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FAKTOR-FAKTOR YANG MEMPENGARUHI KEKAMBUHAN PASIEN SKIZOFRENIA Shinta Dewi Kasih Bratha; Anisa Febristi; Raden Surahmat; Salis Miftahul Khoeriyah; Yafi Sabila Rosyad; Ainil Fitri; Yohanes Andy Rias
Jurnal Kesehatan - STIKes Prima Nusantara Vol 11 (2020): JURNAL KESEHATAN - Special Issue Hari Kesehatan Nasional 2020
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v11i0.399

Abstract

Latar Belakang: Penderita Skizofrenia seringkali mengalami kekambuhan setelah kembali ke masyarakat. Hal ini menjadi persoalan serius karena banyak faktor yang mennjadi pencetus kekambuhan.Tujuan: Penelitian ini bertujuan untuk menganalisis hasil-hasil penelitian terkait faktor-faktor yang mempengaruhi kekambuhan pasien skizofrenia.Metode: Penelitian ini menggunakan strategi penelusuran artikel penelitian dari tahun 2015 hingga 2020 dengan database pubmed dan google scholar dan menggunakan kata kunci tertentu. Sebanyak 14 artikel yang sesuai dengan kriteria inklusi dinilai dengan Duffy’s Critical Apraisal Approach sehingga terpilih 8 artikel yang masuk ke dalam superior average dengan rata-rata skor 278.Hasil: Hasil telaah pada 8 artikel menunjukkan bahwa  sebagian besar faktor-faktor yang mempengaruhi kekambuhan antara lain karakteristik pasien, kepatuhan minum obat (6 artikel), dan dukungan sosial (5 artikel).Simpulan: Faktor-faktor yang mempengaruhi kekambuhan skizofrenia antara lain karakteristik responden (pendidikan, pekerjaan, usia, riwayat keluarga), kepatuhan minum obat, dukungan social dan dukungan keluarga
Kompres Hangat dengan Jahe Sebagai Metode Pengurangan Intensitas Nyeri Pada Lansia dengan Arthritis Rheumatoid Nuriza Agustina; Raden Surahmat; Mareta Akhriansyah; Dian Emiliasari; Muhamad Andika Sasmita Saputra
Jurnal Akademika Baiturrahim Jambi Vol. 12 No. 2 (2023): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v12i2.589

Abstract

Pain management in Rheumatoid Arthritis aims to reduce or eliminate pain and discomfort. Warm compresses with ginger become one of complementary treatment which can reduce pain in rheumatoid arthritis sufferers because ginger contains the enzyme cyclo-oxygenase. The aims determine the effect of warm compresses with ginger on pain intensity in the elderly with rheumatoid arthritis. The methode This research is a quantitative design with a Pre Experiment approach (One group pretest and posttest design). Conducted at 23 Ilir Health Center Palembang. The sample in this study were elderly people with rheumatoid arthritis at the 23 Ilir Health Center Palembang in 2022, totaling 30 people. The results indicate that the average pain score before warm compresses with ginger is 5.57, the lowest pain score before warm compresses with ginger is 3 and the highest score is 9. The average pain score after warm compresses with ginger is 3.80, the score is 3.80. pain after a warm compress with ginger the lowest was 2 and the highest score was 6. There was an effect of warm compress with ginger on pain intensity in the elderly with rheumatoid arthritis (ρ=0.000), with an average difference of 1.77 scores. Based on the results of the study for Public Health 23 Ilir Palembang, it is hoped that it can be used as a reference for determining policies in overcoming and improving health, especially the elderly who have the pain.
COMPLIANCE, KNOWLEDGE, SOCIO ECONOMIC AND FAMILY SUPPORT IN THE TREATMENT OF PEOPLE WITH MENTAL DISORDERS (ODGJ) IN THE WORK AREA OF SERI TANJUNG COMMUNITY HEALTH CENTER OGAN ILIR REGENCY Surahmat, Raden; Akhriansyah, Mareta; Amalia, Amalia; Agustina, Nuriza; Hidayati, Nely
Jurnal Kesehatan Saintika Meditory Vol 7, No 2 (2024): November 2024
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v7i2.2831

Abstract

ABSTRAK Permasalahan jiwa kerap menimbulkan ketidakstabilan dalam menjalani kegiatan sehingga menjadi permasalahan serius dalam kehidupan di masyarakat terutama jika anggota keluarga yang menderita gangguan jiwa mengalami kekambuhan setelah kembali ke masyarakat. Penelitian ini bertujuan untuk mengetahui kepatuhan, pengetahuan dan dukungan keluarga pada pengobatan orang dengan gangguan jiwa (ODGJ) di wilayah kerja UPT Puskesmas Seri Tanjung Kabupaten Ogan Ilir dengan metode penelitian menggunakan metode deskriptif kuantitatif kepada 60 responden. Hasil penelitian didapatkan Kepatuhan pengobatan ODGJ masih tergolong dalam kategori sedang. Dukungan keluarga yang paling tinggi diberikan oleh keluarga adalah dalam bentuk dukungan emosional dan yang cukup dalam bentuk dukungan instrumental sedangkan dukungan yang kurang diberikan oleh keluarga dalam dukungan penghargaan dan dukungan informative. Pengetahuan pengobatan ODGJ masih tergolong dalam kategori cukup dan Kondisi Sosial ekonomi dari 60 responden yang diteliti sebanyak 51,7% responden memiliki sosial ekonomi rendah sehingga kondisi tersebut menjadi penghalang terciptanya factor pendukung terjadinya kekambuhan. Disarankan kepada pihak Puskesmas agar dapat memberikan dukungan dan fasilitas dengan mengadakan posyandu jiwa setiap bulan dan mengaktifkan kader jiwa di masing masing desa serta melibatkan keluarga dalam memberikan pemahaman, dukungan dan menimalkan biaya yang dikeluarkan keluarga sehingga dapat meningkatkan kepatuhan pengobatan Orang dengan Gangguan Jiwa (ODGJ).Kata kunci : Kekambuhan, kepatuhan, gangguan jiwa, dukungan keluarga ABSTRACT Mental problems cause instability in carrying out activities so that they become serious problems in community life, especially if there are family members who suffer from mental disorders who experience relapse after returning to society. The study aims to describe compliance, knowledge and family support for the treatment of people with mental disorders (ODGJ) in the work area of the Seri Tanjung Health Center UPT, Ogan Ilir Regency with a research method using a quantitative descriptive method to 60 respondents. The results of the study showed that compliance with ODGJ treatment was still classified as moderate. The highest family support given by the family was in the form of emotional support and sufficient in the form of instrumental support, while the support that was lacking was given by the family in the form of appreciation support and informative support. Knowledge of ODGJ treatment was still classified as sufficient and the socio-economic conditions of the 60 respondents studied were 51.7% of respondents had low socio-economic conditions so that these conditions became a barrier to the creation of supporting factors for relapse. recommendations to the Health Center to provide support and facilities by holding a monthly mental health post and activating mental health cadres in each village and involving families in providing understanding, support and minimizing costs incurred by families so as to increase compliance with treatment for People with Mental Disorders (ODGJ).Keywords: Relapse, compliance, mental disorders, family support
Pendampingan ODGJ dalam Meningkatkan Kesehatan Jiwa Melalui Penerapan Aktivitas Terjadwal di Yayasan Mitra Mulia Husada Palembang Surahmat, Raden; Akhriansyah, Mareta; Agustina, Nuriza; Amalia, Amalia; Arisandy, Widya
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 2 (2025): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i2.936

Abstract

People with mental health problems still get negative stigma and discrimination in society even though mental health is an important component in human resource development in order to contribute to society. Mental health disorders can happen to anyone, especially those who have difficulty adapting to change, such as anxiety disorders, bipolar, depression and psychosis disorders, one of which is hallucinations. This community service activity aims to teach and equip people with mental disorders (ODGJ) at the Mitra Mulia Husada Palembang Foundation so that they can carry out scheduled activities during the treatment process and after returning to society. The community service activity was carried out on February 24 - March 1, 2025. The participants in this community service were 12 people who were divided into two groups, where each group consisted of 6 people. The results of the activity found that each ODGJ had their own activity schedule according to the conditions they experienced. On days 1 - 3 there were still some activities that had not been carried out and were not according to schedule. However, on the fifth day, every scheduled activity could be carried out properly. The results prove that ODGJ can overcome their hallucinations by doing activities so that they do not see them anymore and focus on the activities they do. For the role of the family, it is also necessary to be involved and facilitate and ensure that what they have done can be continued after they return to society. It is hoped that the management of the Mitra Mulia Husada Palembang Foundation can carry out more innovative activities so that the treatment process carried out gets the best results and is very beneficial to ODGJ.
PENGARUH TERAPI TERTAWA TERHADAP TINGKAT ANSIETAS PADA LANSIA DI WILAYAH KERJA PUSTU LINGGAR JATI PLAJU KOTA PALEMBANG Akhriansyah, Mareta; Surahmat, Raden; Agustina, Nuriza; Amalia, Amalia
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3135

Abstract

Becoming elderly is a scientific process that begins at the start of life. Elderly individuals are not always able to live independently; they often require care and seek to remain beneficial to themselves and their surroundings. Aging is a natural process that can cause anatomical and physiological changes, which may affect bodily and psychological functions and capabilities. One common psychological issue among the elderly is anxiety. A non-pharmacological therapy that can be used to reduce anxiety is laughter therapy. This study aims to determine the effect of laughter therapy on anxiety levels among the elderly in the working area of Pustu Linggar Jati Plaju, Palembang City. The research method used is a Pre-Experimental Design with a One Group Pretest-Posttest approach. The sampling technique used is purposive sampling, with a total of 34 respondents. In this study, the anxiety levels of the elderly were measured before and after laughter therapy was administered. The results showed a significant decrease in anxiety levels (p-value < 0.05), with the median value dropping from 26.50 to 15.50. This indicates that laughter therapy can reduce anxiety in the elderly. It can therefore be concluded that laughter therapy has an effect on anxiety levels in the elderly at Pustu Linggar Jati Plaju, Palembang. It is hoped that the implementation of non-pharmacological approaches like laughter therapy can help alleviate anxiety in the elderly.
PENGEMBANGAN STANDAR DAN PANDUAN ASUHAN KEPERAWATAN BERBASIS SDKI, SLKI, DAN SIKI UNTUK MENINGKATKAN MUTU PRAKTIK KEPERAWATAN Wisuda, Aris Citra; Suraya, Citra; Oxyandi, Miming Oxyandi; Surahmat, Raden; Andika Sasmita Putra, Muhamad; Husin, Husin; Emiliasari, Dian
Jurnal Pengabdian Kepada Masyarakat Citra Delima Vol. 2 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat Citra Delima
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jp.v2i2.591

Abstract

Improving the quality of nursing practice is a key pillar in delivering high-quality healthcare services. Nursing care standards and guidelines based on the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcomes Standards (SLKI), and Nursing Interventions Standards (SIKI) serve as essential frameworks for providing systematic, measurable, and regulation-compliant care. However, the implementation of these standards in healthcare facilities still faces challenges, including limited understanding and the absence of practical and applicable guidelines. This community service initiative aimed to develop and formulate nursing care standards and guidelines based on SDKI, SLKI, and SIKI to enhance nursing practice quality. The program was conducted at Bayung Lencir Regional General Hospital on April 23–24, 2025, through participatory training and a collaborative workshop involving practicing nurses. Evaluation methods included pre- and post-tests and participatory observation. The results showed a significant improvement in participants’ understanding of the application of the three standards, along with the development of draft operational standards and nursing care guidelines ready for clinical use. In conclusion, this activity made a valuable contribution to improving nurses’ competencies and the quality of nursing services through the development of structured, applicable standards aligned with national regulations
Implementasi Terapi Musik Nature Sound kepada Lansia untuk Mengatasi Ansietas Akhriansyah, Mareta; Surahmat, Raden; Agustina, Nuriza; Rusmarita, Rusmarita
Jurnal Abdimas Kesehatan (JAK) Vol. 6 No. 2 (2024): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v6i2.803

Abstract

The physical and mental health of the elderly is still a problem that needs to be addressed due to a decline in physical, social and psychological conditions, including anxiety, which can affect various aspects of life, including emotional well-being, sleep quality, physical health, ability to carry out daily activities, mental health, and family and social relationships. For this reason, there needs to be real action as a solution to overcome this problem. This activity aims to overcome the problem of anxiety in the elderly through non-pharmacological therapy, nature sound music therapy, which is useful for providing a relaxing effect. Activities have been carried out by explaining implementation procedures and creating a comfortable environment for the elderly in the meeting room of the UPT Puskesmas Seri Tanjung Ogan Ilir, starting with measuring the anxiety level of the elderly, followed by listening to natural sounds via cellphone and loudspeaker for 20 minutes and ending with measuring the anxiety level of the elderly. using the HaRS instrument. The activity was carried out on Tuesday, December 26 2023 on 29 elderly people with the results of the activity showing that the level of anxiety before it was carried out was at the level of mild to severe anxiety and after it was carried out it showed anxiety at the level of no anxiety to moderate anxiety and showed the influence of the implementation of nature sound therapy ( natural sounds) on the level of anxiety of the elderly. Based on the results of the activities, it is recommended that the community health center, especially the elderly health program holders, be able to carry out several counseling activities and real implementation in overcoming various problematic conditions experienced by the elderly with the aim of improving the quality of life, especially the health of the elderly.
EFFECTIVENESS OF 3S-BASED NURSING DOCUMENTATION TRAINING (SDKI, SLKI, SIKI) ON NURSES’ KNOWLEDGE, PERFORMANCE, AND DOCUMENTATION SKILLS Wisuda, Aris Citra; Citra Suraya; Miming Oxyandi; Raden Surahmat; Muhamad Andika Sasmita Saputra; Helsy Desvitasari
Journal Of Nursing Science Research Vol. 2 No. 1 (2025): Journal Of Nursing Science Research
Publisher : Citra Internasional Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jnsr.v2i1.589

Abstract

Accurate and comprehensive nursing documentation is essential for ensuring continuity of care, legal accountability, and quality outcomes. However, many nurses face challenges in implementing standardized documentation practices. The 3S-based framework comprising SDKI (Standar Diagnosis Keperawatan Indonesia), SLKI (Standar Luaran Keperawatan Indonesia), and SIKI (Standar Intervensi Keperawatan Indonesia) has been developed to enhance the quality and consistency of nursing records. This study aimed to evaluate the effectiveness of 3S-based nursing documentation training on nurses’ knowledge, performance, and documentation skills. A quasi-experimental design with a pretest-posttest approach was conducted at two hospitals: RSUD Sungaililin in December 2024 and RSUD Bayung Lencir in April 2025. A total of 80 nurses participated, with 40 respondents from each hospital. The intervention consisted of structured training sessions on the 3S documentation model. Data were collected using validated questionnaires and observation checklists, and were analyzed using paired and independent t-tests to assess changes before and after the intervention. The findings showed a significant improvement in nurses’ knowledge, performance, and documentation skills following the training (p < 0.05). Both hospitals demonstrated consistent positive outcomes, indicating the effectiveness of the 3S-based training regardless of setting. The 3S-based documentation training significantly enhances nurses’ competencies in recording patient care. These results support the integration of structured documentation models into nursing education and hospital in-service training programs to improve care quality and documentation practices.
PENGARUH TERAPI SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA HIPERTENSI DI DESA SIMPANG TAIS PALI SUMSEL TAHUN 2023. Akhriansyah, Mareta; Surahmat, Raden; Agustina, Nuriza; Rusmarita, Rusmarita
Jurnal Kesehatan Saintika Meditory Vol 7, No 1 (2024): Mei 2024
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v7i1.2536

Abstract

Pertumbuhan lansia yang meningkat menyebabkan terjadinya perubahan hidup sehat seseorang, sehinggaberdampak pada pergeseran pola penyakit di mana beban penyakit tidak lagi didominasi oleh penyakitmenular, tetapi juga penyakit tidak menular seperti hipertensi. Penatalaksanaan hipertensi bisa dilakukandengan menggunakan terapi slow deep breathing. Penelitian ini bertujuan untuk mengetahui pengaruhterapi slow deep breathing terhadap penurunan tekanan darah pada lansia hipertensi di Desa Simpang TaisPali. Penelitian ini menggunakan rancangan Pra-Ekperimental Design dengan One Grup Pretest-PosttestTeknik sampling yang digunakan dalam penelitian ini adalah purposive sampling dengan sampelpenelitian berjumlah 20 responden. Pada penelitian ini dilakukan pengukuran tekanan darah kepada lansiasebelum diberikan terapi slow deep breathing dan kemudian dilakukan pengukuran tekanan darah setelahdiberikan terapi. Hasil penelitian didapatkan kondisi sistolik menurun secara bermakna dari 155 mmHgmenjadi 128 mmHg dan kondisi tekana darah diastolic pada lansia yang mendapatkan terapi slow deepbreathing menurun secara bermakna dari 99,2 mmHg menjadi 81,8 mmHg. Selain itu analisismenggunakan uji t test didapatkan nilai pvalue 0,000 < 0,05 yang berarti ada pengaruh. Berdasarkan hasilpenelitian dapat disimpulkan bahwa lansia hipertensi yang mendapatkan terapi slow deep breathingtekanan darahnya mengalami penurunan. Diharapkan dengan adanya pengobatan non farmakologi (terapislow deep breathing) bisa membantu mengurangi hipertensi pada lansia.Kata kunci : Hipertensi, Lansia, Terapi slow deep breathing
EDUKASI TENTANG MENGATASI HIPERTENSI MENGGUNAKAN TERAPI SLOW DEEP BREATHING PADA LANSIA HIPERTENSI DI PSLU HARAPAN KITA PALEMBANG Akhriansyah, Mareta; Surahmat, Raden; Agustina, Nuriza; Amalia, Amalia
Jurnal Abdimas Saintika Vol 5, No 2 (2023): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v5i2.2127

Abstract

ABSTRAK Lansia merupakan kelompok umur yang telah memasuki tahapan akhir dari fase kehidupan dengan fase penuaan yang mengakibatkan terjadinya penurunan fungsi fisik, mental dan terutama jika yang bermasalah pada bagian jantung berupa hipertensi yang tentunya akan sangat berbahaya jika tekanan darah tidak terkontrol secara teratur dan minimnya pengetahuan lansia terkait upaya yang dapat dilakukan. Berbagai upaya dapat dilakukan, antara lain yaitu dengan olahraga teratur, menjaga berat badan, pola makan yang sehat, rutin konsumsi obat hipertensi, latihan nafas dalam dan beberapa aktivitas fisik lainnya. Untuk itu penulis berupaya memberikan solusi kepada lansia di panti sosial lanjut ujia (PSLU) Harapan Kita dalam  mengatasi permasalahan yang dialami lansia berupa edukasi latihan ringan dalam bentuk latihan tehnik relaksasi nafas dalam (slow deep breathing). Kegiatan telah dilakukan n pada hari Selasa, 22 Agustus 2023 dengan Peserta 30 orang lansia dengan hasil pretest didapatkan jumlah nilai 153 dengan rata-rata nilai 5,1 postest didapatkan hasil jumlah nilai 248 dengan rata-rata 8,3 yang berarti terdapat perbedaan atau peningkatan sebesar 3,2, hal tersebut menunjukaan bahwa terjadinya peningkatan pemahaman lansia dalam melaksanakan terapi slow deep breathing. Dari hasil kegiatan disarankan kepada pihak pengelola PSLU Harapan kita untuk membuatkan jadwal serta terus berupaya memfasilitasi lansia untuk tetap beraktivitaas setiap hari secara terjadwal. Kata Kunci: Lansia, Hipertensi, Tekanan Darah, Terapi Nafas dalam ABSTRACT The elderly are an age group that is entering the final stages of life with the aging phase which results in a decline in physical and mental function and especially if there is a problem with the heart in the form of hypertension which of course will be very dangerous if blood pressure is not controlled regularly and the elderly lack knowledge regarding the efforts can be done. There are various efforts that can be made, such as regular exercise, maintaining body weight, healthy eating patterns, regular consumption of hypertension medication, deep breathing exercises and several other physical activities. The author attempts to provide a solution to the elderly in the Harapan Kita Social Institution for the Elderly (PSLU) to overcome the problems experienced by the elderly in the form of light exercise education in the form of slow deep breathing relaxation techniques. The activity was carried out on Tuesday, August 22 2023 with 30 elderly participants. The pretest results obtained a total score of 153 with an average score of 5.1. Posttest results obtained a total score of 248 with an average of 8.3, which means there is a difference or improvement. of 3.2. These results show that there has been an increase in the understanding of the elderly in carrying out slow deep breathing therapy. Based on the results of the activities, it is recommended that the management of PSLU Harapan we make a schedule and continue to make efforts to facilitate the elderly to continue their activities every day on a scheduled basis. Keywords: Elderly, hypertension, blood pressure, slow deep breathing
Co-Authors Abu Bakar Sidik Agustina, Nuriza Akhriansyah, Mareta Amalia Amalia Amalia Andika Sasmita Putra, Muhamad Anisa Febristi Ayu Devita Citra Dewi Dian Emiliasari Emiliasari, Dian Fembi, Pembronia Nona Fitri, Ainil Hanik Rachmawati Helsy Desvitasari Hidayati, Nely Husin Husin, Husin Indah Juniarti Ismi Damayani Liana, Yunita Mareta Akhriansyah Meilisa Dwiyanti Meta Nurbaiti Miming Oxyandi Muhamad Andika Sasmita Saputra Muhamad Andika Sasmita Saputra Nanda Rizki Damayanti Neherta, Meri Nia Desriva Novitalia Novitalia Nurariati Nurariati Nurariati Nurariati Nuriza Agustina Nurul Fitriah Oxyandi, MIming Oxyandi, Miming Oxyandi Putinah, Putinah Riskiana Riskiana Rizki Yulinda Rusmarita Salis Miftahul Khoeriyah Sartika, Dedek Sasmita Saputra, Muhamad Andika Shenny Mutiara Sari Shinta Dewi Kasih Bratha Suciarti, Rinda Sulardi . Suraya, Citra Tiur Romatua Sitohang Tri Indah Rizky Utama, Yofa Anggriani Verawati Verawati Vianitati, Pasionista Widya Arisandy Wisuda, Aris Citra Yafi Sabila Rosyad Yohanes Andy Rias Yunita Liana