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Penerapan Terapi Kognitif Terhadap Kondisi Harga Diri Rendah Pada Pasien Gagal Ginjal Kronik Di RSUD Kabupaten Temanggung Alivia Rustiani; Suharsono; Erna erawati
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1397

Abstract

Patients who have experienced chronic kidney failure will have changes from various aspects, both from physical, psychological, role and financial conditions so that they are at risk of experiencing a decrease in self-esteem or low self-esteem. To reduce the condition of low self-esteem experienced by patients with chronic kidney failure, it is necessary to provide non-pharmacological nursing interventions using cognitive therapy, so that patients are able to recognize aspects of positive assessment that exist in themselves so that they are able to think positively and increase self-esteem. The purpose of this final paper is to describe the application of cognitive therapy in patients who have psychosocial problems with low self-esteem. The method used is a case study. Three patients were given cognitive therapy nursing actions. The results of the application of cognitive therapy nursing interventions showed an increase in RSES scores and patient self-esteem. Based on the results of the application, it can be concluded that cognitive therapy can be performed on patients with chronic kidney failure who have low self-esteem problems.   Pasien yang sudah mengalami gagal ginjal kronik akan memiliki perubahan dari berbagai macam aspek, baik dari keadaan fisik, psikologis, peran maupun finansial sehingga beresiko mengalami penurunan harga diri atau harga diri rendah. Untuk mengurangi kondisi harga diri rendah yang dialami oleh penderita gagal ginjal kronik perlu diberikan intervensi keperawatan non farmakologis dengan menggunakan terapi kognitif, agar pasien mampu mengenali aspek penilaian positif yang ada pada dirinya sehingga mampu berpikir secara positif serta meningkatkan harga diri. Tujuan Karya Ilmiah Akhir ini untuk menggambarkan penerapan terapi kognitif pada pasien yang mempunyai masalah psikososial harga diri rendah. Metode yang dipakai adalah studi kasus. Pada 3 pasien diberikan tindakan keperawatan terapi kognitif. Hasil penerapan intervensi keperawatan terapi kognitif menunjukkan ada peningkatan skor RSES dan harga diri pasien. Berdasarkan hasil penerapan tersebut maka dapat disimpulkan bahwa terapi kognitif dapat dilakukan pada pasien gagal ginjal kronik yang memiliki masalah harga diri rendah.
Effectiveness of kojame (red ginger compress) on chest pain and anxiety in patients with acute coronary syndrome Saputri, Niken Anggraini Sri; Ta'adi, Ta'adi; Suharsono, Suharsono
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.84-92

Abstract

Acute coronary syndrome can cause chest pain with a heavy quality, radiating to the left arm, neck, jaw and back. Uncontrolled chest pain will cause physiological and psychological problems in the form of anxiety, and abnormal heartbeat. This problem can be treated with non-pharmacological intervention in the form of a red ginger compress which can increase capillary permeability, histamine release and vasodilation, thereby relaxing muscle and nerve tissue in acute coronary syndrome patients. The research aims to explain the effectiveness of giving kojame (compressing red ginger) to chest pain and anxiety in patients with acute coronary syndrome. The research design uses a Quasi Experiment study with Pre-Post Test with Control Group Design. The sample size was 57 respondents with each group consisting of 19 respondents, using a consecutive sampling technique. The intervention for each group was given 4 times for 20-30 minutes in 2 days. Analysis of this research data used the Wilcoxon test and Mann-Whitney test (ρ<0.05). Shows from the two groups the kojame intervention (red ginger compresses) is more influenced by a decrease in chest pain and anxiety with a value of ρ-value 0.008. Kojame intervention (red ginger compress) is more effective in reducing chest pain and anxiety in patients with acute coronary syndrome.
Hubungan Dukungan Keluarga dan Dukungan Tenaga Kesehatan terhadap Self Care Behavior melalui Self Efficacy pada Pasien Gagal Jantung Rohananingsih, Rohananingsih; Suharsono, Suharsono; Rondhianto, Rondhianto
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Supp Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1903

Abstract

Heart failure atau gagal jantung merupakan masalah kesehatan global yang terjadi hingga saat ini. Kematian akibat heart failure mencapai 17% di seluruh dunia sehingga heart failure menjadi penyebab kematian terbesar.Tujuan:melakukan analisis hubungan dukungan keluarga, dukungan tenaga kesehatan, self efficacy terhadap self care behavior behavior dan analisis mediasi self efficacy dukungan keluarga dan dukungan tenaga kesehatan terhadap self care behavior behavior. Observasional analitik dengan desain cross sectional. Populasi penelitian adalah pasien yang menderita heart failure. Besaran sampel penelitian adalah 120 responden menggunakan teknik purposive sampling. Analisis data menggunakan analisis jalur dengan SEM-PLs menggunakan software SmartPls. Hasil: Sebagian besar responden berusia  56 – 65 tahun (39%), didominasi oleh jenis kelamin perempuan (59%),    tingkat pendidikan SD (39%), keparahan penyakit pada Grade 1 (51%).  Model yang disusun telah fit dengan prediksi relefansi yang baik (NFI = 0.481; Q2 = 0.081). Dukungan keluarga tidak berpengaruh terhadap self care behavior  behavior (t = 1.598<1.96; p = 0.110>005), dukungan tenaga kesehatan tidak berpengaruh terhadap self care behavior (t=0.470; p=0.638), self efficacy tidak mampu memediasi dukungan keluarga dan dukungan tenaga kesehatan untuk berperilaku self care behavior terhadap pasien heart failure (t = 0.385;1.311; p = 0.700;0.190). Kesimpulan: Peningkatan self efficacy mampu meningkatkan self care behavior behavior pada pasien heart failure
Efektivitas Terapi Kognitif Perilaku dalam Mengelola Stres pada Pasien Penyakit Tidak Menular di Puskesmas Candimulyo suharsono suharsono; Adi Isworo; Novema Anshar
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.1068

Abstract

This community service aims to address the high stress levels in patients with Non-Communicable Diseases (NCDs), which can worsen health conditions and lower quality of life. This study evaluates the effectiveness of Cognitive Behavioral Therapy (CBT) in managing stress among NCD patients at Puskesmas Candimulyo, Magelang Regency. The method employed is a quasi-experimental design with pre-test and post-test on an intervention group receiving CBT. The results revealed a significant reduction in stress levels, with an average score difference of -30 (p-value = 0.001). These findings indicate that CBT effectively reduces stress and can be implemented in primary healthcare settings to improve the quality of life for NCD patients.ABSTRAKPengabdian masyarakat ini bertujuan untuk mengatasi tingginya tingkat stres pada penderita Penyakit Tidak Menular (PTM) yang dapat memperburuk kondisi kesehatan dan menurunkan kualitas hidup. Penelitian ini mengevaluasi efektivitas Terapi Kognitif dan Perilaku (Cognitive Behavioral Therapy/CBT) dalam mengelola stres pada pasien PTM di wilayah kerja Puskesmas Candimulyo, Kabupaten Magelang. Metode yang digunakan adalah kuasi-eksperimen dengan desain pre-test dan post-test pada kelompok intervensi yang menerima CBT. Hasil menunjukkan penurunan tingkat stres yang signifikan dengan rata-rata selisih skor sebesar -30 (p-value = 0,001). Temuan ini mengindikasikan bahwa CBT efektif dalam menurunkan stres dan dapat diimplementasikan di layanan kesehatan primer untuk meningkatkan kualitas hidup pasien PTM.
TOURMALINE MAGNETIC SOCKS DAN ROM AKTIF UNTUK MENINGKATAN KEKUATAN OTOT PASIEN STROKE NON HEMORAGIK Komul, Marsha; Suharsono, Suharsono; Pujiastuti, Rr Sri Endang
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2431

Abstract

Non-hemorrhagic stroke occurs due to blockage in the blood vessels of the brain. This study aims to analyze the effect of combination intervention of Tourmaline Magnetic Socks and active ROM on increasing muscle strength in non-hemorrhagic stroke patients. The population in this study were all patients who suffered from non-hemorrhagic stroke. This research method uses quasi experimental pre-post test nonrandomized control group design, with a total of 60 respondents using the Simple Random Sampling technique. This research was carried out for 2 weeks with a frequency of 3 times a week with an administration time of 20 minutes. The data that has been obtained is then analyzed using univariate analysis (frequency distribution) and bivariate analysis (Wilcoxon test & Mann-Whitney Test). In both the control group and the intervention group, the majority of respondents experienced recurrent stroke once, namely 53 respondents. It is known that based on a test of the effect of the combination of Tourmaline Magnetic Socks and active ROM on delta muscle strength in the two groups, the value of P = 0.010. Muscle strength in the intervention group increased after being given Tourmaline Magnetic Socks and active ROM treatment with a value of ρ = 0.000, while muscle strength in the control group increased with a value of ρ = 0.003. The combination of Tourmaline Magnetic Socks and active ROM influences increased muscle strength in non-hemorrhagic stroke patients. it is recommended that non-hemorrhagic stroke patients consider incorporating Tourmaline Magnetic Socks and active ROM into their rehabilitation routine.
Psychoeducation reduces anxiety and cortisol hormones in high-risk pregnant women Sahupala, Sapiah; Suharsono, Suharsono; Wijayanti, Krisdiana
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Early Release
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v0i0.23398

Abstract

Background: High-risk pregnancy poses significant challenges to both maternal and fetal health, increasing the risk of complications, anxiety, and elevated cortisol levels. Anxiety in high-risk pregnancies has been widely studied, but most interventions focus on pharmacological treatments or psychological support without integrating physiological stress markers such as cortisol levels. Psychoeducation is a nonpharmacological intervention designed to enhance understanding, equip women with stress management skills, and promote confidence in facing pregnancy. However, limited studies have examined its direct impact on both anxiety and cortisol levels in high-risk pregnant women.Purpose: This study aims to evaluate the effectiveness of psychoeducation in reducing anxiety and cortisol levels among high-risk pregnant women.Methods: This study employed a pre-experimental one-group pretest-posttest design without a control group. The intervention consisted of four structured psychoeducation sessions, each lasting 120 minutes over two weeks. A total of 23 high-risk pregnant women participated in the study. Anxiety levels were measured using the DASS-21, and cortisol levels were assessed through saliva samples collected before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test.Results: The findings revealed a significant reduction in anxiety scores from 15.60 ± 2.99 to 8.52 ± 1.88 (p < 0.001) and cortisol levels from 15.72 ± 9.10 to 10.40 ± 6.97 (p < 0.001), indicating the effectiveness of psychoeducation in reducing both psychological and physiological stress in high-risk pregnancies.Conclusion: Psychoeducation, delivered through four sessions over two weeks, is effective in reducing anxiety and cortisol levels in high-risk pregnant women. This intervention should be integrated into prenatal care to support maternal well-being and stress management.
PENGARUH PSIKOEDUKASI KELUARGA TERHADAP KECEMASAN KELUARGA SEBAGAI CAREGIVER ODGJ Suharsono; Rantika; Erna Erawati; Suyanta
Journal of Nursing and Health Vol. 8 No. 4 (2023): Journal of Nursing and Health
Publisher : Yakpermas Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52488/jnh.v8i4.313

Abstract

Latar belakang : Gangguan jiwa merupakan keadaan seseorang yang mengalami masalah dalam pemikiran kehidupan, interaksi dengan orang lain, dan perilaku terhadap dirinya. Penyebab gangguan jiwa pada umumnya terjadi karena kekecewaan mendalam, trauma psikis dalam kehidupan maupun stress berkepanjangan. Keluarga sebagai caregiver mempunyai peran penting dalam merawat dan mendampingi kehidupan ODGJ. Sebagai caregiver, keluarga tak lepas dari dampak diskriminasi masyarakat sekitar yang dapat menimbulkan beban tekanan mental pada dirinya. Tujuan : Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh psikoedukasi keluarga terhadap kecemasan keluarga sebagai caregiver ODGJ. Metodologi : Penelitian ini merupakan penilitian kuantitatif dengan menggunakan rancangan quasi eksperiment dengan one group pretest – posttest design without control group. Responden pada penelitian ini adalah caregiver ODGJ yang berada di wilayah kerja Puskesmas Borobudur. Pengambilan sampel dilakukan dengan cara pusposive sampling dan didapatkan hasil sebanyak 32 responden. Uji statistik non parametrik dengan uji Wilcoxon Signed Rank Test digunakan dalam penelitian ini. Hasil penelitian : Hasil penelitian ini menunjukkan bahwa ada pengaruh psikoedukasi keluarga terhadap kecemasan keluarga sebagai caregiver ODGJ dengan nilai p value <0,005 Kesimpulan: Terdapat pengaruh psikoedukasi keluarga terhadap kecemasan keluarga sebagai caregiver ODGJ.
UPAYA PENCEGAHAN  PENYAKIT TIDAK MENULAR MELALUI PENYULUHAN DAN DETEKSI DINI Suharsono, Suharsono; Suyanta, Suyanta; Sugiyarto, Angga; Yulistanti, Yeni; Handayani, Lulut
BESIRU : Jurnal Pengabdian Masyarakat Vol. 2 No. 6 (2025): BESIRU : Jurnal Pengabdian Masyarakat, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/besiru.v2i6.1343

Abstract

Penyakit tidak menular (PTM) seperti hipertensi, diabetes melitus, dan penyakit kardiovaskular merupakan tantangan kesehatan masyarakat yang utama, dimana prevalensinya terus meningkat, terutama di daerah pedesaan dengan akses terbatas terhadap pendidikan kesehatan dan layanan pencegahan. Program pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kesadaran masyarakat dan menggalakkan deteksi dini penyakit tidak menular melalui kegiatan penyuluhan dan skrining kesehatan di salah satu Desa di Kabupaten Sleman. Kegiatan yang dilakukan meliputi sesi penyuluhan kesehatan tentang pencegahan penyakit tidak menular (PTM), promosi gaya hidup sehat, dan pemeriksaan tekanan darah, glukosa darah, dan indeks massa tubuh (IMT). Hasilnya menunjukkan peningkatan pemahaman di antara peserta mengenai faktor risiko dan tindakan pencegahan PTM, serta identifikasi beberapa individu berisiko yang kemudian dirujuk untuk tindak lanjut medis lebih lanjut. Program ini menyoroti pentingnya pendidikan berbasis masyarakat dan deteksi dini sebagai strategi efektif untuk pencegahan dan pengendalian NCD, terutama di wilayah semi-perkotaan dan pedesaan.
Self Stigma and Burden Among Caregivers of Persons with Schizophrenia in Community:  Cross Sectional Study Suharsono; Isworo, Adi; Faidah, Noor
Oshada Vol. 2 No. 3 (2025): Oshada Journal - June
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/gdyvh618

Abstract

Background: Caregivers of individuals with schizophrenia often experience significant psychological and emotional challenges, including self-stigma and caregiver burden. Understanding these phenomena is essential to develop supportive interventions. Objective: This study aimed to examine the levels of self-stigma and caregiver burden among caregivers of persons with schizophrenia living in the community and to explore the relationship between these two variables. Methods: A cross-sectional study design was employed involving 100 caregivers selected through purposive sampling. Data were collected using validated self-report questionnaires: the Self-Stigma of Family Members Scale (SSFS) and the Zarit Burden Interview (ZBI). Descriptive statistics and Pearson correlation analysis were conducted to assess the relationship between self-stigma and caregiver burden. Results: The findings indicated that a majority of caregivers experienced moderate to high levels of both self-stigma and caregiver burden. A significant positive correlation was found between self-stigma and caregiver burden (p < 0.01), indicating that higher levels of self-stigma were associated with greater caregiver burden. Conclusion: Self-stigma contributes to the burden experienced by caregivers of individuals with schizophrenia in the community. Interventions aimed at reducing stigma may help alleviate the psychological burden among caregivers and improve their well-being.
Psikoedukasi Pada Pasien Diabetes Mellitus di Wilayah Kerja Puskesmas Magelang Utara Kota Magelang Isworo, Adi; Suharsono, Suharsono; Susanto, Abiyyu Naufal
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.953

Abstract

Psychoeducation for cadres, families and diabetes mellitus patients in North Kramat Village, North Magelang District, Magelang City is needed as a promotive and preventive effort for non-communicable disease programs. Community participation through empowering health cadres in optimizing reducing the level of family burden, strengthening family support, regularity in measuring glucose levels, and adherence to medication and diet. This service aims to determine the practice of implementing health cadre empowerment in screening and efforts to optimize cadres in families with diabetes mellitus patients. The methode used is structured counseling, focus group discussions. The activities were carried out for one year, carried out in North Kramat Village, North Magelang District, Magelang City, the working area of the North Magelang Community Health Center. Empowerment is observed by community health center nurses and health cadres during early detection of glucose levels, compliance with taking medication and diet. The results of empowerment in providing psychoeducation to families with diabetes mellitus patients showed that the average practice assessment result was an increase of 79,23 (79,23%) from the previous 70,8 (70,8%) and there was an increase 8,43%. Through empowerment we can increase optimization in screening for families and diabetes mellitus patients. Greater outreach of screening to the community. Extensive and supports the performance of community health center services to carry out non-communicable disease programsABSTRAKPsikoedukasi pada kader, keluarga serta pasien diabetes melitus di Kelurahan Kramat Utara, Kecamatan Magelang Utara, Kota Magelang diperlukan sebagai upaya promotif dan preventif program penyakit tidak menular. Partisipasi masyarakat melalui pemberdayaan kader kesehatan dalam mengoptimalkan penurunan tingkat beban keluarga, menguatkan dukungan keluarga, keteraturan dalam mengukur kadar glukosa, dan kepatuhan minum obat dan diet. Pengabdian ini bertujuan untuk mengetahui praktik pelaksanaan pemberdayaan kader kesehatan dalam skrining dan upaya optimalisasi kader  pada keluarga dengan pasien diabetes melitus. Metode yang digunakan berupa penyuluhan terstruktur, fokus group discussion. Pelaksanaan kegiatan selama satu tahun, dilaksanakan di Kelurahan Kramat Utara, Kecamatan Magelang Utara, Kota Magelang wilayah kerja Puskesmas Magelang Utara. Pemberdayaan diobservasi oleh perawat puskesmas dan kader kesehatan saat deteksi dini kadar glukosa, kepatuhan minum obat dan diet. Hasil pemberdayaan dalam memberi edukasi psikoedukasi pada keluarga dengan pasien diabetes melitus didapatkan hasil rata-rata penilaian praktik adalah 79,23 (79,23%) dari yang sebelumnya 70,8 (70,8%) dan terdapat kenaikan 8,43%. Melalui pemberdayaan maka dapat meningkatkan optimalisasi dalam skrining  kepada keluarga dan pasien diabetes melitus. Jangkauan skrining ke masyarakat lebih luas dan mendukung kinerja layanan puskesmas untuk menjalankan program penyakit tak menular.
Co-Authors Adi Isworo Adi Isworo, Adi Alivia Rustiani Angga Sugiarto Aprilianisari, Erita Arwani Arwani Ashar N, Novema Bambang Sarwono David Haryanto Diah Rivani Dina Indrati Dyah Sulistyowati Dwi Ari Murti W. Erawati, Erna Erika Aprilliya Erna Erawati Erri Fitriyani Fachry Abda El Rahman Hapsari, Agustina Retno Heriberta Reny Hermani Triredjeki I, Heriberta Reny Ika Barokah Suryaningsih Irmawati, Nurisda Eva Kiswoyo, Pramono Giri Komul, Marsha Krisdiana Wijayanti Linggar Rolis Lucia Endang Hartati, Lucia Endang Lulut Handayani Maulidia Selfianie Meta, Raharni Rosfiyanti Moh. Hanafi Naufal Firdaus NIKEN ANGGRAINI SRI SAPUTRI Nita Tri Septiana Noor Faidah, Noor Nor Hidayah Poltekkes Kemenkes Semarang Novema Anshar Nuning Sri Wahyuni Nur Izzati, Aisyah Prajna Muthi, Annisa Pujiastuti, Raden Rara Sri Endang Pujiastuti, Rr Sri Endang Raden Roro, Brilianti Chrisnajayantie Rantika Ririn Wahyu Widayati Rohananingsih, Rohananingsih Rojabtiyah, Rojabtiyah Rondhianto Rondhianto Rr. Sri Endang Pujiastuti Sahupala, Sapiah Saputri, Niken Anggraini Sri Simanjuntak, Veronica Siti Arifah Siti Arifah Sri Sumarni Sugiyarto, Angga Sunarko Sunarko Sunarko Susanto, Abiyyu Naufal Suyanta Suyanta Suyanta Ta'adi, Ta'adi Taadi Taadi Viantika Kusumasari Widyastuti, Arum Wiwin Reni Rachmawati Yeni Yulistanti