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PENGARUH PENDEKATAN BERMAIN TERHADAP KEMAMPUAN INTERAKSI SOSIAL ANAK AUTIS Septyasih, Rossyana; Prastiwi, Swito; Setyono, Djoko
Jurnal Keperawatan Vol 5, No 1 (2014): Januari
Publisher : University of Muhammadiyah Malang

PENGARUH PENDEKATAN BERMAIN TERHADAP KEMAMPUAN INTERAKSI SOSIAL ANAK AUTIS (The Effect of Play Approach with Social Interaction Ability of Autism Children)Rossyana Septyasih1, Swito Prastiwi2, Djoko Setyono31,2 & 3Politeknik Kesehatan Kemenkes MalangJalan besar Ijen No.77C Malange-mail. 1)Â hermawan.rossyana@gmail.comABSTRAKAutisme merupakan kelainan genetik yang polimorfis. Adapun beberapa gangguannya adalah dalam bidang bicara, bahasa, komunikasi, interaksi social, sensoris, pola bermain, perilaku, serta emosi. Prevalensinya dari tahun ke tahun penderita autism mengalami peningkatan yang dratis. Telah dikaji pendekatan bermain secara personal mampu meningkatkan kemampuan interaksi social anak autis. Perlu dikaji pendekatan bermain menggunakan teman sebaya untuk meningkatkan kemampuan interaksi social. Penelitian menggunakan desain PreÂ eksperimen. Populasi semuaÂ Anak Autis yang berusia 2 tahun sampai 6 tahun di Pusat Terapi TerpaduÂ A Plus Malang, sampel diambil total sampling sejumlah 10 orang anak. Pengumpulan data dengan kuesioner dan observasi untuk mengkaji perilaku interaksi social anak autis, data yang terkumpul dianalisa dengan analisa deskriptif dan uji Rank Wilcoxon. Hasil penelitian didapatkan untuk hubungan timbale balik p value 0,045, alpha 0,05 berarti terdapat perbedaan hubungan timbale balik sebelum dan setelah dilakukan pendekatan bermain dan untuk kualitas hubungan p value 0,108. Alpha 0,05, berarti tidak terdapat perbedaan kualitas hubungan sebelum dan sesudah dilakukan pendekatan bermain. Total interaksi social anak autis sebelum dan setelah dilakukan pendekatan bermain p value 0,001 , Alpha 0,05 berarti pendekatan bermain berpengaruh terhadap kemampuan interaksi social anak autis. Penelitian menyarankan bagi lembagapendidikan autis untuk menggunakan pendekatan bermain sebagai metode mengembangkan kompetensi interaksi social anak autis dengan melibatkan keluarga dan teman sebaya. Kata Kunci: Pendekatan bermain, interaksi social, anak autis.ABSTRACTAutism is a genetic disorder that polymorphic. children with autism have some disturbances in the areas of speech, language, communication, social interaction, sensory, play patterns, behavior, and emotion. Prevalence from year to year with autism has increased dramatically. It has been studied in a personal approach to playing to increase social interaction skills of autistic children. Needs to be studied approach play using peers to improve social interaction. Research using Pre experimental designs. Population all Autistic Children aged 2 years to 6 years at the Center for Integrated Therapy A Plus Malang, total sample, sampling some 10 children. Data collection by questionnaire and observation to examine the behavior of social interaction of children with autism, collected data wereanalyzed with descriptive analysis and Wilcoxon Rank test. The results obtained for the interrelationships p value 0,045 < Alpha 0,05 means there is a reciprocal relationship before and after play andapproaches to relationship quality p value 0,108 > Alpha 0,05, meaning there is no difference in the quality of relationships before and after approach play. Total social interaction of children with autism before and after approach play p value 0,001 < Alpha 0,05 means approach to playing effect on social interaction skills of autistic childesn. Research suggests for autism sducation institutions to use the approach as a method to develop competencies play social interaction of children with autism by involving family and peers. Keywords: approach play, social interaction, children with autism,

Implementasi Kompres Hangat Dalam Menurunkan Intensitas Nyeri Pada Lansia Dengan Arthritis Gout (Study Kasus): IMPLEMENTATION OF WARM COMPRESSES TO REDUCE PAIN INTENSITY IN ELDERLY PEOPLE WITH GOUTY ARTHRITIS (CASE STUDY) Lestari, Palupi Dewi; prastiwi, swito; Septyasih, Rossyana
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4654

Gout arthritis causes many complaints, especially among the elderly, such as joint pain. Gout pain is caused by a buildup of uric acid crystals in the joints. It is hoped that non-pharmacological warm compress therapy can be an alternative in reducing joint pain in gout sufferers. This research uses a descriptive case study method with 2 research subjects on February 26 2024-March 10 2024. Data collection uses structured observation and interview techniques and is presented in the form of tables, graphs and narratives. The research results for subject 1 before applying a warm compress showed pain intensity on a scale of 6 (much more grimacing) and subject 2 obtained a scale of 6 (much more grinning). Meanwhile, after applying a warm compress to subject 2, the result was scale 2 (flat face) and subject 2 received scale 4 (slightly grinning). Recommendations for further research include choosing a different gender of research subjects so that the differences in pain intensity felt between men and women can be known and giving warm compresses for longer periods so that the results of the development of research subjects' pain intensity are maximized.

GAMBARAN KUALITAS TIDUR PADA USIA REMAJA AWAL DENGAN KECANDUAN SMARTPHONE DI DESA KLUWUT KECAMATAN WONOSARI KABUPATEN MALANG: Gambaran Kualitas Tidur Pada Usia Remaja Awal Dengan Kecanduan Smartphone Di Desa Kluwut Kecamatan Wonosari Kabupaten Malang Dewi, Niken Ismia; Prastiwi, Swito
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4301

Technology, information, and communication are developing very rapidly. One of the evidence that is often encountered everyday is the smartphone. Smartphones are very helpful to human activities, but also have negative effects if the user is not wise when using them. The purpose of this study is to determine the sleep quality of early age adolescents (12–15 years old) who experience smartphone addiction in Kluwut Village, Wonosari District, Malang Regency. This research uses descriptive method of case study. The study subjects were 2 teenagers, namely An. K as the first subject and An. N as the second subject. The data was taken by interview and filling out the Smartphone Addiction Scale (SAS) questionnaire to determine the level of addiction to smartphones and the Pittsburgh Sleep Quality Index (PSQI) to determine the quality of sleep. The results of this study showed that the first subjects (An. K) who experienced a high addiction to smartphones and the second subject (An. N) those who experience moderate addiction to smartphones tend to have low sleep quality with a total score >5. The conclusion of this study is that excessive smartphone use is proven to affect sleep quality in terms of lifestyle factors and habits. The next researcher is expected to examine more deeply about other factors that affect sleep quality, including fatigue, nutrition and food, and the environment.

Terapi Aktivitas Senam Ergonomis Untuk Meningkatkan Kemampuan Fungsional Lansia Di Panti Werda Griya Asih Lawang Kabupaten Malang Prastiwi, Swito; Wahyuningtyas, Ardina Eka
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4279

Various kinds of problems that are often experienced by the elderly such as impaired gross motor and fine motor movements, decreased musculoskeletal function, decreased functional ability and behavior of the elderly towards daily activities. One of the actions to overcome the decline in functional ability is ergonomic exercise activity therapy. This study aims to determine the functional ability of the elderly after ergonomic exercise activity therapy. This case study method is descriptive which is done by interviewing and observing 2 elderly subjects. The research was conducted at the Griya Asih Lawang Nursing Home on 13-25 February 2023, using measurements of the Barthel index, family Apgar, mini mental state examination, and the geriatrics depression scale. The results of the study on 2 subjects after doing ergonomic exercise activity therapy functional abilities increased in physical, social, mental, and emotional aspects. Conclusion Ergonomic exercise activity therapy is effective for improving the functional abilities of the elderly. It is hoped that the subject will carry out regular ergonomic exercise activity therapy at least 3 times a week and for further researchers be able to develop research on ergonomic exercise activity therapy on the functional abilities of the elderly and on the assessment of mental aspects can be deepened by combining other therapies such as Brain Gym.

Effectiveness of Brainwave Music Therapy in Hypertensive Elderly with Sleep Disorders Wahyuni, Eko Sari; Septyasih, Rossyana; Prastiwi, Swito; Abiddin, Andi Hayyun
Health Gate Vol 2, No 4 (2024): October 2024
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg2402

Elderly people who experience sleep disorders are at risk of various health problems, including hypertension. To treat insomnia comprehensively, an approach that not only relies on medication is needed, but also complementary therapies, one of which is brainwave music therapy. This music therapy can stimulate the brain to follow the vibrations and rhythms of music when individuals are in a resting state, so as to bring them into a relaxed state and make it easier to fall asleep. This study aims to analyse the effect of brainwave music therapy on the level of insomnia in elderly hypertension. The research design used a descriptive case study approach involving two hypertensive elderly subjects who experienced sleep disorders. Music therapy was performed six times with a duration of 10-15 minutes. Data were collected through insomnia scale and observation. The results showed a decrease in the level of insomnia in both subjects after undergoing brainwave music therapy. Subjects who initially experienced severe insomnia decreased to mild insomnia. This indicates that brainwave music therapy has the potential to be an effective non-pharmacological intervention in reducing insomnia symptoms in hypertensive elderly

IMPLEMENTATION OF BALANCE EXERCISE FOR THE ELDERLY AT RISK OF FALLING IN THE MULYOREJO HEALTH CENTER WORKING AREA: CASE STUDY Irmawan, Aurel Fendi; Prastiwi, Swito; Widiani, Esti
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.5140

Lansia kerap dikaitkan dengan penurunan pada fungsi fisik dan kognitif tubuh manusia. Akibatnya lansia mengalami penurunan keseimbangan tubuh yang dapat menimbulkan insiden jatuh dan mengakibatkan kejadian cedera pada lansia. Untuk mencegah hal tersebut terdapat beberapa metode yang dapat dilakukan salah satunya yaitu latihan keseimbangan atau balance exercise. Metode penelitian ini menggunakan deskriptif dengan pendekatan studi kasus. Penelitian ini melibatkan dua orang subjek penelitian yang telah dilakukan pada tanggal 25 januari-21 Februari 2023. Penelitian ini dilakukan dengan berfokus pada kegiatan observasi hasil penerapan balance exercise selama 3 minggu dengan masing masing minggu 3 kali latihan selama 15 menit. Data disajikan dalam bentuk tulisan, uraian kalimat, atau narasi, serta beberapa data disajikan dalam bentuk tabel dan grafik. Hasil penelitian ini didapatkan kedua subjek dilakukan pengitungan risiko jatuh sebelum dan sesudah diberikan memperoleh hasil tetap yaitu (40). namun pada penghitungan penilaian keseimbangan mengalami peningkatan, subjek 1 meningkat dari skor (42) menjadi (53) dan pada subjek 2 meningkat dari skor (47) menjadi (53). Kesimpulan kedua subjek mengalami penurunan risiko jatuh dapat dilihat dari peningkatan keseimbangan. Hal ini menunjukkan bahwa balance exercise mampu meningkatkan keseimbangan pada lansia sehingga risiko jatuh pada lansia dapat menurun.

The Relationship of Body Mass Index With The Risk of Diabetes Mellitus In Adolescent High School In The Malang City Widodo, Dyah; Prastiwi, Swito; Kasiati, Kasiati
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Vol 7 No 01 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.5164

Diabetes mellitus is a disease caused by a hormonal disorder that affects insulin 5.7% of the total population of Indonesia, including teenagers. Is a big challenge for the health sector to do the step in anticipation of the complexity of health problems caused by diabetes mellitus in Indonesia. This study aims to analyze the relationship of body mass index with risk of diabetes mellitus in adolescent high school in the city of Malang. This research is correlational research design, sampled in this study is partly a teenage high school class in Malang, city area drawn at random sampling with a large sample of 375 respondents. Research conducted at the high school SMU Negeri 6 and SMU Negeri 9 in the city of Malang, in May-August 2021. Data collection techniques using questionnaires and measurement of body mass index. Data analysis is descriptive and analytic Spearman Rho correlation with alpha 0.05 using computer. The results showed that there is a BMI (body mass index) related to findrisk of diabetes mellitus in adolescent high school in Malang with 0,000 p-values ??<? 0.05. Recommended for teens to pay attention to awake the ideal body weight, so avoid the risk of diabetes mellitus.

The Relationship of Waist Circumference And The Risk Of Diabetes Mellitus In High School Adolescents In Malang City Widodo, Dyah; Prastiwi, Swito; Kasiati, Kasiati
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Vol 7 No 01 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.5165

Diabetes mellitus is a disease caused by a hormonal disorder that affects insulin 5.7% of the total population of Indonesia, including teenagers. Is a big challenge for the health sector to do the step in anticipation of the complexity of health problems caused by diabetes mellitus in Indonesia. This study aims to analyze the relationship between waist circumference with risk of diabetes mellitus in adolescent high school in the city of Malang. This research is correlational research design, sampled in this study is partly a teenage high school class in Malang, city area drawn at random sampling with a large sample of 375 respondents. Research conducted at the high school SMU Negeri 6 and SMU Negeri 9 in the city of Malang, in May-August 2021. Data collection techniques using questionnaires and measurement. Data analysis is descriptive and analytic Spearman Rho correlation with alpha 0.05 using computer. The results showed that there is waist circumference (central obesity) related to findrisk of diabetes mellitus in adolescent high school in Malang with 0,000 p-values ??< ? 0.05. Recommended for teens to pay attention to healthy eating and balanced, in order to awake the waist circumference are normal, so avoid the risk of diabetes mellitus.

Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) untuk Anak-Anak Siswa KB – TK Noor Fadjar Kota Malang Sari Wahyuni, Eko; Wulandari, Eka; Prastiwi, Swito
Jurnal Pengabdian Meambo Vol. 4 No. 1 (2025): Jurnal Pengabdian Kepada Masyarakat MEAMBO
Publisher : PROMISE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56742/jpm.v4i1.113

Kesehatan anak usia dini merupakan fondasi penting bagi tercapainya generasi masa depan yang berkualitas. Perilaku Hidup Bersih dan Sehat (PHBS) yang ditanamkan sejak usia dini berperan besar dalam mencegah penyakit dan meningkatkan kualitas hidup anak. Kegiatan pengabdian masyarakat ini dilaksanakan di KB–TK Noor Fadjar Kota Malang dengan tujuan meningkatkan pengetahuan dan keterampilan anak dalam menerapkan PHBS, khususnya praktik mencuci tangan yang benar. Metode kegiatan bersifat edukatif dan partisipatif melalui penyampaian materi, pemutaran video edukatif, demonstrasi mencuci tangan, serta permainan interaktif. Sebanyak 40 siswa KB–TK beserta orang tua dan guru terlibat aktif dalam kegiatan ini. Hasil kegiatan menunjukkan peningkatan pemahaman dan antusiasme anak-anak terhadap pentingnya menjaga kebersihan diri, yang ditunjukkan melalui kemampuan mereka mempraktikkan cara mencuci tangan dengan benar. Selain anak-anak, orang tua dan guru juga menunjukkan keterlibatan yang positif, yang turut mendukung pembentukan kebiasaan hidup sehat di lingkungan rumah dan sekolah. Pendekatan yang menyenangkan dan sesuai dengan tahap perkembangan anak terbukti efektif dalam menyampaikan pesan kesehatan. Kegiatan ini memberikan dampak edukatif yang luas dan diharapkan dapat berkontribusi terhadap peningkatan kesadaran masyarakat akan pentingnya PHBS sebagai bagian dari upaya preventif sejak usia dini. Rekomendasi dari kegiatan ini adalah perlunya keberlanjutan program edukasi PHBS secara kolaboratif antara sekolah, keluarga, dan tenaga kesehatan.

Education of Breast Milk Complementary Food Provides Knowledge and Skills for Mothers Septyasih, Rossyana; Prastiwi, Swito; Wahyuni, Eko Sari
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5475

Malnutrition that occurs in infants can be fatal, which can inhibit growth and development and can even occur in the long term. The age period of 6-24 months in children is the golden period for complementary feeding, because this is the critical phase for providing interventions related to child nutrition. Mothers' ability to provide complementary feeding is very important to prevent nutritional problems in children. This study aims to determine the ability of mothers to provide complementary food after being given education. This study used a descriptive case study method conducted on two mothers who acted as research subjects. Data collection in the study was carried out through interviews, questionnaires, and observations, namely before and after being given education. The results of this study showed that before education, the ability of the two research subjects was still lacking in aspects of knowledge, attitudes and actions related to complementary feeding. After being given education, there was a significant increase in all three aspects. The conclusion that can be drawn from the study is that education is proven to be effective in improving mothers' ability to provide complementary foods. Subjects are expected to consistently apply the knowledge that has been obtained related to complementary feeding properly and correctly. Future research is expected to develop a more in-depth observation method to examine mothers' ability to provide complementary foods, including the process of preparing, making, serving, and feeding complementary foods.

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