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Efektivitas Penerapan Cognitive Stimulation Therapy (CST) untuk Meningkatkan Fungsi Kognitif, Activity Daily living, Psikologis, dan Kualitas Hidup Pada Lansia Lia Juniarni; Lisa Lusiana Haerunnisa
Risenologi Vol. 6 No. 1a (2021): Seminar Nasional Keperawatan-STIKEP PPNI Jawa Barat
Publisher : Kelompok Peneliti Muda Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47028/j.risenologi.2021.61a.208

Cognitive Decline is a significant cognitive decline from normal cognition to dementia, so interventions are needed to inhibit the development of cognitive decline so that cognitive function does not decline (Smith & Blumenthal, 2016). Various efforts can be made to prevent the decline in cognitive function, namely by pharmacological and non-pharmacological collaborative therapy. Cognitive Stimulation Therapy (CST) is a non-pharmacological therapy that is effective in specifically improving cognitive function and increasing independence, reducing depression, and improving the quality of life of the elderly with dementia. The purpose of this study was to assess the Effectiveness of the Application of Cognitive Stimulation Therapy (CST) to Improve Cognitive Function, Activity Daily living, Psychological (reducing depression), and Quality of Life. This was quasi-experimental study with Two Group (pre-test and post-test), the inclusion criteria was: elderly over 60 years old with mild to moderate dementia. Therapy was carried out in 14 sessions in intervention groups, held 2 times a week for 7 weeks with a duration of 40-45 minutes. The results showed a significant difference between the pre-test and post-test in the intervention group and the control group in 3 domains, namely cognitive function p-value (0.029), depression p-value (0.02) and quality of life p-value (0.03). It was found that there was cognitive stability and an increase in the number of scores before and after the intervention, a decrease in depression and an increase in quality of life. Suggestions for this study are expected to provide CST intervention is one of the activities that can be applied in the geriatric service unit for dementia patients.

The Effect of Yoga Exercise on Reducing Blood Pressure among Elderly with Hypertension : a Systematic Review Permana, Bhakti; Lindayani, Linlin; Hendra, Agus; Juniarni, Lia
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 6, No 2 (2020): VOL 6, NO 2 (2020)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v6i2.25083

ABSTRACTHypertension is the most commonly encountered problems experienced by the elderly with sometimes unknown cause. One effort to lower blood pressure in the elderly is to provide yoga exercises, where yoga exercises can stimulate endorphin hormone expenditure. The purpose of review was to determine the effectiveness of yoga exercises for decreasing blood pressure in the elderly. An initial search for articles was done on Google Scholar and PubMed. Studies obtained about exercise therapy for hypertension elderly have 4,560 articles / journals but only 5 articles meet the search criteria. According to the search results, yoga exercises can reduce blood pressure in the elderly. Besides, it is also very important to be applied as a non-pharmacological therapy for the elderly who have a medical history of hypertension. It is expected that health professionals can recommend this as a therapy for lowering blood pressure in the elderly.Â Â ABSTRAKHipertensi adalah masalah yang paling sering ditemui yang dialami oleh lansia dengan penyebab yang terkadang tidak diketahui. Salah satu upaya menurunkan tekanan darah pada lansia adalah dengan memberikan senam yoga, dimana senam yoga dapat merangsang pengeluaran hormon endorphin. Tujuan review adalah untuk mengetahui keefektifan senam yoga dalam menurunkan tekanan darah pada lansia. Pencarian awal untuk artikel dilakukan di Google Scholar dan PubMed. Studi tentang terapi senam lansia hipertensi didapatkan 4.560 artikel / jurnal tetapi hanya 5 artikel yang memenuhi kriteria pencarian. Menurut hasil pencarian, senam yoga dapat menurunkan tekanan darah pada lansia. Disamping itu juga sangat penting diterapkan sebagai terapi non farmakologi bagi lansia yang memiliki riwayat kesehatan hipertensi. Diharapkan tenaga kesehatan dapat merekomendasikan hal ini sebagai terapi penurunan tekanan darah pada lansia.Â

Effectiveness Of Mindfulness Based Stress Reduction On Depression In Elderly: A Systematic Review Lindayani, Linlin; Hendra, Agus; Juniarni, Lia; Nurdina, Gina
Journal Of Nursing Practice Vol. 4 No. 1 (2020): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i1.101

Background: The elderly are individuals who have entered the age of 60 years (Hurlock, 2004). One of the most common elderly problems that is more commonly found is depression. Currently increasing research and reviews support the efficiency of psychotherapy treatments for depression. Based on traditional interventions Mindfulness Based Stress Reduction (MBSR) therapy is recommended for geriatric depression. MBSR therapy focuses on is one type of mindfulness-based therapy that focuses on training awareness through meditation techniques. By practicing observing body sensations (body scan meditation), individuals can achieve a mindful condition in their daily lives, including when carrying out routine activities such as walking, eating, standing. MBSR aims to change individual relationships with stressful situations and thoughts. This is achieved by decreasing emotional reactions and increasing.Â Purpose: This study aimed to determine the effectiveness of MBSR therapy on the level of depression in the elderly.Â Methods: Literature searches conducted through Google Scholar and PubMed studies published in English, there were 778 articles obtained but only 5 journals met the search criteria.Results: The results of this review show that MBSR therapy has an influence to reduce the level of depression in the elderly and MBSR therapy has no side effects compared to pharmacological therapy.Conclusion: It is hoped that health workers can implement MBSR therapy to reduce the level of depression in the elderly

PENGARUH COGNITIVE BEHAVIOR THERAPY (CBT) PADA PENINGKATAN HARGA DIRI REMAJA: LITERATURE REVIEW Lia Juniarni; Wini Hadiyani; Nina Marlina; Sandra R. Nurrandi; Tri Desi Anggita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 1 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Latar belakang: Studi literature review ini dilatar belakangi oleh masalah psikologis yang sering terjadi pada remaja yaitu harga diri rendah. Harga diri meningkat seiring bertambahnya usia dan paling terancam selama masa remaja. Bentuk penghargaan, penerimaan serta pengakuan membuat seseorang berharga dan diakui kehadirannya oleh lingkungan. Implikasi dari harga diri rendah, akan muncul masalah hubungan interpersonal, masalah dalam sekolah dan pekerjaan, ketergantungan zat, depresi atau gangguan mental lainnya. Tujuan: Literature ini ditujukan untuk menganalisis secara teoritik pengaruh Cognitive Behavior Therapy (CBT) terhadap peningkatan harga diri pada remaja. Metode: Metode kajian literatur dilakukan terhadap lima artikel yang diperoleh dari sejumlah dua database Google Scholar dan PUBMED. Kata kunci untuk pencarian artikel adalah â€œCognitive Behavior Therapy (CBT)â€, â€harga diri rendahâ€, â€œself esteemâ€,â€œtreatmentâ€,â€œremajaâ€,â€Teenagerâ€ or â€Adolecentâ€. Kriteria artikel yang digunakan berbahasa Inggris dan Indonesia, diterbitkanÂ dariÂ tahunÂ 2016 sampai 2018. Hasil : tinjauan ini menunjukkan nilai yang signifikan yaitu dari ketiga artikel menujukan nilai (p< 0.05) yang artinya adanya pengaruh dari terapi kognitif atau cognitive behavior therapy (CBT) terhadap peningkatan harga diri pada remaja. Kesimpulan: terapi kognitif atau cognitive behavior therapy (CBT) merupakan terapi yang diyakini dapat meningkatkan harga diri rendah pada remaja sehingga diharapkan tenaga kesehatan dapat menerapkan terapi kognitif untuk mengurangi tingkat harga diri rendah pada remaja.

Translation and Culture Adaptation of Problems and Needs of Palliative Care Questionnaires for Use in Older People in Indonesia Juniarni, Lia; Hadiyani, Wini; Antika, Tri; Lindayani, Linlin
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 7, No 1 (2021): Volume 7, Nomor 1 (2021)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v7i1.26229

AbstractIntroduction: Identifying problems that affect the quality of life and the need for care generally requires using a unique screening tool with the same characteristics as those used to achieve goals. However, in a clinical setting, palliative care problems and needs are given less attention and are poorly understood. In addition, there is currently no validated instrument for measuring the problems and needs of palliative care in older people. Objectives: This study aimed to develop and validate a new instrument that assessed palliative care problems and needs in older people. Methods: Items were generated through a review of the literature and refinement by an expert. The instrument was psychometrically evaluated using construct validity with convergent and discriminant validity. At three community centers in Bandung, Indonesia, 187 older people completed the final instrument. Results: According to the confirmatory validity test, 35 items were found to be valid. For a problem section, the factor loading ranged from 0.17 to 0.67 and for the need section from 0.17 to 0.61. Scale reported good convergent and constructed validity A 35-item psychometric properties assessment of palliative care issues and needs of older people. Discussion: This instrument will be clinically useful in providing a systematic way to assess problems and needs of palliative care in older people as primary data and care management evaluation. Additional research should be conducted to examine alternative methods for establishing construct validity.AbstrakPendahuluan: Mengidentifikasi masalah yang mempengaruhi kualitas hidup dan kebutuhan akan perawatan memerlukan alat skrining khusus yang memiliki karakteristik yang sama dalam mencapai tujuan. Namun, dalam pengaturan klinis, masalah dan kebutuhan perawatan paliatif kurang mendapat perhatian dan kurang dipahami. Sampai saat ini, tidak ada instrumen tervalidasi khusus untuk mengukur masalah dan kebutuhan perawatan paliatif pada lansia. Tujuan: Tujuan dari penelitian ini adalah untuk mengembangkan dan memvalidasi instrumen baru yang mengukur masalah dan kebutuhan perawatan paliatif pada lansia. Metode: Item dikembangkan melalui tinjauan pustaka dan pemurnian oleh seorang ahli. Evaluasi psikometri instrumen dilakukan dengan menggunakan validitas konstruk dengan validitas konvergen dan diskriminan. Sebanyak 187 lansia berpartisipasi dalam penelitian ini yang dilakukan di 3 wilayah kerja puskesmas di Bandung Indonesia. Hasil:Â Sebanyak 35 item dilaporkan valid menurut uji validitas konfirmasi. Factor loading berkisar antara 0,17 hingga 0,67 untuk bagian masalah dan 0,17 hingga 0,61 untuk bagian bantuan tenaga kesehatan. Sedangkan, hasil uji validitas konvergen dan diskriminan menunjukan hasil yang baik. Sebanyak 35 item pertanyaan untuk masalah dan kebutuhan sudah dilakukan tes psikometri pada lansia. Diskusi:Â Instrumen ini akan berguna secara klinis dalam menyediakan data secara sistematis untuk mengidentifikasi masalah dan kebutuhan perawatan paliatif pada lansiaÂ sebagai data primer dan evaluasi manajemen perawatan. Penelitian selanjutnya perlu dilakukan untuk mengidentifikasi validitas instrumen ini deng alternatif untuk membangun validitas konstruk.

THE PERCEPTION OF POST-PARTUM WOMEN WITH HIV / AIDS ABOUT PSYCHOSOCIAL SUPPORT IN BANDUNG CITY Nunung Nurhayati; Lia Juniarni; Mimin Sumiati
Journal of Maternity Care and Reproductive Health Vol 2, No 1 (2019): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

About 17 million women around the world aged 15-49 years are infected with HIV and AIDS. HIV / AIDS is transmitted from mother to baby during pregnancy, intra-natal, postnatal and it is a cause of death. In 2015, HIV transmission occurred in more than 38,500 children born to HIV-positive women. Transmission of HIV / AIDS from mother to baby during labor can be prevented by ARV therapy. The psychological aspects of postpartum women with HIV / AIDS include fear, shame, and a higher risk of depression compared to normal postpartum. Social support is needed by individuals in the situation. The participants in this study were 6 people. The sampling technique used purposive sampling with the inclusion criteria for post-partum women with HIV / AIDS who routinely controlled treatment. The results of the study found the theme of psychosocial support from the closest person consisted of 3 categories, namely psychological support from the family, support from fellow friends with HIV / AIDS and support in undergoing treatment. Conclusions from the results of the study found new insights that post-partum women with HIV / AIDS had accumulated feeling from the process of HIV / AIDS. Support is needed from the people closest to the family and support from fellow friends with HIV / AIDS, to prevent continuing into the desperation stage that results in death.Keywords: HIV / AIDS, Physiological support, Perception, postpartum-women.

SELF-ACCEPTANCE AND SELF-CONCEPT AMONG TRANSGENDER IN INDONESIA Reni Fitriani; Agni Laili Perdani; Lia Juniarni
Malahayati International Journal of Nursing and Health Science Vol 1, No 1 (2018)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Background: Transgender is no longer classify a mental health illness from World Health Organization (WHO). The number of this community up to 3.9 million or 1.6% from Indonesia citizen. Transgender face social discrimination and stigma toward themselves as a result from community and family rejection. This condition could affected their process of self-acceptance and self-concept.Purpose: This study aimed to describe the self-acceptance and the self-concept among transgender in Indonesia Methods: A cross-sectional study was conducted in transgender community at Srikandi Pamungkas, Lembang. This study used a convinience sampling and 30 respondents agreed to participate. Data was collected using self-questionnaire and consist of 52 item questions with.Results: This study showed that the total of transgender with good self-acceptance is 17 (56.7%) and good self-concept is 16 (53.3%)Conclusion: Most of the transgender in the transgender community had good self-acceptance and good self-concept from the support system in community environment.

MUSKAR-T for Improving Mental Health and Cancer-Related Symptoms in Women Diagnosed with Breast Cancer Undergoing Chemotherapy: A Queasy Experimental Design Dian Anggraini; Dewi Marfuah; Susy Puspasari; Lia Juniarni
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. Special Edition (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.669 KB)

Aims: Women diagnosed with breast cancer suffer from significant psychological distress, mainly depression and anxiety, fatigue, and sleep disturbance. The effects of music therapy and progressive muscle relaxation training on the quantity and quality of sleep, as well as on levels of anxiety and fatigue, in patients undergoing chemotherapy for breast cancer. Objectives: The aim of the study was to determine the effects of MUSKAR-T (combination of music therapy and progressive muscle relaxation training) on sleep quality, anxiety, and fatigue in breast cancer patients undergoing chemotherapy. Methods: The study employed a two-group, pre- and post-test experimental design. Patients in the intervention group had two sessions of 30-minutes of music therapy and progressive muscular relaxation per day for five days prior to hospital discharge. Pittsburgh Sleep Quality Index (PSQI), State Trait Anxiety Index (STAI), and Cancer-related Fatigue Assessment (C-RAFA) were used to evaluate the results (CFS). Anxiety, tiredness, and sleep quality were measured and compared between groups using a univariate approach that also took into account the effects of group, time, and the interaction of group and time. Results: This study had 100 participants, 50 in the intervention group and 50 in the control group. The majority of respondents were married (70 percent), unemployed (24 percent), had completed at least middle school (68 percent), were not menopausal (76 percent), and had illness at stage III (46 percent ). The intervention group’s anxiety, fatigure, and sleep quality scores fell to 76.1112.42, 45.1214.76, and 4.363.36 on the day preceding hospital discharge. Conclusions: The culturally-based music therapy and progressive muscle relaxation effective for reducing anxiety, fatigue, and enhancing the quality of sleep in breast cancer patients undergoing chemotherapy.

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