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All Journal Interest : Jurnal Ilmu Kesehatan JKG (Jurnal Keperawatan Global)
Nurahman Hendra Kusuma, Aria
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Health Professions Nursing

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The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients Nurahman Hendra Kusuma, Aria; Pudjonarko, Dwi; Sujianto, Untung
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 13 Number 2 November 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v13i2.688

Abstract

Background: Ischaemic stroke patients experience an increase in cortisol of 38% over 90 days. The spiritual emotional freedom technique (SEFT) provides manual stimulation of acupuncture points, which makes the muscles feel relaxed so that they can control cortisol. This study set out to assess how SEFT affected the cortisol levels in patients who had suffered an ischaemic stroke. Methods: A control group and pre- and post-test measures were part of the quasi-experimental research design. There were seventy-one patients in the research population of the study. The sample was measured using the Slovin formula, and the sampling strategy used was purposeful sampling. Over the course of three months, the intervention group had 12 sessions of SEFT once a week, whereas the control group received regular spiritual treatment from RSUD Dr. Moewardi Surakarta, an outpatient nurse. The ELISA method was used to measure cortisol levels. The Kolmogorov-Smirnov test was used to assess normality, and the Levene test was used to test for homogeneity in bivariate data. The Mann-Whitney method was used to analyze the data. Results: The mean cortisol before intervention was 119.63, and the mean cortisol after intervention was 99.23. SEFT affects cortisol levels in patients who have had an ischaemic stroke, according to a statistically significant (p<0.05) p-value of zero. Conclusion: Patients with ischaemic stroke experienced a significant drop in cortisol levels after using the SEFT. Furthermore, it is necessary to study the dominant factors that influence the cortisol hormone and the need for a multi-religious approach in an effort to develop spiritual-based interventions.
The Influence of Spiritual Care with Callista Roy's Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients Nurahman Hendra Kusuma, Aria; Pudjonarko , Dwi; Sujianto , Untung
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 9 Number 2 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v9i2.1103

Abstract

Background: Ischemic stroke causes physical disability, which can result in an inability to adapt, causing a 72% decrease in serotonin. Decreased serotonin can cause mood changes that adversely impact stroke outcomes. The aim of this research is to determine the effect of spiritual care using Callista Roy's adaptation theory approach on serotonin levels in Ischemic Stroke Patients. Methods: The type of research is quasi-experimental with a pretest-posttest control group design. The population of the study was outpatients of ischemic stroke patients at Dr. Moewardi Hospital. The sample size was 60 respondents consisting of 30 respondents in the control group and 30 respondents in the intervention group. The intervention group was given a spiritual care intervention by the researcher consisting of 5 sessions each meeting with a duration of 30 minutes. The spiritual care intervention was given once a week 12 times for 3 months and the control group was given standard spiritual therapy by the outpatient nurse at RSUD Dr. Moewardi Surakarta. Serotonin examination using ELISA kit. Data analysis using independent sample t-test. Results: There is an influence of spiritual care with the Callista Roy theory approach on the serotonin levels of ischemic stroke patients with a significance of 0.001 (p value <0.05). Conclusion: Spiritual care interventions with Callista Roy's theoretical approach have a significant influence on improving serotonin levels in ischemic stroke patients, which can reduce anxiety. It is recommended that ischemic stroke patients be given spiritual care 12 times for 3 months.
Co-Authors Dwi Pudjonarko Pudjonarko , Dwi Sujianto , Untung Untung Sujianto