The Effectiveness of a coaching program for enhancing family caregivers's knowledge, attitudes, and skills in caring for persons with schizophrenia in medan, Indonesia

Thesis (M.N.S. (Nursing (International Program)))--Prince of Songkla University, 201

Pengalaman Perawat Dalam Melakukan Perawatan Luka Diabetik Selama Pademi COVID-19

 Pandemi COVID-19 menghambat praktik perawatan luka kaki diabetik sehingga dibutuhkan strategi baru yang aman untuk kelanjutan praktik klinis perawatan luka kaki diabetik selama pandemi COVID-19 agar perawatan luka tetap berlanjut. Pemberian perawatan dimodifikasi untuk untuk mencegah penyebaran COVID-19 dan mencegah resiko ulserasi kaki yang mengakibatkan infeksi lebih berat. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawatan luka sebelum dan selama pandemi COVID-19 di Kota Medan. Metode yang digunakan dalam penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengambilan sampel menggunakan purposive sampling, yaitu 10 perawat luka. Adapun kriteria inklusi dalam penelitian meliputi perawat luka tersertifikasi CWCCA, Perawat dengan lulusan Ners, berpengalaman minimal 1 tahun dan bekerja di klinik perawatan luka selama pandemi COVID-19.  Penelitian dilakukan di salah satu klinik perawatan luka di kota Medan. Hasil wawancara direkam terlebih dahulu, selanjutnya ditranskrip. Penelitian dianalisis dengan metode analisis Colaizzi. Hasil dari proses analisis tematik dalam penelitian ini didapatkan 6 tema, yaitu:  kecemasan menghadapi pandemi COVID-19, dampak pandemi COVID-19 terhadap perawatan luka, hambatan perawatan luka di masa pandemi, strategi perawatan luka di masa pandemi, mekanisme koping perawat menghadapi pandemi, dan 6) dukungan sosial yang diperoleh perawat selama pandemi. Adapun kesimpulannya yaitu terjadi penundaan perawatan luka kaki diabetik akibat adanya pandemi COVID-19 sehingga menyebabkan jumlah kunjungan pasien luka kaki diabetik menurun dan mempengaruhi jumlah pendapatan perawat yang berkurang di masa pandemi COVID-19

Pelatihan Kepemimpinan terhadap Kepuasan Kerja dan Kemampuan Manajerial Kepala Ruang

This study aims to analyze the relationship between leadership training and job satisfaction of the head of space. This research method is quantitative research with a comparative causal design. The results showed that the majority of work before being given the leadership training intervention in the intervention group and the control group was low, namely 27 respondents (100%) in the intervention group with an average value of 50.07 and 27 respondents (100%) in the control group with an average value of 61, 11. Job satisfaction after being given the leadership training intervention in the high majority intervention group, namely 16 respondents (59.3%) with an average value of 72.30 pleasure, while without providing leadership training intervention in the low majority control group, namely 27 respondents with an average value of 61, 33 %. Based on the Wilcoxon Signed-Rank statistical test with significant job satisfaction (Z=-4.552, p=0.000). In short, there is an effect of leadership training on the job satisfaction of the head of space.   Keywords: Leadership, Job Satisfaction, Trainin

EFEKTIFITAS PENERAPAN COGNITIVE BEHAVIORAL THERAPY PADA PASIEN DEPRESI: LITERATURE REVIEW

Depresi juga dijelaskan dalam Diagnostic and Statistical Manual of Mental Disorders V (2013) yang merupakan gangguan psikologis yang ditandai dengan munculnya kesedihan, perasaan hampa, perasaan sensitif, disertai dengan gejala somatis dan kognitif. Gejala-gejala tersebut dapat mempengaruhi fungsi dan kemampuan individu dalam melakukan kegiatan sehari-hari depresi merupakan sebuah gangguan yang berkaitan dengan adanya penyimpangan pada perasaan, cara berpikir, serta perilaku yang dimiliki oleh individu. Depresi dapat berkurang dengan beberapa terapi salah satunya terapi kognitif, sering disebut cognitive Behavioral Therapy (CBT). Terapi cognitive Behavioral Therapy (CBT) merupakan terapi yang banyak digunakan untuk mengatasi berbagai masalah kejiwaan, termasuk stress, depresi dan gangguan kecemasan. Pendekatan terapi ini berfokus pada membantu individu mengidentifikasi dan mengubah pola pikir dan perilaku maladaptif, yang pada akhirnya mengarah pada peningkatan kesehatan mental dan kesejahteraan secara keseluruhan. Penelitian ini dilakukan dengan menggunakan metode Literature review. Pencarian literatur dilakukan terkait dengan efektifitas penerapan cognitive behavioral therapy  pada pasien depresi berikut: Proquest, Science Direct dan Wiley dari tahun 2019-2023 kata kunci “Cognitive Behavioral Therapy”, “Depresi”, Anxietas. Cognitive Behavioral Therapy mempengaruhi psikologis pasien terutama pada tingkat kecemasan dan depresi pasien. Cognitive Behavioral Therapy ini dapat digunakan oleh perawat sebagai pendekatan non-farmakologis dalam membantu pasien agar tidak terlalu depresi dan cemas  saat menghadapi masalah mereka

Intervensi Pemberdayaan Berbasis Keluarga terhadap Peningkatan Perilaku Perawatan Diri Pasien dengan Diabetes Mellitus Tipe 2

This study aims to identify the effect of family empowerment intervention on the self-care of patients with type 2 diabetes mellitus. The research method used was quantitative with a Quasy Experimental Non-Equivalent Control Group Pretest-Postest Design. Respondents in this study were patients with type 2 diabetes mellitus totaling 70 respondents. Data were collected using the Summary of Diabetes Self Care Activities (SDSCA) questionnaire consisting of 14 question items. Data were analyzed using parametric tests (paired t-test and t-test for independent groups). The results of this study indicate a difference between the mean value of self-care in the intervention group and the control group after being given treatment with a p-value of 0.001 (t = -19,027; p-value = 0.001). In conclusion, family empowerment intervention affects self-care in DMT2 patients. Keywords: Type 2 Diabetes Mellitus, Family Empowerment, Self Car

The Relationship of Self-Regulation and Resilience in Parents of Attention Deficit Hyperactivity Disorder (ADHD) at Special School-C Karya Tulus Tuntungan II

Attention deficit hyperactivity disorder is a mental development disorder that becomes a problem for parents if it is not treated immediately. So that parents can increase their resilience and bounce back from difficulties wisely. The type of research is descriptive quantitative with a cross-sectional approach. This research aims to analyze the relationship between self-regulation and the resilience of parents with children with ADHD at Special School-C Karya Tulus Tuntungan II. The type of research is descriptive quantitative with a cross-sectional approach. Technique. Sampling is purposive sampling. This research's respondents were parents with children with ADHD at Special School-C Karya Tulus Tuntungan II, totalling 50 respondents. This research was carried out from March 27 to May 5 2024. The instruments used were the Connor-Davidson Resilience Scale (CD-RISC) and the self-regulation questionnaire (SRQ). Data were analyzed using the Spearman rank statistical test. The results of the study showed that the majority of respondents (74.0% had self-regulation in the capable category, there was a strong positive relationship between self-regulation and the resilience of parents who have children with ADHD with a Pearson correlation value of +0.450, p-value -value=0.001; p>0.05). The conclusion is that there is a relationship between self-regulation and the resilience of parents who have children with ADHD at  Special School -C Karya Tulus Tuntungan II, which is quite strong and in the same direction. It is recommended as a nursing intervention that can be developed to explore self-regulation and resilience in patients and families, especially in parents who have children with ADHD.Keywords: ADHD, parent, Self-regulation, Resilienc

Penerapan Teknologi Virtual Reality terhadap Perilaku Nyeri Pasien Pasca Bedah ORIF Fraktur Ekstremitas Bawah Saat Penggantian Balutan Luka

This study aims to identify the effect of applying virtual reality technology on pain behavior in postoperative ORIF patients with lower extremity fractures during dressing changes. The type of research used is a quasi-experimental nonequivalent control group pretest-posttest design. The sample in this study amounted to 50 patients after ORIF surgery for lower extremity fractures who underwent a wound dressing replacement procedure with a consecutive sampling technique. The research instrument consisted of a demographic data questionnaire, virtual reality devices and media and the Behavioral Pain Scale-Non Intubated (BPS-NI). The results showed that as many as 22 respondents (88%) who received virtual reality intervention when changing wound dressings did not show any pain, while the other 3 respondents experienced mild pain (12%). The results of the statistical test analysis Wilcoxon-Signed Ranked and Mann Whitney obtained a p-value <0.05. In conclusion, there is an effect of applying virtual reality technology in reducing pain as indicated by changes in pain behavior of patients after ORIF surgery for lower extremity fractures when changing wound dressings. Keywords: Change of Wound Bandage, Pain Behavior, Virtual Realit

Pengalaman Perawat dalam Memberikan Asuhan Keperawatan pada Pasien Readmission

This study aims to explore the experiences of nurses in providing nursing care to patients undergoing readmission at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan. This type of research is qualitative with a descriptive phenomenological approach. The research results showed that there were 5 themes, namely: 1) Care is given to readmission patients, 2) Nurses' feelings about caring for readmission patients, 3) Identifying the causes of readmission patients, 4) Prevention strategies for readmission patients, 5) Barriers to caring for readmission patients. Conclusion, To prevent readmissions, nurses are required to be able to provide education about illnesses and how to care for family members with mental disorders, train families as supervisors of taking medication, and strategies for overcoming crises when caring for people with mental disorders at home.   Keywords: Nursing Care, Nurse Experience, Readmission

Faktor Motivasi dengan Implementasi Sistem Jenjang Karir Perawat Pelaksana

This study aims to determine the relationship between the motivation of implementing nurses with the implementation of the career path system in the RSU. The research design used is a descriptive correlation with a cross-sectional design. Data were analyzed by a chi-square statistical test. The results showed that the p-value in the analysis of the relationship between motivation and the implementation of the career path system for nurses was 0.022. In conclusion, there is a relationship between motivation and implementing the career path system for implementing nurses at RSU. Keywords: Career Path, Motivation, Nurse Practitione

Pola Komunikasi Keluarga: Studi Kasus Pada Remaja dengan Kategori Resiko dan Gangguan Masalah Kesehatan Jiwa

Pola komunikasi yang baik akan menciptakan pola asuh yang baik, dan pengasuhan remaja yang baik akan dapat menangkal masalah-masalah yang mungkin terjadi proses tumbuh kembang remaja. Metode penelitian menggunakan desain studi kualitatif dengan pendekatan fenomenologi yang bertujuan untuk mengeksplorasi pengalaman remaja tentang pola komunikasi keluarga. Pengambilan partisipan penelitian adalah non probability sampling dengan teknik purposive sampling.  Partisipan pada penelitian ini adalah keluarga yang berdasarkan hasil deteksi dini memiliki anak remaja dalam kategori resiko dan gangguan masalah kesehatan jiwa  yaitu 24 keluarga di Kelurahan Medan Sunggal. Pengumpulan data dilakukan melalui wawancara mendalam dengan bantuan alat bantu perekam (record handpone), panduan wawancara dan catatan lapangan (field note) dan data dianalisa dengan content analysis. Hasil penelitian menunjukkan bahwa pola komunikasi yang terjadi antara orangtua dan anak remaja menghasilkan 2 tema yaitu waktu berkomunikasi, keterampilan komunikasi dan hubungan orangtua dan anak. Temuan ini dapat menjadi masukan buat keluara agar memberi waktu dan kesempatan kepada remaja sebagai upaya penguatan promotif dan preventif sehingga remaja tidak mengalami resiko dan gangguan masalah kesehatan jiwa