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Model spiritual care with an adaptation theory approach Callista Roy on cortisol levels Kusuma, Aria Nurahman Hendra; Pudjonarko, Dwi; Sujianto, Untung; Susanto, Hardhono; Ibrahim, Kusman; Dwidiyanti, Meidiana
JHeS (Journal of Health Studies) Vol. 9 No. 2 (2025): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4283

Abstract

Ischemic stroke is a cause of physical disability. These defects result in impaired biopsychosociospiritual adaptation in stroke patients. The inability to adapt will cause an anxiety reaction which triggers an increase in cortisol levels. The spiritual care model helps patients find meaning and purpose in life as well as an optimistic attitude so that they have better adaptability. This type of research is Quasy Experimental with a pretest-posttest control group design. The study population was ischemic stroke patients in the Outpatient Department of Dr. Regional General Hospital. Moewardi Surakarta. The total sample consisted of 60 respondents, divided into 30 control group respondents and 30 intervention group respondents, who received a spiritual care model intervention in the outpatient room of Dr RSUD. Moewardi Surakarta. The research results show the influence of the Spiritual Care Model Using Callista Roy's Adaptation Theory Approach on Cortisol Levels in Ischemic Stroke Sufferers with a significance value of 0.043 < 0.05. The Spiritual care model influences the amygdala, which stimulates the hypothalamus through the hypothalamic-pituitary-adrenal (HPA) axis, thereby inhibiting the excretion of corticotropin-releasing factor (CRF). The pituitary gland then stimulates adrenocorticotropic hormone (ACTH), which reduces cortisol. This research has a contribution that spiritual care interventions can improve the adaptability of biopsychosocial rehabilitation of stroke patients. This research has a contribution that spiritual care interventions can improve the ability to adapt biopsychosocial rehabilitation of stroke patients.
Pengaruh Terapi Hipnopresure Terhadap Nyeri pada Post Operasi Sectio Caesarea di RS UNS Solo Pramesti, Diah Laras; Saelan, Saelan; Kusuma, Aria Nurahman Hendra
MAHESA : Malahayati Health Student Journal Vol 3, No 12 (2023): Volume 3 Nomor 12 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i12.12355

Abstract

ABSTRACT Pain is a major problem  among  postoperative patients.  In addition to pharmacological therapy, a complementary treatment may help relieve pain. Hypno- pressure is a nursing action consisting of hypnotherapy and acupressure that has the potential to reduce pain. This study aimed to determine the effectiveness of hypno-pressure on pain relief among post operative Sectio Caesarea patients. This was a one group pre and post with no control group quasi- experimental study conducted at Universitas Sebelas Maret Hospital. A sample of 16 post- surgery Sectio Caesarea patients were selected for this study. The dependent variable was pain. The independent variable was hypno-pressure. Pain was measured by visual analog scale (VAS). Mean difference before and after intervention was tested by paired t-test. Mean score of pain after intervention (Mean= 2.38; SD= 0.50) was lower than before intervention (Mean= 5.44; SD= 1.09), and it was statistically significant (p <0.001).  Hypnopressure is effective in reducing pain among post-surgery patients. Keywords: Pain, Hypnopressure, Post-Surgery Sectio Caesarea  ABSTRAK Nyeri merupakan masalah utama pada pasien pasca operasi. Selain terapi farmakologis, pengobatan komplementer dapat membantu meredakan nyeri. Hypno-pressure merupakan tindakan keperawatan yang terdiri dari hipnoterapi dan akupresur yang berpotensi mengurangi nyeri. Penelitian ini bertujuan untuk mengetahui efektivitas hypnopressure dalam meredakan nyeri pada pasien pasca operasi Sectio Caesarea. Penelitian ini merupakan penelitian quasi eksperimen satu kelompok sebelum dan sesudah tanpa kelompok kontrol yang dilakukan di Rumah Sakit Universitas Sebelas Maret. Sampel sebanyak 16 pasien pasca operasi Sectio Caesarea dipilih untuk penelitian ini. Variabel terikatnya adalah nyeri. Variabel bebasnya adalah hypnopressure. Nyeri diukur dengan skala analog visual (VAS). Perbedaan rata-rata sebelum dan sesudah intervensi diuji dengan uji t berpasangan. Rerata skor nyeri setelah intervensi (Mean= 2.38; SD= 0.50) lebih rendah dibandingkan sebelum intervensi (Mean= 5.44; SD= 1.09), dan signifikan secara statistik (p <0.001). Hypnopressure efektif dalam mengurangi nyeri pada pasien pasca operasi. Kata Kunci: Nyeri, Hypnopressure, Pasca Operasi Sectio Caesarea
The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients Nurahman Hendra Kusuma, Aria; Pudjonarko, Dwi; Sujianto, Untung
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 13 Number 2 November 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v13i2.688

Abstract

Background: Ischaemic stroke patients experience an increase in cortisol of 38% over 90 days. The spiritual emotional freedom technique (SEFT) provides manual stimulation of acupuncture points, which makes the muscles feel relaxed so that they can control cortisol. This study set out to assess how SEFT affected the cortisol levels in patients who had suffered an ischaemic stroke. Methods: A control group and pre- and post-test measures were part of the quasi-experimental research design. There were seventy-one patients in the research population of the study. The sample was measured using the Slovin formula, and the sampling strategy used was purposeful sampling. Over the course of three months, the intervention group had 12 sessions of SEFT once a week, whereas the control group received regular spiritual treatment from RSUD Dr. Moewardi Surakarta, an outpatient nurse. The ELISA method was used to measure cortisol levels. The Kolmogorov-Smirnov test was used to assess normality, and the Levene test was used to test for homogeneity in bivariate data. The Mann-Whitney method was used to analyze the data. Results: The mean cortisol before intervention was 119.63, and the mean cortisol after intervention was 99.23. SEFT affects cortisol levels in patients who have had an ischaemic stroke, according to a statistically significant (p<0.05) p-value of zero. Conclusion: Patients with ischaemic stroke experienced a significant drop in cortisol levels after using the SEFT. Furthermore, it is necessary to study the dominant factors that influence the cortisol hormone and the need for a multi-religious approach in an effort to develop spiritual-based interventions.