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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Interest : Jurnal Ilmu Kesehatan Nexus Kedokteran Klinik Biomedika Indigenous: Jurnal Ilmiah Psikologi Majalah Kesehatan FKUB Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior Journal of Maternal and Child Health Indian Journal of Forensic Medicine & Toxicology
Aris Sudiyanto
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Arts Humanities Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Pengaruh Ekspresi Emosi Keluarga terhadap Frekuensi Kekambuhan Pasien Skizofrenia di Rumah Sakit Jiwa Daerah Surakarta Prihandini, Irene Yunita; Sudiyanto, Aris; Dharmawan, Ruben
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Schizophrenia is a severe disease, with basic personality disorder, distortion the proccess of thought, sometimes have the feeling that he/she was being controlled by external powers, peculiar delusions, disturbing perception, and an affect which does not correspond to the actual situation. In Schizophrenia patients, there are degradation in the field of employment, socialization, and self-care function. Thus, the patient requires caregiver who could take care of him/her, especially when the disease is relapse. Methods: This research is analitical observational by its character with the case control study approach that held between June up to July 2012 in Rumah Sakit Jiwa Daerah Surakarta. It used purposive sampling by divide it into two inclusion criterisa, the caregiver inclusion criteria were (1) Schizophrenia patients family that accompany the patient in the Rumah Sakit Jiwa Daerah Surakarta (2) Schizophrenia patients family that live in the same house with the patient (3) Patient that currently 20-60 years old (4) Voluntarily become respondent in this research and have agreed the informed consent sheet, whereas the inclusion criteria for the schizophrenia patients was (1) relapse patient (2) no reccurrence patient. The sample fulfill (1) identity & informed consent sheet (2) emotion expression quesioner. There are 60 sample and analyzed by pearson test and paired sampel t-test with SPSS 17.0 program for windows. Results: According to the result, we have known that the significance level is 0.004 so (which is 0.004<0.01/0.05) the decision is to accept the hypothesis which was stated that there is a significant connection between the emotion expression with the frequency of recurrence Schizophrenia patients in Rumah Sakit Jiwa Daerah Surakarta. The average difference between the groups of high emotional expression and low emotional expression, t arithmetic (3.826 > t table 1.76) so that H0 could be rejected. Therefore, there is also significant difference in recurrence between the groups of high emotional expression and the low emotional expression. While r calculation in this research is 0.058, so the alternative hypothesis (Ha) which was stated that there is significant positive connection between the Emotional Expression (EE) with the frequency of reccurrence Schizophrenia Patients in Rumah Sakit Jiwa Daerah Surakarta is accepted. Thus, naught hypothesis (Ho) which was stated that there isnt significant positive between the family emotional expression (EE) and the frequency of recurrence is rejected. The direction of both variables is positive, that is if Schizophrenia patients family emotional expression is high then the frequency of recurrence must be high too, vice versa. Conclusions: The higher family emotional expression (EE) then the frequency of recurrence is must be higher too, vice versa.   Key words: Emotional Expression, Frequency of Recurrence 
Perbedaan Kemampuan Bahasa Menurut Jenis Kelamin pada Siswa SLB Autis di Surakarta Ningsih, Endang Susilowati; Sudiyanto, Aris; Hikmayani, Nur Hafidha
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:Knowledge about language in autism are lacking or else contradictive. Previous studies found that girls with autism spectrum disorder (ASD) had greater communication deficits than boys,while other studies mentioned that boys with ASD had less languagecapabilities than girls.This study aimed to examine the difference in language ability by genderamongstudents of autis schools in Surakarta. Methods:This was an observational analytic study using cross-sectional approach, conducted from April to May 2013 in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Students of SLB Autis Harmony and SLB Autis Alamanda who met inclusion criteria were sampled. Subjects were categorized into verbal and nonverbal type. Data were analyzed using Fishers exact test. Results:Of 33 subjects meeting the restriction criteria, 19 (57.6%) had language skills of nonverbal type, and 13 students (68.4%) of whom were boys. Statistical analysis showed no difference in language abilities of autistic boys and girls (p = 1.000). Conclusions:There was no language skill differenceaccording to gender of students with autism in SLB Autis Harmony and SLB Autis Alamanda Surakarta. Keywords:autism, language, gender.
Hubungan Abnormalitas Persalinan Dengan Faktor Risiko Autistik Zakiyah, Bani; Sudiyanto, Aris; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Autism is a disorder affects communication, social, language, and behaviour impairments of children. The prevalence of autism tend to increase, but its etiology still unclear and multifactoral suspected. Based on some studies, the incidence of autism were increase if there are some problems in prenatal, natal, or postnatal. Abnormality labor is one of the problem in natal that suspected has a correlation with autism. This study aims to determine the correlation between abnormal labor and risk factors of autism.   Methods: This study was an analytic observational study with case control design. The subject were taken by porposive random sampling in case group and control group. The interview done in 66 mothers of children. 33 children taken from SLB Autis Harmony, SLB Autis Agca Center, SLB Autis Alamanda, and SLB-B C dan Autis YBA Surakarta as case group and 33 children taken from SDN Ngoresan Surakarta as control group. Then the results were tested with Chi Square through SPSS 17.0 for Windows. Results: From the case group, 90.9% were born with abnormal labor and from the control group, 48.5% were born with abnormal labor. The result of Chi Square analysis, the value p < 0.01, it means the probability value is lower than 0.05. So, there is significal correlation between abnormal labor and risk factors of autism. Conclusions: The conclusion of this research is there is correlation between abnormal labor and risk factor of autism. Keywords: abnormal labor, risk factors, autism 
Keefektifan Psikoterapi Untuk Menurunkan Skor Kecemasan Pasien Gangguan Anxietas Sudiyanto, Aris
Indigenous Vol. 7, No. 2, November 2005
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/indigenous.v0i0.4643

Abstract

Tujuan penelitian ini untuk membuktikan keefektifan psikoterapi mengurangi (menurunkan skor) kecemasan dan membandingkan keefektifan terapeutik antara psikoterapi dan kombinasi psikoterapi –farmakoterapi dalam penurunan skor kecemasan. Subjek penelitiannya 70 pasien gangguan anxietas dengan kriteria inklusi skor kecemasan T-MAS 22 atau lebih dari kriteria eksklusi menderita penyakit fisik atau cacat tubuh, penyalahguna NAPZA, gangguan kepribadian, dan psikosis, dibagi menjadi 2 kelompok penelitian, yaitu kelompok psikoterapi dan kelompok kombinasi psikoterapi –farmakoterapi dengan jumlah kelompok masing-masing 35 pasien. Rancangan penelitiannya adalah randomized two groups pre and post test design. Instrumen penelitian yang digunakan adalah Taylor Manifest Anxienty Scale (T MAS) dan Lie Scale Minnesota Multiphasic Personality Inventory ( Skala L-MMPI). Kesimpulannya adalah psikoterapi dapat menurunkan skor kecemasan secara bermakna mulai minggu IV. Kombinasi psiko-terapi dan psikofarmaka secara bermakna dapat menurunkan skor kecemasan mulai minggu 1 pengobatan. 
APLIKASI ANALISIS TRANSAKSIONAL BERFOKUS PENGASUHAN ANAK PADA PASANGAN DENGAN MASALAH RELASI PERKAWINAN Yudhantara, Dearisa Surya; Sudiyanto, Aris; Maharatih, Gst Ayu
Majalah Kesehatan FKUB Vol 5, No 2 (2018): Majalah Kesehatan Fakultas Kedokteran
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.035 KB) | DOI: 10.21776/ub.majalahkesehatan.005.02.7

Abstract

 Masalah relasi pada pasangan dapat mempengaruhi timbulnya masalah pada pengasuhan anak. Orangtua dengan masalah relasi akan menyebabkan gangguan pada pola asuh anak yang akan menyebabkan beberapa maslah pada anak seperti psikopatologi, gangguan perilaku, dan penurunan prestasi akademik. Peneltian ini adalah penelitian kualitatif berbentuk studi kasus dan aplikasi modul psikoterapi analisis transaksional pada pasangan dengan masalah relasi perkawinan berfokus pada pengasuhan anak. Studi ini melibatkan 3 pasangan Pada pelaksanaan psikoterapi analisis transaksional dengan setting terapi pasangan ini, dua klien dapat mengikuti hingga selesai, sedangkan satu klien tidak menyelesaikan proses psikoterapi. Terdapat perbaikan pada pola pengasuhan anak pada 2 pasangan klien yang mengikuti proses psikoterapi analisis transaksional hingga selesai. Perbaikan pola pengasuhan anak seiring dengan perbaikan relasi pada pasangan. Perbaikan ini berkaitan dengan bertambahnya waktu untuk anak, lebih banyak kasih sayang, dan afeksi kepada anak. Penelitian ini menyimpulkan bahwa aplikasi modul psikoterapi analisis transaksional pada pasangan dengan masalah relasi perkawinan dapat memperbaiki relasi, menambah keintiman pasangan, dan memperbaiki psikopatologi. Perbaikan relasi perkawinan turut memperbaiki pengasuhan anak.  
PENGARUH SELF-HYPNOSIS TERHADAP INTENSITAS NYERI DAN TINGKAT KECEMASAN LANSIA PENDERITA OSTEOARTRITIS Irawan, Chandra; Sudiyanto, Aris; Fanani, Mohammad
Biomedika Vol 11, No 1 (2019): Biomedika Februari 2019
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v11i1.6606

Abstract

Arthritis or rheumatism in the elderly (called osteoarthritis) is chronic and can not be recovered. Pain becomes the main symptoms of osteoarthritis joints experience. The pain can disrupt motor function, sleep disorders and psychological stress. Nowadays, the treatment for elderly with osteoarthritis pain therapy is to pharmacotherapy. Due to psychological disorders such as anxiety and depression play a role in the recurrence of pain, then there is a complementary therapy intervention that is self-hypnosis. Self-hypnosis (as a complementary therapy) popular and familiar because it is easy to do, inexpensive and can be done at home independently. The aimed of this study was to find out whether there is any influence of self-hypnosis on the pain intensity and level of anxiety elderly with osteoarthritis.This study was a quantitative research in the form of quasi experimental randomized pretest-posttest control group design, intervention module using self-hypnosis to reduce pain intensity and level of anxiety elderly with osteoarthritis. This study was approved by the hospital ethics committee. The result of this study was a significant difference in the value pretest and posttest group treated osteoarthritis pain and anxiety elderly. The mean value of NRS (pain) treatment group pretest posttest 1,47 ± 0.57 and 0.97 ± 0.72 with p = 0.001> 0.05. The mean value of TMAS (anxiety) treatment group pretest amounted to 13.13 ± 2.27 posttest 10.93 ± 3.35 with p= 0.000Keywords: Self-Hypnosis, Pain Intensity, Level Of Anxiety, The Elderly With Osteoarthritis.
Socioeconomic Determinants of Healthy Ageing and the Contextual Effect of Peer Group: A Multilevel Evidence from Blora, Central Java Cahyaningtyas, Niena Ayu; Sudiyanto, Aris; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Healthy ageing is about "optimizing opportunities for good health, so that older people can take an active part in society and enjoy an independent and high quality of life". This study aimed to examine the socioeconomic determinants of healthy ageing and the contextual effect of peer group in Blora, Central Java.Subjects and Method: This was a cross-sectional study conducted in Blora, Central Java.A sample of 200 elderly was selected for this study by snowball sampling. The dependent variable was healthy ageing. The independent variables were nutrition intake, age, religiosity, education, and perceived financial position. Data on healthy ageing was collected by WHOQOL-BREF. The other variables were measured by questionnaire. The data were analyzed by a multilevel model.Results: Healthy ageing was positively affected by strong religous belief (b= 6.75; 95% CI= 3.91 to 9.59; p<0.001), better education (b= 8.16; 95% CI= 4.26 to 12.07; p<0.001), better perceived financial position (b= 6.46; 95% CI= 2.86 to 10.07; p<0.001), and good nutritional status (b= 6.79; 95% CI= 3.76 to 9.83; p<0.001).Conclusion: Healthy ageing is positively affected by strong religous belief, better education, better perceived financial position, and good nutritional status.Keywords: healthy ageing, religious belief, elderly, ageing, peer support groupCorrespondence: Niena Ayu Cahyaningtyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl Ir. Sutami 36A, Surakarta 57126, Central Java. Email: niena.ayu21@gmail.com. Mobile: 085640776171Journal of Epidemiology and Public Health (2019), 4(1): 30-36https://doi.org/10.26911/jepublichealth.2019.04.01.04 
Effect of Dementia, Family Support, Peer Support, Type of Residence, and Marital Status on Quality of Life of the Elderly in Surakarta, Central Java Suwarni, Sri; Soemanto, RB.; Sudiyanto, Aris
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The aging population is increasing in Indonesia and worldwide. Indonesia is one of the countries that has high aging population structure. As such, the quality of life of the elderly is of major concern. This study aimed to determine the effect of dementia, family support, peer support, type of residence, and marital status on quality of life of the elderly in Surakarta, Central Java.Subjects and Method: This was an analytical observational study with cross-sectional design.  A total sample of 218 elderly people in Surakarta, Central Java, was selected for this study by fixed exposure sampling, with 1:3 ratio consisting of 50 elderly people living in Dharma Bakti nursing home and 168 elderly people living with their families in the community. The dependent variable was health-related quality of life. The independent variables were dementia, family support, peer support, type of residence, and marital status. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life of the elderly was directly increased by strong peer support (b= 0.25, p<0.001), strong family support (b= 0.59, p= 0.002), mild dementia (b= 1.79, p<0.001), and being married (b= 12.73, p= 0.039). Better quality of life was also increased indirectly by strong peer support (b= 0.67, p= 0.012) and living with families (b= 22.93, p<0.001), through family support.Conclusion: Better quality of life of the elderly is directly increased by strong peer support, strong family support, mild dementia, and being married. It is indirectly increase by strong peer support and living with families.Keyword: quality of life, dementia, family support, peer support, elderlyCorrespondence: Sri Suwarni. School of Health Polytechnics, Ministry of Health, Surakarta. Email: tanasfa@gmail.comJournal of Epidemiologi and Public Health (2018), 3(1): 83-94https://doi.org/10.26911/jepublichealth.2018.03.01.07 
The Effect of Prenatal Yoga on Anxiety and Depression in Kudus, Central Java Yulianti, Ika; Respati, Supriyadi Hari; Sudiyanto, Aris
Journal of Maternal and Child Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

 Background: Anxiety and depression in pregnancy can lead to low fetal quality, increased risk of pregnancy complication and developmental disorder of the child. Antidepressant treatment may cause recurrence or addiction rate of up to 50%. In theory, yoga can relieve undesirable psychic symptoms such as anxiety and depression during pregnancy. This study aimed to determine the effect of prenatal yoga on anxiety and depression.Subjects and Method: This study was a randomized controlled trial, conducted at Budi Luhur clinic in Kudus, Central Java, from 27 December 2017 to 7 February 2018. A total of 102 pregnant women was selected for this study by simple random sampling. This sample was allocated at random into the intervention group (n1=51) and control group (n2=51). The independent variable was prenatal yoga as the intervention under study. The dependent variables were anxiety and depression. The data were collected by questionnaire. The difference in the dependent variables between the two groups was tested by Mann-Whitney test and multiple linear regression.Results: The mean level of anxiety was lower in the intervention group than the control group both at two weeks after the intervention (b= -9.25; 95% CI= -10.22 to -8.28; p< 0.001) and four weeks after the intervention (b= -5.79; 95% CI= -7.68 to -3.90; p< 0.001). The mean level of depression was lower in the intervention group than the control group both at two weeks after the intervention (b= -10.82; 95% CI= -12.29 to -9.35; p< 0.001) and four weeks after the intervention (b= -2.58; 95% CI= -3.98 to -1.18; p< 0.001).Conclusion: Prenatal yoga intervention can reduce anxiety and depression during pregnancy.Keywords: prenatal yoga, anxiety, depressionCorrespondence: Ika Yulianti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ikatamaevan@gmail.com. Mobile: +628115440036.Journal of Maternal and Child Health (2018), 3(2): 100-104https://doi.org/10.26911/thejmch.2018.03.02.02 
PENGARUH LOGOTERAPI MEDICAL MINISTRY TERHADAP DEPRESI DAN KUALITAS HIDUP PASIEN PASCA STROKE Imron, Sri Wahyuni; Sudiyanto, Aris; Fanani, Mohammad
Biomedika Vol 11, No 1 (2019): Biomedika Februari 2019
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v11i1.6168

Abstract

Post-stroke depression (PSD) is the depression following stroke. It is the most frequently complication that has been occurring in stroke and impacting on functional impairment, Activity Daily Living (ADL) decreasement, cognitive deficiency, recovery inhibition, mortality increasement, motor function impairment, and progressive mobility decreasement, thereby increasing dependency and social integration disorder, giving the patients and their family difficulty, and decreasing their quality of life. Stroke is the third leading cause of death in the world with PSD prevalence rate of 5%-63%. The management of post-stroke depression should be comprehensive, managing both stroke and depression, including its risk factor. The aims of this research is to find out the effect of Medical Ministry Logotherapy on depression and quality of life post-stroke patients. This research was an analytical experimental research with single blinded randomized controlled trial pre and post-test design. The subject of research was post-stroke patients with depression in Neurological Polyclinic X Hospital of Surakarta fulfilling the restrictive criteria. The research was conducted from December to 2017 to April 2018. The sampling technique employed was simple random sampling. The instruments used were HDRS and WHOQOL. The data collected would be processed and analyzed using software. Data of general characteristics include gender, religion, education, job status, DM, duration of illness, HT with analize of Chi-Square test showed homogeneous between treatment and control, with p> 0.05. In statistic test, the change of pretes – postest score of HDRS and WHOQOL, in treatment compared with those in control groups obtained p value < 0.01, so that there was a significant difference between treatment and control groups, the decrease in HDRS and the increase in WHOQOL score. The conclusion of this study are the Logoterapi Medical Ministry is reduce the depression and improve the quality of life of patients post-stroke significantly.Keywords: Medical Ministry Logotherapy, HDRS, WHOQOL, DPS
Co-Authors Ade Saputra Nasution Adji Suwandono Alindina Izzani Ambar Mudigdo Arfailasufandi, Roiela Argyo Demartoto Argyo Demartoto, Argyo Bani Zakiyah Bani Zakiyah Betty Hidayati Cahyaningtyas, Niena Ayu Diffah Hanim Dyah Ratna Budiani Endang Susilowati Ningsih Fanani, Moh. Festy Mahanani Mulyaningrum Fourida, Ibrahim Nasrul Imron, Sri Wahyuni Irawan, Chandra Irene Yunita Prihandini Ivonny Rembulan Zilmi Maharatih, Gst Ayu Moh. Fanani Mohammad Fanani MUHAMMAD AGUS SUPRAYUDI Nur Hafidha Hikmayani Nur Hafidha Hikmayani RB. Soemanto Ria, Matilda Bupu RUBEN DHARMAWAN Ruben Dharmawan Sapja Anantanyu Sugma, Saras Vati Manvatarini Supriyadi Hari Respati Uki Retno Budihastuti Yudhantara, Dearisa Surya