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The Effects of An Active Listening Technique on The Nursesâ Empathy Abilities in Giving Nursing Services in Surabaya Heriyanto, Bambang; Cahyono, Intim; Tumini, Tumini
Health Notions Vol 2 No 7 (2018): July 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Nursing service given to a patient will be excellent if the nurse shows her empathy to the patient. The objective of this present research was to analyze the effects of  the active listening technique on the nursesâ emphatic ability in giving a nursing service in the hospital Soewandhi, Surabaya. It was a quasi-experimental  type with non randomized control group, pretest-posttest design.  The population were all nurses in the hospital Soewandhi and the sample was taken randomly. The data were descriptively  and inferentially analyzed using the Wilcoxon and Mann-Whitney Test with the level of significance of 0.05. The results showed that  the change of the total mean score in the emphatic abilities in the  control group before and after the intervention was insignificant with the p-value of 0.262.  The intervention group showed a change of the total mean score  in the emphatic abilities before and after the intervention with the p-value of 0.000. Meanwhile,  among the control groups with intervention, a significant difference  was shown with the p-value of 0.001.  The nurses   trained in the application of  the active listening technique showed  better empathy abilities than those who did not get any training. 

Characteristics of Mothers Before and During Pregnancy Causing Postpartum Hemorrhage in Surabaya, Indonesia Dhiana Setyorini; Intim Cahyono; Nur Hasanah
Health Notions Vol 4, No 9 (2020): September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40903

Postpartum hemorrhage (PPH) is one of the direct causes of maternal mortality with the highest percentage. Postpartum hemorrhage is the bleeding that occurs due to the blood loss of 500 ml or more from the reproductive organs after labor. The objective of this present research was to understand the characteristics of mothers before and during pregnancy that induce postpartum hemorrhage in Surabaya. The research method employed was a control case design consisting of 180 postpartum mothers, being analyzed using a multinomial logistic regression. The research was conducted in Soewandi Hospital and Haji Hospital Surabaya. The research results revealed that characteristics of mothers before pregnancy causing the incidence of postpartum hemorrhage were as follows: a) Age < 20 and > 35 (66.7%), b) multi-parity (61.14%), pregnancy spacing ≤ 24 months (70.4%), d) possessing postpartum hemorrhage history (93.3%) and e) suffering from anemia (80.8%). Characteristics of mothers during pregnancy were among others : Double pregnancy (71.4%), preeclampsia (79.5%) and obesity (70.6%). It is expected that the cadres of health staffs recognize the characteristics of these mothers and are able to detect earlier any postpartum hemorrhage that occurs to pregnant women so that earlier prevention actions may be taken. Keywords: causing factor; before and during pregnant; postpartum hemorrhage

The Effects of An Active Listening Technique on The Nurses’ Empathy Abilities in Giving Nursing Services in Surabaya Bambang Heriyanto; Intim Cahyono; Tumini Tumini
Health Notions Vol 2, No 7 (2018): July
Publisher : Humanistic Network for Science and Technology (HNST)

Nursing service given to a patient will be excellent if the nurse shows her empathy to the patient. The objective of this present research is to analyze the effects of the active listening technique on the nurses’ emphatic ability in giving a nursing service in the hospital Soewandhi, Surabaya. It was a quasi-experimental type with non randomized control group, pretest-posttest design. The population were all nurses in the hospital Soewandhi and the sample was taken randomly. The data were descriptively and inferentially analyzed using the Wilcoxon and Mann-WhitneyTests with the level of significance of 0.05. The results showed that the change of the total mean score in the emphatic abilities in the control group before and after the intervention was insignificant with the pvalue of 0.262. The intervention group showed a change of the total mean score in the emphatic abilities before and after the intervention with the p-value of 0.000. Meanwhile, among the control groups with intervention, a significant difference was shown with the p-value of 0.001. The nurses trained in the application of the active listening technique showed better empathy abilities than those who did not get any training. Keywords: Active listening technique, Empathy ability, Nursing service

Increased Cadre Motivation Conducting Childbirth Referrals through Training with the DABA Method Dhiana Setyorini; Intim Cahyono; Jenie Palupi; Nur Hasanah
Health Notions Vol 5, No 4 (2021): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50402

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals

PENURUNAN PERSEPSI NYERI PASIEN KANKER MENGGUNAKAN METOOE "AFFIRMASITAPPING TECHNIQUE" 01 WILAYAH KERJA PUSKESMAS PACARKELING SURABAYA Joko suwito; Padoli .; Dhiana Setyorini; Intim Cahyono
JURNAL PENELITIAN KESEHATAN Vol 13, No 1 (2015): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

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Affirmation-Taping Techniques (An) has shown good results and safe as an alternative to reduce theperception of pain after surgery. NeverthelessAn therapy to reduce the perception of pain in patientswith cancer outpatient health center hasnot been confirmed usefulness.The design of this study is a quasi experimental pre-posttest control group design, with a population ofcancer patients who are actively participating in outpatient health center PacarkelingSurabaya, in a simplerandomized into the control group and the treatment group; has signed a Letter of Approval and followAn after receiving an explanation. The research instrument with the Visual Analogue Scale (VAS) and theMcGill-Melzack Pain Questionare and An's Guide; Data were analyzed with the Kolmogorov-Smirnove.Ethical clearance was obtained from the Health Research Ethics Committee (IEC) of Ministry of HealthPolytechnicof Surabaya.Treatment with An group amounted to 10 (ten) and a control group of 10 (ten); the two groups allgained a basic drug therapy in an outpatient health center services Pacarkeling Surabaya. From theanalysis of the hypothesis test is obtained that An has shown a significant difference in reducing theperception of pain cancer patients compared to controls (p = 0.000; a = 0.05).Discussion: An which is the technique of psycho-behavioral therapy treatment, the theory of SelfAffirmationand Meridian Theory-acupuncture; has changed the perception-emotion-koqnition is notconstructive toward self-acceptance and trust and hope in God Almighty, then reinforced by tapping onacupuncture points that reinforce the perception-koqnition-constructive emotion. Prefrontal cortex,hippocampus, amygdala and thalamus translate these conditions to produce neurotransmitters, which inturn c~n activate brain plasticity to modulate the pain and reduce the perception of painKey words: Pain perception, Affirmation Tapping Techniques, Cancer patient

Empowerment Of Health Careers With The DABA Method To Reduce Maternal And Infant Mortality Rate (Early Detection Of The Risk Of Eclampsia And Post Partum Blooding) In The City Of Surabaya: Pemberdayaan Kader Kesehatan Dengan Metode DABA Untuk Menurunkan Angka Kematian Ibu Dan Bayi (Deteksi Dini Risiko Eklampsi Dan Perdarahan Post Partum) Di Wilayah Kota Surabaya Dhiana Setyorini; Intim Cahyono; Yessy Dessy Arna; Adivtian Ragayasa
Jurnal Pengabdian Masyarakat Kesehatan Vol. 8 No. 4 (2022): JPM | Edisi Khusus 2022
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jpm.v8i4.1324

Masalah kesehatan yang menjadi keprihatinan dan perhatian saat ini adalah masih tingginya angka kematian ibu dan Bayi. Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan salah satu indikator untuk melihat derajat kesehatan bangsa. Menurut Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 menunjukkan bahwa penyebab langsung kematian ibu antara lain: perdarahan 42%, preekalmpsia atau eklamsia (PE-E) 13%, abortus 11%, infeksi 10%, partus lama atau persalinan macet 9%, dan penyebab lain 15%, sementara kematian ibu di Kota Surabaya tahun 2017 antara lain disebabkan karena preeklampsia atau eklampsia 32,4%, perdarahan 8,1%, sepsis atau infeksi 5,4%, partus lama 2,7% dan lain-lain 51,4%. Angka kematian ibu di Kota Surabaya tahun 2017 8/100.000 KH, sementara AKB 7/1000 KH (Dinkes Kota Surabaya, 2019). Di Kelurahan Karah masih banyak ibu hamil dengan risiko yang tidak mau dirujuk, kader belum mampu untuk melakukan rujukan. Pelatihan Metode DABA (dukungan, apresiasi, belajar, dan alih pengetahuan) akan diterapkan untuk meningkatkan peran kader kesehatan dalam menurunkan AKI dan AKB. Pendekatan DABA adalah strategi komunikasi inovatif yang bertujuan untuk mengembangkan respon kreatif masyarakat yang berakar pada kekuatan masyarakat (Community Life Competence, 2016). Metode DABA dalam pemberdayaan kader akan meningkatkan pengetahuan, motivasi dan kompetensi kader dalam melakukan deteksi dini risiko preeklampsi dan risiko perdarahan post partum sehingga akan meningkatkan komitmen dan kemauan kader melakukan deteksi dini dan rujukan ke tebaga kesehatan.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 2 No. 1 (2021): July
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

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Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

Empowerment of Mother's Groups to Improve Adolescent Reproductive Health in Kampung Nelayan Health Center Siti Nurkholifah; Nikmatul Fadilah; Minarti Minarti; Intim Cahyono; Yohanes Kambaru Windi; Heru Sulistijono; Bambang Heriyanto; Asnani Asnani; Tumini Tumini; Dyah Wijayanti; Hasyim As'ari; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata Dinarwiyata; Eko Rustamaji; Ferry Kumala
Community Empowerment in Health Vol. 1 No. 1 (2023): June 2023
Publisher : Pusat Unggulan Ipteks Poltekkes Kemenkes Surabaya

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Now, adolescent reproductive health problems are increasing, which may be caused by a lack ofknowledge, self-confidence, religiosity and family support. So we need community service activities thataim to empower women's groups in improving adolescent reproductive health in the work area of theKampung Nelayan Health Center, Gresik Regency. Adolescents' commitment to maintaining reproductivehealth requires support from the family. Mothers are the closest people to their children, so mother'ssupport is an important component in improving adolescent reproductive health. This activity wasattended by 40 mothers of adolescents. The first stage was increasing knowledge, then mentoring andthe next was empowerment. The module on reproductive health as a media for health education wasfirst socialized to the mother group. The results of the activity showed that there was an increase in theknowledge and role of mothers in improving adolescent reproductive health.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 4 No. 1 (2022): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

Comparison of the Effectiveness Between Mindfulness Therapy and Cognitive Behavioral Therapy in Treating Anxiety Disorders Cahyono, Intim; Sulaeman, Ridawati; Hanum, Lathifah; karyono, Septin Maisharah; Mubarok, Ahmad Shofi
Journal of World Future Medicine, Health and Nursing Vol. 2 No. 2 (2024)
Publisher : Yayasan Pendidikan Islam Daarut Thufulah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v2i2.756

The growing complexity of anxiety disorders, a common mental health problem, significantly affects individuals' quality of life. In an effort to address this disorder, mindfulness therapy and cognitive-behavioral therapy (CBT) have become an increasing focus of research. However, the comparative effectiveness between these two therapeutic approaches is still a matter of debate in the scientific literature. The purpose of this study was to compare the effectiveness of mindfulness therapy and cognitive behavioral therapy in overcoming anxiety disorders. The research method used was a systematic review of relevant empirical studies that have been conducted in this field. Data from these studies were comprehensively analyzed to evaluate the relative effectiveness of the two therapeutic approaches. The results showed that both mindfulness therapy and cognitive behavioral therapy have significant benefits in reducing anxiety disorder symptoms. However, there are differences in the approach and focus of each therapy. Mindfulness therapy emphasizes on self-awareness of thoughts and feelings without judging them, while cognitive-behavioral therapy focuses on changing negative thought patterns and harmful behaviors. In addition, some studies have shown that cognitive-behavioral therapy can provide faster results especially in addressing acute anxiety symptoms, while mindfulness therapy tends to be more effective in the long run. The conclusion of this study is that both mindfulness therapy and cognitive-behavioral therapy can be effective options in treating anxiety disorders, depending on individual needs and preferences. The selection of the appropriate therapy should take into account individual characteristics, the severity of the anxiety disorder, and the treatment context. A combination or integration between the two types of therapy may also be a promising approach in improving treatment outcomes for individuals with anxiety disorders.

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