Improvement in Patients’ Ability to Care for Anxiety and Impaired Body Image: A Case Report of Acceptance and Commitment Therapy and Family Psychoeducation

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services. Abstrak Peningkatan Kemampuan Klien Merawat Ansietas dan Gangguan Citra Tubuh: Laporan Kasus Acceptance and Commitment Therapy dan Psikoedukasi Keluarga. Gagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadi penyebab 70% kematian di dunia serta menyebabkan ansietas dan gangguan citra tubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitment therapy diberikan pada klien agar dapat meningkatkan penerimaan terhadap penyakit dan komitmen merawat ansetas dan gangguan citra tubuh. Psikoedukasi keluarga dilakukan agar keluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metode yang digunakan berupa laporan kasus dalam bentuk case series pada dua klien dewasa dengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa kedua klien mengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus pada diri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa; aspek fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunan produktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatan kemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dan gangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakan dalam pemberian pelayanan keperawatan di unit umum. Kata Kunci: acceptance and commitment therapy, ansietas, gangguan citra tubuh, hipertensi, psikoedukasi keluarg

Ekstraksi Kulit Buah Naga sebagai Pewarna Alami

Synthetic dyes are increasingly widespread usage and soharmful to human health so that it needs to be increased by using of natural dyes which is safe. Natural dyes can be obtained from plant pigments which contained from both of leaves and rind. Dragon fruit skin is one of the natural pigment source. Its skin totaling 30-35% of the fruit is often simply thrown away as trash. Dragon fruit skin produces natural red color produced by pigment called anthocyanin which can be used as a substitute from synthetic dyes to natural dyes. This research aims to find the optimum conditions for extraction of dragon fruit skin. Extraction was carried out by using 80% ethanol solvent by using a variable ratio of the amount of material and solvent (1: 9 1:10 1:11 1:12 1:13), temperature (50◦C, 60◦C, 70◦C, 80◦ C) and time (1 hour, 2 hours, 3 hours, 4 hours, 5 hours). After that, do the analysis phase of the anthocyanin content. The results showed that the optimum conditions for extraction of the dye from the dragon fruit skin with 80% ethanol at a ratio F: S 1:11, extraction temperature 50 ◦C and for 3 hours resulted in anthocyanin concentration of 7.180 mg / L

Ekstraksi Kulit Buah Naga sebagai Pewarna Alami

Synthetic dyes are increasingly widespread usage and soharmful to human health so that it needs to be increased by using of natural dyes which is safe. Natural dyes can be obtained from plant pigments which contained from both of leaves and rind. Dragon fruit skin is one of the natural pigment source. Its skin totaling 30-35% of the fruit is often simply thrown away as trash. Dragon fruit skin produces natural red color produced by pigment called anthocyanin which can be used as a substitute from synthetic dyes to natural dyes. This research aims to find the optimum conditions for extraction of dragon fruit skin. Extraction was carried out by using 80% ethanol solvent by using a variable ratio of the amount of material and solvent (1: 9 1:10 1:11 1:12 1:13), temperature (50◦C, 60◦C, 70◦C, 80◦ C) and time (1 hour, 2 hours, 3 hours, 4 hours, 5 hours). After that, do the analysis phase of the anthocyanin content. The results showed that the optimum conditions for extraction of the dye from the dragon fruit skin with 80% ethanol at a ratio F: S 1:11, extraction temperature 50 ◦C and for 3 hours resulted in anthocyanin concentration of 7.180 mg / L

Improvement in Patients’ Ability to Care for Anxiety and Impaired Body Image: A Case Report of Acceptance and Commitment Therapy and Family Psychoeducation

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services. Abstrak Peningkatan Kemampuan Klien Merawat Ansietas dan Gangguan Citra Tubuh: Laporan Kasus Acceptance and Commitment Therapy dan Psikoedukasi Keluarga. Gagal jantung dan hipertensi merupakan penyakit tidak menular yang menjadi penyebab 70% kematian di dunia serta menyebabkan ansietas dan gangguan citra tubuh. Tindakan keperawatan ners dan ners spesialis Acceptance and commitment therapy diberikan pada klien agar dapat meningkatkan penerimaan terhadap penyakit dan komitmen merawat ansetas dan gangguan citra tubuh. Psikoedukasi keluarga dilakukan agar keluarga mampu membantu merawat klien dalam menghadapi penyakitnya. Metode yang digunakan berupa laporan kasus dalam bentuk case series pada dua klien dewasa dengan gagal jantung dan hipertensi. Hasil menunjukkan bahwa kedua klien mengalami penurunan gejala pada aspek kognitif berupa sulit konsentrasi, fokus pada diri sendiri, tidak menerima perubahan tubuh; afektif: khawatir, malu dan putus asa; aspek fisilogis: gangguan tidur dan tidak nafsu makan; perilaku: melamun, penurunan produktivitas; dan sosial: sulit menikmati kegiatan harian serta terjadi peningkatan kemampuan klien dalam menerima penyakit dan komitmen merawat ansietas dan gangguan citra tubuh. Pemberian tindakan keperawatan ners dan ners spesialis acceptance and commitment therapy serta psikoedukasi keluarga perlu dibudayakan dalam pemberian pelayanan keperawatan di unit umum. Kata Kunci: acceptance and commitment therapy, ansietas, gangguan citra tubuh, hipertensi, psikoedukasi keluarg

Masalah Psikososial yang Dialami Perawat di Masa Pendemi Covid-19: Systematic Review

Pendemi COVID-19 merupakan stresor yang dialami perawat dan berdampak terhadap kesehatan jiwa. Perawat mengalami berbagai masalah psikososial seperti stres, ansietas, depresi, burnout, post traumatic stress disorder dan lainnya. Systematic Review ini bertujuan untuk mengidentifikasi masalah psikososial yang terjadi pada perawat di masa Pendemi COVID-19. Database yang digunakan yaitu Proquest, Science Direct, Google Scholar, JSTOR dan EBSCOhost. Kriteria inklusi dari artikel penelitian adalah berbahasa Inggris, full teks, dipublikasi mulai tahun 2019 sampai dengan 2021 dan dengan desain penelitian crosssectional. Keseluruhan artikel yang didapat diawal pencarian berjumlah 102 artikel dengan rincian artikel yang didapat dari EbscoHost (n=28),  Proquest (n=22),  Science Direct (n=47),  JSTOR (n=0) dan google scholar (n=10).  Setelah dilakukan seleksi berdasarkan kriteria inklusi maka didapatkan  10 artikel dan hanya 8 artikel yang memenuhi kriteria studi. Hasil penelitian menunjukkan terdapat 3 tema besar yang didapat dari penelusuran artikel yaitu masalah psikososial, faktor risiko dan faktor protektif yang melindungi perawat COVID-19.

The Effect of Adolescent Therapeutic Group Therapy and Cognitive Behavioral Therapy in the Occurrence of Depression

Adolescents are tasked with developing identity vs. role confusion, where the search for identity will shape the individual's character. There has been an increase in the use of social media among adolescents, causing an increase in the number of depression in adolescents. The need for promotive and preventive efforts to prevent depression in adolescents. This study aims to determine the effect of therapeutic group therapy and cognitive behavioral therapy in preventing depression in adolescent social media users. This study was conducted on 70 students aged 15-18 years old using a purposive sampling technique according to inclusion and exclusion criteria. This study uses a quasi-experimental pre-post-test design with intervention and control groups. The intervention group was given therapeutic and cognitive behavioral therapy, and the control group was given therapeutic group therapy without cognitive behavioral therapy. The results of this study indicate a significant effect on the control group. The combination of therapeutic group therapy therapy and cognitive behavioral therapy can be recommended as a therapy for reducing depression in adolescent social media users

KAJIAN RESPONS PEUBAH TERHADAP BERBAGAI GUNCANGAN DALAM SISTEM PEMBENTUK PDB TANAMAN BAHAN MAKANAN MELALUI MODEL VECTOR AUTOREGRESSION

It has been known that Gross Domestic Product (GDP) is one of the tools which can be used to measure the agriculture sector's performance. Since the agriculture's GDP is influenced by food crops' GDP, the measurement of agriculture's GDP is based on production value of the prior commodities of food crops such as rice and corn. Production is influenced by harvested area, yield, producer's price of commodities, and price of input factors such as fertilizers and pesticides. Vector Autoregression (VAR) model is one of the multivariate model that used to examine the relationship among variables which affect food crop's GDP. VAR can also be used for giving information about behavior of the variables in response to the various shocks.   The objective of the study is to examine the response of a variable to the various shocks of the other variables by using response impulse function of VAR model. The study shows that harvested area significantly affects food crops' GDP on all term, but commodity prices and input factors prices just affect on short term. The results also show that inflations in agriculture sector will increase farmer's income and production effectively but the inflations are affected by input factor prices.   Key words:: Food Crops' GDP, Vector Autoregression, Response  Impulse Functio

Female Empowerment and the Preservation of Local Handicraft Home-based Industries in Java

This study demonstrates the central role of women in preserving local cultural handicrafts as a home-based industry and the role of government bodies and stake holders in preserving these cultural handicrafts. The study focuses on five villages located in four regencies on the island of Java. Data collection was obtained through interviews and questionnaires. Over the course of one month data was collected from 258 craftswomen and managers as respondents. The results show the importance of the roles occupied by women within local handicraft industries. These women are often viewed as subordinate to their male counterparts, yet these women are expected to shoulder multiple burdens and roles, both work-related and domestic. The conclusions of this study indicate that both central and local Governments are not providing adequate support to meet the needs of these women

Pendampingan Strategi Harga Jual Melalui Job Order Costing Pada Komunitas UMKM Karya Mapan Salatiga

Usaha mikro kecil menengah (UMKM) merupakan usaha ekonomi produktif yang umumnya dilakukan oleh perorangan melalui kekayaan besih atau hasil penjualan. Salah satunya adalah Karya Mapan yang merupakan komunitas pelaku UMKM di Kota Salatiga yang bergerak pada usaha kuliner. Namun, sebagian besar UMKM pada komunitas Karya Mapan belum menghitung harga pokok produksi dengan tepat. Tujuan pengabdian ini adalah pelatihan kompetensi pelaku UMKM komunitas Karya Mapan dalam penghitungan harga pokok produk berdasarkan pesanan (job order costing). Metode yang digunakan yaitu pelatihan dan pendampingan. Hasil kegiatan ini adalah pelaku UMKM di komunitas Karya Mapan mampu melakukan penghitungan harga pokok setiap produk yang diproduksi dan menyusun laporan harga pokok secara mudah. Selain itu dapat lebih melek terkait pentingnya penghitungan harga pokok produk sehingga dapat digunakan sebagai acuan dalam penentuan harga jual yang muaranya pada daya saing produk

Studi Kasus: Psikoedukasi Keluarga Online Untuk Menurunkan Beban Perawatan Pada Keluarga Pasien Skizofrenia

Objective:   The role of the family is very important in the care of schizophrenic patients, but it can carry out the burden of care that will directly affect the progress of care for schizophrenic patients to reduce the burden on families in caring for schizophrenic patients. Methods: This article using case study research design. Data was collected by online interview dan observation using video call, The instrument Burden Assessment Schedule (BAS) questionnaire was used to measure the family. The online intervention family psychoeducation was applied to this study. Results:  The nurse performs individual scanning, followed by assessing the family burden using the BAS questionnaire before and after performing  family psychoeducation  for 6 sessions. The entire nursing care process is carried out online using video calls for 2 times per week with a total of 6 meetings for 3 weeks. The result is showing after the intervention there is a decrease in the BAS score from 32 to 25.Conclusion: After performed in 3 weeks family psychoeducation can reduce the burden of care experienced by families so that families can identify problems faced, manage stress, and share roles in caring for patients