This Author published in this journals
All Journal Jurnal NERS
Moh. Hasan Mahfoed
Ilmu Penyakit Saraf Fakultas Kedokteran Universitas Airlangga

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Psychological Respons (Anxiety And Depression) and Biological Respons (Cortisol, Ifn-Γ And Tnf-Α) in Ischemic Stroke Patients by Home Care Holistic Model Approach Luluk Widarti; Moh. Hasan Mahfoed; Kuntoro Kuntoro; Ketut Sudiana
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.55 KB) | DOI: 10.20473/jn.v7i1.3993

Abstract

Introduction: The patient with stroke often experience on psychological disorder such as anxiety and depression that lead to biologycal aspects such as on cytokin. The objective of the study was to analyse the corelation between psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ dan tnf-α) in ischemic stroke patients by home care holistic model approach.Method: This study applied an experimental research with quasy experimental design. The study was conducted in the area of Surabaya by selecting ischemic stroke patients after being hospitalised at ”A-Seruni room, Medic IRNA, Dr. Soetomo hospital”. A sample of size 40 was patients divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires and observation technique, while Cortisol level, IFN-γ and TNF-α levels were measured by using ELISA quantitative technique. The data was analyzed by using Levene’s test for homogeneity of variance, t-test and correlation test.Result: The statistical analysis shows there was a significant difference between psychological response in control group after intervension with p = 0.000 for anxiety, and p = 0.000 for depression. For biological response, there is a significant difference p = 0.007 for cortisol and p = 0.000 for TNF-α. However, there is no significant difference in IFN-γ with p = 0.425. The correlation test result shows there was signi fi cant correlations between anxiety and biological responses such as Cortisol with r = 0.724 and p = 0.038; IFN-γ with r = 0.475 and p = 0.034; TNF-α with r = 0.592 and p = 0.006. Furthermore, there was positive correlation between depression and biological responses such as Cortisol with r = 0.705 and p = 0.033; IFN-γ with r = 0.454 and p = 0.044, TNF-α with r = 0.561 and p = 0.010.Conclusion: Holistic home care could improve the psychological responses by decreasing anxiety and depression level and also could improve biological responses by decreasing Cortisol, IFN-γ and TNF-α level in ischemic stroke patients.
The Improvement of The Self-Care Agency for Patients with Ischemic Stroke After Applying Self–Care Regulation Model in Nursing Care AV. Sri Suhardingsih; Moh. Hasan Mahfoed; Rahmat Hargono; Nursalam Nursalam
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.64 KB) | DOI: 10.20473/jn.v7i1.3994

Abstract

Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying a nursing care of self care regulation model.Method: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized in stroke Unit IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on age and sex. Independent variable in the study were self-care regulation: interpretation coping and appraisal. While dependent variable was self-care agency of the patients with ishemic stroke. Data was analysed by wilcoxon signed rank, Mann-Whitey test and modeling by SEM - PLS.Result: The result showed that there were significant differences on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0.857 and the standart nursing care gained the value of R2 = 0.614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0.243.Discussion: It was concluded that the nursing care of self care regulation model could self-care agency up to 24.3% than the standard of nursing care. It is recomended that Self-care regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics.