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Aplikasi Recovery Tidal Model dalam Pemberian Relaxation Therapy Pada Resiko Perilaku Kekerasan Raphita Diorarta; Herni Susanti
Jurnal Keperawatan Vol 6 No 1 (2021): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v6i1.569

Emotional problems are a symptom of violent behavior. Interaction of nerve activity between the hypothalamus, limbic structures (amygdala and hyppocampus), and the higher cortical centers which are psychophysiological events of emotion in the human system. The purpose of this case study is to see the application of Tidal Model recovery in mental health in the provision of relaxation therapy. The search method used is a case study, and literature review. The author selects the analyzed journals to find the effectiveness of relaxation therapy against the risk of violent behavior and a journal on recovery that links therapeutic communication between nurses and patients. In the discussion of this paper, the sub-theme of therapeutic relationship between nurses and patients is found and also the self-awareness of patients who are part of the Tidal Model. By implementing relaxation therapy with the Tidal Model approach, there is a reduction in signs and symptoms in patients. Recommendations for nurses are able to become more empathetic nurses in implementing therapy and can support and encourage patient awareness in carrying out therapies that will bring patients into recovery.

Improving Self-Care Behavior of Elderly Group with Diabetes Mellitus through Diabetes Self Management Intervention Widya Naralia; Raphita Diorarta; Masyithah Fadhani; Junaiti Sahar
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i2.1163

Background: The elderly are one of the age groups that are easily affected by diabetes mellitus due to the decline in organ function and unhealthy lifestyles. Self-care management of diabetes is crucial for helping to control the blood glucose levels of individuals with diabetes mellitus. Self-care management can be carried out through education, discussions, and the practice of physical exercise to regulate blood glucose levels. The implementation of self-care management interventions is considered effective when conducted in groups among the elderly.Purpose: This research aims to observe changes in the knowledge and attitudes of the elderly, as well as changes in their independence skills.Methods: The implementation of the Diabetes Self-Management intervention was carried out on 33 elderly individuals with diabetes who were organized into one group. The intervention was conducted over 12-14 weeks, which included education, simulation, and chair-based exercise (CBE) training performed once a week consecutively.. This research uses a pre-post group design with t-test analysis to determine changes in the self-care behavior of group members.Results: There was an increase in the average score of 1.54 in the knowledge domain, and an average score of 5.18 in the attitude domain. Additionally, there was a decrease in the average blood glucose level of 61.61 mg/dL in the elderly group with diabetes mellitus. Other improvements were also observed in the changes in the Functional Independence variables for motoric and cognitive functions.Conclusion: Diabetes self-management intervention has become one of the effective strategies that can be implemented in elderly groups with diabetes in the community.

Implementasi Simulasi Realitas Virtual dalam Pendidikan Keperawatan Jiwa: Tinjauan Pustaka Diorarta, Raphita; Sukihananto, Sukihananto
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9531

One of the medical diagnoses of mental disorders that is part of education in psychiatric nursing is schizophrenia. Part of the education of psychiatric nursing provides important information about mental disorders and learns new skills to deal with various challenging behaviors. The anxiety felt by psychiatric nursing students are normal and usually do not continue after students have initial contact with patients. Aim on this study is to explore the effectiveness of VR-based simulations in enhancing the skills of nursing students in caring for patients with mental health disorders. This study method uses literature review. The literature used in this study consists of journals sourced from Wiley Online, ScienceDirect, and Google Scholar between 2015 and 2024. Article selection used the protocol guidelines (PRISMA) of identification, screening, eligibility and resulted in 10 articles being analyzed. VR simulations provide immersive and realistic environments where students can safely practice therapeutic communication, conduct mental health assessments, and develop critical thinking skills. Research indicates that VR simulations significantly enhance students' skills, knowledge, and empathy in psychiatric nursing. Despite their advantages, VR technologies face limitations, such as VR technology presents challenges such as technical difficulties. However, evidence suggests that VR-based training is a promising tool for advancing psychiatric nursing education by fostering essential skills and promoting behavioral health equity among future nurses.

Personal Hygiene untuk Meningkatkan Kualitas Hidup Lansia Fahruddin, Sri Gunda Fahrina; Diorarta, Raphita; Rahayu, Hesti; Pamungkas, Eny Dewi
APMa Jurnal Pengabdian Masyarakat Vol. 5 No. 1: Januari 2025
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v5i1.681

Tujuan dari diadakannya penyuluhan ini yaitu untuk menambah pengetahuan dan memberikan motivasi kepada lansia terkait menjaga pemeliharaan personal hyiegene. Metode pengabdian dilakukan dengan edukasi terkait personal hygiene yang meliputi perawatan kulit, mandi, perawatan mulut, perawatan mata, hidung, telinga, perawatan rambut, serta perawatan kaki dan kuku. Peserta terdiri dari 20 orang lansia di UPT Dinas Sosial Tresna Werdha yang diberikan edukasi tentang personal hygiene. Sebelum dan setelah edukasi peserta diberikan pre dan post tes untuk mengevaluasi tingkat pengetahuan peserta. Hasil pre dan post test menunjukkan tingkat pengetahuan peserta meningkat setelah dilakukan pemberian edukasi mengenai personal hygiene. Kesimpulan, secara keseluruhan pelaksanaan kegiatan edukasi personal hygiene dilakukan dengan lancar. Para lansia menunjukkan ketertarikan dan antusiasme yang cukup baik selama kegiatan berlangsung, meskipun terdapat keterbatasan dalam kemampuan mereka untuk membaca atau memahami materi secara mandiri.

Pemberdayaan Lansia dengan Penyakit Kronis Dalam Mengelola Kecemasan Melalui Relaksasi Otot Progresif di Posbindu Dahlia Senja Kelurahan Limo Herlina, Santi; Suratmini, Dwi; Diorarta, Raphita; Samaria, Dora; Tobing, Duma Lumban; Adyani, Sang Ayu Made; Wahyudi, Chandra Tri; Sucika, Dara; Wisudawati, Sulistya Nur'aeni; Millah, Zulfa Muzayyanatul; Balqis, Ayunissa; Nasution, Nurul Aryani; Putri, Alia Resti Andri; Mariyam, Fidelmia; Cahyani, Clara Oktalia; Putri, Widya Kartika
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 11 (2025): Volume 8 No 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i11.22832

ABSTRAK Lansia mengalami perubahan signifikan dalam aspek fisik, psikologis, dan sosial seiring bertambahnya usia. Proses penuaan menyebabkan penurunan fungsi tubuh yang berpotensi memicu timbulnya penyakit kronis. Kondisi ini dapat berdampak pada kondisi psikososial lansia, salah satunya menimbulkan kecemasan. Salah satu strategi manajemen cemas yang dapat dilakukan pada lansia adalah latihan relaksasi otot progresif (ROP). Tujuan kegiatan ini adalah meningkatkan pengetahuan dan kemampuan lansia dalam mengelola cemas. Program pengabdian masyarakat ini dilakukan melalui metode edukasi dan praktik keterampilan ROP pada 49 lansia yang rutin mengikuti kegiatan Posbindu di Posbindu Dahlia Senja Kelurahan Limo. Hasil kegiatan menunjukkan rata-rata usia peserta adalah 65.35 tahun, dimana mayoritas lansia memiliki jenis kelamin perempuan (93.9%). Berdasarkan hasil pengukuran menggunakan Geriatric Anxiety Scale (GAS), diketahui bahwa mayoritas lansia mengalami kecemasan tingkat ringan sebanyak 55.1%, tingkat sedang 36,7% dan tingkat berat 8,2%. Setelah dilakukan kegiatan edukasi dan praktik ROP, skor rata-rata tingkat pengetahuan lansia terkait cemas meningkat sebesar 42,02. Hasil observasi juga menunjukkan bahwa mayoritas lansia mampu melakukan gerakan praktik ROP secara benar. Program pengabdian masyarakat melalui edukasi dan praktik relaksasi otot progresif (ROP) dapat meningkatkan pengetahuan lansia tentang kecemasan serta keterampilan mereka dalam mengelola cemas. Intervensi ini dapat dijadikan alternatif dalam meningkatkan kemampuan lansia mengelola cemas secara mandiri. Kata Kunci: Kecemasan, Lansia, Penyakit Kronis, Relaksasi Otot Progresif ABSTRACT Elderly people experience significant changes in physical, psychological, and social aspects as they age. The aging process causes a decline in body functions that can potentially trigger chronic diseases. This condition can impact the psychosocial conditions of the elderly, one of which is causing anxiety. One anxiety management strategy that can be done in the elderly is progressive muscle relaxation (ROP) training. The purpose of this activity is to increase the knowledge and ability of the elderly in managing anxiety. This community service program was carried out through the ROP education and skills practice method on 49 elderly who regularly participate in Posbindu activities at Posbindu Dahlia Senja, Limo Village. The results of the activity showed that the average age of participants was 65.35 years, where the majority of elderly were female (93.9%). Based on the results of measurements using the Geriatric Anxiety Scale (GAS), it was known that the majority of elderly experienced mild anxiety as much as 55.1%, moderate levels 36.7% and severe levels 8.2%. After the ROP education and practice activities, the average score of the elderly's level of knowledge regarding anxiety increased by 42.02. The results of the observation also showed that the majority of elderly were able to perform ROP practice movements correctly. A community service program involving education and practice of progressive muscle relaxation (ROP) can improve older adults' knowledge about anxiety and their skills in managing it. This intervention can be used as an alternative to improve their ability to manage anxiety independently. Keywords: Anxiety, Elderly, Chronic Disease, Progressive Muscle Relaxation

Implementasi Simulasi Realitas Virtual dalam Pendidikan Keperawatan Jiwa: Tinjauan Pustaka Raphita Diorarta; Sukihananto Sukihananto
Nursing Current: Jurnal Keperawatan Vol. 13 No. 1 (2025): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v13i1.9531

One of the medical diagnoses of mental disorders that is part of education in psychiatric nursing is schizophrenia. Part of the education of psychiatric nursing provides important information about mental disorders and learns new skills to deal with various challenging behaviors. The anxiety felt by psychiatric nursing students are normal and usually do not continue after students have initial contact with patients. Aim on this study is to explore the effectiveness of VR-based simulations in enhancing the skills of nursing students in caring for patients with mental health disorders. This study method uses literature review. The literature used in this study consists of journals sourced from Wiley Online, ScienceDirect, and Google Scholar between 2015 and 2024. Article selection used the protocol guidelines (PRISMA) of identification, screening, eligibility and resulted in 10 articles being analyzed. VR simulations provide immersive and realistic environments where students can safely practice therapeutic communication, conduct mental health assessments, and develop critical thinking skills. Research indicates that VR simulations significantly enhance students' skills, knowledge, and empathy in psychiatric nursing. Despite their advantages, VR technologies face limitations, such as VR technology presents challenges such as technical difficulties. However, evidence suggests that VR-based training is a promising tool for advancing psychiatric nursing education by fostering essential skills and promoting behavioral health equity among future nurses.

Stress Management Application on Expressed Emotions of Families with Schizophrenia in Online Family Psychoeducation: Case Report Diorarta, Raphita; Susanti, Herni; Wardani, Ice Yulia
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 2 (2025): Volume 6 Nomor 2 November 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i2.1416

The family is the individual who is closest to the patient so that it is considered to have the most influence on the life of the sufferer. Stress management is one of the sessions in family psychoeducation (FPE). In the Covid-19 pandemic situation which has a very rapid spread of the virus, online care remains a powerful solution and is potentially needed so that online family psychoeducation is the right choice in this situation. The purpose of providing this therapy was to determine to the effectiveness of stress management in FPE sessions in reducing Expressed Emotion (EE) in families with schizophrenia. The writing of this scientific paper was a case report. The intervention was carried out for 6 weeks with a frequency of once a week and an average duration of 45-60 minutes per session. The assessment used was a family questionnaire to assess the level of EE in the family. The final evaluation of the implementation of stress management in the online FPE session given showed a decrease in EE owned by the family. This case report recommends implementing stress management in FPE sessions to reduce EE which can also work well in online implementation.

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