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DUKUNGAN KELUARGA YANG DIPERLUKAN PASIEN THALASSEMIA Atyanti Isworo; Dwi Setiowati; Alfi Rofiatun Khoiriyah
Jurnal Ilmu Keperawatan dan Kebidanan Vol 2, No 1 (2014): Desember 2014
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1771.156 KB)

Abstract

Thalasemia adalah penyakit genetik yang menyebabkan usia sel-sel darah menjadi lebih pendek. Tranfusi seumur hidup dibutuhkan untuk mempertahankan Hb. Hal ini dapat menimbulkan stress berkepanjangan yang akan menurunkan kualitas hidupnya. Keberadaan keluarga sebagai support system dengan adanya dukungan sangat dibutuhkan penderita.Kebutuhan dukungan keluarga kepada penderita thalasemia mempunyai karakteristik yang unik dan berbeda-beda. Tujuan umum penelitian urituk memperoleh gambaran secara mendalam tentang dukungan keluarga yang diperlukan penderita thalasemia di Banyumas. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan penelitian adalah penderita thalasemia yang akan dipilih dengan teknik purposive sampling. Pengumpulan data dengan cara in depth interview untuk mengungkap kebutuhan penderita thalasemia terhadap dukungan keluarga. Proses analisis data menggunakan fenomenologi deskriptif menurut Collaizi berdasarkan transkrip wawancara mulai dan kata kunci, kategori, sub tema sampai tersusun tema penelitian.Hasil: Penelitian ini menghasilkan 4 tema yaitu, (1) ingin dianggap normal atau tidak berbeda dengan sebayanya, (2) dukungan instrumental (ingin dihargai, dicintai dan didengarkan), (3) peningkatan motivasi/penguatan terhadap sakit yang dialami, (4) peningkatan pemahaman kelurga terhadap penyakit dan perawatannya. Saran, keluarga sebagai sumber utama dukungan anak dengan thalasemia hendaknya memperhatikan aspek-aspek seperti dukungan yang diperlukan pasien thalasemia.Kata Kunci : Dukungan keluarga, Thalassemia
Analisis Faktor Dalam Pemanfaatan Layanan Voluntery Counseling And Testing (VCT) Pada Pelanggan Wanita Pekerja Seks (WPS) Di Lokalisasi Lorong Indah Kabupaten Pati Aditya Wicaksono; Atyanti Isworo; Galih Noor Alivian
Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.761 KB) | DOI: 10.20884/1.bion.2019.1.1.11

Abstract

Background: The key population groups, female sex worker (FSW) customers, are still low in utilizing voluntary counseling and testing (VCT) services. This study aims to determine the factors that influence FSW customer behavior in utilizing VCT services.Methodology: This study used a cross sectional design. The samples were 95 FSW customers with accidental sampling technique. The instrument of this study used a questionnaire. The analytical methods were univariate analysis and bivariate analysis using Chi Square.Research Results: The results of this study indicate that the majority of respondents aged 36-45 years have education with a senior high school / university level and most work as entrepreneurs. There was a significant relationship between self-fear factor and the use of VCT with a p-value of 0.016 and other people's support factors with the use of VCT services with p-value 0.001. However, there was no significant relationship between the knowledge factor and the use of VCT services with p-value 0.052.Conclusion: There are a significant relationship between the factors of self-fear and the support of others with the use of VCT services.
Terapi Audio dengan Murottal Alquran Terhadap Perilaku Anak Autis: Literature Review Akhyarul Anam; Uswatun Khasanah; Atyanti Isworo
Journal of Bionursing Vol 1 No 2 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.522 KB) | DOI: 10.20884/1.bion.2019.1.2.21

Abstract

Introduction. Child auitism has a disorder in behavior, communication, social interaction and unstable emotions. Austism is a syndrome that results from complex muscle damage and neurodevelopmental disorders. Intervention to the behavior of children with autism can be done by providing murottal audio therapy Alquran.Objective. this study aimed to examine the effect of audio therapy with murottal Alquran on the behavior of austistic children.Methods. Article searches conducted electronically using several databases: Proquest, PubMed, Mendeley, and Google Scholar since 2013-2017. Keywords used are "audio therapy / audio therapy", "Alquran", behavioral disorders”, " autism / autism "; so get 3 articles to be reviewed.Results. Audio therapy with murottal Alquran can decrease autistic child's behavior disorder both in emotion, communication and social interaction compared with music therapy.Discussion. Provision of murottal Alquran therapy provides a positive effect for autistic children to reduce behavioral disorders, murottal therapy Alquran can be done for other disease interventions because this therapy does not cause side effects and safe.Conclusion. Audio therapy with murottal Alquran can decrease autistic child behavior.
Literature Review : Transmisi Covid-19 dari Manusia ke Manusia di Asia Wahyu Dwi Nugroho; Wulandari Indah Cahyani; Alanish Shahnia Tobing; Nur Istiqomah; Intan Cahyasari; Murdewi Indrastuti; Priyo Sugondo; Atyanti Isworo
Journal of Bionursing Vol 2 No 2 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.421 KB) | DOI: 10.20884/1.bion.2020.2.2.51

Abstract

Introduction: The latest corona virus (Covid-19), centered in one of the provinces in China, has spread to various countries. World Health Organization (WHO) Emergency Committee declared a global health emergency. Covid-19 virus based on several studies can be transmitted from human to human. Knowing the ways and media of transmission of Covid-19 is crucial so that transmission prevention can be done immediately. Objective: The purpose of the study to know the specific transmission of Covid-19 virus and how to prevent it that can be done. Method: The research was conducted using two databases, namely: Google scholar and Pubmed 2019-2020. Articles that meet the inclusion criteria namely methods, media of transmission and management of prevention of Covid-19 transmission are then reviewed. Results: Covid-19 transmission from human to human can be caused by close relationships such as family, close relatives, close friends, contact with people who are already infected. Transmission occurs through coughing, sneezing and aerosols. Transmission by air contributed to the Covid-19 outbreak. Less than one meter distance from an infected person has the potential for transmission. In the mechanism of infectious disease, transmission through vomiting plays a greater role than droplets. Discussion: Covid-19 virus has spread to more than 100 countries. Appropriate measures must be taken immediately to prevent the spread of the epidemic. The main purpose of prevention is to break the chain of transmission from human to human by separating people who have the potential to transmit it to others. One effort to achieve these goals is self-isolation at home or in health services. Social restrictions are also important to prevent spread in people who have not been detected by Covid-19. Conclusion: Because of its rapid and wide spread, it is important to prevent proper transmission to avoid threats to health, and the spread of this virus. By knowing Covid-19 transmission can be used as a guide for prevention and control both at home, and in health care.
Effect of Massage Therapy on Chest Pain, Anxiety, and Stress Among Patients With Acute Coronary Syndrome: a review Candra; Atyanti Isworo; Arif Setyo Upoyo
Journal of Bionursing Vol 3 No 3 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.258 KB) | DOI: 10.20884/1.bion.2021.3.3.111

Abstract

Background. Patients with acute coronary syndrome have many compalints such as: chest pain, anxiety, and stress. The management of these symotoms can be pharmacological and non-pharmacological therapy. One of non-pharmachological therapy that can be applied in acute coronary syndrome pastient is massage therapy. Massage therapy is an intervention that is easy to use, safe and inexpensive. Methods. This study was conducted to reviews articles regarding massage therapy on chest pain, anxiety, and stress in patients with acute coronary syndrome. The literature search was carried out through the Google scholar, ScienceDirect, Pubmed and Proquest databases which the inclusion criteria were article in English from 2017 to 2012, an experiment research design. The search used keywords, namely “reflexotherapy” OR “hand and foot massage” AND “chest pain” OR “stress OR “anxiety” OR “acute coronary syndrome. Results. There are 6 articles met criteria for analysis, 4 articles have good quality scores, and 2 articles in medium value. The articles shows the effectiveness of massage therapy on chest pain, anxiety and stress in patients with acute coronary syndrome. Conclusion. Massage therapy effectiveness to reduce chest pain, anxiety, and stress in patients with acute coronary syndrome.
Edukasi Terstruktur untuk Meningkatkan Perilaku Dukungan Keluarga Pasien Diabetes Atyanti Isworo; Agis Taufik; Eti Dwi H
Jurnal Ilmiah Kesehatan Vol. 10 No. 2 (2017): Jurnal Ilmiah Kesehatan (JIK)
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v10i2.82

Abstract

Kondisi penyakit diabetes yang kronis mengakibatkan pasien merasa bosan terhadap pengobatan. Keluarga merasa merawat anggota dengan diabetes dapat menimbulkan beban, tidak hanya beban fisik namun juga psikis dan emosional. Fenomena tentang keluarga yang kurang mendukung juga terjadi di wilayah kerja Puskesmas Kembaran 1. Penelitian ini bertujuan untuk mengetahui perbedaan peningkatan dukungan keluarga antara kelompok intervensi dan kontrol setelah diberikan edukasi terstruktur. Desain penelitian menggunakan desain quasi-experimental dengan pendekatan pretest- postest with control group design. Pengambilan sampel menggunakan teknik simple random sampling. Kelompok intervensi adalah kelompok yang diberikan edukasi terstruktur tiap minggu sekali selama satu bulan. Besar sampel adalah 30 orang. Analisis data menggunakan uji t berpasangan dan t tidak berpasangan. Hasil penelitian menunjukkan mayoritas responden pada kedua kelompok berada pada usia dewasa tengah, jenis kelamin perempuan (60,0%) pada kelompok intervensi dan (53,3%) pada kelompok kontrol, tingkat pendidikan SMA (46,7%) pada kelompok intervensi dan (33,3%) pada kelompok kontrol, pekerjaan IRT (40,0%) pada kelompok intervensi dan (33,3%) pada kelompok kontrol, lama merawat pada kedua kelompok rata-rata selama 3 tahun. Penelitian ini menunjukkan ada perbedaan perilaku dukungan keluarga yang signifikan  sebelum dan setelah perlakuan pada kelompok intervensi. Dari hasil tersebut ditarik kesimpulan bahwa edukasi terstruktur mampu meningkatkan perilaku dukungan keluarga pada pasien diabetes.
Spiritual Emotional Freedom Technique (SEFT) untuk Menurunkan Tingkat Kecemasan pada Pasien Hipertensi Anam, Akhyarul; Upoyo, Arif Setyo; Isworo, Atyanti; Taufik, Agis; Sari, Yunita
Jurnal of Community Health Development Vol 2 No 1 (2021): Journal Of Community Health Development terbitan bulan Januari 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.823 KB) | DOI: 10.20884/1.jchd.2021.2.1.2343

Abstract

Abstract Hypertension is a state of increased blood pressure of more than 140/90 mmHg. Hypertension can be caused by individual anxiety and stress factors, and the state of hypertension can trigger anxiety in patients. Efforts that can be made to prevent and overcome anxiety in hypertension can be achieved with independent treatments or interventions such as Spiritual Emotional Freedom Tehnique (SEFT) spiritual therapy that is effective in maintaining blood pressure stability in the normal range. The purposed of this study was to determine of effectiveness health cadres and hypertension sufferers will increase their knowledge and skills on how to reduce anxiety through SEFT therapy. This program was carried out through health education through information transfer, discussion, demonstration, and ongoing assistance to cadres. Participants in this activity were 36 elderly Posyandu health cadres in Mersi Sub-District, Purwokerto Timur District. Knowledge scores were measured before and after education. The mean value of the pre test was known to be 52.78 while the mean value of the post test was 83.33. The results of paired t test analysis revealed that the value of p = 0,000 showed that there were significant differences between the scores of health cadres' knowledge scores on the understanding of SEFT therapy to reduce anxiety in patients with hypertension between before and after education. SEFT complementary therapy training can effectively improve the knowledge and skills of health cadres and hypertension sufferers in reducing anxiety.
Spiritual Emotional Freedom Technique (SEFT) untuk Menurunkan Tingkat Kecemasan pada Pasien Hipertensi Anam, Akhyarul; Upoyo, Arif Setyo; Isworo, Atyanti; Taufik, Agis; Sari, Yunita
Jurnal of Community Health Development Vol 1 No 01 (2020): Journal Of Community Health Development terbitan bulan Juli 2020
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.223 KB) | DOI: 10.20884/1.jchd.2020.1.01.2705

Abstract

Latar Belakang : Hipertensi merupakan suatu keadaan terjadinya peningkatan tekanan darah lebih dari 140/ 90 mmHg. Hipertensi dapat disebabkan oleh faktor kecemasan dan stress individu, dan keadaan hipertensi dapat memicu terjadinya kecemasan pada penderita. Upaya yang dapat dilakukan untuk mencegah dan mengatasi kecemasan pada hipertensi dapat dicapai dengan pengobatan maupun intervensi mandiri seperti terapi spiritual Spiritual Emotional Freedom Tehnique (SEFT) yang efektif. SEFT telah banyak dibuktikan dalam menurunkan tingkat kecemasan, sehingga dapat diharapkan mampu menurunkan kecemasan pada pasien hipertensi dan menjaga kestabilan tekanan darah dalam rentang normal. Tujuan: Diharapkan para kader kesehatan dan penderita hipertensi mengalami peningkatan pengetahuan dan keterampilan tentang cara menurunkan kecemasan melalui terapi SEFT. Metode: Program ini dilakukan melalui pendidikan kesehatan melalui transfer informasi, diskusi, demonstrasi, dan pendampingan secara berkelanjutan kepada para kader. Partisipan kegiatan ini adalah adalah 36 orang kader kesehatan posyandu lansia di Kelurahan Mersi Kecamatan Purwokerto Timur. Hasil: Skor pengetahuan di ukur sebelum dan sesudah pemberian edukasi. Nilai rata- rata pre test diketahui 52,78 sedangkan nilai rata- rata post test 83.33. Hasil uji analisis paired t test diketahui nilai p=0,000 yang menunjukkan ada perbedaan yang bermakna antara nilai skor pengetahuan kader kesehatan terhadap pemahaman tentang terapi SEFT untuk menurunkan kecemasan pada penderita hipertensi antara sebelum dan sesudah dilakukan edukasi. Kesimpulan: Pelatihan terapi komplementer SEFT efektif dapat meningkatkan pengetahuan dan keterampilan kader kesehatan serta para penderita hipertensi dalam menurunkan kecemasan.
Upaya Peningkatakan Kualitas Hidup Lansia melalui Gerakan Enam Pilar Menuju Masyarakat Bebas Demensia, Kelurahan Mersi Kecamatan Purwokerto Timur Taufik, Agis; Isworo, Atyanti; Juanda, Nuriya
Jurnal of Community Health Development Vol 2 No 2 (2021): Journal Of Community Health Development terbitan bulan Juli 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.097 KB) | DOI: 10.20884/1.jchd.2021.2.2.3629

Abstract

ABSTRAK Latar Belakang : Demensia atau kepikunan merupakan gangguan penurunan fisik otak yang berpengaruh pada daya ingat, emosi, dan fungsi kognitif, Tanda awalnya dikenal dengan istilah pikun, umumnya terjadi pada lansia. Lansia yang mengalami demensia sering melakukan sesuatu yang kadang mereka sendiri tidak memahaminya, tindakan tersebut bisa membahayakan dirinya sendiri atau keluarganya. Insiden demensia hanya mampu dicegah melalui tindakan preventif dan promotif, namun upaya untuk tindakan pencegahan demensia masih kurang. Kemampuan para kader di posyandu perlu ditingkatkan.Tujuan: Adanya peningkatan pengetahuan kader posyandu tentang upaya pencegahan demensia. Metode: PPM IPTEK ini dilakukan melalui pendidikan kesehatan berbasis kebutuhan melalui metode penyuluhan, diskusi, dan demonstrasi tentang penyakit demensia, diteksi dini, dan upaya pencegahannya, kemudian dilanjutkan dengan kegiatan pendampingan kader pada masing- masing posyandu lansia disetiap bulannya. Jumlah peserta yang mengikuti kegiatan penyuluhan adalah 30 orang. Hasil: Skor pengetahuan di ukur sebelum dan sesudah pemberian Penyuluhan, nilai rata- rata pre test skor pengetahuan kader posyandu lansia adalah (53,00), sedangkan nilai rata- rata post test skor pengetahuan kader posyandu lansia (80,67), hasil uji analisis paired t test diketahui bahwa nilai (p=0,000). Ada hubungan atau perbedaan yang bermakna antara nilai skor pengetahuan kader posyandu terhadap pemahaman tentang deteksi dini dan pencegahan demensia sebelum dan sesudah dilakukan edukasi. Hasil pendampingan menunjukan angka sejumlah 76 % kader posyandu dapat melakukan cara pengkajian dan upaya pencegahan awal demensia. Kesimpulan: Program PKM penerapan IPTEK telah berjalan dengan lancar dan menghasilkan jasa berupa pemberian penyuluhan oleh para ahli di bidang kesehatan tentang upaya pencegahan awal demensia, modul, dan naskah publikasi.
Manajemen Stress Psikologis untuk Pengendalian Tekanan Darah dengan Hipnoterapi Pada Kelompok Penderita Hipertensi RW I Mersi Kabupaten Banyumas Setyo, Arif; Isworo, Atyanti; Ekowati, Wahyu
Jurnal of Community Health Development Vol 3 No 1 (2022): Journal Of Community Health Development terbitan bulan Januari 2022
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (773.354 KB) | DOI: 10.20884/1.jchd.2022.3.1.4792

Abstract

The impact of the COVID-19 pandemic causes both physical and psychological stress, especially for people with hypertension. Stress conditions in patients with hypertension can cause uncontrolled blood pressure. The results of the interview with the Chair of the Sehati hypertension group revealed that the problem faced by sufferers during this pandemic was uncontrolled blood pressure as a result of psychological stress. The solutions offered include non-pharmacological psychological stress management training, training in measuring blood pressure and stress levels, as well as hypnotherapy training for controlling blood pressure and psychological stress in patients with hypertension. The results obtained included 100% of participants being able to mention non-pharmacological methods to control psychological stress, 93.33% of participants being able to explain the measurement of psychological stress, 86.67% able to demonstrate the use of hypnotherapy for stress control, 100% of participants who demonstrated a decrease in stress levels. psychologically from a score of 4-6 (moderate stress) to a score of 1-3 (mild stress) and showed a decrease in blood pressure. The implementation of training is effective in increasing the knowledge and skills of hypertension sufferers in managing psychological stress.