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Implementasi Keperawatan Terapi Hipnosis Lima Jari Pada Orang Tua Yang Memiliki Anak Autism Spectrum Disorder Pastari, Marta; Endriyani, Sri; Martini, Sri; Hisaan, Gina Khairaatun
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2241

Abstract

Background: Autism is a serious neurobiological developmental disorder that occurs in children, causing problems for children to communicate and relate to their environment. Most parents have various emotional reactions when they find out that their child has autism. So it has a negative impact on parents both physically and psychologically, including parents who experience feelings of worry or anxiety (Mulyadi & Sutadi, 2014). Method: The design of this case study is descriptive with a nursing care approach that focuses on nursing implementation and evaluation. The subjects used in this case study were four patients with the same case and nursing problem, namely anxiety. The research location in this case study was at Nu_Kids Integrated Therapy, carried out for seven days for each patient, varying according to the date of visit from March to April 2023. Data collection methods used were interviews, observation, physical examination, implementation and assessment scales. The results of data collection are presented in the form of tables and narratives. Results: Before the researcher implemented five finger hypnosis therapy on clients, the researcher needed to build a relationship of mutual trust (BHSP) with the four clients in order to gain the trust of the clients. After BHSP, researchers used the SRQ questionnaire to determine the level of anxiety experienced by clients. It was found that Mrs. D value is 7 (there is a psychological problem of anxiety). To Mrs. S value is 6 (there is a psychological problem of anxiety). To Mrs. N value is 7 (there is a psychological problem of anxiety). To Mrs. NA value is 6 (there is a psychological problem of anxiety). The researcher then carried out the implementation of five-finger hypnosis nursing therapy for 7 days, once a day for 10-15 minutes, then the client would repeat it at home independently. After 7 days of implementing five finger hypnosis, the researcher assessed the client's response; where is Mrs. D can now speak relaxedly, his face is no longer tense, Mrs. S can concentrate again, Mrs. NA really understands and can carry out five finger hypnosis therapy without being facilitated or assisted by researchers, Mrs. N can now calm down and relax, and is starting to get used to relaxing when doing anything. Conclusion: The results of this study indicate that after being given the implementation of Five Finger Hypnosis Therapy, the four clients (100%) no longer experienced anxiety disorders with a score of Mrs. D and Mrs. N = five, Mrs. NA and Mrs. S = 4 (Score < 6 means there is no psychological problem of anxiety). So it can be concluded that five finger hypnosis therapy is effective in reducing anxiety.
Relationship Of Exposure To Cigarette Smoke In Pregnant Mothers To The Weight Of Newborn In Bhayangkara Palembang Hospital In 2021 Agustin, Ismar; Endriyani, Sri; rehana, Rehana; Utari, Tri
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 04 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 11 Number 4 Desember 20
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.937 KB) | DOI: 10.33221/jiiki.v11i04.1515

Abstract

Abstrak Background:. Exposure to cigarette smoke can affect low birth weight in mothers who are exposed to cigarette smoke. Low birth weight (LBW) babies are babies with a birth weight of less than 2500 grams. Objectives: To analyze the relationship between age, parity, gestational distance, education, occupation, exposure to cigarette smoke on the weight of newborns in mothers who gave birth. Methods: This research is analytic with a cross-sectional approach. The population and sample are 50 using total sampling technique. Results: The results of the statistical test showed that the variables that were statistically significantly related to the birth weight of newborns were age, parity, education, and exposure to cigarette smoke with ap value <0.05, while the variable distance between pregnancy and occupation did not have a significant relationship. with p value> 0.05. Conclusion: there is a significant relationship between exposure to cigarette smoke and the weight of newborns at Bhayangkara Hospital Palembang in 2021. Keywords: low birth weight, pregnant, passive smoking
PENGARUH LATIHAN PASRAH DIRI TERHADAP KADAR GULA DARAH PENDERITA DIABETES MELLITUS TIPE 2 Susanti, Eva; Endriyani, Sri
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 17 No 1 Juni (2022): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v17i1.933

Abstract

Latar Belakang: Diabetes merupakan penyakit gangguan metabolisme kronis dengan peningkatan kadar gula darah yang disebabkan oleh gangguan sekresi insulin atau efikasi insulin. Salah satu terapi nonfarmakologi adalah terapi zikir dengan relaksasi. Latihan pasrah diri merupakan perpaduan antara relaksasi dan dzikir. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh latihan pasrah diri terhadap kadar glukosa darah pada pasien diabetes melitus tipe 2. Metode: Penelitian ini menggunakan rancangan quasy eksperiment dengan pre test and post test with control group. Populasi adalah pasien diabetes mellitus tipe 2 wilayah kerja Puskesmas Padang Selasa Palembang. Sampel berjumlah 30 rang dengan kelompok intervensi 15 orang dan kelompok kontrol terdiri dari 15 orang. Hasil: Penelitian ini mendapatkan hasil berdasarkan uji paired T test terhadap kelompok intervensi di dapatkan nilai sig < 0,05 yaitu sebesar 0,00. Pada kelompok kontrol di dapatkan nilai sig < 0,05 yaitu sebesar 0,00 maka terdapat pengaruh antara latihan pasrah diri terhadap kadar gula darah pada pasien diabetes militus tipe 2 Kesimpulan: Ada pengaruh latihan pasrah diri terhadap kadar gula darah pada pasien diabetes melitus tipe 2
PENGARUH EXPRESSIVE WRITING THERAPY TERHADAP KECEMASAN PADA PENGGUNA NARKOBA Pastari, Marta; Martini, Sri; Endriyani, Sri
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 18 No 1 (2023): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v18i1.1686

Abstract

Background: One of the therapies that can be given to overcome anxiety in drug users is expressive writing therapy, which is an activity of writing with the deepest and most emotional ideas and feelings without being concerned with research procedures such as spelling, grammar, or other writing conventions. The purpose of this study was to determine the effect of expressive writing therapy on anxiety in drug users. Methods: The design used in this study was pre-experimental with a one-group pretest-posttest design approach. Total population and sample of 27 respondents (1 treatment group) using total sampling technique. In this design, the treatment group was given expressive writing therapy and their anxiety scale was measured using the Zung Self-Rating Anxiety Scale (SAS/SRAS) which was implemented at the Ar-Rahman Palembang Drug Rehabilitation Center Foundation. Results: The results of this study indicate that there is an effect of giving expressive writing therapy on the anxiety of drug users which is marked by a decrease in anxiety scores and subjective and objective responses of drug users. Conclusion: Expressive writing therapy has an effect on anxiety in drug users.
PENGGUNAAN ANPERTE DALAM MENINGKATKAN KOMPETENSI GURU ANAK BERKEBUTUHAN KHUSUS Pastari, Marta; Endriyani, Sri; Martini, Sri
E-Amal: Jurnal Pengabdian Kepada Masyarakat Vol 4 No 3: September-Desember 2024
Publisher : LP2M STP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/eamal.v4i3.3700

Abstract

The Applied Behavior Analysis (ABA) method is a therapy specifically designed for children with autism. The basis of the ABA method itself uses behavioral theory, namely emphasizing obedience, children's skills in imitation and establishing eye contact. For this reason, it is very important to provide Applied Behavior Analysis (ABA) training in order to increase the competence of teachers of children with special needs so that they can provide various types of therapy, especially to autistic children at the Talang Kelapa Autistic Special School in Palembang. The activity method begins with the service team identifying the teacher's initial abilities in providing therapy for autistic children through a pretest; It was found that all teachers (18 people) did not have a special education background and did not understand the correct ABA method (100%). Then training is given (demonstration and re-demonstration), after completion, another posttest is given. The results of the activity showed that 12 out of 18 people (67%) of the Talang Kelapa Palembang Autistic SLB teachers showed an increase in understanding of implementing the ABA method (score ≥ 80). It can be concluded that this training has proven useful in developing teachers' professional competence in the field of special education, especially in handling autistic children who experience behavioral disorders
PENGARUH TEKNIK RELAKSASI PROGRESIF TERHADAP PENURUNAN TINGKAT KECEMASAN PADA PASIEN HIPERTENSI DI PUSKESMAS MAKRAYU PALEMBANG Pome, Gunardi; Endriyani, Sri; Rizal, Fahmi
Jurnal Keperawatan Sriwijaya Vol. 6 No. 2 (2019): Vol 6, No 2 (2019)
Publisher : Bagian Keperawatan Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Tujuan: Kecemasan merupakan masalah psikososial yang banyak dialami pasien hipertensi.Kecemasan yang dialami berupa kekhawatiran yang tidak jelas dan menyebar, yang berkaitan dengan perasaan tidak pasti dan tidak berdaya. Tujuan penelitian ini adalah untuk mengetahui pengaruh teknik relaksasi progresif terhadap penurunan tingkat kecemasan pada pasien hipertensi di Puskesmas Makrayu Palembang.Metode: Desain yang digunakan dalam penelitian ini adalah Quasy experiment pre-post test with control group dengan intervensi relaksasi progresif. Penelitian dilakukan untuk mengetahui perbedaan tingkat kecemasan pada pasien hipertensi sebelum dan sesudah diberikan perlakuan berupa relaksasi progresif.Hasil: Ada hubungan yang signifikan antara lamahipertensi dengan tingkat kecemasan responden. Pada kejadian kecemasan penderita hipertensi, respon fisiologis terjadinya stres terutama pada sistem kardiovaskular, stimulasi adrenergik mengakibatkan vasokonstriksi perifer dan peningkatan tekanan darah sistemik.Simpulan: Terdapat penurunan tingkat kecemasan pasien hipertensi di Puskesmas Makrayu lebih besar pada kelompok yang intervensi yang mendapatkan terapi relaksasi progresif daripada kelompok kontrol (p value <0,05).
Penerapan Grup "TERASU" (Terapi Suportif) pada Lansia Hipertensi dengan Depresi Pastari, Marta; Endriyani, Sri; Martini, Sri; Somad, Abdul; Aflika, Dodi; Meilina, Meilina; Ningsih, Ratna
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 7 No 1 (2025): Jurnal Pengabdian Kepada Masyarakat (ABDIKEMAS
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v7i1.2913

Abstract

Depression usually occurs in the elderly with primary hypertension. In people with hypertension, depression causes a decrease in health status, quality of life and social role function. Hypertension has become a public health problem that has continued to increase in the last 20 years. Data from the World Health Organization (WHO) in 2015, around 1.13 billion people worldwide have hypertension (Pradono, 2020). In Indonesia, there were 63,309,620 cases of hypertension and 427,218 deaths due to hypertension. The prevalence of hypertension in South Sumatra Province is 35.8%, with 1432 cases in 2019 to 3981 cases and 4631 cases in 2020. Data on elderly people with hypertension and depression in 2024 in the Ariodillah Health Center work area is still high, which is around 70% of the total elderly (Puskesmas Ariodillah, 2024). Combination interventions of psychotherapy and pharmacotherapy in individuals, families and groups can help reduce symptoms of depression, especially in the elderly. This is reinforced by research (Tobing & Novianti, 2019) that the intervention group with supportive group therapy experienced a significant decrease in hypertensive stress levels. The solutions to the problems offered in this community service activity are in the form of; Coordination of the implementation of activities including preparation of the place of implementation, time and number of participants who can attend the activity. Preparation of supportive therapy modules, leaflets and blood pressure measuring devices; Implementation; Activities in the form of supportive therapy training are carried out in 4 sessions, namely; The first session, carried out with the aim of exploring the problems of the elderly and identifying the support systems that the elderly have. The second session, the use of the support system identified in session 1 owned by the elderly, monitoring its use and obstacles. In the second session of this supportive therapy, the servant and the elderly discuss the support system that exists within the elderly to solve problems and how to use it. The third session, using the support system that exists outside the elderly. This session identifies the support system that exists outside the elderly and teaches how to use it. The fourth session, evaluates how the elderly use the support system and the obstacles in using the support system. In this session, the elderly are asked to convey all the sources of support they have and convey the obstacles or barriers they face. At the end of the session, the servant evaluates and follows up with the elderly on the internal and external sources of support that they have and have practiced. Termination is the final stage of each session of this activity. The activities carried out are to evaluate by asking the elderly how they feel after gaining knowledge and skills to overcome emotional mental disorders. Based on the target achievements and results of the activities, it can be concluded that after the intervention was given, the results of the activities showed that; a) 39% of the elderly still experienced hypertension with moderate depression and 61% of the elderly were in a normal state (no longer depressed); b) Non-pharmacological therapy (Group Supportive Therapy) is used as routine therapy for the elderly at the Elderly Posyandu in the Ariodillah Health Center working area; c) 100% of the elderly have been educated and accompanied regarding the use of supportive group therapy and are required to apply it as daily therapy at home. The follow-up to this activity is that health cadres will accompany all heads of families in stages to apply supportive group therapy in their respective homes and motivate the elderly to routinely participate in activities at the Elderly Posyandu.
Perawatan Diri pada Orang dengan Gangguan Jiwa (ODGJ) di Pusat Rehabilitasi Narkoba dan Gangguan Jiwa Kabupaten Banyuasin Pastari, Marta; Endriyani, Sri; Martini, Sri
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 5 No 1 (2023): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v5i1.1541

Abstract

Abstract The Mitra Mulia Foundation is a Social and Independent Drug and Mental Disorder Rehabilitation Center located on Jalan Talang Buluh Dusun I RT.02 Kel. Talang Buluh, Kec. Talang Kelapa Kab. Banyuasin which is about 10 KM from the city center. Based on a preliminary study and permission to carry out activities carried out by the service team in May 2022, the problem was found; There is no self-care activity independently in the daily schedule of patients with hallucinations and as many as 10 out of 38 patients with hallucinations (26.3%) experience self-care deficits as evident from the inability to take care of personal hygiene, eat independently, decorate independently and toileting (defecation / urination). The solutions offered include; Education and accompaniment (Personal Hygiene Occupational Group Activity Therapy) for ODGJ with Hallucinations and Management at the Mitra Mulia Foundation as well as Redemonstration and Assistance (Personal Hygiene Occupational Activity Therapy) which was given to 10 patients with hallucinations (5 people/group) and 9 people managing the Mitra Mulia Foundation which was carried out during July-September 2022. Based on the achievement targets and results of activities, it can be concluded that; ODGJ with Hallucinations already has a routine activity schedule and includes self-care activities independently into the daily schedule; Reducing the incidence of self-care deficits in ODGJ with Hallucinations
The Impact of Modifying Lema (Lego and Maze) Game on Stimming Behaviors in Children with Autism Spectrum Disorder (ASD) Pastari, Marta; Meilina, Meilina; Martini, Sri; Endriyani, Sri; Sumastri, Heni
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4898

Abstract

ABSTRACT Children with Autism Spectrum Disorder (ASD) often exhibit self-stimulation behaviors (stimming), such as repetitive movements, sounds, or actions, which can disrupt therapy sessions and social interactions. These behaviors can impede the development of social skills and focus. Given the importance of non-invasive interventions, modifying play-based activities such as LEGO and maze games (LEMA) has been explored as a potential method to reduce stimming behaviors. (LEMA) game on reducing self-stimulation (stimming) behaviors in children with Autism Spectrum Disorder (ASD). The research employed an A-B-A design, including a baseline phase (A1), an intervention phase (B), and a post-intervention phase (A2), conducted over 12 sessions. Two children, RFQ and HG, both of whom exhibited frequent stimming behaviors, were selected as participants. The intensity of their stimming behaviors was measured before and after the intervention using observational data. The data were analyzed using visual analysis to identify changes in the frequency and intensity of stimming behaviors across phases. Additionally, percentage of non-overlapping data (PND) was calculated to evaluate the effectiveness of the intervention data. The findings showed that stimming behaviors in both children, which originally lasted approximately 390 seconds during the baseline phase (A1), significantly decreased during the intervention phase (B), with durations reduced to 48-55 seconds. After the intervention was stopped, stimming behaviors remained reduced in the post-intervention baseline phase (A2), indicating the effectiveness of the LEMA game in reducing these behaviors. Modifying the LEGO and Maze (LEMA) game effectively reduced self-stimulation behaviors in children with ASD. The results align with previous studies suggesting that structured play interventions, like LEGO and maze activities, can enhance focus and reduce repetitive behaviors in children with ASD.
Android-based Application for Depression, Anxiety, and Stress Screening Endriyani, Sri; Susanti, Eva
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3169

Abstract

The escalating issue of emotional and mental disorders, such as stress, anxiety, and depression, necessitates proactive measures to anticipate adverse effects on individuals experiencing them. One of the ways is by implementing a screening method. An android-based screening application can offer immediate feedback about an individual’s mental health condition. This study employs a research and development approach encompassing the preliminary study, model development, and model validation. The outcome of this study was an initial design for an Android-based screening application, DeAs Care, which aims to measure the levels of depression, anxiety, and stress in individuals. The DeAs Care application underwent evaluation by a group of 15 adolescent participants, all between the ages of 18 and 20. The assessment employed a Likert scale with a range of 1 to 5. The results indicated an overall satisfaction rate of 85%, corresponding to a ‘Very Good’ rating. The application was utilized on 216 adolescent participants to evaluate their levels of depression, anxiety, and stress. The assessment results indicate that the subsequent proportions of participants received a diagnosis of depression: 21% of the participants reported experiencing mild depression, while 20% showed moderate depression. Additionally, 8% had severe depression, and 6% had extremely severe depression. The other 45% of participants indicated they were in normal conditions. As for the participants' anxiety levels, the results of the assessments showed that 15% of them had mild anxiety, 31% had moderate anxiety, 23% had severe anxiety, 16% had extremely severe anxiety, and 15% of them were in a normal state. Furthermore, concerning stress levels, the study found that 20% of individuals had mild stress, 24% experienced moderate stress, 6% experienced severe stress, and 1% experienced extremely high stress levels. In comparison, the remaining 50% reported normal stress levels. The findings indicate that utilizing the DeAs Care Android application for screening adolescent mental health is an effective method for preventing issues related to mental and emotional disorders through self-assessment.