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Journal : Jurnal Kesehatan dr. Soebandi

Psychosocial Adaptation Model on Tuberculosis Clients Using Uncertainty in Illness Theory Approach in Jember Anita Fatarona; Soedarsono Soedarsono; Laily Hidayati
Jurnal Kesehatan dr. Soebandi Vol 10 No 2 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v10i2.376

Abstract

ABSTRACT Introduction: Pulmonary tuberculosis is an infectious disease that has a psychosocial impact on the sufferer. The government program, is still applicable to the treatment and transmission of disease. Objective: This study was to structural models of psychosocial adaptation in patients with tuberculosis (TB) who underwent treatment using the theory of uncertainty in the disease at Jember Health Centre. Methods: The research is included in the explanative survey method using a cross sectional approach. Samples were taken according to the inclusion criteria of 100 respondents. Sampling using simple random sampling technique. The independent variables in this study, among other: sex, age, marital status, duration of treatment, knowledge, expectations, ethnicity, stigma, occupation, family support, communication, education, uncertainty, coping and psychosocial adaptation. Data were collected using structured questionnaires and analyzed using Partial Least Square (PLS). Results: The result of the research showed that: cognitive factor gave significant effect to uncertainty (t statistic 2,686 >1,6), psychological factor did not give significant effect to uncertainty(t statistic 0, 418 <1,6), social factor gave significant influence to uncertainty (t statistic 7, 496 >1,6), factor uncertainty has a significant effect on coping(t statistic 5,572 >1,6), Coping factors have an effect on psychosocial adaptation(t statistic 7, 911 >1,6). This study cognitive knowledge has a direct influence on uncertainty. uncertainty decreases because the knowledge of TB clients increases. TB clients understanding of the information provided by health workers can reduce the worries and confusion. Conclusion: This psychosocial adaptation nursing model has good predictive relevance.
Combination of Transcutaneous Electrical Nerve Stimulation (TENS) at acupuncture points in controlling blood pressure at the Public Health Center in Patrang, Jember Anita Fatarona; Hella Meldy Tursina; Hendra Dwi Cahyono
Jurnal Kesehatan dr. Soebandi Vol 11 No 1 (2023): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v11i1.420

Abstract

Hypertension or high blood pressure is a major risk factor for stroke, heart failure, and other vascular diseases. Transcutaneous Electrical Nerve Stimulation (TENS) is a non-pharmacological modality therapy that has very minimal side effects. The research design used was a quasy experiment with a pre-test and post-test approach with control group design. This study divided the respondents into 2 groups, namely the intervention group and the control group. Based on the results of the Friedman test, it showed a significant decrease in systolic blood pressure with a p value of 0.000 in the intervention and control groups. As for the diastolic pressure in the intervention group, a significant decrease in blood pressure was found with a p value of 0.033. In the diastolic control group, there was no significant decrease in diastolic blood pressure. The use of TENS at point PC5 PC6 LI4 LI10 showed that it could significantly reduce systolic and diastolic blood pressure in hypertensive patients, while deep breathing therapy showed that only systolic blood pressure decreased significantly. TENS is an alternative intervention that patients can use safely, comfortably, peacefully and can be done independently