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Pengaruh Kombinasi Expressive Writing Therapy dan Afirmasi Positif Terhadap Kecemasan pada Pasien Hemodialisis di RSUD Tidar Kota Magelang: Kombinasi Expressive Writing Therapy dan Afirmasi Positif Enjang Wulansari, Meinanda; Sugiarto, Angga; Erawati, Erna; Murti Widigdo, Dwi Ari
KEWINUS: Jurnal Keperawatan dan Kesehatan Vol 2 No 1 (2025): Juni
Publisher : Universitas Widya Nusantara

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Abstract

Patients undergoing hemodialysis often experience anxiety due to the unpredictable nature of their illness, raising concerns about potential recovery and dependence on dialysis machines. Addressing anxiety is crucial, as it significantly impacts patients' quality of life. The combination of expressive writing therapy and positive affirmations is a non-pharmacological approach to managing anxiety by allowing individuals to express their feelings and thoughts through writing and reinforce their self-esteem through positive statements. This study aims to investigate the effect of the combination of expressive writing therapy and positive affirmations on anxiety in hemodialysis patients at RSUD Tidar, Magelang. A quantitative research design was employed, utilizing a quasi-experimental approach with a pretest-posttest design and a control group. Purposive sampling was used, resulting in a total of 40 respondents. The Hamilton Anxiety Rating Scale (HARS) was utilized as the measurement instrument. In the intervention group, the Paired T-test yielded a p-value of 0.000 (p < 0.005). In the control group, the Wilcoxon test resulted in a p-value of 0.000 (p > 0.05). The Mann-Whitney U test indicated a p-value of 0.000 (p < 0.05) when comparing the intervention and control groups. These findings demonstrate that the combination of expressive writing therapy and positive affirmations is effective in reducing anxiety among hemodialysis patients. Keyword : Anxiety; expressive writing therapy; hemodialysis; positive affirmations
Difference in Effectiveness between Progressive Muscle Relaxation and Butterfly Hug on Anxiety in the Elderly Widyastuti, Arum; Erawati, Erna; Sugiarto, Angga; Suharsono, Suharsono
Muhammadiyah Journal of Geriatric Vol. 5 No. 2 (2024): Muhammadiyah Journal of Geriatric
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mujg.5.2.52-60

Abstract

Background: The Elderly, as a final stage in the development of human life, will face various health problems. Some physical and psychological body functions will decline. Mental health problems that are often experienced by the elderly include anxiety. Elderly people with anxiety symptoms require special attention through handling these symptoms. If not, these symptoms can harm the psychosocial condition of the elderly. Non-pharmacological treatments that are used as alternatives to overcome anxiety such as progressive muscle relaxation and the butterfly hug. Purposes: This study aims to analyze the difference in effectiveness of progressive muscle relaxation and the butterfly hug on elderly anxiety. Methods: This research design is quantitative with a quasi-experimental approach. The sampling technique was purposive sampling, and a total of 66 respondents were selected according to the predetermined restriction criteria and divided into two intervention groups. Data normality test using the Shapiro-Wilk, hypothesis testing using the Wilcoxon, and then a different test using the Mann-Whitney. Result: The results of data analysis of respondent characteristics showed the dominance of age in both intervention groups, namely, age 60-74 years. In the progressive muscle relaxation group, as many as 26 elderly people (78.8%), and in the butterfly hug group, as many as 19 elderly people (57.6%). Female gender (100%). The statement of the Wilcoxon test in each group indicated that the significance value was 0.001 (p)=0.001 0.005. Conclusion: This study shows the results that there is no significant distinction between progressive muscle relaxation and the butterfly hug on anxiety in the elderly.
Engklek Gen 4.0 (Studi Etnomatematika: Permainan Tradisional Engklek sebagai Media Pembelajaran Matematika) Annisa, Choirul; Fauziah, Alfin; Erawati, Erna
Journal Focus Action of Research Mathematic (Factor M) Vol. 3 No. 1 (2020)
Publisher : Universitas Islam Negeri (UIN) Syekh Wasil Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30762/factor_m.v3i1.2499

Abstract

Apabila kita mendengar kata tradisional pastilah kita membayangkan masa lalu, kebanyakan orang jaman sekarang yaitu generasi 4.0 (sebuah masa dimana semua orang sudah mulai tergantung dengan teknologi) mudah melupakan adat istiadat atau kebiasaan dan budaya dari masa lalu atau masa kecil kita. Semakin berkembanganya teknologi di masa sekarang sangat berpengaruh menghilangkan nilai-nilai terhadap kebiasaan atau budaya yang sudah ada sejak dahulu. Padahal, tidak semua hal yang berhubungan dengan masa lalu tidak berguna untuk masa sekarang. Dalam proses pembelajaran matematika kita dapat menhubungkan matematika dengan seni atau biasa disebut dengan etnomatematika. Dalam etnomatematika kita dapat menggunakan media pembelajaran yang berasal dari budaya jaman tradisional, seperti permainan tradisonal dalam menunjang kegiatan pembelajaran yang bersifat edukatif, menyenangkan dan menarik perhatian siswa. Salah satu contoh permainan tradisional yang dapat diterapkan pada generasi 4.0 adalah permainan tradisional engklek. Karena, didalam permainan tradisional engklek mengandung nilai-nilai yang positif dan bermanfaat, salah satunya sebagai pengembangan media pembelajaran. Dengan kita menggunakan permainan tradisional sebagai media pembelajaran masa sekarang, itu berarti kita secara tidak langsung juga ikut melestarikan budaya tradisional bangsa Indonesia.
EFEKTIVITAS KOMBINASI BRAIN GYM DAN MATCHING CARD GAME TERHADAP PENINGKATAN FUNGSI KOGNITIF PADA LANSIA Pramono, Pramono; Kriswoyo, Pramono Giri; Ridwan, Moh; Erawati, Erna
Jendela Inovasi Daerah Vol 9 No 1 (2026): Februari
Publisher : Badan Perencanaan Pembangunan, Riset dan Inovasi Daerah Kota Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56354/jendelainovasi.v9i1.237

Abstract

Cognitive decline in older adults is a serious issue that increases the risk of dementia and reduces independence and quality of life. Dementia, particularly Alzheimer's disease, is the most common type, with risk factors including age, genetics, hypertension, and diabetes. Brain gym and matching card game therapies are known to stimulate cognitive abilities; however, their combined effect has not been widely studied. This study aimed to determine the effectiveness of combining brain gym and matching card game interventions in improving cognitive function among older adults. This research employed a quantitative pre-experimental design with a one-group pretest–posttest approach. A total of 35 older adults were selected using purposive sampling based on inclusion criteria. Cognitive function was measured using the Mini Mental State Examination (MMSE) and analyzed using the Wilcoxon test to assess differences before and after the intervention. Respondent characteristics showed that 77% were aged 60–74 years, 83% were female, and 54% had elementary school education. The results indicated a significant difference in cognitive function scores before and after the combined brain gym and matching card game intervention (p value = 0.00). The combination of these two therapies was proven to significantly improve cognitive function in older adults and may serve as an effective strategy to maintain cognitive health and enhance their overall well-being.