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EFFECT OF THE NURSE-CLIENT THERAPEUTIC ALLIANCE TOWARD POSITIVE SYMPTOMS OF PATIENT WITH SCHIZOPHRENIA Annisa Fais Pradevi; Nurlaila Fitriani; Chlara Yunita Prabawati

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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/asjn.v3i1.25954

Abstract

Skizofrenia adalah gangguan yang terjadi pada neurotransmiter otak yang menyebabkan penderitanya mengalami gangguan dalam sikap, ucapan, pemikiran yang tidak terkendali yang mempengaruhi kehidupan penderitanya. Pada skizofrenia terdapat 2 tanda gejala yaitu tanda gejala positif dan tanda gejala negatif. Tanda gejala negatif meliputi afek tumpul, penarikan diri, penarikan sosial, pemikiran steorotip. Sedangkan, tanda gejala positif meliputi halusinasi, waham, gangguan konsep diri. Metode terapi yang bisa diberikan pada pasien Skizofrenia yaitu pemberian terapeutik Alliance. Terapeutik Alliance merupakan hubungan terapeutik yang didalamnya meliputi komunikasi terapeutik antara perawat dengan pasien. Tujuan penelitian ini untuk mengetahui pengaruh dari terapeutik alliance terhadap hubungan perawat-pasien dan tanda gejala positif pasien Skizofrenia. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian quasi experimental dan metode pendekatan one group pretest-posttest. Sampel berjumlah 24 pasien skizofrenia yang diambil menggunakan teknik non probability sampling. Kesimpulan penelitian ini terdapat pengaruh terapeutik alliance terhadap hubungan perawat-pasien dan tanda gejala positif pasien skizofrenia ketika diukur dengan kuesioner SAPS dan CALPAS.
Deteksi Dini Gangguan Pertumbuhan Perkembangan dan Perilaku pada Anak Usia Pra-Sekolah di Komunitas pada Masa Pandemi COVID-19 Chlara Yunita Prabawati; Abdullah Haris Almuzaki; Adinda Maharani Putri Ayu MD; Ahmad Fauzan Hamid; Ainun Novitasari; Akhmad Fatwa Bariri; Akhmad Romadhon; Alfi Choirur Rochmah; Anggita Eka Marlini; Ayu Lisa Nia Effendi; Clara Vandika; Surya Mulyaningtyas
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 6, No 2 (2022): Mei
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v6i2.9829

Abstract

Pengabdian masyarakat ini berbentuk Kuliah Kerja Nyata (KKN) Back to Village (BTV). Program ini dilakukan bertujuan untuk deteksi dini gangguan pertumbuhan, perkembangan dan perilaku pada Anak Usia Pra-Sekolah pada masa pandemic COVID-19. Metode yang digunakan adalah melakukan survey tempat pengabdian, pendataan anak, pendekatan orang tua, guru dan kader kesehatan di komunitas, kemudian dilanjutkan melakukan screening sasaran, melakukan deteksi dini resiko masalah dan memberikan pendidikan kesehatan kepada orangtua. Proses deteksi dini masalah menggunakan teknik kuisioner terkait informasi kesehatan anak, proses kegiatan dilakukan secara blended dan memaksimalkan media telehealth dengan memaksimalkan media modul, poster, chat group dan blended webinar kesehatan. Total peserta adalah pair 60 anak usia pra-sekolah yang didampingi oleh orangtua. Dari hasil deteksi dini didapatkan 6.3 % partisipan mengalami resiko gangguan tumbuh kembang dan 45.8% mengalami resiko gangguan perilaku berkaitan dampak Pandemic covid-19. Dari hasil pendidikan kesehatan terjadi kenaikan signifikan dalam pemahaman pada orang tua dengan anak usia pra-sekolah terkait managemen proses pertumbuhan, perkembangan dan perilaku dengan nilai t 6.89 dan nilai P <.01. Dari kegiatan ini dapat disimpulkan ditemukannya identifikasi resiko gangguan pertumbuhan, perkembangan dan perilaku anak pra-sekolah yang cukup tinggi dimana proses pendampingan dan peningkatan pemahaman pengetahuan orangtua sangat diperlukan dalam konteks secara mandiri dan berkelanjutan
PENGARUH PSYCHOLOGYCAL FIRST AID TERHADAP TINGKAT KECEMASAN DAN TRAUMA POST HIGH CASE PANDEMI COVID-19 Diah Priyantini; Septian Galuh Winata; Erfan Rofiqi; Chlara Yunita Prabawati
Jurnal Keperawatan Muhammadiyah Vol 7 No 2 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i2.17581

Abstract

Objective:  This study aimed was to search the effectiveness intervention psychological first aid to anxiety and post high case COVID-19 trauma. Methods:  A quasy experiment study with two groups consisting of 110 respondents was recruited using purposive sampling. Independent variable was the psychological fisrt aid intervention, the instrument used the media module. Dependent variable consists of anxiety that measured with depression anxiety stress scale 21 and COVID-19 post pandemic trauma measured with crisis mental health emergency questionnaire. Data were analyzed using SPSS version 21 with the Wilcoxon Signed Rank Tests. Results:  The results of the significance test showed that psychological fisrt aid had a significant effect on anxiety (p = 0.001) and post high case COVID-19 trauma (p = 0.000). The anxiety and post high case COVID-19 trauma  showed better change in intervention group than control group Conclusion: Psychological first aid interventions for respondents with anxiety and trauma after the high case of COVID-19 showed a significant effect. Psychological first aid in dealing with post high case anxiety and trauma of COVID-19 can focus on the principle of look, listen and link to integrate the intervention process from the largest unit to the smallest unit, so that the intervention has a direct impact on patients in improving their psychological condition. experienced by the patient.
DISTRESS DAN SELF-HELP STRATEGIES PERAWAT MENGHADAPI COVID-19 BERBASIS MENTAL HEALTH WEB-TRAINING Chlara Yunita Prabawati; Dian Istanti; Diah Priyantini; Erfan Rofiqi; Septian Galuh Winata
Jurnal Keperawatan Muhammadiyah Vol 7 No 3 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i3.17482

Abstract

Objective: to identify the relationship of distress and self-help strategies of mental health web training among nurse face the COVID-19. Methods: This article use quantitative study with simple random sampling, the questionnaire was use are the  Percieved Stress Scale 10  and Modified develop Self-strategy ScaleResults:  The moderate diagnostic, severe diagnostic and very severe diagnostic distress shown have very significant correlated with the self-help strategies use M-health web Training among nurses (B = 1,27; B = 1,21; B = 1,01, p < 0.1)Conclusion:  The moderate diagnostic, severe diagnostic and very severe diagnostic distress shown have very significant correlated with the self-help strategies M-health web Training among nurses , Need further collaboration between institutions for complete longitudinal research due to management distress among nurses
Health Protocol Intellectual Improvement During the COVID-19 Pandemic Aim Matun Nadhiroh; Chlara Yunita Prabawati; Asta Adyani; Elisa Indah Verma
Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Vol. 3 No. 3 (2023)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jppmi.v3i3.139

Abstract

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2) or commonly known as COVID-19 has changed the social fabric of society. COVID-19 is spreading rapidly in more than 200 countries. Various regulations and policies have been made by the government to break the chain of transmission from COVID-19. However, not all people understand and obey because there is so much untrue information (hoax) circulating in the community. It is very important to educate the public, both in the city and in the village, about the importance of implementing the 5M health protocol (wearing masks, washing hands, maintaining distance, limiting mobility, and avoiding crowds), so that people can still carry out their activities outside the home, especially the breadwinners. The purpose of this activity is to increase the Intellectuality of Health Protocols during the COVID-19 Pandemic. The method of activity is given in the form of providing health education related to health protocols which are carried out door to door to reduce the risk of crowds. From the results of the community services the conclusion involve (1) The knowledge of the resident were improved which is known as local adherence (2) Residents want to apply health protocols when doing activities outside the home (3) The pandemic has created all to learn about the knowledge, motivation, self-esteem and believe encourage the level of enthusiasm of the societies accompany by the community’s services team that provides the resident facing the outbreak are no longer alone, we are aligned with the government to face it together. A determined strategy has to be improved to re-control the motivation and the behavior of the participant especially live in suburban and rural areas.
Ekspresi Emosi (EE) dan Gejala Yang Muncul Pada Pasien Gagal Jantung Puji Laksmini; Sri Rahayu; Mei Feng Lin; Chlara Yunita Prabawati; Bagus Sulistyo Budhi
Jurnal Kesehatan dr. Soebandi Vol 8 No 2 (2020): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v8i2.181

Abstract

Introduction : Heart failure is the final stage of all heart disease, and the number of morbidity and mortality increasing by the time. The signs and symptoms experienced by patients are influenced by various factors. Expressed emotion (EE) predicted the survival of heart disease in a prior study but the relationship has not yet verified. Objective: To describe the expressed emotion (EE), symptoms and its correlation between these two variables in patients with heart failure. Methods: A quantitative, cross sectional study design with structuralized questionnaires were used. Forty patients with heart failure are participated in this current study. Results: No signifcant correlation between expressed emotion (EE) and heart-failure symptoms was reported (p-value = 0.377) from the viewpoints of patients in this preliminary study. Conclusion: The relationship between EE and symptom of heart failure will be validated with a large scale and dyadic analysis approach in the future study.
Pengaruh Family Empowerment Terhadap Kemampuan Deteksi Dini dan Perilaku Pencegahan Stunting di Pamekasan, Madura Nur Mukarromah; Diah; Septian Galuh Winata; Erfan Rofiqi; Chlara Yunita Prabawati; Daviq Ayatulloh
Jurnal Keperawatan Muhammadiyah Vol 9 No 1 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i1.22389

Abstract

Objective: The purpose of this study was to analyze the effect of family empowerment on the ability to detect early and prevent stunting. Methods: A quasy experiment study with two groups consisting of 66 respondents was recruited using purposive sampling. The family empowerment instrument uses the media module and the ability for early detection is measured using the The Stunting Tool for Early Prevention questionnaire and prevention behavior is measured using stunting prevention behavior. Data were analyzed using SPSS version 21 with the Wilcoxon Signed Rank and Mann Whitney Tests. The results showed that the ability of early detection and stunting prevention behavior showed an increase in the intervention group with good category (22.41 to 79.48 and 23.87 to 81.35, respectively). Results: The results of the significance test showed that family empowerment had a significant effect on early detection ability (p = 0.001) and stunting prevention behavior (p = 0.000). Conclusion: Early detection ability and stunting prevention behavior can be improved through family empowerment that specifically focuses on growth, nutritional status, knowledge, additional supplements, hygiene and discipline in posyandu activities
Nurse’s Therapeutic Alliance, Relationship Building, and Therapeutic Communication Strategies for The Symptom Schizophrenia Population Prabawati, Chlara Yunita; Pratiwi, Mutia
Indonesian Academia Health Sciences Journal Vol 2 No 1 (2021): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v2i1.23399

Abstract

A severe mental disorder affects thought, feelings, and behaviour defined as Schizophrenia. The involve primary symptoms of Schizophrenia, are experiencing hallucinations, delusion, anhedonia, avolition, asociality, apathy, alogia, and attention disorder. The practice of the registered nurse-patient relationship might be used to examine the level of symptoms of patients with Schizophrenia. The purpose of this study is to examine the relationship between the Nurse’s Therapeutic Alliance, Relationship Building, and Therapeutic Communication with the symptoms of the patient with Schizophrenia. The design was a correlational study using a cross-sectional approach. This study was conducted at the inpatient department of a government mental hospital in Indonesia with participants sixty-three adult schizophrenic patients and twenty-five registered nurse nurses. The primary outcome measure used a questionnaire the Nurse - Client Relationship Phase (NCRP), Brief Psychiatric Rating Scale (BPRS) and the Brief Negative Symptoms Scale (BNSS). The result of this study shows that there is a significant positive correlation (p < .05) between the registered nurse-patient relationship involving three sub-domains with the negative symptoms of schizophrenic patients; a significant positive correlation (p < .001) was found between therapeutic communication strategies, relationship building with the negative symptom. However, a lower correlation was found between the registered nurse-patient relationship with the negative symptoms of schizophrenic patients. In addition, registered nurses are expected to improve their abilities and services, especially in terms of determining the strategy of communicating with patients.
Precision Care Pada Penderita Penyakit Kronis Dan Penyadang Disabilitas Melalui Peran Care Giver dan Kader Surabaya Hebat di Wilayah Puskesmas Gading Surabaya Winata, Septian Galuh; Priyantini, Diah; Asri, Asri; Rofiqi, Erfan; Yunita Prabawati, Chlara
Jurnal Keperawatan Muhammadiyah Vol 9 No 2 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i2.24722

Abstract

The results of this study indicate that there is an effect of audio-visual on increasing the ability to recognize pregnancy danger signs as evidenced by the results obtained P value = 0.000 then p value <0.05. The use of audio visual signs of pregnancy danger can improve memory through stimulation of the senses of hearing and sight so that the message obtained is more optimal. The conclusion is that there is an influence of audio visuals on increasing the ability to recognize pregnancy danger signs. The problem faced by health services in the community is the lack of access to see the needs in depth for people with chronic diseases and people with disabilities to improve health and quality of life. This descriptive qualitative study aims to explore the application of health services in the management of chronic diseases and people with disabilities and their impact on quality of life. Precision Care offers a highly personalized and tailored approach to patient care, with the goal of improving their satisfaction and quality of life. The study participants were caregivers, Surabaya Hebat cadres and health service providers. A total of 20 participants were recruited using non-probability sampling with purposive sampling techniques. The findings showed that Precision Care provided more personalized and effective care, increased independence, and reduced disease symptoms. However, its implementation faces several challenges such as lack of training, inadequate infrastructure, and the need for policy support from the government. This study also highlights the importance of technology and effective communication in supporting Precision Care. Support from families and caregivers and their involvement in the care process are also considered important for the success of Precision Care. In conclusion, although Precision Care offers many benefits, its successful implementation is highly dependent on adequate policy support, infrastructure, training, and technology.
Effects of murottal al-qur'an therapy on anxiety and vital signs among primigravida pregnant women in pre-operation caesarean section Yumni, Fathiya Lutfil; Priyantini, Diah; Prabawati, Chlara Yunita; Ayatulloh, Daviq
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.53022

Abstract

Introduction: This research aims to analyze the effect of Murottal Al-Qur'an Therapy on reducing anxiety and vital signs in primigravid pregnant women before C-Section surgery. Methods: A quasi-experimental study on pregnant women who will undergo C-Section surgery at a hospital in Surabaya, Indonesia. A total of 84 respondents (42 in the intervention group and 42 in the control group) were recruited using purposive sampling. Anxiety variables were measured using the Zung Self-Rating Anxiety Scale (ZSRAS), and vital signs (pulse, blood pressure, respiration rate) were measured using a sphygmomanometer and a calibrated clock. Data analysis was used to test the Wilcoxon Signed Rank Test and the Mann-Whitney Test. Results: The intervention group's vital signs for blood pressure decreased to 120.98 mmHg and diastolic blood pressure to 70.08 mmHg. The mother's pulse showed an average of 79.95 times per minute and respiration an average of 20 times per minute. Testing the effect of Murottal Al-Qur'an Therapy showed a significant effect on the Intervention group for anxiety (p=0.001), systolic pressure (p=0.005), diastolic pressure (p=0.001), pulse (p=0.005), and respiration rate (p=0.001), respectively. The difference test shows a significant difference after the intervention, with a p-value of <0.001. Conclusions: Murottal Al-Qur'an Therapy can reduce anxiety levels, systolic and diastolic blood pressure, pulse rate, and respiration rate in primigravida pregnant women who will undergo C-Section surgery. So, the results of this research can be applied by primary nurses in maternity rooms or operating rooms for primigravida pregnant patients who will undergo cesarean Section surgery.