaran”. The inclusion criteria for articles taken were research published in 2010-2020, the type of experimental research, the study sample was head injury patients with decreased awareness, the intervention provided was in the form of auditory stimulation and the articles were written in English and Indonesian. The results of this literature study obtained 7 research articles that match the objectives and review criteria. The study concluded that auditory stimulation using the voice of the closest person in head injury patients has a significant effect on increasing awareness status with a p-value (0.001), so it can be recommended as an additional non-pharmacological therapy. This stimulation can be given 3-14 days of intervention for 5-15 minutes and given 2-3 times per day. Keywords: traumatic brain injury; auditory stimulation; comatose patient; level of consciousness ABSTRAK Cedera kepala merupakan penyakit yang dapat menyebabkan terjadinya penurunan tingkat kesadaran pada seseorang. Berdasarkan hasil Riset Kesehatan Dasar tahun 2018, perbandingan angka kejadian cedera kepala di Indonesia pada tahun 2013 mencapai 8,2% dari populasi dan pada tahun 2018 meningkat menjadi 9,2%. Pemberian stimulasi sensorik berupa stimulasi auditori sedini mungkin sangat penting untuk kelangsungan hidup, kualitas hidup dan prognosis jangka panjang pada pasien cedera kepala karena pendengaran merupakan fungsi indera yang paling akhir berfungsi pada penurunan kesadaran. Tujuan studi ini untuk mengetahui pengaruh stimulasi auditori pada pasien cedera kepala dengan penurunan kesadaran. Studi ini merupakan literature review. Databased yang digunakan yaitu ProQuest, NCBI, PubMed dan Google Scholar dengan kata kunci yang digunakan adalah “Cedera Otak Trauma”, “Stimulasi Pendengaran”, “Pasien Koma”, “Tingkat Kesadaran”. Kriteria inklusi artikel yang diambil yaitu penelitian yang diterbitkan pada tahun 2010-2020, jenis penelitian eksperimental, sampel penelitian adalah pasien cedera kepala dengan penurunan kesadaran, intervensi yang diberikan berupa stimulasi auditori dan artikel ditulis dalam Bahasa Inggris dan Bahasa Indonesia. Hasil studi literatur ini diperoleh 7 artikel penelitian yang sesuai dengan tujuan dan kriteria review. Hasil telaah menyimpulkan bahwa stimulasi auditori menggunakan suara orang terdekat pada pasien cedera kepala berpengaruh signifikan terhadap peningkatan status kesadaran dengan p-value (0.001), sehingga dapat direkomendasikan sebagai terapi tambahan secara non farmakologis. Stimulasi ini dapat diberikan 3-14 hari intervensi selama 5-15 menit dan diberikan sebanyak 2-3 kali per hari Kata kunci: cedera otak; stimulasi pendengaran; pasien koma; tingkat kesadaran
Psychoeducation Strategy: Acceptance and Commitment Therapy (ACT) to Improve Self-Efficacy of Stroke Patients Tri Wahyuni Ismoyowati; Ratna Puspita Adiyasa
IJNP (Indonesian Journal of Nursing Practices) Vol 5, No 2 (2021): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2755.648 KB) | DOI: 10.18196/ijnp.v5i2.10818

Abstract

Background: Stroke is the most common cerebrovascular event. Stroke patients often have biological, spiritual, and psychosocial changes. Psychosocial problems experienced in stroke patients include problems with self-efficacy. Acceptance and Commitment Therapy (ACT) is commonly used to solve psychosocial problems. Objective: This study aims to determine the effect of ACT on the self-efficacy of stroke patients.  Methods: This study utilized quantitative and quasi-experimental designs without a control group. The study was conducted in a selected hospital rehabilitation unit in Yogyakarta. The respondents were selected via the purposive sampling technique. The self-efficacy was assessed using The Strategies Used by Patients to Promote Health (SUPPH) questionnaires and statistically tested with the Wilcoxon test. The total number of respondents of this study was 33 stroke patients. The characteristic of respondents was mostly 45 – 64 years old (72.73% ), male (57.6%) and, had a history of stroke for 1 – 6 months (39 %). Result: Wilcoxon test results showed a computed p-value of 0.000 on the effect of ACT on stroke patients’ self-efficacy; thus, the null hypothesis was rejected. In other words, ACT proves its effectiveness in improving stroke patients’ self-efficacy. Conclusion: Based on the data, this research can be concluded that ACT effectively improved the self-efficacy of stroke patients. The researchers recommend utilizing ACT as a nursing intervention for stroke patients in the hospital rehabilitation unit.
Co-Authors Abdullah Al Mamun Agnes Toding Layuk Agriffa, Ebner Agus, Henry Aprilisa Putri Handayani Arief Budiono Bahtiar Bahtiar Benne, Krista Bernadeta Kristanti Brilian Yudistira Nugraha Candra Trilukita Nugraha Ceacilia Nika Candra Kusuma Cicilia Nony Ayuningsih Bratajaya Dandi Sanjaya Desty Irlani Dewi Setia Rini Ediati Sasmito Eka Kristin Ellisabeth Ella Ardini Emiliana Binarti Emmelia Kristina Hutagaol Fadli, Muhamad Arief Fajar Ferdianto Feliks Hendrikjayanto Laoli Fransisca Winandari Fransisca Winandari Gian Lisuari Adityasiwi Handoyo Handoyo Heru Santoso Wahito Nugroho I WAYAN SUDARTA Imelda Sri Desisi Teku Intening, Vivi Retno Istiarin, Ch. Hatri Jen Christin Banik Joel Rey Ugsang Acob Kang , Hari Iskandar Kartika Sulistyaningrum Koesmantoro, Hery Kristina Angwarmase La Ode Muhammad Anwar Lido Sianipar Lolita Elensari Wahyuning Maria Raphelina Rosari Mega Agape Timisela Melati, Nimsi Mrabawani, Ineke Tulus Muhamad Arief Fadli N. Surtinah Nando, Aryaprana Rafif Naufi Waskitha Hapsari Rahardjo, Wylianty Rahmawati Vita Kurniasari Rasydy, La Ode Akbar Ratna Puspita Adiyasa Restu Mahanani Rineke Anitya Oryza Sativa Rohmah, Hajar Nur Fathur Rozan Asyrofi Rakyan Risang Aji Salma Hilmy Rusydi Hashim Salomo, Sahat Tumpal Sanglar Polnok Sari, Kristiana Nilam Sartika, Aprilina Sianipar, Lido Silas Silas Siregar, Rohani Sohilait, Hana Priscilla Frudence Suharso, Eddy Sunarto, Sunarto Sundari, Erlina Suparji Suparji Susanti, Neng Imas Tanko Titus Auta Teta Puji Rahayu Theresia Rini Yuwanti Vicky Maranata Saputra Wicaksono, Ronald Andreas Wijane, Wayan Agus Ximenes, Joao Manuel Correia yanti, Puji Yenny Dwiutami