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FAKTOR-FAKTOR YANG MEMPENGARUHI KEKAMBUHAN PASIEN SKIZOFRENIA Bratha, Shinta Dewi Kasih; Febristi, Anisa; Surahmat, Raden; Khoeriyah, Salis Miftahul; Rosyad, Yafi Sabila; Fitri, Ainil; Rias, Yohanes Andy
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
COMPARATIVE STUDY OF EFFLEURAGE AND PETRISSAGE MASSAGE ON HEADACHE INTENSITY IN HYPERTENSION Risdayanti Raharjeng; Aris Citra Wisuda; Raden Surahmat; Mujahidin; Citra Suraya
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/gazxm502

Abstract

Hypertension is frequently accompanied by headache symptoms that may reduce patient comfort and quality of life. Massage therapy is one of the non-pharmacological interventions used to reduce headache intensity in patients with hypertension. This study aimed to analyze the comparative effectiveness of effleurage and petrissage massage techniques on headache intensity among hypertensive patients at Sumaja Makmur Primary Health Center in 2026. This study employed a quasi-experimental design with a pretest–posttest two-group approach. A total of 170 respondents were selected using purposive sampling and divided into an effleurage group (n=85) and a petrissage group (n=85). Headache intensity was measured using the Numeric Rating Scale (NRS) before intervention and 15 minutes after the massage intervention. Data were analyzed using Wilcoxon and Mann–Whitney tests with a significance level of p<0.05. The results showed significant reductions in headache intensity in both groups after intervention (p=0.000). The effleurage group demonstrated greater reductions in headache scores compared with the petrissage group. Comparative analysis also indicated significant differences in effectiveness between the two massage techniques in reducing headache intensity among hypertensive patients (p<0.05). Effleurage and petrissage massage techniques were effective complementary nursing interventions for reducing headache intensity among patients with hypertension. Effleurage massage tended to produce greater reductions in headache intensity compared with petrissage massage.
PENGARUH TERAPI TERTAWA TERHADAP TINGKAT ANSIETAS PADA LANSIA DI WILAYAH KERJA PUSTU LINGGAR JATI PLAJU KOTA PALEMBANG Mareta Akhriansyah; Raden Surahmat; Nuriza Agustina; 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.
Edukasi Terapi Tertawa sebagai Intervensi Non-Farmakologi untuk Mengatasi Perilaku Kekerasan pada ODGJ di Yayasan Mitra Mulia Husada Palembang Raden Surahmat; Mareta Akhriansyah; Nuriza Agustina; Aris Citra Wisuda; Putinah Putinah; Muhamad Andika Sasmita Saputra; Sulardi Sulardi
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 2 (2026): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i2.1143

Abstract

Violent behavior is currently a complex psychosocial and neurobiological problem as well as an emergency health problem, both in the form of physical and psychological violence in real interactions and media. This condition can be detrimental to oneself, others and the environment so that real solutions are needed through non-pharmacological efforts, namely laughter therapy. This activity aims to provide education to ODGJ about to reduce stress, improve emotional control, and help patients become calmer and more cooperative. This activity was carried out for 36 people at the Mitra Mulia Husada Palembang Foundation on February 08-09, 2025, using s, SOPs for and observation sheets. The results of the evaluation of this activity showed that there was an increase in understanding and patients at risk of violent behavior were able to undergo laughter therapy. The results of observations showed that participants appeared calmer, more cooperative and appeared happy. These results prove that laughter can naturally help to stabilize emotions, reduce stress hormone levels, create feelings of calm, comfort, happiness and help them build the ability to control emotional reactions better. It is recommended that the management of the Mitra Mulia Husada Palembang Foundation implement as an alternative intervention for ODGJ to overcome violent behavior.
OPTIMALISASI PERAN PERAWAT DALAM PENERAPAN MASSAGE EFFLEURAGE DAN PETRISSAGE PADA PASIEN HIPERTENSI DENGAN NYERI KEPALA Risdayanti Raharjeng; Aris Citra Wisuda; Raden Surahmat; Citra Suraya; Ayu Devita Citra Dewi
Jurnal Pengabdian Masyarakat 360 Derajat Vol 3 No 1 (2026): Pengabdian Masyarakat 360 Derajat
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/07css281

Abstract

Nyeri kepala menjadi salah satu keluhan yang paling sering dialami pasien hipertensi dan dapat mengganggu aktivitas serta kualitas hidup penderita. Upaya penatalaksanaan nonfarmakologis diperlukan untuk membantu mengurangi keluhan nyeri secara aman dan efektif, salah satunya melalui massage therapy. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas teknik massage effleurage dan petrissage terhadap skala nyeri kepala pasien hipertensi di Puskesmas Sumaja Makmur Tahun 2026. Penelitian ini menggunakan desain quasi experimental dengan pendekatan pretest-posttest two group design. Sampel penelitian berjumlah 170 responden yang dibagi menjadi dua kelompok, yaitu 85 responden kelompok effleurage dan 85 responden kelompok petrissage menggunakan teknik purposive sampling. Pengukuran intensitas nyeri menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan adanya penurunan skala nyeri kepala setelah pemberian intervensi pada kedua kelompok. Teknik petrissage menunjukkan penurunan nyeri yang lebih besar dibandingkan teknik effleurage dengan nilai p-value <0,05. Disimpulkan bahwa terdapat perbedaan efektivitas teknik massage effleurage dan petrissage terhadap penurunan skala nyeri kepala pasien hipertensi, dimana teknik petrissage lebih efektif dibandingkan effleurage.
COMPARATIVE EFFECTIVENESS OF SEFT AND PMR ON SLEEP QUALITY AMONG PRE-ELDERLY PATIENTS WITH HYPERTENSION Sofiani; Yofa Anggriani Utama; Aris Citra Wisuda; Raden Surahmat; Citra Suraya; Risdayanti Raharjeng
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/5ddznh06

Abstract

Hypertension remains one of the major global public health problems and is frequently associated with sleep disturbances that negatively affect quality of life and cardiovascular health. Poor sleep quality among hypertensive patients is closely related to increased sympathetic nervous system activity, psychological stress, and impaired physiological relaxation mechanisms. Non-pharmacological interventions such as Spiritual Emotional Freedom Technique (SEFT) and Progressive Muscle Relaxation (PMR) have increasingly been used to improve relaxation and sleep quality among patients with hypertension. This study aimed to analyze the comparative effectiveness of SEFT and PMR interventions on sleep quality among pre-elderly patients with hypertension at Makarti Mulya Primary Health Center, Ogan Komering Ilir. This study employed a quasi-experimental design using a pretest–posttest two-group approach. A total of 56 respondents were selected using purposive sampling and divided into the SEFT group (n=28) and PMR group (n=28). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after intervention. Data were analyzed using Wilcoxon and Mann–Whitney tests with a significance level of p<0.05. The results demonstrated significant improvements in sleep quality in both groups. In the PMR group, good sleep quality increased from 35.7% to 71.4% (p=0.002), while in the SEFT group it increased from 25% to 78.6% (p=0.000). Mann–Whitney analysis showed no significant difference in effectiveness between SEFT and PMR interventions (p=0.541). In conclusion, both SEFT and PMR effectively improved sleep quality among pre-elderly patients with hypertension safely and non-pharmacologically
Edukasi Mengontrol Risiko Perilaku Kekerasan dengan Terapi Progressive Muscle Relaxation pada Penderita Resiko Perilaku Kekerasan Mareta Akhriansyah; Raden Surahmat; Amalia Amalia; Rinda Suciarti
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 1 (2026): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i1.1054

Abstract

Violent behavior often arises as a response to severe stress, anger, or unresolved environmental pressure, especially in patients with mental disorders that have a detrimental impact on themselves, others, and the environment. One form of non-pharmacological therapy that can be taught to clients in controlling violent behavior is using Progressive Muscle Relaxation (PMR) therapy. For this reason, the author is trying to provide a solution through community service activities in the form of the application of Progressive Muscle Relaxation (PMR) therapy to reduce angry behavior in RPK patients. The activity was carried out on Tuesday, November 9, 2024 with 30 RPK patients as participants at the Mitra Mulia Husada Foundation in Palembang. The results of the activity obtained an average pretest score of 3.8 and after the training, the average score was 10.7. This condition indicates that there is an increase in patient understanding in implementing Progressive Muscle Relaxation (PMR) therapy. Therefore, it is recommended that the Mitra Mulia Husada Foundation can apply this therapy to mental disorder patients who experience angry behavior because this therapy can be done without using special equipment and is easy to understand for patients and health workers
PENGARUH TERAPI SPIRITUAL WUDHU TERHADAP TANDA DAN GEJALA PADA PASIEN RISIKO PERILAKU KEKERASAN DI YAYASAN Fathiya Fakhiratinnisa; Mareta Akhriansyah; Raden Surahmat; Hili Aulianah; Rinda Suciarti; Widya Arisandy
Jurnal 'Aisyiyah Medika Vol 11, No 1 (2026): Februari 2026 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v11i1.1562

Abstract

Latar Belakang: Perubahan perilaku individu seperti mengancam, gaduh, tidak bisa diam, mondar-mandir, gelisah, intonasi suara keras, ekspresi tegang, bicara dengan semangat, agresif, nada suara tinggi, dan bergembira secara berlebihan adalah tanda dan gejala yang sering ditunjukkan oleh individu yang rentan terhadap perilaku kekerasan. Penanganan pasien resiko perilaku kekerasan dapat dilakukan dengan terapi spiritual wudhu yang merupakan salah satu bentuk tindakan terapi komplementer. Tujuan: Mengetahui pengaruh terapi spiritual wudhu terhadap tanda dan gejala pada pasien resiko perilaku kekerasan di Yayasan Mutiara Tanjung Enim. Metode: Desain ini penelitian pre-experimental dengan pendekatan one group pretest posttest group design dengan jumlah sampel sebanyak 17 responden diambil dengan teknik  purposive sampling sesuai kriteria inklusi dan eksklusi. Penelitian dilaksanan pada tanggal 23-25 Mei 2025 di Yayasan Mutiara Tanjung Enim. Hasil: Diperoleh nilai rerata tanda dan gejala resiko perilaku kekerasan responden sebelum diberikan terapi wudhu  sebesar 9,82 (sedang) dan sesudah diberikan terapi wudhu  sebesar 7,41 (ringan) dan menunjukkan ada perbedaan yang bermakna total skor tingkat tanda dan gejala sebelum dan sesudah dilakukan terapi spritual wudhu (p value = 0,000). Saran: Diharapkan terapi spiritual wudhu ini dapat diterapkan  sebagai solusi non farmakologi untuk menurunkan tanda dan gejala pada pasien resiko perilaku kekerasan. Kata Kunci: Resiko Perilaku Kekerasan, Tanda dan Gejala, Spiritual, Terapi Wudhu
PENGARUH PROGRESSIVE MUSCLE RELAXATIOAN TERHADAP PENURUNAN PERILAKU KEKERASAN PADA PASIEN RESIKO PERILAKU KEKERASAN Mareta Akhriansyah; Raden Surahmat; Nuriza Agustina; Amalia
Jurnal Kesehatan dan Pembangunan Vol 16 No 2 (2026): Jurnal Kesehatan dan Pembangunan
Publisher : LPPM STIKes Mitra Adiguna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52047/jkp.v16i2.223

Abstract

The risk of violent behavior includes behavior accompanied by destructive emotional responses that may result in both physical and psychological harm to others, oneself, and the environment. Management for patients at risk of violent behavior can be carried out through non-pharmacological interventions such as Progressive Muscle Relaxation (PMR). The purpose of this study was to determine the effect of PMR therapy on violent behavior in patients at risk of violent behavior at Yayasan Mitra Mulia. This study used a pre-experimental design with a one-group pretest-posttest approach. The sampling technique used in this study was purposive sampling, with a total sample of 37 respondents. The study measured anger behavior in people with mental disorders before PMR therapy was administered and then measured anger behavior again after the therapy was provided. The results showed that the median score for the ability to control anger behavior before therapy was 27.00 (poor), while the median score after therapy was 47.00 (good). Statistical analysis using the Wilcoxon test showed a difference in the total score of the ability to control anger behavior before and after PMR therapy (p-value = 0.000), indicating a significant effect. Based on the results of the study, it can be concluded that patients at risk of violent behavior who received anger behavior therapy experienced a reduction in violent behavior. It is expected that non-pharmacological treatment using PMR therapy can help reduce violent behavior in patients at risk of violent behavior.
Pengaruh Hidroterapi Sitz Bath terhadap Intensitas Nyeri Pascahemoroidektomi di Rumah Sakit Siloam Sriwijaya: Effect of Sitz Bath Hydrotherapy on Pain Intensity Following Hemorrhoidectomy at Siloam Sriwijaya Hospital Rezy Dwi Utari; Aris Citra Wisuda; Isrizal; Raden Surahmat; Citra Suraya; Risdayanti Raharjeng
Jurnal Keperawatan Bunda Delima Vol 8 No 8 (2026): EDISI AGUSTUS
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i8.520

Abstract

Pendahuluan: Nyeri pascahemoroidektomi merupakan salah satu komplikasi yang paling sering dialami pasien setelah tindakan pembedahan. Kondisi ini dapat membatasi mobilisasi, mengurangi kenyamanan, meningkatkan kebutuhan analgesik, serta memperlambat proses pemulihan. Terapi nonfarmakologis hidroterapi Sitz Bath merupakan salah satu intervensi yang berpotensi membantu mengurangi intensitas nyeri melalui efek relaksasi otot dan peningkatan sirkulasi darah pada area perianal. Penelitian ini bertujuan menilai efektivitas hidroterapi Sitz Bath sebagai intervensi nonfarmakologis dalam menurunkan intensitas nyeri pada pasien pascahemoroidektomi yang menjalani perawatan di Rumah Sakit Siloam Sriwijaya. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain pre-experimental one-group pretest–posttest. Sebanyak 68 responden dipilih menggunakan teknik total sampling. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah pemberian hidroterapi Sitz Bath. Analisis data dilakukan menggunakan uji Wilcoxon Signed-Rank Test setelah hasil uji normalitas menunjukkan bahwa data tidak berdistribusi normal.          Hasil: Median intensitas nyeri sebelum intervensi adalah 2,50 (SD = 0,652) dan menurun menjadi 1,00 (SD = 0,654) setelah intervensi. Hasil uji Wilcoxon Signed-Rank Test menunjukkan nilai Z = -7,345 dengan p-value = 0,001 (p < 0,05), yang mengindikasikan adanya penurunan intensitas nyeri yang signifikan setelah pemberian hidroterapi Sitz Bath. Kesimpulan: Hidroterapi Sitz Bath efektif dalam menurunkan intensitas nyeri pada pasien pascahemoroidektomi. Intervensi ini dapat dipertimbangkan sebagai terapi nonfarmakologis dalam praktik keperawatan untuk meningkatkan kenyamanan pasien, mengoptimalkan manajemen nyeri, dan mendukung proses pemulihan pascaoperasi.  
Co-Authors Abu Bakar Sidik Agustina, Nuriza Amalia Amalia Amalia Amalia Amalia Amalia Amalia Amalia Andika Sasmita Putra, Muhamad Anisa Febristi Aris Citra Wisuda Aris Citra Wisuda Ayu Devita Citra Dewi Ayu Devita Citra Dewi Bratha, Shinta Dewi Kasih Citra Suraya Citra Suraya Dedek Sartika Dian Emiliasari Emiliasari, Dian Fathiya Fakhiratinnisa Fembi, Pembronia Nona Fitri, Ainil Fitri, Ainil Hanik Rachmawati Helsy Desvitasari Hidayati, Nely Hili Aulianah Husin Husin, Husin Indah Juniarti Ismi Damayani Isrizal Khoeriyah, Salis Miftahul Mareta Akhriansyah Mareta Akhriansyah Mareta Akhriansyah Mareta Akhriansyah Mareta Akhriansyah Meilisa Dwiyanti Meta Nurbaiti Miming Oxyandi Muhamad Andika Sasmita Saputra Muhamad Andika Sasmita Saputra Muhamad Andika Sasmita Saputra Mujahidin Nanda Rizki Damayanti Neherta, Meri Nia Desriva Novitalia Novitalia Nurariati Nurariati Nurariati Nurariati Nuriza Agustina Nuriza Agustina Nuriza Agustina Nuriza Agustina Nurul Fitriah Oxyandi, MIming Oxyandi, Miming Oxyandi Putinah Putinah Putinah, Putinah Rezy Dwi Utari Rinda Suciarti Risdayanti Raharjeng Risdayanti Raharjeng Risdayanti Raharjeng Riskiana Riskiana Rizki Yulinda Rusmarita Salis Miftahul Khoeriyah Sasmita Saputra, Muhamad Andika Shenny Mutiara Sari Shinta Dewi Kasih Bratha Sofiani Sulardi . Sulardi Sulardi Suraya, Citra Tiur Romatua Sitohang Tri Indah Rizky Verawati Verawati Vianitati, Pasionista Widya Arisandy Widya Arisandy Wisuda, Aris Citra Yafi Sabila Rosyad Yofa Anggriani Utama Yofa Anggriani Utama Yohanes Andy Rias Yunita Liana Yunita Liana