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Nirwan Nirwan
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THE EFFECT OF HEALTH EDUCATION ON SELF EFFICACY ON POST STROKE PATIENTS IN BLUD RSU DR. ZAINOEL ABIDIN BANDA ACEH Roma Sitio; Said Devi Elvin; Nirwan Nirwan
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Stroke is a cerebrovascular disease the second leading cause of death and the third leading cause of disability. Globally in 2018, 80 million people worldwide have strokes and 50 million survivors of strokes live with permanent disabilities. The percentage of stroke in Aceh in 2018 has reached 103 percent or above the national average of 93.4 percent. The impact of the high percentage of the number of people affected by stroke in Aceh has made the life expectancy of the people of Aceh to be low or only 67.8 years, below the national average of 71.5 years. Stroke has a large impact on physical, psychological and social functioning. Most people with stroke are faced with limitations in physical, psychological and social functions. This condition causes post-stroke depression which affects the inability to take care of themselves (self-care) such as bathing, dressing, toileting and making toilet and shower transfers. The purpose of this study was to determine the effect of psychoeducation-based health education on self-efficacy in post-stroke patients. The design used is quasi experement with control group. The sample in this study were post-stroke patients who went to the BLUD RSU dr. Zainoel Abidin Banda Aceh determined based on power analysis sampling. Data collection instruments in the form of Self Care Assessment Tool for Stroke Patients whose results be analyzed univariately and bivariately. The results showed that there were differences in self efficacy in post-stroke patients for the intervention group between before and after psychoeducation-based health education. Furthermore, it is known that there is no difference in self efficacy in post-stroke patients for the control group between measurement 1 and measurement 2. This study concludes that psychoeducation-based health education has been proven to be effective in increasing self-efficacy in post-stroke patients.
PENGARUH DISKUSI KELOMPOK TENTANG PENANGGULANGAN FILARIASIS TERHADAP PERUBAHAN PERILAKU KELUARGA DI KABUPATEN PIDIE Nirwan Nirwan
Idea Nursing Journal Vol 9, No 3 (2018): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (469.846 KB) | DOI: 10.52199/inj.v9i3.10561

Abstract

Kasus filariasis di Kabupaten Pidie cukup tinggi dan cenderung meningkat, dimana pada tahun 2014 mencapai 86 kasus dan meningkat pada tahun 2015 menjadi 95 kasus. Kegiatan promosi kesehatan dalam bentuk penyuluhan yang dilakukan belum memberikan dampak yang signifikan terhadap penanggulangan penyakit filariasis. Bentuk lain dari promosi kesehatan yang dapat dilakukan adalah diskusi kelompok. Tujuan penelitian adalah untuk Mengetahui pengaruh diskusi kelompok pada keluarga terhadap perubahan perilaku tentang penanggulangan filariasis. Desain penelitian yang digunakan adalah pre experiment one group pre test – post test design. Teknik sampling secara total populasi sehingga didapatkan jumlah sampel sebanyak 77 keluarga (18 keluarga tidak bersedia menjadi sampel). Pengumpulan data dengan menggunakan kuesioner pada saat sesi pre test dan post test. Data dianalisa secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa diskusi kelompok efektif untuk meningkatkan pengetahuan (P=0,0001), sikap (P=0,0001) dan tindakan (P=0,0001) keluarga dalam penanggulangan filariasis. Diskusi kelompok terbukti dapat meningkatkan perilaku keluarga dalam penanggulangan filariasis. Kata Kunci : Diskusi Kelompok, Keluarga, Filariasis. ABSTRACTFilariasis cases in Pidie District was high and tend to increase, where in 2014 about 86 cases and increased in 2015 to 95 cases. Many health promotion activities did not influence on the prevention of filariasis. Another intrvention of health promotion that can be done is group discussion. Purpose of the study to determine the effect of group discussion about filariasis prevention on family behavior in Pidie district.  This study was a pre experiment one group pre test - post test design. The sampling technique was a total population with a total sample of 77 families. Data was collected by using a questionnaire during the pre test and post test sessions. Data were analyzed by using t-test. The result showed that group discussion was effective for filariasis prevention including knowledge (P = 0,0001), attitudes (P = 0,0001) and actions (P = 0,0001). Group discussion is one of the intervention for filariasis prevention and health care provider were suggested to perform this intervention for this desease prevention. Keywords: Group Discussion, Family, Filariasis.
THE EFFECTIVENESS OF PEER GROUP COGNITIVE BEHAVIOR COUNSELING ON BODY IMAGE IMPROVEMENT IN FEMALE ADOLESCENT Nirwan; Said Devi Elvin; Julianti Jauhari
Jurnal Ilmiah Keperawatan Vol 7 No 2 (2024): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v7i2.5167

Abstract

Greater attention to appearance, clothing, grooming, hairstyle, and behavior is a phenomenon that occurs among adolescents. Adolescents believe that self-appearance is very important for social acceptance, especially acceptance from peers. Furthermore, adolescents want to always look attractive to others, especially peers. This phenomenon can cause body image disorder and low self-esteem especially among female adolescents. It is believed that group counseling can improve the body image of female adolescent to be more positive. This research aims to determine the effect of counseling methods with a cognitive behavioral approach on improving body image in female adolescent. This study used a quasi-experimental design. The sample was identified by using power analysis, the number of sample in this study was 128 female adolescents which included two groups namely intervention group and control group, composed of 64 respondents in each group. The data was collected by using the Body Appreciation Scale (BAS) questonnaire to measure body image variable. The Cognitive Behavior Group Counseling approach was used to provide counseling to the intervention group for six sessions. Body image measurements were carried out three times, namely before counseling, a week after counseling, and two weeks after counseling. The data analysis was carried out using a two-mean difference test. The result showed that cognitive behavior group counseling was effective in improving the body image of female adolescent to be more positive (p value = 0,000 < 0,05). It is concluded that cognitive behavior group counseling is an effective intervention to help female adolescent in building a positive body image.
Co-Authors Julianti Jauhari Said Devi Elvin Said Devi Elvin Sitio, Roma