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Pengaruh Terapi Aktivitas Kelompok dengan Stimulasi Persepsi terhadap Kemampuan Mengontrol Halusinasi pada Pasien Skizofrenia Widya Sepalanita; Wittin Khairani
Jurnal Ilmiah Universitas Batanghari Jambi Vol 19, No 2 (2019): Juli
Publisher : Universitas Batanghari Jambi

The prevalence of mental emotional disorders indicated by symptoms of depression and anxiety for ages 15 years and over reaches around 14 million people or 6% of the total population of Indonesia. While the prevalence of severe mental disorders, such as schizophrenia, reaches around 400,000 people or as many as 1.7 per 1,000 residents. Hallucinations are one of the symptoms of schizophrenic mental disorder. Therapy Activities Groups with perceptual stimulation are therapies that use activities to perceive various stimulations related to experience with life to be discussed in groups. The aim of the research was to know the effect of group activity therapy on hallucinogenic control ability in schizophrenic patients in Jambi Province Mental Hospital in 2018. This study used a quasi experimental design with a design of one group design with pretest and posttest. The study was conducted at the Jambi Province Mental Hospital in June-September 2018 with a total sample of 30 people taken by purposive sampling. The results of this study are that there is a significant effect of group activity therapy on hallucinogenic control ability in schizophrenic patients at Jambi Province Mental Hospital. This study is expected to increase knowledge, understanding and skills of mental nurses in treating or treating schizophrenic patients, to improve the ability to control the hallucinations of schizophrenic patients through therapeutic activities of perception simulation groups by applying group activity therapy.

Daya tilik diri (Self Insight), Harga diri (self esteem) dan Stigma diri (Self Stigma) serta Kualitas hidup pasien Skizofrenia di klinik Jiwa RS Jiwa Daerah Jambi Daryanto Daryanto; Wittin Khairani
Jurnal Ilmiah Universitas Batanghari Jambi Vol 20, No 1 (2020): Februari
Publisher : Universitas Batanghari Jambi

Schizophrenia experienced patients tend to be chronic so that it can affect the quality of life. Research of the quality of life of schizophrenia patients in some countries is depicted the quality of life is low, but the description and relationship of self-esteem, self-esteem and self-stigma with the quality of life schizophrenia patients in Jambi area has not been researched. Unknown to self-esteem, self-esteem and self-stigma with the quality of life of schizophrenia in the clinic of the soul RSJ in Jambi region. Design research uses descriptive correlation with cross sectional approaches. The population of the study was the entire family of schizophrenia patients who visited the mental clinic of Jiwa district of Jambi in 2016 for 3795 people, samples were selected as many as 115 respondents using simple randomized techniques. Research is conducted from August to November 2017. Data was analyzed using a simple linear regression test. The results of the study are known to the average life quality of patients is 79.08. The power of self-view correlates negatively with the quality of life of schizophrenia patients (P value 0.009 < α 0.05). There is a correlation between the self-esteem and the quality of life of schizophrenia patients (P Value 0.037 < α 0.05). Negative correlation between self-Stigma and quality of life of schizophrenia patients (P Value 0.038). Self-care power, self-esteem and self-stigma are correlated with the quality of life of schizophrenia patients. RSJ nurses are expected to give the program problem solving skills and social skills training to the patient and nursing home skills in the family. Research needs to be done for the development of schizophrenia patients in the psychiatric clinic in Jambi area.

Pengaruh Therapi Kognitif Behavior Terhadap Perilaku Merokok Wittin Khairani
Jurnal Ilmiah Universitas Batanghari Jambi Vol 19, No 2 (2019): Juli
Publisher : Universitas Batanghari Jambi

Indonesia is the country with the largest number of young smokers in Asia. At the age of adolescents (aged 12-18 years) or at the age of the Junior High School level, it is very potential to become a new smoker. This phenomenon of new smokers often occurs among adolescent children due to the association and environmental influences. Therefore there must be an early effort to provide an understanding of the dangers of smoking and the impact on health. This study aims to determine the effect of cognitive therapy behavior on smoking behavior. The research method used a quasi-experimental design with one group design with pretest and posttest. Sampling was 30 people by purposive sampling. Data analysis using paired t-test (p-value 0.05) to see the effect of cognitive behavioral therapy on knowledge, attitudes and behavioral tendencies. Furthermore, using the independent t-test statistical test to see the difference in cognitive behavioral therapy to knowledge, the tendency of behavior (intention) to smoke. The results of the study are the influence of cognitive behavior therapy on knowledge, attitudes, and tendencies of smoking behavior in junior high school students. It is expected that the results of this study can contribute to the mind in choosing an effective therapeutic method in carrying out the duties and responsibilities of health promotion practitioners to maintain, prevent, treat, recover and improve the health status of the community.

PENGARUH PERAN KELUARGA DALAM PENCEGAHAN DAN PENANGANAN PERILAKU AGRESIF PREHOSPITAL PADA ORANG DENGAN KELAINAN JIWA Wittin Khairani; Yusniarita Yusniarita
JURNAL MEDIA KESEHATAN Vol 15 No 1 (2022): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 15 No 1 Juni 2022
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v15i1.733

Clients with aggressive behavior are taken by force to mental hospitals, often appear to be inhumanly bound accompanied by shouts and escorts by a number of family members.. Family is the closest person who can provide support, attention and affection to family members who behave aggressively before being taken to the hospital which can adoptive a sense of optimism and adoptive positive thoughts in dealing with a problem. Objective: To determine the influence and differences in the role of the family in the prevention and treatment of aggressive behavior pre-hospital before and after in ODGJ clients. The study used a quasi-experimental design with a pre-test and post-test nonequivalent control group design. The study population was all patients who had a psychiatric history visited the Gamping II Public Health Center Yogyakarta in January 2021, with a sample of 30 people conducted by purposive sampling. The data collection instrument used a questionnaire on Knowledge of Prevention and Handling of Prehospital Aggressive Behavior. Data were analyzed by univariate and bivariate with t-test (95% CI). There is an influence in the form of increasing the role of the family, seen from the difference in the average value from the pre-test to the posttest only 7.76 . There was a difference from the pretest to the posttest value, seen from the significant p = 0.000 (p <0.05) after being given treatment/intervention about the role of the family in the prevention and management of prehospital aggressive behavior in ODGJ clients.There is an influence and difference after the intervention to respondents regarding the role of the family in the prevention and management of aggressive prehospital behavior on ODGJ clients.

PELAKSANAAN TERAPI RELAKSASI BENSON UNTUK MENGONTROL KADAR GULA DARAH PADA LANSIA DENGAN DIABETES MELLITUS Wittin Khairani; Sapta Rahayu Noamperani; Agus Sarwo Prayogi
ABDIKEMAS: Jurnal Pengabdian Kepada Masyarakat Vol 5 No 1 (2023): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : PUSAT PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT, POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v5i1.1540

Diabetes Mellitus merupakan penyakit yang tidak dapat disembuhkan, tetapi dapat dikontrol dengan melakukan pengelolaan yang tepat. Pengontrolan diabetes mellitus sangat dipengaruhi oleh kemandirian diabetes dalam melakukan perawatan diabetes yang benar sehingga manajemen diabetes dapat menjadi gaya hidup pasien. Edukasi tentang Diabetes Mellitus yang diberikan mencakup pengendalian gula darah melalui perencanaan makan, latihan jasmani dan obat-obatan, pemantauan gula darah, tanda dan gejala komplikasi akut dan pencegahan komplikasi kronik Salah satu latihan jasmani dengan teknik relaksasi benson yang digunakan untuk mengurangi stres. Mekanisme penurunan kadar gula darah dengan relaksasi benson terjadi melalui penurunan stress fisik dan psikologis yang kemudian akan menurunkan epinefrin, menurunkan kortisol, menurunkan glukagon dan menurunkan hormon tiroid. Tujuan Pengabdian Masyarakat ini untuk meningkatkan kemandirian lansia dengan diabetes mellitus dalam mengontrol kadar gula darah dengan menggunakan terapi relaksasi benson. Pengabdian Masyarakat ini dilakukan dengan sasaran 20 orang lansia di Dukuh Panggungan, Trihanggo, Gamping, Sleman, D.I.Yogyakarta, Latihan Relaksasi Benson dapat meningkatkan kemandirian lansia dengan diabetes dalam mengontrol kadar gula darah. Kemandirian lansia dilihat adanya berupa peningkatan pengetahuan dan kemampuan menerapkan 6 langkah prosedur penerapan terapi relaksasi benson secara mandiri.

The Effect of Self Talk Therapy on Anxiety in Hypertension Patients in Banyuraden, Yogyakarta Rekha Amelia Putri; Wittin Khairani; Sarka Ade Susana
Jurnal Kesehatan Manarang Vol 10 No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i1.952

Background: The phenomenon that occurs in hypertensive patients who are undergoing routine treatment or therapy, most sufferers feel anxious because of the treatment process, so patients need an effective problem-solving or coping mechanism to be able to reduce or overcome anxiety. There are several psychological interventions used to reduce anxiety, one of which is cognitive intervention. Self talk therapy is a cognitive way of working that contributes to changing negative thoughts into positive ones. Objective: Aims to determine the effect of self talk therapy on anxiety in hypertensive patients in Kalurahan Banyuraden, Gamping, Sleman, Yogyakarta. Method: This research is Pre-experiment design with One group Pretest-Posttest Design research design. This research will be conducted in April 2023. The sample in this study amounted to 90 respondents. Data analysis used Wilcoxon's non-parametric statistical test to see the difference between pretest and posttest in determining intervention results. Results: Results showed that there was a decrease in anxiety level scores experienced by 90 participants, where anxiety scores were in the moderate category. The results of data analysis showed that the value of Z = -8.248 with significance p = 0.000 (p< 0.05). Conclusion: There were significant changes in the score obtained by people with hypertension before and after the intervention. It is hoped that this intervention can help in reducing anxiety and can be done independently by people with hypertension.

Pelaksanaan Terapi Relaksasi Benson untuk Mengontrol Kadar Gula Darah pada Lansia dengan Diabetes Mellitus Wittin Khairani; Sapta Rahayu Noamperani; Agus Sarwo Prayogi
Jurnal Pengabdian Kepada Masyarakat (ABDIKEMAS) Vol 5 No 1 (2023): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : PUSAT PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT, POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v5i1.1540

Diabetes Mellitus merupakan penyakit yang tidak dapat disembuhkan, tetapi dapat dikontrol dengan melakukan pengelolaan yang tepat. Pengontrolan diabetes mellitus sangat dipengaruhi oleh kemandirian diabetes dalam melakukan perawatan diabetes yang benar sehingga manajemen diabetes dapat menjadi gaya hidup pasien. Edukasi tentang Diabetes Mellitus yang diberikan mencakup pengendalian gula darah melalui perencanaan makan, latihan jasmani dan obat-obatan, pemantauan gula darah, tanda dan gejala komplikasi akut dan pencegahan komplikasi kronik Salah satu latihan jasmani dengan teknik relaksasi benson yang digunakan untuk mengurangi stres. Mekanisme penurunan kadar gula darah dengan relaksasi benson terjadi melalui penurunan stress fisik dan psikologis yang kemudian akan menurunkan epinefrin, menurunkan kortisol, menurunkan glukagon dan menurunkan hormon tiroid. Tujuan Pengabdian Masyarakat ini untuk meningkatkan kemandirian lansia dengan diabetes mellitus dalam mengontrol kadar gula darah dengan menggunakan terapi relaksasi benson. Pengabdian Masyarakat ini dilakukan dengan sasaran 20 orang lansia di Dukuh Panggungan, Trihanggo, Gamping, Sleman, D.I.Yogyakarta, Latihan Relaksasi Benson dapat meningkatkan kemandirian lansia dengan diabetes dalam mengontrol kadar gula darah. Kemandirian lansia dilihat adanya berupa peningkatan pengetahuan dan kemampuan menerapkan 6 langkah prosedur penerapan terapi relaksasi benson secara mandiri.

Peningkatan Kemandirian Keluarga Melalui Pemberdayaan Penanganan Perilaku Agresif Pre Hospital pada Orang Kelainan Jiwa: Enhancement of Family Independence Through Empowerment to Handle Pre Hospital Aggressive Behavior in People Mental Disorders Wittin Khairani; Sri Purwanti, Nunuk; Prabowo, Tri
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 3 No. 4 (2023): Desember
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

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

Abstrak: Kasus gangguan jiwa berat di Indonesia terdapat di Aceh, Sulawesi Selatan, Bali, dan Jawa Tengah menduduki kasus tertinggi khususnya di Yogyakarta. Tingginya kasus jiwa tersebut tentu membutuhkan penanganan yang terpadu, berkesinambungan dan keterlibatan dari semua pihak. Yang sangat berperan penting adalah keluarga dalam memberikan intervensi pada anggota keluarga dengan kelainan jiwa. Salah satu tindakan yang disarankan untuk mencegah terjadi kelainan jiwa menjadi berat adalah keluarga diberdayakan dalam penanganan perilaku agresif sebelum dibawa ke Rumah Sakit Jiwa. Kegiatan pemberdayaan dilaksanakan selama 4 hari pada tanggal 5 s/d 8 September 2022 di Puskesmas Kasihan I, DI Yogyakarta. Sasaran kegiatan adalah 25 kepala keluarga. Tahapan kegiatan ini meliputi pengumpulan data, menggunakan strategi komunikasi, informasi, edukasi dengan menerapkan pemberdayaan keluarga dengan metode komunikasi dan simulasi dari setiap penanganan yang diberikan pada orang dengan kelainan jiwa. Hasil Kegiatan terdapat peningkatan kemandirian peran aktif kepala keluarga sebesar 72% sampai dengan 96% dari jumlah kepala keluarga sebagai peserta pemberdayaan. Hasil yang didapatkan pemberdayaan keluarga dapat meningkatkan kemandirian keluarga dalam mengurangi perilaku agresif pada orang dengan kelainan jiwa sebelum dibawa ke Rumah Sakit Jiwa. Abstract: Most severe mental disorders in Yogyakarta, Aceh, South Sulawesi, Bali and Central Java. The high number of mental cases certainly requires integrated, continuous handling and involvement from all parties. The family plays a very important role in providing interventions for family members with mental disorders. One of the recommended actions to prevent mental disorders from becoming severe is for the family to be empowered in handling aggressive behavior before being taken to a mental hospital. The empowerment activities were carried out for 4 days from 5 to 8 September 2022 at the Kasihan I Health Center, Special Region of Yogyakarta. The target of the activity is 25 heads of families. The stages of this activity include administration preparation, data collection, using communication strategies, information, education with health education methods in implementing family empowerment with a simulation method of every treatment given to people with mental disorders. The results an increase in the independence of the active role of the head of the family by 72% to 96% of the number of heads of families as empowerment participants. The role of the family through empowerment to reduce aggressive behavior in people with mental disorders before being taken to a mental hospital.

Introducing Jaga-rasa Jaga-tangga: A Community Program that Can Reduce Tuberculosis Stigma in Sleman, Indonesia Purwanti, Nunuk Sri; Ghofur, Abdul; Khairani, Wittin; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.829

The low number of cases found compared to the incidence of Tuberculosis (TB) shows that the control of this disease becomes a serious problem. The stigma is suspected to be one of the obstacles to solving the TB problem in Indonesia. This study aims to analyze the ability of the Jaga-rasa Jaga-tangga program to decrease TB stigma in two Public Health Centers (PHCs) in Sleman Regency, Indonesia. This is a quasi-experimental study design with a control method. Both intervention and control groups get health education about TB stigma. The intervention group also gets an education about the Jaga rasa Jaga tangga (take care of your neighbors as well as take care of their feelings) program. The outcome measure was the TB stigma scale that measure before and after the intervention. Data were analyzed using paired t-tests and independent t-tests. 106 respondents were involved in this study divided into intervention and control groups. Age (p=0.006) and social status (p=0.015) are associated with TB stigma in the community. There were significant changes in the TB stigma scale after the intervention (paired =0.305; p=0.001). The Jaga-rasa Jaga-tangga program along with health education reduces TB stigma more effectively than health education only. Further studies are needed to confirm this result.

The Effect of Coloring Art Therapy on Academic Anxiety of Midwifery Final Year Students: Pengaruh Terapi Seni Mewarnai Terhadap Kecemasan Akademik Mahasiswa Tingkat Akhir Jurusan Kebidanan Afidayani, Khairunnisa; Khairani, Wittin; Laasara, Nurun
Caring : Jurnal Keperawatan Vol. 12 No. 2 (2023): September
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i2.2141

Academic anxiety is an impulse of thoughts and inner feelings that contain tension and fear, which results in disruption of thought patterns, physical responses, and behavior as a result of pressure in academic situations. Academic anxiety felt by students can affect their achievement index. One of the therapies that can be used to reduce academic tension is coloring art therapy, which can reduce anxiety levels and improve individual coping mechanisms. Objective of this research to heal the effect of coloring art therapy on the academic anxiety of final-year students of the Department of Midwifery, Poltekkes, Ministry of Health, Yogyakarta. This research is a pre-experimental design with a one-group pre-post-test design. Sampling technique with purposive sampling The sample used was the final-year students of the Midwifery Department, totaling 76 respondents. Statistical test using the Wilcoxon signed rank test. This study showed that 11% of students experienced mild anxiety, 68% experienced moderate anxiety, and 21% experienced severe anxiety based on the results of the pre-test scores. After coloring art therapy using the media "Guidance Book: Coping with Art," based on the results of the post-test, as many as 50% of respondents experienced mild anxiety, 46% of students experienced moderate anxiety, and 4% experienced severe anxiety. Statistical test results show the value of Asymp. Sig (2-tailed) or p.value 0.000 (P 0.05). Coloring art therapy has an effect on academic anxiety in final-year students of the Midwifery Department of the Yogyakarta Ministry of Health Polytechnic. Kecemasan akademik adalah dorongan pikiran, perasaan dalam diri yang berisikan ketegangan dan ketakutan yang mengakibatkan terganggunya pola pemikiran, respon fisik serta perilaku sebagai hasil tekanan dalam situasi akademis. Kecemasan akademik yang dirasakan mahasiswa dapat mempengaruhi indeks prestasi setiap mahasiswa. Salah satu terapi yang dapat digunakan untuk mengurangi kecemasan akademik adalah terapi seni mewarnai yang dapat menurunkan tingkat kecemasan dan meningkatkan mekanisme koping individu. Tujuan penelitian ini untuk diketahuinya pengaruh terapi seni mewarnai terhadap kecemasan akademik mahasiswa tingkat akhir Jurusan Kebidanan Poltekkes Kemenkes Yogyakarta. Penelitian ini merupakan penelitian pre-experimental designs dengan one-group pre-post test design. Teknik pengambilan sampel dengan purposive sampling. Sampel yang digunakan merupakan mahasiswa tingkat akhir Jurusan Kebidanan berjumlah 76 responden. Uji statistik menggunakan Wilcoxon signed ranks test. Penelitian ini menunjukkan bahwa 11% mahasiswa mengalami kecemasan ringan, 68% mahasiswa yang mengalami kecemasan sedang dan 21% mahasiswa mengalami kecemasan berat dari hasil nilai pre-test. Setelah dilakukan terapi seni mewarnai menggunakan media “Guidance Book: Coping with Art” berdasarkan hasil post-test sebanyak 50% responden mengalami kecemasan ringan, 46% mahasiwa mengalami kecemasan sedang dan 4% mengalami kecemasan berat. Hasil uji statistik menunjukan nilai Asymp. Sig (2-tailed) atau p.value 0,000 (P < 0,05). Terapi seni mewarnai berpengaruh terhadap kecemasan akademik pada mahasiswa tingkat akhir Jurusan Kebidanan Poltekkes Kemenkes Yogyakarta.

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