Widiyono .
Departemen Keperawatan Medikal Bedah, Program Studi Ilmu Keperawatan, Fakultas Sains, Teknologi Dan Kesehatan, Universitas Sahid Surakarta, Indonesia

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Pengaruh terapi aktivitas kelompok terhadap penurunan gejala depresi lansia di panti usia lanjut Ais’yah Surakarta Vitri Dyah Herawati; Indriyati Indriyati; Widiyono Widiyono
Holistik Jurnal Kesehatan Vol 15, No 3 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i3.3932

Abstract

Effectiveness of cognitive behavioral group therapy for depression in elderly people living in institutions.Background: Depression in the elderly caused many factors. The impact of depression decreases the quality of life of the elderly. Nursing interventions need to deal with depression problems in the elderly. Group activity therapy, perceptions stimulation of low self-esteem, and cognitive-behavioral therapy recommend for depression elderly with low self-esteem.Purpose: Knowing the effectiveness of cognitive-behavioral group therapy for depression in elderly people living in institutions.Method: The research design is a quasi-experiment with a pre-post test with a control group, with 30 participants divided by 2 groups (each group comprises 15 participants). The instrument using Geriatric Depression Scale (GDS) and analyzed using the Independent T-TestResults: Finding a significant decrease in depression in the elderly with low self-esteem in the two groups with a decrease of 67.4% in the intervention group and 31.9% in the control group (p-value <0.05), and there was a significant relationship between the characteristics of the elderly (gender, education, marital status, occupation, and comorbid physical illness) with depression in the elderly with low self-esteem (p-value <0.05).Conclusion: Cognitive-behavioral group therapy for depression is recommended to decrease depression in the elderly with low self-esteem.Keywords: Cognitive behavioral group therapy; Depression; Elderly people; Living in institutions.Pendahuluan: Depresi pada orang tua dapat disebabkan oleh berbagai faktor. Dampak depresi sangat membuat kualitas hidup lansia menurun. Diperlukan intervensi keperawatan untuk menangani masalah depresi pada lansia. Terapi aktivitas kelompok, stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah.Tujuan : Mengetahui  Pengaruh terapi aktivitas kelompok terhadap penurunan gejala depresi lansiaMetode : Desain penelitian menggunakan quasi experiment with pre post test, dengan sampel berjumlah  30 partisiapan yang dibagi menjadi 2 kelompok masing-masing 15 partisipan (kelompok intervensi dan kelompok kontrol). Alat pengumpul yang digunakan Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji Independen T-Test.  Hasil : Menunjukkan ada penurunan depresi pada kelompok intervensi sebelum dilakukan TAK (nilai pre-test) adalah 10,89,setelah dilakukan TAK mengalami peningkatan nilai rerata yaitu menjadi 15,93. Kelompok kontrol dalam penelitian ini juga mengalami peningkatan penerapan TAK yaitu dari nilai 10,30 menjadi 10,52. dan ada hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05).Simpulan: TAK stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah.
Pemberian air rebusan daun salam (Syzygium polyanthum) dapat menurunkan kadar kolesterol pada lansia dengan hiperkolesterolemia Widiyono Widiyono; Atik Aryani; Vitri Dyah Herawati
Holistik Jurnal Kesehatan Vol 15, No 1 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i1.3351

Abstract

The effectiveness of Bay leaf (Syzygium polyanthum) to decrease blood total cholesterol level among elderly with HypercholesterolemiaBackground: Total cholesterol levels will gradually increase with age. In the elderly, uncontrolled cholesterol will be a risk factor for life-threatening diseases such as stroke and cardiovascular disease. Observing the adverse effects of hypercholesterolemia, appropriate intervention needed. The treatment of Hypercholesterolemia by using complementary herbal therapy as bay leaves. Bay leaves also contain quercetin, which is a flavonoid that plays a role in strong antioxidants because it can prevent oxidation of LDL (Low Density Lipoprotein). Flavonoids can also prevent fat deposition on the walls of blood vessels.Purpose : To determine the effect of bay leaf (Syzygium polyanthum)  on reducing the cholesterol levels among elderly with Hypercholesterolemia, Method: A quasi-experimental One Group pretest-posttest design without control. The sampling taken by purposive sampling. The number of samples of this study were 29 participants.The cholesterol levels measured using a GCU (Glucose Cholesterol Urid acid), which was calibrated and had good accuracy. The statistical test used is the Paired sample t-test. As for the making of a concoction of bay leaves at each dose of administration by; as much as 10 bay leaves boiled with 400ml of water until the remaining 200ml. 400 ml per day provide in morning and evening and the therapy takes out for 1 full a month and ends with a blood examination evaluation with GCU.Results : The analysis showing that there was a significant difference in the mean cholesterol levels before and after being given the bay leaf stew with a p value of 0.001, which means that there was an effect of the provision of bay leaf boiled water on reducing cholesterol levels.Conclusion: The bay leaf is a complementary herbal therapy that is cheap and can find everywhere in Indonesia also is a non-invasive treatment. This intervention expected as alternative a non-pharmacological therapeutic method in overcoming hypercholesterolemia in the elderly.Keywords: Bay leaf (Syzygium polyanthum); Total cholesterol level; Elderly; HypercholesterolemiaPendahuluan: Kadar kolestrol total akan meningkat secara bertahap seiring bertambahnya usia. Pada lansia, kolesterol yang tidak terkontrol akan menjadi berbagai faktor risiko penyakit yang mengancam jiwa seperti stroke dan penyakit kardiovaskuler. Mencermati dampak buruk dari hiperkolesterolemia maka diperlukan intervensi yang tepat. Mengatasi hiperkolesterolemia dapat dilakukan dengan pengunaan terapi komplementer herbal berupa pemberian air rebusan daun salam. Daun salam juga mengandung quercetin, yaitu Flavonoid yang berperan dalam antioksidan kuat karena mampu mencegah oksidasi LDL (Low Density Lipoprotein). Flavonoid juga dapat mencegah pengendapan lemak pada dinding pembuluh darah.Tujuan : Mengetahui pengaruh pemberian air rebusan dalam salam terhadap penurunan kadar kolesterol lanisa yang mengalami Hipercholesterolemia.Metode : Penelitian  quasy eksperimental dan menggunakan rancangan One Group pretest-posttest design without Control. Teknik pengambilan sampel dilakukan dengan secara purposive sampling. Jumlah sampel penelitiannya 29 partisipan. Kadar kolesterol pada partisipan diukur dengan menggunakan alat cek kolesterol GCU (Glukosa Colesterol Urid acid) yang sudah dikalibrasi dan memiliki akurasi yang baik. Uji statistic yang digunakan yakni uji Paired sample t-test. Adapun pembuatan ramuan daun salam pada setiap dosis pemberian dengan cara; rebus sebanyak 10 lembar daun salam dengan 400ml air hingga tersisa 200ml.400 ml per hari berikan pagi dan sore dan terapi berlangsung selama 1 bulan penuh dan diakhiri dengan evaluasi pemeriksaan darah dengan GCU.Hasil : Menunjukan bahwa ada perbedaan rerata kadar kolesterol yang bermakna sebelum dan sesudah diberikan rebusan daun salam dengan nilai p value 0,001 yang berarti ada pengaruh pemberian air rebusan daun salam terhadap penurunan kadar kolesterol.Simpulan: Pemberian rebusan air daun salam merupakan terapi komplementer herbal yang murah, mudah, dapat dilakukan dimanapun dan kapanpun dan merupakan tindakan non-invasif. Intervensi ini diharapkan dapat dimanfaatkan sebagai metode terapi non farmakalogi dalam mengatasi hiperkolesterolemia pada lansia.
Prevalensi Premenstrual Syndrome dan Premenstrual Dysphoric Disorder Siswi Asrama dan Non Asrama Pasca Covid-19 Tri Kesuma Dewi; Shinta Arini Ayu; Indhit Tri Utami; Widiyono Widiyono
MAHESA : Malahayati Health Student Journal Vol 3, No 2 (2023): Volume 3 Nomor 2 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.448 KB) | DOI: 10.33024/mahesa.v3i2.9670

Abstract

 ABSTRACT Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are disorders that occur in adolescent girls every month.  Symptoms that occur in PMS and PMDD will interfere with daily adolescent  activities, and will even  reduce their quality of life. In research, one of  the  factors associated with PMS and PMDD is  stress. Teenagers  who live in dormitories according to research have higher  stress levels than non-dormitory students. This study aims to determine the  difference in  the prevalence of PMS and PMDD that occur in  dormitory  and non-dormitory students. This study used a  quantitative descriptive method where data was taken at a time  using a questionnaire. This study  there is no difference in the  prevalence of PMDD  in dormitory and non-dormitory students, but the  rate of PMS  is higher in   non-dormitory students.  This study  also found that the impact of  PMS and PMDD can interfere with students' daily activities and can even  reduce their quality of life. PMS and  PMDD can occur in female students  both living  in dormitories and  non-dormitories,  health workers,  especially those  in the  school environment, should be  able to  provide treatment for the symptoms of  PMS and PMDD     appears so that it does not interfere with the quality of  life of  female students. Keywords: PMS,PMDD, Teen,Dormitory,Non-dormitory ABSTRAK Premenstrual Syndrome (PMS) dan Premenstrual Dysphoric Disorder (PMDD) adalah gangguan yang terjadi pada remaja wanita setiap bulannya. Gejala yang terjadi pada PMS dan PMDD tersebut akan menganggu aktifitas remaja sehari-hari, bahkan akan menurunkan kualitas hidup mereka. Pada penelitian salah satu faktor yang berhubungan dengan PMS dan PMDD ini adalah stress. Pada remaja yang tinggal diasrama menurut penelitian memiliki tingkat stress yang lebih tinggi dibandingkan siswi yang non asrama. Penelitian ini bertujuan untuk mengetahui perbedaan prevalensi PMS dan PMDD yang terjadi di siswi asrama dan non asrama. Penelitian ini menggunakan metode deskriptif kuantitatif dimana data diambil dengan sekali waktu menggunakan kuesioner. Pada penelitian ini tidak terdapat perbedaan prevalensi terjadinya PMDD pada siswi asrama dan non asrama, namun tingkat PMS lebih tinggi pada siswi non asrama. Penelitian ini juga menemukan bahwa dampak PMS dan PMDD dapat menganggu kegiatan siswi sehari-hari bahkan dapat menurunkan kualitas hidup mereka. PMS dan PMDD dapat terjadi pada siswi baik yang tinggal diasrama maupun non asrama, hendaknya tenaga kesehatan khususnya yang berada dilingkungan sekolah dapat memberikan penanganan terhadap gejala PMS dan PMDD yang muncul sehingga tidak menggangu kualitas hidup siswi. Kata Kunci: PMS,PMDD, Remaja,Asrama,Non-asrama
LEG EXERCISE CAN REDUCE PAIN AND IMPROVE FUNCTIONAL ACTIVITY ABILITY OF OSTEOARTHRITIS PATIENTS Widiyono Widiyono; Atik Aryani; Dita Ayu Prastikasari
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 1 (2024): VOLUME 8 ISSUE 1 APRIL 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss1/568

Abstract

Osteoarthritis (OA) is a non-inflammatory degenerative joint disease that can affect health and tends to cause joint pain, decreased ability to function and has an impact on reducing the quality of life of sufferers. This disease most often occurs in the knee. Generally, the cause of osteoarthritis is unknown, and is called primary osteoarthritis. Efforts to reduce pain in osteoarthritis patients and improve functional activity ability are by giving leg exercise. This study aims to determine the effect of leg exercise on joint pain and functional ability of elderly people with ostheoarthritis. The research design used is a pre-experiment design using the type one group pretest-posttest design without control group. The sampling technique used purposive sampling with a total of 39 respondents. Pain assessment using Verbal Descriptor Scale (VDS) and functional ability in knee osteoarthritis (OA) patients assessed using WOMAC parameters. Data were analyzed using the Wilcoxon Signed Rank Test for joint pain data and the Paired Samples T-Test for functional ability data. The results of the Wilcoxon Signed Rank Test test obtained a p value = 0.001 (p <0.05) which means that there is an effect of leg exercise on reducing pain in osteoarthritis patients at the Mulia Hati Wonogiri General Hospital. The results of the Paired Samples T-Test Test showed a value of p = 0.001 (p <0.05), so there is an effect of leg exerrcise on improving the functional abilities of osteoarthritis patients at the Mulia Hati Wonogiri General Hospital. It is hoped that parties related to this condition can provide and provide education on leg exercise methods to reduce pain and improve the functional abilities of osteoarthritis sufferers.