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All Journal ANIMA Indonesian Psychological Journal MOTORIK (MJN) Jurnal Terapi Wicara dan Bahasa
Rita Untari
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Journal : MOTORIK

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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.
TERAPI SENI MANDALA MENURUNKAN GEJALA KECEMASAN PASIEN SKIZOFRENIA Untari, Rita; Luluk Hidayah
MOTORIK Jurnal Ilmu Kesehatan Vol 19 No 2 (2024): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v19i2.1302

Abstract

Skizofrenia merupakan gangguan jiwa yang memiliki dua gejala utama yakni gejala positif yang meliputi halusinasi, delusi, bahasa tidak teratur, dan perilaku motorik abnormal serta gejala negatif seperti afek menumpul dan mendatar. Gangguan afek bisa berupa kecemasan. Kecemasan pada pasien skizofrenia ditandai adanya rasa takut yang mendalam berdampak pada gangguan penilaian realitas, kepribadian dan perilaku. Pasien skizofrenia yang mengalami kecemasan akan mengarah ke perilaku mengurung diri, perilaku membunuh orang lain atau perilaku bunuh diri. Masalah kecemasan pada skizofrenia mengakibatkan penurunan produktivitas, lebih rentan terhadap stress, penurunan keterampilan, pekerjaan, dan hubungan sosial. Salah satu terapi rehabilitasi psikososial non farmakologi pada pasien skizofrenia dengan kecemasan yaitu Mandala Art Therapy. Penelitian ini bertujuan mengetahui apakah terdapat pengaruh Mandala Art Therapy terhadap tingkat kecemasan pada pasien skizofrenia di RSJD Dr. Arif Zainuddin Surakarta. Penelitian kuantitatif model preexperimental, one group pretest-posttest design. Lokasi RSJD Dr Arif Zainudin Surakarta dengan Teknik purposive sampling didapatkan 20 pasien skizofrenia. Instrumen kecemasan yaitu Hamilton Anxiety Rating Scale (HARS). Teknik analisis data menggunakan uji-t berpasangan (paired sample t-test) dengan bantuan aplikasi SPSS versi 25.0. Hasil penelitian didapatkan, sampel penelitian didominasi oleh jenis kelamin laki-laki (75%), berusia 26- 35 tahun (40%) dan riwayat pendidikan terakhir SMP (45%). Uji hipotesis menunjukkan hasil p-value 0,000 (p<0,05). Mandala Art Therapy berpengaruh terhadap tingkat kecemasan pasien Skizofrenia di RSJD Dr. Arif Zainudin Surakarta. Berdasarkan hasil penelitian ini diharapkan intervensi dengan memberikan kebebasan memilih warna yang akan dipakai dalam mewarnai pola mandala sesuai yang diinginkan oleh pasien.
Co-Authors Andreany Kusumowardani Athallah, Jihan Fairuz Thifal Ayu Febryanti, Yusrina Dzakiya , Evita Lubban Feni Safitri Firmanto Adi Nurcahyo Hastuti, Siwi Dwi Hendri Kurniawan, Hendri Herdarna, Alida Reka Luluk Hidayah Maharso Adhi Nugroho Nafiah, Putri Nur Hidayatun Oktaviani, Ismi Pebriyanto Nindyo Nugroho Sekar Intania, Putri