Cognitive Behavior Therapy (CBT) sebagai Terapi Tingkat Depresi pada Lansia

This study aims to determine the effect of Cognitive Behavior Therapy (CBT) on reducing depression in older people in Gumpang Village. This research method uses a quantitative approach in the form of a pre-experiment with one-group pretest-post-design research conducted from November 2022 to December 2022. Respondents in this study were 87 elderly respondents in Gumpang Village, Kartasura District, Sukoharjo Regency. Respondents were taken using the Accidental Sampling Technique. Respondents were selected according to the discussion criteria as samples. Data collection used a research instrument in the form of a GDS-15 questionnaire with a total of 15 questions. The results of this study indicate that the p-value = 0.000 ≤ α = 0.05 (the p-value is smaller than α = 0.05). In conclusion, there are significant differences in depression before and after CBT therapy. Giving CBT has a substantial impact on reducing the level of depression in older people in Gumpang Village.   Keywords: Depression, Elderly, Cognitive Therap

Cognitive Behavior Therapy (CBT) sebagai Terapi Tingkat Kecemasan pada Lansia

This study aims to determine the effect of Cognitive Behavior Therapy (CBT) on anxiety levels in older people in Gumpang Village. This study used the pre-experimental method with the type of pre-post test research in one group (one-group pre-post test design). The results of the Wilcoxon Rank Test showed that the mean value before Cognitive Behavior Therapy (CBT) was 18.61. In contrast, the Wilcoxon signed ranks test showed hostile ranks or the difference in anxiety scores for older people in Gumpang Village was 87, meaning 87 elderly experienced decreased anxiety scores after Cognitive Behavior Therapy. In contrast, the mean rank or average decrease in anxiety is 44.00. Statistical test with the Wilcoxon Asymp sig test. (2-tailed) is 0.000 (p < 0.05). In conclusion, there is an effect of Cognitive Behavior Therapy on the level of anxiety in older people in Gumpang Village, to be precise at the Ngudi Waras Posyandu and the Panca Marga 4 Posyandu, Kartasura District, Sukoharjo Regency, Central Java Province.   Keywords: Cognitive Behavior Therapy, Anxiety, Elderl

Hubungan Kadar Gula Darah Dengan Tingkat Depresi Dan Aktifitas Fisik Pada Penderita Diabetes Mellitus

High blood sugar levels will cause the occurrence of hyperglycemia. Hyperglycemia occurs because to an impaired insulin secretion or insulin work breakdown. People who hyperglycemia can experience interference in the form of phychological depression and decreased physical activity. People who are depressed and less activity can cause an increase in blood sugar levels. This research is a descriptive study using correlative approach cross sectional aims to do know the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Sampling technique using a purpose sampling, while the research instrument using the BDI-II questionnaire of 21 items and IPAQ questionnaire. The result of the calculation of the correlation test product moment relationship with depression level blood sugar levels obtained result and significant value 0.473(p-value) of 0.00. Procut moment correlation test result of the relationship of physical activity with blood sugar levels obtained result –0.460 with a value of 0.00 significance. Then there can be summed up the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Where the higher levels of depression, increases blood sugar levels, while the higher physical activity then the lower blood sugar levels

Relationship between Family Support and Aggregate Activity of Adults in Visit to Integrated Coaching Post (Posbindu)

The level of activeness of integrated coaching post (posbindu) visits in Muncar Village, Susukan District is still relatively low, with a value of 50,4% of the 127 integrated coaching post (posbindu) participants who were not active in visiting integrated coaching post (posbindu). The inactivity of participants in participating in integrated coaching post (posbindu) activities is caused by several factors, one of which is a reinforcing factor, namely the lack of family support. The purpose of this study was to determine family support with adult aggregate activity in visits to integrated coaching post (posbindu) in Muncar Village, Susukan District. This research method quantitative research with cross sectional. The population of 127 integrated coaching post (posbindu) participants using simple random sampling technique and Inclusion criteria: the aggregate of adults aged 17-55 years, registered in integrated coaching post (posbindu) activities live with family members obtained 67 respondents. The research instrument used a questionnaire containing 18 questions about family support and the attendance list for posbindu participants from February 2019 - to January 2020. The analysis bivariate technique used test analysis data used Chi Square because the data contribute normally. The results of the study the majority of family support is lacking as many as 33 people or 49.3%. The activity level of the majority of respondents is inactive as many as 37 people or 55.2%. The results of the correlation test between family support and active visits in the adult aggregate are p-value 0.001. The conclusion is that there is a relationship between family support and adult aggregate activity in visits to integrated coaching post (posbindu) in Muncar Village, Susukan District. The recommendation for integrated coaching post (posbindu) in Muncar Village is to increase knowledge about the importance of family support so that participants can actively attend every month so that their health can be controlled regularly every mont

Asuhan Keperawatan Jiwa Pada Ny.S Dengan Gangguan Persepsi Sensori Halusinasi Pendengaran di Ruang Srikandi Rumah Sakit Jiwa Daerah Surakarta

Background: The high incidence of hallucinations in Surakarta Regional Mental Hospital during the month of February 2014 until February 2015 into a sequence number one with the number of 4,021 patients attract writers to do the soul of nursing care in patients with disorders of sensory perception: Hallucinations. Objective: Writer want to know, understand and can apply the nursing care to clients with impaired sensory perception: Hallucinations includes assessment, diagnosis, intervention, implementation and evaluation of nursing. Results: Writer wish after nursing care for 3x24 hours, patients can recognize hallucinations she experienced, can control the hallucinations with 4 ways, rebuke, conversing with others, doing the activity schedule, and drug therapy can run properly. Conclusion: Cooperation between the health team and the client or the client's family is indispensable for the success of the client's nursing care, therapeutic communication can encourage more cooperative clients, family is very important role in caring for clients with impaired sensory perception: Hallucinations. Keywords: sensory perception, auditory hallucination

Asuhan Keperawatan pada Tn. M Dengan Defisit Perawatan Diri di Bangsal Amarta Rumah Sakit Jiwa Daerah Surakarta

Kesehatan jiwa merupakan bagian integral dari kesehatan, sehat jiwa tidak hanya terbatas dari gangguan jiwa, tetapi merupakan suatu hal yang dibutuhkan oleh semua orang. Tekanan hidup yang semakin berat membuat banyaknya orang yang mengalami sakit jiwa. Selain itu keadaan ekonomi juga turut andil dalam mempengaruhi banyaknya jumlah penderita sakit jiwa. Berdasarkan laporan dari RSJD Surakarta, defisit perawatan diri cukup tinggi, maka dari itu perlu dilakukan asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui asuhan keperawatan pada klien dengan gangguan defisit perawatan diri meliputi pengkajian, intervensi, implementasi, evaluasi keperawatan dan membandingkan teori dan praktek serta memberikan pengetahuan kepada pembaca tentang asuhan keperawatan kepada klien dengan gangguan defisit perawatan diri. Dan setelah dilakukan asuhan keperawatan selama 3x24 jam didapatkan hasil klien dapat membina hubungan saling percaya, klien dapat menyebutkan dan mengetahui tentang kebersihan diri dan tanda-tandanya, klien dapat memahami pentingnya kebersihan diri, klien dapat melakukan kebersihan diri di dalam kehidupan sehari-hari. Untuk itu klien mengambil kesimpulan bahwa kerja sama antar tim kesehatan dan pasien atau keluarga sangat diperlukan untuk keberhasilan asuhan keperawatan pada klien, komunikasi terapeutik dapat mendorong pasien lebih kooperatif

Giving Brain Gym Using Booklets To Reduce The Level Of Depression Among Elderly In The Community

The number of older adults found in Indonesia, as many as 30% claimed to have depression syndrome. Depression syndrome shows mood disorders, physical and cognitive symptoms. Cognitive symptoms can include difficulties in making decisions, decreased concentration, and physical symptoms. One of the management of depression is psychotherapy using brain gymnastics. Brain Gym has the benefit of activating the three dimensions of the brain, namely the concentration dimension, the lateral dimension, and the focusing dimension.This research method was quantitative by using a pre-experimental design with the Quasi-experiment pretest-posttest design without control group design. The research site was in the Posyandu for the elderly in Pabelan Village, Kartasura District, Sukoharjo, Central Java, with a time of March 1 - April 4, 2019, as many as 30 sites with a purposive sampling method. The inclusion criteria for respondents were aged over 60 years, experiencing mild and moderate depression, not on an anti-depressant, anti-psychotic, or anti-anxiety treatments. This research used the Geriatric Depression Scale (GDS) short form instrument and the Paired t-test.The results of the study obtained data that from the results of the pre-test, majority of respondents were Minor Depression (93.3%), from post-test 1, majority not Depressed (66.7%), and from the Post-test 2, majority Not Depressed (83.3%). The p-value of posttest 1 was 0.039, and posttest 2 was 0.001. The conclusion is that there is a significant influence in the provision of Brain Gymnastics in posttest 2, with a P-value of 0.001. The level of depression in the elderly results in the mean value of the pretest is higher than the value of the posttest, which means that the level of depression after brain gym therapy has decreased

Asuhan Keperawatan Jiwa pada Nn. S dengan Perubahan Persepsi Sensori Halusinasi Pendengaran di Ruang Sumbodro Rumah Sakit Jiwa Daerah Surakarta

Kesehatan jiwa bukan hanya tidak ada gangguan jiwa, melainkan mengandung berbagai karakteristik yang positif yang menggambarkan keselarasan dan keseimbangan kejiwaan yang mencerminkan kedewasaan kepribadiannya. Pada tahun 2012, 450 juta orang diseluruh dunia menderita gangguan mental, dan sepertiganya tinggal di negara berkembang, sebanyak 8 dari 10 penderita gangguan mental itu tidak mendapatkan perawatan. Memperoleh gambaran nyata tentang penerapan asuhan keperawatan pada pasien gangguan jiwa dengan masalah utama halusinasi. Setelah dilakukan asuhan keperawatan pada klien didapatkan hasil klien mampu berinteraksi dengan orang lain sehingga tidak terjadi perilaku kekerasan. Klien mampu membina hubungan saling percaya, klien mampu menyebutkan penyebab halusinasi, klien mampu menerapkan apa yang diajarkan perawat untuk mengusir halusinasi. Kesimpulan : Kerjasama antara tim kesehatan pada klien sangat diperlukan untuk keberhasilan asuhan keperawatan pada klien, komunikasi terapeutik dapat mendorong klien untuk lebih kooperatif, klien lebih memilih melakukan kegiatan yang positif untuk mengatasi halusinasi yang dialaminya

The effectiveness of yoga therapy to reduce the level of depression among elderly in the community

Background : Depression is one of the most common diseases among the elderly. Depression indicates disturbances in mood, physical and cognitive symptoms. Depression symptoms related to mood disorders include sadness, loss of interest in activities, worthlessness, and death, and suicidal thoughts. Early detection of depression in elderly can be noticed if the elderly have been known to possess factors that may cause depression. Yoga is a non-pharmacological therapy used to treat depression. Yoga movements consist of three stages, pranayama (breath control), asana (body temperature), and meditation (relaxation of the mind), these movements are very important to overcome stress and depression problems. Objectives : To purpose the effectiveness of yoga therapy in reducing depression in the elderly in the community. Methods : This research uses the quantitative research method with quasi-experimental  with pre-test post-test design without control. The research site was in Gedongan Village, Baki Sub district, Sukoharjo, Central Java, in March-May 2021, with a total of 47 elderly using the purposive sampling method. Inclusion criteria include 60 years old, GDS score minimum 5, no extremity disorders, and Muslim. Screening for depression employed the Geriatric Depression Scale (GDS). The media used were videos and booklets, using Islamic religious classical music and data analysis used the Wilcoxon test. Results : The average depression level of respondents during the pre-test was 8.40 while the post-test decreased to 4.77 or a mean difference of 3.63 with a p-value of 0.001 (p <0.05). Yoga therapy and breathing program have a remarkable and refreshing effect.  Conclusion : The conclusion is that the level of depression in the elderly resulted in a higher pre-test average value than the post-test value, which means that the level of depression after yoga therapy has decreased

Pengaruh Penyuluhan Terhadap Peningkatan Pengetahuan Kesehatan Reproduksi Remaja Pada Siswa Kelas IX SMP Muhammadiyah 1 Kartasura Sukoharjo

Latar belakang: Remaja berusia 10 – 19 tahun di Indonesia dari 220 juta penduduk, sekitar 43 juta atau 19,61 persen sehingga pengetahuan tentang kesehatan reproduksi bagi para remaja sangat penting. Berdasarkan studi pendahuluan diketahui bahwa di SMP Muhammadiyah 1 kartasura, hasil wawancara dari 10 siswa didapatkan 7 siswa belum mengetahui tentang kesehatan reproduksi. Tujuan penelitian: Untuk mengetahui pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan kesehatan reproduksi remaja Kelas IX SMP Muhammadiyah 1 Kartasura Sukoharjo. Metode penelitian: Design yang digunakan Quasi Eksperiment, dengan rancangan yang digunakan adalah one group pretest-postest design. Populasi dalam penelitian ini adalah seluruh siswa-siswi kelas IX yang terbagi atas kelas IXa, IXb, IXc, IXd di SMP Muhammadiyah 1 Kartasura Sukoharjo yang berjumlah 145 siswa, sedangkan populasi diambil semua siswa yang berada di kelas IXa SMP Muhammadiyah 1 Kartasura Sukoharjo saat diberikan penyuluhan sebanyak 35 siswa. Teknik analisis data yang digunakan dengan Paired Sample t-test. Kesimpulan: 1) Ada pengaruh signifikan penyuluhan tentang kesehatan reproduksi terhadap peningkatan pengetahuan kesehatan reproduksi remaja pada siswa kelas IX SMP Muhammadiyah 1 Kartasura Sukoharjo, dengan nilai thit = 5,157 > ttab = 2,032; = 0,000< 0,05) dan nilai rata-rata pengetahuan sebelum dilakukan penyuluhan 15,09 dan sesudah dilakukan penyuluhan sebesar 16,66; (2) Pengetahuan tentang kesehatan reproduksi remaja sebelum diberikan penyuluhan mayoritas tergolong cukup (40%); (3) Pengetahuan tentang kesehatan reproduksi remaja sesudah diberikan penyuluhan mayoritas tergolong baik (57,1%)