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Efektivitas Token Economy Terhadap Perawatan Diri Pada Klien Skizofrenia Helmi Wardini; Nofrida Saswati; Isti Harkomah
Lontara Journal of Health Science and Technology Vol 5 No 1 (2024): Ilmu dan Teknologi Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v5i1.426

Abstract

Schizophrenia with symptoms of self-care deficit which is the second most common symptom in Jambi Provincial Hospital. Self-care deficit is a disorder of the ability to carry out self-care activities, therefore it is necessary to provide program methods, one of which is the token economy method. To determine the effectiveness of the token economy for self-care in schizophrenic clients. This research is a pre-experimental study with a one-group pre-test and post-test design. The population in this study were all schizophrenic clients with self-care deficit problems who were treated in the quiet room of the Jambi Provincial Mental Hospital for the period October 2022. In this study, samples were taken using a total sampling technique of 21 people. The instrument uses observation sheets and analyzes using univariate and bivariate with the T-Test test. There is the effectiveness of the token economy for self-care of schizophrenic clients at the Jambi Province Mental Hospital in 2022 with a p-value of 0.000. The token economy is effective for self-care in schizophrenic clients.
THE EFFECT OF POSTPARTUM BLUES INTERVENTION ON PSYCHOLOGICAL ADAPTATION IN POSTPARTUM MOTHERS POST CESAREAN SECTION Susi Widiawati; Nofrida Saswati; Zalza Liska Kinasih; Yuli Astuti
Journal of Maternity Care and Reproductive Health Vol 9, No 3 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i3.12399

Abstract

The postpartum period requires special attention due to the various emotional changes experienced by mothers, such as feeling thrilled, overwhelmed, let down, weepy, and physically exhausted. To address these challenges, an intervention that integrates early mobilization, therapeutic communication, and enhanced family support is highly needed to foster successful psychological adaptation. Aims: This study aimed to determine the effect of a postpartum blues intervention on the psychological adaptation of postpartum mothers after cesarean section. Methods: This study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 35 postpartum mothers on their first to third postpartum day, selected using a purposive sampling technique. Data were collected from August to September 2023 using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. The intervention was administered after completion of the pretest questionnaire, followed by administration of the posttest questionnaire. Data were analyzed using univariate analysis and bivariate analysis with the Wilcoxon signed-rank test. Results: Univariate analysis showed that the mean psychological adaptation score increased from 44.83 before the intervention to 66.57 after the intervention. Bivariate analysis demonstrated a significant difference in maternal psychological adaptation before and after the intervention, with a p-value of 0.000. Conclusion: Postpartum blues intervention comprising early mobilization, therapeutic communication, and enhanced family support is highly effective in helping mothers navigate emotional changes and achieve optimal psychological adaptation during the postpartum period.
EFFECTIVENESS OF MENTAL BASIC COURSE TRAINING HEALTH NURSING ON THE ABILITY OF NURSE TO CARRY OUT MENTAL NURSING CARE Nofrida Saswati; Isti Harkomah
NurseLine Journal Vol. 6 No. 1 (2021): May 2021
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.60176

Abstract

Problems that occur in clients with mental disorders are not obedient to taking medica tion, where clients who have finished undergoing treatment at the Mental Hospital are returned to their families but the obstacles found are that the role of nurses who hold health programs is not optimal in carrying out mental nursing care in either com munity for the nursing diagnosis of mental, psychosocial and mental health disorders. Therefore it requires a family role related to treatment and care for clients with mental disorders. One of the programs to stimulate the role of the family towards clients with mental disorders is the training of BC-CMHN (Basic Course Community Mental Health Nursing) nurses. The research objective was to determine the effect of BC-CMHNtraining on the self-ability of nurses in implementing community mental nursing care inJambi City. This research is a quasy experimental design with a pretest-posttest one group design. Respondents in this study were 20 public health center nurses who are responsible for mental health programs. Based on the results of the bivariate analysis using the dependent t-test that cognitive abilities before and after the intervention p val ues (p =0.000). There is an effect of BC-CMHN training on the self-efficacy of nurses in implementing community mental health insurance in Jambi City, it is recommended that it be implemented at both the provincial and district or city levels to improve the quality ofcommunity mental health services.