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Pengaruh Problem Solving Therapy terhadap Kecemasan Global pada Pasien Skizofrenia Nafiah, Putri Nur Hidayatun; Untari, Rita
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 1 (2024): Desember 2024
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i1.107

Abstract

Background: Schizophrenia is a serious mental disorder that is often encountered and hospitalized. Schizophrenia is a long-term and serious brain disease that results in psychotic behavior, concrete thinking, and difficulties in processing information, interpersonal relationships, and solving problems. One of the symptoms that arise from various types of disorders and symptoms of schizophrenia is anxiety which affects daily functional limitations, including the inability to solve problems. Therefore, non-pharmacological therapy with CBT is given to train the patient's problem-solving skills. Objectives: This study aims to determine the effect of problem-solving therapy on global anxiety in schizophrenia patients. Methods: This research uses a quantitative approach, with a pre-experimental research design type One group Pretest-posttest. The research sample consisted of 22 people, obtained through purposive sampling. The instrument used to measure the sample's anxiety was the Hamilton Anxiety Rating Scale (HARS). Hypothesis testing analysis uses a paired sample t-test. Results: The research sample was dominated by men (63.6%), aged 26-35 years (50%), had a history of high school/K education (50%), and a low socioeconomic level (81.8%). Hypothesis testing showed a p-value of 0.000 (p<0.05). Conclusion: Problem-solving therapy affects the global anxiety of schizophrenia patients at RSJD Dr. RM. Soedjarwadi Klaten. Bibliography: 74 (2009-2023) Keywords: Problem-Solving Therapy, Anxiety, Schizophrenia
Pengaruh Aktivitas Kerajinan Tangan terhadap Self Esteem pada Pasien Skizofrenia Sekar Intania, Putri; Untari, Rita
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 1 (2024): Desember 2024
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i1.155

Abstract

Background: Schizophrenia is a severe thought process disorder with both positive and negative symptoms. Positive symptoms include delusions, hallucinations and thought disorder. Negative symptoms of schizophrenia include shallow affectivity, withdrawal from society and lack of willpower. The problem in schizophrenia patients that often arises is low self-esteem. This causes patients to interact less socially with their environment due to shyness and hallucinations. Schizophrenia patients avoid other people and crowds caused by low self esteem. Handicrafts are a solution to improve self-esteem, productivity, creativity, and motivation. Objectives: This study aims to determine the effect of handicrafts on self esteem in schizophrenia patients. Methods: This research is a quantitative research of pre-experimental model using one group pretest-posttest design. The sample population of this study were patients in the psychosocial rehabilitation unit of Dr. Arif Zainuddin Surakarta Hospital. Sampling using purposive sampling technique with a total of 22 samples. Hypothesis testing using paired sample t-test with the help of the SPSS version 25. Results: Based on the results of data analysis, the p-value hypothesis test was 0.000 (<0.05). These results indicate that handicrafts affect self esteem in schizophrenia patients. Conclusion: Handicraft activities affect self esteem in schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. Keywords: Handicrafts, Schizophrenia, Self esteem
Eksplorasi Kesejahteraan Psikologis pada Pasien Brachial Plexus Injury (BPI) Ayu Febryanti, Yusrina; Untari, Rita
Jurnal Terapi Wicara dan Bahasa Vol. 2 No. 1 (2023): Desember 2023
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v2i1.82

Abstract

Background: Brachial plexus injury is an injury to the C1-T1 nerve that most commonly occurs in men of reproductive age. This injury can cause motor and mental disability because it requires more than one surgery with a long recovery time. However, existing rehabilitative services focus more on restoring motor skills or functional abilities and less on evaluating psychological conditions, coping and quality of life. Objectives:The purpose of this study is to determine how the condition of psychological well-being and how BPI patients manage or maintain their psychological well-being. Methods:The method used is qualitative with a phenomenological approach. The number of participants was 6 patients from Soeharso Orthopedic Hospital, Surakarta who were selected through purposive sampling technique. Data was collected by in-depth interviews, then analyzed by content analysis. Results:The results showed that all BPI respondents experienced changes in the dimensions of psychological well-being. Conclusions:The dimensions that have experienced the most changes are self-acceptance, positive relations with others, purpose in life and environmental mastery. In addition, respondents also felt a change in subjective well-being. Adaptive strategies and emotional focused coping are most often used by respondents to maintain psychological well-being and adapt to life changes. By exploring this aspect, it can be taken into consideration in determining intervention that supports patient's independence. Keywords: Psychological well-being, Quality of life, Brachialis Plexus Injury
Pengaruh Art Therapy terhadap Self-Esteem Pasien Skizofrenia Untari, Rita; Nugroho, Maharso Adhi
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.169

Abstract

Background: Schizophrenia is a psychotic reaction that has signs of withdrawal from social life followed by disturbances in thoughts, emotions, and behavior. Withdrawal from social life will affect the low self-esteem of schizophrenia patients. Low self-esteem causes schizophrenia patients to have difficulty expressing themselves to the environment and people around them. Art therapy is one solution to help reduce negative attitudes towards oneself, explore feelings, manage behavior, and increase self-esteem. Objectives: This study aims to determine whether there is an effect of art therapy on the self-esteem of schizophrenia patients. Methods: This study uses a quantitative pre-experimental approach with the one-group pre and post-test design method. The research sample was schizophrenia patients with disorders in self-esteem at the Dr. Arif Zainudin Surakarta Mental Hospital. Sampling using purposive sampling with a total of 20 samples. The data collection tool was the RSES (Rosenberg Self-Esteem Scale) questionnaire. Hypothesis testing analysis used a paired t-test. Results: The research sample was dominated by male gender (75%), aged 26-35 years (40%), and had the most recent education history at junior high school level (45%). Hypothesis testing showed a p-value of 0.000 (<0.05) which means there is a significant difference in self-esteem before and after doing art therapy activities. Conclusion: Art Therapy activities have an effect on self-esteem in schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. Keywords: Art Therapy, Self-esteem, Schizophrenia
Kontribusi Terapi Brain Gym terhadap Fungsi Kognitif Pasien Skizofrenia Athallah, Jihan Fairuz Thifal; Untari, Rita
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.182

Abstract

Background: Schizophrenia is a psychiatric disorder that affects human brain function, normal cognitive and emotional functions and human behavior. This decrease in cognitive function has an impact on occupational, social and economic functional activities. Improving cognitive function in people with schizophrenia requires an action, treatment, and therapy such as cognitive remediation. One way is with brain gym. Brain-Gym is a method of training the brain through simple movements that serve to improve a person's cognitive abilities in terms of concentration, memory, observation, creativity and problem solving. Objectives: The purpose of this study was to determine the contribution of brain gym therapy on cognitive function of schizophrenia patients at RSJ Grhasia Yogyakarta. Methods: Quantitative research pre- experimental design  one group pre-test and post-test. This research was conducted with a sample of 25 people (19-59 years). The instrument used in this research is the Schizophrenia Cognition Rating Scale (SCorS).  Results: the results of the hypothesis were obtained with a sig value of 0.000 (p value <0.05), which means that there is a significant difference between the pre-test and post-test results.  Brain gym is proven to have an effect on the cognitive function of schizophrenia patients at RSJ Grhasia Yogyakarta. Conclusion: Providing brain gym therapy has proven to be effective in influencing the cognitive function of schizophrenia patients at RSJ Grhasia Yogyakarta.  Brain gym therapy  can be a recommendation for cognitive remediation therapy for schizophrenia patients so that their cognitive abilities can function optimally. Keywords: Brain Gym, Cognitive, Schizophrenia
PENGARUH TERAPI SENI TIE-DYE TERHADAP KEPUASAN HIDUP PASIEN SKIZOFRENIA DI RSJD Dr. RM. SOEDJARWADI KLATEN Dzakiya , Evita Lubban; Untari, Rita
Medical Journal of Nusantara Vol. 3 No. 1 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i1.700

Abstract

Schizophrenia is a psychosocial disorder that affects behavior, feelings, strange delusions, and chaotic thinking patterns. Schizophrenia patients experience a decrease in life satisfaction and well-being related to physical, social, and psychological conditions in carrying out daily activities. Art therapy has the potential to be a way to minimize existing negative symptoms and overcome life stress. This study aims to determine the effect of tie-dye art therapy on the life satisfaction of schizophrenia patients at RSJD Dr. RM. Soedjarwadi Klaten. Research method: Quantitative research using a one-group pre-test-post- test pre-experimental design. The sampling technique uses purposive sampling. The research sample was 21 schizophrenia patients. Life satisfaction was measured using the Satisfaction With Life Scale (SWLS) instrument. Hypothesis testing uses the paired sample t-test. Research results: The sample was dominated by those aged 17-25 years (33.3%), men (61.9%), junior high school education (71.4%), and unmarried (42.9%). After the sample received 6 sessions of tie-dye art therapy treatment/intervention, the sample experienced an increase in the mean SWLS score. The life satisfaction hypothesis test showed a p-value of 0.000 (<0.05). This means that there is an influence of tie-dye art therapy on the life satisfaction of schizophrenia patients at RSJD Dr. RM. Soedjarwadi Klaten. In batik therapy, patients can express expressions that cannot be expressed directly, increasing happiness and increasing life satisfaction for schizophrenic patients in RSJ who are undergoing rehabilitation. Conclusion: Tie-dye art therapy influences the life satisfaction of schizophrenia patients at RSJD Dr. RM. Soedjarwadi Klaten.
KONTRIBUSI TERAPI REHABILITASI KOGNITIF TERHADAP FUNGSI KOGNITIF PADA PASIEN SKIZOFRENIA Untari, Rita; Maharso Adhi Nugroho
Medical Journal of Nusantara Vol. 3 No. 3 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i3.979

Abstract

Schizophrenia is a serious mental disorder accompanied by positive and negative symptoms, cognitive disorders, mood, recklessness, and aggression. Impaired cognitive function is an inability to pay attention, memory, judgment, problem-solving, and executive abilities. One of the therapies for cognitive deficits in schizophrenia patients is Cognitive Rehabilitation therapy. The research aimed to determine whether there was a contribution of cognitive rehabilitation therapy to the cognitive function of schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. This research used a quasi-experimental non-random pretest and posttest with control group design, data analysis used the comparative Wilcoxon test and the Mann-Whitney test.  The sample consisted of 32 people (15 control group, 17 intervention group)—the instrument used by the Indonesian version of MoCA. The intervention was carried out over 6 meetings, in groups. The cognitive function score of the control group, the pretest mean was 20.26 and the posttest mean was 21.60. The cognitive function score of the intervention group, the average pretest score was 21.8, and the average post-test score was 25.6. The results of the pretest and posttest Wilcoxon test data analysis for the control group with sig. 0.000 with a p-value <0.05; pretest and posttest Wilcoxon test in the intervention group with sig. 0.000 and p-value <0.05; Mann-Whitney test in the control-intervention group with sig. 000 with a p-value <0.05. This indicates that there is a significant difference in cognitive function abilities between the control group and the intervention group that underwent cognitive rehabilitation therapy for schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. There was a significant difference in scores between the control group and the intervention group. The results of comparative tests between the two groups showed that there was a significant effect of cognitive rehabilitation therapy on the cognitive function of schizophrenia patients.
PENGARUH GRADED REPETITIVE ARM SUPPLEMENTARY PROGRAM (GRASP) TERHADAP KEMAMPUAN KONTROL MOTORIK EKSTREMITAS ATAS DAN KEMANDIRIAN FUNGSIONAL PASIEN PASCA STROKE Kurniawan, Hendri; Rita Untari
Medical Journal of Nusantara Vol. 3 No. 3 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i3.1127

Abstract

Stroke causes sensorimotor dysfunction that affects motor control ability and functional independence. Post-stroke recovery is influenced by repetitive sensorimotor stimulation. Recovery of motor control ability and functional independence of post-stroke patients often do not provide optimal results. This is thought to be related to the continuity of exercise performed by the patient. The Graded Repetitive Arm Supplementary Program (GRASP) is an exercise program designed to be carried out independently by post-stroke patients at home. This study aims to determine the effect of GRASP on upper extremity motor control ability and functional independence of post-stroke patients.                Quantitative research using a quasi-experimental design with a control group pretest-posttest design. A sample of 50 people was obtained using a purposive sampling technique. The motor control was measured using the Fugl-Meyer Assessment Upper Extremity but functional independence was measured using Barthel index instruments. Data analysis used the t-test with SPSS 25 software.  The majority of the samples were male (86%) and experienced upper extremity motor control disorders with an average score of 40.32 (treatment) and 40.88 (control). The functional independence of the sample was in the moderate dependence category with an average score of 75.26 (treatment) and 76.04 (control). After the intervention, the average motor ability score became 43.37 (treatment) and 42.53 (control) which was accompanied by a change in the average functional independence score to 81.25 (treatment) and 79.43 (control) although it was still in the moderate dependence category. The paired t-test on motor ability and functional independence showed significance of 0.000 and 0.001 (treatment group) and 0.004 and 0.001 (control group). The unpaired t-test showed a significance of 0.002 (motor ability) and 0.015 (functional independen) GRASP is more significant in influencing the improvement of upper extremity motor control ability and functional independence of post-stroke patients.
Hubungan Stress dan Kualitas Tidur pada Mahasiswa Tingkat Akhir Prodi Sarjana Terapan Terapi Okupasi Politeknik Kesehatan Surakarta Oktaviani, Ismi; Untari, Rita
Jurnal Terapi Wicara dan Bahasa Vol. 2 No. 2 (2024): Juni 2024
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v2i2.109

Abstract

Abstrak Latar Belakang: Stress adalah kondisi yang mengganggu secara mental maupun emosional di lingkungan eksternal dan memberikan dampak berupa reaksi kognitif, emosional, respon perilaku, dan perubahan fisiologis. Stres pada mahasiswa ini dapat bersumber dari aspek akademik, baik faktor eksternal atau internal. Cemas dan tekanan akan menyebabkan stress. Stress akan menyebabkan menurunnya kualitas tidur. Stress dan kualitas tidur merupakan dua faktor penting yang dapat mempengaruhi kesehatan dan kesejahteraan seseorang. Mahasiswa tingkat akhir memiliki tuntutan akademik yang tinggi, diantaranya menyelesaikan tugas akhir atau skripsi. Tuntutan tersebut dapat menyebabkan stress dan akan menimbulkan kualitas tidur buruk pada mahasiswa.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan stress dan kualitas tidur pada mahasiswa tingkat akhir Prodi Sarjana Terapan Terapi Okupasi. Metode: Penelitian kuantitatif non-eksperimental dengan pendekatan cross-sectional. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Pengukuran tingkat stress menggunakan kuesioner Perceived Stress Scale (PSS) dan pengukuran kualitas tidur menggunakan Pittsburgh Sleep Quality Index (PSQI). Metode analisis data yang digunakan yaitu uji korelasi nonparametrik Spearman Rank dengan bantuan aplikasi SPSS versi 25.0. Hasil: Hasil penelitian menunjukkan ρ-value = 0,000 (α < 0,005) dengan nilai korelasi r = 0.489 yang artinya terdapat hubungan antara stress dan kualitas tidur pada mahasiswa tingkat akhir Prodi Sarjana Terapan Terapi Okupasi yang memiliki tingkat hubungan yang cukup kuat. Kesimpulan: Penelitian ini menunjukkan bahwa terdapat hubungan antara stress dan kualitas tidur pada mahasiswa tingkat akhir Prodi Sarjana Terapan Terapi Okupasi. Kata kunci: Stress, Kualitas Tidur, Mahasiswa Tingkat Akhir Abstract Background: Stress is a mentally and emotionally disturbing condition in the external environment and has an impact in the form of cognitive, and emotional reactions, behavioral responses, and physiological changes. Stress in students can originate from academic aspects, both external and internal factors. Anxiety and pressure will cause stress. Stress will cause a decrease in sleep quality. Stress and sleep quality are two important factors that can affect a person's health and well-being. Final-year students have high academic demands, including completing a final assignment or thesis. These demands can cause stress and will result in poor sleep quality in students. Objective: This study aims to determine the relationship between stress and sleep quality in final-year students of the Applied Occupational Therapy Bachelor Study Program. Method: Non-experimental quantitative research with a cross-sectional approach. The sampling technique used was purposive sampling. Stress levels were measured using the Perceived Stress Scale (PSS) questionnaire and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The data analysis method used is the nonparametric Spearman Rank correlation test with the help of the SPSS version 25.0 application. Results: The research results show ρ-value = 0.000 (α < 0.005) with a correlation value of r = 0.489, which means there is a relationship between stress and sleep quality in final year students of the Applied Occupational Therapy Bachelor Study Program which has a fairly strong level of relationship. Conclusion: This research shows that there is a relationship between stress and sleep quality in final-year students of the Applied Occupational Therapy Bachelor Study Program. Keywords: Stress, Sleep Quality, Final Year Students
PENGARUH TERAPI COGNITIVE REHABILITATION TERHADAP FUNGSI KOGNITIF PASIEN SKIZOFRENIA Rita Untari; Feni Safitri
MOTORIK Jurnal Ilmu Kesehatan Vol 18 No 2 (2023): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v18i2.936

Abstract

Schizophrenia is a severe mental disorder, organized into multiple dysfunctional domains including positive symptoms, negative symptoms, cognitive impairment, mood, carelessness, and aggression. Impaired cognitive function is an inability in attention, memory, consideration, problem solving, and the ability of executives such as planning, assessing, monitoring and evaluating. One of cognitive deficit therapy in schizophrenia is Cognitive Rehabilitation (CR) therapy. The purpose of this study is to determine whether there is an influence between cognitive therapy rehabilitation of cognitive function in schizophrenic patients. This research used Quasi Experiment with non-random pretest and posttest with control group design and method of data analysis used comparative test which is wilcoxon test and mann-whitney test. This research was done on schizophrenia patients in RSJD dr. Arif Zainudin Surakarta with 32 samples divided into control group (n = 15) and intervention group (n = 17). The cognitive function examination was assessed using the Montreal Cognitive Assessment (MoCA) version of Indonesia which has been validate. Interventions were done for during 6 sessions for 2 weeks and were done in groups. The cognitive function score in the control group, the pretest mean was 20.26 and the post-test mean was 21.60. For the function score in the intervention group, the average pretest score was 21.8, while the average post-test score was 25.6. The results of the research data analysis used the Wilcoxon test on the pretest and post-test of the control group with sig. 0.000 with a p-value <0.05; Wilcoxon test on pretest and post-test in the intervention group with sig. 0.000 with a p-value <0.05; Mann-Whitney test in the control-intervention group with sig. 000 with a p-value <0.05. This indicates that there is a significant difference in cognitive function abilities between the control group and the intervention group who underwent cognitive rehabilitation therapy for schizophrenia patients at RSJD Dr. Arif Zainudin Surakarta. This research shows a significant difference value between the control group and the intervention group. The result of the comparative test of both groups found that there was a significant effect on cognitive rehabilitation therapy on cognitive function in schizophrenic patients.