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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.