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GAMBARAN KECEMASAN KELUARGA DALAM MERAWAT PASIEN DENGAN GANGGUAN JIWA Iklima, Nurul; Irawan, Erna; Mawaddah, Rizka Aulia; Budiyanti, Yanti; Saputra, Anggi
Jurnal Keperawatan BSI Vol. 11 No. 2 (2023): Jurnal Keperawatan BSI
Publisher : LPPM Universitas Adhirajasa Reswara Sanjaya

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Abstract

Gangguan jiwa pada saat ini mengalami peningkatan yang sangat signifikan, dan setiap tahun di berbagai belahan dunia jumlah penderita gangguan jiwa bertambah. Keadaan pasien gangguan jiwa menyebakan anggota keluarga pasien yang sedang merawat mengalami tekanan psikologis, Salah satunnya yaitu kecemasan. Kecemasan pada keluarga yang merawat pasien odgj dapat menjadi sumber masalah klinis jika sudah sampai tingkat ketegangan yang sedemikian rupa sehingga mempengaruhi kemampuan berfungsinya seseorang dalam kehidupan sehari-hari. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan keluarga dalam merawat pasien gangguan jiwa di wilayah kerja Puskesmas Babakansari. Desain penelitian ini adalah deskriptif kuantitatif. Populasi penelitian ini adalah keluarga yang sedang merawat pasien gangguan jiwa berat dengan jumlah 130 orang, dan jumlah sampel dalam penelitian ini yaitu 50 responden. proses pengambilan sampel penelitian ini menggunakan Teknik Non-probability purposive sampling. Hasil penelitian ini sebagian besar memiliki tingkat kecemasan ringan dengan jumlah 21 (42.0%) responden, 22 (44.0%) responden memiliki kecemasan sedang, dan 7 (14.0%) memiliki kecemasan berat. Sehingga perlu disarankan kepada keluarga untuk meningkatkan pengetahuan dan keterampilan keluarga dalam merawat pasien gangguan jiwa di rumah.
GAMBARAN KEPATUHAN MINUM OBAT PADA PASIEN HALUSINASI DI PUSKESMAS CIGADUNG BANDUNG Irawan, Erna; Suwignjo, Purwo; Tania, Mery; Khasanah, Umi; Sundayanti, Susi
Jurnal Keperawatan BSI Vol. 12 No. 1 (2024): Jurnal Keperawatan BSI
Publisher : LPPM Universitas Adhirajasa Reswara Sanjaya

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Abstract

Halusinasi merupakan gangguan kejiwaan dan kondisi medis yang dapat mempengaruhi fungsi otak manusia, mempengaruhi emosional, tingkah laku dan dapat mempengaruhi fungsi normal kognitif. Kepatuhan minum obat merupakan hal yang penting untuk dilakukan. Ketidakpatuhan terhadap pengobatan merupakan masalah yang sering dialami pada pasien gangguan halusinasi. Angka proporsi pengobatan dengan anggota rumah tangga gangguan jiwa halusinasi yang rutin berobat selama 1 bulan terakhir yaitu sebesar 48,9% dan untuk yang tidak rutin minum obat sebesar 51,1% pada pasien halusinasi. Tujuan dari penelitian ini adalah menganalisis “Gambaran Kepatuhan Minum Obat Pada Pasien Halusinasi di Puskesmas Cigadung Bandung. Jenis penelitian deskriptif kuantitatif. Sampel penelian dalam penelitian ini berjumlah 45 orang. Teknik sampling yang digunakan adalah teknik total sampling. Pengumpulan data menggunakan kusioner kepatuhan minum obat MMAS-8 (Medication Morisky Adherence Scale 8). Hasil penelitian menunjukan gambaran kepatuhan minum obat pada pasien halusinasi di Puskesmas Cigadung rendah dengan jumlah responden sebanyak 45 orang. Hampir seluruhnya klien halusinasi memiliki kepatuhan minum obat yang rendah (66,67 %). Penelitian ini hanya mengidentifikasi gambaran kepatuhan minum obat pada pasien halusinasi di Wilayah Kerja Puskesmas Cigadung. Evaluasi yang berkelanjutan sangat diperlukan dalam memperbesar peluang klien untuk disiplin minum obat serta dapat mengontrol halusinasinya.
The Effect of Tera Gymnastics to Decrease Blood Pressure in Elderly Hypertension in UPT Babakan Sari Community Health Center Irawan, Erna; Maidartati, Maidartati; Iklima, Nurul; Tania, Mery; Yulia, Yulia
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 2 (2024): Volume 10, Nomor 2, Desember 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i2.75308

Abstract

Introduction: Hypertension is one of the leading causes of premature death worldwide. Hypertension is defined as a persistent increase in blood pressure, where systolic pressure exceeds 140 mmHg and diastolic pressure exceeds 90 mmHg. One of the therapies that can be used to lower blood pressure is Tera gymnastics, which is specifically designed for the elderly and individuals with hypertension. This therapy involves regular, structured, and planned movements that are slower and more harmonious compared to other types of gymnastics, reducing the risk of injury and promoting overall fitness in the elderly. The purpose of this study was to examine the effect of Tera gymnastics on reducing blood pressure in elderly individuals with hypertension. Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. The sampling technique employed was purposive sampling, involving 17 respondents from the Babakan Sari Community Health Center, RW 09. Instruments used in this study included a digital sphygmomanometer, a stethoscope, and observation sheets. Results: The results of the t-test analysis showed a significant effect of Tera gymnastics on blood pressure reduction, with a p-value of 0.000 ( 0.05) for both systolic and diastolic pressures. The average blood pressure before the intervention was 140/179 mmHg, while the average blood pressure after the intervention was 132/157 mmHg. The movements in Tera gymnastics improve blood circulation, making it a suitable alternative therapy for individuals with hypertension. Conclusion: Tera gymnastics has a significant influence on reducing blood pressure in elderly individuals with hypertension at UPT Babakan Sari RW 09, Bandung City. It is suggested that community health cadres continue implementing Tera gymnastics as an alternative treatment for hypertension. Additionally, it is recommended to perform Tera gymnastics three times a week to maintain blood pressure stability in elderly individuals with hypertension.
The Effect of Ergonomic Exercise on Reducing Blood Pressure in Hypertensive Elderly at Ciparay Panti Sosial Tresna Werdha Ciparay Irawan, Erna; Maidartati, Maidartati
Jurnal Pendidikan Keperawatan Indonesia Vol 9, No 1 (2023): Volume 9, Nomor 1, Juni 2023
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v9i1.61105

Abstract

Hypertension is a condition when blood pressure is at 140/90 mmHg or more. Every year people with hypertension continue increased, it is estimated that in 2025 as many as 1.5 billion people suffer from hypertension... One way to reduce blood pressure is to do ergonomic exercises. The purpose of this study is to find out ergonomic exercises for decreasing blood pressure on elderly hypertension at Ciparay Elderly Social Rehabilitation Institution. This research used quasi Experiment design by designing a pre and post test group. The population of this study was hypertensive elderly totaling 70 people, The sampling technique uses non probability sampling with the technique purposive sampling, its about 23 respondent. Data collection using questionnaires, observation sheets, and digital sphygmomanometer. The number of respondents was 23 respondents, ergonomic exercises done 3 times repeatedly - according to 3 weeks. Pressure measurement blood is done before gymnastics (pre test) and after 30 minutes after gymnastics (post test). Statistical test results show the average systole pressure before gymnastics is equaldari to160.15 mmHg to and the remaining gymnastics 140.05 mmHg, a decrease of 20.1 mmHg. Diastolic pressure before gymnastics isfrom 96.28 mmHg and as is gymnastics to 86.11 mmHg, a decrease of 10.17 mmHg. Data analysis using Paired Sample T-Test related to ergonomic exercises for impairment blood pressure in hypertensive elderly with systole pressure p value = 0,000 and diastolic pressure p = 0,000.The conclusion Can be accessed the effect of ergonomic exercises on reducing blood pressure in elderly hypertension. The results of ergonomic exercise intervention can be used as a therapy in pressure reduction blood and it is expected that the elderly are routinely approved for ergonomic exercises.