Nirwan Nirwan
Poltekkes Kemenkes Aceh

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Journal : JURNAL MUTIARA NERS

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.
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.