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Cognitive Behavioral Therapy Assistance Model For Death Anxiety In The Elderly Solihah, Ii; Ulty Desmarnita; Tarjuman, Tarjuman
International Journal of Health Sciences Vol. 2 No. 3 (2024): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v2i3.426

Abstract

The elderly period is interpreted as a period of decline, especially in terms of physical and psychological functioning. One of the psychological problems in the elderly is anxiety about death. Family involvement in overcoming anxiety problems is very necessary. Cognitive behavioral therapy is an intervention to overcome anxiety about death in the elderly. The specific aim of this research is to reduce the anxiety level of the elderly so that they are able to face anxiety problems with a more positive mindset. The research method used a quasi-experimental (Pre-post test}. Sampling was carried out using simple random sampling. The sample was selected as 89 respondents with the inclusion criteria being all elderly people who experienced anxiety about death. Data were analyzed using the Wilcoxon test and multiple logistic regression test. The results show that there is a relationship between place of residence (region) and a decrease in anxiety levels in the elderly (OR=0.77). This shows that elderly people living in Jakarta experienced a decrease in anxiety levels 7.7 times higher than elderly people living in Depok. Other results show that there is a relationship between age and a decrease in anxiety levels (OR=2.9), this shows that younger seniors (less than 68 years) experienced a decrease in anxiety levels 2.9 times faster than older seniors after receive cognitive behavioral intervention. The results of the study show that cognitive behavioral interventions in the form of relaxation therapy, reminiscence therapy, crossword puzzle therapy, counseling therapy, music therapy, and spiritual therapy can reduce anxiety about death in the elderly.
Faktor Perilaku Perawatan Diri dalam Pengendalian Kadar Kolesterol Total pada Pasien dengan Penyakit Jantung Koroner Aprian Dwi Karnilasari; Rohyadi, Yosep; Tarjuman, Tarjuman; Dwidasmara, Sansri Diah K.; Muttaqin, Zaenal
Jurnal Keperawatan Indonesia Florence Nightingale Vol. 5 No. 2 (2025)
Publisher : UPPM. Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jkifn.v5i2.3352

Abstract

Penyakit jantung coroner (PJK) menyumbang 36% kematian global. Prevalensi PJK di Indonesia cukup tinggi disebabkan karena kolesterol total yang tinggi. Oleh sebab itu, pengelolaan kolesterol melalui perilaku perawatan diri menjadi aspek penting dalam pencegahan dan pengendalian penyakit jantung ini. Tujuan penelitian ini untuk mengetahui hubungan antara perilaku perawatan diri dan kadar kolesterol total pasien PJK. Metode penelitian melalui pendekatan kuantitatif dengan desain cross-sectional. Sampel terdiri dari 49 pasien yang dipilih secara purposive sampling yaitu responden PJK dengan usia >18 tahun. Data dikumpulkan melalui kuesioner perilaku perawatan diri dan hasil pemeriksaan kadar kolesterol total, selanjutnya dianalisis dengan uji Chi-Square. Hasilnya menunjukkan bahwa 38,78% responden memiliki perilaku perawatan diri baik, 46,94% memadai, dan 14,29% buruk. Sebanyak 48,98% responden memiliki kadar kolesterol total dalam batas normal, sedangkan 51,02% tidak normal. Uji Chi-Square menunjukkan adanya hubungan signifikan antara perilaku perawatan diri dan kadar kolesterol total (p = 0,022), dengan koefisien korelasi sebesar 0,7662 yang menunjukkan hubungan kuat dan positif. Kesimpulan dari penelitian ini adalah terdapat hubungan yang bermakna dan kuat antara perilaku perawatan diri dan kadar kolesterol total pada pasien CHD. Disarankan peningkatan edukasi dan motivasi pasien untuk menerapkan perilaku perawatan diri guna mengontrol kolesterol dan mencegah komplikasi.