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Efektivitas Rational Emotive Behaviour Therapy Berdasarkan Profile Multimodal Therapy pada Klien Skizofrenia dengan Masalah Keperawatan Perilaku Kekerasan dan Halusinasi di Rumah Sakit Jiwa Retno Yuli Hastuti; Budi Anna Keliat; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 18, No 3 (2015): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i3.491

Penelitian ini bertujuan mengetahui efektivitas rational emotive behavior therapy (REBT) berdasarkan profile multimodal therapy terhadap kemampuan klien dan perubahan gejala perilaku kekerasan dan halusinasi di RS Jiwa. Desain penelitian quasi eksperimental dengan jumlah sampel 56 responden. 28 responden memiliki Profile Multimodal Therapy untuk mendapatkan REBT sebagai kelompok intervensi, 28 responden sebagai kelompok non intervensi. Hasil penelitian ditemukan penurunan gejala perilaku kekerasan dan halusinasi lebih besar daripada yang tidak mendapatkan REBT berdasarkan profile multimodal therapy (p value < 0.05). Kemampuan kognitif, afektif dan perilaku klien yang mendapatkan REBT berdasarkan profile multimodal therapy meningkat secara bermakna (p < 0.05) Hasil penelitian ini efektif meningkatkan kemampuan klien kognitif, afektif dan perilaku hingga 57% dan penurunan gejala perilaku kekerasan 48%, penurunan gejala halusinasi 47%,. Profile multimodal therapy direkomendasikan sebagai screening klien yang akan diberikan terapi spesialis dalam hal ini khususnya rational emotive behavior therapyKata kunci: profile multimodal therapy, rational emotive behavior therapy, gejala perilaku kekerasan, gejala haluasinasi, kemampuan kognitif, afektif, perilaku AbstractThis study aims to determine the effectiveness of rational emotive behavior therapy (REBT) profile of multimodal therapy based on the client's ability and changes in symptoms violent behavior and hallucinations in Psychiatric Hospital. Quasi-experimental research design with a number of 56 respondents. 28 respondents had to get a Profile Multimodal Therapy REBT therapy as the intervention group, 28 respondents as a group of non intervention. The research found a decrease symptoms of violent behavior and hallucinations bigger than not getting REBT based profile of multimodal therapy (p<0.05). Cognitive, affective and behavioral clients who get REBT based profile of multimodal therapy increased significantly (p <0.05). Results clients experience a effectively improve cognitive, affective and behavioral to 57 % and reduction in symptoms of violent behavior 48%, reduction in symptoms of hallucinations 47%. Profile multimodal therapy is recommended as screening client will be given specialist treatment in this particular rational emotive behavior therapyKeywords: profile multimodal therapy, rational emotive behavior therapy, symptoms of violent behavior, hallucination symptoms, cognitive, affective, behaviorall

HUBUNGAN CITRA TUBUH DENGAN KEJADIAN DEPRESI PADA REMAJA DI SMK MUHAMMADIYAH CAWAS KLATEN Retno Yuli Hastuti; Eva Sri Tira Dewi; Sri Suyani
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 6, No 2 (2017): Edisi Oktober 2017
Publisher : STIKES Cendekia Utama Kudus

Perubahan fisik remaja menimbulkan respon tersendiri terhadap penampilan tubuhnya. Berdasarkan penelitian Sahban di SMK Widyapraja Ungaran mengatakan bahwa citra tubuh remaja yang obesitas sebagian besar dalam kategori negatif yaitu 58,8%,Â penelitian Gunarsih di SMA 4 Semarang mengatakan sebagian besar responden memiliki jerawat tingkat sedang 57,7 % dan citra diri buruk sebesar 70,4 %, hal ini dapat menyebabkan remaja menarik diri dan terjadi depresi. Didukung penelitian lainÂ dari ListiantoÂ di MAN 1 Surakarta mengatakan bahwa siswi yang memiliki indeks massa tubuh overweight dengan depresi 11,03%. Berdasarkan hasil studi pendahuluan dari 10 Siswa dan Siswi di SMK Muhammadiyah Cawas KlatenÂ terdapat 6 orang mengatakan tidak percaya diri pada penampilanya dan merasa cemas saat bergaul dengan orang lain. Mengetahui hubungan citra tubuh dengan kejadian depresi pada remaja di SMK Muhammadiyah Cawas Klaten. Jenis penelitian ini korelasional, desain penelitian ini analitik dengan pendekatan cross sectional. Variabel citra tubuh diukur dengan kuesioner citra tubuh, sedangkan kejadian depresi menggunakan kuesioner BDI II. Sampel dalam penelitian ini 116 orang yang telah sesuai dengan kriteria inklusi. Teknik samplingÂ menggunakan simple random sampling. Data penelitian dianalisis menggunakan uji Kendall Tau. Hasil penelitian menunjukkan nilai Zhitung = 6,49, didapatkan sebagian besar citra tubuh positif sebanyak 93,1% sedangkan sebagian besar kejadian depresi dalam kategori normal yaitu 61,2%. Berdasarkan hasil analisis kendall tau didapatkan Zhitung = 6,49 > Ztabel = 1,96, sehingga terdapat hubungan citra tubuh dengan kejadian depresi pada remaja di SMK Muhammadiyah Cawas Klaten.Â Kata Kunci : citra tubuh, kejadian depresi, remaja

Pengaruh Cognitive Behaviour Therapy Pada Klien Dengan Masalah Keperawatan Perilaku Kekerasan Dan Halusinasi Di Rsjd Dr. Rm Soedjarwadi Klaten Retno Yuli Hastuti; Setianingsih Setianingsih
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 4, No 1 (2016): Mei 2016
Publisher : Universitas Muhammadiyah Semarang

Latar belakang : RSJD Dr.RM.Soedjarwadi Klaten mempunyai klien skizofrenia yang dirawat dengan risiko perilaku kekerasan dan halusinasi: 43,48%. Hasil penelitian sebelumnya CBT cukup efektif dalam menurunkan tanda gejala perilaku kekerasan dan halusinasi pada klien skizofrenia. Penelitian ini bertujuan mendapatkan gambaran pengaruh CBT terhadap perubahan gejala dan kemampuan kognitif, afektif dan psikomotor klien dengan perilaku kekerasan dan halusinasi yang dirawat di ruang rawat inap RSJD Dr.RM.Soedjarwadi Klaten. Desain yang digunakan dalam penelitian ini adalah Quasi Experimental Pre-Post Test with Control Group dengan jumlah sample 56 responden yang terbagi 28 kelompok intervensi dan 28 kelompok kontrol. Analisa data menggunakan dependen dan independent t test. Hasil penelitian ini menemukan penurunan gejala perilaku kekerasan dan halusinasi yang lebih besar untuk klien yang mendapatkan daripada yang tidak mendapatkan CBT (pvalue <0,05). Kemampuan kognitif, afektif dan perilaku klien yang menerima CBT meningkat secara signifikan (p nilai <0,05) Hasil penelitian ini klien penurunan gejala PK 48% pengurangan gejala halusinasi 47% dari penelitian ini juga meningkatkan kemampuan kognitif, klien perilaku kekerasan afektif dan perilaku dan halusinasi dengan hasil tertinggi hingga 57%. CBT direkomendasikan sebagai klien keperawatan perilaku kekerasan terapi dan halusinasi di RSJD Dr RM.Soedjarwadi Klaten.

Pengaruh Melafalkan Dzikir terhadap Kualitas Tidur Lansia Retno Yuli Hastuti; Devi Permatasari Sari; Sri Anggita Sari
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 3 (2019): November 2019
Publisher : Universitas Muhammadiyah Semarang

Kualita stidur adalah suatu keadaan tidur yang dijalani seseorang yang menghasilkan kesegaran/ kebugaran saat terbangun. Dampak karena kualitas tidur yang buruk adalah stres yang meningkat dan sering lupa. Hasil penelitian yang dilakukan menunjukkan 86,4% lansia mengalami kualitas tidur yang buruk dan 13,6% memiliki kualitas tidur yang baik di Balai Pelayanan Sosial Tresna Werdha pada tahun 2018. Salah satu penatalaksanaan untuk meningkatkan kualitas tidur adalah dengan melafalkan dzikir. Tujuan penelitian adalah untuk mengidentifikasi pengaruh melafalkan dzikir terhadap kualitas tidur lansia di Balai Pelayanan Sosial Tresna Werdha. Metode penelitian ini menggunakan desain quasi experiment. Teknik sampling yang digunakan adalah purposive samplingdenganjumlah 21 responden yang sesuaidengankriteriainkulsidanekslusi. Intervensi dilakukan selama 7 hari berturut-turut. Evaluasi skor kualitas tidur menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Analisa bivariate denga nmenggunakan uji paired t test. Hasil penelitian rerata kualitas tidur pada pengukuran pretest lebih tinggi (7,00) dibandingkan dengan rerata postest (5,90), yang memiliki arti bahwa kualitas tidur lansia setelah melakukan dzikir menjadi lebih baik.Hasil dari analisis ujipaired t testpengaruh melafalkan dzikir terhadap kualitas tidur lansia didapatkan nilai signifikan dengan p-value = 0,000 (α<0,05). Kesimpulan penelitian ini menunjukkan adanya pengaruh antara dzikir dengan kualitas tidur. Kata kunci: melafalkan dzikir, kualitas tidur, lansia THE EFFECT OF RECITING DHIKR ON THE QUALITY OF ELDERLY SLEEP ABSTRACTSleep quality is a state of sleep by someone who produces freshness or fitness when awakened. Poor sleep quality will have an impact on the body of the elderly. Impact because of poor sleep quality is increased stress and often forgets. The results of the research conducted showed that 86.4% of the elderly experienced poor sleep quality and 13.6% had good sleep quality at the TresnaWerdha Social Service Center on 2018. One of the management to improve the quality of sleep is to recite dzikir. The purpose of the study was to identify the effect of reciting dhikr on the quality of elderly sleep in the Tresna Werdha Social Service Center.This research method uses a quasi experiment design. The sampling technique used was purposive sampling with 21 respondents who were in accordance with the criteria for inclusion and exclusion. The intervention was carried out for 7 consecutive days. Sleep quality score evaluation using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Bivariate analysis using paired t test. The results of the average sleep quality at pretest measurements were higher (7.00) compared to the posttest average (5.90), which means that the quality of elderly sleep after doing dhikr is better. The results of the paired t test analysis of the effect of reciting dhikr on the quality of elderly sleep obtained a significant value with p-value = 0,000 (α <0.05). The conclusion of this study shows the influence between dhikr and the quality of sleep. Keywords: reciting dhikr, sleep quality, elderly

PENGARUH PENERAPAN TAK : PERMAINAN KUARTET TERHADAP KEMAMPUAN SOSIALISASI PADA PASIEN ISOLASI SOSIAL Retno Yuli Hastuti; Nur Wulan Agustin; Surya Hardyana
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 7, No 1 (2019): Mei 2019
Publisher : Universitas Muhammadiyah Semarang

Salah satu tanda gejala negatif skizofrenia adalah isolasi sosial. Angka kejadian gangguan jiwa mencapai 2,3 permil dari jumlah penduduk. Langkah yang dapat diberikan untuk memfasilitasi pasien isolasi sosial social untuk melakukan sosialisasi secara bertahap melalui kegiatan permainan sosialisasi kelompok yaitu berupa terapi aktivitas kelompok menggunakan kartu kuartet. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan TAK : permainan kuartet terhadap kemampuan sosialisasi pada pasien isolasi sosial di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah. Jenis penelitian ini adalah quasy eksperimen dengan desain penelitian pre and post test without control. Jumlah sampel dalam penelitian ini sebanyak 13 responden. Tehnik pengambilan sampel menggunakan purposive sampling. Uji statistik bivariat menggunakan uji Wilcoxon. Rata-rata umur responden dalam penelitian ini adalah 28,54 tahun dengan jenis kelamin laki-laki 7 orang. Tingkat pendidikan terbanyak SMP dengan jumlah 6 orang atau 46,2%. Pekerjaan responden terbanyak yaitu tidak bekerja 8 orang atau 61,5%. Kemampuan sosialisasi sebelum dilakukan intervensi TAK permainan kuartet tergolong kurang sebanyak 7 atau 53,8%. Sedangkan kemampuan sosialisasi setelah dilakukan intervensi TAK permainan kuartet terjadi peningkatan dimana kemampuan sosialisasi yang baik menjadi 10 orang (76,9%), dan penurunan pada kemampuan sosialisasi yang kurang menjadi 1 orang (7,7%). Hasil uji statistik dengan uji Wilcoxon diperoleh nilai p-value 0,003 atau (α<0,05). Ada pengaruh penerapan TAK : permainan kuartet terhadap kemampuan sosialisasi pada pasien isolasi sosial di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah. Kata kunci : Kemampuan sosialisasi, TAK permainan kuartet, isolasi sosial. THE EFFECT OF TAK IMPLEMENTATIONS : THE QUARTET GAMES CONCERING WITH THE SOCIALIZATION SKILLS IN SOCIAL ISOLATION PATIENTS ABSTRACTOne of the negative skizofrenia indication is sosial isolation. The incidence of mental disorders reached 2.3 per cent of the population. The steps which can be given for the patient's facilitate with social relation problems for socializing gradually through group socialization activities in the form of the group activity therapy using a quartet card. The aim of this study was to find out the effect of TAK implementations : the quartet games concering with the socialization skills in social isolation patients at RSJD Dr. RM. Soedjarwadi Central Java. The types of this study is a quasy eksperimen with the research design pre and post test without control. The sample with the sampling of technique purposive sampling 13 respondence. The average age of respondents in this study is 28,54 years with 7 man. The highest of education is SMP (junior high school) with 6 person or 46,2%. The highest of respondents work is a jobless 8 person or (61,5%). The socialization skills before the quartet quiz game intervention were classified less than 7 or (53,8%). While for the socialization ability after the quartet quiz game intervention was increased where the good socialization ability of 10 person (76,9%), and the decrease in the socialisation ability was less than 1 person(7,7%). The result of statistical test with wilcoxon obtained value p-value 0,003 or (α<0,05). There is the impactvof TAK : quartet game on socialization skills in social isolation patients at RSJD Dr. RM. Soedjarwadi Central Java. Keywords : Socialization skills, TAK quartet games, social isolation.

Relationship of Knowledge Levels with the Preparedness Abilities in Dealing with Earthquake Disasters Retno Yuli Hastuti; Fitriana Noor Khayati; Vita Marta Fatimah
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The importance of the knowledge of disaster preparedness can be done early through a disaster alert program if children in particular youth can understand how to save themselves during a disaster. SMP Negeri 1 Gantiwarno had been hit by the 2006-magnitude tectonic earthquake on a 5.9 Richter scale so that the teaching and learning process in class was interrupted by the earthquake. The socialization or simulation of disaster preparedness in the school itself is still rare. The purpose of this study was to determine the relationship between the level of knowledge and the preparedness ability of SMP Negeri 1 Gantiwarno in facing earthquake disasters. This type of research is non-experimental quantitative. This study used a cross-sectional approach which was done on July 8th -14th. The population in this study were 224 students of VIII grade class at SMP Negeri 1 Gantiwarno, Klaten city, Central Java Province, Indonesia. The sample used in this study were 143 grade VIII students of SMP Negeri 1 Gantiwarno. Data collection was performed by visiting groups of students at school. The spearman rank test was done in the statistical testing of this study. The results showed P value of less than α of 0.05, so that there was a relationship between the level of knowledge and ability with the readiness of students of SMP Negeri 1 Gantiwarno. Based on the results, it can be concluded that there is a relationship between the level of knowledge and ability with preparedness in dealing with earthquake in SMP Negeri 1 Gantiwarno.

The Relationship Between Bullying Experience and Self-Concept among Adolescents Retno Yuli Hastuti; Devi Permatasari; Sita Novia Rahmawati
Indonesian Journal of Global Health Research Vol 3 No 1 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Bullying is a situation where an abuse of power is committed by a person or group of people. Bullying behavior experienced by adolescents can result in teenage self-concept being disrupted so that it can result in self-withdrawn or inferior. The results of the study showed that 58.4% of adolescents had high bullying experiences and 41.6% of adolescents had moderate bullying experiences at Junior High School in 2019. The purpose of this study was to determine the relationship between bullying experiences and self-concept in adolescents at Junior High School. This research method used a non- experimental quantitative design with a descriptive-analytic design. The sampling technique used was purposive sampling with a total sample of 89 respondents. Data collection was carried out after the result of the screening from 5 classes matched the inclusion criteria. Data analysis was performed using Rank Spearmen correlation showed that the p-value was 0.000, which means that there was a relationship between bullying and self-concept in adolescents in Junior High School. This study concluded that there was a significant relationship between the experience of bullying and self-concept in adolescents of Junior High School.

PENGARUH PELAKSANAAN JADWAL HARIAN PERAWATAN DIRI TERHADAP TINGKAT KEMANDIRIAN MERAWAT DIRI PADA PASIEN SKIZOFRENIA DI RSJD Dr. RM SOEDJARWADI PROVINSI JAWA TENGAH Retno Yuli Hastuti; Basuki Rohmat
Gaster Vol 16 No 2 (2018): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Pasien skizofrenia mengalami penurunan kemampuan merawat diri, hal ini tampak dari ketidakmampuan merawat kebersihan diri, makan, berhias diri, dan eliminasi secara mandiri. Pelaksanaan jadwal harian perawatan diri pada asuhan keperawatan defisit perawatan diri dapat meningkatkan kemandirian pasien skizofrenia dalam perawatan diri. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan jadwal harian perawatan diri terhadap tingkat kemandirian perawatan diri pada pasien skizofrenia di RSJD Dr. RM.Soedjarwadi Provinsi Jawa Tengah. DesainÂ pada penelitian ini adalah quasi eksperiment dengan rancangan pre and post test without control . Sampel penelitian ini berjumlah 20 orang. Instrumen penelitian ini berupa lembar observasi tingkat kemandirian perawatan diri pada pasien skizofrenia. Tehnik sampling yang digunakan adalahÂ purposive sampling dan analisa data dengan paired T â€“ test.Â Hasil PenelitianÂ ini berdasarkan uji statistik dengan paired t-test didapatkan nilai Ï = 0,000 (Î±<0,05) maka Ha diterima dan Ho ditolak. Nilai mean sebelum pelaksanaan jadwal adalah 15,65 dan setelah dilakukan jadwal nilai mean kemandirian adalah 6,45. Kesimpulannya adalahÂ Ada pengaruh pelaksanaan jadwal harian perawatan diri terhadap tingkat kemandirian merawat diri pada pasien skizofrenia di RSJD Dr. RM Soedjarwadi Provinsi Jawa TengahKata kunci : Jadwal harian, perawatan diri, Tingkat kemandirian

Relationship of Knowledge Levels with the Preparedness Abilities in Dealing with Earthquake Disasters Retno Yuli Hastuti; Fitriana Noor Khayati; Vita Marta Fatimah
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The importance of the knowledge of disaster preparedness can be done early through a disaster alert program if children in particular youth can understand how to save themselves during a disaster. SMP Negeri 1 Gantiwarno had been hit by the 2006-magnitude tectonic earthquake on a 5.9 Richter scale so that the teaching and learning process in class was interrupted by the earthquake. The socialization or simulation of disaster preparedness in the school itself is still rare. The purpose of this study was to determine the relationship between the level of knowledge and the preparedness ability of SMP Negeri 1 Gantiwarno in facing earthquake disasters. This type of research is non-experimental quantitative. This study used a cross-sectional approach which was done on July 8th -14th. The population in this study were 224 students of VIII grade class at SMP Negeri 1 Gantiwarno, Klaten city, Central Java Province, Indonesia. The sample used in this study were 143 grade VIII students of SMP Negeri 1 Gantiwarno. Data collection was performed by visiting groups of students at school. The spearman rank test was done in the statistical testing of this study. The results showed P value of less than α of 0.05, so that there was a relationship between the level of knowledge and ability with the readiness of students of SMP Negeri 1 Gantiwarno. Based on the results, it can be concluded that there is a relationship between the level of knowledge and ability with preparedness in dealing with earthquake in SMP Negeri 1 Gantiwarno.

The Relationship Between Bullying Experience and Self-Concept among Adolescents Retno Yuli Hastuti; Devi Permatasari; Sita Novia Rahmawati
Indonesian Journal of Global Health Research Vol 3 No 1 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Bullying is a situation where an abuse of power is committed by a person or group of people. Bullying behavior experienced by adolescents can result in teenage self-concept being disrupted so that it can result in self-withdrawn or inferior. The results of the study showed that 58.4% of adolescents had high bullying experiences and 41.6% of adolescents had moderate bullying experiences at Junior High School in 2019. The purpose of this study was to determine the relationship between bullying experiences and self-concept in adolescents at Junior High School. This research method used a non- experimental quantitative design with a descriptive-analytic design. The sampling technique used was purposive sampling with a total sample of 89 respondents. Data collection was carried out after the result of the screening from 5 classes matched the inclusion criteria. Data analysis was performed using Rank Spearmen correlation showed that the p-value was 0.000, which means that there was a relationship between bullying and self-concept in adolescents in Junior High School. This study concluded that there was a significant relationship between the experience of bullying and self-concept in adolescents of Junior High School.

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