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Journal : Journal of Bionursing

Efektifitas Cognitive Behavioral Stress Management (Cbsm) Terhadap Penurunan Kadar Kortisol Pada Pasien Kusta: Literature Review Alivian, Galih Noor; Pratama, Koernia Nanda
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.483 KB) | DOI: 10.20884/bion.v1i1.2

Abstract

Latar Belakang. Pada tahun 1984, Ramanathan melaporkan 55% pada pasien kusta mengalami psychiatric disorders. Chaterjee et al (1989) menemukan 64,7% pasien kusta mengalami psychiatric disorders. Leekassa et al (2004) melakukan studi pada pasien kusta di rumah sakit khusus kusta di Ethiopia dan menemukan 52,4% pasien mengalami gangguan psikiatri. Gangguan psikiatri pada pasien kusta yang sering terjadi yaitu berupa depresi serta kecemasan (shale MJ, 2000), dan di Indonesia dukungan psikososial pada penderita kusta belum banyak dilakukan di fasilitas kesehatan. Stressor yang dialami pasien kusta berupa malu, menarik diri dengan bersembunyi di dalam rumah serta keluarga dan masyarakat yang menganggap jijik terhadap kondisi yang dialami oleh klien (Susanto, 2010). Cognitive Behavioral Stress Management (CBSM) telah digunakan secara luas serta terbukti efektif untuk mengelola stress pada pasien HIV, kanker payudara, kelelahan kronik, penyakit kardiovaskuler, dan kanker prostat (Penedo FJ, Antoni MH, schneiderman N, 2006).Tujuan. Menggambarkan pengaruh Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan reaksi kusta.Metode. Sumber artikel yang digunakan didapat dari pencarian melalui Google Scholar, Doaj, Ebscho, dan Pro Quest mulai tahun 2000 sampai dengan 2013. Setelah didapatkan, kemudian dilakukan penilaian artikel sampai tahap pembuatan literature review.Hasil. Review ini menghasilkan efektivitas dari Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol pada pasien dengan stress.Kesimpulan. Cognitive Behavioral Stress Management (CBSM) terhadap penurunan kadar kortisol ternyata berpengaruh pada pasien dengan stress terhadap kondisi penyakitnya. 
Efektifitas Terapi Akkupuntur Terhadap Keberhasilan Rehabiltasi Pasien Pasca Stroke: Literature Review Pratama, Koernia Nanda; Alivian, Galih Noor
Journal of Bionursing Vol 1, No 2 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.538 KB) | DOI: 10.20884/bion.v1i2.23

Abstract

Introduction. Stroke is a sortie that occurs in the brain that involves blood vessels in the brain (blockage or cracked) and finally manifests in a various of symptoms (starting from paralysis, interference of swallowing and speaking, etc.). This disease is differentiated into ischemic-infarct strokes and hemorrhagic strokes. In Indonesia, this disease has increased from 7% to 10.9%. It indicates that stroke is a disease that is quite dangerous and needs an appropriate handling or rehabilitation.Objective. This study aims to collect and analyze articles relating to the effectiveness of acupuncture therapy as a stroke management.Method. Search for journal articles is done electronically by using several databases, namely DOAJ, PubMed and Google Scholar with the keywords "Acupunture for post stroke" for international journals, whereas for national journals using the Google Scholar search engine with the keyword "Acupuncture therapy in post-stroke patients", the journal sought is an intervention journal with PICO frame work criteria (Patient, Intervention, Comparison, Outcome). From the results of the review there were 5 journals that were relevant to the topic. The journal consists of 3 international journals and 2 national journals, the next step is to review the five journals.Results. Acupuncture therapy is effective for improving post-stroke rehabilitation. This therapy is giving a puncture to Meridian Yang Ming to facilitate the flow of the Ci-Meridian. In this meridian there is a complicated connection system called acupoints (acupuncture points) that binds or relates to various functions of the body and organs. In stroke patients, due to some nerve pathways have been closed it is difficult to maintain the opened circulation. With stimulation of acupuncture at some acupuncture points, it opens the blood vessels and improves the blood flow. Based on the results obtained from the research, acupuncture is quite effective in handling the rehabilitation of stroke patients. In order to feel the results optimally, stroke patients are recommended not only to do the acupuncture therapy. But also the other therapeutic activities.Discussion. The results of this test provide a general picture in the intervention group, that acupuncture therapy interventions can open up blood vessels so that the various effects or complications of stroke disease can be decreased.Conclusion. Acupuncture thrapy is effective for the successful rehabilitation of post-stroke patients..