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Evidance Based Intervensi Psikologi Terhadap peningkatan strategi DOTS Pada Pasien Tuberkulosis: A Systematic Review Gevi Melliya Sari; Bernadetta Germia Aridamayanti; Sariati Sariati; Dwi Uswatun Sholikhah; Cahya Mustika Narendri; Wimar Anugrah Romadhon
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Januari-Februari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sg11nk115

Background: Psychological problems are one of the factors that influence tuberculosis patient compliance. Psychological intervention is needed to help patients cope with stressors experienced during the treatment period of at least 6 months and increase patient compliance in undergoing treatment. Objective: To outline some of the benefits of psychological interventions that can help pulmonary tuberculosis patients follow treatment. Method: The database used in this study is Scopus, Google Scholar, and Pubmed is limited to the last 5 years of publication from 2016 to 2020, full-text article in English. The keywords used are "Psychological Intervention", "OR", "AND", "Emotional Intervention",”AND”, "Tuberculosis". This systematic review uses 9 articles that fit the inclusion criteria. Results: Psychological interventions can be applied independently or comprehensively provided with peer support, home visits, counseling, and health education. The benefits of psychological interventions can reduce depression, anxiety, stress, increase self-efficacy, improve self-reliance, increase patient knowledge, increase social support and improve patient compliance in treatment. Conclusion: Psychological intervention has many benefits in helping patients undergo a period of Tuberculosis treatment. Suggestion: Psychological intervention can be applied in health care both during patient control and home visit activities and telenursing via telephone. Keywords: emotional intervention; psychological intervention; Tuberculosis ABSTRAK Latar belakang: Masalah psikologi menjadi salah satu faktor yang mempengaruhi kepatuhan pasien Tuberkulosis. Intervensi psikologi sangat dibutuhkan untuk membantu pasien mengatasi stressor yang dialami selama masa pengobatan minimal 6 bulan serta meningkatkan kepatuhan pasien dalam menjalani masa pengobatan. Tujuan: Untuk menguraikan beberapa manfaat intervensi psikologi yang dapat membantu pasien Tuberkulosis paru dalam menjalani pengobatan Metode: Database yang digunakan dalam penelitian ini adalah Scopus, Google Schoolar dan Pubmed terbatas untuk publikasi 5 tahun terakhir dari 2016 hingga 2020, full text article dengan berbahasa Inggris. Kata kunci yang digunakan adalah “Psychological Intervention” ,”OR”, “AND”, “ Emotional Intervention”, “AND”, “Tuberculosis”. Systematic review ini menggunakan 9 artikel yang sesuai dengan kriteria inklusi. Hasil: Intervensi psikologi dapat diterapkan secara mandiri maupun diberikan secara komprehensif dengan dukungan kelompok sebaya, home visit, konseling dan pendidikan kesehatan. Manfaat intervensi psikologi yaitu dapat menurunkan depresi, kecemasan, stress, meningkatkan self efficacy, meningkatkan self reliance, meningkatkan pengetahun pasien, meningkatkan dukungan sosial dan meningkatkan kepatuhan pasien dalam menjalani pengobatan. Simpulan: Intervensi psikologi memiliki banyak manfaat dalam membantu pasien menjalani masa pengobatan Tuberkulosis. Saran: Intervensi psikologi dapat diterapkan dalam pelayanan kesehatan baik pada saat pasien kontrol maupun kegiatan kunjungan rumah dan melalui telenursing via telephone. Kata kunci: emotional intervention; psychological intervention; Tuberculosis

Efektivitas Intervensi Motor Imagery (MI) terhadap Rehabilitasi Pasien Post stroke: A Systematic Review Bernadetta Germia Aridamayanti; Gevi Melliya Sari; Wimar Anugrah Romadhon
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Januari-Februari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk114

Background: Motor Imagery (MI) is an intervention to improve motor skills in post stroke hemiparesis patients by focusing on weak body parts. Objective: To describe the effectiveness of providing MI in the rehabilitation of post stroke patients. Method: The database used to identify suitable articles obtained from Scopus, ProQuest and Pubmed was limited to the last 5 years of publication from 2016 to 2020, English, and fulltext articles. The literature review used the keyword "Motor Imagery" AND "Stroke Rehabilitation". In searching articles used "AND". Only 8 articles met the inclusion criteria. This review was from these 8 articles. Results: MI has effectiveness in cognitive, sensory and motor post-stroke patients by stimulating neuroplasticity in various areas of the brain so that it accelerates the increase in O2, glucose and various metabolites that lead to increased regional metabolism through dilation of cerebral arterioles and capillaries. MI which is given routinely will help the recovery of motor function of post-stroke patients and increase patient independence. Conclusion: MI has a lot of effectiveness in the rehabilitation of post stroke patients. Suggestion: MI is considered necessary to be applied in hospitals in Indonesia. Keywords: motor imagery; stroke; rehabilitation ABSTRAK Latar belakang: Motor Imagery (MI) merupakan intervensi untuk meningkatkan keterampilan motorik pada pasien hemiparesis post stroke dengan berfokus pada bagian tubuh yang lemah. Tujuan: Untuk menjabarkan efektivitas pemberian MI pada rehabilitasi pasien post stroke. Metode: Database yang digunakan dalam penelitian ini adalah Scopus, Proquest dan Pubmed terbatas untuk publikasi 5 tahun terakhir dari 2016 hingga 2020, full text article dan berbahasa Inggris. Kata kunci yang digunakan adalah “Motor Imagery” AND “Stroke Rehabilitation”. Systematic review ini menggunakan 8 artikel yang sesuai dengan kriteria inklusi. Hasil: MI memiliki efektivitas pada kognitif, sensorik dan motorik pasien post stroke dengan merangsang neuroplastisitas pada berbagai area otak sehingga memperlancar peningkatan O2, glukosa dan berbagai metabolit yang mengarah ke peningkatan metabolisme regional melalui dilatasi arteriol serebral dan kapiler. Motor Imagery (MI) yang diberikan secara rutin akan membantu pemulihan fungsi motorik pasien post stroke dan meningkatkan kemandirian pasien. Simpulan: MI memiliki banyak efektivitas pada rehabilitasi pasien post stroke Saran: MI dipandang perlu untuk diterapkan di rumah sakit yang ada di Indonesia. Kata kunci: motor imagery; stroke; rehabilitation

Faktor-Faktor yang Mempengaruhi Self-care Behavior pada Klien dengan Hipertensi di Komunitas Wimar Anugrah Romadhon; Bernadetta Germia Aridamayanti; Anggi Hanafiah Syanif; Gevi Melliya Sari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Maret-April 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk206

Background: self-care behavior is an important thing that needs to be considered by clients with hypertension which consists of several components, namely the use of drugs, low-salt diet, physical activity, smoking, weight management and alcohol consumption. Purpose: to show the factors that influence self-care behavior in clients with hypertension. Method: the database used to identify suitable articles obtained from Scopus, ProQuest and Google Scholar, limited to the last 5 years of publication from 2014 to 2019, English, and fulltext articles. The literature review used the keyword "Self-care behavior, Hypertension". In searching articles used "AND". Only 12 articles met the inclusion criteria. This review was from 12 of these articles. Results: self-care behavior in hypertensive clients were influenced by several factors, namely family support, self-efficacy, knowledge, and spirituality. Conclusion: factors related to self-care behavior and pathways can help health care providers develop and design evidence-based interventions for clients with hypertension. Recommendation: Community nurses understand the factors that influence self-care behavior in hypertensive clients in the community so they are able to provide appropriate nursing care. Keywords: factors of self-care behavior; hypertension; community ABSTRAK Latar belakang: self-care behavior merupakan hal penting yang perlu diperhatikan oleh klien dengan hipertensi yang terdiri dari beberapa komponen yaitu penggunaan obat-obatan, diet rendah garam, aktifitas fisik, merokok, manajemen berat badan dan konsumsi alkohol. Tujuan: untuk melihat adanya faktor-faktor yang mempengaruhi self-care behavior pada klien dengan hipertensi. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, ProQuest dan Google Scholar terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “factors of self-care behavior, Hypertension”. Dalam pencarian artikel menggunakan "AND". Hanya 12 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 12 artikel tersebut. Hasil: self-care behavior pada klien hipertensi dipengaruhi oleh beberapa faktor yaitu dukungan keluarga, self-efficacy, faktor personal, dan spiritualitas. Simpulan: faktor-faktor yang terkait dengan self-care behavior dan jalurnya dapat membantu penyedia layanan kesehatan mengembangkan dan mendesain intervensi bebasis bukti pada klien dengan hipertensi. Saran: Perawat komunitas memahami faktor-faktor yang mempengaruhi self-care behavior pada klien hipertensi di komunitas sehingga mampu memberikan asuhan keperawatan yang tepat. Kata kunci: factors of self-care behavior; hypertension; community

Hubungan antara Self Efficacy dan Self Care Behavior pada Lansia dengan Hipertensi Wimar Anugrah Romadhon; Joni Haryanto; Makhfudli Makhfudli; Setho Hadisuyatmana
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 4 (2020): Oktober
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11414

Background: The incidence of hypertension in the elderly continues to increase every year and the problems that often occur in elderly hypertension are non-compliance with therapy or treatment, lifestyle changes, self care behavior that is less than optimal and the complications due to hypertension. This is influenced by beliefs (self-efficacy) that the elderly have to change their behavior, which is self care behavior which is not good. Purpose: to observe the relationship between self efficacy and self care behavior in the elderly with hypertension. Method: This study used a descriptive correlation design with a cross sectional approach. Overall, the samples obtained were 252 elderly with hypertension in the Surabaya Public Health Center area through cluster random sampling. Data were analyzed using the Spearman Rank test. Results: The elderly with hypertension have a self efficacy of 40.9% in the low category and 59.1% in the good category and have a self care behavior of 31.7% in the less category, 39.3% in category enough, 29% in the good category. This study shows a significant relationship between self efficacy and self care behavior with a value of p = 0,000

The Correlation Between Stress Levels And Self-Care Behavior of Hipertensive Elderly Wimar Anugrah Romadhon; Suprajitno Suprajitno; Yeni Kartika Sari; RR Dewi Rahmawaty
Jurnal Kesehatan Prima Vol 16, No 1 (2022): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v16i1.765

Hypertension in the elderly becomes a serious problem if not treated as early as possible and will cause complications. The problem that often occurs in hipertensive elderly is have problems with suboptimal self-care behavior. This is influenced by the level of stress that the elderly have to change their optimal self-care behavior. The purpose of this study was to determine the correlation between stress levels and self-care behavior in hipertensive elderly. Descriptive correlation was used in this study with a cross sectional approach and the sample obtained was 252 of hipertensive elderly in the Surabaya Public Health Center Area with a cluster random sampling. Data were analyzed using Spearman Rho test. The hipertensive elderly had a stress level of 0.8% in the severe category and 46.8% in the moderate category and 52.4% in the mild category. The elderly also have self-care behavior of 31.7% in the low category, 39.3% in the sufficient category, 29% in the good category. This study shows a significant correlation between stress levels and self-care behavior with a value of p = 0.000 (<0.05) and the coefficient correlation had a fairly strong relationship with a negative value of -0.384. This study shows that there is a correlation between stress levels and self-care behavior in hypertensive elderly and a negative value indicates that if the elderly with stress is getting heavier or higher, their self-care behavior tends to be bad or down. Nurses must understand that stress levels something that needs to be studied in behavioral changes in hipertensive elderly to provide comfort in carrying out self-care behavior

Pemberian Aroma Terapi Lavender (Lavandula Angustifolia) Dan Terapi Musik Langgam Jawa Terhadap Kualitas Dan Kuantitas Tidur Lansia Insomnia Berbasis Teori Adaptasi Roy Wimar Anugrah Romadhon; RR Dewi Rahmawaty
Jurnal Keperawatan Muhammadiyah Vol 7, No 4 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i4.15445

Objective: Insomnia is a sleep problem that most often occurs in the elderly due to aging. Sleep problems affect the quality and quantity of sleep in the elderly. Lavender aromatherapy and Javanese traditional music is one way to increase the need for sleep. This study aims to analyze the effect of the combination of lavender aromatherapy and Javanese traditional music on sleep quality and quantity of insomniac elderly.Methods: This study design was a quasi-experimental with a pre-test and post-test control group. The number of samples was 36 respondents who were divided into two groups using purposive sampling with inclusion criteria. The independent variable in this study was a combination of lavender aromatherapy and Javanese traditional music, while the dependent variable was the sleep quality and quantity of the insomniac elderly. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significance level of 0.05Results: There was an effect of the combination of lavender aromatherapy and Javanese traditional music on sleep quality (p=0.000) and sleep quantity (p=0.001) in the treatment group. The control group there was no effect on sleep quality outcomes (p=0.564) and sleep quantity (p=0.157). The comparison revealed differences in the post test sleep quality (p=0.000) and sleep quantity (p=0.005).Conclusion: The combination of lavender aromatherapy and Javanese traditional music has a significant effect on sleep quality and quantity of insomniac elderly. It is hoped that nursing services will modify this combination of non-pharmacological therapies so as to create more professional and quality nursing services in the health sector.

A Garra rufa Care Breathing Relaxation (GC-BR) in measuring the level of comfort and complaints of itching in the elderly with Pruritus based on Kolcaba's Comfort Nursing Theory Wimar Anugrah Romadhon; Ita Noviasari
Jurnal Keperawatan Muhammadiyah Vol 8 No 3 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i3.20295

Objective: Pruritus in the elderly can have a negative impact on aspects of comfort and health in the elderly, especially the ability to carry out daily activities. The Garra rufa Care Breathing Relaxation (GC-BR) intervention is a combination of two interventions with micro massage performed by garra rufa fish and relaxation techniques which are useful as exfoliating dead skin, increasing blood circulation, eliminating bacteria. The purpose of this study is that the presence of GC-BR therapy can increase comfort and reduce itching complaints in the elderly with pruritus. Methods: Experimental research design with quasi-experimental methods. The sample size was 20 elderly pruritus consisting of 10 treatment groups and 10 control groups. Samples were taken by total sampling. The independent variable is GC-BR. The dependent variable is the level of comfort and itching complaints of the elderly Pruritus. The research instrument was the General Comfort Questionnaire to assess the comfort of the elderly with pruritus and the Numeric Rating Scale. The statistical test used the Wilcoxon Signed Rank Test and the Mann Whitney Test with a significance level of 0.05 Results: The results showed that there was an effect of GC-BR on the level of comfort (p=0.005) and itching complaints (p=0.004) in the treatment group. Whereas in the control group there was no effect on the results of the comfort level (p=0.096) and complaints of itching; (p=0.655). The results of the comparison stated that there were differences in the post-test comfort level (p = 0.003) and itching complaints (p = 0.031). Conclusion: GC-BR has a significant effect on the level of comfort and itching complaints in the elderly. Health services are expected to implement this non-pharmacological therapy so as to create geriatric health services that are increasingly professional and of high quality

Relationship between Medication Adherence and Relapse Rate Schizophrenia Patients in the Rejotangan Health Center Area Putri, Eva Kartika; Romadhon, Wimar Anugrah; Wulandari, Ning Arti; Suprajitno, Suprajitno
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 1 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i1.538

Introduction: Relapse of schizophrenia can be caused by patients who do not adhere to medication. Patients who do not comply with taking medication can trigger the reappearance of positive and negative symptoms of schizophrenia. The purpose of this study was to analyze the relationship between medication adherence and the recurrence rate of schizophrenic patients in the working area of the Rejotangan Health Center Area.Method: This study uses a descriptive correlational research method with a cross sectional approach. Sampling using purposive sampling method with a total sample of 69 guardians of schizophrenic patients. The instruments used were the MMAS-8 questionnaire and the recurrence questionnaire. Data analysis using Spearman rho test.Results: There was a relationship between the medication adherence variable and the relapse rate of schizophrenic patients (p=0.000) and the correlation coefficient was 0.720. This result is positive, which means that there is a very strong relationship between medication adherence and the recurrence rate of schizophrenia patients in the working area of the Rejotangan Health CenterConclusions: In this case, it is hoped that the Health Service will continue to provide guidance to patients and families related to medication adherence to minimize the relapse rate of schizophrenic patients

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