GAMBARAN TINGKAT STRES PSIKOLOGIS PADA PENDERITA KUSTA

Kusta adalah penyakit kronis yang disebabkan oleh Mycobacterium lepra. World Health Organization (WHO) melaporkan bahwa jumlah kasus kusta dunia pada tahun 2016 adalah 214.783 kasus. Indonesia menempati urutan ketiga setelah India dan Brasil. Kusta telah ada sejak zaman kuno, kejadiannya sering diiringi oleh stigma yang menakutkan dan negatif sehingga penderita dijauhi dan diasingkan. Kelainan fisik dan kecacatan membuat penderita kusta sangat rentan mengalami gangguan psikologis salah satunya adalah stres. Penderita kusta yang mengalami stres atau tekanan psikologis dapat meningkatkan risiko terjadinya reaksi kusta yang berakibat merugikan. Penelitian ini bertujuan untuk mengetahui gambaran tingkat stres psikologis yang dialami penderita kusta di wilayah Kabupaten Kendal. Studi deskriptif dilakukan dengan teknik total sampling pada penderita kusta sebanyak 111 orang. Kuesioner yang digunakan adalah Perceived Stress Scale (PSS). Hasil penelitian tentang tingkat stres menunjukkan bahwa penderita kusta yang mengalami tingkat stres ringan 22,5%, stres sedang 71,2%, dan stres berat 6,3%. Hasil penelitian diharapkan dapat digunakan sebagai dasar bagi perawat profesional agar dapat melakukan tindakan pencegahan terhadap timbulnya stres pada penderita kusta dengan melakukan pengkajian dan deteksi dini. Perawat dapat memberikan support group/psychoeducative family dalam penatalaksanaan komunitas bagi keluarga penderita kusta sehingga dapat meningkatkan pengetahuan dan kemampuan keluarga tentang cara merawat dan meningkatkan koping yang efektif terhadap stres dan beban yang dialami penderita kusta. Kata kunci: kusta, psikologis, stre

Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates

Cognitive-behavioural therapy (CBT) approaches have among the highest level of empirical support for drug and alcohol use disorder treatment. The unbearable impact of withdrawal syndrome such as physical related problems, psychological, social and behavioural can take a long-term impact such as affective and anxiety disorder that can lead to depression. CBT as an intervention that improves coping-skill, and strategy to change a maladaptive mindset should be convenient to reduce withdrawal symptoms. The effect of CBT intervention on the severity of the symptoms of methamphetamine withdrawal syndrome is still narrow. This research is aimed to find out the CBT effect on withdrawal symptoms in both qualitative and quantitative methods on female inmates. This research uses a case study design. Data were conducted using Amphetamine Withdrawal Questionnaire (AWQ) before and after CBT intervention. Data were analyzed using univariate analysis presented as distribution frequency on both before and after the intervention and discussed with single case analysis.  The result showed that CBT affects reducing withdrawal syndrome symptoms severity after 4 weeks and 4 session intervention. CBT affects decreasing withdrawal syndrome severity level. Based on these findings, the correctional nurse needs to develop comprehensive nursing care by providing CBT on a rehabilitation program to decrease female inmates’ withdrawal syndrome severity level

Kepatuhan Perawat dalam Menerapkan Sasaran Keselamatan Pasien pada Pengurangan Resiko Infeksi dengan Penggunaan Alat Pelindung Diri di Rumah

Infeksi nosokomial dapat menular jika dalam penanganan perawat terhadap pasien tidak steril. Salah satu cara untuk mencegah penularan tersebut adalah dengan memakai alat pelindung diri (sarung tangan dan masker) pada perawat saat memberikan tindakan terhadap pasien. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan perawat dalam menerapkan sasaran keselamatan pasien pada pengurangan resiko infeksi dengan penggunaan alat pelindung diri (sarung tangan dan masker) di Rumah Sakit Roemani Muhammadiyah Semarang. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan utama adalah 5 perawat pelaksana di RS Roemani Muhammadiyah Semarang. Informan triangulasi sumber adalah kepala ruang dan 2 ketua tim ruang rawat inap Ayub 2. Triangulasi teknik dilakukan melalui observasi pada perawat pelaksana. Hasil penelitian menunjukan bahwa pelaksanaan cuci tangan perawat di rumah sakit dikarenakan oleh pentingnya melakukan aseptik, tujuan menggunakan aseptik, jenis cairan, lama waktu, tempat cuci tangan dan masih diperlukannya cuci tangan setelah kontak pasien. Pelaksanaan pemakaian sarung tangan di rumah sakit meliputi penggunaan sarung tangan, jenis, fungsi, prosedur memakai dan melepas sarung tangan, tempat melepas dan frekuensi pemakaian sarung tangan. Pelaksanaan pemakaian masker di rumah sakit meliputi penggunaan masker, tujuan penggunaan, prosedur memakai dan melepas masker. Terkait kepatuhan perawat menggunakan APD, diketahui ada beberapa perawat yang tidak patuh memakai sarung tangan dan masker ketika akan memberikan tindakan ke pasien, perawat memakai sarung tangan tidak sesuai dengan ukuran, dan memakai sarung tangan tidak steril. Perawat beranggapan tidak semua tindakan harus memakai sarung tangan dan masker. Hasil tersebut menunjukan bahwa kepatuhan perawat dalam memakai alat pelindung diri termasuk kategori tidak patuh

PEMENUHAN KEBUTUHAN DASAR PADA LANSIA DENGAN DEMENSIA DI RUMAH PELAYANAN SOSIAL LANJUT USIA PUCANG GADING SEMARANG

Elderly with dementia has many needs, including the basic ones that should be assisted by caregivers for the fulfilment. This study aimed to determine the fulfilment of basic needs of the elderly with dementia in the House of Social Services for Elderly in Pucang Gading Semarang. This is a descriptive quantitative research with survey approach. This study uses total sampling technique with 34 people as the respondents. The result showed that the most met need were the need of residence (91.2%) on physiological needs; the needs of hygiene skin (82.4%) on the safety and security needs; the need for affection (79.4%) on the love and belonging needs; the need of being recognized by others (79.4%) on the self-esteem needs; and the need of self-acceptance (85.3%) on the self-actualization needs. Meanwhile, the most unmet needs were the need for fluid (70.6%) on the physiological needs; the need for interaction (85.3%) on the safety and security needs; the need of role (79.4%) on the love and belonging needs; the need of being rewarded (67.6%) on the self-esteem needs; and the need of self-recognition (79.6%) on the self-actualization needs. The conclusion is that most of the basic needs (>50%) of the elderly with dementia are not yet met by the caregivers. They are expected to improve the fulfilment of the unmet needs and maintain the met ones. Keywords : Needs, elderly, dementia Bibliography : 100 (1997-2016

Effects of Mindfulness with Gayatri Mantra on Decreasing Anxiety in the Elderly

Background: Anxiety is one of the psychological problems which can develop in the elderly. If left untreated, it can decrease the productivity and quality of life. Mindfulness with Gayatri mantra is such a complementary therapy which is effective to reduce anxiety in the elderly.  Objective: The purpose of this study was to determine the effects of mindfulness with Gayatri mantra on decreasing anxiety in the elderly Hindus in Bali, Indonesia. Methods: This study employed a one group pre and posttest quasi-experimental design and involved 34 elderly people recruited using a purposive sampling technique. Anxiety was measured using the Geriatric Anxiety Scale (GAS). A t-test statistical analysis was used to analyze the data.   Results: Results showed that there were significant effects of mindfulness with Gayatri mantra on decreasing the anxiety in the elderly Hindus in Bali with a p-value of 0.000 (α-value = 0.05). Conclusion: Mindfulness with Gayatri mantra could decrease anxiety in the elderly Hindus. This therapy can be used as an alternative to prevent the recurrence of anxiety in the elderly

KEBUTUHAN CAREGIVER DALAM MERAWAT LANSIA DENGAN DEMENSIA DI PANTI WREDHA KOTA SEMARANG

The caregiver needs knowledge and skills to provide optimal care. This study aims to determine the needs of the caregiver in taking care of the elderly with dementia in Nursing Home. This research was descriptive quantitative using survey approach. This study used total sampling technique with the total 40 respondents. The results of the study show that the most required knowledge needs are the signs of self-stress (97.5%), knowing about dementia (95%), and knowing about safe exercise for the elderly with dementia (95%). The most required skills needs are how to communicate with the elderly with dementia (100%), performing better ways in expressing guilt for the caregiver (100%), facilitating meals for the elderly (97.5%) and strategies for dealing with difficult behaviour: wandering (97.5%). The conclusion of this study is there have been identified various knowledge and skills required by the caregiver to treat the elderly with dementia. The caregiver is expected to identify other types of needs that are necessary in treating the elderly with dementia

Buku Panduan Penatalaksanaan stroke

Buku ini berisi tentang Panduan Penatalaksanaan strok

TERAPI “PAKET BAHAGIA” BERBASIS TEKNOLOGI INFORMASI SEBAGAI TATALAKSANA PERAWATAN PASIEN STROKE DI RUMAH BAGI KELUARGA YANG MERAWAT DAN KADER KESEHATAN DI KELURAHAN PUDAK PAYUNG : PENGABDIAN KEPADA MASYARAKAT

D Insiden stroke di Kota Semarang adalah 5798 pada tahun 2018. Kelurahan Pudak Payung memiliki pasien stroke 40 orang. Hasil penelitian menunjukan bahwa Terapi “Paket BAHAGIA” efektif untuk meningkatkan psikososial pasien. Keluarga dan Kader memerlukan ketrampilan dalam merawat pasien stroke di Kelurahan Pudak Payung. Tujuan kegiatan Pengabdian Kepada Masyarakat adalah meningkatkan ketrampilan kader dan keluarga dalam merawat pasien stroke. Metode kegiatan adalah pelatihan terapi “Paket BAHAGIA” kepada keluarga dan kader dalam merawat pasien stroke dirumah. Pelatihan 60 jam kepada 40 kader Kelurahan Pudak Payung dilakukan oleh tim keperawatan dan tim tehnologi Informasi Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Diponegoro. Pelatihan berbentuk pemberian materi, demonstrasi dan aktifitas mandiri. Hasil aktifitas Pengabdian Kepada Masyarakat menunjukan adanya peningkatan pengetahuan kader dan keluarga tentang stroke dan ketrampilan perawatan pasien stroke di rumah (p<0.05). Pengabdian Kepada Masyarakat dalam pelatihan terapi “Paket BAHAGIA” dapat diaplikasikan kepada masyarakat dalam merawat pasien di ruma

Perbedaan Tingkat Caregiver Burden Yang Merawat Lansia Demensia Di Panti Wreda

Background: The prediction of the number of elderly people in Indonesia will increase along with changes in Indonesia's demographic status. Elderly people who feel that at home less socialize with elderly people choose to live in a nursing home, this is an alternative for the elderly, elderly degenerative diseases are very diverse one of which is elderly dementia with dementia will require a level of dependence beyond the elderly who do not have dementia. Caregivers who treat the elderly with dementia will be very vulnerable to burden in treating elderly dementia.Purpose: The purpose of this study was to analyze the difference in the level of caregiver burden who care for elderly dementia at a nursing home.Method: This research method uses "Quasy experiment pre and posttest with control group". Number of samples 34 from each group. Data were analyzed using the Mann Whitney test with the help of SPSS 22.0 for Windows.Results: Research in the control group has a higher level of burden caregivers compared to intervention groups, this is because the control group respondents have lower wages than the city minimum wage, besides that the elderly characteristics carried out by nursing care have more severe dementia than the intervention group.Conclusion: The results of this study can be used as a reference in developing services for the elderly and elderly caregiver, especially the elderly who suffer from dementia