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Application Of Positive Affirmation Therapy To Overcome Situational Low Self-Esteem In Stroke Patients Asep Riyana; Muhammad Azhar Alfarizi; Iwan Somantri; Ridwan Kustiawan
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.294

Abstract

The number of non-communicable diseases in Ciamis Regency is very high, with 3,140 cases recorded, including 57 stroke cases, where hypertension is the dominant contributing factor. Stroke patients frequently experience dependency in daily activities, leading to feelings of worthlessness and situational low self-esteem. Stroke is a condition caused by blockage or rupture of blood vessels in the brain, with impacts not only on physical functioning but also on psychological well-being. Positive affirmation therapy is a nursing intervention that aims to help patients recognize their abilities, improve their mindset, and increase self-confidence, making it a potential strategy for the psychosocial recovery of stroke patients. This study aims to describe the application of positive affirmation therapy in addressing situational low self-esteem among stroke patients at the Sindangkasih Health Center, Ciamis Regency. A descriptive qualitative method with a case study approach was used, involving two stroke patients with moderate situational low self-esteem, measured using a 30-item signs and symptoms instrument across five behavioral domains. The intervention was carried out for five consecutive days. The results showed that prior to the intervention, both patients presented with 17 signs and symptoms of situational low self-esteem, which decreased to 4 following the application of positive affirmation therapy. This case study concludes that positive affirmation therapy was effective in reducing signs and symptoms of situational low self-esteem in stroke patients and can be considered an alternative nursing intervention in primary healthcare settings. Patients are encouraged to independently practice the therapy at least twice daily to sustain improvements in self-esteem.
Application of Rebuke Techniques and Spiritual Remembrance Therapy for Hallucination Patients in the Purbaratu Community Health Center,Tasikmalaya City Asep Riyana
Journal of Smart Nursing and Health Science Vol. 2 No. 1 (2024): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v2i1.632

Abstract

Hallucinations are one of the symptoms of mental disorders in individuals characterized by sensory alterations of perception , perceiving false sensations in the form of sounds, visions, tastings, touching or discolorations that actually feel a stimulus that no client who experiences hallucinations can lose control of himself so as to harm himself, others and the environment. How to control hallucinations, one of which is to rebuke hallucinations by rejecting the hallucinations that appear can control hallucinations. Zikir is defined as all kinds of forms of remembering Allah, mentioning the name of Allah, either by reading tahlil, prayer beads, tahmid, taqdis, takbir, tasmiyah, hasbalah, asmaul husna, or reading prayers that are mat'sur from the Prophet Muhammad SAW. knowing the description of the application of rebuking techniques and zikir spiritual therapy, knowing the ability to control hallucinations after rebuking techniques and zikir spiritual therapy are carried out. The design in this study is qualitative with a case study approach to explore problems in hallucinatory patients using rebuking techniques and spiritual therapy. Data collection with assessment and instruments of signs and symptoms as well as instruments of the ability to control hallucinations. The results of the second study of patients after the act of rebuking and spiritual therapy suggested a decrease in the signs and symptoms of hallucinations as well as the ability to control the patient's hallucinations. In patient 1 there was a decrease in signs and symptoms by 7 signs and symptoms, in patient 2 as many as 4 signs and symptoms. The conclusion after the implementation of the technique of rebuking and spiritual therapy of thought the researcher was able to describe the application, signs and symptoms, the ability to constrict hallucinations. Suggestions for other studies to study in more depth and in conducting research can use a longer time so that the data obtained are more accurate and more convincing that the application of rebuking and spiritual therapy can be useful when hallucinations appear.
APPLICATION OF CONVERSATION TECHNIQUES AND SCHEDULED PRAYER ACTIVITIES FOR PATIENTS WITH HALLUCINATIONS Asep Riyana
Journal of Smart Nursing and Health Science Vol. 3 No. 1 (2025): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v3i1.761

Abstract

Hallucination is a manifestation of a mental problem, where individuals experience alterations in sensory perception, such as hearing voices, sometimes seeing things, and also feeling sensations, touch, and smell. Patients may experience hallucinations in the form of stimuli where they hear various sounds that practically do not exist, not even human voices. They may hear other voices that correspond to what the patient will later perceive as commanding them to harm themselves, others, or the community. The impact of auditory hallucinations is often accompanied by symptoms of depression and anxiety. The purpose of this scientific paper is to determine the effect of talking therapy and scheduled activities, specifically praying, on the ability to control hallucinations. This qualitative case study was conducted for 5 days, from April 6, 2023, to April 19, 2023. The data from the two respondents were collected using an instrument sheet to assess hallucination symptoms. The results of this case study show a decrease in hallucination symptoms in both respondents, with patient 1's initial score of 9 decreasing to 3, and patient 2's initial score of 13 decreasing to 6. In conclusion, this scientific paper indicates that talking therapy and scheduled activities, specifically praying, have an influence on reducing hallucination symptoms, as well as advice for families to always accompany the implementation of conversation therapy and carry out scheduled activities for patients and for puskesmas to always make regular visits to the community with schizophrenics.
Implementation of Ambon Banana Consumption Education to Improve Family Ability in Caring for Family Members with Hypertension Sintya Aprillianty Nurhalizah; Asep Riyana; Yanyan Bahtiar; Kusmiyati Kusmiyati
Asy-Syifa : Journal of Science and Technology Nursing Vol. 4 No. 1 (2026): Asy-Syifa: Journal of Science and Technology Nursing
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/asyjstn.v4i1.856

Abstract

Purpose: The purpose of this study was to describe the implementation of education on the consumption of Ambon bananas (Pisang Ambon) in improving family ability to care for members with hypertension in the Cikoneng Public Health Center area. Methods: This study used a case study design involving two families with hypertensive members. The intervention consisted of structured education delivered over five consecutive days using leaflet media and active family involvement in each session. The study focused on non-pharmacological management through dietary modification, particularly increasing potassium intake. Results: The results showed a significant improvement in family knowledge and attitudes regarding hypertension care after the educational intervention. Family characteristics such as the number of members, level of education, and occupation influenced the effectiveness of the education. Families with fewer members and higher education levels demonstrated faster understanding and better application of the information provided. Conclusions: Structured and continuous education on the consumption of potassium-rich foods such as Ambon bananas is effective in enhancing family capacity in hypertension management. It is recommended that similar educational programs be conducted routinely, considering family characteristics and involving health workers as facilitators to optimize outcomes.
SOSIALISASI GERAKAN MASYARAKAT HIDUP SEHAT BAGI PASIEN DIABETES MELITUS DI PUSKESMAS PURBARATU Asep Riyana; Ida Rosdiana; Syaukia Adin; Asep Kuswandi
Edukasi Masyarakat Sehat Sejahtera (EMaSS) : Jurnal Pengabdian kepada Masyarakat Vol. 8 No. 1 (2026): Januari
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/emass.v8i1.1156

Abstract

Gerakan Masyarakat Hidup Sehat (GERMAS) merupakan suatu tindakan sistematis dan terencana yang dilakukan secara bersama-sama oleh seluruh komponen bangsa dengan kesadaran, kemauan dan kemampuan berperilaku sehat untuk meningkatkan kualitas hidup. Pelaksanaan GERMAS harus dimulai dari keluarga, karena keluarga adalah bagian terkecil dari masyarakat yang membentuk kepribadian. GERMAS dapat dilakukan dengan cara: Melakukan aktifitas fisik, Mengonsumsi sayur dan buah, Tidak merokok, Tidak mengonsumsi alkohol, Memeriksa kesehatan secara rutin, Membersihkan lingkungan, dan Menggunakan jamban. Pada tahap awal, GERMAS secara nasional dimulai dengan berfokus pada tiga kegiatan, yaitu: 1) Melakukan aktivitas fisik 30 menit per hari, 2) Mengonsumsi buah dan sayur; dan 3) Memeriksakan kesehatan secara rutin. Tiga kegiatan tersebut dapat dimulai dari diri sendiri dan keluarga, dilakukan saat ini juga, dan tidak membutuhkan biaya yang besar, tutur Menkes. GERMAS merupakan gerakan nasional yang diprakarsai oleh Presiden RI yang mengedepankan upaya promotif dan preventif, tanpa mengesampingkan upaya kuratif-rehabilitatif dengan melibatkan seluruh komponen bangsa dalam memasyarakatkan paradigma sehat. Untuk menyukseskan GERMAS, tidak bisa hanya mengandalkan peran sektor kesehatan saja. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk mensosialisasikan program yang telah dibuat oleh pemerintah sehingga tercapai kebiasaan baik di masyarakat dengan kebiasaan gerakan hidup masyarakat sehat. Berdasarkan studi pendahuluan ke puskesmas Jamanis, ternyata program ini belum tersosialisasikan baik kepada petugas puskesmas Jamanis maupun ke masyarakat. Sehingga kami merasa perlu untuk mensosialisasikan GERMAS untuk membantu program pemerintah agar tercapai peningkatan derajat kesehatan masyarakat yang optimal khususnya di Wilayah Puskesmas Purbaratu Tasikmalaya.
PENERAPAN TEKNIK BUTTERFLY HUG UNTUK MENGATASI KECEMASAN PADA PASIEN HIPERTENSI DI PUSKESMAS PURBARATU TASIKMALAYA: APPLICATION OF THE BUTTERFLY HUG TECHNIQUE TO OVERCOME ANXIETY IN HYPERTENSIVE PATIENTS AT THE PURBARATU TASIKMALAYA HEALTH CENTER Asep Riyana; Ishmah Nur Paridah; Dudi Hartono
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 25 No 1 (2025)
Publisher : LPPM Universitas Bakti Tunas Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v25i1.1465

Abstract

Hipertensi merupakan penyakit serius yang dikenal sebagai silent killer karena dampak yang ditimbulkannya dapat mempengaruhi kesehatan fisik dan psikologis. Di Indonesia, presentase hipertensi di tahun 2018 mencapai 34% yang dimana hipertensi ini seringkali dipicu oleh stress dan cemas yang berlebihan. Kecemasan berlebihan dapat menjadi faktor risiko meningkatnya tekanan darah pada pasien hipertensi. Untuk meminimalisir terjadinya komplikasi pada penderita hipertensi yaitu dengan mengatasi kecemasannya menggunakan teknik butterfly hug. Tujuan dari studi kasus ini adalah untuk menggambarkan karakteristik klien, menggambarkan tingkat kecemasan klien, dan menggambarkan penerapan teknik butterfly hug dalam mengatasi kecemasan. Teori yang mendasari penelitian ini diantaranya adalah konsep hipertensi, konsep kecemasan, dan konsep teknik butterfly hug. Metode penelitian ini menggunakan desain kualitatif dengan pendekatan deskriptif. Penelitian dilakukan selama 5 hari pada dua klien, hasil penelitian menunjukkan tingkat kecemasan sebelum diberi terapi pada klien 1 dan klien 2 berada dalam tingkat kecemasan sedang. Setelah diberi terapi, tanda gejala klien 1 dan klien 2 mengalami penurunan menjadi tingkat kecemasan ringan. Hasil penelitian menunjukkan bahwa adanya pengaruh dari penerapan teknik butterfly hug terhadap penurunan tanda gejala kecemasan. Disarankan bagi pasien hipertensi dengan kecemasan dapat menerapkan teknik butterfly hug ini untuk membantu menurunkan tingkat kecemasannya.
PENGARUH RELAKSASI NAFAS DALAM DAN DISTRAKSI DENGAN MEMBACA AL-QUR’AN SERTA SHALAWAT TERHADAP TINGKAT KECEMASAN PADA SANTRIWATI KELAS XII DI PONDOK PESANTREN RIYADLUL ULUM WADDA’WAH KOTA TASIKMALAYA Nabila Nurfauziah Fazrin; Ridwan Kustiawan; Yanti Cahyati; Asep Riyana
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 25 No 2 (2025)
Publisher : LPPM Universitas Bakti Tunas Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v25i2.1634

Abstract

ABSTRAKLatar Belakang : Kecemasan adalah suatu perasaan emosional yang ditandai dengan gelisah dan khawatir dimana penyebabnya tidak diketahui Tujuan : Mengetahui dampak relaksasi nafas dalam dan metode distraksi melalui membaca Al-Qur’an Surat Al-Insyirah serta Shalawat Syifa terhadap tingkat kecemasan pada santriwati kelas XII. Metode : Penelitian kuantitatif dengan pendekatan pra eksperimental menggunakan desain Pretest- Posttest pada satu kelompok pembanding. Populasi : subjek penelitian adalah santriwati kelas XII di Pondok Pesantren Riyadlul Ulum Wadda’wah Kota Tasikmalaya sebanyak 100 orang. Sampel sebanyak 18 orang diambil menggunakan teknik non-probability sampling dengan metode purposive sampling. Hasil : hasil uji dependent T menunjukan adanya perubahan yang signifikan pada tingkat kecemasan setelah dilakukan intervensi, dengan nilai p-value sebesar 0.000. Kesimpulan : pemberian intervensi berupa terapi relaksasi nafas dalam dan distraksi melalui pembacaan Al-Qur’an Surat Al-Insyirah serta Shalawat Syifa terbukti berpengaruh terhadap penurunan tingkat kecemasan pada santiwati tingkat akhir kelas XII.Kata Kunci : Kecemasan, Relaksasi Nafas Dalam, Distraksi
APPLICATION OF PROGRESSIVE MUSCLE RELAXATION THERAPY AND SPIRITUAL DZIKIR THERAPY IN PATIENTS WITH ANXIETY DUE TO HYPERTENSION Silvi Alviani Fitriani; Asep Riyana; Ridwan Kustiawan; Dudi Hartono
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 25 No 2 (2025)
Publisher : LPPM Universitas Bakti Tunas Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v25i2.1695

Abstract

ABSTRAKKecemasan adalah gangguan psikologis yang paling sering dirasakan oleh semua orang. Kecemasan biasanya disertai dengan perasaan takut, gelisah, dan terkadang atanpa penyebab yang jelas. Kecemasan lebih banyak terjadi pada penderita hipertensi, karna penderita hipertensi sering menghawatirkan dampak dari hipertensi. Penanganan cemas pada penderita hipertensi dapat dilakukan dengan cara non farmakologi yaitu dengan terapi progressive muscle relaxation dan terapi spiritual dzikir. Tujuan dari studi kasus ini untuk menggambarkan proses asuhan keperawatan, menggambarkan pelaksanaan tindakan terapi dan menggambarkan respon dan perubahan terhadap penurunan tanda gejala kecemasan. Metode karya tulis ilmiah ini adalah kualitatif dengan pendekatan studi kasus subjek adalah 2 penderita hipertensi yang mengalami kecemasan. Pelaksanaan dimulai tanggal 26 Maret 2024, 28-30 Maret 2024 dan pada tanggal 01 April 2024. Hasil evaluasi selama 5 hari menunjukkan bahwa kedua pasien mengalami penurunan sebanyak 9 tanda gejala pada klien 1 dan 10 penurunan tanda gejala pada klien 2. Dapat disimpulkan berdasarkan hasil penelitian terapi progressive muscle relaxation dan terapi spiritual dzikir efektif dalam menurunkan tanda gejala kecemasan dan meningkatkan kemampuan klien dalam menangani kecemasan. Saran untuk klien agar dapat melakukan terapi secara mandiri setiap klien merasa cemas.Kata Kunci : Hipertensi, kecemasan, terapi progressive muscle relaxation, terapi spiritual dzikir
Implementasi Relaksasi Genggam Jari Dan Nafas Dalam Untuk Menurunkan Tekanan Darah Pada Pasien Congestive Heart Failure (Chf) Syipa Audia Nurpadilah; Syaukia Adini; Ida Rosdiana; Asep Riyana
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.298

Abstract

Congestive heart failure (CHF) is one of the non-communicable diseases caused by structural or functional impairment of the heart. In Indonesia, the highest number of CHF cases is reported in West Java Province, with 186,809 cases. Inadequate management of CHF may lead to serious complications; therefore, blood pressure control is an essential component in preventing such complications. In addition to pharmacological therapy, blood pressure management can be supported by non-pharmacological interventions, one of which is finger-holding relaxation combined with deep breathing. This relaxation technique works by reducing sympathetic nervous system activity and promoting a relaxation response. This study aimed to describe the implementation of finger-holding relaxation and deep breathing therapy in reducing blood pressure among patients with CHF. A qualitative method with a case study approach was used. The study was conducted at Pandega Regional Hospital, Pangandaran, from April 8 to April 28, 2025, involving two CHF patients with a nursing diagnosis of ineffective peripheral perfusion. The intervention was administered for three consecutive days. The results showed a decrease in blood pressure in both patients after the implementation of finger-holding relaxation and deep breathing therapy. Systolic blood pressure decreased by 40 mmHg in the first patient and by 55 mmHg in the second patient, while diastolic blood pressure decreased by 25 mmHg and 30 mmHg, respectively. These findings indicate that finger-holding relaxation and deep breathing therapy can help reduce blood pressure in patients with CHF and a history of hypertension and may be used as a complementary therapy alongside pharmacological treatment.
PENERAPAN TERAPI KOMBINASI BUTTERFLY HUG DAN NATURE SOUND TERHADAP SKOR KECEMASAN PADA LANSIA DI PANTI WERDHA WELAS ASIH KABUPATEN TASIKMALAYA: APPLICATION OF BUTTERFLY HUG AND NATURE SOUND COMBINATION THERAPY ON ANXIETY SCORES IN THE ELDERLY AT THE WELAS ASIH NURSING HOME IN TASIKMALAYA Sopia Siti Rohmah Sunarya; Iwan Somantri; Ridwan Kustiawan; Asep Riyana
Quality: Jurnal Kesehatan Vol 20 No 1 (2026): Quality: Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v20i1.2933

Abstract

Anxiety is a psychological problem commonly experienced by the elderly, especially those living in nursing homes due to environmental changes, limited activities, and reduced social support. Untreated anxiety can negatively affect physical health, psychological well-being, and quality of life. Therefore, safe, simple, and easy-to-apply non-pharmacological interventions are needed, such as a combination therapy of butterfly hug and nature sound. This study aimed to determine the effect of the combination therapy of butterfly hug and nature sound on anxiety scores among the elderly. The study was conducted on December 16–22, 2025, at Welas Asih Nursing Home, Tasikmalaya Regency. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 38 elderly participants selected using the total sampling technique. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Data analysis used the Paired t-test to determine differences in anxiety scores before and after the intervention. The results showed that the average anxiety score before the intervention was 25.63 and decreased to 18.53 after the combination therapy of butterfly hug and nature sound was administered. Statistical analysis showed a p-value < 0.000 (p < 0.05), indicating a significant effect of the combination therapy on reducing anxiety scores among the elderly. This therapy can be recommended as a non-pharmacological intervention to improve psychological well-being and quality of life among elderly individuals in nursing homes.