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Faktor Penyebab Kekambuhan pada Mantan Penyalahguna NAPZA Wahyu Dini Candra Susila; Novy Helena Catharina Daulima
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/sf11412

Abstract

Misuse of Narcotics, Psychotropic and Other Addictive Substances is still a problem in the community. International drug abuse has increased. Drug dependence can be rehabilitated medically but rehabilitation does not guarantee that a drug addict will recover from his addiction. Many users, even though they have undergone rehabilitation programs, have not been able to truly leave drug or recover. The purpose of this paper is to find out in detail the factors that influence the relapse behavior of former drug users. The writing method used in this article was a literature review, which searched in 5 international databases were Science Direct, Willey Online Library, Sage Journal, and ProQuest. The author used several search keywords namely "factor"; "Cause"; "Drug", "abuse"; "Substance" and used boolean "AND" and "OR". Based on the 8 articles analyzed, it was found that the causal factors related to the recurrence of drug abuse can be broken down into 7 included individual emotional states, conflict, environment and family, peers, wrong treatment, failed treatment and the desire to return to use. The emotional state, the desire to re-use, family factors and peer influence were the most influential factors. Keywords: relapse; narcotics; caused ABSTRAK Penyalahgunaan Narkotika, Psikotropika dan Zat Adiktif lainya (NAPZA) masih menjadi masalah di kalangan masyarakat. Tren penyalahgunan NAPZA internasional mengalami peningkatan. Ketergantungan narkoba dapat direhabilitasi secara medis namun rehabilitasi tidak menjamin pecandu narkoba akan sembuh dari ketergantungannya. Banyak pengguna yang meskipun telah menjalani program rehabilitasi, namun belum bisa benar-benar meninggalkan NAPZA atau sembuh. Tujuan penulisan ini untuk mengetahui secara merinci faktor yang mempengaruhi perilaku kambuh mantan penyalahguna NAPZA. Metode yang digunakan dalam penulisan artikel ini adalah tinjauan literatur, yakni sebuah pencarian internasional yang menggunakan 5 database Proquest, Science Direct, Willey Online Library, Sage Journal, dan ProQuest. Penulis menggunakan beberapa kata kunci pencarian yaitu “factor”; “cause”; “drug”, “abuse”; “substance”. dengan menggunakann boolean “AND” dan “OR”. Berdasarkan 8 artikel yang dianalisis, didapatkan bahwa faktor penyebab yang berkaitan dengan kekambuhan penyalahgunaan NAPZA dapat di uraikan menjadi 7 antara lain keadaan emosi individu, konflik, lingkungan dan keluarga, rekan sebaya, pengobatan yang salah, pengobatan yang gagal serta keinginan kembali menggunakan. Keadaan emosional, keinginan kembali menggunakan, faktor keluarga dan pengaruh rekan sebaya adalah faktor yang paling berpengaruh. Kata kunci: kekambuhan; NAPZA; penyebab
MANFAAT PSIKOEDUKASI KELUARGA TERHADAP BEBAN SUBJEKTIF KELUARGA PADA KASUS KLIEN TUBERKULOSIS PARU Wahyu Dini Candra Susila; Herni Susanti; Ice Yulia Wardani; Eka Budiarta
Jurnal Kesehatan Mesencephalon Vol 6, No 2 (2020): Jurnal Kesehatan Mesencephalon - Oktober 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v6i2.206

Abstract

Tuberkulosis paru (TB paru) merupakan infeksi yang disebabkan oleh bakteri Mycobacterium tuberculosis yang menyerang paru- paru serta dengan mudah menular melalui bersin, batuk, dan berbicara. TB paru menyebabkan berbagai macam dampak pada individu, dan juga dirasakan oleh keluarga. Salah satu dampak psikososial yang dialami keluarga dengan penderita TB paru adalah kecemasan yang menjadi beban subjektif keluarga, sehingga perlu diatasi agar keluarga dapat mendukung pengobatan secara optimal. Laporan kasus bertujuan untuk mengetahui manfaat psikoedukasi keluarga untuk mengurangi beban subjektif kecemasan keluarga. Psikoedukasi keluarga merupakan tindakan yang diberikan kepada keluarga untuk meningkatkan komunikasi keluarga, menangani masalah, dan meningkatkan fungsi serta kemampuan keluarga. Laporan kasus ini menggunakan satu orang klien TB Paru dengan keluarga yang mengalami beban subjektif kecemasan. Hasil studi menunjukkan pemberian psikoedukasi keluarga menggunakan 6 sesi dan 4 kali pertemuandapat mengurangi kecemasan keluarga, (skor HARS 29) menjadi kecemasan rendah (skor HARS 16). Psikoedukasi keluarga direkomendasikan untuk keluarga dengan beban subjektif kecemasan berat.
Changing Dietary Behavior in Elderly with Hypertension through Hypertension Random Card Game Wahyu Dini Candra Susila

Publisher : LPPM Universitas Yudharta Pasuruan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35891/js.v5i1.3573

Abstract

The main factor in the problems of hypertensive patients is lack of dietary compliance. Consumption of high sodium and high fat causes uncontrolled hypertension, leading to complications such as stroke. Efforts to treat hypertension with a dietary approach are the Dietary Approach to Stop Hypertension (DASH). DASH, which has been modified in the form of a hypertension random card game, is a method of improving the dietary patterns of the elderly. The implementation of community service to change dietary behavior in elderly people with hypertension uses a case series method where the number of respondents is 17 elderly people. After health education and playing the Hypertension Random Card Game, the elderly experienced an increase in dietary behavior changes, namely 14 elderly (82%) in the positive category or already on a hypertension diet and 2 elderly (18%) in the negative category or not yet on a hypertension diet. Health education with educational games is more fun than health education with conventional lecture and discussion methods. After the intervention, the hypertension diet behavior of the elderly in all aspects including cognitive aspects, affective aspects, and psychomotor aspects has increased. Recommendations that can be given are to conduct periodic evaluations on hypertension diet behavior through hypertension random card games so that a more detailed analysis picture is obtained.
Monitoring of Older Adult’s Joint Pain Management by Families Based on Information Technology (IT) Platform Rizkiyani Istifada; Iswati Iswati; Wahyu Dini Candra Susila; Dwi Yuniar Ramadhani; Muh Asnoer Laagu
Adi Husada Nursing Journal Vol 9 No 2 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i2.451

Abstract

Older adults experience an aging process that impacts a decrease in physiological function. Joint pain is one of the negative consequences of decreased physiological function. Older adults need a continuum of care to deal with the perceived vulnerability due to the effects of pain. The family has a role in self-management at home, but sometimes families experience difficulties in the mentoring process because of their high productivity outside the home. The research aims to explain monitoring on the pain scale, knowledge, skills, self-efficacy of older adults, and the level of family independence based on Information Technology (IT) platform. The method used is a case report on an older adult and the family for two months of monitoring. The intervention consisted of 4 meetings using psychoeducational techniques, cognitive restructuring, demonstration, and problem-solving. The result showed a decrease in the pain scale and an increase in the knowledge, skills, and self-efficacy of older adults. In addition, the result showed increased family independence after intervention. The family has an essential role in accompanying older adults during the joint pain management process. This result is expected to be a recommendation for health workers to maximize the part of the family in treating pain management in older adults.
APPLICATION OF COGNITIVE BEHAVIOUR THERAPY (CBT) AND FAMILY PSUCHOEDUCATION (FPE) IN PATIENTS AT RISK OF SUICIDE: PENERAPAN COGNITIVE BEHAVIOUR THERAPY (CBT) DAN PSIKOEDUKASI KELUARGA PADA PASIEN DENGAN RISIKO PERILAKU BUNUH DIRI wahyu Dini Candra susila; Yossie Susanti Eka Putri; Ice Yulia Wardani
Jurnal Perawat Indonesia Vol. 7 No. 2 (2023): August 2023
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jpi.v7i2.1835

Abstract

Schizophrenia is a severe mental illness that causes disturbances in cognitive function, emotion, language, behavior and movement. One of the effects of severe mental disorders is suicide. Data shows that every 40 seconds, someone loses their life by suicide. The negative state of mind of patients at risk of suicide is usually a cognitive distortion. The purpose of this scientific paper is to provide an overview of the application of cognitive behavior therapy (CBT) and family psychoeducation to patients at risk of suicide using the Tidal model approach. Nursing actions were performed on 6 patients at risk of suicide. The method used is case series. The results show that giving cognitive behavior therapy (CBT) and family psychoeducation with the Tidal model approach can reduce suicide scores, reduce signs and symptoms and increase the ability of families and patients at risk of suicide with schizophrenia. Cognitive behavior therapy (CBT) and family psychoeducation are recommended to be carried out by psychiatric nurses to overcome the risk of suicide
EDUKASI PIJAT KAKI RELAKSASI (PIJAR) DALAM UPAYA MENGONTROL TEKANAN DARAH DI WILAYAH KECAMATAN TAMBAK SARI Iswati, Iswati; Orizani, Chindy Maria; Istifada, Rizkiyani; Susila, Wahyu Dini Candra
Community Development in Health Journal Volume 1, Nomor 2, Oktober 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v1i2.473

Abstract

Introduction & Aim: The aging process impacts reducing body resistance in older adults. Hypertension is a health problem caused by the aging process and lifestyle factors. The incidence of hypertension in older adults continues to increase in Surabaya. Non-pharmacological therapy with relaxing foot massage is an intervention to control blood pressure in older adults. Relaxing Foot Massage (PIJAR) educational activities in community service aim to increase the knowledge of older adults and their families in maintaining blood pressure. Method of Activity: Implementation of community service activities consists of three stages, such as initial survey, socialization, and implementation. Using a health education method, this activity was carried out on March 14, 2023, in Tambak Sari District, Surabaya. The material provided in this activity is the concept and demonstration of relaxing foot massage to 10 (ten) older adults and families. Data analysis used a univariate test with attention to the evaluation results through a questionnaire before and after health education. Results: There was an increase in knowledge after being given health education from 40% to 100% in good knowledge. There was an increase in average blood pressure from 40% to 60% after the Relaxation Foot Massage demonstration. Discussion: Health education and Relaxation Foot Massage can be used to increase the knowledge of the elderly group. Non-pharmacological therapy foot massage can help older adults to control blood pressure. Families have an active role in controlling blood pressure by providing relaxing foot massages to older adults.
PENDIDIKAN KESEHATAN MASYARAKAT DAN MANAJEMEN STRES DALAM MENSTABILKAN TEKANAN DARAH DAN KECEMASAN PENDERITA HIPERTENSI Susila, Wahyu Dini Candra; Iswati, Iswati; Istifada, Rizkiyani; Susanti, Kamelia; Isya, Firda Nur; Ismawati, Ismawati
Community Development in Health Journal Volume 1, Nomor 1, April 2023
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.453 KB) | DOI: 10.37036/cdhj.v1i1.379

Abstract

Introduction & Aim: Hypertension is a condition where the systolic blood pressure is more than 140 mmHg and the diastolic is more than 90 mmHg. Hypertension data in East Java Province is ranked sixth in the 2018 Riskesdas. One of the various effects of hypertension is the anxiety and discomfort it causes. One of the non-pharmacological therapies that can be done is stress management in the form of deep breathing relaxation techniques and progressive muscle relaxation. Health education is given to increase participants' knowledge about the disease they are suffering from. Health education and stress management in the form of deep breathing and progressive muscle relaxation are offered to solve blood pressure and anxiety problems for people with hypertension. Method of Activity: Implementation of activities in the form of health education followed by demonstrations of the implementation of stress management in the form of deep breathing and progressive muscle relaxation. The activities were carried out en masse and the results were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before the activity and 1 week after the activity. The activity was carried out on December 21 2022 in the Gundih Region, Bubutan, Surabaya City. Results: There was a decrease in blood pressure and a decrease in the participants' anxiety. Discussion: Stress management can help reduce blood pressure and anxiety scores, these conditions can be related because anxiety causes increased blood pressure, and it is necessary to increase knowledge with Health Education so that sufferers can have a better attitude towards their health problems.
OPTIMALISASI PENCEGAHAN DEMENSIA PADA LANSIA DENGAN PERMAINAN KARTU NOSTALGIA (PAKARNO) Maria Orizani, Chindy; Susila, Wahyu Dini Candra; Iswati, Iswati
Community Development in Health Journal Volume 2, Nomor 2, Oktober 2024
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v2i2.589

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Introduction & Aim: According to WHO, dementia is a neurodegenerative syndrome that arises due to a chronic and progressive disorder accompanied by impaired multiple sublime functions such as calculation, learning capacity, language, and decision making. The number of people with dementia in Indonesia is 1.2 million and Indonesia is included in the top ten countries with the highest dementia in the world and Southeast Asia in 2020. The phenomenon that occurs in the field shows that the decline in cognitive function in the elderly has not received maximum treatment. This community service activity aims to apply the use of the Nostalgia Card Game (PAKARNO) to prevent dementia in the elderly. Method of Activity: Community service is carried out by conducting education, demonstration and redemonstration with the Nostalgia Card Game (PAKARNO) as a form of prevention of dementia in the elderly. The number of respondents was 30 elderly people who were members of the Elderly Posyandu. Results: The results of the Wilcoxon sign-rank test showed an increase in knowledge about dementia with a p-value of 0.03 and skills with a p-value of 0.01, as well as a chi-square test on increase attitudes with a p-value of 0.01. Discussion: The success of the Reminiscence therapy program through nostalgic card games (PAKARNO) memory management in the elderly with dementia cannot be separated from the ability to remember events or events in the past so that it makes the respondent's commitment to be able to carry out therapy properly.
PEMBERDAYAAN REMAJA MELALUI PROGRAM GENRE-SMART (GENERATION OF REPAIR - SEHAT MANDIRI AKTIF RESPONSIF TANGGUH) Susila, Wahyu Dini Candra; Orizani, Chindy Maria; Qomariah, Siti Nur; Suroso, Heri
Community Development in Health Journal Volume 2, Nomor 1, April 2024
Publisher : PPM STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/cdhj.v2i1.523

Abstract

Introduction & Aim: Qualified adolescents play an important role in achieving the continuity and success of national development goals, so they need serious attention to improve their quality, especially in terms of health. Adolescents are the population in the age range of 10-19 years with the number of adolescent groups in the world estimated at 1.2 billion or as much as 18% of the total population in the world. The complexity of health problems in adolescents requires comprehensive and integrated handling that involves all elements from across programs and across related sectors. Therefore, a program that involves adolescents directly is needed to identify the needs and expectations of adolescents towards the implementation of adolescent health programs. The purpose of this activity is to form adolescent cadres and provide training on adolescent posyandu through the Genre-Smart program. The Genre-Smart program is a forum for adolescents to apply the program that has been given to form adolescent health cadres. Method of Activity: The method of implementing this activity begins with youth regeneration. Teenagers are trained with Genre-Smart program materials. The program was followed by evaluation for 2 weeks and pre and post tests were conducted. Results: The results obtained data on the characteristics, knowledge, attitudes and skills of Genre-Smart youth cadres. Discussion: The Genre-Smart program using presentation, demonstration and simulation methods is considered effective for changing adolescent behavior, but organizations in the community need to be regulated in policies in the form of decrees so that they have legal force. Hope that the program that has been implemented will be supported by the coaches and stakeholders in the local area.
The Effectiveness of Combination of Health Education and Stress Management on Blood Pressure in Patients with Hypertension Wahyu Dini Candra Susila; Nurwahidah; Wahyu Dini Metrikayanto
Jurnal Kesehatan dr. Soebandi Vol 12 No 1 (2024): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v12i1.683

Abstract

Hypertension is an important health problem that the public needs to be aware of, because hypertension is also known as the silent killer. Hypertension treatment is lifelong so it needs to be combined with non-pharmacological treatment, such as the combine intervention of health education, deep breath relaxation, and progressive muscle relaxation.  Pharmacological management aims to reduce complications and prevent death by achieving and maintaining normal blood pressure. The purpose of this study was determining the effectiveness of the combination of health education, deep breath relaxation, and progressive muscle relaxation in reducing blood pressure. This study combines health education with deep breathing relaxation and progressive muscle relaxation. This study used a Pre-Experimental Design research design with One Group Pretest-Posttest Design. The sampling technique used non-probability sampling technique, namely accidental sampling. The sample taken was 17 people. Respondents were selected using inclusion and exclusion criteria. The data obtained was then analyzed using the dependent t-test. This study covers the characteristics of respondents consisted of age, gender, education and duration of illness. The results of the t test for measuring blood pressure (pre and post), both systolic and diastolic, showed a p-value <0.05 (0.000). There is a reduction in systolic and diastolic blood pressure after being given a combination of education and stress management interventions: progressive muscle relaxation and deep breath relaxation. The conclusion in this study is that the combination of education and stress management in people with hypertension has an influence on patient blood pressure.