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Efektifitas Cognitive Behavioral Stress Management (Cbsm) Terhadap Penurunan Kadar Kortisol Pada Pasien Kusta: Literature Review Galih Noor Alivian; Koernia Nanda Pratama
Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Latar Belakang. Pada tahun 1984, Ramanathan melaporkan 55% pada pasien kusta mengalami psychiatric disorders. Chaterjee et al (1989) menemukan 64,7% pasien kusta mengalami psychiatric disorders. Leekassa et al (2004) melakukan studi pada pasien kusta di rumah sakit khusus kusta di Ethiopia dan menemukan 52,4% pasien mengalami gangguan psikiatri. Gangguan psikiatri pada pasien kusta yang sering terjadi yaitu berupa depresi serta kecemasan (shale MJ, 2000), dan di Indonesia dukungan psikososial pada penderita kusta belum banyak dilakukan di fasilitas kesehatan. Stressor yang dialami pasien kusta berupa malu, menarik diri dengan bersembunyi di dalam rumah serta keluarga dan masyarakat yang menganggap jijik terhadap kondisi yang dialami oleh klien (Susanto, 2010). Cognitive Behavioral Stress Management (CBSM) telah digunakan secara luas serta terbukti efektif untuk mengelola stress pada pasien HIV, kanker payudara, kelelahan kronik, penyakit kardiovaskuler, dan kanker prostat (Penedo FJ, Antoni MH, schneiderman N, 2006).Tujuan. Menggambarkan pengaruh Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan reaksi kusta.Metode. Sumber artikel yang digunakan didapat dari pencarian melalui Google Scholar, Doaj, Ebscho, dan Pro Quest mulai tahun 2000 sampai dengan 2013. Setelah didapatkan, kemudian dilakukan penilaian artikel sampai tahap pembuatan literature review.Hasil. Review ini menghasilkan efektivitas dari Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan stress.Kesimpulan. Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol ternyata berpengaruh pada pasien dengan stress terhadap kondisi penyakitnya.

Hubungan Tingkat Pendidikan dan Pengetahuan Dengan Sikap Ibu Terhadap Skrining Hipotiriod Kongenital (SHK) Di BKMIA Kartini Purwokerto Gus Deriyatno; Made Sumarwati; Galih Noor Alivian
Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background: The number of SHK is only a small number, there are probably factors that influence it. It is important to conduct research which can become the basic data for further research. Objective: To determine the relationship between education level and knowledge with maternal attitudes toward congenital hypothyroid screening. Methodology: This study used a cross sectional design method approach. The sampling technique was purposive sampling amounted to 46 respondents. The statistical test used Somers'D correlative. Results: Based on the characteristics, the majority of respondents had an elementary / junior high school level of 45.6% (21 people), medium knowledge was 45.6 (21 people) and had a sufficient attitude of 6.96% (32 people). The correlative test results of the relationship between the level of education and maternal attitudes towards SHK was obtained r=0,287 and p=0.057, the relationship between knowledge and maternal attitudes toward SHK resulted r=0,400 and p=0.005. Conclusion: The level of education is not related with maternal attitudes towards SHK but knowledge has a positive correlation with the mother's attitude towards SHK.

Analisis Faktor Dalam Pemanfaatan Layanan Voluntery Counseling And Testing (VCT) Pada Pelanggan Wanita Pekerja Seks (WPS) Di Lokalisasi Lorong Indah Kabupaten Pati Aditya Wicaksono; Atyanti Isworo; Galih Noor Alivian
Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background: The key population groups, female sex worker (FSW) customers, are still low in utilizing voluntary counseling and testing (VCT) services. This study aims to determine the factors that influence FSW customer behavior in utilizing VCT services.Methodology: This study used a cross sectional design. The samples were 95 FSW customers with accidental sampling technique. The instrument of this study used a questionnaire. The analytical methods were univariate analysis and bivariate analysis using Chi Square.Research Results: The results of this study indicate that the majority of respondents aged 36-45 years have education with a senior high school / university level and most work as entrepreneurs. There was a significant relationship between self-fear factor and the use of VCT with a p-value of 0.016 and other people's support factors with the use of VCT services with p-value 0.001. However, there was no significant relationship between the knowledge factor and the use of VCT services with p-value 0.052.Conclusion: There are a significant relationship between the factors of self-fear and the support of others with the use of VCT services.

Efektifitas Terapi Akkupuntur Terhadap Keberhasilan Rehabiltasi Pasien Pasca Stroke: Literature Review Koernia Nanda Pratama; Galih Noor Alivian
Journal of Bionursing Vol 1 No 2 (2019): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Introduction. Stroke is a sortie that occurs in the brain that involves blood vessels in the brain (blockage or cracked) and finally manifests in a various of symptoms (starting from paralysis, interference of swallowing and speaking, etc.). This disease is differentiated into ischemic-infarct strokes and hemorrhagic strokes. In Indonesia, this disease has increased from 7% to 10.9%. It indicates that stroke is a disease that is quite dangerous and needs an appropriate handling or rehabilitation.Objective. This study aims to collect and analyze articles relating to the effectiveness of acupuncture therapy as a stroke management.Method. Search for journal articles is done electronically by using several databases, namely DOAJ, PubMed and Google Scholar with the keywords "Acupunture for post stroke" for international journals, whereas for national journals using the Google Scholar search engine with the keyword "Acupuncture therapy in post-stroke patients", the journal sought is an intervention journal with PICO frame work criteria (Patient, Intervention, Comparison, Outcome). From the results of the review there were 5 journals that were relevant to the topic. The journal consists of 3 international journals and 2 national journals, the next step is to review the five journals.Results. Acupuncture therapy is effective for improving post-stroke rehabilitation. This therapy is giving a puncture to Meridian Yang Ming to facilitate the flow of the Ci-Meridian. In this meridian there is a complicated connection system called acupoints (acupuncture points) that binds or relates to various functions of the body and organs. In stroke patients, due to some nerve pathways have been closed it is difficult to maintain the opened circulation. With stimulation of acupuncture at some acupuncture points, it opens the blood vessels and improves the blood flow. Based on the results obtained from the research, acupuncture is quite effective in handling the rehabilitation of stroke patients. In order to feel the results optimally, stroke patients are recommended not only to do the acupuncture therapy. But also the other therapeutic activities.Discussion. The results of this test provide a general picture in the intervention group, that acupuncture therapy interventions can open up blood vessels so that the various effects or complications of stroke disease can be decreased.Conclusion. Acupuncture thrapy is effective for the successful rehabilitation of post-stroke patients..

Implementation Of Pursed Lip Breathing And Semi Fowler Position in COPD Patients Which Get Nebulizer in IGD: A Literature Review Ariefkhoerulummah Nurgiyanta; Galih Noor Alivian
Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background: Chronic obstruction of pulmonary disease (COPD) is a pulmonary disease caused by the blockage of the air flow channel that occurs much in Indonesia due to the high exposure to the risk factors causing COPD such as the habit of smoking and unhealthy environment. The obstruction of the respiratory tract that occurs in COPD patients is usually characterized by shortness of breath. Various ways can be done to overcome shortness of breath is with pharmacological therapy in the form of nebulizer therapy. One of the effective non-pharmacological therapies to reduce shortness of breath with pursed lip breathing therapy and the giving of semi Fowler position. Objectives: Identify the research articles that display the results of analysis of the introduction of pursed lip breathing and the provision of semi Fowler in COPD patients who get therapy nebulizer in IGD space Research Method: The search for articles is done electronically using a Sience Direct, NCBI and Google Scholar databases. The search for the article used is the last 5 years. Keyword in search "pursed lip breathing, position semi-Fowler and chronic obstructive pulmonary disease" so obtained 5 research articles in review. Results: The feeding of pursed lip breathing and the giving of semi Fowler can effectively lower the shortness of breath in COPD patients. Step in the intervention of this combination by encouraging the patient to inhale the breath from the nose and the patient bent forward 30 to 40 degrees with the head lifted 16 to 18 degrees breathed slowly through the lips as much as 7 counts later afterwards the patient positions the Head 45 Conclusion: The feeding of pursed lip breathing and the giving of semi Fowler is proven to decrease the shortness of breath in COPD patients Keyword: pursed lip breathing, position semi-fowler dan chronic obstructive pulmonary disease

Efektivitas Pembelajaran Mandiri Audiovisual dan Booklet Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan dan Keterampilan Perawat di RSUD Wonosari Endang Kusuma Wardani; Arif Setyo Upoyo; Galih Noor Alivian
Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Background: Basic Life Support (BLS) is the key in handling heart failure events. The results of many studies mentioned the decrease in the ability of BLS both aspects of knowledge and skills. That is why the efforts to maintain such knowledge and skills are needed. The purpose of this study is to identify the effectiveness of audiovisual and BLS booklets independent learning on the nurses’ knowledge and skills at Wonosari RSUD. Method: This research used a quasy experimental design with a pre-posttest with a comparison of two groups approach with 42 respondents, consisting of audio visual groups and booklets groups. The sampling technique used is simple random sampling. The research instrument was in the form of questionnaires and observation sheets. The bivariate statistical test used the Wilcoxon and Mann-Whitney test. Result: The results of the research test with the bivariate test after the intervention on knowledge and skills were obtained in the audio-visual group of significance (p <0.001) and in the booklet group (p <0.001). The test results of differences in knowledge and skills between the two groups after the intervention obtained the results of the significance of knowledge (p = 0.816) and skills (p = 0.112). It means that there is no difference between the audio visual group and the booklet. Conclusion: Audiovisuals and booklets are equally effective in increasing BLS knowledge and skills. Key words: audiovisual, booklet, BLS, knowledge, skill.

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